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HomeMy WebLinkAboutJuly_14_2009_Regular_MinutesIREDELL COUNTY BOARD OF COMMISSIONERS REGULAR MINUTES JULY 14, 2009 The Iredell County Board of Commissioners met in Regular Session on Tuesday, July 14, 2009, at 7:00 P.M., in the Iredell County Government Center (Commissioners' Meeting Room), 200 South Center Street, Statesville, NC. Board Members Present Chairman Godfrey Williams Steve Johnson Ken Robertson Scott Keadle Absent: Vice Chairman Marvin Norman Staff present: County Manager Joel Mashburn, County Attorney Bill Pope, Deputy County Manager Tracy Jackson, Finance Director Susan Blumenstein, Health Director Donna Campbell, Planning Director Ron Smith, Sheriff's Department Captain Mike Phillips, Animal Services Manager Chris Royal, Transportation Director Ben Garrison, Register of Deeds Brenda Bell, and Clerk to the Board Jean Moore. CALL TO ORDER by Chairman Williams INVOCATION by Commissioner Johnson PLEDGE OF ALLEGIANCE ADJUSTMENTS OF THE AGENDA: The county manager shared the following agenda adjustments: Additions: *Request from the Iredell County Rescue Squad for S 14,700 in Rescue Capital Funds for Extrication Equipment (Appointment Before the Board) *Request from the Iredell-Statesville School System for Approval to Apply for Qualified School Construction Bonds in Conjunction with the Union Grove Elementary School Project (Administrative Matter) *Request from the Greater Statesville Development Corporation to hold a Closed Session for the Purpose of Discussing an Economic Development Project (This will be in addition to another economic development closed session requested by another agency.) Other: The county manager advised of a meeting at the Troutman Town Hall on Wednesday, July 15, 2009, at 5:00 P.M. He said the county commissioners had been invited, and if three or more attended, this would constitute a board meeting. Mashburn said that if a quorum of the board desired to attend, then the chairman could adjourn the July 14 meeting to the July 15 meeting in Troutman. (This action was not necessary; however, due to only Commissioner Johnson, and possibly Commissioner Keadle, being able to attend the Troutman meeting.) Presentation of an Appreciation Plaque to Human Resources Retiree Larry Ray: County Manager Mashburn said Mr. Ray was employed with Iredell County in 1997 after a lengthy and successful career in Emergency Medical Services. Mashburn said Ray became Iredell County's EMS and Emergency Services Director as well as the Safety & Training Officer, the American's with Disabilities Act Officer, and that he had assumed other roles and responsibilities as needed. He said Mr. Ray had done a great job in all of the positions. Chairman Williams then presented an appreciation plaque to Ray for his many years of dedicated service. Presentation of a Congratulatory Resolution to the City of Statesville for Achieving the All -America City Designation: Chairman Williams read the following resolution and presented the document to Statesville Mayor Costi Kutteh and Greater Statesville Chamber of Commerce President and CEO David Bradley on behalf of the local All -America City committee members. ALL -AMERICA CITY CONGRATULATORY RESOLUTION WHEREAS, the All -America City Award, sponsored by the National Civic League, is the oldest and most prestigious community recognition award in America; and WHEREAS, the City of Statesville was a recipient of this commendable designation in 1997; and WHEREAS, hundreds of applications were reviewed and 32 entries were selected to participate in the All -America City finals held in Tampa, Florida on June 17-19, 2009; and WHEREAS, the City of Statesville, along with nine other communities across the nation, were victorious at the annual event; and WHEREAS, the coveted title of All -America City for 2009 was bestowed upon the City of Statesville; and WHEREAS, the All -America City designation will bring renewed community pride and national recognition to Statesville; and WHEREAS, achieving this impressive designation is a testament to the community's strong desire to work together in overcoming obstacles to improve the lives of its citizenry, and it is a crowning achievement for Statesville, which is already known as the City of Progress. NOW, THEREFORE BE IT RESOLVED, that the Iredell County Board of Commissioners congratulates the City of Statesville, the Greater Statesville Chamber of Commerce, the Boys & Girls Club of the Piedmont, the Mi Familia Institute, the Fifth Street Shelter Ministries, the Statesville High School Drum Line, and the dozens of other participants and supporters who helped to achieve this highly prized and much esteemed All -America City Award. APPOINTMENTS BEFORE THE BOARD Request from the Home & Community Care Block Grant Committee for Approval of the FY 09-10 Spending Plan: Council on Aging Executive Director Anna Rice said Iredell County's citizens with ages in the 60+ bracket now exceeded 27,000 people, and not unlike the state as a whole, the county's 60+ population continued to grow. She said the "baby boomers" were now needing and qualifying for aging services, and many people born between 1949 and 1964 were leaming about and preparing to care for their aging relatives. Rice said the Council on Aging would continue to provide services along the continuum of care, adjusting to the new attitudes of the baby boomers while keeping the frail elderly in the homes and community. Mrs. Rice then presented the funding plan, and a copy of the services summary chart is as follows. Mrs. Rice said the Older Americans Act funding for the community increased $4,000 this fiscal year, and the committee voted to increase the salaries of the In -Home Aides who were providing chore services. She