HomeMy WebLinkAboutJune_21_2005_Regular_MinutesIREDELL COUNTY BOARD OF COMMISSIONERS
REGULAR MINUTES
JUNE 21, 2005
The Iredell County Board of Commissioners met in Regular Session on Tuesday,
June 21, 2005, at 7:00 p.m., in the Iredell County Government Center (Commissioners' Meeting
Room), 200 South Center Street, Statesville, NC.
Present were:
Chairman Sara Haire Tice
Vice Chairman Godfrey Williams
Steve D. Johnson
Marvin Norman
Ken Robertson
Staff present: County Manager Joel Mashburn, County Attorney Bill Pope, Finance
Director Susan Blumenstein, and Clerk to the Board Jean Moore.
CALL TO ORDER by Chairman Tice.
INVOCATION by Commissioner Norman.
PLEDGE OF ALLEGIANCE
ADJUSTMENTS OF THE AGENDA: MOTTO by Chairman Tice to approve the
following agenda adjustments:
Addition: •Request from the Sheriff's Department for Approval of a Jail Contract with Southern
Health Partners
Deletions: *Request from the Clerk of Court for a Discussion/Decision Regarding a Video
Arraignment System Proposal between the County Jail and the Mooresville
Courthouse (Iredell County Government Center -South)
• Request from the Town of Troutman for Approval of an Easement Deed for
Property Located at the Southern Line of the Iredell County Vocational Workshop
and the Northern Line of Iredell County Property (Section of the County Home
Property)
*Request from the Chief Animal Control Officer for an In -Range Pay Incentive for
Employees Achieving the title of "Official Rabies Vaccinator"
*Request for Approval of Budget Amendment 454 in Recognition of a $100,000
Contribution from Lowes Hardware for Installation of Field Lights at Stumpy Creek
Park
*Request for a Discussion/Decision Regarding a Recommendation to Divert Funding
from LifeSpan, Inc. (formerly the Vocational Workshop) & to Appropriate the
Funds to the Iredell County Area Transportation Authority (ICATS) for
Transportation Services
VOTING: Ayes — 5; Nays — 0.
Request from the Sheriff's Department for Approval of a Resolution to Allow County
Retiree Bruce Kennerly to Purchase his Service Sidearm & to Retain his Badge: MOTION by
Commissioner Johnson to approve the following resolution which will enable County Retiree Bruce
Kennerly to retain his badge and purchase his service sidearm.
WHEREAS, Bruce Kennedy has served in the Iredell County Sheriff's Office and has, upon his
retirement, requested to be permitted to retain his badge and to purchase his service sidearm.
NOW, THEREFORE BE IT RESOLVED, by the Board of Commissioners of Iredell County that said
badge be awarded to Deputy Kennerly at no charge and that his sidearm be sold to him for the sum of'One
Dollar ($1.00), as provided by G. S. 20-187.2.
One (1) Glock, 40 Caliber Pistol
Serial #ALF -332
VOTING: Ayes — 5; Nays — 0.
PRESENTATION OF SPECIAL RECOGNITIONS & AWARDS
Recognition of County Retiree Bruce Kennerly
Accompanying Mr. Kennerly to the meeting was his wife, Jenny, and Lt. Stanley Watkins
with the Sheriff's Department.
Watkins praised Kennerly's law enforcement work. Lt. Watkins said Kennerly was highly
respected both by his peers as well as the community.
Chairman Tice said Kennerly had made many contributions to the county during his career.
She then presented him with an appreciation plaque for his 20 years of dedicated service.
Lt. Watkins, on behalf of the Iredell County Sheriff's Office, presented Mr. Kennerly with
his service badge and weapon.
FBI National Academy: County Manager Mashburn requested Lt. Watkins to share
information about his experience with the FBI Academy.
Lt. Watkins said he was selected to attend the 221'` Session of the FBI National Academy in
Quantico, VA in April. Watkins said the ten -week session involved participants from all 50 states
along with 24 people from overseas. He said the participants took classes in management,
leadership, and physical fitness. Lt. Watkins said that less than two percent of the individuals
applying to the academy were accepted, and he was the first officer to attend from the Iredell
County Sheriff's Department.
Chairman Tice congratulated Lt. Watkins on his achievements.
PUBLIC HEARINGS
Chairman Tice declared the meeting to be in a public hearing.
Proposed Amendment to the Iredell County Subdivision Ordinance - Section 405.7.1,
Curb & Gutter — Stormwater: Subdivision Administrator William Allison said a two-step
approach to address erosion related problems was being presented. He said the first amendment
pertained to curb and gutter, and it proposed to address erosion from the beginning stages of
development with subdivisions as "a whole." Allison said the amendment stipulated that builders
would have to meet some standards in order to be eligible to use curb and gutter.
Allison said the second amendment was geared towards a "more individual approach." He
said the building contractor would have to obtain a grading permit at the time of construction. Mr.
Allison said this amendment would educate responsible parties and prevent individual erosion
occurrences on lots not covered by the state ordinance (one acre minimum review).
Mr. Allison said neither amendment would totally eliminate stormwater problems, plus they
were not retroactive, but the staff felt they would make an impact. Additionally, he said the staff
could enforce the amendments in-house. Allison said the planning board had approved both
amendments, and there was a recommendation for the grading permit fee be set at $45 for
residential and $100 for commercial with July 1, 2005 being the effective date.
Commissioner Robertson said the amendments still allowed for much silt to flow into the
lake areas. He said there were many intermittent streams in the county not listed on the U.S.
Geological Survey maps. Robertson encouraged the staff and planning board to re -review the
problem especially with lake residents and builders because silt could not be prevented. He said a
more comprehensive ordinance was needed to aid the residents who had the intermittent streams.
Robertson acknowledged that a more stringent ordinance might be difficult to enforce, but he still
desired to see something that addressed the problem "more directly but didn't place an unreasonable
burden on someone doing construction in the watershed around Lake Norman."
Commissioner Williams asked how the amendments would impact pending subdivisions.
2
Allison said the standard policy indicated that any projects having preliminary approval
through the subdivision review committee would be grandfathered or vested. He noted the curb and
gutter amendment would apply to all areas of the county.
