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120417December 4, 2017 The Randolph County Board of Commissioners met in regular session at 6:00 p.m. in the 1909 Randolph County Historic Courthouse Meeting Room, 145 Worth Street, Asheboro, NC. Commissioners Allen, Frye, Haywood, Kidd and McDowell were present. Also present were County Manager Hal Johnson; Finance Officer Will Massie; County Attorney Ben Morgan; Amanda Varner, Clerk to the Board; and Dana Crisco, Deputy Clerk to the Board. Sheriff Robert Graves gave the invocation and everyone recited the pledge of allegiance. (JoAnn Sapp was not in attendance. Her recognition was postponed.) Addition to the Agenda Chairman Allen announced that Ms. Swaney was unable to attend the November meeting to be recognized for her retirement but is present tonight and the Board recognized her at this time. Retirement Recognition Tammy Swaney retired on October 1, 2017, with 24 years of service to Emergency Services. Ms. Swaney was recognized by Emergency Services Director Donovan Davis, after which, Chairman Allen presented Ms. Swaney with an engraved clock on behalf of the Board. Special Recognition Chairman Allen recognized Commissioner Frye for his 35 years of service as a Randolph County Commissioner. Mr. Frye is the longest serving commissioner for Randolph County and the second longest serving in the state. Chairman Allen presented him with a copy of a photograph from the Randolph Room at the Library. It appeared to be a photograph of his first election win that had been published in the local paper. Reorganization of the Board On motion of McDowell, seconded by Frye, the Board voted unanimously to elect David Allen as Chairman. On motion of Kidd, seconded by McDowell, the Board voted unanimously to elect Darrell Frye as Vice Chair. On motion of Frye, seconded by Kidd, the Board voted unanimously to approve the following appointments: County Attorney, Ben Morgan; Clerk to the Board, Amanda Varner; Deputy Clerk to the Board, Dana Crisco; Representative to the Board of Health, Stan Haywood; Representative to the Social Services Board, Maxton McDowell; Representative to the Juvenile Crime Prevention Council, Kenny Kidd; Transportation Advisory Committee Representative to the (HPMPO) High Point Metropolitan Planning Organization, Darrell Frye; Alternate Transportation Advisory Committee Representative to the High Point Metropolitan Planning Organization (HPMPO), Stan Haywood; Piedmont Triad Rural Planning Organization (RPO) Transportation Advisory Committee Representative, Stan Haywood; Alternate Representative to the Piedmont Triad Rural Planning Organization (RPO) Transportation Advisory Committee Representative, Maxton McDowell; Delegate to the Piedmont Triad Regional Council, Darrell Frye; Representative to the Piedmont Authority for Regional Transportation, Darrell Frye; Tourism Development Authority Liaison, Kenny Kidd; Representative to Sandhills County Commissioner Advisory Board, David Allen; Representative to the Regional Partnership Local Workforce Development Area Consortium Chief Elected Official Board, David Allen; Owner's Representative/Steering Committee Representative to the Greensboro -Randolph Megasite Project Agreement, David Allen. Public Comment Period Pursuant to N.C.G.S. § 153A-52.1, Chairman Allen opened the floor for public comment. County Attorney Ben Morgan read aloud the Public Comment Rules of Procedure. Alan Ferguson, 4794 Troy Smith Rd., Liberty, said he would like to address New Business Item I: Greensboro -Randolph Megasite Soil and Ground Water Assessment Participation Request and Related Budget Amendment on the agenda. "It appears the County is being asked to pay for half of the cost of the assessment." He stated that the County paying half "does not make complete sense" to him. The County "is only a 1/3 partner" in the project, the County doesn't "even own 1/3 of the land," and "there's not really any evidence that" the County "will get half of the profit from it" if the project succeeds. He asked if Guilford County, the City of Greensboro or the Foundation had been asked to "foot part of the bill." Mr. Alan Ferguson said the property is likely to have a large formation of stone under it and may require considerable blasting. He said 77 Randolph County citizens around the immediate perimeter of the property felt they could be affected by blasting. He said everyone knows that ground water can be affected when you begin blasting. He proposed that if Randolph County is going to pay half of the expense for "poking around" on the site that they provide a "ground water testing program" for residents to "establish a baseline for whatever company" decides to locate there and for the residents who drink the water. He stated he felt any company would want to know the condition of wells on the surrounding properties prior to construction. Mr. Ferguson said that if his property has no water after the blasting, then "it would be condemned." Mr. Alan Ferguson then added that he can't think of a "better way to show true, big, regional cooperation around the project than if all the jurisdictions participated in these additional costs," including Greensboro and Guilford County. Bobby Ferguson, 8703 Old Hwy 421, Julian, stated he "had no address and soon to be homeless." Mr. Bobby Ferguson said he wanted to share a couple thoughts regarding the rezoning process that took place. He said the rezoning notice signs were still on his property. It "was not a welcome sign" and that leaves the impression of an "in your face" attitude. He asked for assistance in getting them removed since the hearing was held three weeks ago. The second item of concern was that during the rezoning process, not one question or comment was made to anyone presenting in favor of or against the request. He said it was disheartening and somewhat disrespectful; it "is an impression." He said it was almost as if the Planning Board members were saying, "Our job is to politely sit, be attentive, and listen, and when everybody gets through and says their peace. We already know everything that you are going to tell us or you're going to suggest and we've already got our vote made." The impression to the citizens was that it was "cut and dry, the coaching had already taken place, the members of the committee