said the aides would now be making the minimum wage of $7.25 2 an hour. Rice said the block grant money required a ten percent local match, and the county assisted the Council on Aging in meeting this requirement. She said that for every county dollar given to the program, the federal government gave nine dollars. Rice. OTION by Commissioner Johnson to approve the HCCBG plan as presented by Mrs. VOTING: Ayes — 4; Nays — 0. Request from Harry Tsumas Regarding a Sanitary Sewer Easement Across Iredell County Property: Mr. Tsumas said a sewer line near the county's landfill had been in place for over eight years; however, an easement was never recorded. Tsumas said references had always been made to a "general easement," but a "specific site easement" was now needed. He said the property was on Fourth Creek, and it tied onto the main trunk line. Mr. Tsumas said normally the easement recording would have occurred through subdivision requirements; however, these particular tracts of property were sold off in metes and bounds. County Manager Mashburn said several years ago the county approved the sewer line, but for some reason the easement was never recorded. He said only a few feet of county property would be affected, and there wasn't any reason to deny the request. OTION by Commissioner Keadle to approve the request. VOTING: Ayes — 4; Nays — 0. Request from the Iredell County Rescue Squad for $14,700 in Rescue Capital Funds for Extrication Equipment: Rescue Deputy Chief Brian Niblock requested capital funding to purchase new hydraulic equipment. He said the car industry was using higher strength metals, and this hampered extrication services. Niblock said the current equipment was insufficient, and three new units were needed for their squads'crash vehicles. He said the units were $5,000 each, and they were compatible with the squad's other equipment. Finance Director Susan Blumenstein said $126,400 was available for the Iredell County Rescue Squad. She said this money had been reserved for future capital projects. OTION by Commissioner Keadle to approve the request. VOTING: Ayes — 4; Nays — 0. PUBLIC HEARING Consideration of the 2030 Horizon Plan: Planning Director Ron Smith, along with Clarion Associates' Consultants Roger Waldon and Leigh Anne King presented information about the comprehensive land use plan. Mr. Waldon said the 1997 Land Use Plan served the county well, but changes were needed due to growth. He summarized the guiding principles of the plan as follows: *Provide fiscally efficient governance and public services. •Provide Leadership to Coordinate Planning within the County. *Coordinate Development with the Provision of Infrastructure. •Balance the Protection of Environmentally Sensitive Areas and Rural Character with Private Property Rights. *Maintain and Promote Local Agricultural Businesses. *Promote and Assist Economic Development Efforts. •Enhance Quality of Life for Residents. Ms. King said the committee identified several key items that needed to be addressed in the plan, and these were growth management and future land use along with agricultural preservation, transportation issues, the encouragement of economic development efforts, cultural, environmental and water resource protection efforts, and the provision of public 3 services and facilities within the county. She said four priority action items were identified, and these were recommended for adoption in the next two years. The items were as follows: 1. Creating a formal mechanism for inter -jurisdictional collaboration and coordination with the towns. 2. Establish an ETJ extension policy. 3. Update to the county's development ordinances. 4. Protecting rural lands through formal policy actions. Waldon said the plan could serve as a framework for growth management in the future. Janet McClure, a resident of Westmoreland Road, said the plan was "overwhelming, and it was difficult to understand anything mentioned by the consultants. McClure said the plan wanted business nodes on major highways, and Westmoreland Road ended on Hwy. 21. She said that for the past eight years, the residents in her community had been fighting to prevent businesses at the end of the road. McClure said zoning requests had always been withdrawn before they were presented to the board of commissioners, and if the plan were adopted, with the business nodes intact, what the neighbors had been trying to prevent would be for nothing. McClure said her neighborhood would be ruined. Wade Overcash, a resident of 128 Westmoreland Road, referred to the same situation mentioned by Mrs. McClure, and he said the community did not want any businesses near their property. He said the individual desiring to locate a business at the end of Hwy. 21 "didn't live there and didn't care" about the residents. Ron Overeash, a resident of Powderhom Road, off Westmoreland Road, said he agreed with the two earlier speakers. He said the residents had a hard time accessing Hwy. 21 already, and there were no plans for any future roadway improvements. Commissioner Johnson said the plan did not rezone any properties, and it basically served as a framework for a countywide land use plan. He said that within the framework, various zoning ordinances would be used as they related to the different types of property. Commissioner Robertson said there were several instances, under strategies mentioned in the plan, where incentives were mentioned. He said, for example, providing an incentive for employees to not drive alone to work or to promote education for people who lived near a farm. Robertson said these might sound good, but how were they to be implemented, especially with the county's current financial situation. He asked if the committee and consultants were expecting