be the big thing. I understandthat.”

From the perspective of theCounty Commission, however,Dakota Plains doesn’t appreciatejust how big of an issue road ac-cess will be to its site. Duringprevious discussions with thebusiness, commissioners got theimpression it didn’t want to as-sist with upgrading the countyroads.

The company wants users tohave access to the proposed fa-cility along 435th Avenue by turn-ing west on 306th Street fromHighway 81 and then turningsouth on 435th Avenue. Thoseapproaching from Highway 50would be able to turn north onto435th Avenue.

It has been estimated that, asthe operation matures in the first

eight years, 100-120 trucks couldeventually come into the facilityon a normal day. During harvestseason, that number could bal-loon to 400-500 trucks.

Because of that heavy trucktraffic, the commission believesconcrete roads will be needed.

If truck routes are grantedfrom the north and south, Com-missioner Mark Johnson said itwill cost in excess of $10 millionto upgrade the roads.

“You, as a business, expectYankton County to put $10 mil-lion out for a $30 million proj-ect?” he asked.

Johnson advised that it wouldbe easiest from an infrastructureperspective to restrict truck traf-fic to entry from the south off ofthe state-maintained Highway 50.That would be a two-mile stretchof road in need of an upgrade.

“If you guys want to build thatfacility there, I think it’s going totake a serious commitment onyour part to help fund that road,”Commissioner Allen Sinclair said,suggesting that Dakota Plains

focus on the south entrance.“You’re not going to stick theYankton County taxpayer withbuilding your roads.”

The commission said anytaxes paid by Dakota Plains orthe establishment of a tax-incre-ment financing district would notnearly cover the road costs.

“Let’s sit down and make aplan,” Winsand countered. “Wecan sit and argue about it all dayand not have progress. I thinkwith the way the new line is com-ing in there, you are going tohave more companies cominginto your county on that line ... Ican tell you we’ll probably spendsome (money on the roads). Idon’t know what the number isgoing to be.”

The commission invitedDakota Plains to return to itsDec. 4 meeting to continue thediscussion.