already knew how they were going to vote" and it came "across as an insult to the people who spoke." He said he felt the people of Randolph County could be represented in a more professional manner and caring way. He claimed the moderator never asked for discussion on the matter, but a vote was taken. In addition, Mr. Ferguson said that the moderator said the vote was unanimous although it didn't appear that everyone voted verbally. He asked if the Commissioners would consider a show of hands in conjunction with their verbal vote so all can see how they vote. Chairman Allen explained that he can't speak for the Planning Board, but the Rules of Procedure for the Board of Commissioners state that a failure to vote by a member who is physically present in the meeting or who has withdrawn without being excused by a majority vote of the remaining members present shall be recorded as an affirmative vote. County Attorney Ben Morgan (and Planning Board Attorney) explained if it appears close or someone is unsure of how Planning Board members voted, the Clerk or Chairman will ask for a show of hands. He said that the Unified Development Ordinance also states that an abstention is a "yes" vote for the Planning Board as well. Consent Agenda On motion of Haywood, seconded by Frye, the Board voted unanimously to approve the Consent Agenda, as follows: • approve the minutes of the 111612017 regular meeting and closed session minutes I and II • appoint Christopher Toriello as Deputy Finance Officer at dail; • approve surety bonds for elected and appointed officials: Finance Officer Will Massie ($500, 000); Deputy Finance Officer Suzanne Dale ($500, 000); Tax Collector Debra Hill ($300, 000); Sheriff Robert Graves ($25, 000); Register of Deeds Krista Lowe ($50, 000); Deputy Tax Collectors: Sallie Cheek ($200, 000), Revonda Cox ($200, 000); Deputy Finance Officers for Jail Commissary: Christopher Toriello ($10, 000), Tammy R. Brady ($50, 000), Derrick Hill($] 0, 000); • reappoint Col. Ed Blair, Chief Matt Talbot, Skip Ritchie, and Annette Jordan and appoint Dana Wright (to replace Evan Grady in the Public Health slot) to the Randolph County Local Emergency Planning Committee; • reappoint Tina Williams and Christine Caviness to the Adult Care Home Community Advisory Committee; • approve Budget Amendment #16 to Public Library -State Aid ($5,626), as follows: 2017-2018 Budget Ordinance General Fund—Budget Amendment #16 Revenues Increase Decrease Restricted Intergovernmental $5,626 Appropriations Increase Decrease Public Library $5,626 0 approve Budget Amendment #17 for Cooperative Extension 4-H ($1,240), as follows: 2017-2018 Budget Ordinance General Fund—Budget Amendment #17 Revenues Increase Decrease Miscellaneous $1,240 Appropriations Increase Decrease Cooperative Extension $1,240 Update on Northgate Center Robert Carmac, Principal with Smith Sinnett Architecture, presented the preliminary feasibility study for the Northgate Complex. He said they have had several meetings with Board of Elections, Probation and Parole, and Day Reporting Center and appreciated their input to get to this point. Mr. Carmac said the focus is on four of the spaces in the complex which total almost 31,000 square feet. He said there is value in up -fitting this building and saving the taxpayers' money by not having a full construction project. Existing conditions of the sections are as follows: • former shoe store needs roof repair and some demolition to take it back to the shell; • vacant corner space is clean and will only need some minor demolition; • former grocery store has a good roof and existing terrazzo slab floor, will need minimal demolition; and • the section that was previously a church will require the most demolition to return it to the original shell in order to build up from there. The concrete floor and roof are both in good condition. After reviewing the spaces, the needs, and the wants of the departments, Smith Sinnett recommends Elections be housed in the 11,786 square foot former shoe store, Probation and Parole in the 2,388 square foot corner section and the 7,138 square foot former grocery store, and Day Reporting Center in the 9,675 area that was previously a church. Mr. Carmac checked city zoning requirement for parking and it was determined 319 spaces are required and the lot currently has 320. Smith Sinnett presented one option that would reconfigure the lot to allow 338 spaces and provide access to curbside voting for Elections. Some parking spaces could be added to the back of the building. Commissioner Frye asked if the reason Probation and Parole is split is because of current lease agreements with tenants in between vacant spaces. Mr. Carmac confirmed. He said the Rent -A -Center lease doesn't expire until around 2020. Due to the projected growth in officers for Probation and Parole, the corner space is being considered for expansion. Mr. Carmac said they can probably get everyone in the large space with a couple of offices to spare right now, but that may change quickly. The corner space can be a separate project later, but Department of Public Safety (DPS) is unsure when "later" is. It depends on the continued growth of the case load. Mr. Carmac said each entity had specific site requirements and measurements for their space. The proposed floor and site plans have met those. He said Probations and Day Reporting could share mechanical and electrical spaces and a technology closet making it possible to cut the square footage needed for those items. He said the presentation includes the first attempt at a total project budget and is subject to adjustments, such as using current furniture in the new space. He said Commissioners may need to consider escalating construction costs. Mr. Carmac said estimates are $1.6 million for Board of Elections, $1.7 million for Probation and Parole and a little over $1 million for Day Reporting. Each project can be separate and independent or considered as a whole. If considering the total project, including furnishings, the estimate is $4,746,452. Mr. Carmac reviewed the proposed schedule as to what has been completed and what is coming up. It can be sped up or delayed depending on budget. He said they would lean on the Commissioners decision to determine the schedule further. Commissioner Frye said the