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2012-11-13 RM Exhibits #4 New Hanover County Fee Schedule FY12-13 Department Service Fee Amount ADMINISTRATION NHCTV Service Fese for each event: COUNTY Studio&Control Room Equipment Fee $50/hr.(4 hour minimum) Exhibit MANNrAQSR Meeting set-uplbroeladown,my $35/hrAwh.(2 hour minimum)BQOk Page l location,using 2 technkians Production Services: Live Broadcast from NHC Government Center $35/hr./tech.(6 hour minimum) or Historic Courthouse Assembly Room and Rebroadcast Minimum 2 NHCTV technicians at 3 hours each uve Broadcast from Off-sloe locations with appropriate internal access and rebroadcast. Minimum 3 NHCTV technicians at 3 hours each. $35/hr.Aooh.(9 hour minimum) Minimum 2 IT staff support at 2 hours each. $50/hrJIT staff(4 hour minimum) Recording from NHC Government Center& Rebroadcast.Minimum 1 NHCTV technician at $35/hr./teoh.(3 hour minimum) 3 hours. Recording from NHC Historic Courthouse Assembly and Rebroadcast. Minimum 2 NHCTV technicians at 3 hours each. $35IhrAech.(6 hour minimum) Recording from Off-she locations and Rebroadcast. Minimum 3 NHCTV technicians at 3 hours each. $35/hrJtech.(9 hour minimum) Post-processing: Minimum of 1 NHCTV technician Q 3 hours $35/hrJtech.(3 hour minimum) Travel horn NHC Government Center to Broadcast Site: Minimum 1 hour per NHCTV technician $35/hrJtech.(1 hour minimum) Minimum 1 hour per IT staff support $50/hrJetaff(1 hour minimum) Related fees that may apply for NHC Government locations: Facility and Overhead Fees As determined by County Manager Housekeeping Service As determined by Property Mgt. Security Fees As determined by Sheriffs Office COMMISSIONERS Copies $0.10 per page NHC Code of Ordinances Book $300 per book(covers cost of book and all future updates) COOPERATNE Master Gardener Training Program $140-8 week program-2 times a week E EXTENSION Various classes $3 to$10 to cover materials only Nematode and irrigation water samples $5(fee goes to NC Department of Agriculture) Soil Samples free 4-H Camps Various fees depending on camp Certified Plant Professional $10o(includes manual} Rain Garden Certification $125 per person Friend of the Arboretaan Membership: Student $15 Individual $30 Family $40 Contributor $100 Patron $150 Benefactor $250 Life Member $1,000 l i Fee Schedule FY13(11-13-2012) Page i New Hanover County Fee Schedule FY12-13 Department Service Fee Amount Private Events-Weddings: Wedding Ceremony,less than 75 people,2 HR limit $825 Wedding Ceremony,more than 75 people,2 HR limit $875 Wedding Ceremony&Reception,less than $1,250 75 people,4 HR limit Wedding Ceremony&Reception,more than $1,625 75 people,4 HR limit Use of Kitchen for up to 4 hours $400 Auditorium for Bridal Dressing $200 per hour Refundable Security Depoeft: Ceremony only $100 Ceremony and/or reception $500 Public Programs: Art in the Arboretum $5 Admission Wilmington Garden Show: Adults $7 Children under 12 free no charge Master Gardener Plant Sale: Free Admission Plants,other $3.00 to$10.00 to cover materials only COUNTY ATTORNEY Preperatlonlrecordation of notice of noncompliance $28 Preparationtrecordation of promissory note/deed $40 LEGAL pfgX M of trust (these fees are collected by Finance.) Public document request under Q.S.132-6-2,where $0,10 per page the compilation and quantity does not constitute e)demlve use of resources. ELECTIONS CD $25 e-mail no charge Campaign finance reports and related elections $0.20 per page records EMERGENCY Hazardous Material Reporting(Tier IQ by weight: MANAQEMENT Underground storage containers $50 &111111 0-999,999 lbs.per facility $150 COMMUNICATIONS 1,000,000 lbs.and above per facility $300 ENQMERING Sedimentation&Erosion Control Fess: Residential Subdivision: Review Fee(paid at time of application;Includes $200 Initial and 2nd review) Land Disturbance Fee(paid at time of plat $150 per lot recordation) AN Iota must he In dw Ih»Ms of dladwibanca and hauls ercabn mn&vi nomwme Subsequent Reviews(for each review after 2nd $200 each review) Modifications $200 Name/Address Change $200 Transfer of Ownership $200 Fee Schedule FY13(11-13-2012) Page 2 New Hanover County Fee Schedule FY12-13 I Department Service Fee Amount s Commercial Development» i Review Fee(paid at time of application;includes $200 I initial and 2nd review) i i Land Disturbance Fee(paid at time of Certificate $400 per acre of Completion or Occupancy) Subsequent Reviews(for each review after $200 each n 2nd review) Modifications $200 Name/Address Change $200 Transfer of Ownership $200 r Stormweter Authorization to Construct(ATC): a u Application Fee: Review Fees: s 10,000 Square Feet up to 1 Acre: Includes initial and 2nd review $100(includes both the initial and 2nd review) For each review after 2nd review $100(per review) 1 Acre up to 10 Aries: a Includes initial and 2nd review $250(includes both the initial and 2nd review) For each review after 2nd review $250(per review) i 10 Acres up to 50 Acres: { Includes initial and 2nd review $500(includes both the initial and 2nd review) For each review after 2nd review $500(per review) 50 Ames and more: Includes initial and 2nd review $10 per Acre(includes both the initial and 2nd review) For each review after 2nd review $10 per Acre(per review) Transfer of Ownership of a stormwater facility $100 operating in accordance with an Authorization to Construct(ATC) ENMOMENTAL Category: MAMQE#IIENT Municipal Solid Waste $59 per ton y Construction/Demolition $59 per ton Concrete/Brick/Dirt(CLEAN-Recycled)' $30 per ton Concrete/Brick/Dirt(Minced)' $59 per ton g Shingles/Built-Up Roofing(Mixed)" $59 per ton Asphalt Shingles(CLEAN-Recycled)` $59 per ton s Refuse Delivered in Cars,P/U Trucks or Trailers $59 per ton Cardboard(85%to 100%)" no charge t Mixed Glass $18 per ton Non-Mixed Glass(Color Separated) no charge "Must be verified by landfill attendant. "Must be verified by recycling attendant. Special Weds: Asbestos(accepted with Special Approval only) $69 per cubic yard Sludge(accepted with Special Approval only) $61.30 per ton Tires(disposed of by residents) no charge(maximum of fire per day) Tires(disposed of by businesses) $83 per ton Household or Lead Acid Batteries(Recycled) no charge 9 Waste Oil/Used Cooking Oil/Antifreeze-Recycled no charge i Fee Schedule FY13(11-13.2012) Page 3 New Hanover County Fee Schedule FY12-13 Department Service Fee Amount Appliances(Recycled) no charge Oyster Shells(Recycled) no charge Electronics Recycling(residents only,recycled) no charge Thermostats(residents only) no charge Used Oil Filters(residents only,recycled) no charge FINANCE Parking Deck Fees: First Hour Free Daily Rate $8/day maximum Mon,Tues&Wed(7pm-before 7am next moming) Free Thurs,Fri&Sat(7pm-2am) $5/fiat evening rate Saturday(before 7pm) Free Sunday(until Monday before 7am) Free Roof Top $301month Level 4-Level 6 $451month 2 Year Deal $40/month Special Events $7/f[at rate fee FIRE New Construction Permits: SERVICES Alarm/detection systems/equipment $100+$10/1000 sq.fL Compressed gases $75 Fire Pump&Related Materials,backflow preventer $75 Hazardous Materials-Install,repair,abandon $50 Industrial Ovens-install $50 LP gas-not applicable WA Private fire hydrants $50 Sprinkler-auto fire extinguishing systems $100+$10/1000 sq.ft. Spray booths,rooms,dip operations $100 Standpipe systems-Install/modify $75 Tanks,pumps,piping new construction $75 All other permits required by Fire Code $50 Plan review fee $0.04/sq.ft.-$45 minimum Fast Track plan review $501HR$100 minimum Miscellaneous Fess: After-hours inspection request $80 per hour Alcohol license inspection $50 Certificate of Occupancy $45 Cost recovery-see FEMA guide Day Care Annual inspection $45 Standby firefighter/fire marshal $60 per hour Annual Inspection other than DSS $35 Adult care/rest homernstitutional $45 Plan review request at alts $45 per hour Private school annual Inspection $50 Re-inspection fee-incomplete projectsr3rd Inspect $50 Fire Flow Per trip charge $200 Late Fee-Permits Not Paid Within 30 Days: Civil Citation-First Offense $200 Civil Citation-Second Offense $400 Civil Citation-Third Offense $750 Fee Schedule FYI(11-13-2012) Page 4 New Hanover County Fee Schedule FY12-13 Department Service Fee Amount PermltefReview Other Than New Cor>aftation: Fire alarm&detection systemslequipment&test $100+$10/1000 sq.ft. Fire Pump or accessary,bac k1low preverder $50 Private hydrant systems $50 Automatic fire extinguishing systems&test $100+$10/1000 sq.ft. Plan review fee $0.04/sq.it.