Jerry Santoni presented slides of his Lake Norman property. He said one tract bordered a
cove and another was across the street with both of them being connected with a culvert pipe. Mr.
Santoni had the following to say about the stormwater issue:
■ Stormwater effected everyone,
■ Stormwater was dangerous and powerful,
■ Stormwater created safety & health hazards, and
■ Residential landscaping also created problems.
Santoni said he had contacted over 25 different federal, state, and county offices, along with
other agencies about his Stormwater problems, but there wasn't anything that could assist him.
No one else desired to speak, and Chairman Tice adjourned the hearing.
MOTTO by Commissioner Robertson to (1) accept the amendment to the Iredell County
Subdivision Ordinance — Section 405.7.I, Curb & Gutter - Stormwater, (2) accept the amendment to
the Iredell County Zoning Ordinance; Article XV, Section 5.1 Grading Permits, Erosion and
Sedimentation Control, (3) accept July 1, 2005 as the effective date for both amendments and (4) to
accept the recommendation for the grading permit fees to be $45 for residential and $100 for
commercial.
VOTING: Ayes — 5; Nays — 0.
The subdivision amendment is as follows:
Section 405. Z! (Curb & Gutter)
1. Curb & Gutter
When a proposed subdivision exceeds 25 lots, where there is a topographic need (such as steep
slopes) and a public benefit will be realized, or where on adjoining subdivision already has curb and gutter
in place, the Committee may recommend to the Subdivision Administrator where curb and gutter (designed
in accordance with NCDOT specifications) shall be required. Curb and gutter development shall only be
permitted when 50% or more of the Stormwater run-off is discharged into an on-site perennial or annual
stream as determined by the most recent version of the U.SG.S. topographic maps. No run-off may directly
discharge into Lake Norman, Lookout Shoals Lake, or the Catawba River. In addition, the developer, or his
agent, shall submit a surface water drainage plan, as drawn by a design professional, containing topography
and depicting the natural drainage of the property prior to development
The zoning ordinance (relevant section) will be written as follows:
Section 15.1 Zoning and Grading Permits Required
1. Zoning Permit
No land shall be used or occupied and no building hereafter structurally altered, erected, or moved,
shall be used, or its use changed, until a Zoning Permit shall have been issued by the Zoning
Administrator stating that the building and/or the proposed use thereof complies with the provisions of
this Ordinance. No Building Permit shall be issued and no building shall be occupied until that Permit is
issued. A record of all Permits shall be kept on file in the office of the Zoning Administrator and copies
shall be furnished, on request, to any persons having a proprietary or tenancy, interest in the use or
building. The Zoning Administrator shall collect such fees for the issuance of Zoning Permits as are
authorized by the fee schedule as adopted by the Board of Commissioners. The issuance of a valid
Zoning Permit shall confer with it the right to undertake and complete the development and/or use of
property under the terms and conditions of such Permit provided that such action as authorized by the
Permit is commenced within one hundred eighty (180) days of issuance and provided that all other
permits are obtained. Otherwise the Permit shall be void.
1. Grading Permit
3
No Building permit shall be issued for a residential dwelling or a nonresidential principal structure until
a grading permit has been issued. No land shall be graded _for the purpose of construction of a
residential dwelling or a nonresidential principal structure, until a grading permit has been issued by
the County. The County shall collect such fees for the issuance of grading permits as are authorized by
the fee schedule adopted by the Board of Commissioners.
In addition to obtaining the permit; the owner, building contractor, or other responsible party shall:
A. Control rz n-off'as to not damage or adversely impact adjoining properties by providing silt fencing
and stabilization or utilizing Low Impact Design (drainage swales, functional landscaping, etc.); and
B. Refrain, from altering the general direction of the natural drainage flow.
For the purpose of this provision, the following user shall not be included: plowing; tilling; sowing;
gardening; or other such activities in relation to farming or horticulture.
Time limitations on validity of permits:
A permit issued pursuant to Section 15. IA expires at six months, or any lesser time fixed by ordinance of
the county, after the date of issuance if the work authorized by the permit has not commenced If after
commencement the work is discontinued for a period of 12 months, the permit immediately expires. No
work authorized by a permit that has expired may thereafter be performed until a new permit has been
secured.
Changes in work:
After a permit has been issued, no change or deviation from the terms of the application, the plans and
specifications, or the permit, may be made until specific written approval of the proposed change or
deviation has been obtained from the Iredell County Department of Planning & Enforcement. An
exception can be made, however, if the change or deviation is clearly permissible under the State
Building Code.
Inspections of work in progress:
As the work pursuant to a permit progresses, local inspectors shall make as many inspections of the
work as may be necessary to satisfy them that it is being done according to the provisions of the
applicable State and local laws, local ordinances and regulations, and terms of the permit. In exercising
this power, each member of the inspection department has a right, upon presentation of proper
credentials, to enter any premises within the territorial jurisdiction of the department at any reasonable
hour for the purposes of inspection or other enforcement action.
Amend Section 18.6 Definitions to add:
Natural Drainage Flow. The pattern of surface and storm water drainage from a particular site before the
construction or installation of improvements prior to any regrading.
Grading. Any stripping, cutting, filling, or stockpiling of earth or land, including the land in its cut or filled
condition, and changes in topography.
Low Impact Design. Strategies that integrate green space, native landscaping, natural hydrologic functions,
and various other techniques to generate less runofffrorn developed land.
-------------------------------------------------CONSENT AGENDA ---------------------------------------
MOTION by Commissioner Williams to approve the following 19 consent agenda items.
VOTING: Ayes — 5; Nays — 0.
1. Request for Approval of an Amendment to the Stumpy Creek Park Project Ordinance:
Finance Director Blumenstein said at the briefing session that the Lowe's Corporation had donated
$100,000 to the recreation department for Stumpy Creek Park field lights. She requested approval
of an amended ordinance to reflect the donation and to allow for the purchase and installation of the
field lights.
Iredell Coady, North Carolina
Amended Sturrpy Creek Capital Project Ordinance
Be it Ortaned by the Board of County com;ssioners d Iredell Courty, Math Carolina:
4
,i..1 115 . . .... i .- .: a.. .
$ 931,156 ! $ 1,031,156
Section 3. This Capital Project Fund shall continue udil the project is complete.