initial reason for beginning this discussion was for the overcrowding at the courthouse. Chairman Allen said sharing common or centralized training areas was initially being considered and he noticed in the drawings that individual ones have been included in the plans. Mr. Carmac explained that the entities determined it would not be feasible to share training spaces because Probation uses theirs weekly. He was able to find space within the units to include requested training areas. Chairman Allen asked if a 3% contingency included was adequate. Mr. Carmac said it is a little low but the spaces are open and thinks it is doable. He said the sooner construction starts, the more he feels costs will be in range. Chairman Allen stated that the Board will hear a final review and decide the next steps in January. Road Closing Matters (an Unnamed Road) Associate County Attorney Aimee Scotton reminded the Commissioners that she had received a request that the Randolph County Board of Commissioners act to permanently close an unnamed road in the Asheboro Township, beginning on the north side of Giles Chapel Road and proceeding north and west out to Gold Hill Road and depicted in plat recorded in Plat Book 1, Page 346 of the Randolph County Registry. The road was never actually constructed. The procedure for closing a public road or easement is governed by North Carolina General Statue §153A-241. The first step requires that the Board of Commissioners adopt a resolution declaring its intent to close the road and calling for a public hearing on the question. This resolution was adopted at the November meeting. In accordance with the statute, notice of the hearing was published once a week for three successive weeks. The statute further requires that a copy of the resolution must be sent by certified mail to each owner of property adjoining the road, as shown by the county tax records, who did not join in the request to have the road closed; in this case, there were two and both were properly notified. Furthermore, a notice of the closing and the public hearing was posted in at least two places along the section to be closed as prescribed by statute. Ms. Scotton said that after all interested persons are allowed to voice their views during the public hearing, if the Board of Commissioners is satisfied that closing this road will not be detrimental to public interest and will not deprive any individual of access to his property, the Board may adopt an order closing the road. A certified copy of the order shall then be filed with the Register of Deeds office. At 6:54 pm, the Chairman opened the duly advertised public hearing. Peden Harris, 1125 E. Morehead St., Charlotte, NC, representative of Birdseye Renewable Energy, said his company has an agreement with the Millikan family to build a solar farm on their property. The road was never built and is currently a grass field. Closing the road would aid the Millikans in their effort to construct. Hearing no further comments, the public hearing was closed. On motion of Haywood, seconded by Kidd, the Board voted unanimously to adopt an order to permanently close an unnamed road in the Asheboro Township beginning on the north side of Giles Chapel Road and proceeding north and west out to Gold Hill Road, as follows: ORDER WHEREAS, the Randolph County Board of Commissioners received a request to permanently close an unnamed road in the Asheboro Township beginning on the north side of Giles Chapel Road and proceeding north and west out to Gold Hill Road and appearing on plat recorded in Plat Book I at Page 346 of the Randolph County Registry; and WHEREAS, on November 6, 2017, the Randolph County Board of Commissioners adopted a resolution declaring its intent to close said street or easement and set a public hearing on the issue for December 4, 2017, all in accordance with North Carolina General Statute §153A-241; and WHEREAS, notice of the proposed closing and public hearing were prominently posted in two places along said street or easement; and WHEREAS, a copy of the resolution was sent by registered or certified mail to each owner as shown on the county tax records of property adjoining said road or easement who did not join in the request; and WHEREAS, notice of the public hearing set by the Randolph County Board of Commissioners for December 4, 2017 was published once a week for three successive weeks before the hearing; and WHEREAS, the Randolph County Board of Commissioners has determined through the public hearing that the closing of the aforesaid street or easement is not contrary to the public interest and that no individual owning property in the vicinity of said street or easement would be deprived of reasonable means of ingress and egress to his property; NOW, THEREFORE, BE IT ORDERED by the Randolph County Board of Commissioners that the unnamed road described above be permanently closed and that all right, title, and interest in its respective rights-of-way is vested in those persons owning lots or parcels of land adjacent to the street or easement. BE IT FURTHER ORDERED that a certified copy of this Order shall be filed in the Register of Deeds Office. Economic Development: Proiect ESP- Engineered Steel Products / Set a Public Hearing Randolph County Economic Development Corporation VP Kevin Franklin gave an overview of Project ESP — Engineered Steel Products. It was founded in 1989 as a structural steel fabricator. The company occupies a 25,000 square foot facility at 4977 Plainfield Road in Sophia, which it constructed in 1998. The company was acquired three years ago and has seen consistent growth under the new owners with the addition of approximately 15 employees and the addition of a division to manufacture stairs and rails. The company has now outgrown its facility and is planning to expand its production area by approximately 15,000 square feet. He said the expansion will accomplish two objectives: 1) Increase structural steel capacity. Currently, they have two full shifts (day and night) that are fully staffed, yet demand is higher than current production levels can supply. 