the board to come up with the funds. He also asked how concrete were the actions that were listed for the commissioners to accomplish. Planning Director Smith said an effort had been made to steer away from anything that obligated funding, other than an initiative or a need that was required by law or some other mandate. He said the term "education" was "peppered" throughout the plan, and one way to accomplish some of this might be to publish something on the planning department's web site, for example, an air quality tab might list the air quality rating for that specific day. Smith said the Farmland Preservation Board could also assist, for example, distribute literature or get the word out to let the people know about daily farm operations. Commissioner Johnson said there were certain types of herbicides and fertilizer that had to be a certain distance from a well. He mentioned that close to a farm, a developer might place a well near the property line. Johnson said the farmer would suffer because much of his property would be rendered useless for crops, and this would reduce the land's productivity. He said the ordinance would determine how well the plan worked and difficult decisions would need to be made. Mr. Johnson mentioned page 36 of the plan, and he said there was no mention of a traffic impact study if the county granted a future release of extraterritorial jurisdiction. He said the Morrison's Plantation Development was an example of "sealing the fate of Brawley School Road." Johnson said the board passed the release on a 3-2 vote with former Commissioner David Boone and himself being in opposition. He said transportation was a difficult issue, especially in regards as to what the county could legally do, but these problems should be dealt with on the "front end and not the back end." Johnson said it was a procedural matter, within 4 the board's authority to grant or not grant ETJ, and tying this to public safety was a worthy consideration. Mr. Robertson said each board member seemed to have concerns and he suggested that each commissioner share their questions with the county staff. Commissioner Keadle said the board members were part-time people who were presented with a 97 page detailed document less than a month ago. He said it took a year to create the document, and in the absence of a motion, he felt the board should proceed with the other agenda items. County Manager Mashburn suggested for the board to meet on August 18 at 4:00 P.M., prior to the regularly scheduled meeting at 7:00 P.M. MOTION by Commissioner Robertson to meet on August 18, 2009, at 4:00 P.M. to discuss the 2030 Horizon Plan, and prior to the meeting, to share the board members' feedback with Planning Director Ron Smith. VOTING: Ayes — 4; Nays — 0. ADMINISTRATIVE MATTERS Request for Approval of a Resolution to Expand the Erosion & Sedimentation Control Program to Include Mooresville Effective September 1, 2009 & Contingent Upon Approval by the Sedimentation Control Commission: Planning Director Ron Smith said the Town of Mooresville on June 1, 2009 adopted a resolution requesting the county to assume soil erosion and sedimentation control for the town's jurisdiction. He said a resolution was now needed from the county agreeing to enforce the ordinance within the town's jurisdiction effective September 1, 2009 contingent upon the state's approval in August. MOTION by Commissioner Robertson to adopt the Erosion and Sedimentation Control Expansion resolution as presented. VOTING: Ayes — 4; Nays — 0. Erosion and Sedimentation Control Expansion RESOLUTION WHEREAS, in 2007, Iredell County adopted an Erosion and Sedimentation Control Program which was applicable to all the unincorporated areas of Iredell County; and WHEREAS, the areas within the incorporated areas of Iredell County are also experiencing issues with erosion and sedimentation arising principally from land disturbance activities related to economic development; and WHEREAS, the Town of Mooresville has enacted a resolution adopting the Iredell County Erosion and Sedimentation Control ordinance and making it applicable to the areas within its corporate and extraterritorial jurisdiction boundaries and requesting the assistance of Iredell County in policing and enforcing the Iredell County ordinance within its corporate and extraterritorial jurisdiction boundaries; and WHEREAS, Iredell County has and does hereby agree to the request from Mooresville. NOW, THEREFORE, BE IT RESOLVED: 1. The Erosion and Sedimentation Program adopted by ordinance by the County Commissioners of Iredell County on May 1, 2007 is hereby extended into the incorporated areas and the areas of extraterritorial jurisdiction of the Town of Mooresville, effective on the I" day of September 2009. 2. Iredell County personnel shall, effective on the I st day of September 2009, begin to enforce the Iredell County Erosion and Sedimentation Control ordinance in the areas aforesaid to the same extent as the same is enforced in the unincorporated areas of Iredell Countv. 