May 6, 2019 - 10:00 AM - County Board of Commissioners Meeting Minutes

10 749 Meeting of the Johnston County Board of Commissioners May 6 , 2019 10 00 am The Johnston County Board of Commissioners met in regular session Monday , May 6 , 2019 at 10 00 am in the Commissioners Meeting Room , Johnston County Courthouse Annex , Smithfield , North Carolina The following members were present Present Chairman Ted G Godwin , Vice Chairman Chad M Stewart , Jeffrey P Carver , Larry Wood , Tony Braswell , Patrick E Harris , and RS “ Butch ” Lawter , Jr Absent None Also Present County Manager Rick J Hester , Clerk to the Board Paula G Woodard , Finance Officer and Assistant County Manager J Chad McLamb , County Attorney Jennifer J Slusser , and Paralegal Deputy Clerk to the Board Dana Cuddington Chairman Ted G Godwin called the meeting to order at 10 00 am Commissioner Butch Lawter opened the meeting with a prayer American Legion Post 270 Smithfield led those in attendance in the Pledge of Allegiance to the American Flag 1 Approval Discussion of Agenda Upon a motion by Commissioner Chad M Stewart , seconded by Commissioner Butch Lawter , and carried unanimously , the Board approved the agenda with the following revisions 1 removal of Item No 7 – 50 - 210 EMS Land Purchase and Relocation of the 50 - 210 EMS Station No 2 , per the request of 50 - 210 EMS to postpone the item ; and 2 addition of an item regarding the Research & Training Zone before Public Comment 2 Consent Agenda Items Upon a motion by Commissioner Jeffrey P Carver , seconded by Commissioner Chad M Stewart , and carried by unanimous vote , the Board approved the consent agenda items as follows A Approval of Minutes – March 19 , 2019 Work Session ; April 1 , 2019 10 00 am and 6 00 pm B Department of Transportation – Additions to System The Board concurred with the Department of Transportation’s recommendation to add the following roads to the State Maintained System Raynor Sands Drive – Raynor Sands Subdivision – Meadow Township Tayside Street , Dongola Street , Lantana Circle , Stillwood Court , Vintage Court , Peninsula Court , and Wishbone Court – Broadmoor West – Section 2 – Cleveland Township Timberland Drive SR 3435 Ext , Landlocked Circle SR 3436 Ext , Bowie Court , Bethany Circle , and Abilene Court – Greystone Crossing Phase 4 – Pleasant Grove Township W Wellesley Drive , N Waterloo Drive , and S Waterloo Drive – Wellesley – Phase 1 – Cleveland Township Vernon Lane , Kenneth Lane , Borgo Court , and Gloria Grande Court – Pecan Grove – Phase 1 & 3 – Pleasant Grove Township Wrenwood Drive – Whitfield at Flowers Plantation – Wilders Township C Call for Public Hearing – Proposed County Budget for FY 2019 - 2020 The Board scheduled a public hearing for the June 3 , 2019 10 00 am meeting on the proposed budget for FY 2019 – 2020 Page750 May 6 , 2019 – 10 00 am Continued D Proclamation – Children’s Mental Health Awareness Day , adopted as follows PROCLAMATION National Children’s Mental Health Awareness Day WHEREAS , addressing the complex mental health needs of children , youth , and families today is fundamental to the future of Johnston County , North Carolina ; and WHEREAS , the need for comprehensive coordinated mental health services for children , youth , and families places upon our community a critical responsibility ; and WHEREAS , it is appropriate that a day should be set apart each year for the direction of our thoughts toward our children’s mental health and well - being ; and WHEREAS , the Johnston County Collaborative for Families , Youth and Children , through its unique approach to serving children and adolescents , is effectively caring for the mental health needs of children , youth , and families in our community NOW , THEREFORE WE , the Johnston County Board of Commissioners , do hereby proclaim May 9 , 2019 to be Johnston County Children’s Mental Health Awareness Day and urges our citizens and all agencies and organizations interested in meeting every child’s mental health needs to unite on that day in the observance of such exercises as will acquaint the people of Johnston County with the fundamental necessity of a year - round program for children and youth with mental health needs and their families th Proclaimed this the 6 day of May , 2019 E Proclamation – Memorial Day , adopted as follows Memorial Day Proclamation Johnston County Board of Commissioners May 27 , 2019 WHEREAS , on Memorial Day , America undertakes its solemn duty to remember the brave Americans who sacrificed their lives for the cause of freedom and the security of our nation ; and WHEREAS , we are constantly reminded that there are those in the world who would attempt to deprive us of our freedom and undermine our nation’s very foundation ; and WHEREAS , military men and women from Johnston County have served our nation throughout American history with 248 Johnston County service members losing their lives in action in WWI , WWII , the Korean War , the Vietnam War , the Gulf War , and the War in Iraq and Afghanistan ; and WHEREAS , by honoring these proud Soldiers , Sailors , Airmen , Marines and Coast Guardsmen lost throughout our country’s history , we renew our commitment to upholding the democratic ideals they fought and died to preserve ; and WHEREAS , the citizens of Johnston County must never take for granted our privileges and freedom or forget to give thanks and honor to those who risk their lives so that we may enjoy our many blessings NOW , THEREFORE , the Johnston County Board of Commissioners does hereby proclaim May 27 , 2019 as Memorial Day in Johnston County and urges citizens to remember the bravery of those who gave their lives , so that their sacrifices serve as a reminder of the cost of our freedom th Adopted this the 6 day of May , 2019 F Proclamation – Hospital Week , adopted as follows Proclamation Hospital Week May 12 – 18 , 2019 WHEREAS , National Hospital Week is May 12 – 18 , 2019 , and the official theme is “ Celebrating Hope and Healing ” ; and WHEREAS , Johnston County joins the nationwide celebration to honor our hospitals and hospital professionals ; and WHEREAS , Johnston Health’s employees , volunteers and medical staff truly believe that caring is their calling , and they are dedicated to providing expert care close to home ; and WHEREAS , Johnston Health has been a dedicated community partner for more than 65 years , and employs more than 1,600 people with locations in Smithfield and Clayton ; and WHEREAS , Johnston Health had more than 180,000 patient visits , delivered more than 1,500 babies , performed more than 7,000 surgeries in 2018 ; andPage751 May 6 , 2019 – 10 00 am Continued WHEREAS , Johnston Health employees , volunteers and all hospital professionals deserve recognition and appreciation for their dedication to keeping our community healthy NOW , THEREFORE BE IT RESOLVED , that the Board of Commissioners of Johnston County , does hereby proclaim May 12 – 18 , 2019 to be Hospital Week in Johnston County , North Carolina and encourages all Johnston County residents to express their appreciation for the people , facilities and technologies that make top quality health care possible in our communities th Adopted this the 6 day of May , 2019 G Finance – Approval of Audit Contract for Year Ending June 30 , 2019 The Board approved the audit contract for year ending June 30 , 2019 with Thompson , Price , Scott , Adams & Co , as submitted in the agenda packet H Resolution – Support of Single - Stream State Funding – Alliance Health , adopted as follows Resolution in Support of Funding to Meet the Mental Health , Intellectual Developmental Disabilities , and Substance Use Disorder Service Needs of the Citizens of Johnston County WHEREAS , Johnston County recognizes that , with appropriate services and supports , individuals