2) Accommodate recent business expansion and growth of stairs and rails division. The company currently has 4 employees working offsite at another leased facility. This proposed expansion will bring all employees and production into the main facility. The company is committed to creating 10 net new full-time jobs over the 18 -month grant period at an average wage of $35,360. The company is requesting an NC Commerce Building Reuse Grant of $125,000 to offset capital investment of $620,000 to expand in Randolph County. NC Commerce has reviewed preliminary project information and has requested submission of a full grant application. Mr. Franklin said Engineered Steel is located in an unincorporated area of Randolph County, so the County would serve as the applicant. The grant requires a 5% local match of $6,250 for the $125,000 request. Based on anticipated additional tax revenue generated by the proposed project, Randolph County would realize return of its cash match in less than two years. Mr. Franklin stated that the County hasn't had a request for the Building Reuse Grant Program in over a year and gave a few highlights for the new Board members. • A unit of local government must serve as the applicant. • The program requires a dollar -for -dollar match by the company. • The program is structured as a forgivable loan which would be administered by the County. o The County must guarantee the loan through a binding contract with the state. o The company has 18 months to complete the renovations and hiring, and must then retain the jobs for an additional six months, at which point the loan is forgiven and the grant closed. o If the company does not meet its hiring and retention goal, it is obligated to repay the loan on a per -job basis (i.e. $12,500 for each job). The County would be responsible for ensuring that repayment is made, and the County would be liable for repayment to the State if the property owner defaults on its payment. Mr. Franklin said in this case, the property owner is willing to assume this risk via an instrument such as a Deed of Trust on the property. He said the next grant application deadline is January 11 and awards will be announced on February 22. He asked the Commissioners to set a public hearing for January 2, 2018, to consider authorizing submission of a Building Reuse Grant application, including a required 5% cash match of $6,250. Commissioner Haywood asked if the company had benefits in addition to the salary amount and Mr. Franklin confirmed that the company does offer health benefits and is required to do so to qualify for this grant. On motion of Haywood, seconded by Frye, the Board voted unanimously to set a public hearing for January 2, 2018, to consider authorizing submission of a Building Reuse Grant application for Engineered Steel Products and payment of the required 5% cash match of $6,250. Fire Service Advisory Council Update Emergency Services Director Donovan Davis gave a brief summary of the Randolph County Fire Service Advisory Council which was organized because of the identified need in the Randolph County 2016 Strategic Plan. They meet quarterly and the meetings are open to the public. They have established committees within the council. They have used the initial meetings to gather information, identify issues, and set preliminary goals. The Communications Committee has been well attended and Climax Fire Chief Gary McGee was selected as chair. The issues they have been working to resolve are: • Sending safety information by text to responding departments. • Completing response plans for all the fire departments located in Randolph County. • Improving radio communication in the Randleman area with an additional tower. • Reviewing calls that are not dispatched within three minutes after the call is received. The committee is also looking at a change to the unit numbering system for fire apparatus and personnel, if a sufficient numbering system can be found. They have also inquired about CAD -to -CAD dispatch between counties, discussed automatic chest compression machines, and voted to end safety "time checks" after the fire departments have been on -scene for a while. The Recruitment and Retention Committee has met twice in 2017. Seagrove Fire's Dustin King and Franklinville Fire's Mathew Dawkins share the chair position. The committee has been gathering information from various local, state and international agencies in order to gain ideas. The committee is researching further information on tax breaks for volunteers, tuition breaks for volunteers, social media recruitment campaigns, career days at local schools, open houses at the individual fire departments, Firefighter Proud Initiative (a nationwide Facebook joint venture), countywide promotional recruitment video, and countywide poster campaign. The committee voted to focus on the recruitment side for the first few meetings then concentrate on retention once their Advisory Committee had decided on a recruitment strategy. Mr. Davis said another initiative the Fire Service Advisory Council is working on includes a bulk purchasing collaboration between departments. Several departments have opened a line of communication to other departments for upcoming purchases they plan to make in 2018 and are working together to secure better prices. Request to Approve Updated Clinical and Vaccine Fees and Consider Flexibility to Adiust Vaccine Fees Public Health Director Susan Hayes advised the Board that the Health Department would like to begin offering certain additional vaccines. She said vaccine costs can vary greatly and sometimes from week to week. Ms. Hayes presented the updated Health Department fee schedule (attached) that is based on current costs and asked that the Commissioners approve the fees as presented and consider allowing the Public Health Director the flexibility to adjust vaccine fees up to a 20% increase to cover their costs, if needed. Commissioner Haywood asked if a 20% increase would be enough. Ms. Hayes said she is not sure since this is the first time they have purchased these vaccines. The pertussis vaccine will be the first one purchased since there have been cases in schools each year. On motion of Frye, seconded by Haywood, the Board voted unanimously to approve the updated Health Department fee schedule including vaccines, as presented, and to allow the Public Health Director the flexibility to adjust vaccine fees up to a 20% increase to cover their costs, if needed. Request for Expenditure of Law Enforcement Restricted