5 Request from the Iredell-Statesville School System for Approval to Transfer $80,000 from General Contracts (Annual Renovations) to Furniture & Equipment: Dr. Kenny Miller, with the school system, said capital outlay funds had been provided for renovations and upgrades, but if a ten percent change in the line item occurred, approval had to be obtained from the board of commissioners. He said money had been budgeted for International Baccalaureate programs; however, nothing was included for specialized furniture and equipment (science and technology). Miller requested approval to move $80,000 from the general contract line to furniture and equipment. He said the transfer involved no additional money; rather it was just an accounting matter. MOTION by Commissioner Robertson to approve the request. VOTING: Ayes — 4; Nays — 0. Request from the Iredell-Statesville School System for Approval to Apply for Qualified School Construction Bonds (QSCB) in Conjunction with the Union Grove Elementary School Project: Dr. Kenny Miller said the Iredell-Statesville Board of Education had recently approved a resolution to submit an application for QSCB funding of up to $2,686,619.04. Miller said the funding was a part of the American Recovery & Reinvestment Act, and North Carolina had received $275,777,200 that could be used as QSCB funds. He said the bonds were at zero percent interest, and they were issued by the Local Education Agency (LEA). Miller said an application, with a deadline of July 31, 2009, had to be submitted to receive the school system's nearly $2.7 million in funds. He said the funding would be used for the Phase III project at Union Grove Elementary School, and this was one of three projects recommended by the Facilities Task Force. Miller said the other two projects were the Career/Auto Tech Center and the Cool Spring Elementary project. He said the latter project was much more involved and would need more money while the Union Grove project could be completed by using the QSCB funds along with some of the system's fund balance. Additionally, he said Iredell-Statesville might be eligible to receive more QSCB funds if other systems throughout the state chose not to apply. OTIO by Commissioner Keadle approve the request. VOTING: Ayes — 4; Nays — 0. Request from the Iredell-Statesville School System for Approval to Purchase Property at 350 Old Murdock Road in Troutman, NC (former Thomasville Plant) Along with Approval to Submit an Application to the State Public School Building Capital Fund & the North Carolina Education Lottery for Funding to Purchase the Property: Dr. Kenny Miller said the school system had been "very frugal," and the commissioners had assisted with school improvements over the past few years. He said Public School Building Capital Funds as well as Education Lottery funds were being held in Raleigh for Iredell- Statesville; however, the funds were strictly to be used for school property purchases or renovation. Miller said in the past, discussions had occurred about the need for a career technical program, along with expansion of the auto tech program. He said the school system had tried to find the right location and property for this type of facility during the past five years, and there was now an option to purchase the former Thomasville Plant site on Old Murdock Road in Troutman. Dr. Miller requested approval from the commissioners to apply for the Public School Building Capital Funds and Education Lottery funds for the property purchase. He said the school system had accumulated enough funding to where there would not be any debt service. Miller said the board of education on July 13, 2009 agreed to submit the application, and approval was now needed from the board of commissioners. OTIO by Commissioner Keadle to approve the request. VOTING: Ayes — 4; Nays — 0. Request from the Sheriff's Department for Approval to Accept Grant Funding from the NC Governor's Crime Commission and for the Funds to be Used to Participate in an Anti -Gang Initiative to help Cover the Cost of a Gang Intelligence Officer: Captain Mike Phillips requested permission to accept grant funding from the North Carolina Governor's Crime Commission for a Gang Intelligence Officer. He said the county would partner with the 6 Statesville Police Department on the officer's salary, and a 12.5% cash match would be needed. Phillips said the sheriff's department would provide an in-kind match by providing office space. OTIO by Commissioner Keadle to approve the request as presented. VOTING: Ayes — 4; Nays — 0. Request from the Sheriff's Department for Approval to Apply for a Coverdell Forensic Science Improvement Grant: Captain Mike Phillips requested permission to apply for a grant to purchase disposable crime lab supplies and equipment (mass spec analyzer for arson and blood analysis). He said the $125,000 Coverdell Forensic grant required no matching funds. OTION by Commissioner Robertson to approve the request as presented. VOTING: Ayes — 4; Nays — 0. Request from the Sheriff's Department for Approval to Apply for a 2009 Justice Assistance Grant to be used for a Crime Mapping Project: Captain Mike Phillips said permission was needed to apply for a Justice Assistance Grant that was annually received. He said the $26,181 grant would be used to purchase software and equipment for the crime analyst, and no match was needed. OTION by Commissioner Keadle to approve the request. VOTING: Ayes — 4; Nays — 0. Request from the Sheriff's Department for Approval of Budget Amendment # 1 for the Acceptance of a 2009 Recovery Act/Justice Assistance Grant of $107,000 to be used for the Purchase of an In -Car Camera System: Captain Mike Phillips said a $107,000 grant had been awarded, with no local match needed, and the money would be used for in -car cameras, hard drives, and crash sensors for the remaining marked vehicles. He requested approval to accept the funding. OT1ON by Commissioner Johnson to approve the request. VOTING: Ayes — 4; Nays — 0. Request for Approval of Budget Amendment #2 for $2,000 to Appropriate Fund Balance Reserved (from donations) for Animal Control to Purchase a Used FEMA Trailer (includes NC Use Tax, Graphics, and Insurance): Animal Services Manager Chris Royal said the Federal Emergency Management Agency was surplusing trailers, and her department desired to purchase one for $1,000. She said the quality or conditions of the trailers were unknown, and the purchase money could be obtained from donated funds. Commissioner Johnson said that if the trailer was in a poor condition, the axles could probably be sold for $1,000. MOTTO by Commissioner Keadle to approve the request. VOTING: Ayes — 4; Nays — 0. 