You can follow Nathan Johnsonon Twitter at twitter.com/AnIn-landVoyage

The following clinical faculty have been formally engaged in clinical teaching of medical students and residents recently:Benjamin Aaker, Brian Aamlid, H. Lars Aanning, David Abbott, Prema Abraham, Paula Adam-Burchill, Tonya Adamiak, Michael Adler, Sarfraz Ahmad, Wafa Akkad, M. Rabiul Alam, Janine Albers, Marc Aldrich, Elias Alhanoun, Mir Hyder Ali, Brandon Allard, Raymond Allen, Richard Allen, Josie Alpers, Hartley Alsgaard, Gregory Alvine, Lisa Amiotte, E. Paul Amundson, Dale Anderson, David Anderson, F. James Anderson Jr., Heather Anderson, Keith Anderson, Matthew Anderson, Ronald Anderson, Susan Anderson, Sylvia Anderson, Cathy Andre, Kent Andre, Peter Andreone, Nagla Anees, Khaled Anis, James Appelwick, Nofil Arain, David Arend, Wilson Asfora, P. Kenneth Aspaas Jr., Susan Assam, Aristides Assimacopoulos, Muslim Atiq, Seann Atkinson, David Auch, Lee Austin, Saba Awan, Michelle Baack, Nancy Babbitt, J. Michael Bacharach, Priscilla Bade, Berne Bahnson, J. Jeffery Baka, Scott Baker, Mark Ballard, Mustafa Barbour, James Barker, Matthew Barker, Clarissa Barnes, David Barnes, Bryan Barness, Kathryn Barrett, Richard Barth, Kenneth Bartholomew, Melissa Bartling, Barry Bauer, Elizabeth Bauer, Michael Bauer, Keith Baumgarten, Brian Baxter, David Bean Jr., David Bean, C. Dustin Bechtold, John Bedingfield Jr., Mary Beecher, Robert Behrend, Jeremy Beireis, John Belk, Christopher Bell, Heather Bell, Maria Bell, Jeffrey Bendt, Steven Benn, Joann Bennett, Kevin Benson, Jerome Bentz, Danielle Berdahl, John Berdahl, Mary Berg, Tony Berg, Michael Bergeron, Gail Bernard, Shana Bernhard, Jeanne Berry, Marcia Beshara, Vinod Bhatara, Vishal Bhatia, Lyle Biegler, Matt Bien, Dori Bigner, Stephen Billion, Fredric Birch, Kevin Bjordahl, David Blair, Jerome Blake, Michelle Bleile, E. David Blickensderfer, Craig Block, Michael Bloom, Jeffrey Bock, Thomas Boetel, Jay Bogard, John Bormes, Paul Bormes, Christopher Boschee, Sherri Bostwick, Annette Bosworth, Diane Bottolfson, Joseph Boudreau, Grace Bourne-Lafollette, James Bowman, Scott Boyens, David Boyer, Jeffrey Boyle, Forrest Brady, Thomas Braithwaite, John Brannian, Kevin Bray, David Brechtelsbauer, Alan Brevik, Ashley Briggs, Richard Briggs, Douglas Bright, Stephanie Broderson, Patricia Brooks, Lisa Brown, Nedd Brown, Richard Brue, Beth Bruening, Gary Bruning, Kara Bruning, William Brunner, Mark Bubak, Jerome Buchkoski, Marvin Buehner, Bonnie Bunch, Susan Bunnell, Andrew Burchett, Kelly Burdge, Robert Buresh, Robert Burgess, J. Andrew Burnett, Joanna Burns, Larry Burris, Gene Burrish, Thomas Buttolph, Gerald Butz, Stephen Calhoon, Charles Cammock, Leona Cammock, Chad Carda, Christopher Carlisle, Carrie Carlson, Craig Carlson, Walter Carlson, Mary Carpenter, Paul Carpenter, Maria Carrillo-Marquez, Nancy Carroll, Adela Casas-Melley, Matthew Casey, Jeremy Cauwels, D. Susan Cavanaugh, George Ceremuga, Subhash Chauhan, Anna Cheatham, Robert Cheatham III, Darren D.W. Chester, Heather Chester-Adam, Gary Childers, Andrew Chontos, Sabina Choudhry, Vikrant Choudhry, Martin Christensen, Michael Christensen, Rochelle Christensen, Nicole Christenson, Gary Christiansen, Lyle Christopherson, Paul Cink, Andrew Clark, Richard Clark, Margaret Clarke, Gail Clifford, Steven Cochran, Shelley Cole, Patrick Collison, Steven Condron, Christina