Funds Sheriff Robert Graves requested the expenditure of $18,404 in law enforcement restricted funds. The funds will be used to purchase a new "Mast Camera System" for the Mobile Command Center. This will replace the current system, which has been down since August 25, 2017. The Sidewinder system gives mobile command staff a sharper and crisper picture during special operations. The Sidewinder 1.5 PTZ Camera System - Desktop Controller also includes: • High Definition 1080i/1080p/720p • Continuous 360 rotation in both axes • 30x optical zoom lens • Hydrophilic "self-cleaning" glass • Electronic Image Stabilization mode and much more Chairman Allen asked Sheriff Graves about the balance of the restricted funds and Sheriff Graves stated $904,000. On motion of Frye, seconded by Kidd, the Board voted unanimously to approve the request for expenditure of Law Enforcement Restricted funds for the purchase of a new "Mast Camera System "for the Mobile Command Center and approve Budget Amendment 918, as follows: 2017-2018 Budget Ordinance General Fund—Budget Amendment #18 Revenues Increase Decrease Law Enforcement Restricted Funds $18,404 Appropriations Increase Decrease Sheriff's Office $18,404 Special Joint Meeting with the Asheboro City School Board of Education On motion of Haywood, seconded by Kidd, the Board voted unanimously to set a joint public meeting with the Asheboro City School Board of Education for February 8, 2017, at 6: 00 p. in. in the Professional Development Center of Asheboro City Schools. Special Meeting for Annual Planning Retreat Finance Officer Will Massie stated that the Commissioners have an annual planning retreat in preparation for the annual budget and asked them to consider setting a special meeting to begin the process. On motion of Kidd, seconded by Haywood, the Board voted unanimously to set a special meeting for the Board Planning Retreat for February 22, 2018, at 12:30 p.m. at the Randolph County Office Building, Meeting Room A. Greensboro -Randolph Me2asite Soil and Ground Water Assessment Participation Request and Related Budget Amendment County Manager Hal Johnson stated that in September 2017 a potential Megasite client requested that a soil and groundwater assessment be conducted on the megasite property as part of the environmental impact due diligence of megasite development. The North Carolina Railroad (NCRR) responded to this request by contracting with ECS Consulting and SEPI Engineering and the study is currently underway. The NCRR has requested that Randolph County participate 50% in the cost of this groundwater study inside the boundary of the Megasite. The 50150 funding request is another opportunity to emphasize to clients the proactive cooperation between Randolph County and the NCRR as it relates to any potential project for the Megasite. He said this assessment would also address some of the concerns expressed by area citizens during the rezoning phase of this project. The North Carolina Railroad will be invoiced directly for the cost of these services and will submit to Randolph County the amount due for 50% of the cost. He said he doesn't expect the County's share to exceed $112,750. Mr. Johnson said there is additional rental income from the cell tower located on County property that could be used to cover the balance of the expected expense of the groundwater study. A budget amendment to the Site Development Capital Project Fund will be needed to reflect this. Commissioner Frye asked if there were any other issues raised at the Planning Board meeting that the Commissioners should be addressing. Mr. Johnson said buffers were mentioned. Commissioner McDowell said he attended the meeting and no changes were made to the existing requirements for buffers. Mr. Johnson said a suggestion was made by a citizen during the Planning Board meeting that the County consider some special type of zoning protection for the adjoining properties outside the boundaries of the site that would protect and make them viable as an agriculture community. Perhaps a specialized overlay zone would recognize what is there and give the properties a measure of protection in the future. He said he has asked the Planning Board to investigate this. Chairman Allen asked what typically takes place during a soil and water assessment. County Engineer Paxton Arthurs addressed the question and explained he had not seen the contract for the study but they would likely be drilling monitoring wells all around the site to test for any contaminations in the soil or water. Those could remain during and after construction. If any blasting is required, the water levels will be tracked. If levels change after blasting, the engineer will know there is some fracturing. Commissioner Kidd said it was a valid concern of property owners whose land adjoins or borders the site that they may be affected and "setting a benchmark may be a good idea." Commissioner Frye asked if the engineers could drill test wells near the property lines. Mr. Arthurs replied he did not know where the monitoring wells would be drilled. The engineers for the study make that determination. Chairman Allen asked if the County would have continuing costs to monitor those wells or if it was included in the assessment. Mr. Arthurs said it was his understanding this request is just for the initial assessment. The project may be in the construction phase by the time monitoring was to begin. It would likely depend on the property owner at the time of the next phase. Commissioner Frye said it was his understanding that this request was for the initial borings and testing only. Having already established a price and installation being in process, it is likely that the consultants have already determined how many and the location of each testing site on the property. Commissioner Haywood said he felt that if the water tables were to change due to blasting, there should be some obligation to those citizens of Randolph County whose property is being affected. He asked Mr. Morgan if it would be Randolph County's responsibility. Mr. Morgan replied, "In regards to legal responsibility," it would depend on the owner at the time of the change. Commissioner Kidd said he agrees with Commissioner Haywood about the County having some obligation and stated again that setting some type