Section 4. Payments from this Coital Project Fund shall be authonzed by the Coady Ivl3nager or designee
Section 5. The Parks Capital Reserve Fund advanced $100,000 to the Stumpy Creek Project Fund for
completion of the project. Ths advance is to be repaid annually by reducing the outstanding advance
by 1/4 of any operating transfer from the General Fund to the Perks Res Fund.
Section 6. Any funds rerrainng in the Stumpy Creek Project Fund at completion of the project vtill
be transferred to the Parks Capital Resew Fund and applied as a reduction to the advance.
Section 7. The Parks Reserve Fund advanced $30,000 to Stumpy Creek Pak Project for the installation of
an irrigation system (total est $60,000). This advance is to be repaid from boat ramp user fees
deposited to the Garieral Fund. The first $5,000 of boat ramp user fees collected each fiscal year shall be
made available for maintenance of the rarp. All receipts in excess of$5,000WIlbetransferred tothe
Parks Reserve Fund to reduce the outstanding advance.
2. Request for Approval of Budget Amendment #55 to Recognize Revenues Received in
Health Care Benefits in Excess of the Amounts Budgeted and for Appropriation for Probable
Costs in Excess of Appropriation: During the five o'clock meeting, Finance Director Blumenstein
said a budget amendment was needed to show the total estimated revenues and expenditures of the
health care benefits fund for FY 04-05. She said the amendment did not appropriate additional funding
from the General Fund. Blumenstein said the actual expenditures would not be available until
late July, after the new fiscal year began, and this would be too late for the amendment. She also said
that if the expenditures came in less than anticipated, the revenues would be rolled into the Health Care
Benefits Fund balance.
3. Request for Approval of Budget Amendment #56 to Recognize $1,235 in Additional
Spay/Neuter Grant Funds Along with an Additional $3,730 in Low Cost Spay/Neuter
Fees & for Appropriation to Professional Services: Finance Director Blumenstein requested
approval of this amendment at the briefing session to recognize additional spay/neuter grant
funds and an additional $3,730 in fees. She said the funds would be appropriated to the
professional fees line item (veterinarian) for the purpose of having the animals spayed or neutered.
4. Request from the Chief Animal Control Officer for Permission to Present a Service
Badge to County Retiree Darren Stutts: Chief Animal Control Officer Robb Tatham
said Animal Control Officer Darren Stutts recently retired. Tatham requested permission
to allow Stuffs to retain his officer's badge.
Amendment
SturrpyCreekC-,eneralConstnxlion $
748,176
$ 748,176
Professional Services
75,155
75,155
Lard & Land Improvements (Feld Lights)
100,000 100,000
Irrigation System
60,000
60,000
Gellyon Ntrrrorial
22,485
22,485
Transfer to Parks Capital Reserve Fad
25,340
25,340
$
931,156
l $ 1,031,156
Section 2. Furls for this Capital Project fund
will be provided from the fdlowng sources:
Perks & Recreation Tnst Grant $
250,000
$ 250,000
CormmityCordtibutiors
135,000
135,000
Contributions -Irrigation System
25,000
25,000
Contnbutions- Field Lights
100,000 100,000
K/lemorials
22,485
22,485
Transfers from Perks Capital Reserve Furl
245,626
245,626
Transfers from General Fund
128,045
128,045
Investment Earrings
125,000
125,000
$ 931,156 ! $ 1,031,156
Section 3. This Capital Project Fund shall continue udil the project is complete.
Section 4. Payments from this Coital Project Fund shall be authonzed by the Coady Ivl3nager or designee
Section 5. The Parks Capital Reserve Fund advanced $100,000 to the Stumpy Creek Project Fund for
completion of the project. Ths advance is to be repaid annually by reducing the outstanding advance
by 1/4 of any operating transfer from the General Fund to the Perks Res Fund.
Section 6. Any funds rerrainng in the Stumpy Creek Project Fund at completion of the project vtill
be transferred to the Parks Capital Resew Fund and applied as a reduction to the advance.
Section 7. The Parks Reserve Fund advanced $30,000 to Stumpy Creek Pak Project for the installation of
an irrigation system (total est $60,000). This advance is to be repaid from boat ramp user fees
deposited to the Garieral Fund. The first $5,000 of boat ramp user fees collected each fiscal year shall be
made available for maintenance of the rarp. All receipts in excess of$5,000WIlbetransferred tothe
Parks Reserve Fund to reduce the outstanding advance.
2. Request for Approval of Budget Amendment #55 to Recognize Revenues Received in
Health Care Benefits in Excess of the Amounts Budgeted and for Appropriation for Probable
Costs in Excess of Appropriation: During the five o'clock meeting, Finance Director Blumenstein
said a budget amendment was needed to show the total estimated revenues and expenditures of the
health care benefits fund for FY 04-05. She said the amendment did not appropriate additional funding
from the General Fund. Blumenstein said the actual expenditures would not be available until
late July, after the new fiscal year began, and this would be too late for the amendment. She also said
that if the expenditures came in less than anticipated, the revenues would be rolled into the Health Care
Benefits Fund balance.
3. Request for Approval of Budget Amendment #56 to Recognize $1,235 in Additional
Spay/Neuter Grant Funds Along with an Additional $3,730 in Low Cost Spay/Neuter
Fees & for Appropriation to Professional Services: Finance Director Blumenstein requested
approval of this amendment at the briefing session to recognize additional spay/neuter grant
funds and an additional $3,730 in fees. She said the funds would be appropriated to the
professional fees line item (veterinarian) for the purpose of having the animals spayed or neutered.
4. Request from the Chief Animal Control Officer for Permission to Present a Service
Badge to County Retiree Darren Stutts: Chief Animal Control Officer Robb Tatham
said Animal Control Officer Darren Stutts recently retired. Tatham requested permission
to allow Stuffs to retain his officer's badge.
5. Request from the Health Department for Approval of the FY 2005-06 Fee Schedule: At
the briefing session, Health Director Donna Campbell requested approval of the following fees for
the upcoming year.