Cote, Daniel Crosby, Patricia Crotwell, Shawn Culey, R. Blake Curd, Edward Czarnecki, Robert Dahl, Barbara Danielson, Kamran Darabi, Gerard David, Christopher Davidson, Laura Davis-Keppen, Richard Day, Monica de Baca, Kristen De Berg, Maria De Guzman-David, Paul De Jong, Thomas Dean, Douglas DeHaan, William Del Monte II, Romano DeMarco, Bryan Den Hartog, William Dendinger, Thomas Denker, Scott Deppe, M. Gregory DeSautel, Ahmed Dessouki, Kenneth Diamond, Elie Dib, Stephen Dick, Daryl Dickson, Anthony Diehl, Dustin Dierks, Scott Dierks, Christopher Dietrich, Elizabeth Dimitrievich, Monte Dirks, Kent Donelan, Timothy Donelan, Mark Doohen, Wade Dosch, Brock Doubledee, C. Stephen Dresbach, Mark Drymalski, Clark Duchene, Susan Duffek, Aida Dunamalyan, Joel Dunn, Samuel Durr, John Durso, Robert Durst Jr., Quentin Durward, Eric Eastmo, David Eaton, Scott Ecklund, Paul Eckrich, Stephen G. J. Eckrich, Rachel Edelen, Kristi Egland, Shari Eich, Amy Eichfeld, Wael Eid, Brook Eide, Michael Eide, LuAnn Eidsness, Will Eidsness, Kishore Elaprolu, Hesham Elgouhari, Susan Eliason, David Ellerbusch, Michael Elliott, Lisa La Follette Ellis, Roland Ellis, Mona Elsayed, Ashraf Elshami, David Elson, James Engelbrecht, Pamela Ephgrave, Gregory Erickson, Kirsten Erickson, Mark Erickson, David Ermer, John Erpenbach, David Evans, Lisa Even, Joy Falkenburg, Gary Famestad, Joseph Fanciullo, Susan Fanta, Joel Farmer, Debra Farver, Max Farver, Sarah Fatland, Mark Fausch, Heidi Feistner, Xuesheng Feng, Lawrence Fenton, Robert Ferrell, Michael Fiegen, Victoria Finley, Christopher Fischer, Anne Fisher, David Flanagan, Jason Flanagan, Dawn Flickema, Pastel Fligge, Charles Flohr, Jon Flom, Kathryn Florio, Leo Flynn, Sarah Flynn, Valerie Flynn, Bruce Fogas, Reed Fossum, George Fournier Jr., John Frank, Nancy Free, Thomas Free, Jerome Freeman, Adrienne Fricker-Elhai, Jared Friedman, Matthew Friez, Wallace Fritz III, David Fromm, Stuart Fromm, James Frost, Steven Frost, Timothy Frost, Stephanie Fuller, William Fuller, Thomas Fullerton, Allen Funk, C. Thomas Gaeckle, Jane Gaetze, Kristopher Gage, Carl Galloway, Bryce Gammeter, Srinivas Gangineni, Mark Garry, Jack Gaspari, Michael Geis, Tara Geis, Gregory Geise, Ayman Geneidy, Michael Genoff, Ryan Geraets, Robert Giebink, James Gilbert, Jorge Gilbert, Jagdish Gill, Alexia Gillen, Michael Gillett, Howard Gilmore, Dennis Glatt, Kimberly Goble, David Godbe, Kay Goodall, Michael Goodhope, Elizabeth Grace-Cruz, Donald Graham, Elizabeth Gravley, Jennifer Greco, Justin Green, Christopher Gregory, John Griffin, Eric Gross, Beverly Gunderson, S. Richard Gunn, Amit Gupta, Troy Gust, Robert Gustafson, Leonard Gutnik, Stephen Gutnik, Stephen Haas, Tara Haas, Daniel Hafner, Geoffrey Haft, Regg Hagge, Yuya Hagiwara, Charles Haigh, Rizan Hajal, Michael Haley, Hannah Hall, Jeremy Hall, Kenneth Halverson, Harry Hamlyn, Bryan Hammer, Karen Hanisch, Chad Hanna, Craig Hansen, Keith Hansen, Lori Hansen, Travis Hansen, Charles Hanson, McKenzie Hanson, Tyler Hanson, Kimberly Hanssen, Richard Hardie, Robert Harms, Mary Helen Harris, Jeanne Hassebroek-Johnson, Christopher Hathaway, Valerie Hearns, Les Heddleston, Craig Hedges, Luther Hegland, Jeffrey Heier, Karen Heiling, Bernard Heilman, Daniel Heinemann, Jodi Heins, Randolph Heisinger, Jean Heisler, Michael Heisler, Scott Helberg, Matthew Helgeson, Bethany Helvig, Anora