7 To recognize the 2009 Pemw Pct JAG Grant for the purdrase of in -car camera systems in the Sherifrs department. BA# 1 Amount # cunent Change Amended General Fund 104510 436000 15210 2009 JAG Grant (107,000) (107,000) Depreciable 105510 610000 15210 Assets 107,000 107,000 Request for Approval of Budget Amendment #2 for $2,000 to Appropriate Fund Balance Reserved (from donations) for Animal Control to Purchase a Used FEMA Trailer (includes NC Use Tax, Graphics, and Insurance): Animal Services Manager Chris Royal said the Federal Emergency Management Agency was surplusing trailers, and her department desired to purchase one for $1,000. She said the quality or conditions of the trailers were unknown, and the purchase money could be obtained from donated funds. Commissioner Johnson said that if the trailer was in a poor condition, the axles could probably be sold for $1,000. MOTTO by Commissioner Keadle to approve the request. VOTING: Ayes — 4; Nays — 0. 7 BA#2 To appropriate Fund Balance Reserved for AnirrEd Unttrol (from donations) to purchase used FEMA trailer including NC Use Tax, Graphics, and Insurance. Account # Current change Amended General Fund 104880 499432 Appro. Fund Balance- Res forAnlnal Control (2,000) (2,000) 105532 6500.00 Vehicles & Licensed Trailers - 1,800 1,800 105532 5315.00 Insurance & Bonds 112,615 200 112,815 Fund Balance - Reserved for Anirral Centrd 7,176 Additions: FY09 1,095 BA#2-above2( 000) 6,271 Request to Call for a Public Hearing on August 4, 2009 at 7:00 P.M., Regarding the North Carolina Department of Transportation's FY 2010 Rural Operating Assistance Program (ROAP) Grant Application: Transportation Director Ben Garrison requested a hearing at the next board meeting to allow the public to speak regarding ROAP funds for 2010. He said the application format was a little different in that a certification statement had to be signed by the board chairman and county manager. Garrison said that when the funds were first budgeted, it was anticipated there would be a decrease; however, $337,405 might be available, which was actually an increase. He said that if the General Assembly passed the state budget as proposed, a budget amendment would be necessary to recognize the increased funds. OTION by Commissioner Johnson to call for a public hearing on August 4, 2009. VOTING: Ayes — 4; Nays — 0. Request for the Adoption of a Resolution Authorizing the Transportation Director to Sign Formal Agreements with the North Carolina Department of Transportation (DOT) for a Section 5310 Elderly and Disabled Grant (09 -ED -001): Transportation Director Ben Garrison requested the adoption of a resolution that would allow him to enter into contracts with the DOT for $114,352 in elderly and disabled funds. He said there was a 50% local match requirement; however, this money could be obtained from the kidney dialysis organization and state funding. OTION by Commissioner Johnson to approve the resolution. VOTING: Ayes — 4; Nays — 0. The resolution is as follows: WHEREAS, Iredell County has requested the North Carolina Department of Transportation to assist in the funding of FTA Section 5310/ Elderly and Disabled funds; and WHEREAS, Iredell County will provide 50% of the cost of the above described project. NOW, THEREFORE, BE IT RESOLVED that the Transportation Director is hereby authorized to enter into a contract with the Department of Transportation and execute all agreements and contracts with the North Carolina Department of Transportation, Public Transportation Division. Request for the Adoption of a Resolution Authorizing the Transportation Director to Sign Formal Agreements with the North Carolina Department of Transportation for a Job Access and Reverse Commute (JARC) Grant (09 -JA -004): Transportation Director Ben Garrison asked permission to sign grant forms for a JARC grant in the amount of $157,280. He said the funds would be used to transport low income workers to job sites or to training locations. He said there was a 50% match; however, Rural Operating Assistance Program (employment) funds could be used. M Commissioner Keadle asked, assuming the request was approved, if the county would be committing to the local match, if the state didn't provide the funding. Garrison said the county wasn't committing to any funding, and this applied to this specific request as well as the preceding Elderly and Disabled grant. MOTION by Commissioner Keadle to approve. VOTING: Ayes - 4; Nays - 0. The approved resolution is as follows: WHEREAS, the Iredell County has requested the North Carolina Department of Transportation to assist in the funding of.7ob Access and Reverse Commute Program- Section 5310; and WHEREAS, Iredell County will provide 50% of the cost of the above described project. NOW THEREFORE, BE IT RESOL VED that the Transportation Director is hereby authorized to enter into a contract with the Department of Transportation and execute all agreements and contracts with the North Carolina Department of Transportation, Public Transportation Division. Request from the Health Department for Approval of the Proposed Fee Schedule for 2009-2010: Health Director Donna Campbell requested approval of a revised fee policy and schedule. She said there were no changes in the environmental division and the health education program. Campbell said one new dental fee for an oral evaluation was added along with two new clinical fees with one being for an autism screening and the other for an immunization injection (17P). She said the other changes related to increases or decreases in vaccine and medication