6
Allied Health Dental Fees
FEES
Eff. Date
FEES
CDT CODE
SERVICE DESCRIPTION
FY 2004-2005
5/2/2005 FY
2005-2006
D0120
Recall exam
$29.00
$34.00
$34.00
DO 140
Emergency exam
$39.00
$48.00
$48.00
D0150
Initial oral exam
$50.00
$ 60.00
$60.00
D0210
Complete series x-rays
$76.00
$ 87.00
$87.00
D0220
Periapical x-ray
$14.00
$19.00
$19.00
D0230
Periapical - two or more
$12.00
$16.00
516.00
D0240
Occlusal P.A.
$24.00
$29.00
$29.00
D0270
Bitewings - singlefilm
$12.00
$19.00
$19.00
D0272
Bitewings - x 2
$23.00
$31.00
$31.00
D0274
Bitewings - x 4
$42.00
$43.00
$43.00
D0330
Panorex x-rays
$60.00
$76.00
$76.00
D 1110
Prophy (adult) 13 & older
$50.00
$63.00
$63.00
D 1120
Prophy (child) age less than 13
$38.00
$46.00
$46.00
D1201
Prophy w/fluoride (child <13)$51.00
$65.00
$65.00
D1203
Prophy w/fluoride varnish (<13)$20.00
$26.00
$26.00
D1204
Floride varnish (13 - 20 yrs)
$25.00
$26.00
$26.00
D1205
Prophy w/fluoride (adult 13>)S62.00
$62.00
$62.00
D1330
Oral Hyg. Under 3 years
$25.00
$25.00
$25.00
D1351
Sealants
$32.00
$37.00
$37.00
D1510
SpaceMaint.Fixed- Unilateral
$209.00
$224.00
$224.00
D1515
Space Maint. Fixed - Bilateral
$419.00
$425.00
$425.00
D1520
Remove Spe Maint. Unilateral
$80.00
$150.00
$150.00
D1525
Remvt Spc Maint. Bilateral
$85.00
$160.00
$160.00
D1550
Recement Space Maint.
$60.00
560.00
$60.00
D2140
Amalgam I surf.-perm/primary
$66.00
$88.00
$88.00
D2150
Amalgam 2 surf. - perm primary
$83.00
$114.00
$114.00
D2160
Amalgam 3 surf. - perm primary
$102.00
$140.00
$140.00
D2161
Amalgam 4 surf. - perm primary
$124.00
$167.00
$167.00
D2330
Resin I surf. - anterior
$78.00
$105.00
$105.00
D2331
Resin 2 surf. - anterior
$95.00
$131.00
$131.00
D2332
Resin 3 surf. - anterior
$120.00
$162.00
$162.00
D2335
Resin 4 surf. - anterior
S141.00
$175.00
$175.00
D2390
Resin based composite crown anterior
$167.00
$275.00
$275.00
D2391
Resin based composite 1 surface
$80.00
$118.00
$118.00
D2392
Resin based composite 2 surfaces
$120.00
S158.00
$158.00
D2393
Resin based composite 3 surfaces
$160.00
$196.00
$196.00
D2394
Resin based composite 4 or more surfaces
$190.00
$237.00
$237.00
D2920*
Recement Crown
$60.00
$75.00
$75.00
D2930
SSC -primary
$145.00
$185.00
$185.00
D2931
SSC -permanent
$174.00
5219.00
5219.00
D2940
Sedative filling
559.00
$72.00
$72.00
D2950
Crownbuild-up$100.00
$180.00
$180.00
D2951
Pin placement
$22.00
$45.00
$45.00
D2970**
Temporary crown
$139.00
$220.00
$220.00
D3110*
Pulp cap direct
535.00
557.00
$57.00
D3220
Pulpotomy Excl. rest
S103.00
S133.00
$133.00
D3310
RCT - anterior
$369.00
$484.00
$484.00
D3330
RCT - molar
$405.00
$700.00
5700.00
D3351
Recalcification - initial visit
$174.00
$240.00
$240.00
D3352
Recal.-Interim medication replemnt.$125.00
$180.00
$180.00
D3353
Recalcification - final visit
5200.00
5350.00
5350.00
D4210
Gingivectomy/Gingivoplasty$125.00
$420.00
$420.00
D4211
Gingimmy/gingiplsty1-3contusteth$115.00
$155.00
$155.00
D4240
Gingival flap proced. 4 or more
5125.00
$490.00
5490.00
per quad
D4241
Gingival flap proced 1-3 per
$125.00
$420.00
5420.00
quad
D4341
Root planning/scale 4 or more
$141.00
$174.00
$174.00
D4342
Pcridtl scaling & root planning
5110.00
5122.00
5122.00
1-3
D4355
Grossscale -perio
$103.00
$129.00
5129.00
D4910
Periodontal maint. Treatment
577.00
$97.00
$97.00
D7111 ***
Coronal Remnants -Deciduous Teeth
$80.00
$97.00
$97.00
D7140
Ext. erupted tooth or exposed root
$80.00
$109.00
$109.00
6
D7210
Surgical ext -erupted
$136.00
$180.00
$180.00
D7220
Soft tissue impact
$97.00
$219.00
5219.00
D7230
Partial bony impact
$155.00
$281.00
5281.00
D7240
Bony impact
$250.00
$347.00
$347.00
D7241
Bony impactw/complications
300.00
$404.00
$404.00
D7250
Residual roots - unerupted
$120.00
$218.00
$218.00
D7270
Tooth Reimplantation
$150.00
$386.00
$386.00
D7510
I & D intra oral
$153.00
$158.00
$158.00
D9110
Emergency palliative treatment
$35.00
$50.00
$50.00
D9230
Analgesia
$45.00
$49.00
$49.00
D9610
Drug injection
$48.00
$75.00
$75.00
D9630
Other drug/medication
$26.00
$40.00
$40.00
*
Medicaid does not cover effective 10/ 1
/2004
520.00
EP
**
Medicaid end dated 12/31/2004
$90.00
$90.00
***
Medicaid reimburses for procedure as of
UU2005
$95.00
$95.00
Modifier CPT CODE SERVICE DESCRIPTION
FEES FEES
FY 2004-2005 FY 2005-2006
Delivery Fee
59409 Vaginal Delivery $1,000.00 51,000.00
59514 Cesarean Delivery 51,000.00 $1,000.00
Established Patient Evaluation and Management Visits
EP/FP/25
99211
New Patient Preventive
$38.00 $38.00
EP/FP/25
99212
Limited
$55.00 $55.00
Health Visits
99213
Expanded
$76.00 $76.00
EP
99381
Age under 1 year
$99.00
$99.00
99215
EP
99382
Age 1-4years
$106.00
$106.00
$55.00
EP/FP
99383
Age 5-11 years
$115.00
$115.00
$15.00
EP/FP
99384