of benchmark to compare existing well water to in the future is necessary. Chairman Allen stated he believes the Board has two issues being discussed; one is the adjoining property owner's ground water and the other is the item on the agenda before them that needs to be considered. Commissioner Frye stated that the NCRR has already committed to the study and it is underway. NCRR has "only asked the County to share in the expense." Commissioner Kidd said the NCRR is the County's partner and that he doesn't have a problem paying a part of the expense but feels there are a lot of unanswered questions. Commissioner McDowell inquired if a decision needed to be made at this meeting since the NCRR has this assessment in motion already. Chairman Allen wanted to know if the County could check into the possibility of extending the assessment to outside of the site and whether the County could reimburse the NCRR later. Mr. Morgan stated that it is his understanding that while the NCRR has committed themselves to this assessment, they are apprehensive to send the engineers onto County property to drill test wells if the County has not consented to it. Commissioner McDowell stated that "brings up another point. There are other people who own property (inside the boundaries of the Megasite) besides the County and they are not being asked to participate" in helping pay this expense. Commissioner Kidd said he was willing to give the consultants and engineers permission to drill on the County's land but said he has a lot of unanswered questions while "holding the purse strings." "It is a great idea and it needs to be done" and said he didn't want to delay the project. Chairman Allen said the assessment is a benefit, but the County owes it to the taxpayers to have all the details about the process. Commissioner McDowell made a motion to table the request until the County knows what all is involved. "We can't table" the issue of assessment, Commissioner Haywood replied. "Not if we want a 1.6 billion dollar project." "They say it is going forward" anyway, stated Commissioner McDowell. He said he didn't see why it couldn't be tabled. Commission Haywood said he is just as concerned about the people across the street and that was the reason why he raised the question earlier. "At the same time, if you are looking at a $1.6 billion project based on whether we are willing to spend $100,000 or not — we need to think that seriously before we table it." Commissioner McDowell said he agreed that they should take that seriously. Commissioner Frye said he felt like the Board could approve this request to keep the assessment moving along while the County goes back to NCRR to ask for any additional considerations the Board would like to see added to the assessment. Mr. Johnson said he would look into that. Commissioner Haywood said it would be very responsible of the County and a benefit to all if test locations could be included on the perimeter properties while ECS Consulting and SEPI Engineering are already out there. Commissioner Kidd said he agrees with this suggestion. Commissioner McDowell withdrew his motion. Commissioner Frye made a motion that the Board approve the NCRR's request to pay $112,750 of the Greensboro -Randolph Megasite Soil and Ground Water assessment being completed by ECS Consulting and SEPI Engineering and pursue getting further studies done on adjoining properties and those across the street. Chairman Allen said he felt like the County should ask the NCRR to cost -share on the testing for the neighbor's properties as well. Commissioner Frye amended his motion to: approve the NCRR's request to pay $112,750 of the Greensboro -Randolph Megasite Soil and Ground Water assessment being completed by ECS Consulting and SEPI Engineering, to pursue getting further studies done on adjoining properties and those across the street, and ask the NCRR to cost -share on assessing those properties, as well. Commissioner Kidd seconded the motion. Commissioner McDowell said he felt it was appropriate for "all partners to participate in this" expense. He said it "affects all partners" and "not just" the County and the NCRR. Referring to Mr. Alan Ferguson's comments, Commissioner McDowell said, "it's not going to affect only Randolph County citizens but also Guilford County citizens, and the Foundation is part of this as well. We are not the only land owners." The Board voted 4 to 1, with Commissioner McDowell opposing, to approve the motion as stated above. The associated Budget Amendment 48 is as follows: 2017-2018 Budget Ordinance Site Development Capital Project Ordinance Budget Amendment #8 Revenues Increase Decrease Rental Fees $40,000 Interest Earnings $11,600 Appropriations Increase Decrease Miscellaneous $52,000 County Manager's Update County Manager Hal Johnson said the County Commissioners sponsored the County's first "County Leadership Forum on Opioid Abuse" in August 2017. It alerted our citizens to the public health crisis stemming from the flood of opioids pouring into our county, state, and nation. Unfortunately, in Randolph County the impact continues to increase. Randolph County's Emergency Services operations have responded to over 349 calls related to opioid or opioid related drug overdose calls in all our jurisdictions from January 2017 to December 2017. This included 25 deaths by suspected drug overdose. The numbers in Randolph County are almost equal, on a per capita basis, to Charlotte/Mecklenburg County. Mr. Johnson said the County will soon begin the new budget cycle. Randolph County agencies are already struggling with the increased budget costs related to the additional pressure on our resources that has been created by this Opioid Crisis. The Randolph County Department of Public Health and Emergency Services are working together to expand the Community Health Paramedic initiative. This is a program where the County will be sending out a special team, consisting of Paramedics and a Health Educator, to meet with addicts and their families. The addicts will be referred to the team by our paramedics who respond to overdose calls. He said he feels this is a great partnership between Emergency Services and Public Health and it will begin in January 2018. In addition to the special Paramedic initiatives, the Department of Public Health