Henderson, Travis Henderson, Cathy Hennies, Scott Henry, Stacey Herbster, Anthony Hericks, John Herlihy, H. Thomas Hermann Jr., Evan Hermanson, Victoria Herr, Benjamin Hess, Deborah Hickman, Richard Hieb, John Hill, Scott Hiltunen, Timothy Hindbjorgen, Terry Hinkson, Jem Hof, Darlys Hofer, Jeanette Hoffman, Wendell Hoffman, Jay Hoffmann, Daniel Hofmann, Byron Hohm, Shannon Hoime, Marshall Holifield, Reid Holkesvik, Kristen Holland, Mikel Holland, Richard Holm, David Holman, Richard Honke II, Jessica Horn, Robert Houser, David Howard, H. Eugene Hoyme, Krista Hoyme, Brad Hruby, Benson Hsu, Jennifer Hsu, Joel Huber, Scott Huckins, Lorraine Huet-Holm, Kari Hultgren, Donald Humphreys, Mark Huntington, Jason Hurd, Brian Hurley, Timothy Hurley, Willard Hurley, Thucdoan Huynh, David Hylland, Robert Ingraham, Carroll Isburg, Bryce Iwerks, Wallace Jackmon, Meena Jaggi, Matthew Jahraus, Fady Jamous, Ali Jassim, Sana Jeffreys, Laurel Jennings, Cristina Hill Jensen, Elizabeth Jensen, Richard Jensen, Rick Jensen, Rose Jensen, Wade Jensen, Jennifer Jenson, Ryan Jepperson, Kelly Jerstad, Brian Johnson, Daniel Johnson, Heather Johnson, Jana Johnson, Jeffrey Johnson, Julie Johnson, Leah Johnson, Mark Johnson, Matthew Johnson, Melissa Johnson, Michelle Johnson, Peter Johnson, Christopher Jones, John Jones, Orvar Jonsson, Joseph Jordahl, Kim Jundt, Michael Jung, Michael Kadrmas, Richard Kafka, Ellison Kalda II, Brenda Kallemeyn, Jeffrey Kalo, Jesse Kampshoff, Vishnu Kanala, David Kapaska, Stephen Karl, Alexander Karmazin, Heather Karu, Peter Kasznica, James Keegan, Courtney Keith, Patrick Kelly, Earl Kemp, William Kendall Jr., Daniel Kennelly, Michael Keppen, Amy Kerkvliet, James Kerr, Sarah Kerr, Imran Khan, M. Akram Khan, Malik Khan, Aman Khurana, Michael Kihne, Kristofer Kimber, Kenneth Kirton Jr., Jennifer Klein, Richard Klein, Brad Kleinsasser, Hendrik Klopper, Michael Knapp, Timothy Kneib, Stephania Knight, Jason Knudson, Kenneth Knudtson, Roger Knutsen, Brian Knutson, Jason Knutson, Tricia Knutson, Michael R.D. Koch, Sridevi Konkimalla, Rick Kooima, Donald Kosiak Jr., Francis Koss, Stephen Kovarik, Jennifer Kratz, Matthew Krell, Nicole Kress, Amy Krie, Ellen Kroon, Michael Kruer, Jennifer Kruger, Jeremy Kudera, Deborah Kullerd, Ashok Kumar, Carol Kuntz, Jacob Kusmak, Eric Kutscher, Daniel Kwan, Yasir Lal, Randall Lamfers, Laurie Landeen, David Lang, Terry Lang, Barry Lankhorst, Beth Lapka, David Larsen, Laura J.R. Larsen, Christopher Larson, Dawn Larson, Eric Larson, Gregory Larson, Mark Laudenschlager, Chad Laurich, Thomas Lechner, John Lee, Timothy LeeBurton, Stacie Lenssen, Lawrence Leon, Qiangrong Liang, Clark Likness, Josette Lindahl, Amy