-$45 minimum Hazardous Matsriais Response Fees: Engine Company Response $225 per hour or any part thereof Tower/Truck Company Response $250 per hour or any part thereof Rescue Service Company Response $150 per hour or any part thereof ORV/Mini-Engine/Brush Truck $100 per hour or any part thereof Haz-Mat Chief/Chief Officer $60 per hour or any part thereof Fire Marshal Response $60 per hour or any part thereof Emergency Management Response $50 per hour or any part thereof Materiala/Supplies Consumed Actual replacement cost+handling Off Duty Call Badc Personnel Average hourly rate x 1.5 Any other cost of abatement and/or remediatlon of incident not set out above. Site Assessment Fee $J0 Permits: Aerosol products $75 Amusement buildings $50 Aviation facilities $75 Battery systems $J0 Camlvals/fairs $6S Cellulose nitrate film $50 Combustible dust producing operations $50 Combustible fibers $50 Compressed gases $75 Covered mall buildings $75 Cryogenic fluids $75 Cutting and welding-not applicable N/A Dry cleaning plants $50 Exhibits and trade shows $50 Boosives-30 day $150 Explosives-90 day $300 Fire hydrants and valves-not applicable N/A Flammable&combustible liquids Class 1: $85 5-1,000 gallons Flammable&combustible liquids Class I, 111: $65 25-1,000 gallons Flammable&combustible liquids Class 1,11,111: $250 >1,000 gallons Operation of fuel dispensing facility $75 Install/remove above or below ground storage tank $100 per tank Pipeline operation-not applicable WA Flammable&combustible-change In contents $75 Floor finishing $50 Fee Schedule IY13(11-13-2012) Page 5 I New Hanover County Fee Schedule FY12-13 Department Servioe Fee Amount Frult and crop ripening $50 Fumigation&thermal insecticide fogging $50 Hazardous materials-business $50 Hazardous materials-industrial $150 Hazardous production facility $250 High piled storage $50 Hot work operations,kettle $35 Industrial Ovens $85 Lumber yards/woodworking plants $50 Liquid or gas fueled vehicles/equipment $35 LP gas-not applicable N/A Magnesium $50 Misc.combustible storage $50 Open burning-not applicable N/A Open flames and candies $48 Place of assembly 50-899 $75 Place of assembly 700-1000 $100 Place of assembly>1000 $125 Private fire hydrants $50 Pyrotechnic special effects material-indoor $200 Pyrotechnic special effects material-outdoor $150 Pyroxylin plastics $50 Refrigeratlon equipment-not applicable WA Repair garage/seivice station<5,000 sq.fL $50 Repair garage/service station>5,000 sq.it. $100 Rooftop heliports $75 Spraying or dipping,flammable finishes $100 Storage of scrap bres/byproducts $75 Tents/canoples $40 Tire rebuilding plants $75 Waste handlingljunkyard,waste facility $50 Wood products $50 HEALTH Health Service fee schedule Is voluminous. Refer to Exhibit 1 of this document for the Health Fee structures. Fee Schedule FYI(11-13-2012) Page a New Hanover County Fee Schedule FY12-13 Department Service Fee Amount HUMAN NHC Training and Education Classes: REGOURCES Classes such as County Employee personal Not to exceed$25 per Contact Hour and professional development classes are per Participant periodically offered to the public when space Is available. Fees for these classes vary,based on class duration(contact hours);complexity of the material;the number of handouts;other included services(such as continuing education credit registration where applicable);completion 3 certificates;and qualification cards. USRARY Overdue fees: Adult materials excluding videos $0.20 per unit $4.00 maximum Juvenile Materials $0.20 per unit $4.00 maximum 3 Magazines $0.20 per unit $4.00 maximum Videos $1 per unit $4 maximum Overdue Rental Materials $1 per day $4 maximum Lost&Damaged items: j Mass market paperback or magazine List pry&fee Audiovisual materials List price&fee # Replacement disk or tape(audiovisual) $10 Library card $1 Processing for books&audiovisual materials $5 Processing for mass market paperbacks and magazines $2 Book Binding $B DVD/CD case $2.50 i Copies: Copiee/Prindng bieck/white(vend card) $0.10 unit charge Copies/Printing black&vhite(cash) $0.15 unit charge s Photocopies-color(cash) $0.50 unit change Photocopies-color(vend card) $0.30 unit charge 9 Microfilm $0.25 unit charge FAX $1 unit charge Digital Scan(reference purposes only;not for $5 set-up fee publication;additional costs and rules of use may apply Scan to Disk $5 plus set-up fee Meeting Rooms(four-hour blocks): Small (capacity less than 25) $15425 Medium(capacity less 25-50) $50 Large(capacity over 50) $75-$150 Computer Lab: Less than 4 hours $100 Over 4 hours $200 Equipment rental $25 Miscellaneous: a Inter-Library Loans $2.00 unit charge Security(two hour minimum) $25 per hour a Fee Schedule FYI(11-13-2012) Page 7 d New Hanover County Fee Schedule FY12-13 Department Service Fee Amount Non-Resident Ubrary Card(annual) $30 Non-Resident Internet Access Card(30 days) $2 Rental Books/Week $3 Rental DVDs $1 per day Out-of Town Research copy costs plus$5 postage and handling MUSEUM Admission Fssa: Adults $7 Youth(3-17) $4 College Students $6 Seniors(65 and over) $g Military with ID $6 Children,under 3 $0 First Sunday,NHC residents $0 Members $0 Room Use Fees-(during hours of operation): Non-Profft&government organizations $0 For-profit,private companies or groups $50 plus$10Jhour Room Use Fees-(After hours of operobn) Security guard-flat fee for all $45 Non-Profit&government organizations $20 plus$10/hour For-profit,private companies or groups $120 plus$201hour School Programs: Museum Field Tripslnutrsech(on-ske): M-County Schools-guided: Student $3 Adult $3 Teacher Free Bus Driver Free !n-Coumy schools-sell-gulded: Student Free Adult Free Teacher Free Bus Driver Free Non-County Schools-guided: Student $6 Adult $6 Teacher Free Bus Driver Free Non-County schools-sell-guldsd: Student $4 Adult $4 Teacher Free Bus Driver Free Mussum Outreach(off site): !n-County Schools: Student $5 Non-County Schools: Student $6 Fee Schedule FYI(11-13-2012) Page 8 d i New Hanover County Fee Schedule FYI 2-13 Department Service Fee Amount Travel Subject to add'i mileage fee a Museum Kits(check-out): In-County Schools $10/week Non-County Schools $15tweek Special Events: Pi Doy In-County Schools-Student $3 Non-County Schools-Student $g Hhtory Day: IrrCounty Schools-Student $5 Non-County Schools-Student $5 Public Programs: a old scouts. Scout Participant $g i Adult Leader e $4 Summer camps: Member Camper $70 Nonmember Camper $90 Summer Shorts(on-slts or off-alts); Participant $g Family Programs(included with general admission): i Learning Center $0 1 Cape Fear Skies $0 Museum Carts $0 Family Events: Member $3 Nonmember $g Adult Programs: Lectures&Workshops Vary collections Services: (Research,Consultation,Reproduction) lot hour of staff time no charge Additional Staff Hours: Museum members $15/hour New Hanover County Residents $25/hour Non-New Hanover County Residents $50/hour Commercial Projects $1001hour Conservation Materials: Current Manufacturer Price;Price subject to change Encapsulation Materials: Polyester film $.004 per square inch x Double-sided tape $.007 r inch r, pe Clothing and Textile Storage Products available through Cape Fear Museum Store Document and Photograph Storage Products available through Cape Fear Museum Store a Reproduction Costs: Up to 12 low-resolution digital images by email Free I High-resolution digital Images Negotiated on a case by case basis. Fee Schedule FYI(11-13-2012) Page 9 New Hanover County Fee Schedule FY12-13 Department Service Fee Amount Use fees-ons-Nms-uss onij Commercial Projects: Book or Allegazinet B&W/Color Image $10011mage Front Cover Image $500lrmage Back Cover image $250/image Video or Rhn: Image provided by Cape Fear Museum $1001image On-site filming $200/objet CWVD: B&W/Color Image $10011mage DecoradoiV ExahRdt: B&W/Color Image WO/Image WWwRe,renewable annually: B&W/Color image $100/fmaga/annually Nonprofit Profits(501(c)(3)status) 100/6 of commercial rate PARKS,GARDENS Athletic Fiekle-Per Hour: &SENIOR Youth-Recreational League no charge RESOURCE Adult-No Lights $10 per hour CENTER Adult-With Lights $20 per hour Athletic Field Toumament Fees: PARKS DVVAS W kwdudee lull weekend(2 days) Day Rental $125 per field Day and Night(with lights) $150 per field Out of town team fee $30 per team Portable concessions $25 Picnic Shelters(4 hour rentao: Small $25 Medium $35 Large $45 Event Areas: Hugh MacRae Gazebo and Garden Area $300 for 4 hour rental Hugh MacRae Event Area $1,000 per day Ogden Park Event Area $1,000 per day Riverside Park Building: Damage Deposit $250 Day Use(8am-5pm) $125 for a 4 hour rental Long term rate(used once a month) $100 per use PARKS,GARDENS Airlis Conoert Series: A SENIOR Member no charge RESOURCE Adults(non-member) $8 CENTER Children(ages 6-12) $2 Airiie Admission: GARDENSOff/ASM Member no charge Adults(non-member) $5 Children(ages 6-12) $3 County free day;first Sunday of each month New Hanover County residents no charge Fee Schedule FYI(11-13-2012) Page 10 New Hanover County Fee Schedule FY12-13 Department Service Fee Amount Aldle Membership: Individual $25 Family Package(2 adults;children under 12 free) $50 Dogwood Package 150T waiting Rose Package 250 list Magnolia Package $500 Azalea Package $1,000 Endtanted Alrlls: Member no charge Adults(non-member) $5 Children(ages 6-12) $4 Parking Pass $5 Carload Pass $22 Environmental Education(EE)Programs: NHC schools no charge Non county schools $3 per student Guided toms: no extra charge with acbnlsslon Bird Hikes: Member Free Non-member $5 Kayak Eco Tours $50/person Owl Prowls: Member free Non-member $5 Oyster Roast $75/dcket Wild Adventureel(youth summer camp): Member $120/youth for week-long camp Non-member $135/youth