and families dealing with mental illness and substance use disorders can achieve recovery and that those with intellectual developmental disabilities can live productive lives in our communities ; and WHEREAS , the amount of resources needed for such services and supports are increasing due to North Carolina’s increasing population ; and WHEREAS , Johnston County is a member of Alliance Health formerly known as Alliance Behavioral Healthcare , a public Local Management Entity Managed Care Organization LME MCO responsible for providing system management and oversight for approximately 471,000 Medicaid - covered and uninsured North Carolinians across four counties ; and WHEREAS , consistent with the expectations of the North Carolina General Assembly and the North Carolina Department of Health and Human Services , Alliance’s Board of Directors has developed , and Alliance’s intent is to implement , a comprehensive reinvestment plan benefiting the citizens of Johnston County with service enhancements , including housing initiatives and innovative evidenced - based and crisis services , as part of a focused effort to reduce unnecessary emergency department admissions and to divert people from our criminal justice system ; and WHEREAS , while the North Carolina General Assembly passed mental health reform legislation in 2001 with the intent of improving clinical services and deinstitutionalizing , State funding for North Carolina’s behavioral healthcare system has been inconsistent and inadequate for more than 17 years since this legislation became law ; and WHEREAS , the North Carolina General Assembly has reduced State funding for behavioral health services known as single - stream funding by more than 458 million , including a more than 67 million reduction in funding to Alliance , over the past four years while requiring the LME MCOs to continue offering the same level of State - funded services as before such reductions ; and WHEREAS , despite these significant single - stream funding reductions , Alliance has continued serving the uninsured and underinsured using the remaining State funds and portions of its savings intended to be used for implementing its reinvestment plan ; and WHEREAS , while it is Alliance’s intent to implement its comprehensive reinvestment plan enhancing services for the citizens of Johnston County , State single - stream funding has been reduced for four consecutive years and such continued reductions have forced Alliance to eliminate , or halt work on , items from its reinvestment plan ; and WHEREAS , we are concerned that additional reductions in behavioral health funding by the State may increase the need for local allocation of County dollars and place additional strain on other County services such as Emergency Medical Services EMS , jails , and other social service resources NOW , THEREFORE BE IT RESOLVED that we , the Johnston County Board of Commissioners , do hereby request that the North Carolina General Assembly ? Stop cutting Alliance Health’s State single - stream funding so that such funds can be utilized to strengthen access to healthcare services for the mental health , intellectual developmental disabilities , and substance use disorder needs of uninsured and underinsured Johnston County citizens ; andPage752 May 6 , 2019 – 10 00 am Continued ? Allow Alliance Health to continue to utilize its savings to reinvest in enhanced , innovative services in our communities rather than mandating that such funds be used to replace previously reduced State funding th Adopted this the 6 day of May , 2019 I Tax Releases & Refunds – 03 16 2019 – 04 15 2019 Real Personal Property Releases TRANS DATE TIME USER YR BILL # ACCT # TAXPAYER NAME AMOUNT 3 19 2019 1 13 31 PM ALassiter 2018 - 36149 2000131596 GARCIA , FRAIRE MANUEL 61128 3 19 2019 2 32 47 PM cfutch 2018 - 107470 2000183745 YORK , DAVID MICHAEL 67359 4 8 2019 12 35 28 PM ALassiter 2018 - 82581 2000178169 RIVERWOOD GOLF & ATHLETIC 40068 CLUB AT TRALEE 4 9 2019 3 45 51 PM dwoodward2 2019 - 203382 2000151976 BLACKMON , JARVIS 14280 4 9 2019 3 46 33 PM dwoodward2 2019 - 203383 2000198314 BLACKMON , JUDY J 14280 4 9 2019 3 47 20 PM dwoodward2 2019 - 203384 2000198314 BLACKMON , JUDY J 14280 Real Personal Property Refunds TRANS DATE TIME USER YR BILL # ACCT # TAXPAYER NAME AMOUNT 3 18 2019 2 59 39 PM jmorrow 2018 - 27240 2000044770 DAVIS , MICHAEL L 62051 3 19 2019 2 34 24 PM cfutch 2018 - 107470 2000183745 YORK , DAVID MICHAEL 67359 3 21 2019 2 25 57 PM LOCKBOX 2018 - 49785 2000108625 JOHNSON , ANNETTA B 91164 3 21 2019 2 25 57 PM LOCKBOX 2018 - 49784 2000108625 JOHNSON , ANNETTA B 72610 3 22 2019 1 45 08 PM awestbrook 2018 - 42137 36957250 HAWLEY , JOYCE MORGAN 12500 3 25 2019 11 32 51 AM jmorrow 2018 - 33060 2000038586 FAIRCLOTH , AMY GODWIN 31307 3 25 2019 12 26 41 PM jmorrow 2018 - 4004 2000196176 ANNA STREET LLC 90598 3 25 2019 12 58 20 PM jmorrow 2018 - 13702 2000074725 BRAGLIN , BARRY ALLEN 11717 3 25 2019 12 59 54 PM jmorrow 2018 - 13702 2000074725 BRAGLIN , BARRY ALLEN 11717 3 26 2019 2 08 56 PM LOCKBOX 2018 - 33133 2000137553 FAISON , DAVID B 1,01735 3 28 2019 3 30 12 PM LOCKBOX 2018 - 77803 71705370 POOLE , MILAN JOSEPH 72514 3 28 2019 4 19 36 PM jevans 2018 - 77803 71705370 POOLE , MILAN JOSEPH 72381 3 29 2019 11 46 43 AM jmorrow 2018 - 81945 2000155049 RICHARDS , LIGIA F 2,28664 4 2 2019 2 32 29 PM LOCKBOX 2018 - 104120 2000126290 WILLIAMS , JEFFREY B 60379 4 3 2019 2 58 48 PM jmorrow 2018 - 106345 2000199726 WOODARD , BARNEY FRED 54100 4 4 2019 2 48 33 PM LOCKBOX 2018 - 1201 2000125542 ADEOGUN , SHAUNTONI A 1,57816 4 9 2019 3 59 44 PM ajsoutherland 2018 - 85118 2000066748 SANDERS ASSOCIATES 25673 GROUP I LLC North Carolina Vehicle Tax System - Pending Refund Report – March 2019 100 + Payee Name Bill # Transaction Refund Total # Reason Change BROWN , 0042046525 101980136 Military 12979 DAVID W 1498 14477 CORNEJO , 0046694075 102061078 Military 18424 DUSTIN 12755 ALBERT 31179 DAVIS , 0046776469 103009938 Adjustment 16224 STEVEN 1508 ROBERT 17732 LEE , 0046499697 102434126 Adjustment 12266 MICHAEL 1101 TODD 13367 SMITHFIELD 0046836165 102736846 Exempt 7426 FIRST FREE Property 5426 PagePage pageNumber5753 May 6 , 2019 – 10 00 am Continued WILL 12852 BAPTIST CHURCH TORRES , 0040590908 153847278 Military 5987 ASHLEY 4221 DENISE 500 10708 TORRES , 0044599745 153847275 Military 5515 ASHLEY 4101 DENISE 3000 12616 April 25 , 2019 This is to certify that , as authorized by the Board of Commissioners on December 11 , 2000 , I have approved the following tax releases and refunds under 100 , as recommended by the County Tax Administrator , Jocelyn Andrews A complete record of this information is on file in the County Finance Office Totals from 3 15 19 to 4 15 19 Tax refunds - Personal Real Property 56518 Tax releases - Personal Real Property 20881 Recommended by Tax Administrator Jocelyn Andrews Approved by Finance Director J Chad McLamb 3 Research & Training Zone – Annexation Request from Grifols Chairman Ted G Godwin reported that Grifols has verbally notified the County of their recent purchase of land adjacent to their Clayton facility and their desire to have that acreage annexed within the Research & Training Zone RTZ Chairman Godwin explained that pursuant to General Statutes , the request must be approved by Johnston County and the Town of Clayton since the property is located within Clayton’s Extraterritorial Jurisdiction ETJ Chairman Godwin stated he supports the request and believes the Workforce Development Center , which is funded with tax revenue from the RTZ , is an excellent recruitment tool for economic development and he would like to see it continue to grow Upon a motion by Commissioner Tony Braswell , seconded by Commissioner Patrick E Harris , and carried unanimously , the Board voted to verbally