Lindaman, Brian Lindaman, Janet Lindemann, Editha Liu, Jeffrey Liudahl, Nathan Loewen, Nathan Long, Charles Longo, John Looby Jr., Peter Looby, Mark Lounsbery, Fred Lovrien, Matthew Lundien, Rosa Lundin, Jonah Luzier, Doug Lynch, Mark Mabee, David Maddox, Tarek Mahrous, Edward Mailloux, John Malm, Kenric Malmberg, Matthew Malone, Kelly Manning, Darren Manthey, Rod Marchiando, Robert Marciano, Dean Marietta, Christiane Maroun, Jeffrey Marrs, Teresa Marts, Fares Masannat, Thomas Masterson, Eugenio Matos, Nicole Mattila, Clifford Matushin, Jennifer May, Julie Mayo, Miroslaw Mazurczak, Wioleta Mazurczak, Jonathan McAreavey, Kenneth McCalla, Kelly McCaul, Rachel McCracken, Gerald McGowan, James McGrann, Steven McGraw, Patrick McGreevy, Michael McHale, Jennifer McKay, Kimberlee McKay, Heidi McKean, Matthew McKenzie, Scott McKercher, J. Michael McMillin, Michael McNamara, Turi McNamee, Clifford McNaughton, Marc McSherry, Ellen McVay, Michael McVay, Daniel Megard, Tina Melanson, Stephen Messier, Frank Messner, Angela Meyer, Jeffry Meyer, Robin Meyer, Vaughn Meyer, Beth Mikkelsen, Andrea Miller, Charles Miller, Gary Miller, Lisa Miller, Nathan Miller, Robert Miller, Ross Miller, Tara Miller, Mary Milroy, Mark Mogen, Riyad Mohama, Charles Mohler, Didima Mon-Sprehe, Marilyn Moor, Courtney Moose, Michael Moran, Rebecca Mork, Mary Morris, Luke Mortimer, Sam Mortimer, Roy Mortinsen, Francine Mousseau, Ashok Mudundi, David Mueller, DesiRae Muirhead, Gregory Mumm, David Munson, Patrick Munson, Karla Murphy, Jeffrey Murray, Krishnakumar Muthu, James Nabwangu, David Nagelhout, Stephen Nanton, Jawad Nazir, Gary Neidich, Laura Nelsen, Amy Nelson, Brett Nelson, Candice Nelson, David Nelson, Patrick Nelson, Richard Nelson, Dennis Nesbit, M. Troy Nesbit, Norman Neu, Mumtaz Niazi, Byron Nielsen, Robert Nixon, Stephen Njagi, Joan Nold, Allen Nord, Wesley Nord, Bonnie Nowak, David Nussbaum, Obinna Nwadibia, Verlyn Nykamp, Lewis Ofstein, Ayodele Ogunremi, David Ohrt, Donald Oliver, Arthur Olsen, David Olson Sr., Douglas Olson, Lacey Olson, Mary Jo Olson, Michael Olson, Steven Olson, Mark Oppenheimer, Keri Orstad, Gregory Osmundson, Gary Ott, Matthew Owens, Barbara Palmer, Bradley Palmer, John Palmer, Maria Palmquist, Lew Papendick, Ramakrishnan Parameswaran, Matthew Pardy, K-Lynn Paul, Brad Paulson, Douglas Pay, Harlan Payne, Jon Peacock, Curtis Peery, Rebecca Pengilly, Michael Person, Ulises Pesce, Daniel Petereit, Charles Peters, Patricia Peters, Kara Petersen, Judith Peterson, Michael Peterson, Scott Peterson, Terri Peterson-Henry, Marian Petrasko, Marina Petukoff, Scott Pham, Tracy Pierret, Michael Pietila, Carrissa Pietz, Russell Pietz, Joshua