Age 12-17 years
$125.00
$125.00
EP/FP
99385
Age 18-39 years
$167.00
$167.00
81000
FP
99386
Age 40-64 years
$199.00
$199.00
Pregnancy test (urine)
$10.00
99387
Age 65 years & over
$215.00
$215.00
$20.00
Established Patient Preventive Health Visits
GC culture
$36.00
EP
99391
Age under 1 year
$90.00
$90.00
520.00
EP
99392
Age 1-4 years
$90.00
$90.00
EP/FP
99393
Age 5-11 years
$95.00
$95.00
EP/FP
99394
Age 12-17 years
$105.00
$105.00
EP/FP
99395
Age 18-39 years
$142.00
$142.00
FP
99396
Age 40-64 years
$158.00$158.00
99397
Age 65 years & over
$175.00
$175.00
New Patient Evaluation and Management Visits
FP
99201
Minimal
$70.00
$70.00
FP
99202
Limited
$90.00
$90.00
FP
99203
Expanded
$128.00
$128.00
FP
99204
Detailed
$188.00
$188.00
FP
99205
Comprehensive
$236.00
$236.00
Delivery Fee
59409 Vaginal Delivery $1,000.00 51,000.00
59514 Cesarean Delivery 51,000.00 $1,000.00
Established Patient Evaluation and Management Visits
EP/FP/25
99211
Minimal
$38.00 $38.00
EP/FP/25
99212
Limited
$55.00 $55.00
EP/FP/25
99213
Expanded
$76.00 $76.00
EP/FP/25
99214
Detailed
$118.00 $118.00
EP/FP/25
99215
Comprehensive
$176.00 $176.00
Modifier CPT CODE SERVICE DESCRIPTION
7
FEES
FEES
QW
Laboratory FY
2004-2005
FY 2005-2006
QW
82947
Glucose
$19.00
$19.00
QW
82950
1 hour Glucola
$25.00
$25.00
QW
82951
GTT (3 hr)
$55.00
$55.00
QW
82952
GTT Specimen 4
515.00
$15.00
85013
Hematocrit
S15.00
S15.00
81002
Urine Dipstick
$15.00
$15.00
81000
Urine with micro
$19.00
$19.00
81025
Pregnancy test (urine)
$10.00
$10.00
87210
Wet Prep (PVT. PAY $0.00) $20.00
$20.00
87070
GC culture
$36.00
536.00
QW
82465
Cholesterol
$20.00
520.00
7
87205
Gram Stains
$21.00
$21.00
89300
Semen Analysis
$40.00
$40.00
87164
Darkfield
$49.00
D/C Procedure
36415
Venipuncture/stick
$12.00
$12.00
36416
Finger/heel stick
New Vaccine
$12.00
99000
Handling fee
$14.00
$14.00
G0001
Medicaid Venipuncture
$12.00
(ended 12/31/2004)
Office Procedure
54050
Wart Treatment/Male
$134.00 $134.00
56501
Wart Treatment/Female
$134.00$134.00
76815
Ultrasound
$188.00 $188.00
59025
Non -Stress test
$125.00 $125.00
59412
Cephalic Version/External
$550.00 $550.00
11976
Norplant Removal
$210.00 $210.00
58300
IUD Insertion
$86.00 $87.00
J7300
ParaGard T T380
$344.00 $359.00
58301
IUD Removal
$95.00 $95.00
99070
IUD Supply discontinued discontinued
57170
Diaphragm Fitting
$117.00 $117.00
96110
Denver Developmental
$114.00 $114.00
92551
Audiometry
$23.00 $23.00
92582
Conditioning Play Audiometry
$26.00 $26.00
69210
Ear Irrigation
$67.00 $67.00
99173
Vision Screening
$24.00 $24.00
59430
Postpartum care only
$130.00 $130.00
92588
Diagnostic Otoacoustic Emissions
a�Multiple Levels & Frequencies
$73.00
$87.00
$54.00 $54.00
Modifier CPT CODE SERVICE DESCRIPTION
** 1 unit= 15 minutes
Environmental Health Division
Service Detailed Description
Type I or II System
Type III System
Type IV -VI System
Fees FY
2004-2005
$200.00
$330.00
$575.00
Fees FY
2005-2006
$200.00
$330.00
$575.00
FEES
FEES
FY 2004-2005
FY 2005-2006
Immunizations/Injections
90782
Therapeutic/diag. Admin. Fee
$10.00
$18.00
90471
Admin. single vaccine
$8.00
$8.00
EP 90471 EP
Admin. single vaccine (Medicaid VFC)
$20.00
$20.00
90472
Admin. 2+ vaccines
$5.00/each$5.00/each
90788
Admin. antibiotics
$23.00
$23.00
90384
RHO Gam
$111.00
$111.00
FP J1055
Depo-Provera
$45.00
$54.00
90636
Twinrix - Hep A & B 8/14/2004
$60.00
$60.00
90716
Adult Varicella
$62.00
$67.00
90707
Adult MMR
$40.00
$42.00
90733
Adult Meningitis
$73.00
$87.00
90734
Menactra New
Vaccine
$83.00
90746
Adult Hepatitis B
$64.00
$64.00
90632
Adult Hepatitis A
$58.00
$67.00
90633
Ped/Adol. Hepatitis A
$30.00
$30.00
90658
Influenza Vaccine
$10.00
$12.00
90657
Influenza Vaccine (1/2 dose)
$10.00
$12.00
90732
Pneumonia Vaccine
$19.00
$21.00
86580
PPD (TB Skin Test)
$19.00
$19.00
90669
Prevnar- private stock
$71.00
$71.00
90713
Polio - private stock
$27.00
$27.00
CPT CODE
SERVICE DESCRIPTION
Miscellaneous
C9983
Pill Replacement
$7.00
$7.00
S9445**MOW
(billable in units)
$17.00
$17.00
T1017**MCC
(billable in units
$30.00
$30.00
T1016**Child
Service Coordination
$21.00
$21.00
99501
Postpartum Home visit - Mom
$60.00
$60.00
99502
Newborn Assessment -Infant
$60.00
$60.00
T1002**RN
services (TB /STD billable in units)
$20.00
$20.00
** 1 unit= 15 minutes
Environmental Health Division
Service Detailed Description
Type I or II System
Type III System
Type IV -VI System
Fees FY
2004-2005
$200.00
$330.00
$575.00
Fees FY
2005-2006
$200.00
$330.00
$575.00
Septic System Repair Permit
No Charge
No Charge
Relayout of Septic System Permit
Limited
$50.00
$50.00
Comprehensive
Full Permit Fee
No Permit Fee
Existing System Inspection
$50.00
$50.00
Installer fee for uncancelled appt.