codes. OTION by Commissioner Keadle to approve the request. VOTING: Ayes - 4; Nays - 0. Iredell County Health Department Fee Schedule for 2009-2010 Modifier FEES FY FEES FY Amount of (if required) CPT CODE SERVICE DESCRIPTION 2008-2009 2009-2010 Change New Patient Preventive Health Visits EP 99381 Age under 1 year $120.00 $120.00 $0.00 EP 99382 Age 1-4 years $130.00 $130.00 $0.00 EP/FP 99383 Age 5-11 years $139.00 $139.00 $0.00 EP/FP 99384 Age 12-17 years $169.00 $169.00 $0.00 EP/FP 99385 Age 18-39 years $201.00 $201.00 $0.00 FP 99386 Age 40-64 years $219.00 $219.00 $0.00 99387 Age 65 years & over $247.00 $247.00 $0.00 Established Patient Preventive Health Visits EP 99391 Age under 1 year $99.00 $99.00 $0.00 EP 99392 Age 1-4 years $105.00 $105.00 $0.00 EP/FP 99393 Age 5-11 years $114.00 $114.00 $0.00 EP/FP 99394 Age 12-17 years $146.00 $146.00 $0.00 EP/FP 99395 Age 18-39 years $167.00 $167.00 $0.00 FP 99396 Age 40-64 years $182.00 $182.00 $0.00 99397 Age 65 years & over $207.00 $207.00 $0.00 New Patient Evaluation and Management Visits FP 99201 Minimal $89.00 $89.00 $0.00 FP 99202 Limited $111.00 $111.00 $0.00 FP 99203 Expanded $145.00 $145.00 $0.00 9 FP 99204 Detailed $207.00 $207.00 $0.00 FP 99205 Comprehensive $280.00 $280.00 $0.00 Delivery Fee 59409/DELIV Vaginal Delivery $1,000.00 $1,000.00 $0.00 59514/DELIV Cesarean Delivery $1,000.00 $1,000.00 $0.00 Established Patient Evaluation and Management Visits EP/FP/25 99211 Minimal $47.00 $47.00 $0.00 EP/FP/25 99212 Limited $67.00 $67.00 $0.00 EP/FP/25 99213 Expanded $86.00 $86.00 $0.00 EP/FP/25 99214 Detailed $125.00 $125.00 $0.00 EP/FP/25 99215 Comprehensive $200.00 $200.00 $0.00 FEES FEES Modifier FY FY Arrrount (if 2008- 2009- of required) CPT CODE SERVICE DESCRIPTION 2009 2010 Change Laboratory FP 36415 Venipuncture/stick $16.00 $16.00 $0.00 FP 36416 Finger/heel stick $15.00 $15.00 $0.00 FP 81000 Urine with micro $21.00 $21.00 $0.00 FP 81002 Urine dipstick $16.00 $16.00 $0.00 FP 81025 Pregnancy test (urine) $15.00 $15.00 $0.00 FP 82270 Fecal occult (3 cards) $17.00 $17.00 $0.00 Fecal occult w/digital FP 82272 exm $23.00 $23.00 $0.00 QW 82465 Cholesterol $23.00 $23.00 $0.00 QW 82947 Glucose $27.00 $27.00 $0.00 QW 82950 1 hour Glucola $35.00 $35.00 $0.00 QW 82951 GTT (3 hr) $75.00 $75.00 $0.00 QW 82952 GTT Specimen 4 $23.00 $23.00 $0.00 83986 Ph test fluid not blood $17.00 $17.00 $0.00 FP 85013 Hematocrit $19.00 $19.00 $0.00 86593 STAT RPR (PVT. Pay $0.00) $27.00 $27.00 $0.00 87070 GC culture $44.00 $44.00 $0.00 87205 Gram Stains $23.00 $23.00 $0.00 FP 87210 Wet Prep (PVT. PAY $0.00) $20.00 $20.00 $0.00 89300 Semen Analysis $62.00 $62.00 $0.00 99000 Handling fee $16.00 $16.00 $0.00 Office Procedure FP 11976 Norplant Removal $176.00 $176.00 $0.00 54050 Wart Treatment/Male $134.00 $134.00 $0.00 FP 56501 Wart Treatment/Female $134.00 $134.00 $0.00 FP 57170 Diaphragm Fitting $105.00 $105.00 $0.00 FP 58300 IUD Insertion $290.00 $290.00 $0.00 FP 58301 IUD Removal $102.00 $102.00 $0.00 59025 Non -Stress test $139.00 $139.00 $0.00 Cephalic 59412 Version/External $609.00 $609.00 $0.00 59430 Postpartum care only $174.00 $174.00 $0.00 69210 Ear Irrigation $98.00 $98.00 $0.00 76815 Ultrasound $204.00 $204.00 $0.00 76816 Ultrasound F/U $182.00 $182.00 $0.00 92551 Audiometry $26.00 $26.00 $0.00 92582 Conditioning Play Audiometry $72.00 $72.00 $0.00 92587 Evoked Otoacoustic emmissions $141.00 $141.00 $0.00 EP 96110 Denver Developmental $71.00 $71.00 $0.00 96111 Developmental $172.00 $172.00 $0.00 99173 Vision Screening $20.00 $20.00 $0.00 FP J7300 ParaGard T T380 $359.00 $359.00 $0.00 J3490 Hydroxyprogesterone Caproate $14.00 $14.00 $0.00 10 New 99420 Autism Screen $10.00 $10.00 7/1/2009 FEES FEES Modifier FY FY Amount cif SERVICE 2008- 2009- of required) CPT CODE DESCRIPTION 2009 2010 Change Immunizations/Injections 86580 PPD (TB Skin Test) $25.00 $25.00 $0.00 90471 Admin. single vaccine $15.00 $15.00 $0.00 Admin. single vaccine (Medicaid EP 90471 EP VFC) $18.00 $18.00 $0.00 EP 90472 Admin. 2+ vaccines $10.00 $10.00 $0.00 EP 90473 Admin of intranasal/oral $15.00 $15.00 $0.00 Imm Adm by intranasal/oral & EP 90474 injectable $10.00 $10.00 $0.00 90632 Adult Hepatitis A $67.00 $50.00 -$17.00 90633 Ped/Adol. Hepatitis A $30.00 $30.00 $0.00 90636 Twinrix - Hep A & B $90.00 $95.00 $5.00 90649 Gardasil (HPV) vaccine $130.00 $141.00 $11.00 Influenza vaccine (preservative 90655 free) $15.00 $15.00 $0.00 90656 Flu >3(preservative free) $15.00 $15.00 $0.00 Influenza vaccine 6-35 90657 mo. $15.00 $15.00 $0.00 90658 Influenza Vaccine $15.00 $15.00 $0.00 Flumist Intranasal flu 90660 vacs $23.00 $23.00 $0.00 90669 Prevnar - private stock $80.00 $85.00 $5.00 90680 Rotavirus (Rota Tec) $70.00 $70.00 $0.00 90707 Adult MMR $50.00 $50.00 $0.00 90713 Polio - private stock $28.00 $28.00 $0.00 Tdap vaccine >7 yr of 90715 age $39.00 $39.00 $0.00 90716 Adult Varicella $80.00 $80.00 $0.00 90732 Pneumonia Vaccine $30.00 $33.00 $3.00 90733 Adult Meningitis $95.00 $98.00 $3.00 90734 Menactra $95.00 $98.00 $3.00 90736 Zostavax vaccine $155.00 $155.00 $0.00 90746 Adult Hepatitis B $64.00 $60.00 -$4.00 90772 Therapeutic/diag. Admin. Fee $29.00 $29.00 $0.00 New 96372 Admin of 17P $29.00 $29.00 $0.00 5/1/2009 $4.00 $4.00 FP S4993 Contraceptive Pills /pack /pack $0.00 FP J1055 Depo-Provera $54.00 $50.00 -$4.00 J2790 RHO Gam $136.00 $136.00 $0.00 FP J7303 NuvaRing $36.00 $36.00 $0.00 FP J7304 Contraceptive Patch $15.00 $15.00 $0.00 J3490 17P injection $14.00 $14.00 $0.00 FP J7300 Paraguard IUD $359.00 $428.00 $69.00 FEES FEES FY FY Amount 2008- 2009- of CPT CODE SERVICE DESCRIPTION 2009 2010 Change Miscellaneous LU102 Completion of Record of TB Screen $10.00 $10.00 $0.00 LU214 Kindergarten physicals $45.00 $45.00 $0.00 RN services (TB /STD T1002" billable in units) $20.00 $20.00 $0.00 Child