Plorde, Michael Pochop, Thomas Posch, David Potas, Joseph Prasek, Julia Prescott-Focht, Aaron Prestbo, Leah Prestbo, Michael Preys, Anna Priebe, Bruce Prouse, Wesley Putnam, Michael Puumala, Mohammad Qamar, Abdul Qazi, Rita Rabenberg, Michael Rafferty, Bharathi Mahendri Raidoo, Deshandra Raidoo, Bradley Randall, Larry Rasmussen, G. Daniel Rath, Jugal Raval, Julie Raymond, Louis Raymond, G.H. Pavan Reddy, Steven Redmond, Ralph Reeder Jr., Joseph Rees, R. Bradley Reeves, Daniel Reiffenberger, Sarah Reiffenberger, Juliann Reiland, Alisa Reindl, Bailey Reindl, John Reinschmidt, Jenifer Reitsma, Richard Renka, L. Mark Renner, Paul Rentz, Thomas Repas, Suzanne Reuter, Paul Reynen, Peter Reynen, James Reynolds, Kelly Rhone, Stuart Rice, George Richards, James Richardson, Glenn Ridder, Tim Ridgway, Amy Rief-Elks, Dennis Ries, Daryl Rife, Thomas Ripperda, John Robbins, Michael Robinson, Hilary Rockwell, Mark Rodig, Peter Rodman, Susan Rohr, Luis Rojas-Espaillat, Eric Rolfsmeyer, David Rosinsky, David Rossing, William Rossing, John Rud, James Ruggles, Anthony Rupp, Richard Russell, John Ryan, Jon Ryckman, Laura Ryken, Gregory Saffell, Amal Salama, Bassel Salem, Richard Sample, Jorge Sanchez, John Sanders, David Sandvik, Robert Santella, Arvin Santos, Sarah Sarbacker, Larry Schafer, Bobbie Schauer, Ellen Schellinger, Ryan Schellpfeffer, Samuel Schimelpfenig, Rand Schleusener, Pamela Schmagel, Troy Schmidt, Delf Schmidt-Grimminger, Kathleen Schneekloth, Susan Schrader, Eloise Schrag, Jennifer Schriever, Greg Schroeder, Stephan Schroeder, Greg Schultz, Bruce Schulz, Michael Schurrer, Robert Schutz, Jodi Scott, Kenneth Scott, Anastasia Searcy, Joseph Segeleon, Yvonne Seger, Luke Serck, Joseph Seurer, Charles Shafer, Syed Asif Shah, Dany Shamoun, Gregory Shearer, John Shelso, Jamie Sheridan, Roger Shewmake, David Shields, Gen Shinozaki, Aaron Shives, Noaman Siddiqi, Anthony Sierra, Edward Simanton, Lynn Simmons, Matthew Simmons, Janell Simpkins, Chandar Singaram, Leighton Singh, Rajesh Singh, Demetre Skliris, Richard Skorey, Brian Skow, David Slama, J. Geoffrey Slingsby, Yamen Smadi, Brian Smith, Craig Smith, Gregory Smith, R. Maclean Smith, Rhonda Smith, Sandra Smith, Sarah Smith, Shirlene Smook, Theodore Smyer, John Sneden, Kenneth Snell, Dawn Snow, Sunee Snyder, Andrew Solares, Lloyd Solberg, Veronica Soler, Ramesh Somepalli, Somkiat Sopontammarak, Todd Sorensen, Matthew Sorrell, Douglas Soule, Timothy Soundy, Andrew Soye, John Spangler, William Spanos, Suzannah Spencer, Terrence Spencer, Constance Spicero, Michael Sprehe, Srividya Srinivasan, Kelly Stacy, Theresa Stamato, Jeffrey Stanley, Matthew Stanley, Christopher Stanton, Lorenzo