commit to the approval of the RTZ annexation request by Grifols , so long as the request meets all statutory requirements once the formal application has been received and reviewed by the County 4 Public Comments A Novo Nordisk – Facilities Update and Tour comments occurred later during the meeting Shaylah Jones , Principal of Government & Public Affairs for Novo Nordisk , invited the Board to attend an invitation only update and tour of their facilities scheduled for May 30 , 2019 beginning at 1 30 pm 5 Department of Social Services – Proclamation for Elder Abuse Awareness Day Department of Social Services staff members Wendy Whitfield , LV McKillon , Angie Brinkley , Jerricke Fontenette , and Director Scott Sabatino addressed the Board Ms Whitfield requested the Board to adopt a proclamation for Elder Abuse Awareness Day as June 15 , 2019 She invited everyone to attend the Elder Abuse th Awareness Walk to be held on June 7 beginning at 11 00 am at the DSS Campus in Smithfield Ms Whitfield spoke on the Social Services staff’s efforts and dedication to bring awareness to elder abuse , stating the aging population is growing and it is their mission to make sure the elderly receive the proper care and services She thanked the Board for their support The Board thanked the DSS staff for their work and dedication to the elderly population in Johnston County Commissioner Tony Braswell moved the Board adopt the following proclamation for Elder Abuse Awareness Day , seconded by Commissioner Patrick E Harris , and carried by unanimous vote Proclamation Elder Abuse Awareness Day June 15 , 2019PagePage pageNumber6754 May 6 , 2019 – 10 00 am Continued Whereas , Johnston County includes over 21,000 citizens age 65 and older that deserve to live safely with dignity and as independently as possible , with the supports they need ; and Whereas , elder abuse is most often defined as any act that harms a senior or jeopardizes his or her health , safety or welfare ; and Whereas , Johnston County’s older population is a vital , important part of the community that contributes to the social and cultural education of future generations ; and Whereas , identifying , reporting and eliminating abuse , neglect and exploitation to older persons is each community’s responsibility ; and Whereas , all residents should watch for signs of physical abuse , withdrawal , depression , anxiety , fear , and living without necessities such as food , heat , air and medicine and make it known to proper institutions Now Therefore We , the Johnston County Board of Commissioners does hereby proclaim June 15 , 2019 as Elder Abuse Awareness Day in Johnston County and encourages everyone to commit to protecting the safety and future of our older citizens th Adopted this the 6 day of May , 2019 6 Emergency Services – Proclamation for EMS Week Emergency Services Director Kevin Hubbard and EMS Division Chief Dan Gagne addressed the Board and requested the adoption of a proclamation for EMS Week as May 19 – 25 , 2019 Mr Gagne spoke on the dedication of the EMS employees and introduced the following leaders within the EMS Division Billie Borem , Christy Lewis , Melissa Hickman , Brad Baker , Kim Grimes , Billy Langston , David Dolan , and Deputy Director Josh Holloman Mr Gagne thanked the Board for their support to the EMS Division and stated the proclamation recognizes the EMS responders and providers for the jobs they do and the sacrifices they make Commissioner Patrick E Harris stated he serves on the EMS Advisory Committee and he can say that the County is certainly well protected and cared for by the EMS System and it is amazing to see how it has transformed over the years Commissioner Harris moved the Board adopt the following proclamation , seconded by Commissioner Larry Wood , and carried by unanimous vote Proclamation Emergency Medical Services Week May 19 – 25 , 2019 WHEREAS , emergency medical services is a vital public service ; and WHEREAS , the members of emergency medical services teams are ready to provide lifesaving care to those in need 24 hours a day , seven days a week ; and WHEREAS , access to quality emergency care dramatically improves the survival and recovery rate of those who experience sudden illness or injury ; and WHEREAS , the emergency medical services system consists of emergency physicians , emergency medical technicians , paramedics , firefighters , educators , administrators , telecommunicators and others ; and WHEREAS , the members of emergency medical services teams , whether career or volunteer , engage in thousands of hours of specialized training and continuing education to enhance their lifesaving skills ; and WHEREAS , it is appropriate to recognize the value and the accomplishments of emergency medical services providers by designating Emergency Medical Services Week NOW , THEREFORE BE IT RESOLVED , that the Board of Commissioners of Johnston County , does hereby proclaim May 19 – 25 , 2019 as Emergency Medical Services Week in Johnston County , in recognition of this event th Adopted this the 6 day of May , 2019 7 Town of Kenly – Assistance with Demolition and Removal of the Old Kenly School Auditorium Building Kenly Town Manager Michael Douglas addressed the Board to request financial assistance with the demolition and removal of the old Kenly School auditorium building Mr Douglas provided the Board with a history of the building and explained that it was once part of the old Kenly School , which served grades K - 12 until North Johnston High School was built in the 1960 ’ s Mr Douglas continued that many years ago , the main building of the school was destroyed by fire , leaving the auditorium building on the site He stated the condition of the building has deteriorated over the years to the point where it is unsafe and due to asbestos and other hazardous conditions , it must be demolished and removed Mr Douglas stated the cost to demolish and removePagePage pageNumber7755 May 6 , 2019 – 10 00 am Continued the facility is estimated at 272,000 and the Town is hoping the County can contribute funds towards this project Mr Douglas stated once the facility has been removed , the Town plans to construct a new civic center on the site and he presented three options currently being considered for the new facility Mr Douglas stated they will be applying for grant funds , but he anticipates the Town will have to secure a USDA loan to pay for the entire project , including the new facility Mr Douglas shared the following presentation with the Board PagePage pageNumber8756 May 6 , 2019 – 10 00 am ContinuedPagePage pageNumber9757 May 6 , 2019 – 10 00 am ContinuedPage0758 May 6 , 2019 – 10 00 am Continued At the inquiry of Commissioner Larry Wood , Mr Douglas stated with the three options proposed for a new facility , the Town hopes to offer a space for citizens to rent or lease for weddings , banquets , and other similar types of social events He stated the space could also be used for an additional library in the Town Mr Douglas stated the cost to construct the new facility is estimated between 15 million - 2 million and if they are successful in securing financing from USDA , he estimates an annual debt service payment somewhere between 78,000 - 118,000 over a 30 year period Commissioner Chad M Stewart asked how much the Town is requesting from the County Mr Douglas responded the Town would be appreciative of any amount the County can contribute He reiterated the Town is looking for grant funding , but is not relying on grant funding being available Commissioner Tony Braswell suggested that Mr Douglas check with the Johnston County Tourism Authority to see if they have any grant funds available for the project Upon a question by Commissioner Butch Lawter , Mr Douglas stated the asbestos seems to be the only environmental