$50.00
$50.00
Water Sample ***
$30.00
$30.00
Swimming Pool Permit
Operating < 8 months
$50.00
$50.00
Operating > 8 months
$75.00
$75.00
Tattoo Artist Permit (Annually)
$200.00
$200.00
***Water sample fee will be waived for
samples collected at a
physician's request as part of a diagnostic procedure.
6. Request from the Health Department for Permission to Apply & Accept American Lung
Association Funds: Health Director Donna Campbell requested permission, during the agenda
briefing, to use approximately $700 in grant funding to help pay transportation costs (gas) for
tuberculosis patients, and to purchase small incentives (applesauce/pudding products) for children
suffering from the disease. She said the Board of Health approved the request on June 9, 2005.
7. Request from the Health Department for Permission to Apply for an "Eat Smart, Move
More" Grant: Health Director Donna Campbell requested permission at the 5 o'clock meeting to
apply for a $17,768 grant that would be used for the following items:
Physical Activity (K-8 Mooresville and Statesville Schools booklets
and motivational materials $ 7,840
Winners Circle (Health Dining Program in Mooresville & Statesville
Schools $ 5,528
Health Vending Options (Healthy Beverage Choices in Vending
Machines) Pilot Program at Mooresville High School $ 800
100% Healthy Lunch Line (Pilot Program at Mooresville High
School $ 3,600
$ 17,768
8. Request from the Health Department for Approval of Budget Amendment #1 with an
Effective Date of July 2, 2005 for Two Environmental Health Specialist Positions and for
Related Equipment Along with a Directive to the County Manager to Withhold Two Vehicles
from the Surplus Inventory/Auction: (See briefing minutes for additional information.)
9. Request for Approval of Budget Amendment #57 to Recognize Proceeds from Insurance
Claims: Susan Blumenstein, the finance director, said at the briefing session that insurance claims
were submitted to the county's insurers during the year when property and vehicle damages/losses
occurred. She said $21,980 had been received for the general fund departments and $9,514 was
received for the transportation department. Blumenstein requested approval of a budget amendment
to recognize the revenues and to appropriate them to the expenditure line items.
10. Request for Approval of Budget Amendment #58 for a Capitalized Lease for the Xerox
Copier Used at the Public Library: Finance Director Blumenstein said that on April 19 the board
approved a three-year Xerox copier lease for the library. She said the transaction had to be recorded
as a capitalized lease to meet General Governmental Accounting Principals requirements, and the
net present value of the payments had to be recorded as capital assets and proceeds. She said the
amendment would create the budget line items for the lease capitalizing.
11. Request for Adoption of an Amended Capital Project Ordinance for the ICGS-South to
Designate the Amount being Transferred to the Capital Reserve Fund ($37,780.06) for Future
ICGC-South Projects and for Approval of Budget Amendment #59 to Recognize a Portion of
Funds being Transferred to the County from the North Carolina Department of
Environment & Natural Resources (NCDENR): The following amendment was approved.
[redell County, North Carolina
Amended Capital Project Ordinance
1CGC-South - Phase 11 - NCDENR Uptit
9
Be it Ordained by the Board of County Commissioners of Ireded County, North Carolina:
Section 1.This capital project fund financed the cost of planning, design, & renovations of
the space to be leased to NCDENR located in the ICGC-South as follows:
Section 2. Funds for this Capital Project Fund were provided from the following sources:
Transfer from Capital Reserve Fund
Sales Tax Refunds 12,001 12,001
FY 02-03 145,625 145,625
FY 03-04 1,053,375 1,053,375
FY 04-05 551,000 551,000
Total Project Costs (does not include Interfund Transfers) S1,714,207
Section 3. This Capital Project is complete and the fund is being closed. Project Fund
shall be transferred back to the Capital Reserve Fund.
12. Request for the Authorization to Purchase Approximately 82.5 Acres of Land that is
Contiguous to the Solid Waste Facility from the Anna Guy Harmon Heirs Along with the
Approval of Budget Amendment #60 for the Appropriation of Funds for the Acquisition: Solid
Waste Director David Lambert advised during the briefing session that the heirs of adjacent property
to the closed municipal solid waste landfill were willing to sell 82.5 acres of property for $585,0000.
Lambert said a budget amendment was needed to appropriate the funding from solid waste retained
earnings for the purchase. Mr. Lambert said the property would be used for a construction and
demolition landfill, and its expected life would be 22 to 25 years.
13. Request for Approval of the May 2005 Refunds and Releases: During the briefing session,
County Manager Mashburn requested approval of the following refunds and releases.
MAY 2005 TAX RELEASES & REFUNDS
Amendment
Refunds
Professional Services -Architect
$142,462
(60)
$142,402
Transfer to General Fund
5,000
15,000
20,000
Transfer to Capital Reserve Fund
-
27,794
27,794
General Construction
1,267,168
-
1,267,168
Asbestos Removal
25,720
(6)
25,714
Construction Costs -Other
Statesville Downtown
29.89
0
(includes demo)
309,650
(30,727)
278,923
Section 2. Funds for this Capital Project Fund were provided from the following sources:
Transfer from Capital Reserve Fund
Sales Tax Refunds 12,001 12,001
FY 02-03 145,625 145,625
FY 03-04 1,053,375 1,053,375
FY 04-05 551,000 551,000
Total Project Costs (does not include Interfund Transfers) S1,714,207
Section 3. This Capital Project is complete and the fund is being closed. Project Fund
shall be transferred back to the Capital Reserve Fund.