has established an Opioid Advisory Committee and also coordinates the Opioid Collaborative Council that was recently appointed by the Board of County Commissioners. This Opioid Collaborative Council will be meeting on December 6th along with the Department of Public Health, Sheriff's Office, and Emergency Services representatives. Their goal will be to review options in detail and to make formal recommendations to the Commissioners at the January 2018 meeting concerning proactive measures the County Commissioners might take to combat this crisis in our Randolph County community. Mr. Johnson reported that several counties in North Carolina are beginning the process to take legal action against the drug distributors and manufacturers in an effort to recover public costs and stop the opioid epidemic. He asked, "So what does Randolph County do?" He said that will be a topic at the January County Commissioner meeting. Regional Update Chairman Allen stated some of the Board members had been attending NCACC steering committee meetings the past few weeks. Closed Session At 8: 00 p.m., on motion of Frye, seconded by Kidd, the Board voted unanimously to go in to closed session to establish or to instruct the staff or agent concerning the negotiation of the price and terms of a contract concerning the acquisition of real property, pursuant to NCGS 143- 318.11(a)(5) and to discuss matters relating to the location or expansion of business in the area, pursuant to [N. C. G. S. 143-318.11(a) (4)J Meeting Resumed The meeting resumed at 9:19 p.m. Adjournment At 9:19 p.m., on motion of Frye, seconded by Kidd, the Board voted unanimously to adjourn. David L. Allen, Chairman Darrell Frye Stan Haywood Maxton McDowell Kenny Kidd Amanda Varner, Clerk to the Board R—&. pft e.wnt� w..a+, G.r. I -t HEALTH DEPARTMENT Randolph County Health Department FY18 Fee Schedule(New Rates are Effective July 1,2017 to June 30,2018) The Health Deparhirent fee schedule is subject to change each fiscal year. Board of Health approve& lIA312017 Board of County Commissioners approve& CPT Code Modifier Description Current Recommended Fee Change for FY 2017-18 Last Revision PROCEDURES 11981 Insert Nexplanon $304.00 2016 11982 Remove Nexplanon $345.00 2016 11983 Nexplanon Insert & Removal $450.00 2016 54050 DESTRUCTION PENIS LESION(S) $150 NEW 56501 TREATMENT OF CONDYLOMA $255.00 $150 2076 57170 FITTING OF DIAPHRAGM/CAP $156.00 2016 58300 IUD IN $174.00 2016 58301 IUD OUT $222.00 2016 59430 POSTPARTUM CARE ONLY SEPARATE PROCEDURE $200 NEW EVALUATION & MANAGEMENT LU102 COMPLETION OF RECORD OF TB SCREEN $25.00 2016 T1002 RN SERVICES UP TO 15 MINUTES $75.00 2016 99201 New Prob. Focused -10 min $90.00 2016 99202 New Expanded - 20 min. $164.00 2016 99203 New Detailed - 30 min. $210.00 2016 99204 lNew Comprehensive -45 min $307.00 2016 99205 New Complex -60 min $386.00 2016 99211 Est. (Nurses) 5 -min. $38.00 2016 99212 Est. Prob. Focused -10 min. $84.00 2016 99213 Est. Expanded -15 min. $140.00 2076 99214 Est. Detailed - 30 min. $207.00 1016 99215 lEst. Comprehensive -45 min. $279.00 r 2016 PREVENTIVE 99383 PREV VISIT NEW AGE 5-11 $258.00 2016 99384 REV VISIT NEW AGE 12-17 $261.00 2016 99385 PREV VISIT NEW AGE 18-39 $255.00 2016 99386 PREV VISIT NEW AGE 40-64 $295.00 2016 99393 PREV VISIT EST AGE 5-11 $205.00 2076 99394 PREV VISIT EST AGE 12-17 $223.00 2076 99395 PREV VISIT EST AGE 18-39 $229.00 2016 99396 PREV VISIT EST AGE 40-64 $244.00 2016 CO UNSELINGgNTERVENTION 96160 HEALTH RISK ASSESSMENT TEST $20,00 2016 99404 PREVENTIVE COUNSELING INDIV $217.00 2016 99406 BEHAV CHNG SMOKING 3-10 MIN $20 NEW 99407 BEHAV CHNG SMOKING > 10 MIN $30 NEW 59445 PT EDUCATION NOC INDIVID $21.00 2016 aft r HEALTH DEPARTMENT Randolph County Health Department FY18 Fee Schedule(New Rates are Effective July 1,2017 to June 30,2018) The Health Department fee schedule is subject to change each fiscal year. Board of Health approved IIA312017 Board of County Conunissioners approved.• CPT Code Modifier Description Current Recommended Fee Change for FY 2017-18 Last Revision ZABS Q0111 WET MOUNT $15.00 2016 36415 VENIPUNCTURE ONLY $10.00 $15.00 2076 80048 METABOLIC PANEL (CA, TOTAL) $12.00 2016 80048 DM METABOLIC PANEL (CA, TOTAL) $1.92 2016 80051 ELECTROLYTE PANEL $11.00 2016 80051 DM ELECTROLYTE PANEL $1.60 2076 80053 COMPREHEN METABOLIC PANEL $17.00 2016 80053 DM COMPREHEN METABOLIC PANEL $2.40 2016 80061 LIPID PANEL $25.00 2016 80061 DM LIPID PANEL $4.25 2016 80074 ACUTE HEPATITIS PANEL $70.00 2016 80076 HEPATIC FUNCTION PANEL $13.00 2016 80076 DM HEPATIC FUNCTION PANEL $1.84 2016 $0156 DRUG SCREEN QUANTITATIVE CARBAMAZEPINE TOTAL $22.00 2076 80156 DM DRUG SCREEN QUANTITATIVE CARBAMAZEPINE TOTAL $15.00 2016 80164 DRUG SCREEN QUANT DIPROPYLACETIC ACID TOTAL $20.00 NEW 80164 DM DRUG SCREEN QUANT DIPROPYLACETIC ACID TOTAL $15.00 NEW 80178 DRUG SCREEN QUANTITATIVE LITHIUM $10.00 2016 80178 DM DRUG SCREEN QUANTITATIVE LITHIUM $5.00 2076 80184 ASSAY PHENOBARBITAL $18.00 2076 80185 ASSAY PHENYTOIN TOTAL $20.00 2016 81005 URINALYSIS $5.00 2016 81025 URINE PREGNANCY TEST $15.00 2016 82150 ASSAY OF AMYLASE $10.00 NEW 82150 DM ASSAY OF AMYLASE $3.22 NEW 82465 ASSAY BLD/SERUM CHOLESTEROL $10.00 2016 82465 DM ASSAY BLD/SERUM CHOLESTEROL $1.40 2016 82565 JASSAY CREATININE $8.00 2016 82565 DM ASSAY CREATININE $1.40 2076 82607 VITAMIN B-12 $23.00 2016 82607 DM VITAMIN B-12 $4.25 2016 82728 ASSAY FERRITIN $21.00 2016 82728 DM ASSAY FERRITIN $3.66 2016 82947 GLUCOSE $12.00 2016 82947 DM GLUCOSE $1.40 2016 82977 ASSAY OF GGT $11.00 2016 83020 HEMOGLOBIN ELECTROPHORESIS na charge 2016 83036 HgB AIC $15.00 2016 w�wH1�h C�uwi� N��t�h Or ��rf was nl HEALTH DEPARTMENT Randolph County Health Department FY18 Fee Schedule(New Rates are Effective July 1,2017 to June 30,2018) The Health Deparbnent fee schedule is subject to change each fiscal year. Board of Health approved: 1143/2017 Board of County Commissioners approved: CPT Code Modifier Description Current Recommended Fee Change for FY 2017-18 Last Revision 83036 DM HgB A1C $3.45 2016 83540 ASSAY IRON $10.00 2016 83540 DM ASSAY IRON $1,55 2076 83550 IRON BINDING TEST $13.00 2016 83550 DM IRON BINDING TEST $1.45 2016 83655 ASSAY LEAD $45.00 2016 83655 DM ASSAY LEAD $7.50 2016 83986 PH BODY FLUID $10.00 2076 84132 ASSAY SERUM POTASSIUM $10.00 2076 84132 DM ASSAY SERUM POTASSIUM $1.40 2016 