for week-long camp LEGO Summer Camp: Member $125 week Non-member $150 week After-hour/Private Events: Two hour event or wedding only Tuesday-Friday$500/Saturday$1,500 (Fee kwudes Bridal lm'aft oppoft*) Three hour event or wedding only $2,500 (Fee/ncudes Bridal portralt opportunity) 4 hour event or reception/rehearsal dinner only $3,500 (Fee lndudes Bridal portrait opportunity) 5 hour event or reception/rehearsal dinner only $4,500 (Fee includes Bridal portrelt opportwrlty) Damage Deposit $700 refundable Security Fee $250 non-refundable Bridal Portraits only: Sfte fee $200 Request for staff member&golf cart $500 TV&movie films(paid to Airlie Foundation): Production $1,750 per day Pre or post-production $250 per day Fee Schedule FY13(11-13-2012) Page 11 New Hanover County Fee Schedule FY12-13 Department Service Fee Amount PARKS,HARDENS Instructors charge$3-$8/class Varies$3 to$8 per class(paid directly to instructor) S SENIOR Instructors pay 10%of fees to Senior Center RESOURCE Ensure prices Include 2%NC Food Tax: CENTER Regular $24.45 Plus $29.60 SENfiOflrREMNIM Gluoema $35.75 CEM.R apjISM High Protein $29.60 Boost pries Include 2%NC Food Tax: Regular $23.45 Plus $28.80 Glucerna $34.75 High Protein $28.60 PLANNING Rezoning $500 less than 5 acres-$600 more than 5 acres &INSPECTIONS Continuances: Prior to Advertisement $0 Planning Board-$100 County Commissioners PLAN11111111110 After Advertisement $300 Planning Board and County Commissioners DIVEM Special Use Permit $150 Single Resident-$400 all other Text Amendments $400 per application-$600 Land Use Plan Board of Adjustment $350 Subdivision Review: Conventional $300 per preliminary Performance&High Density $20 per lot final Street/Easement Closure $750 Street Naming $200+cost of sign Mobile Home Park $250 per preliminary-$20 per final space Pubik:atiorm: Zoning Ordinance $10 Subdivision Regulations $3 Mobile Home&Travel Trailer Park $3 Historic Architecture of NHC $6 Low Impact Development Manual $10 Community Plans $10 Postage&Handling $5 Copies: Letter black/whlte $0.10 Letter color $1 Legal black/white $0.25 Legal color $1.50 Tabloid blackhvhfte $1 Tabloid color $2 Black&vhke large plotter maps $10 Zoning Maps added to price list for$10 PLANNING Permit Fee Schedule is Voluminous. &INSPECTIONS Refer to Exhibit 2 of this document for the Inspection Fee structures. INSPECTION DiyfgM NHC Training and Education Classes: Classes are periodically offered to the public. Not to exceed$25 per contact hour per participant F"Schedule FY13(11-13-2012) Page 12 New Hanover County Fee Schedule FY12-13 Department Service Fee Amount Classes may include inspector continuing education,Journeymen classes,and Contractor continuing education.Fees for these classes vary,based on class duration(contact hours), I complexity of the material,number of handouts, other Included services(such as exam scoring and processing to State examining authorities), completion certificates,and qualification cards. PROPERTY,MOT. Labor for non-county vehicle maintenance $53 per hour (CFCC,CoastalCare and other) REGISTER(W REAL ESTATE FILING FEES: DEEDS Deeds and Other Instruments: (except plats,deeds of trust,and mortgages) Up to 15 pages $26 Each additional page $4 Additional fee for each multiple instrument $10 Dead of Trust and Mortgages: Up to 15 pages $66 Each additional page $4 Additional fee for each multiple instrument $10 Sathdaction No Fee Add'1 Sub"Went Instrument Index Ref. $25 each UCC(Fixture Filing): 1 to 2 pages $38 3 to 10 pages $45 Each additional page over 10 pages $2 Non-Standard Document Fee G.S.181-148 $25 additional recording fee Condo&Subdivision Plate: First Page $21 Each additional page $21 Highway Right-Of--Way Plate: First Page $21 Each additional page $5 REAL ESTATE COPY FEES: Instruments in Gensral: Uncertifled $0.25 each page Certified: First Page $5 Each additional page $2 Maps Unoerdfied: 8-M x 11 $0.25 each page 11 x17 $1 each page 17x22 $2 each page 18 x 24 $3 each page 24 x 36 $5 each page Mape Certm": 8-112 x 11 First page $5 8-112 x 11 Each additional page $2 Fee Schedule FY13(11-13-2p12) Page 13 New Hanover County Fee Schedule FY12-13 Department Service Fee Amount 11 x 17 First page $6 1 i x 17 Each additional page $3 17 x 22 First page $7 17 x 22 Each additional page $4 18 x 24 First page $8 18 x 24 Each additional page $5 24 x 36 First page $10 24 x 36 Each additional page $7 NOTARY: Oath $10 Verification of Commission $5 EXCISE TAX VALUATION: 1991 to current $2 per$1,000 1968-1991 $1 per$1,000 Prior-1967 $1.10 per$1,000 VITAL RECORDS FEES: Marriage License $60 Certified copies Birth,Death&Marriages $10 Uncertified copies Birth,Death&Marriages/Mail $1 Birth and Death Amendments $10 VRAS Search(state) $14 at time of search SHERIFF Concealed Weapons Fen: First Application $80 Renewal $75 Qualified Retired LEO Application $45 Retired LEO Application Renewal $40 Duplicate $15 Citations-Civil Penalty: Most offenses $100 Second offenses $300 Third Offenses $500 Them penaWm may vary depending on type. Fingerprint Fee $10 Parldng Citations: Overtime Parldng $5 No parldng area $10 Handicapped zone $25 Administration fee If late $15 Service fees-Civil Papers: In-state fee per paper served $30 Out-of-state fee per paper served $50 Sheriff Fees-Miscellaneous $15 fingerprinting not associated with pistol permits Found Property sales Proceeds go to NHC School Board Sheriff Fees-Execution Fees 5%of first$500/2-1/2%of remainder Sheriff Fees-Pistol Permits $5 per permit Sheriff Fee-Deputy Contract Pay(Set by Sheriff) $30 per hour Sheriff Fees-Precious Metals Dealer Permit $1 s0 filing fee;$180 Renewal fee for 12 months Firing Range User Fee $1,000 annually Fee Schedule FYI(11-13.2012) Page 14 New Hanover County Fee Schedule FY12-13 Department Service Fee Amount Detention Center Health Fees: Doctor visit $20 Pharmacy $5 Animal Services Unit Fees are several pages. Refer to Exhibit S of this document for the Animal Services Unit Fees. SOCIAL SERVICES Adoption services Application fee for Preplacement Assessments $100 Preplacement Assessment ($100 application $1,000 fee&cost of Preplacement Assessment) Preplaoement Assessment Update $300 Preparation of report to Court on stepparent or $200 relative adoptions where child not In legal custody of County. Services to adult adoptees(for researching $501hour adoptee's biological family) i Child Support Enforcernerrt(as follows) Non-Public Assistance applicant requests CSE $25 ($10 If applicant Is"indigent") Former CSE client reapplies for services after case $25 ($10 if applicant Is"indigent") closed Recipient of Health Choice medical Insurance $25 ($10 R applicant Is"indigent") requests CSE services Noncustodial parent applies for CSE services $25 ($10 if applicant is"indigent") Health Choke Enrollment Fee(overage for $50 per child(not to exceed$100 per family) uninsured low-Income children) TAX Property Record Card $0 81/2"x 11"aerial color map $1 81/2"x 11"B&W map $0.25 4 81/2"x 14"B&W map $0.50 81/2"x 14"aerial color map $1 11'x14"aerial color map $1 1 38`x38"color map $5 Greenbar printout S5 CD's/Tapes etc. $5 Mailing Labels $5 per 1,000 Business License Categories and Rates:JAIC O.S. 105) Amusements- $25(Riding devises-Outside city limits only) Animal Shows- $25 per day e Automotive Service Station- $12.50 ! Auto items Miscellaneous Sales,Retail $12.50 Auto-Miscellaneous Service&Repair $12.50 Auto Equipment and Supplies-Wholesale $37.50 Auto Supplies/Sales by vehicle $25 per vehicle f Bowling Alley $10 per alley(outside city limits) Beer-On promises $25 Beer-Off premises $5 Beer-On and Off premises $25 j¢Y] i Fee Scigdule FY13(11-13-2012) Page 15 New Hanover County Fee Schedule FY12-13 Department Service Fee Amount Beer and Wine-On premises $50 Beer and Wine-Off premises $30 Beer and Wine-On and Off premises $50 Beer on,Wine off premises $50 Check Cashing $100 Circus $25 per day Elevator Installation or Sales $100 Employment Agency $100 Firearm Dealer $50 Itinerant Merchant $100 Jukebox $5 per machine Loan Agency $100 Motorcycle Dealer $12.50 Motor Vehicle Dealer $25 Pawnbroker $100 Peddler-On foot $10 Peddler-By vehicle $25 per vehicle Peddler of Farm Products $25 Pinball Machines/Similar Amusement $25 Billiards and Pool Tables $25(Outside city limits) Shooting Gallery $25(Outside city limits) Skating Rink $25(Outside city limits) Specialty Market Operator $200 Fire Sprinkler Installation $100 Swimming Pod $25(Outside city limits) Video Games $5 per machine Weapons-Sale of $200 Wine-On premises $25 Wine-Off premises $25 Wine-On and Off promises $25 Fee Schedule FYI(11-13-2012) Page 1e Health Department Fees ENVIRONMENTAL HEALTH FEE SCHEDULE *plus$100 each additional 500 oil Evaluation $ 281.00 SWday ewage System Conshvction Authorization(Type I,II, $ 280.00 swage System Construction Authorization(Type IV, *plus$100 each additional 500 $ 832.00 der System Permit Revision $ 140.00 e System air Permit $ 50.00 xisting System Inspection(Building addition or rivets sue Pool) $ 140.00 xistin System 'on(Reuse Purposes) $ 140.00 or Revise Construction Authorization $ 140.00 d Record Review $ 100.00 lus$50 each additional hour selI Pmuft(including site evaluation&bacteriological ralysis) $ 200.00 S le -Bacteriolo 'cal $ 140.00 le-Bacter�iolo ical- le $ 70.00 le-Chemical $ 140.00 Sample—Chemical(multiple sample collection th ore same localetsame visit $ 105.00 .