Stars, Michael Stassen, Michael Statz, David Staub, Quinn Stein, Vernon Stensland, Patricia Stephenson, Phillip Stephenson, Jill Sternquist, John Sternquist, Nicole Stethem, Dennis Stevens, Steven Stocks, Cameron Stokka, Jonathan Stone, Kurt Stone, David Strand, Richard Strom, Lori Strong, Heidi Strouth, Tamera Sturm, Adam Stys, Maria Stys, Tomasz Stys, Wesley Sufficool, Robert Suga, Raed Sulaiman, Robert Suurmeyer, David Swanson, Don Swift II, Melinda Talley, Robert Talley, Kimberlee Tams, Garrett Taylor, Gregory Taylor, Jose Teixeira, Alison Tendler, Richard Tenglin, Jill Termaat, Bradley Thaemert, Jitendra Thakkar, Thavam Thambi-Pillai, Fredric Thanel, Ruth Thatcher, David Thomas, Eric Thomas, Vance Thompson, Chad Thury, G. Michael Tibbitts, Patrick Tibbles, Jerel Tieszen, Gary Timmerman, Benita Timpe, Michael Tobin, Daniel Todd, Addison Tolentino, Kynan Trail, Arleigh Trainor, Douglas Traub, Henry Travers, John Travnicek, Mark Travnicek, Matthew Tschetter, Richard Tschetter, Brian Tschida, Geoffrey Tufty, Michelle Turner, Kevin Tyler, Brad Uhing, Molly Uhing, Patsy Uken, Anatolie Usatii, Craig Uthe, Anthony Vaca, Verle Valentine, Michelle Van Beek, Robert Van Demark Jr., Peter Van Eerden, Shawn Van Gerpen, Carilyn Van Kalsbeek, Rebecca Vande Kop, Antoinette Vander Pol, John VanderWoude Jr., Scott VanKeulen, Lucas VanOeveren, Kathy Vasa, Collin Vaughn, Wilfredo Veloira Jr., Suneet Verma, Tamara Vik, Mary Villanueva, Namita Vinayek, Lisa Viola, Joseph Vogel, Robert Voglewede, H. Bruce Vogt, Robert Vosler, Steven Vosler, Godfrey Wabwire, David Wachs, KayeLyn Wagner, Naomi Wahl, Gail Waldby, Timothy Walker, Victoria Walker, James Wallace, William Waller Jr., Patrick Walsh, William Waltz, Kristi Walz, Dajun Wang, Michelle Wanna, Peter Warhol, Merritt Warren, Victor Waters, Eric Watson, Mary Watson, Bruce Watt, Tim Watt, Jay Weatherill, Scott Weber, Larry Wehrkamp, Kevin Weiland, Donna Weinacht, Robin Weiner, Bryan Wellman, Lawrence Wellman, Randal Welter, Robert Wenger, Roger Werth, Alvin Wessel Jr., David West, Elizabeth Wheatley, Kirke Wheeler, Lisa White, Thomas White, David Whitney, Kevin Whittle, James Wick, Jason Wickersham, Stephanie Wieman, Allison Wierda Suttle, James Wilde, Michael Wilde, Ann Wilson, Ian Wilson, Donald Wingert, Jon Wingert, David Withrow, Matthew Witte, Gregory Wittenberg, Amelia Woltanski Mroch, Kimberly Woolhiser, Catherine Wright, Corey Wulf, Terry Yeager, Barbara Yelverton, Charles Yelverton, James Young, Khalil Yousef, John Yu, Alla Zamulko, William Zavitz, Edward Zawada, Candace Zeigler, David Zeigler, Joseph Zenel, Joel Ziebarth, Paul Zimmerman, Todd Zimprich, Timothy Zoellner, Aaron Zylstra