problem they are aware of at this time , but they will be studying the facility further prior to demolition Chairman Ted G Godwin thanked Mr Douglas for the information and stated the Board would take the request under advisement 8 Health Department – Approval of 2020 Behavioral , Preventive , and Environmental Health Fee Schedules Health Director Dr Marilyn Pearson presented the proposed Fiscal Year 2020 Behavioral , Preventive , and Environmental Health Fee Schedules to the Board Dr Pearson stated the fee schedules have been reviewed by the Johnston County Board of Health and recommended for approval Dr Pearson reviewed the proposed changes with the Board for the Behavioral and Preventive Health fee schedules Assistant Health Director Steve Strickland provided the Board with information regarding the proposed changes to the Environmental Health fee schedule as well as how the County compares with other similar counties in North Carolina Upon a motion by Commissioner Chad M Stewart , seconded by Commissioner Patrick E Harris , and carried unanimously , the Board approved the fee schedules for Fiscal Year 2020 as follows Page1759 May 6 , 2019 – 10 00 am Continued Johnston County Health Departments Fees 2018 - 2019 Mtg 3 28 19 Effective Current Recommended CPT Description Rate Fees 10060 Drainage Of Skin Abscess Single 15000 15000 10061 Drainage Of Skin Abscess Muli 25000 20100 10120 Remove Foreign body 14600 14700 10140 Drainage of Hematoma Fluid 15700 16300 11055 Trim Skin Lesion 4600 5500 11100 Biopsy Skin Lesion 12600 7600 11111 PE Form W o Visit 000 000 11200 Removal of Skin Tags 9500 9000 11400 Exc Tr - ext b9 + marg 05 lt; cm 13300 12000 11401 Exc Tr - ext b9 + marg 06 - 1 lt; cm 14300 14600 11720 Debride nail , 1 - 5 3100 3300 11750 Removal of nail bed 18000 18000 11900 Injection into skin lesions 5400 5300 11981 Insert drug implant device 15000 15000 11982 Remove Drug implant device 15400 15300 11983 Remove Insert Drug implant 21600 22500 19081 Biopsy , Breast with Placement 66172 62400 19120 Removal of Breast lesion 47551 48300 20605 Drain inject joint bursa 4900 5000 20610 Drain inject joint bursa 5900 5900 30901 control of nose bleed 7800 13300 36415 Routine venipuncture 1500 800 46600 Diagnostic anoscopy 9500 9200 51701 Insert bladder catheter 16800 15300 57452 Exam of cervix w Scope 15000 11100 57454 Bx curette of cervix w scope 20000 15300 57511 Cryocautery of cervix 14200 15200 58100 Biopsy of uterus lining 15000 9500 58300 Insert intrauterine device 10000 10000 58301 Insert intrauterine device 10000 10000 59425 Antepartum care only 1,22900 1,28200 59426 Antepartum care only 2,20500 2,29100 59430 Care after Delivery 15000 18900 69200 Clear outer ear Canal 10000 8900 69210 Remove impacted ear wax 6000 6000 81001QW Urinalysis Auto w Scope 600 600 81003QW Urinalysis auto w o Scope 600 600 81015 Microscopic exam of urine 500 500 81025 Urine Pregnancy test 2500 2500 82120 Amines , Vaginal Fluid qual 700 600 82150 Assay of Amylase 900 900 82270 Occult blood , other sources 600 500 82272 Blood occult peroxidase 600 500 82947QW Glucose 900 900Page2760 May 6 , 2019 – 10 00 am Continued 82950 O sullivan Glucose 1000 700 82951 Glucose tolerance test GTT 2000 2000 83036QW HemoglobinA1c 1500 1300 85018QW Hemoglobin 600 600 87210 Wet Mount 700 700 87804QW Rapid Flu A B 2000 2000 87880QW Rapid Strep A 1700 1700 82044 Urine , Microalbumin 400 700 82570 Creatinine 800 700 90471 Immunization administration 6000 7000 90472 Immunization administration additional 6200 3500 90473 Immune admin oral nasal 4100 1700 90474 Immune admin oral nasal add 2700 1100 90620 Bexseri Syso Cost + 15 Cost + 15 90632 Havrix Adult Cost + 15 Cost + 15 90633 Havrix Peds Cost + 15 Cost + 15 90636 Twinrix Cost + 15 Cost + 15 90647 PedvaxHIB Meningococcal Cost + 15 Cost + 15 90649 Gardasil 9 Cost + 15 Cost + 15 90654 Influenza virus split trivale 2500 25 90660 Influenza virus split trivale 2500 25 90662 Influenza virus split 2500 25 90670 Prevnar 13 Cost + 15 Cost + 15 90672 Influenza virus quadriv 2500 25 90675 Imovax Rabies Cost + 15 Cost + 15 90681 Rotarix Rotavirus Cost + 15 Cost + 15 90685 Influenza virus quadriv 2500 25 90686 Influenza virus quadriv 2500 25 90691 Typhim VI Cost + 15 Cost + 15 90700 Infanrix Cost + 15 Cost + 15 90707 MMR Cost + 15 Cost + 15 90713 Ipol Cost + 15 Cost + 15 90715 Adacel Cost + 15 Cost + 15 90715 Boostrix Cost + 15 Cost + 15 90716 Varivax Varicella Cost + 15 Cost + 15 90723 Pediarix DTPA HepB IPV Cost + 15 Cost + 15 90732 Pneumococcal Cost + 15 Cost + 15 90734 Menactra Cost + 15 Cost + 15 90736 Shingrix Cost + 15 Cost + 15 90744 Engerix - B Peds Cost + 15 Cost + 15 90746 Engerix - B Adult Cost + 15 Cost + 15 96360 intravenous infusion , hydration initial 31 minutes to 1 hour 5400 6300 96361 intravenous infusion , hydration each additional hour 1500 1900 96372 Therapeutic prophylactic or diagnostic injection 2500 2400 92551 Pure tone hearing test air 2900 1100 92552 Pure tone audiometry air 3000 3000 92567 Tympanometry 2500 1500 92587 Distortion product evoked otoaco 3500 3500 93000 Electrocardiogram Complete 2500 2500Page3761 May 6 , 2019 – 10 00 am Continued 94010 Breathing capacity test 3800 3400 94060 Pre and post spirometry 5800 5700 94150 Vital Capacity test 2500 2500 94200 MVV when administered alone 2400 2700 94375 When flow volume loop is preformed 3800 3900 94640 Airway inhalation treatment 1500 1800 94650 O2 Therapy 2000 2000 94664 Evaluate pt use of inhaler 3900 1700 94665 Nebulizer Subsequent 1600 1500 94760 Measure blood oxygen level 700 700 96110 Developmental Screening 2000 2500 96150 Assess health behavioral in 2200 2300 96372 Therapeutic prophylactic 3000 2400 96473 17P Administration Fee 2000 2000 97802 Medical Nutrition indiv 4000 4000 97803 Medical Nutrition indiv Subseq 4000 4000 97804 Medical nutrition Group 5000 4000 99000 Handling and conveyance fee 1500 1500 99070 Supplies 1000 500 99173 Visual acuity screen 500 500 99201 Office or outpatient visit NEW 11100 10000 99202 Office or outpatient visit NEW 17700 15000 99203 Office or outpatient visit NEW 21500 20000 99204 Office or outpatient visit NEW 31400 27500 99205 Office or outpatient visit NEW 40000 35000 99211 Office or outpatient visit 5500 5000 99212 Office or outpatient visit 11100 7500 99213 Office or outpatient visit 18700 15000 99214 Office or outpatient visit 28100 22500 99215 Office or outpatient visit 38000 30000 99381EP TJ New Infant visit 10000 12500 99382EP TJ New 1 - 4 10000 12500 99383 EP TJ FP NEW 5 - 11 17500 15500 99384EP TJ New 12 - 17 17000 17000 99384FP New 12 - 17 28400 17500 99385 EP TJ FP New 18 - 39 28400 17500 99386 New 40 - 64 32200 22500 99387 New 65 + 33700 25000 99391EP TJ EST Infant 26400 10000 99392 EST 1 - 4 28700 10000 99393 EP FP Est 5 - 11 28600 15000 99394 EP FP Est 12 - 17 30900 15000 99395 EP FP EST 18 - 39 28400 17000 99396 EST 40 - 64 29300 22000 99397 Est 65 + 17500 18000 99406 Smoking and tobacco 1400 1500 99407 smoking and tobacco cessatio 2700 3100 99408 Alcohol and substance 4000 3200Page4762 May 6 , 2019 – 10 00 am Continued 99409 Alcohol and substance 6000 6300 99420 Health Risk assessment test 900 900 99495 Transitional Care Magt 13500 17500 99496 Transitional Care Magt ser 19776 25600 99502 Home visit NB Care 32300 10000 A4310 Insert tray w o bag cath 600 600 A4323 Irrigation saline or water 100ML 200 200 A4330 Stool Collection Pouch 600 700 A4550 Surgical Tray 2200 1500 A4565 Slings 700 700 A6251 Absorpt drg lt; 16 200 200 A6252 Absorpt drg gt; 16 300 300 A6253 Absorpt drg gt; 16 lt; 48 w o dbr 600 600 A6263 Ace bandage 100 100 2 x 45 10 bx 3 x 45 10 box 4 x 45 10 box A6407 Packing strips , non Impreg 200 200 D0145 Oral Evaluation 6900 3600 D1206 Topical Fluoride Varnish 5900 2500 G0008 Admin influenza virus 2500 2500 G0009 Admin pneumococcal vaccine 2500 2500 G0010 