�.. 0 0 0 or more ., ood Service Plan Review. g Prototype Restaurants&Food Stands NCDENR—Division of EH Approval better Non-prototype4ndependent Restaurants,Food Stands, &Mobile Food Units $ 250.00 Renovations/Changes(dimension of food preparation seating or addition of room) 250.00 LeWM Food Establishment Permit $ 75.00 each relocation Market Permit $ 100.00 [adidless Vehicle Permit $ 50.00 n Pool- 'on permit $ 200.00 ** ng Pool-Plan Review(new facility tion $ 250.00 rtist and/or Body Piercing Permit per location, due 30 s riot to permit expiration $ 200.00 rtist and/or Body Piercing Permit per location, than 30 days prior to or after permit n. $ 300.00 rtist and/or Body Piercing Secondary Permit at location $ 125.00 Pemporary Tattoo Artist and/or Body Etft Permit $ 100.00 ****open#0 weeks or less Exhibit 1 1 Health Department Fees Bait $ 4.00 Per and Documents for Public $ 0.10 Per First 500 gal/day * Second&subsequent facility Q same address 25%reduction ** Application submitted less than 14 calendar days prior to event ***Permit to operate 2 vmeks or less FUNDS REQUESTED PRIOR TO PROVISION OF SERVICE WILL BE GRANTED ON THE ASIS OF$10.00 FILING CHARGE WITH THE EXCEPTION OF RAT BAIT BEING NOW REFUNDABLE Exhibit 1 2 Health Department Fees HEALTH PROMOTION SMOKE FREE RESTAURANT FINES Upon notification in writing of the third violation of the Act to Prohibit Smoking in Certain Public Places and Certain Places of Employment in accordance with G.S. 130A- 22 (hl), the NHCHD shall impose an administrative penalty of $200.00 on the person who manages,operates, or controls the business in violation. The person who manages,operates, or controls the business has the right to appeal this decision to the local board of health. To pursue a formal appeal, a written notice of an appeal must be submitted to the local health director within 30 days of notification of the third violation. The notice of appeal must be filed in accordance with G.S.130A- 24(b). A copy of G.S.130A-24 governing the appeal procedures shall be provided. Subsequent violations of the law are considered separate and distinct violations of the law; and the person who manages,operates,or controls the business in violation is subject to an administrative penalty of not more than two hundred dollars ($200). Each day on which a violation of this law or rule occurs may be considered a separate and distinct violation. Payment for Smoke Free Restaurant Fines shall be made within 30 days of the date of notice unless an appeal has been filed. For appealed fines,payment shall be made within 30 days of the appeal decision. t i Exhibit 1 3 Health Department Fees Safe Kids Cape Fear Child Passenger Safety Seat Program Safe Kids Cape Fear Child Passenger Safety Seat Program operates under the Safe Kids Buckle- Up Program with the primary goal to educate and instruct families on the proper use/installation of child restraints. To qualify for a child passenger safety seat(car seat) customers must: • Be a New Hanover County resident • Be on at least one type of assistance(Medicaid,WIC, Health Choice,Work First, Food Stamps)and show proof of assistance • Pre-register for class no later than two weeks prior to scheduled class • Pay cash at the time of registration. Foster parents are not eligible for child passenger safety seats. Grandparents and/or family members who have temporary custody of another family member's child are not eligible as they fall under the category of foster parent. We do not accommodate child passenger safety seats for unborn children. Program rates which include child passenger safety education and hands-on installation teaching methods are based upon the following scale: • $30.00—Harness seat (Convertible or Combination seats) • $15.00—High Back Booster seat • $10.00—Backless Booster seat To qualify for an additional or second(2nd)child passenger safety seat(car seat), customers must meet the guidelines noted above and one of the following: • Child must have outgrown safety standards of current car seat. • Be an initial seat for an additional child in the family,such as in the event of twins. Program rates for a second (2"d)child passenger safety seat which include child passenger safety education and hands-on installation teaching methods are based upon the following scale: • $50.00—Harness seat(Convertible or Combination seats) • $20.00—High Back Booster seat • $15.00—Backless Booster seat Exhibit 1 4 Health Department_Fees Program fees are due and payable at the time of pre-registration for the class. Failure to cancel or reschedule within two(2)weeks of scheduled class date will result in forfeiture of program fee. During Safe Kids Cape Fear Child Passenger Safety Seat Program special events,car seats will be provided based on availability in the event a child's current car seat fails safety standards. The car seat will be provided at no charge from supplies donated by the State. i r Exhibit 1 5 Health Department Fees CLINIC SERVICES - CPT CODES & FEES CPT 1 Medicaid NHCHD Clinic 1 Service Codas CPT/Medicaid Description Fees New Patient: 99201 New Pt Level I-Minimal $63.00 99202 New Pt Level II-Problem Focus $94.00 99203 New Pt Level III-Expanded $133.00 99204 New Pt Level IV-Detailed $195.00 99205 New Pt Level V-Comprehensive $245.00 99381 New Pt/Well Exam<1 Year $120.00 99381 EP New Pt/Heafth Check<1 Year $120.00 99382 New PI/Well Exam 1-4 Years $130.00 99382EP New PI/Heafth Check 1-4 Years $130.00 99363 New PWVeII Exam 5-11 Years $154.00 99383EP New Pt/Health Check 5-11 Years $154.00 99384 New Pt/Well Exam 12-17 Years $169.00 99384EP Pt/Heafth Check 12-17 Years $169.00 99384FP New Pt/Family Planning 12-17 Years $169.00 99385 New PNWeII Exam 18-39 Years $167.00 99385EP New Pt/Heafth Check 18-20 Years $167.00 99385FP New PUFamfly Planning 18-39 Years $167.00 99386 New WNW Exam 40-64 Years $199.00 99386FP New Pt/Family Planning 40.64 Years $199.00 99387 Now PtNVell Exam>65 Years $215.00 Estoblh*wd PaWnt: 99211 Est Pt Level I-Minimal $35.00 99212 Est Pt Level II-Problem Focus $57.00 99213 Est Pt Level III-Expanded $79.00 99214 Est Pt Level IV-Detailed $123.00 99215 Eat Pt Level V-Comprehensive $183.00 99391 Est PI/Well Exam<1 Year $91.00 99391EP Est Pt/Hsafth Check<1 Year $91.00 99392 Est Pt/Well Exam 1-4 Years $101.00 99392EP Est Pt/Heafth Check 1-4 Years 1$101.00 99393 Eat Pt/Well Exam 5-11 Years 1$128.00 Exhibit 1 6 Health Department Fees 99393EP Est Pt/Health Check 5-11 Years $126.00 99394 Est Pt/Well Exam 12-17 Years $146.00 99394EP st Pt/Heakh Check 12-17 Years $146.00 99394FP Est PUFamily Planning 12-17 Years $146.00 99395 Est Pt/Well Exam 18-39 Years $142.00 98385EP Est Pt/HeaRh Check 18-20 Years $142.00 98385FP Est PUFamily Planning 18-39 Years $142.00 CPTI Medicaid NHCHD Clinic I Service Codes I CPT/Medicaid Description Fees 99396 IlEst PUWell Exam 40-64 Years $158.00 99398FP Est PI/Family Planning 40-64 Years 1$158.00 99397 Est Pt/Well Exam>65 Years $175.00 ourmell : 90801 Psychiatric D' nook Interview Exam 180.00 90802 IINTAC Psy Dx Interview $190.00 90804 Pstx,Office 20-30 min $75.00 90806 Peytx. Office 45-50 min $115.00 90808 s Office 75-80 min $175.00 90810 Intac Ps Office 20-30 min $90.00 90812 Intac Psytx, Office 45-50 min $125.00 90814 Intac Psytx, Office 75-80 min $180.00 90846 Family Ps w/o patient $115.00 90847 Family w/peflervt $140.00 90853 Group Psychotherapy $40.00 99401 Prev Medical Counseling-15 Min $40.00 99402 jPrev Medical Counseling-30 Min $76.00 99403 Prev Medical Counseling-45 Min $113.00 99404 Prev Medical Counseling-60 Min $144.00 99411 Group Counseling-30 Min $39.00 99412 IGroup Counseling-80 Min $68.00 99420 min&Interpretation Health Risk $33.00 99429 jUnlisted Preventive Medicine Service $0.00 99361 Medical Conferenoe 30 min 73.00 99362 Medical Conferenoe 60 min $120.00 Other: J1055 DmmPmvera Injection $54.00 J7302FP IMIrena IUD $575.00 J7300FP IParagard IUD $575.00 S9442 Childbirth Education Classes r 1 hr. unit $10.75 T1001 Matemal Care Skilled Nurse Home Visit $88.00 T1002 STD Control Treatment $19.50 T1002 TB Control Treatment 1 $19.501 Exhibit 1 7 Health Department Fees 11975 Insert No lent $105.00 11976 Remove No lant $197.11 11977 Remove/Reinsert Norplant $205.00 Injection(s)single or multiple trigger point(s), 1 or 2 20552 muscles $60.00 46900 Des Anal Lesions $240.00 54050 Destruction/Lesion/Cond oma $134.04 56501 Destroy Vulva Lesions $150.00 CPT/ Medicaid NHCHD Clinic I Service Codes CPT I Medicaid Description Fees 57170 Diaphragm Fitting $110.00 57452 Colpos220 w/o Biopsy $150.00 57454 Col w/Biopsy $220.00 57505 Endocervical curefte $125.00 57456 Col oseo w/endocervical curett a $200.00 58300 IUD Insertion $130.00 58301 IUD Removal $150.00 71010 Chest X-Ra /PA $40.00 71020 Chest X-Ray"&Lat $70.00 71021 'Chest X-Ra A ordotic $50.00 86580 'TB Intradermal