12. Request for the Authorization to Purchase Approximately 82.5 Acres of Land that is
Contiguous to the Solid Waste Facility from the Anna Guy Harmon Heirs Along with the
Approval of Budget Amendment #60 for the Appropriation of Funds for the Acquisition: Solid
Waste Director David Lambert advised during the briefing session that the heirs of adjacent property
to the closed municipal solid waste landfill were willing to sell 82.5 acres of property for $585,0000.
Lambert said a budget amendment was needed to appropriate the funding from solid waste retained
earnings for the purchase. Mr. Lambert said the property would be used for a construction and
demolition landfill, and its expected life would be 22 to 25 years.
13. Request for Approval of the May 2005 Refunds and Releases: During the briefing session,
County Manager Mashburn requested approval of the following refunds and releases.
MAY 2005 TAX RELEASES & REFUNDS
Releases
Refunds
County
15,313.47
3,865.68
Solid Waste Fees
128.00
0
East Alexander Co. Fire #1
1.33
0
Shepherd's Fire # 2
37.14
6.16
Mount Mourne Fire # 3
53.83
0
All County Fire # 4
2,255.44
7.10
Statesville City
954.44
0
Statesville Downtown
29.89
0
Mooresville Town
4,141.15
67.73
Mooresville Downtown
0
0
Mooresville School
1,060.95
19.05
Love Valley
0
0
Harmony
0
0
Troutman
54.13
0
Total
$ 24,029.77
$3,965.68
A complete list, of the individual tax releases and refunds,
into the minutes by reference.
is hereby incorporated
10
14. Request for the Renewal of the Piedmont Credit Union Lease: Finance Director
Blumenstein requested approval of an updated lease for the Piedmont Credit Union. She said the new
lease would extend from July 1, 2005 through June 30, 2006, and the monthly rental would be $300.
15. Request for Discussion/Decision Regarding an Individuals Offer to Donate Two Parcels
of Property to the County: Support Services Director Jim Vernon said at the briefing session that
Mrs. Betty Jones of Marietta, Georgia desired to donate one 2.8 acre tract of land that had a large
power line across it and a smaller tract that was 1.66 acres. He said the two tracts were separated by
another piece of property that was owned by another individual. Vernon said even though both sites
sloped downward, they could still be built upon, and they were heavily wooded. He said the two
tracts had a tax value of $50,000. (It was the consensus of the board at the briefing session to accept
the property from Mrs. Jones.)
16. Request for Approval of Change Orders for the New Library Facility Along with a
Request to Close Out the Project: At the 5 o'clock meeting, Support Services Director Vernon said
the library architect had submitted final change orders for the new library. Vernon requested
approval of the following revisions:
BH Bryan (general) $3,303.62 deduction
Wm C. Reynolds $ 45.36 increase
Cajah's Mtn. Plumbing $ 130.24 deduction
Duncan Electric $ 8.92 deduction
17. Request for Approval of a Jail Contract with Southern Health Partners: At the briefing
session, Chief Deputy Rick Dowdle requested approval of an inmate healthcare and dental contract.
He said that since May 1, 2005, his department had been using Southern Health Partners. Dowdle
said Southern Health Partners offered more staffing than the previous arrangement, and he
recommended approval of a contract effective July 1. (Funding for the contract is included in the
sheriff's 05-06 budget.)
18. Request for the Designation of Stephanie Whitlock as the Acting Clerk to the Board for
the July 5, 2005 Meeting: Due to Jean Moore, the Clerk to the Board, being on vacation at the time
of the next meeting, Mrs. Stephanie Whitlock, an employee in the planning department, was
appointed as the acting clerk for the July 5 meeting.
19. Request for Approval of Minutes for the May 31, June 2 and June 7, 2005 Meetings
------------------------------------------END OF CONSENT AGENDA ---------------------------------------
Request for Approval of Budget Amendment #61 for the Purpose of Amending the Social
Services' Medicaid and Foster Care Line Items: MOTION by Commissioner Norman to approve
Budget Amendment #61 in the amount of $192,120 for the purpose of amending the Social Services
Medicaid and Foster Care line items due to the board of commissioners having no choice in the matter.
VOTING: Ayes — 5; Nays — 0.
Note: During the briefing, Finance Director Blumenstein said the funding would be taken from the fund
balance which would still remain around 11% of the General Fund Budget. She noted that maintaining the 11%
mark was not a written policy; however, bonding agencies were always told this was the percent the county tried
to maintain. It was also noted that this year's Medicaid costs were $480,000 higher than anticipated.
Social Services Director Don Wall said at the agenda briefing that 146 children or youth were currently
in foster care.
Request for the Appointments of the County Assessor, the Tax Collector, and the
Deputy Tax Collectors
County Assessor: MOTION by Chairman Tice to appoint Bill Doolittle as the County
Assessor for a period of two years.
VOTING: Ayes — 5; Nays — 0.
Tax Collector: MOTIO by Commissioner Norman to appoint Bill Furches as the Tax
Collector for a period of four years.
VOTING: Ayes — 5; Nays — 0.
Deputy Tax Collectors: MOTION by Commissioner Williams to appoint Linda L. Morrow
as a Deputy Tax Collector for a period of four years.
VOTING: Ayes — 5; Nays — 0.
MOTION by Commissioner Norman to appoint Ann Gray Ray as a Deputy Tax Collector
for a period of four years.
VOTING: Ayes- 5; Nays — 0.
Request for Approval of a Three -Year Contract for the Preparation of an Indirect Cost
Plan: Finance Director Susan Blumenstein advised during the briefing session that the Federal
Office of Budget & Management Circular A-87 and the NC Department of Health and Human
Services required an indirect cost plan each year. She said the plan provided information on grant
reimbursements for indirect costs of services that were provided to the Department of Social
Services, the Health Department, and the annual EMS Medicaid Cost Settlement. She said the
following two proposals had been received for the plan:
MAXIMUS - $9,400 annually for the next three fiscal years
Tim McKinnie & Associates - $7,500 annually for the next three fiscal years
Blumenstein recommended the Tim McKinnie proposal with the lower cost.