Admin Hep B Vaccine 2500 2500 G0101 CA screen Pelvic Breast exam 7200 5000 G0102 Prostate ca screening dre 3800 2500 G0103 PSA Total Screening 1300 2000 G0108 Diab manage trn per indiv 5400 5500 G0109 Diab manage trn ind group 1900 1800 G0179 MD recertification HHA PT 4673 5100 G0180 MD recertification HHA PT 5400 6700 G0396 Alcohol and substance 3600 3600 G0397 Alcohol and or substance other 6587 6600 G0402 Initial preventive physical exam 16500 16500 G0403 ECG 1793 1700 G0434 Urine Drug Test 2000 2000 G0438 Annual Wellness visit 17000 21200 G0439 Annual wellness includes 11500 15000 G0442 Annual alcohol misuse screening 2000 2000 G0444 Annual depression screening 2000 2000 J0170 Epinephrine up to 1 ml 100 200 J0560 Penicillin G Benzedrine Injection 100 100 J0561 Injection penicillin G benzathi 900 1400 J0570 Bicillin LA 1200000 100 100 J0696 Ceftriaxone sodium injection 100 100 J0715 Ceftizoxime sodium 500mg 600 100 J1030 Methylprednisolone 40 mg inj 500 400 J1040 Methylprednisolone 80 mg inj 1000 600 J1050 Injection Medroxyprogesterone 5000 100 J1100 Dexamethasone sodium phos 100 200Page5763 May 6 , 2019 – 10 00 am Continued J1200 Diphenhydramine hcL injection 300 100 J1815 Insulin injection 100 100 J1820 Insulin injection up to 100 units 100 100 J1885 Ketorolac tromethamine inj 100 100 J2000 Xylocaine or lidocaine 200 100 J2550 Promethazine hcl injection 200 200 J2920 methylprednisolone injection 300 300 J2930 methylprednisolone injection 500 600 J3301 Triamcinolone acetonide inj 300 100 J3303 Triamcinolone hexacetonl inj 300 300 J3420 Vitamin B12 inj 300 400 J7298 Mirena 82700 26400 J7300 Pargard 75400 24000 J7297 IUD Liletta 74600 5000 J7307 Nexplanon 70000 40000 Q0091 Obtaining screening pap 8400 2100 Q2038 Influenza virus vaccine 2500 25 S0280 Medical home program 5000 5000 S0281 Medical home program comprehend 15000 15000 S9442 Birthing class 2000 2000 T1002 RN services up to 15min 9800 9500 T1016 Case management 2100 2100 Environmental Health Proposed Fees FY 2020 TYPE OF SERVICE Proposed JOHNSTON No changes since ADOPTED DATE Last changes to Pricing Fee 7 1 2017 PLAN REVIEWS FEES FLI RESTAURANTS 250 20000 1 - 50 SEATS 250 20000 51 - 100 SEATS 250 20000 100 + SEATS 250 20000 MOBILE FOOD UNITS 250 20000 PUSH CARTS 250 20000 SWIMMING POOL PERMITS FEES FLI No Change 7500 TEMPORARY FOOD STAND PERMITS PER EVENT No Change 7500 LIMITED FOOD SERV ESTABLISHMENT PERMIT No Change 25000 TATTOO PERMIT N A N A TEMPORARY TATTOO PERMIT 250 200 PUBLIC SWIMMING POOLS PERMIT 150 10000 WADING POOLS PERMIT 150 10000 SPA PERMIT No Change 5000 SWIMMING POOL REINSPECTION FEE ON - SITE WASTEWATER FEES No Change 40000 SEPTIC SYSTEM PERMIT NEW SEPTIC TANK No Change 10000 REPLACEMENT UPGRADE REVISION No Change 5000 SEPTIC TANK REINSPECTIONSPage6764 May 6 , 2019 – 10 00 am Continued No Change 5000 MOBILE HOME HOUSE BUSINESS No Change 0 SEPTIC REPAIR No Change 5000 PUMP FEE No Change 5000 TYPE III D No Change 000 TYPE III B No Change 40000 LARGE SYSTEM DESIGN FOR THE 1ST 48 GALLONS 15 PER GALLON ABOVE 480 GPD No Change 133 Engineered Option Review 30 of Std Fee MIGRANT LABOR CAMPS No Change 50 MIGRANT LABOR Camp Visit Certification Lab costs only 25 MIGRANT LABOR Camp Reinspection EACH ADDITIONAL SEPTIC REPORT subject to further review JOHNSTON SUBDIVISION EVALUATIONS No Change 10000 PER LOT No Change 10000 RECOMBINATION WELL FEES No Change 30000 WELL PERMIT PRIVATE WELL No Change 22500 WELL PERMIT AG IRRIGATION 0 WELL REPAIR No Change 5000 WELL RE - INSPECTION WATER SAMPLING Lab Charge APPLICANTS COLLECT JO CO ONLY Cost + 20 2825 TOTAL COLIFORM Cost + 20 7300 FULL INORGANIC Cost + 20 6200 METALS PANEL Cost + 20 4750 INDIVIDUAL METALS Cost + 20 6975 ANIONS FL , CL , SULF OFFICE COLLECTS Cost + 20 7400 PESTICIDES Cost + 20 7400 HERBICIDES Cost + 20 7400 PERTROLEUM Cost + 20 7400 VOC Cost + 20 7400 FULL INORGANIC PANEL Cost + 20 3100 NITRATES NITRITES Cost + 20 2825 TOTAL COLIFORM Cost + 20 3150 FECAL COLIFORM Cost + 20 4500 FECAL STREP Cost + 20 2900 ENTEROCCUS Cost + 20 3375 IRON BACTERIA Cost + 20 4475 SULFUR SULFATE REDUCING Cost + 20 3250 TSPSEUDOMONUS Cost + 20 2800 HETEROTROPHIC COUNT Cost + 20 6200 METALS PANEL Cost + 20 4750 INDIVIDUAL METALS PANEL Cost + 20 6975 ANIONS FL , CL , SULF Page7765 May 6 , 2019 – 10 00 am Continued Cost + 20 7400 DISINFECTION BYPRODUCTS Cost + 20 0 COLIFORM FLUORIDE BY DR S REQUEST Cost + 20 3100 ARSENIC SPECIATION Color Key 2019 Fees updated Fee higher than JC Current Fee Fee lower than JC Current Fee NCSLPH current charge for Sample kit Lab cost Additional Trip fee charged if county staff collectes JC Trip Fee 2000 sample 9 Health Department – 2018 Community Health Needs Assessment Presentation Annual Report Health Director Dr Marilyn Pearson presented the 2018 Community Health Needs Assessment to the Board Dr Pearson thanked Commissioner Patrick E Harris for his work and participation with the Johnston County Board of Health Dr Pearson shared the following presentation with the Board Note A copy of the presentation is on file within the Johnston County Health Department Page8766 May 6 , 2019 – 10 00 am ContinuedPage9767 May 6 , 2019 – 10 00 am ContinuedPage0768 May 6 , 2019 – 10 00 am ContinuedPage1769 May 6 , 2019 – 10 00 am Continued Commissioner Tony Braswell spoke on his concerns with behavioral health and the need to make sure our citizens are properly cared for as well as the need for additional resources Dr Pearson agreed with Commissioner Braswell and stated they are talking with Alliance Health about increasing the number of services in Johnston County Dr Pearson submitted copies of the Health Department’s 2018 Annual Report to the Board and briefly reviewed its contents She stated once the Board has had a chance to review the information , she is available to answer any questions The Board thanked Dr Pearson for the information 10 Finance – Resolution Providing for the Issuance of up to 20,000,000 in GO School Bonds , Series 2019 The Chairman introduced the following resolution , a summary of which had been provided to each Commissioner , a copy of which was available with the Clerk to the Board and which was read by title RESOLUTION PROVIDING FOR THE ISSUANCE OF UP TO 20,000,000 GENERAL OBLIGATION SCHOOL BONDS , SERIES 2019 BE IT RESOLVED by the Board of Commissioners the “ Board ” of the County of Johnston , North Carolina the “ County ” Section 1 The Board has determined and does hereby find , declare and represent a That an order the “ School Bond Order ” authorizing not exceeding 61,000,000 General Obligation School Bonds the “ School Bonds ” was adopted by the Board for the County on July 9 , 2018 , which School Bond Order was approved by the vote of a majority of the qualified voters of said County who voted thereon at a special referendum duly called and held on November 6 , 2018 b That none of the Bonds authorized to be issued by the School Bond Order have been issued , that no notes have been issued in anticipation of the receipt of the proceeds of the sale of said School Bonds , and that it is necessary to issue at this time 20,000,000 of said School Bonds in accordance with the provisions of Section 2 of this resolution c That the maximum period of usefulness of the facilities to be financed with the proceeds of said School Bonds to be issued is estimated as a period of 40 years from June [ 20 ] , 2019 , the date of said School Bonds , as hereinafter provided , and that such period expires on June [ 20 ] , 2059 Page2770 May 6 , 2019 – 10 00 am Continued Section 2 Pursuant to the School Bond Order , there shall be issued bonds of the County in the aggregate principal amount of 20,000,000 The Bonds issued pursuant to this Section 2 shall be designated “ School Bonds , Series 2019 ” and dated their date of delivery the “ Bonds ” The Bonds shall be stated to mature