Test $15.00 66580P 'TB Intradermal TestlPrivatePay $15.00 92551 Pure Tone Audiometry,air $30.00 92587 OAE Hearing Screening $70.00 96110 Developmental Test/Limited $33.00 96152 Intensive Psychosocial Counseling $30.00 99172 Vision acuitv Screening-Color $30.00 99173 Vision Acu&Screening $30.00 99501 Postpartum Assessment Home Visit $60.00 99502EP Newborn EPSDT Screen Home Visit $90.00 99502 Newborn Assessment Home Visit $60.00 IMM ADMIN CODES: 90470 *H1 N1 Flu Admin Fee $24.00 90471 'IMM Administration Single Dose $24.00 90471 EP IMM Administradon Single Dose Health Check $24.00 90472 IMM Administration-Each Additional In'. $24.00 90472 EP IMM Administration-Each Additional IN. HC $24.00 90473 Imm Adm Fee/IntranasaUOral $24.00 90473EP Imm Adm Feefintranasal/Oral Health Check $24.00 90474 Imm Adm Fee/In'+Intranasal/Oral $24.00 90474EP Imm Adm Fee/In' +intranasal/Oml Health Check)$24 00 Exhibit 1 8 a s Health Department Fees G0008 ImmmedicareAdministration edicare Administration Fee FLU $24.00 G0009 edicare Administration Fee Pneu $24.00 G9141 Fee H1 N1 $24.00 I ACCOE Cam: 90281 "Immune Globulin $30.00 90633 HEP A Pediatric/Adolescent $42.00 90636 *HEP A/B Combination Vaccine $120.00 90547 Pedvax Hib $4200 90648 iberix/ACT Hib/OMNi Hib State $0.00 90649 Gardasil $185.00 CPT/ Medicaid NHCHD Clinic I service Codas CPT 1 Medicaid Descripition Pon 90654 lu/lntradermal/Preservative Free JPM 18-64 $16.00 90655 Flu a 6-35 mos.)/Preservative Free $16.00 90656 Flu e 3 yrs+ Preservative Free $16.00 90858 *Flu(Age 6 mos. + $16.00 02037 Flu Veocine/Medicare-Fluvidn $16.00 02038 Flu Vaocine/Medicare-Fluzone $16.00 90880 Flu Mist $24.00 90662 Flu Vaccine-High Dose a 65+ $31.00 90663 H1N1 Flu Vaccine State $0.00 90665 *Lyme Disease vaccine IM $55.00 90670 *Prevner/PCV 13 $130.00 90675 Rabies vaccine Intramuscular $220.00 90660 *Rotateg Vaccine $80.50 90691 *T hold Injectable $60.00 90696 *Kenrix Dta I $63.00 90698 *Pentecel(Dtap, IPV Hib $90.00 90700 DTap $40.00 90702 DT State $0.00 90707 MMR virus vaccine SC et $70.00 90713 *Pollomyelki s vaccine SC $40.00 90714 Td State .00 90715 *Tda (Tetanus,diphtheria, rtussis vaccine $50.00 90716 *Chicken Pox aricella $105.00 90717 *Yellow Fever $110.00 90723 ediarbc(Dtop, Hep B. IP $85.00 9C 732 Pnueurnococcal vaccine $64.00 90733 *Menomune Vaccine $125,00 90734 "Menaotra Vaccine $125.00 90738 *Japanese Eac Mhalkis $225.00 Exhibit 1 9 i Health Department Fees 90736 "ZostoM $175.00 90744 He B/Pedistric e< 11 rs) $40.00 90745 He B/Pediab'ic High Risk(Age 11-18 $►0.00 90746 "H B/A a 19+ $75.00 95115 'Immunotherapy,one injection $5.00 95117 Immuno(herrapy in'edions $10.00 96372 Injection SC / IM $5.00 CPT/ Medicaid NHCHD Clinic/Service Codes CPT/Medicaid Description Fees House Labs: 36415 Venipuncture $14.00 36416 Fingerstick $14.00 80048 Basic Metabolic Panel $15.00 80051 Electmike Panel $15.00 60053 Comp Metabolic Panel $15.00 80061 Li id Panel $25.00 80069 RenalPanel $20.00 80076 Hepatic Panel $15.00 80188 Pdmidone line $48.00 81001 Urinatals,auto w/microsco is $12.00 81003 Urinal is auto without microscopic $8.00 81025 Urine Progriancy Test $11.00 82040 Albumin $15.00 82120 mines-Wet Mount $10.00 82150 Amviese $15.00 82247 Bilirubin.Total $15.00 82248 Biliirubin Direct $15.00 82270 est Feces Blood OccuR Bid $10.00 82465 holesterol $15.00 82550 K Creatinine kinase-CK or CP $20.00 82553 KMB Creatinine kinase-fraction on $20.00 82565 Creatinine $15.00 82728 Ferrkin $25.00 82746 oiic Acid $25.00 82947 Glucose uantitativve $15.00 82948 lucose uantitative blood reagent stri $20.00 83036 Hemoglobin A1C $20.00 Exhibit 1 10 Health Department Fees 83540 Iron $15.00 7 83550 TIBC Iron Binding Ca $15.00 83615 LDH Lactate dehydrogenese enzyme) $15.00 83718 HDL(High density lipoprotein) $15.00 84075 Akaline Pho hatase $15.00 84132 Potassium $15.00 84152 PEA $35.00 84175 Protein Total $15.00 84436 T4,Total $15.00 84439 T4.Free $20.00 84443 TSH $30.00 84450 SGOTIAST $15.00 CPT/ Medicaid NHCHD Clinic 1 Service Codes CPT/Medicaid Description Fees 84460 SGPT/ALT $15.00 84478 Triahmerldes $15.00 84480 T3,Total $25.00 84520 BUN $15.00 84703 Serum Pregnancy Test $20.00 85025 CBC with Diff $15.00 85027 CBC without Diff $13.00 85018 Hem lobin $10.00 85651 RBC SED Rate Non-auto $15.00 86308 Mono Test $15.00 88592 gMhilis antibody,qualitative $18.00 86593 Svphilis antibody, uantitative $15.00 86803 He 's C Antibody $25.00 j 87070 Culture(including throat GC wound $15.00 87081 Cuture,GC screening on FP $20.00 87086 Urine Culture plating and colony count $15.00 87186 Susceptibility Studies NC 87210 Wet Smear $15.00 87205 Gram Stain $15.00 87880 Strap A Rapid $40.00 Referred Labe: 80048 90 Basic Metabolic Panel NC/HF 8005190 Electrolite Panel NC/HF F 80053 90 Comp Metabolic Panel NC/HF 8006190 U id Panel NC/HF 80069 90 Renal Panel NC/HF 80076 90 Hepatic Plan NC HF I t Exhibit 1 11 Health Department Fees 80156 90 Carbarnazepine NC/HF 80164 90 Valproic Acid NC/HF 80168 90 Ethosoximide NC/HF 80184 90 Phenobsibital NC/HF 80185 90 Phen oin NC/HF 80188 90 Primidone M line NC/HF 82040 90 Albumin NC/HF 82150 90 Amylase NC/HF 82247 90 Bloirubin, Total NC/FiF 82248 90 Billirubin Direct NC/HF 82465 90 Cholesterol NC/HF 82550 90 CK Creatinine kinese—CK or CPK NC/HF 82553 90 CKMB Creatinine kinase fraction on NC/HF CPTI Medicaid NHCHD Clinic 1 Service Codes CPT/Medicaid Description Fees 82565 90 Creatinine NCMF 82728 90 Ferritin NC/HF 82746 90 Folic Acid NC/HF 82760 90 Galactose Newbom NC 82947 90 Glucose quantitative NC/HF 83020 90 Hemoglobin Electra horsis NC 83036 90 Hemoglobin Al C NC/HF 83498 9017-OH-P Newborn NC 83540 90 Iran NC/HF 83550 90 TIBC Iron Binding Ca NC/HF 83615 90 LDH Udde dehygrogenase enzyme) NC/HF 83655 90 Blood Lead State Lab NC 83718 90 HDL(High Density Lipoprotein) NC/HF 84030 90 Blood PKU NC/NC 84075 90 Alkaline Ph hate NC/HF 84132 90 Potassium NC/HF 84152 90 PSA NC/HF 84175 90 Protein Total NCMF 84436 901T4,Total NC/HF 84437 90 Total Th ine Newborn NC 84439 90 T4, Free NCMF 84443 90 TSH NC/HF 84450 90 T/SGOT NC/HF 84460 90 T/SGPT NC/HF 84478 90 Trialycerides NCIHF Exhibit 1 12 Health Department Fees 84480 90 T3,Total NCJH F 84520 90 BUN NC/HF 84703 90 Serum PregnM Test NC/HF 85651 90 SED Rate ESR NCJHF 86308 90 no Test NC/HF 88618 90 ILyme Disease Antibody_ NC 88666 90 Ehdichia Antibody NC 8670190 HIV NC 86709 90 HEP A IGM(Antibody) NC 86735 90 Mums qualitative NC 86757 90 Rickettsia Antibody Roc Mt Spotted Fever NC 8678190 Treponerna pallidum confirm serum NC 88803 90 Hepatitis C Antibody NC/HF . 87045 90 Stool Culture NC t CPT/ Medicaid NHCHD Clinic/Service Codes CPT/Medicaid Description Fees 87077 90 Nose throat, bacteria culture NC/HF 87118 90 B Culture NC 87118 90 bacteria identification NC 8717790 Ova&Parasites Smears NC 8720690 1 B Smear NC 87252 90 Herpes Culture NC 87285 90 reponerna pallidurn,culture NC 87340 90 JHEP B Surface ag,FJA NC 8749190 Phlamydia, NAAT NC 8759190 Gonorrhea NAAT NC 88175 90 Pap Smear 16.75 99000 Handling Fee One per visit 18.00 Initial Assessment Mod Nutrition Therapy NutritionAXabetes Self-management: 97802 r 15 min $35.00 Re-Assessment Mod Nutrition Therapy 97803 (per 15 min $30.00 97804 Medical Nutrition Therapy, Group, r 30 min $20.00 G0108 Diabetes Self-management, Individual per 30 min $55.00 G0109 Diabetes Self-management, Group, r 30 min $'15.00 Additional Medical Nutrition Therapy, Phys Order, G0270 per 15 min $35.00 Additional Medical Nutrition Therapy,Group, Phys G0271 Order,per 30 min $20.00 Diabetes Self-management, Registered Dietitian S9465 it, No Time/Unk $40.00 Exhibit 1 13 Health Department Fees S9470 Nutrition Counseling, RD Visit No time/Unit $40.00 Walk-in Pregnancy Testing 99211 Est Pt Level I—Minimal Flat Fee add test code $35.00 81025 Urine Pregnancy Test Flat Fee $11.00 Travel Medications: LU401 Malarone/Generic Formula —Adult $5.00 per it $5.00 Malarone/Generic Formulary—Pediatric($2.00 per LU401 ill) $2.00 Miscellaneous: Returned Check Fee $25.00 99071 Provision of Patient Supplies&Education N/C PH Supplemental Fees: LU401 Miconazole/Generic Formula — $8.00 per tube $8.00 Fluconazole/Generic Formulary 150 mg($2.00 per LU401 ill) $2.00 LU235 Replacement Oral Contra ive $10.00 per cycle) 10.00 LU401 Replacement Diaphragm $10.00 each $10.00 LU401 Delfen Foam or Generic Formula (per tube/bottle $12.00 LU401 Fluconazoie or Generic Formulary 150 m r it $2.00 LU401 Prenatal Vitamins or Generic Formula each $12.00 CPT/ Medicaid NHCHD Clinic/Service Codes CPT 1 Medicaid Description Fees NHC Employees/Available Medications LU401 *Miconazole or Generic Formula r tube $8.00 LU401 *Norin 1+35 or Generic Formula r e $10.00 LU401 *Reclipsen or Generic Formula r e $10.00 LU401 *Ortho-Novum 7-7-7 or Generic Formulary(per le) $10.00 LU401 *Ortho Tricyclen or Generic Formula (per le $10.00 LU401 Ortho Tricyclen Lo or Generic Formulary(per cycle) $10.00 LU401 Lo-Ovral or Generic Formula cycle) $10.00 LU401 Micronor or Generic Formula r le $10.00 LU401 Wicrogestin FE or Generic Formulary r le $10.00 LU401 *Replacement DiEhregm $10.00 each $10.00 HF= Add Handling Fee NC= No Charge NC/HF = No Charge