Thanks to Our Clinical Faculty -You Practice What You Teach

We are also grateful to the additional faculty who have made significant contributions to the medical school in other areas.To view the above list by location, visit www.usd.edu/med/clinical-teachers.cfm.

Want to get involved? Call 605-357-1300 or e-mail us at med@usd.edu.

For more than a century, USD Sanford School of Medicine has instructed emerging physicians in the art and science of healing.

Through it all, our clinical faculty members have played a pivotal role in this process. Today, more than 1,000 doctors share their

knowledge and practical experience with the next generation of doctors, securing a healthier future for South Dakota and beyond.

Thank you, our clinical teachers, for your ongoing generosity with your time and talents.

605-665-5100 2601 Fox Run Parkway, Yankton, SD 57078

www.lewisandclarkspecialty.com

The Surgeons and Staff at Lewis & Clark Specialty Hospital

Welcome Dr. Kent M. Patrick to

Yankton and our hospital!

physician owned

Dr. Catherine A. Wright Otolaryngologist

Dr. Joseph Boudreau Urology

Dr. Christopher Hathaway Urology

Dr. Kynan Trail General Surgery

Dr. Scott Shindler Podiatry

Dr. David J. Abbott Otolaryngologist

Dr. Thomas Posch Diagnostic Radiology

Dr. Dan Johnson Orthopedics

Dr. Don Swift II Orthopedics

Dr. Paula Hicks Ophthalmology

Michelle Weidner-Jordan Administrator/CEO

Dr. Karen Dickes Ophthalmology

Kent M. Patrick, MD is a board certified orthopedic surgeon specializing in surgical and non-surgical treatment of the spine. He graduated from the University of Iowa College of Medicine, Iowa City, IA. Dr. Patrick will begin seeing patients December 6th in his clinic, Yankton Spine, located in the Lewis & Clark Medical Plaza, Suite 200. Call 605-260-2118 for an appointment.

PAGE 16 PRESS & DAKOTAN n WEDNESDAY, NOVEMBER 21, 2012

BY DAVID B. CARUSOAssociated Press

NEW YORK — Just a few months ago, the parking lotat Jacob Riis Park on New York City’s Rockawayseashore was filled with happy beachgoers. Now, it ishome to a mountain of misery from Superstorm Sandy— a growing pile of garbage containing everything frommangled appliances, splintered plywood and soddendrywall to shreds of clothing and family photos.

The seagull-pecked pile, at least two stories high,three quarters of a mile long, and fed by an endless car-avan of dump trucks, is just part of a staggering round-the-clock operation along hundreds of miles of coastlineto clear away the mangled mess of homes, cars andboats so the rebuilding can begin.

Three weeks in, it is an effort that has strained theresources of sanitation departments and landfill opera-tors, and caused headaches and heartache for thou-sands of families in the sprawling disaster zone.

The lucky have only had to empty their basementsof soggy belongings. Others have been forced to striptheir flood-ravaged homes down to the studs and piledrywall, furniture, clothing and appliances on the side-walk.

“We’ve seen people put virtually all their worldlypossessions at the curb,” said Mike Deery, a spokesmanfor the town of Hempstead, which includes severalbeach and bay hamlets on Long Island’s South Shore.“We’ve gone down streets and picked up the entire con-tents of homes, and come back the next day and have itlook like we haven’t been there in months.”

In the three weeks since the storm, New York Cityalone has removed an estimated 271,000 tons of wreck-age from flooded neighborhoods. That doesn’t includethe downed limbs and trunks of some 26,000 damagedtrees.

New Jersey shore towns have been adding to bigpiles of rubble just like the one at Jacob Riis. One of thebiggest ones, in Long Branch, reaches nearly three sto-ries into the sky from a vacant lot a block from theocean.

As of Friday, auto insurance companies had reportedstorm damage to at least 52,000 vehicles, according tothe National Insurance Crime Bureau. Many of thosecars floated on the tide and were left smashed, silt-filledand strewn across sidewalks and yards.

In Long Beach, N.Y., a barrier island city of 33,000people that was completely inundated by the stormsurge, public works crews worked 16-hour shifts toscoop up hundreds of thousands of cubic yards of sandthat had buried city streets. The mountain of silt theyhave created now stands five stories high.

A powerful mechanism has been at work to make ithappen: In New York, the city’s regular army of 6,000sanitation workers has been supplemented by battal-ions of private contractors, hired under a $92 millionFEMA contract administered by the Army Corps of Engi-neers.

Garbage barge terminals on Staten Island that werelast used to remove debris from the World Trade Centerafter 9/11 have been pressed into service again, thistime carrying Sandy’s wreckage up the Hudson River, to-ward a landfill outside Seneca Falls.

Rubble has also been moving by truck to landfills inPennsylvania, some of which have been stretched to thelimit.

“You are trying to drive material through a funnelthat isn’t quite wide enough to accept it,” said JohnHambrose, a spokesman for industry giant Waste Man-agement. He said the company has had to boost staffingand bring in 65 additional trucks and equipment from asfar away as Florida and Wisconsin to handle the rubbleheaded for its landfills in Pennsylvania.

Rubble Cleanup A MassiveTask In New York City

CountyFrom Page 1