subject to the right of prior redemption as hereinafter set forth annually , February 1 , 490,000 2021 and 2022 , 575,000 2023 , 670,000 2024 and 1,185,000 2025 through 2039 , inclusive ; provided , however , and notwithstanding the foregoing principal amortization schedule , the Chairman or Vice - Chairman of the Board , County Manager or Director of Finance , respectively , each acting on behalf of the County , may determine in connection with the sale of the Bonds that , in lieu of the serial maturities set forth above , that one or more maturities of the Bonds will be issued as term bonds with annual installments of principal , together with such other changes to the remaining serial maturities of the Bonds , all as specified by the Chairman or Vice - Chairman of the Board , County Manager or Director of Finance , respectively , either before or after the opening of bids The Bonds shall bear interest at a rate or rates to be determined by the Local Government Commission of North Carolina at the time the Bonds are sold , which interest to the respective maturities thereof shall be payable on February 1 , 2020 or such other date as is designated by the County Manager or the Director of Finance in connection with the sale of the Bonds and semiannually thereafter on August 1 and February 1 of each year or other semiannual dates designated by the County Manager or the Director of Finance in connection with the sale of the Bonds until payment of such principal sum Section 3 Each Bond shall bear interest from the interest payment date next preceding the date on which it is authenticated unless it is a authenticated upon an interest payment date in which event it shall bear interest from such interest payment date or b authenticated prior to the first interest payment date in which event it shall bear interest from its date ; provided , however , that if at the time of authentication interest is in default , such Bond shall bear interest from the date to which interest has been paid The principal of and the interest and any redemption premium on the Bonds shall be payable in any coin or currency of the United States of America which is legal tender for the payment of public and private debts on the respective dates of payment thereof Section 4 The Bonds initially will be issued by means of a book - entry system with no physical distribution of bond certificates to be made except as hereinafter provided Initially one fully registered bond certificate for each stated maturity of the Bonds in the aggregate principal amount of the Bonds of such stated maturity and registered in the name of the Securities Depository Nominee defined below , a nominee of the Securities Depository defined below , will be issued and required to be deposited with the Securities Depository and immobilized in its custody The book - entry system of the Securities Depository will evidence positions held in the Bonds by the Securities Depository’s participants , with beneficial ownership of the Bonds in the principal amount of 5,000 or any whole multiple thereof being evidenced in the records of such participants Transfers of beneficial ownership will be effected on the records of the Securities Depository and its participants pursuant to rules and procedures established by the Securities Depository and its participants The County and the Bond Registrar will recognize the Securities Depository Nominee or the Securities Depository , as the case may be , while the registered owner of the Bonds , as the owner of the Bonds for all purposes , including payments of principal of and redemption premium , if any , and interest on the Bonds , notices and voting The principal of and any redemption premium on each Bond shall be payable to the Securities Depository Nominee or any other person appearing on the registration books of the County hereinafter provided for as the registered owner of such Bond or his registered assigns or legal representative at the office of the Bond Registrar mentioned hereinafter or such other place as the County may determine upon the presentation and surrender thereof as the same shall become due and payable Payment of the interest on each Bond shall be made by the Bond Registrar on each interest payment date to the registered owner of such Bond or the previous Bond or Bonds evidencing the same debt as that evidenced by such Bond at the close of business on the record date for such interest , which shall be the 15th day whether or not a business day of the calendar month next preceding such interest payment date , by check mailed to such person at his address as it appears on such registration books or , during the continuation of the book - entry system , by such other method of payment as the County may determine to be necessary or advisable with the concurrence of the Securities Depository Transfer of principal and interest and any redemption premium payments to participants of the Securities Depository will be the responsibility of the Securities Depository , and transfer of principal and interest and any redemption premium payments to beneficial owners of the Bonds by participants of the Securities Depository will be the responsibility of such participants and other nominees of such beneficial owners Such transfers of interest by the Securities Depository and by such participants and other nominees of such beneficial owners may be made to the owners of Bonds shown on their records on a date on or after said record date for such interest , pursuant to rules and procedures established by the Securities Depository and its participants The County and the Bond Registrar will not be responsible or liable for such transfers of payments or for maintaining , supervising or reviewing records maintained by the Securities Depository , its participants or persons acting through such participants Page3771 May 6 , 2019 – 10 00 am Continued In the event that a any Securities Depository determines not to continue to act as securities depository for the Bonds or b the Director of Finance of the County determines to discontinue the book - entry system with such Securities Depository , the County may identify another qualified Securities Depository to replace the predecessor Securities Depository and , in such event , the County will make arrangements with the predecessor Securities Depository and such other Securities Depository to effect such replacement and deliver replacement Bonds , registered in the name of such other depository or its nominee in exchange for the outstanding Bonds , and all references in this resolution to any predecessor Securities Depository or Securities Depository Nominee shall thereupon be deemed to mean such other depository or its nominee If the County does not identify another qualified Securities Depository to replace the predecessor Securities Depository , the County will deliver replacement Bonds in the form of fully registered certificates in the denomination of 5,000 or any whole multiple thereof “ Certificated Bonds ” in exchange for the outstanding Bonds , as required by the predecessor Securities Depository and others Upon the request of the Securities Depository , the County may also deliver one or more Certificated Bonds to any participant of the Securities Depository in exchange for Bonds credited to its account with the Securities Depository The County and the Bond Registrar shall be entitled to rely upon the instructions of the Securities Depository as to the appropriate parties entitled to receive Certificated Bonds For purposes of this resolution “ Securities Depository ” means The Depository Trust Company , New York , New York , or other recognized securities depository selected by the County , which maintains the book - entry system in respect of the Bonds authorized by this resolution , and shall include any substitute for or successor to the securities depository initially acting as Securities Depository For purposes of this resolution “ Securities Depository Nominee ” means , as to any Securities Depository , such Securities Depository or the nominee , if any , of such Securities Depository in whose name the Bond certificates shall be registered on the registration books maintained by the Bond Registrar during the continuation with such Securities Depository of the book - entry system authorized by this resolution The Depository Trust Company , New York , New York , is hereby appointed as the initial Securities Depository , and Cede & Co , a nominee thereof , is hereby appointed as the initial Securities Depository Nominee for the Bonds Unless indicated otherwise , the provisions of this resolution that follow shall apply to all Bonds issued or issuable hereunder , whether initially or in replacement thereof Section 5 The Bonds shall be executed with the manual or facsimile signatures of the Chairman or Vice Chairman of the Board and the Clerk to the Board , and the seal or a facsimile of the seal of the County shall be impressed or imprinted , as the case may be , on the Bonds The certificate of the Local Government Commission of North Carolina shall be endorsed on all Bonds and shall bear the manual or facsimile signature of the Secretary of said Commission or on behalf of the Secretary by a Designated Assistant and the certificate of authentication of the Bond Registrar to be endorsed on all Bonds shall be executed as provided hereinafter In case any officer of the County or the Local Government Commission of North Carolina whose manual or facsimile signature shall appear on any Bonds shall cease to be such officer before the delivery of such Bonds , such manual or facsimile signature shall nevertheless be valid and sufficient for all purposes the same as if such officer had remained in office until such delivery , and any Bond may bear the manual or facsimile signatures of such persons as at the actual time of the execution of such Bond shall be the proper officers to sign such Bond although at the date of such Bond , such persons may not have been such officers No Bond shall be valid or become obligatory for any purpose or be entitled to any benefit or security under this resolution until it shall have been authenticated by the execution by the Bond Registrar of the certificate of authentication endorsed thereon Section 6 The Bonds and the endorsements thereon shall be in substantially the following form [ Front Side of Printed Bonds ] No R - ____ _________________ United States of America State of North Carolina COUNTY OF JOHNSTON , NORTH CAROLINA General Obligation School Bonds , Series 2019 MATURITY DATE INTEREST RATE CUSIP February 1 , 20__ ______________ ____________ The County of Johnston , North Carolina the “ County ” , is justly indebted and for value received hereby promises to pay to __________________________________________ or registered assigns or legal representative on the date specified above or earlier as hereinafter referred to , upon the presentation and surrender hereof , at the office of the Director of Finance of the County , currently at Johnston County Office Building , 207 E Johnston Street , Smithfield , North Carolina 27577 the “ Bond Registrar ” , the principal sum of ________________________ DOLLARSPage4772 May 6 , 2019 – 10 00 am Continued and to pay interest on such principal sum from the date hereof or from the August 1 or February 1 next preceding the date of authentication to which interest shall have been paid , unless such date of authentication is an August 1 or February 1 to which interest shall have been paid , in which case from such date , such interest to the maturity hereof being payable on February 1 , 2020 and semiannually thereafter on August 1 and February 1 in each year , at the rate per annum specified above , until payment of such principal sum The interest so payable on any such interest payment date will be paid to the person in whose name this Bond or the previous Bond or Bonds evidencing the same debt as that evidenced by this Bond is registered at the close of business on the record date for such interest , which shall be the 15th day whether or not a business day of the calendar month next preceding such interest payment date , by check mailed to such person at his address as it appears on the bond registration books of the County Both the principal of and the interest on this Bond shall be paid in any coin or currency of the United States of America that is legal tender for the payment of public and private debts on the respective dates of payment thereof For the prompt payment hereof , both principal and interest as the same shall become due , the faith and credit of the County are hereby irrevocably pledged [ Printed Bonds are to include the following paragraph ] ADDITIONAL PROVISIONS OF THIS BOND ARE SET FORTH ON THE REVERSE HEREOF AND SHALL FOR ALL PURPOSES HAVE THE SAME EFFECT AS IF SET FORTH HERE [ Reverse Side of Printed Bonds ] This Bond is one of an issue of Bonds designated “ General Obligation School Bonds , Series 2019 ” the “ Bonds ” and issued by the County for the purpose of providing funds , with any other funds necessary , for the acquisition , construction and equipping of modifications , renovations , additions , improvements and extensions to existing school facilities and or one or more new buildings or other school facilities in Johnston County This Bond is issued under and pursuant to The Local Government Bond Act , as amended , Article 7 , as amended , of Chapter 159 of the General Statutes of North Carolina , an order adopted by the Board of Commissioners the “ Board ” of the County which has taken effect as provided by law , and a resolution duly passed by said Board the “ Resolution ” The Bonds maturing prior to February 1 , 20__ are not subject to redemption prior to maturity The Bonds maturing on February 1 , 20__ and thereafter may be redeemed , at the option of the County , from any moneys that may be made available for such purpose , either in whole or in part on any date not earlier than February 1 , 20__ , at a redemption price equal to 100 of the principal amount of the Bonds to be redeemed , together with interest accrued thereon to the date fixed for redemption , without premium If less than all of the Bonds of any one maturity shall be called for redemption , the particular Bonds or portions of Bonds of such maturity to be redeemed shall be selected by lot in such manner as the County in its discretion may determine ; provided , however , that the portion of any Bond to be redeemed shall be in the principal amount of 5,000 or some whole multiple thereof and that , in selecting Bonds for redemption , each Bond shall be considered as representing that number of Bonds which is obtained by dividing the principal amount of such Bond by 5,000 If less than all of the Bonds stated to mature on different dates shall be called for redemption , the particular Bonds or portions thereof to be redeemed shall be called in such maturities and amounts of those maturities as shall be determined by the County Not more than 60 days nor less than 30 days before the redemption date of any Bonds to be redeemed , whether such redemption be in whole or in part , the County shall cause a notice of such redemption to be filed with the Bond Registrar and to be mailed , postage prepaid , to the registered owner of each Bond to be redeemed in whole or in part at the address of said owner appearing upon the registration books of the County Failure to mail such notice or any defect therein as to any Bond or portion thereof shall not affect the validity of the redemption as to any Bond or portion thereof for which