Lab/Add Handling Fee State Vaccines— Enter with CPT as"Reportable" * Flat Rate Charged—Sliding fee scale does not apply to these services. Exhibit 1 14 Health De emt Fees State-Approved Local Codes Revised 11110 Local Code Description NHCHD Fee L0001 Lab specimen obtained for Vu of newborn screening NC L0002 Lice Treatment e. ., Nix' Future Use L0003 Suture removal without anesthesia Future Use L0008 Infant Feeding Class Future Use L0009 AHA Heart Saver Class Future Use LU010 AHA Health Care Providers CPR Future Use LU011 Health Promotion/Prevention Package for Industry,civic Future Use groups,etc. LU012 Smoking Cessation Program Future Use LU013 Glucometer Calibration NC LU016 Structured Exercise Program Future Use LU017 Completion of Disability Verification/Disability Leave Form NC LU018 Copy of Medical Record $5.00 LU019 Education and Outreach to Latino Population NC LU020 Menu Planning(development/review for compliance with NC standards for schools-day cares, nursing homes etc. LU021 Completion of form verifying exam(not at time of exam or NC other billable service LU022 Immunization Status Review for WIC;no vaccines needed NC LU023 Diabetic Teaching NC LU024 Determination of Presumptive Eligibility NC LU027 "Consent to Receive School Health Services"filed(for use by Future Use SBHCs only) LU028 Physical Exam Performed by non-LHD Provider(for use by Future Use SBHCs only) 1-1.1100 HIV Pre-Test Counseling and Testing REPORT ONLY) NC LU101 HIV Post Test Results and Counseling REPORT ONLY) NC LU 102 Completion of"Record of Tuberculosis Screening"-OHMS 3405 $15.00 LU114 PPD with State-Supplied vaccine REPORT ONLY) NC LU115 Contraceptive Patch Replacement Future Use 1-1.1116 NuveRing Replacement Future Use LU117 PPD Positive Result-Contact REPORT ONLY) NC LU118 PPD Negative Result-Contact REPORT ONLY) NC LU119 PPD Positive Result-Low Risk REPORT ONLY) NC LU120 PPD Negative Result-Low Risk REPORT ONLY) NC LU121 TB Directly Observed Therapy DO NC LU122 TB Directly Observed Preventive Thera DOP T) NC LU123 PPD Not Read-Contact REPORT ONLY) NC LU124 PPD Not Read-Low Risk REPORT ONLY) NC LU125 PPD Reading/Placed Elsewhere(not a contact or suspect TB $15.00 case LU201 Repeat Pap Smear REPORT ONLY) NC LU202 Limited Interview: International Travel $35.00 LU203 Limited Physical:Employment** $35.00 LU204 Umited Physical: DOT Future Use LU205 Limited Physical: Dare Challenge Future Use LU206 I Limited Physical:Day Care** $35.00 LU207 I Limited Physical'.Head Start** $65.00 last 1 is Health De aMent Fees $35.00 LU208 Lim Ph ical:S rts"' $35.00 ited LU210 L` tDed Ph ical:Cam *' $35.00 LU211 Limited Ph ical:Scouts" $65.00 LU212 Limited Ph ical:Coils a'- Future Use LU213 Umited Ph ical: Res irstor Future Use LU215 Lirriited Ph ical: DSS Future Use Limited Ph ical: Cou Err+ Future Use LU216 nion Future Use LU217 Lim'ded Ph ical: Senior Corn LU218 Limited Ph ical. WC Future Use LU219 Limited Ph ical: US For Service NC LU239 Blood Pressure Check' ant only««(for non-BCCCP NC LU231 Pap Smear and Breast Assessor e' ibles r e or income NC LU232 TestfLab Results onl visit REPORT ONL NC Lt1233 Condom Pro�ns�°nand counse- REPORT ON NC LU234 Sterzation CounseEin REPORT ONL $10.00 LU235 Pill Re lacement REPORT ON NC U236 Pill Pick-u REPORT ONL NC LU237 Non-billable Social Woricer�ntad REREPORT ON NC LU237 Non-billable Health Education contact NC LU239 Non-billable Nutritionist costa REPORT ONL L NC LU240 Non-billable TB LPN Contact REPORT ONL NC 11, LU241 Non-billable Chid Health Nurse Contact NC LU242 Non-billable STD Contact REPORT ONL NC LU243 Non-billable Communicable M CO O REON RT ON NC LU244 i''111111 on-billable I refer Service Future Use Clinical Dental Varnish for 3.8 r olds NC LU245 NC LU246 Tubal Li ion Counsel /obtain con LU247 Non-Billable 10H Nurse CGMect REPORT ON neon Future Use LU247 Health Education Presentation Non-Coon O Future Use LU249 Breast Assessment onl for non-BCCCP el' bin Future Use LU250 Pa Smear on for non-BCCCP a ibis$ Future Use, Pelvic on for non-BCCCP all ibis$ Future Use LU251 n►e Labs Nurse LU252 Wellness Only–UA,EKG,"Vito Execut Volt+Vision and Hearin if u��Smear, UA,HGB, Future Use LU253 Wellness Physical–Breast Check, Occur Blood Ph ical b NP Future Use LU254 Wellness&Ph Vii'a �wa t p py NP, Vaal Signs, Future Use LU255 Wellness 8 Physics! labs Vision and Hearin if ran'ssted no n Future Use LU256 Non-billable miscetianeous nurse in Future Use LU257 Non-billable Adult blood draw Future Use U258 Wei ht Check HIS Use L L 1258 'Nat at Home Visit NC LU252 PPD Positive Result–H' h Risk NC LU263 PPD N alive Resuk–H' h Risk NC LU264 PPD Not Rid–HI h Risk H h Risk NC LU255 Treatment of LBTI–Initiated– NC LU286 Treatment of LBTI–Initiated– Risk NC Low LU257 Treatment of LBTI–initiated–Contact NC LU258 Troo neM of LBTI–Com leted–Low ht Risk NC LU259 Treatment of LBTI–Com ed– NC LU270 Treatment of LBTI–Com ed–C°i h isk -==j NC LU271 Treatment of LBTI–Incom isle–H R 16 Exhibit 1 Health Department Fees LU272 Treatment of LBTI—Incomplete—Low Risk NC LU273 Treatment of LBTI—Incomplete—Contact NC LU274 PPO—Contact NC LU400 Miscellaneous Services $1.00 LU401 I Miscellaneous Medications $2.00 LU402 Medicaid a Effective Nov. 1 2010 $3.00 LU403 Private CO-Pey I Future Use • *Note: If components of an office visit are done,then this service should be billed using the appropriate level of E&M code(e.g.99211). These local codes would not be billable to the patient in addition to the E&Mcode. M "Note: If any exam of this type is billed to Medicaid or other third party using a CPT or HCPCS code, � then ALL exams of this type must be billed using that code and the local codes may not be used to di erentwe fees for the same service billed to patients as opposed to third party payers. i i Exhibit 1 17 Health Department Fees Mobile Dental Unit Fees (Includes Sliding Fee Scale) F.A.C.T. CPT Rates 60% 60% 100% Code Description A roved SFS SPS SFS 00120 Periodic oral evaluation $29.71 $17.83 $23.77 $29.71 D0140 lUmftd oral evaluation-problem focused $39.35 $23.61 $31.48 $39.3 Comprehensive oral evaluation- D0150 new/established patient $49.50 $29.70 $39.60 $49.50 Detailed/extensive oral evaluation -problem D0160 focused report $65.34 $39.20 $52.27 $65.34 Re-evaluation-limited; problem focused D0170 established patient; not post-0 rative $45.00 $27.00 $36.00 $45. D0210 lintraoral-complete series(Including bltewln $82.71 $49.63 $66.17 $82.71 00220 Intraoral-perlapical first film $16.06 $9.64 $12.85 $16.06 D0230 Intraoral-perispical each additional film $12.85 $7.71 $90.28 $12.8 D0240 Intraoral-occlusal film $16.71 $10.03 $13.74 $16.71 D0270 Mewing-single film $11.86 $7.11 $9.49 $11. D0272 Bitewin s-two films $19.27 $11.56 $15.42 $19.2 D0273 jBitewings-three films $26.91 $16.14 $21.52 $26.91 D0274 Bitewin -four films $34.53 $20.72 $27.62 $34.53 D0330 Panoramic film $63.44 $36.06 $50.75 $63.44 00470 Dis nostic casts $44.88 $26.93 $35.90 $44.8 D1110 Prophylaxis-adult HC 14+ $38.89 $23.33 $31.11 $38.8 D1120 lProphyaxis-child $28.05 $16.63 $22.44 $28.0 Topical application of fluoride(prophylaxis not 01203 included)-child $16.98 $10.19 13.59 $16. Topical application of fluoride(prophylais not D1204 Included)-adult HC 14+ $16.98 $10.19 $13.59 $16.98 Topical fluoride varnish;therapeutic application for moderate to high caries risk D1206 bents $30.00 $18.00 $24.00 $30.0 D1351 18salant-per tooth $32.92 $19.75 $26.34 $32.9 D1510 13pace maintainer-fixed-unilateral $228.88 $137.32 $183.09 $228. D2140 Amal am 1 surface-primary or permanent $69.06 $41.43 $55.25 $69. D2150 Ameloarn 2 surfaces-prlmgN or permanent $87.35 $52.41 $69.88 $87. D2160 Amalgam 3 surfaces-primary or permanent $100.38 $60.23 $80.30 $100.38 Amalgam four or more surfaces-primary or D2161 permanent $110.11 $66.07 $86.09 $110.11 D2330 Resin4med composite-one surface anterior $69. $41.43 $55.25 $69. 