OTION by Commissioner Norman to award the Indirect Cost Plan contract to McKinnie &
Associates as recommended by the finance director.
VOTING: Ayes — 5; Nays — 0.
Request for a Decision Regarding the Monetary Amount to be Used for the General
Obligation Bond Referendum to be held in October 2005: Finance Director Blumenstein said that
earlier in the year, the Iredell-Statesville School System presented a request for a General Obligation
Bond Referendum in the amount of $36,400,000.00. She said later, requests were submitted from the
Mooresville Graded School District for $10.5 million and Mitchell Community College requested $6
million resulting in a total amount from all entities of $52,900,000.00. She said calculations for a 20 -
year debt service, with level principal payments, revealed a total estimated tax increase of $0.0334.
She said, however, the amount could be reduced to $0.03 and it would be well within the budgets
already established for capital outlay with the restricted tax and restricted revenue stream from the
sales taxes. Blumenstein said a specific bond amount was needed for the upcoming legal
documents.
Commissioner Johnson noted that, historically, a per pupil method had been used.
Blumenstein said the 1997 General Obligation (GO) referendum was on a per pupil basis.
She said the 2003 Certificates of Participation (COPS) was not. Mrs. Blumenstein said that in 2003,
Mooresville's percentage was about 33% of the issuance total.
Chairman Tice said it was her understanding that Mitchell's request would be voted upon
separately from the two school systems.
Blumenstein said this was correct. She said both questions could be on the same ballot, with
the two public school systems being combined in one question, but the college would have to be
separate.
Commissioner Williams said the per pupil method, which was traditional for the county, was
the fairest way for all of the citizens.
12
Commissioner Robertson said the board tried to adhere to funding formulas to be fair. He
said sometimes, however, that method didn't put the resources where they were most needed.
Robertson said most of the past bonds were used to build facilities for future student populations and
not to assist with existing needs. He said that out of the county's total public school students,
Iredell-Statesville had 81.4% compared to Mooresville at 18.6%, but this didn't include the charter,
private and home -schooled children. He said projected student population figures out to year 2010
didn't deviate that much from the current percentages. Robertson voiced concern for the Mooresville
system, and its future plans, if the board of commissioners chose to use a per pupil method for the
bond amounts.
Commissioner Johnson said the commissioners had acted upon the school needs in the past,
and if the bonds were unsuccessful, the commissioners would continue to fund the systems. Johnson
said the schools would be built, but he would let the citizens decide if they wanted their taxes raised.
OTIO by Commissioner Williams to use a per pupil basis for the General Obligation
Bond with $36,400,000.00 being used for Iredell-Statesville Schools, $8,230,000.00 for Mooresville
Graded Schools, and $6,000,000.00 for Mitchell Community College.
VOTING: Ayes — 5; Nays — 0.
(The total amount for the bond referendum will be $50,630,000.00.)
Announcement of the 2005 Annual Conference of the North Carolina Association of
County Commissioners to be held August 25-28, 2005 in Charlotte, NC & Request for the
Designation of a Voting Delegate: Commissioner Williams advised that if his schedule remained
clear, he would attend the NCACC Annual Conference and serve as the voting delegate.
ANNOUNCEMENT OF VACANCIES OCCURRING ON BOARDS & COMMISSIONS
Juvenile Crime Prevention Council (I announcement)
APPOINTMENTS TO BOARDS & COMMISSIONS
Adult Care Home Community Advisor Committee (6 appointments): No nominations
were submitted, and Chairman Tice made a motion to postpone the appointments until the July 5
meeting.
VOTING: Ayes — 5; Nays — 0.
Juvenile Crime Prevention Council (3 appointments): No nominations were submitted,
and Chairman Tice made a motion to postpone the appointments until the July 5 meeting.
VOTING: Ayes — 5; Nays — 0.
Nursing Home Advisory Board (1 appointment): No nominations were submitted, and
Chairman Tice made aotio to postpone the appointment until the July 5 meeting.
VOTING: Ayes — 5; Nays — 0.
Social Services Board (I appointment): Chairman Tice nominated Betty Marion.
OTION by Commissioner Norman to close the nominations and appoint Marion by
acclamation.
VOTING: Ayes — 5; Nays — 0.
Farmland Preservation Advisor Board (1 appointment): No nominations were submitted,
and Commissioner Williams made a motion to postpone the appointment until the July 5 meeting.
VOTING: Ayes — 5; Nays — 0.
13
Region F Aging Advisory Committee (3 appointments): Commissioner Norman nominated
Victor Crosby as an alternate appointee for this committee.
MOTION by Chairman Tice to (1) close the nominations (2) appoint Mr. Crosby by
acclamation, and (3) to postpone the two regular appointments until the July 5 meeting.
VOTING: Ayes — 5; Nays — 0.
UNFINISHED BUSINESS
Discussion/Decision on the Designation of County Commissioners to meet with Town of
Mooresville Officials Regarding a Commuter Rail Project Study: MOTION by Chairman Tice to
designate Ken Robertson and Steve Johnson as the county commissioner appointees to serve on a
Commuter Rail Project Study Committee with the Town of Mooresville officials.
VOTING: Ayes — 5; Nays — 0.
Chairman Tice mentioned that someone with banking or financial experience might be an asset
on the committee.
Commissioner Williams said he would like the committee to determine what type of economic
impact -- positive or negative -- the rail project would have on the county.
It was determined that the committee, once established, would determine if other members were
needed.
COUNTY MANAGER'S REPORT: County Manager Mashburn distributed a written
activity report.
Finance Director Blumenstein noted that a $10,000 budget transfer had been made for the
Human Resources Department due to increased advertising costs. (No action was needed from the
board, but standard operating procedures require for the transfer to be reported.)
ADJOURNMENT: OTION by Chairman Tice at 8:35 p.m. to adjourn the meeting.
(NEXT MEETING: Tuesday, July 5, 2005, at 5 and 7 p.m., in the Iredell County Government
Center, 200 South Center Street, Statesville, NC.)
VOTING: Ayes — 5; Nays — 0.
Approval:
14
Clerk to the Board