such notice was given as required hereby On the date fixed for redemption , notice of such call for redemption having been given as aforesaid and not revoked as hereinafter provided , the Bonds or portions thereof called for redemption shall be due and payable at the redemption price provided therefor , plus accrued interest to such date If moneys for payment of such redemption price and the accrued interest are held by the Bond Registrar as provided in the Resolution , interest on the Bonds or the portions thereof called for redemption shall cease to accrue , such Bonds or portions thereof shall cease to be entitled to any benefits or security under the Resolution or to be deemed outstanding , and the registered owners of such Bonds or portions thereof shall have no rights in respect thereof except to receive payment of the redemption price thereof , plus accrued interest to the date of redemption If a portion of this Bond shall be called for redemption , a new Bond or Bonds in principal amount equal to the unredeemed portion hereof will be issued to the registered owner hereof or the legal representative of said owner upon the surrender hereof The County shall have the right to revoke any call of Bonds for redemption if , on or prior to the third 3rd business day preceding any date fixed for redemption of Bonds , the County gives written notice to the Bond Registrar and the registered owner of each Bond theretofore called for redemption that the County has elected to revoke its call of such Bonds for redemption [ The following four paragraphs are to be included in the form of Bond so long as the Bonds are being issued pursuant to a book - entry system ]Page5773 May 6 , 2019 – 10 00 am Continued The Bonds initially are being issued by means of a book - entry system with no physical distribution of bond certificates to be made except as provided in the Resolution Initially one fully registered bond certificate for each stated maturity of the Bonds , in the aggregate principal amount of the Bonds of such stated maturity and registered in the name of the Securities Depository Nominee as defined in the Resolution , a nominee of the Securities Depository as defined in the Resolution , is being issued and required to be deposited with the Securities Depository and immobilized in its custody The book - entry system of the Securities Depository will evidence positions held in the Bonds by the Securities Depository’s participants , with beneficial ownership of the Bonds in the principal amount of 5,000 or any whole multiple thereof being evidenced in the records of such participants Transfers of beneficial ownership will be effected on the records of the Securities Depository and its participants pursuant to rules and procedures established by the Securities Depository and its participants The County and the Bond Registrar will recognize the Securities Depository Nominee or the Securities Depository , as the case may be , while the registered owner of this Bond , as the owner of this Bond for all purposes , including payments of principal of , and redemption premium , if any , and interest on , this Bond , notices and voting Transfer of principal and interest and any redemption premium payments to participants of the Securities Depository will be the responsibility of the Securities Depository , and transfer of principal and interest and any redemption premium payments to beneficial owners of the Bonds by participants of the Securities Depository will be the responsibility of such participants and other nominees of such beneficial owners The County and the Bond Registrar will not be responsible or liable for such transfers of payments or for maintaining , supervising or reviewing records maintained by the Securities Depository , its participants or persons acting through such participants While the Securities Depository Nominee or the Securities Depository , as the case may be , is the owner of this Bond , notwithstanding the provisions hereinabove contained , payments of principal of , redemption premium , if any , and interest on this Bond shall be made to the Securities Depository Nominee or the Securities Depository , as the case may be , by wire transfer in immediately available funds to the account of said holder as may be specified in the bond registration books maintained by the Bond Registrar or by such other method of payment as the County may determine to be necessary or advisable with the concurrence of the Securities Depository Further , so long as a book - entry system is used for determining beneficial ownership of Bonds , redemption notices shall be given to the Securities Depository Nominee by certified or registered mail or by such other method as the County may determine to be necessary or advisable with the concurrence of the Securities Depository In addition , so long as a book - entry system is used for determining beneficial ownership of Bonds , if less than all of the Bonds of any one maturity shall be called for redemption , the Securities Depository shall determine by lot the amount of interest of each direct participant of the Securities Depository in the Bonds within such maturity to be redeemed In certain events , the County may replace the Securities Depository at the time with another qualified securities depository In certain events , the County may discontinue the book - entry system and deliver replacement Bonds in the form of fully registered certificates in the denomination of 5,000 or any whole multiple thereof in exchange for the outstanding Bonds as provided in the Resolution At the office of the Bond Registrar , in the manner and subject to the conditions provided in the Resolution , Bonds may be exchanged for an equal aggregate principal amount of Bonds of the same maturity , of authorized denominations and bearing interest at the same rate The Bond Registrar shall keep at its office the books of the County for the registration of transfer of Bonds The transfer of this Bond may be registered only upon such books and as otherwise provided in the Resolution upon the surrender hereof to the Bond Registrar together with an assignment duly executed by the registered owner hereof or his attorney or legal representative in such form as shall be satisfactory to the Bond Registrar Upon any such registration of transfer , the Bond Registrar shall authenticate and deliver in exchange for this Bond a new Bond or Bonds , registered in the name of the transferee , of authorized denominations , in an aggregate principal amount equal to the unredeemed principal amount of this Bond , of the same maturity and bearing interest at the same rate The Bond Registrar shall not be required to exchange or register the transfer of any Bond during a period beginning at the opening of business 15 days before the day of the mailing of a notice of redemption of Bonds or any portion thereof and ending at the close of business on the day of such mailing or of any Bond called for redemption in whole or in part pursuant to the Resolution It is hereby certified and recited that all acts , conditions and things required by the Constitution and laws of North Carolina to happen , exist and be performed precedent to and in the issuance of this Bond have happened , exist and have been performed in regular and due form and time as so required ; that provision has been made for the levy and collection of a direct annual tax upon all taxable property within the geographic boundaries of the County sufficient to pay the principal of and the interest on this Bond as the same shall become due ; and that the total indebtedness of the County , including this Bond , does not exceed any constitutional or statutory limitation thereon [ The following paragraphs through the Certificate of AuthenticationPage6774 May 6 , 2019