132331 Resin-based composite-two surfaces anterior $85.12 $51.07 $68.09 $85.1 Resin-based composite-three surfaces, 02332 anterior $100.38 $60.23 $80.30 $100.3 Resin-based composite-four or more surfaces D2336 or Involving incisal angle $127.68 $76.61 $102.14 $127.68 D2391 Resin-based composite-one surface rior $85.12 $51.07 $68.09 $85.12 Exhibit 1 is Health Department Fees Resin-based composite-two surfaces, D2392 posterior $127.68 $76.61 $102.14 $127.68 Resin-based composite-three surfaces, 02393 posterior $164.67 $98.80 $131.74 $164.67 Resin-based composite-four or more surfaces, D2394 1posterlor $201.41 $120.85 $161.13 $201.41 Prefabricated stainless steel crown-primary D2930 tooth $158.68 $95.21 $126.94 $158.8 Prefabricated stainless steel crown -permanent D2931 tooth 165.00 $99.00 $132.00 $165-OC D2932 Prefabricated resin crown $179.31 $107.59 $143.45 $179.31 D2940 Sedative filling $45.82 $27.49 $36.65 $45.82 D2950 Core buildup,Including any ins $113.19 $67.91 $90.55 $113.19 Pin retention-per tooth,In addition to D2951 restoration $27.49 $16.49 $21.99 $27.49 D2970 ITemporary crown fractured tooth $146.07 $86.64 $116.86 $146.07 Therapeutic pulpotomy(excluding final 03220 restoration $65.92 $51.55 $68.74 $85.92 D3221 Pulpal Debridement $210.00 $126.00 $168.001 $210.0 Root canal therapy-anterior(excluding final D3310 restoration) $296.45 $177.87 $237.16 $296. Root canal therapy-bicuspid(excluding final D3320 restoration) $350.35 $210.21 $280.28 $350. Root canal therapy-molar(excluding final D3330 restoration) $428.51 257.10 $342.80 $428.51 Periodontal scalingiroot planing -four or more D4341 contiguous teeth per quad $105.11 $63.06 $84.08 $105.11 Full mouth debridement to enable D4355 comprehensive evaluation and dx $77.62 $48.57 $62.09 $77.62 D7111 Extraction coronal remnants-deciduous tooth $53.90 $32.34 $43.12 $53.90 D7140 Extraction,erupted tooth orexposed root $66.55 $39.93 $53.24 $66.55 D7210 Surgical removal of erupted tooth $114.40 $68.64 $91.52 $114.40 D7220 Removal of Impacted tooth soft tissue $129.90 $77.94 103.92 $129.90 D7230 lRemoval of Impacted tooth partially bon $174.46 $104.68 $139.57 $174.46 Surgical removal of residual tooth roots D7260 (cutting procedure) $124.51 $74.71 $99.61 $124.51 Tooth reimplantation and/or stabilbztion of D7270 accidentally evulsed/dis laced $220.99 $132.59 $176.79 $220.9 D7206 IBlopsy of oral tissue-soft all others $124.63 $74.78 $99.70 $124.6 Incision and drainage of abscess-Intraoral soft D7510 tissue $167.88 $100.73 $134.30 $167.8 Palliative(ER)treatment of dental pain -minor D9110 procedure $49.05 $29.43 $39.24 $49.0 Deep sWedon/generel anesthesia-first 30 D9220 minutes $155.77 $93.46 $124.62 $155.7 Analgesia,anxiolysis, inhalation of nitrous D9230 oxide $49.50 $29.70 $39.60 $49. D9630 Other drugs and/or medicaments b report $17.51 $10.51 $14.01 $17.51 Exhibit 1 19 NEW HANOVER COUNTY DEVELOPMENT FEE SCHEDULE "Administrative Fees" A- Plan Review Fees:are assessed and paid at project submittal&when submitting revised drawings. These fees are non refundable. 1- Residential Plan Review: (Per dwelling unit) $35.00 Note:Residential plan review fees are applied to the cost of the permit 2- Commercial Plan Review: Up tp 4000 sq.ft. $35.00 4001-15000 sq.ft. $50.00 15001-40,000 sq.ft. $100.00 Over 40,000 sq.ft. $200.00 Note:Commercial plan review fees are not applied to the cost of the permit 3- Re-review Disapproved Plans: (Paid at submittal) $35.00 per trade Note:To re-review& re-stamp and/or burn to CD for $50.00 per plan set lost previously approved plans 4- Re-review of incomplete or failed landscape plans: $35.00 B- Commercial Fast Track Applications: Use Comm New Const-Sched A table x 1.25 Note:$100 min over regular permit fee C- Commercial Shell Applications: Use Comm New Const-Sched A table x .90 D- Upfit Applications: Use Comm New Const-Sched A table x .75 Note:Upfit applications will only be accepted If the Shell Bldg"or"portion of the Shell Bldg you want to Upfit has received a Certificate of Compliance. E- Cancellations,Refunds,Revocations, Expired Permits,Permit Extensions: 1- Cancellations:Permits may be cancelled. Fees are non-refundable"if"work as commenced. 2- Refunds:Upon request to cancel a permit a 25%fee or the min permit fee(whichever is greater) will be retained"if work has not commenced". 3- Permits are subject to revocation&non-refundable If any Information provided on the application is found to be fraudulent. 4- Permits which have expired are non-refundable. 5- Permit Extensions:Permits which are soon to expire may be extended. a- Residential—50%of the cost of a new permit, b- Commercial—50%of the cost of anew permit. 6- An inspection fee will be assessed if the request is not cancelled by 8:30am on the scheduled day of the inspection. F- Contractor Changes/Takeover Permits: (Permit must not be expired) Resid=$35.00* Note:if permit is expired a new permit is required at the normal fee. Comm=$45.00* G- Inspection Fees: Resid=$25.00 Note:Because some Inspections can exceed 1 hr,additional inspection Comm=$45.00 fees will be assessed when exceeding each 1 hr time segment. EXHIBIT 2 NEW HANOVER COUNTY DEVELOPMENT FEE SCHEDULE "Administrative Fees"Cont. H- Prior Cut-On Bonds: $1000.00 per unit/service Note:Prior Bonds are forfeited if the building Is occupied prior to $5000.00 Unlimited Issuance of a Cert of Occup by NHC Development Services. I- Services:All fees for Development Services will be collected up front. J- Outstanding Charges:All outstanding charges or fees due must be settled prior to receiving any additional services and/or a certificate of occupancy. K- After Hour Inspections"Weekends&Holidays": $120.00 per trade (2 hrs max) Note:Each additional hour$60.00 ea. L- Facility Licensing Permit: $0.00* M- Document Research Control—Copies of Records: $0.10 per page Note: Upon review if research is determined"substantial a fee to hire temporary help will be calculated&paid prior to research. N- Duplicate Inspection Job Card: $6.00 O- All Other Misc Permits: $35.00* P- Copies of Original Certificate of Occupancy: $10.00ea. Q Failure to Obtain a Final Inspection Upon Completion of Work: $100.00 R- Occupying a Structure for Its Intended Use w/o a CO: $100.001 day $300.00 2°d day $500.00 3'd day&ea day after S- Working without Permit: 1- Starting W/O Permit- $100.00 2- Starting&substantially completing W/O Permit- $250.00 3- Starting and/or substantially completing W/O Permit $500.00 Note:(2"d offense&each offense thereafter). T- Shell Initial Permit Fee: When a Shell Building is constructed for a specific occupancy type,the permit fee charged will be for that occupancy type. If the occupancy type change upon submittal of the Upfit permit and the permit fee is higher for the new occupancy type,then the new occupancy type permit fee will be applied to the Shell fee and the difference will be charged with the new Upfit permit. EXHIBIT 2 2 NEW HANOVER COUNTY DEVELOPMENT FEE SCHEDULE "Commercial Existing Construction" Total Cost for Project=Permit Fees+Inspection Fees* A- Permit Fees for"Major"Alter, Renov and/or Gen Repairs are based on the following computations. Note:Square footage shall include all footage under roof both heated&unheated within and affected by the defined scope of work. a=Total gross building floor area of construction b=Fee per sq.ft.(table below) 0-5000 sq.ft. a x b=Permit fee 5,001-15000 sq.ft. (a x b x.75)+(1250 x b)x.5= Permit fee Over 15,000 sq.ft. (a x b x.50)+(5000 x b)x.5=Permit Fee Occupancy Tvpe Building Electrical Plumbing Heating Air/Cond Refrig Residential* 0.109 0.061 0.061 0.022 0.022 0.024 Storage* 0.050 0.039 0.030 0.025 0.025 0.024 Assembly* 0.108 0.057 0,057 0.025 0.025 0.024 Institutional* 0.182 0.099 0.099 0.050 0.050 0.025 Business* 0.100 0.068 0.068 0.032 0.032 0.024 Mercantile* 0.084 0.049 0.049 0.022 0.022 0.024 Hazardous* 0.060 0.028 0.032 0.022 0.022 0.024 Fact/Industrial* 0.060 0.032 0.032 0.022 0.022 0.025 Educational* 0.123 0.069 0.069 0.032 0.032 0.025 B- Plb& Mech&Elect"partial or complete"system replace/install: Use Sched A above(Min$45.00) (Includes Boilers,Chillers&Water cooling Towers) Note:Use total square footage of area(s)served by the system for calculation table above For"minimal"repair to existing system: $45.00* C- Plbg,Mech&Elect Minor"Component" replacement/change-out: $0.00* Note:For"minor"change outs in multl-family occupancies inspection fees will be charged residential rate: $25.00 D- Mobile Bldgs/Construction Trailers: $45.00* E- Bldg Relocation: $45.00* Note:Includes new foundation&single point existing utility hookup: For any additional construction work use Schedule A above F- Demolition: $45.00* Note:Required to completely demolish a bldg.If doing"minor"demo work "during renovation"of a structure it's Included in the renov permit's scope of work G- Prior Cut-On:$1000 Bond required per service $35.00*per trade, per service Note:Prior permit&Inspection required for ea.trade not already having a final inspection approval. H- Commercial Change of Use: Note:Change of Use Only-No Work $25.00* I- Commercial Occupancy Certification: $25.00* Note:Requires Bldg&Elect permits J- Minimum Commercial Permit Fee: $45.00* K- Commercial Inspection Fee: $45.00 Note:Maximum of 1 hr.inspection time per$45 charge EXHIBIT 2 3 NEW HANOVER COUNTY DEVELOPMENT FEE SCHEDULE "Commercial New Construction" Total Cost for Project=Permit Fees+Inspection Fees* A- Permit Fees for Commercial New Construction are based on the following computations. Note:Square Footage includes all footage under roof bgh hashed&unheated. a=Total gross building floor area of construction b=Fee per sq.ft.