Service T1016" Coordination $22.00 $22.00 $0.00 T1017`" MCC (billable in units) $30.00 $30.00 $0.00 99501 Postpartum Home visit - Mom $60.00 $60.00 $0.00 99502 Newborn Assessment - Infant $60.00 $60.00 $0.00 PAY03 Co -Pay of $3.00 f/NCHC $3.00 $3.00 $0.00 PAY05 Co -Pay of $5.00 f/NCHC $5.00 $5.00 $0.00 Co -Pay of $10.00 PAY10 f/NCHC $10.00 $10.00 $0.00 " 1 unit = 15 minutes CLINICAL SERVICES PROPOSED DENTAL FEES FEES FY CDT CODE SERVICE DESCRIPTION 2009-2010 D0120 Recall exam $34.00 D0140 Emergency exam $54.00 D0145 Oral Eval w/instructions <3 yrs old $50.00 D0150 Initial oral exam $60.00 D0210 Complete series x-rays $103.00 D0220 Periapical x-ray $21.00 D0230 Periapical - two or more $17.00 D0240 Occlusal P.A. $30.00 D0270 Bitewings - single film $20.00 D0272 Bitewings - x 2 $32.00 D0273 Bitewings - x 3 $39.00 D0274 Bitewings - x 4 $46.00 D0330 Panorex x-rays $83.00 D1110 Prophy (adult) 13 & older $66.00 D1120 Prophy (child) age less than 13 $46.00 D1203 Prophy w/fluoride varnish (<13) $26.00 D1204 Floride varnish (13 - 20 yrs) $26.00 D1206 Top fluoride varnish mod/high caries $33.00 D1330 Oral Hyg. Under 3 years $25.00 D1351 Sealants $41.00 D1510 Space Maint. Fixed - Unilateral $265.00 D1515 Space Maint. Fixed - Bilateral $350.00 D1550 Recement Space Maint. $60.00 D1555 Removal of Fixed Space Maint. $55.00 D2140 Amalgam 1 surf. - perm/primary $97.00 D2150 Amalgam 2 surf. - perm/primary $126.00 D2160 Amalgam 3 surf. - perm/primary $152.00 D2161 Amalgam 4 surf. - perm/primary $185.00 D2330 Resin 1 surf. - anterior $112.00 D2331 Resin 2 surf. - anterior $143.00 D2332 Resin 3 surf. - anterior $175.00 D2335 Resin 4 surf. - anterior $207.00 D2390 Resin based composite crown anterior $275.00 D2391 Resin based composite 1 surface $131.00 D2392 Resin based composite 2 surfaces $172.00 D2393 Resin based composite 3 surfaces $214.00 D2394 Resin based composite 4 or more surfaces $262.00 12 We are not recommending any change in fees from 08-09 fee schedule; with the exception of one new code new 7/1/2009 D2920* Recement Crown D2930 SSC - primary D2931 SSC - permanent D2940 Sedative filling D2950 Crown build-up D2951 Pin placement D2970 Temporary crown D3110* Pulp cap direct D3220 Pulpotomy Excl. rest D3310 RCT - anterior D3330 RCT - molar D3351 Recalcification - initial visit D3352 Recal.-Interim medication replcmnt. D3353 Recalcification - final visit D4210 Gingivectomy/Gingivoplasty D4211 D7210 D7220 D7230 D7240 D7241 D7250 D7270 D7510 D8220 D9110 D9230 D9610 D9630 Programs for Community Groups /Organizations Ext. erupted tooth or exposed root Surgical ext. - erupted Soft tissue impact Partial bony impact Bony impact Bony impact w/complications Residual roots - unerupted Tooth Reimplantation I & D intra oral Fixed appliance -therapy Emergency palliative treatment Analgesia Drug injection Other drug/medication * Medicaid does not cover effective 10/1/2004 Health Education and Promotion Fees $77.00 $209.00 $237.00 $80.00 $200.00 $45.00 $220.00 $57.00 $135.00 $572.00 $902.00 $325.00 $142.00 $479.00 $429.00 $180.00 $506.00 $263.00 $290.00 $179.00 $122.00 $129.00 $108.00 $97.00 $109.00 $216.00 $271.00 $360.00 $423.00 $531.00 $228.00 $459.00 $241.00 $350.00 $96.00 $52.00 $75.00 $40.00 No additions or changes in 2009-2010 fees for Health Education & Promotion SERVICE DESCRIPTION 13 Fees FY Gingitomy/gingiplsty 1-3 continous teeth D4240 Gingival flap proced. 4 or more p/quad D4241 Gingival flap proced 1-3 per quad D4321 Provisional Splinting D4341 Root planning/scale 4 or more D4342 Periodontal scaling & root planing 1-3 D4355 Gross scale - perio D4910 Periodontal maint. Treatment D7111 Coronal Remnants -Deciduous Teeth D7140 D7210 D7220 D7230 D7240 D7241 D7250 D7270 D7510 D8220 D9110 D9230 D9610 D9630 Programs for Community Groups /Organizations Ext. erupted tooth or exposed root Surgical ext. - erupted Soft tissue impact Partial bony impact Bony impact Bony impact w/complications Residual roots - unerupted Tooth Reimplantation I & D intra oral Fixed appliance -therapy Emergency palliative treatment Analgesia Drug injection Other drug/medication * Medicaid does not cover effective 10/1/2004 Health Education and Promotion Fees $77.00 $209.00 $237.00 $80.00 $200.00 $45.00 $220.00 $57.00 $135.00 $572.00 $902.00 $325.00 $142.00 $479.00 $429.00 $180.00 $506.00 $263.00 $290.00 $179.00 $122.00 $129.00 $108.00 $97.00 $109.00 $216.00 $271.00 $360.00 $423.00 $531.00 $228.00 $459.00 $241.00 $350.00 $96.00 $52.00 $75.00 $40.00 No additions or changes in 2009-2010 fees for Health Education & Promotion SERVICE DESCRIPTION 13 Fees FY 2009-2010 Community First Aid and CPR course $45.00 Community First Aid and CPR (Adult, Infant & Child CPR) $45.00 Professional Rescuer CPR (Adult, Infant & Child CPR and AED) Does not include First Aid $52.00 Information boots at fairs or health fairs Donation $0.00 and up Health Topic Seminars (for City, State/County gvmmnt, civic groups, schools, churches and/or non -profits) Donation $0.00 and up Health Topic Seminars (Business & Industries - per person)`* $5.00 to $100.00 Health Education Products **** Pamphlets (per 100) $15.00 Posters 8 1/2" x 17" (each) $ 5.00 Videos (each) $40.00 Brochures (per 100) $20.00 Curriculum $40.00 Manuals $20.00 Other products** $0.00 - $100.00 Cost based on staff time, materials used & length of presentation **** Will only charge agencies outside the county for these products Environmental Health Division Proposed Fees No additions or changes in 2009-2010 fees for Environmental Health 111:111reTIIIII :1.791*1441 r[OIL' Existing Well Water Samples Water Sample"" Bacteriological REGULAR SCHEDULE FAST TRACK New System Permits FEES FY 2009-2010 FEES FY 2009-2010 Gravity System $485.00 $335.00 Pump System $1,210.00 $850.00 Relayouts $100.00 Operating >8 months