84295 ASSAY SERUM SODIUM $10.00 2076 84295 DM ASSAY SERUM SODIUM $1.40 2076 84443 ASSAY THYROID STIM HORMONE $25.00 2016 84443 DM ASSAY THYROID STIM HORMONE $2.25 2016 84450 TRANSFERASE (AST) (SGOT) $10.00 2016 84450 DM TRANSFERASE (ASI`) (SGOT) $1.40 2076 84460 ALANINE AMINO (ALT) (SGPT) $10.00 2016 84460 DM ALANINE AMINO (ALT) (SGPT) $1.40 2076 84479 ASSAY THYROID (T3 OR T4) $12.00 2016 84479 DM ASSAY THYROID (T3 OR TSI) $1.00 2016 84481 FREE ASSAY (FT -3) $45.00 2016 84481 DM FREE ASSAY (FT -3) $1.95 2016 84520 ASSAY UREA NITROGEN $10.00 2016 84520 DM ASSAY UREA NITROGEN $1.40 2016 84550 ASSAY BLOOD/URIC ACID $10.00 2016 84550 DM ASSAY BLOOD/URIC ACID $1.50 2016 85018 HEMOGLOBIN $8.00 2016 85018 DM HEMOGLOBIN $1.25 2016 85025 COMPLETE CBC W/AUTO DIFF WBC $16.00 2076 85025 DM COMPLETE CBC W/AUTO DIFF WBC $1.50 2016 85027 COMPLETE CBC AUTOMATED $15.00 2016 85027 DM COMPLETE CBC AUTOMATED $1.45 2016 86580 PT TB SKIN TEST -Patient Pay(TUBERSOL) $18.00 2016 86592 Trust (Syphilis serology) iro charge 2076 86592 DM Trust (Syphilis serology) $3.00 2016 86593 BLOOD SEROLOGY QUANTITATIVE $22.36 2016 86701 HIV-1 no charge 2076 86703 HIV-1 HIV-2 SINGLE ASSAY no charge 2016 86704 HEP B CORE ANTIBODY TOTAL $20.00 2016 k . w,,d ti c-rvtp H~Oh 6.P.41 -t HEALTH DEPARTMENT Randolph County Health Department FY18 Fee Schedule(New Rates are Effective July 1,2017 to June 30,2018) The Health Department fee schedule is subject to change each fiscal year. Board of Health approved: 1143/2017 Board of County Commissioners approved: CPT Code Modifier Description Current Recommended Fee Change for FY 2017-18 Last Revision 86704 DM HEP B CORE ANTIBODY TOTAL $3.50 2016 86706 HEP B SURFACE ANTIBODY $16.00 2016 86706 DM HEP B SURFACE ANTIBODY $7.30 2016 86707 HEP BE ANTIBODY $20.00 2016 86787 VARICELLA-ZOSTER ANTIBODY $20.00 2016 86787 DM VARICELLA-ZOSTER ANTIBODY $6.00 2016 86803 HEPATITIS C AB TEST $22.00 2016 86803 DM HEPATITIS C AB TEST $5.00 2016 87081 GONORRHEA SCREENING CULTURE $12.00 2016 87081 DM GONORRHEA SCREENING CULTURE $5.90 2016 87149 CULTURE TYPE NUCLEIC ACID $30.00 2016 87177 OVA AND PARASITES SMEARS $33.93 2016 87205 STAT MALE SMEAR/GONORRHEA $11.00 2016 87210 SMEAR WET MOUNT SALINE/INK $15.00 2016 87252 HERPES SIMPLEX VIRUS $40.00 2016 87255 GENET VIRUS ISOLATE HSV $32.00 2016 87340 HEP B SCREEN $20.00 2016 87340 DM HEP B SCREEN $5.38 2016 87341 HEPATITIS B SURFACE AG EIA $20.00 2016 87389 HIV-1 AG HIV-1 AND HIV-2 AB ao rharge 2016 87389 DM HIV-1 AG HPV -1 AND HIV-2 AB $25.00 2016 87491 CHLAMYDIA $50.00 2016 87491 DM CHLAMYDIA $7.18 2016 87517 HEPATITIS B DNA QUANT $51.00 2016 87591 GONORRHEA $52.00 2016 87591 DM GONORRHEA $7.18 2016 87624 HPV REFLEX TESTING $50.00 NEW 87624 DM HPV REFLEX TESTING $20.00 2016 88141 Pap, MD Interpretation $32.00 2016 88141 DM Pap, MD Interpretation $10.00 2016 88175 THIN PREP, PAP PROCESS FEE $40.00 2016 88175 DM THIN PREP, PAP PROCESS FEE $20.63 2016 VACCINE ADMINISTRATION 90471 ADMIN:1 VACCINE $48.00 2016 90472 ADMIN: 2 OR MORE VACCINES $27.00 2016 90473 ADMIN: ORAL VACCINE $35.00 2016 90474 ADMIN: ORAL AND INJECTIBLE $25.00 2016 VACCINES 90375 RABIES IGIM/SC - (Post Exposure) $300 NEW HEALTH DEPARTMENT Randolph County Health Department FY18 Fee Schedule(New Rates are Effective July 1,2017 to June 30,2018) The Health Department fee schedule is subject to change each fiscal year. Board of Health approve& IIA312017 Board of County Commissioners approved: CPT Code Modifier Description Current Recommended Fee Change for FY 2017-18 Last Revision 90620 SL MENINGOCOCCAL -2 DOSE 2016 90632 HEP A -ADULT (HAVRIX) $51 NEW 90633 SL HEP A-PED/ADULT -2 doses lyr-18yrs 2076 90636 5L HEP A - HEP B (ADULT) , (rMNRIX) 2016 90636 HEP A - HEP B (ADULT) , (TWINRIX) $87 NEW 90647 SL IHIB, HEMOPHILUS B, 3-DO5E 2016 90648 SL HIB,HEMOPHILUS B, 4 -DOSE 2016 90651 SL HPV, 9 (GARDASIL-9) 2016 90651 HPV, 9 (GARDASIL-9) $220 NEW 90655 SL FLU (SPLIT 6-35 MOS.) 2076 90656 SL FLU NO PRSV 3 YRS +IM 2076 90657 SL FLU VACCINE 6-35 MONTHS IM 2016 90658 SL FLU (SPLIT 3 + YEARS) 2016 90670 PNEUMOCOCCAL (PREVNAR-13 VALENT) $190 NEW 90675 RABIES VACCINE IM $300 NEW 90680 SL ROTAVIRUS (3 dose) 2016 90685 SL FLUENZA SPLIT (6 thru 35 months) 2016 90686 SL FLU SPLIT (3 years & older) 2016 90696 SL Dtap,1PV (Kinrix) (4 yrs - 6yrs) 2016 90698 SL DtaP, HIB-1PV (PENTACEL) 2016 90700 SL DTaP, Diphtheria, Tetanus, Pertussis 2016 90702 SL DT, Diphtheria, Tetanus toxoid -(under 7 yrs IM) 2016 90707 SL MMR, Measles, Mumps, Rubella 2016 90707 MMR, Measles, Mumps, Rubella (MMRII) $86 NEW 90710 MMRV, Measles, Mumps, Rubella, Varicella(ProQuad) $218 NEW 90710 SL MMRV, Measles, Mumps, Rubella, Varicella(ProQuad) 2016 90713 SL IPV, POLIOVIRUS 2016 90714 Td, Tetanus, Diphtheria toxoid, no presv(TENIVAC) $42 NEW 90714 SL Td, Tetanus, Diphtheria toxoid, no presv(DECAVAC/(Generic) 2016 90715 Tdap,Tenanus,Diphtheria & Pertussis (BOOSTRIX) $50 NEW 90715 SL Tdap,Tenanus,Diphtheria & Pertussis (BOOSTRIX) 2016 90716 VARICELLA -CHICKEN PDX VACCINE SC-(VARIVAX) $137 NEW 90716 SL VARICELLA -CHICKEN PDX VACCINE SC 2016 90723 SL DTaP -Hep B -IPV (Pediarix) 2016 90732 PNEUMOCOCCAL 23 -Valent (PNEUMOVAX 23) $132 NEW 90734 MENINGOCOCCAL -(MENACTRA (MCV4) $120 NEW 90734 SL MENINGOCOCCAL -(MENACTRA (MCV4) 2016 90736 1 ZOSTER (Shingles) live (ZOSTAVAX) $289 NEW NrrMn ae.n�.�a HEALTH DEPARTMENT Randolph County Health Department FY18 Fee Schedule(New Rates are Effective July 1,2017 to June 30,2018) The Health Deparhwitt fee schedule is subject to change each fiscal year. Board of Health approve& IIA312017 Board of County Commissioners approved: CPT Code Modifier Description Current Recommended Fee Change for FY 2017-18 Last Revision 90744 SL HEB B (Recombivax) Pediatric/adolescent dose 2016 90746 JHEP B (ENGERIX-B) $58 NEW 90746 1 SL JHEP B (ENGERIX-B) 2016 PHARMACY J1050 DEPO $30 NEW J1050 UD/340b DEPO $27 NEW J3490 PLAN B $46 NEW J3490 UD/340b PLAN B $3.70 NEW J7297 LILETIA $700.00 NEW J7297 UD/340b LILETIA $47.04 NEW J7298 LEVONORGESTREL 52 MG 5 YEAR(Mirena) $912.00 2016 J7298 UD/340b LEVONORGESTREL 52 MG 5 YEAR(Mirena) $264.71 NEW J7300 IUD Device-Paragard $942.66 2016 J7300 UD/340b IUD Device-Paragard 256.40 NEW J7307 Nexplanon $850.00 2016 J7307 UD/340b Nexplanon $381.00 NEW 54993 BC Pills (Birth Control Pills) $8.82 2016 54993 UD/340b BC Pills (Birth Control Pills) $8.82 $3.00 NEW