(table below) 0-5000 sq.ft. a x b=Permit fee 5,001-15000 sq.ft. (a x b x.75)+(1250 x b)=Permit fee Over 15,000 sq.ft. (a x b x.50)+(5000 x b)=Permit Fee Occupancy Type Building Electrical Plumbing Heating Air/fond Refrig Residential* 0.109 0.061 0.061 0.022 0.022 0.024 Storage* 0.050 0.039 0.030 0.025 0.025 0.024 Assembly* 0.108 0.057 0.057 0.025 0.025 0.024 Institutional* 0.182 0.099 0.099 0.050 01050 0.025 Business* 0.100 0.068 0.068 0.032 0.032 0.024 Mercantile* 0.084 0.049 0.049 0.022 0.022 0.024 Hazardous* 0.060 0.028 0.032 0.022 0.022 0.024 Fact/Industrial* 0.060 0.032 0.032 0.022 0.022 0.025 Educational* 0.123 0.069 0.069 0.032 0.032 0.025 B- Additions: (Rooms/porches attached to existing structure) Use Schedule A above(Min$45.00) C- Upfit-Bldg Permit: Use Schedule A above X.75 Upfit-Trade Permits: Use Schedule A above* Note:Must Submit Plans for Upfits D- Shell-Bldg Permit: Use Schedule A above X.90 Shell-Trade Permits: Use Schedule A above E- Trade Permits other than listed above: $45.00* (le: gas piping work"if complete system use Schedule A above",ventilation hoods,tanks etc.) F- Mobile Buildings: 1- Construction Trailer $45.00* 2- Sales Office $100.00* 3- Modular Classrooms $100.00* Accessory Structures:(Includes decks,storage bldgs,gazebos,pools,pool houses,etc...) < 12 ft all dimensions-NHC Zoning Permit Req. $45.00* >12 ft any dimension without trade work $45.00* >12 ft any dimension with trade work $90.00* H-Signs:foundations Included-Bldg Permit not required if<15 sq.ft. $0.00 I- Prior Cut-On:$1000 required per service $35.00* per trade,per service Note:Electrical&Mech-(if gas appliances) Prior Permits Req. J- Minimum Permit Fee: $45.00* K-Commercial Inspection Fee: $45.00 Note:Maximum of 1 hr.Inspection time per$45 charge EXHIBIT 2 4 NEW HANOVER COUNTY DEVELOPMENT FEE SCHEDULE "Residential Existing Construction" Total Cost for Project=Permit Fees+Inspection Fees* A-RESIDENTIAL EXISTING CONSTRUCTION:Single-Family,Duplexes&Townhouses "Major"Alterations-Renovations-General Repairs Permit Fees are assessed in accordance with the following scale. Note:Square Footage includes all footage under roof both heated&unheated. Building Permits: Up to 1400 square feet $35.00* 1401 to 1800 sq.ft. Add$.25 per sq.ft.(over 1400)* 1801 to 2200 sq.ft. Add$16 per sq.ft. (over 1400)* 2201 to 2600 sq.ft. Add$.27 per sq.ft. (over 1400)* 2601 to 3000 sq.ft. Add$.28 per sq.ft.(over 1400)* 3001 to 3600 sq.ft. Add$.29 per sq.ft. (over 1400)* 3601 to 4000 sq.ft. Add$30 per sq.ft. (over 1400)* 4001 sq.ft.&up Add$31 per sq.ft.(over 1400)* B-Electrical,Mechanical or Plumbing"partial or complete"System Replacements: Up to 1400 sq.ft. $35.00* >1400 sq.ft. $35.00*+3 cents per sq.ft.over 1400 C-Elect,Mech,Plbg Component Replacement/Change-out $0.00* Note:Applicable only when one piece of the"system"is to be replaced. "Multiple"Electrical components under$250 for Resid&$400 for comm.job cost also qualifies. D-Mobile Home Replacement/Relocation: $35.00* E-Building Relocation: $35.00* Includes new foundation&single-point hook-up of utilities Note:If site served by CFPUA a Demo permit Is required F-Demolition: $35.00* G-Trade Permits:(Bldg Permit Req-for structural work and/or if>$5000 total project cost) Bldg,Elect&Temp Power Poles,Mech, Pibg $35.00*min. Note: For"major"scopes of work use Sched A above Zoning Permit $0.00* H-Prior Cut-On: (For Electrical Power Prior to CO) $35.00* per service Electrical Prior Cut-On Permit+a$1000 Bond is required per service/residence or $5000.00 bond for"Unlimited"Priors. I-Minimum Permit Fee(unless otherwise noted) $35.00* -Residential Inspection Fee: (each inspection) $25.00 Note:A maximum of 1 hr inspection time per$25.00 charge EXHIBIT 2 5 NEW HANOVER COUNTY DEVELOPMENT FEE SCHEDULE "Residential New Construction" Total Cost for Project=Permit Fees+Inspection Fees* A-RESIDENTIAL NEW CONSTRUCTION:Single-Family,Duplexes&Townhouses,Modular&Mobile Homes (includes attached garages,panelized&non pre-wired etc.modular building components) Permit Fees are assessed in accordance with the following scale. Note:Square Footage includes all footage under roof.40h heated&unheated. Building Permits: Up to 1400 square feet $35.00* 1401 to 1800 sq.ft. Add$.25 per sq.ft.(over 1400)* 1801 to 2200 sq.ft. Add$.26 per sq.ft.(over 1400)* 2201 to 2600 sq.ft. Add$.27 per sq.ft.(over 1400)* 2601 to 3000 sq.ft. Add$.28 per sq.ft. (over 1400)* 3001 to 3600 sq.ft. Add$.29 per sq.ft. (over 1400)* 3601 to 4000 sq.ft. Add$30 per sq.ft.(over 1400)* 4001 sq.ft. &up Add$31 per sq.ft.(over 1400)* B-Additions:(Rooms/porches attached to existing structure) Use Schedule A above C-Modular Homes:Pre-wired,Pre-plumbed,Pre-finished $35.00* D-Mobile Homes: $35.00* E-Travel Trailer Park: $75,00* 5 F—Detached Garages: $35.00* G-Accessory Structures: (Includes decks,storage bldgs,gazebos,pools, pool houses,etc...) <12 ft.any dimension—Zoning permit required $0.00* =to or>12 ft.any dimension—without trade work $0.00* =to or>12 ft.any dimension—with trade work $35.00* H-Trade Permits:(purchased separately from Sched A above) Electrical,Mechanical, Plumbing Up to 1400 sq.ft. $35.00* Over 1400 sq.ft. $45.00* Zoning Permits: $0.00* 1- Prior Cut-On Permit:(For Electrical Power Prior to CO) $35.00*per service $1000 Bond is required per service/residence or $5000.00 bond for"Unlimited"Priors. J-Homeowners Recovery Fund: $10.00 K-Minimum Permit Fee(unless otherwise noted) $35.00* L—Residential Inspection Fee:(each Inspection) $25.00 Note:A maximum of 1 hr per$25.00 inspection fee per trade EXHIBIT 2 a SHERIFF'S OFFICE ANIMAL SERVICES UNIT ANIMAL SERVICES UNIT FEES Cats/Don/Ferrets Saaved/Neutered Unaltered Cats/dogs/ferrets under 1 year of age 1 year registration $10.00 $ 10.00 Cats/dogs/ferrets 1 year of age or older 1 year registration $10.00 $20.00 Cats/dogs I year of age or older 3 year registration $25.00 $50.00 Any owner of a handicap helper dog, which is used for seeing or hearing purposes and can show proof of spay/neuter,shall receive a license free of charge. SPECIALTY REGISTRATIONS #of Cats/Doss/Ferrets Registration Fee 05-10 $45.00 11 -20 $ 70.00 21 —Over $100.00 Types of Specialty Pet Licenses(Fees above apply to each type): 1. MULTIPLE PET REGISTRATION Any combination of dogs, cats and ferrets All must be neutered or spayed. Good for one year(renewable on date of purchase) 2. SHOW BREEDER REGISTRATION Either dogs or cats(may not be combined). Do not have to be neutered or spayed. Good for one year(renewable on date of purchase). Kennel must participate in three AKC or UKC sanctioned events per year (proof to be shown)or equivalent for cats,or six in three years. 3. HUNTING DOG REGISTRATION Dogs only Do not have to be spayed or neutered Good for one year(renewable on date of purchase) Kennel must participate in three lawful or sanctioned events per year (proof when possible). Proof of N.C.hunting license No refund due to death or loss of ownership. EXHIBIT 3 1 a SHELTER $10.00 per day i $15.00 per day bite animals/dangerous dogs ADOPTION Cats/Dogs $60.00 Other-Large $25.00 -Small $ 3.00 REDEMPTION All Animals Owner's Offense 1 st $20.00 2nd $60.00 3rd $100.00 4th $150.00 5th or more $250.00 i MISCELLANEOUS FEES Euthanasia Fee $20.00 Breeder Permit $20.00 Owned Animal Pick-up $20.00 Collars/Leashes $ 5.00 ADOPTION REFUND POLICY Refunds for adoptions may be granted if the following conditions are met: 1. The adopted animal is returned. 2. The adopted animal is examined by a veterinarian within five working days from the adoption date and a health problem is noted. 3. The ado p tee produces either a handwritten note or a co mpute r generated report from the veterinarian stating the findings and date examined. The amount of refund will be the total of adoption fee and county license fee, if purchased and I returned. The adoptee is responsible for any charges by the veterinarian. EXHMrr 3 2 s CIVIL CITATIONS* motion/Description 5-1 (d) Interference with any Duly Appointed Agent $150.00 5-5 (A)County License Fee $100.00 (B) Rabies Vaccination $200.00 5-6 Keeping Stray Animals $25.00 5-7 Rabies Vaccination and Control $500.00 5-8 Wearing of Collar,Tags,&Identification $15.00 5-9,54(d) Dogs/Cats/Ferrets Running at-Large*,Leash Requirement* First Violation $25.00 Second Violation $75.00 Three or More Violations $500.00 Unprovoked Dog Bite/Running Loose $500.00 5-10 Vicious Animals $500.00 5-11 Barking Dogs First Violation $50.00 Second Violation $100.00 Three or More Violations $250.00 5-12 Teasing and Molesting $100.00 5-13 Injuring Animals,Notice Required $100.00 5-14 Health and Welfare $300.00 5-15 Manner of Keeping&Treating Animals $300.00 5-16(d) Sterilization of Cats&Dogs $250.00 5-16(i) Animals imp./Judicial process/Admin.seizure $500.00 5-19 Interference with Trap or Cage $100.00 5-23 Collection of Cats and Dogs for Resale $500.00 5-25 Dogs prohibited at Mason Inlet* First Violation $25.00 Second Violation $50.00 Three or More Violations $75.00 5-26 Dogs Running-at-Large at Mason Inlet* (same violation fees for section 5-9,we above) 5-27 Proof of Sterilization/Animals Adopted in New Hanover County $500.00 5-28 to 29 Permit for Kennels $500.00 5-30 Restraint(Dog Tied Out) $250.00 5-31 Outside Enclosure $250.00 5-32 Public Nuisance First Violation $50.00 Second Violation $100.00 Three or More Violations $200.00 5-33 Responsible Breeder's Permit $250.00 5-61 to 65 Dangerous Dogs/Potentially Dangerous Dog Violations $500.00 5-66 Responsible Breeding Permit $250.00 *The owner of an animal shall be subject to escalating fees. The fees are directed toward and against the owner. The purpose of the fee is to affect the conduct of the owner by seeking to have an owner responsibly maintain a sufficient restraint and confinement of their animal. EXHIBIT 3 3