Limited $90.00 $60.00 Intermediate $305.00 $180.00 Comprehensive Gravity System $485.00 $335.00 Comprehensive Pump System $1,210.00 $850.00 Existing System Inspection $120.00 $60.00 Site Revisit fee $60.00 not applicable Existing Well Water Samples Water Sample"" Bacteriological $40.00 Inorganic $40.00 Pesticide, Petroleum, VOC $50.00 Well Program Permits $480.00 Swimming Pool Permit Operating < 8 months $100.00 Operating >8 months $150.00 Initial Plans Review $150.00 Tattoo Fees Tattoo Artist Permit (annually) $200.00 Visiting Tattoo Artist (<30 days) $50.00 Local Food Plan Review 14 Restaurant $200.00 Food Stand $100.00 Meat Market $100.00 Renovations $100.00 Temporary Food Establishments $17.92 Permits $50.00 Request for Approval of the June 2009 Refunds and Releases: County Manager Joel Mashburn said the Tax Administrator had submitted the June 2009 releases and refunds for approval. Mashburn said none of the transactions involved any of the board members. MOTION by Commissioner Keadle to approve the refunds and releases. VOTING: Ayes - 4; Nays - 0. Releases for the Month of June 2009 Breakdown of Releases County $14,425.80 Solid Waste Fees $37.75 E. Alexander Co. Fire #1 $0.00 Shepherd's Fire #2 $52.60 Mt. Mourne Fire #3 $17.92 All County Fire #4 $545.40 B&F Fire #5 $162.74 Statesville City $3,130.02 Statesville Downtown $0.00 Mooresville Town $5,413.46 Mooresville Downtown $50.83 Mooresville School $995.76 Love Valley $0.00 Harmony $0.00 Troutman $1,216.28 Davidson $28.75 Refunds for the month of June 2009 Breakdown of Refunds County $353.93 Solid Waste Fees $0.00 E. Alexander Co. Fire #1 $0.00 Shepherd's Fire #2 $0.00 Mt. Mourne Fire #3 $0.00 All County Fire #4 $19.68 B&F Fire #5 $5.65 Statesville City $11.06 Statesville Downtown $0.00 Mooresville Town $332.97 Mooresville Downtown $0.00 Mooresville School $79.50 Love Valley $0.00 Harmony $0.00 Troutman $0.00 Davidson $0.00 Monthly Total $26,077.31 Monthly Total $802.79 Request from the Register of Deeds for Approval of a Three -Year COTT Agreement (Resolution3 Software Assurance & Hardware Maintenance Renewal): Register of Deeds Brenda Bell requested approval of a three-year renewal on a software contract for her office's computer operating system. MOTION by Commissioner Johnson to approve the request. VOTING: Ayes - 4; Nays - 0. 15 Request for Approval of the June 16, 2009 Minutes: MOTIO by Commissioner Keadle to approve the minutes. VOTING: Ayes — 4; Nays — 0. ANNOUNCEMENT OF VACANCIES OCCURRING ON BOARDS & COMMISSIONS (none) APPOINTMENTS TO BOARDS & COMMISSIONS 2010 Census Complete Count Committee (6 appointments): Commissioner Keadle nominated King and Karen Carty. Centralina Workforce Development Board (1 appointment): Commissioner Robertson nominated Christopher McCall. MOTION by Chairman Williams to appoint McCall. VOTING: Ayes — 4; Nays — 0. Juvenile Crime Prevention Council (4 auoointments): No nominations were submitted, and Commissioner Keadle made a motion to table the appointments. VOTING: Ayes — 4; Nays — 0. Mooresville Planning Board/ETJ 1 appointment): No nominations were submitted, mtion and Chairman Williams made a oto table the appointment. VOTING: Ayes — 4; Nays — 0. Region F Aging Advisory Board (2 appointments): No nominations were submitted, and Commissioner Robertson made a motion to table the appointments. VOTING: Ayes — 4; Nays — 0. Fire Department Planning Committee (11 appointments): The Iredell County Fire Marshal will be requested to share a list of nominees with Commissioner Robertson, and the appointments will be made at the August 4 meeting. PUBLIC COMMENT PERIOD: The public was given an opportunity to speak; however, no one expressed an interest. NEW BUSINESS Request for a Budget Amendment to Substitute all Funding for NCACC Related Activities with Funding for Stop Child Abuse Now: Commissioner Keadle said he didn't feel there were enough votes to approve this action, and he recommended for the board to proceed with the agenda. COUNTY MANAGER'S REPORT County Manager Mashburn distributed a written activity report. TABLED ITEM FROM JUNE 16, 2009 — Call for a Public Hearing regarding a request from the Town of Mooresville for a Release of Zoning and Subdivision Jurisdiction for Property Located Between Mooresville and Davidson Along NC 115 and Lake Norman (Lake Davidson Section): MOTION by Commissioner Keadle to place this tabled item on the July 14 agenda. VOTING: Ayes — 4; Nays — 0. 16 MOTTO by Commissioner Keadle to Call for a Public Hearing on August 4, 2009, at 7:00 P.M., regarding the release request. VOTING: Ayes — 4; Nays — 0. CLOSED SESSION: MOTION by Chairman Williams, at 8:55 P.M., to enter into closed session pursuant to Economic Development — G.S. 143-318.11 (a) (4). VOTING: Ayes — 4; Nays — 0. RETURN TO OPEN SESSION AT 9:20 P.M: OTION by Chairman Williams to return to open session. VOTING: Ayes — 4; Nays — 0. COUNTY TO SERVE AS A RURAL GRANT RECIPIENT: OTIO by Chairman Williams to allow the county to serve as a Rural Grant recipient for a dairy processing plant with no county money being involved and no county liability. VOTING: Ayes — 4; Nays — 0. CALL FOR A PUBLIC HEARING REGARDING AN ECONOMIC DEVELOPMENT INCENTIVE FOR BESTSWEET INC: OTION by Commissioner Robertson to call for a public hearing on August 4, 2009, at 7:00 P.M., regarding an economic development incentive of $97,035.25, over a five-year period, for BestSweet Inc., based on a $5.3 million investment in Iredell County. VOTNG: Ayes — 4; Nays — 0. ADJOURNMENT: There being no further business, Commissioner Keadle made a OTION to adjourn the meeting. (NEXT MEETING: Tuesday, August 4, 2009, in the Iredell County Government Center, 200 South Center Street, Statesville, NC) VOTING: Ayes — 4; Nays — 0. Approved: 17 Clerk to the Board