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HomeMy WebLinkAboutMinutes COM 12-04-18 Tom motions to approve Docket No. 18090015,Laura seconds,motion passes 4-0. 2. Docket No. 18110005 ADLS: Riverview Health Urgent Care& ER The applicant seeks site and building design approval for a new healthcare facility. This is the previous location of the Fifth Third Bank.The address is 14585 Hazel Dell Parkway. It is zoned PUD/Planned Unit Development within the Riverview Medical Park PUD(Z-410-03)and is not located within any Overlay Zone. Filed by Mark Leach of Faegre Baker Daniels LLP on behalf of EQ Hazel Development, LLC. Petitioner: Steve Hardin(Faegre Baker Daniels LLP),Anthony Zerre(Equity),Jared Stark(Intuitive Health),& Mark Leach(Faegre Baker Daniels LLP) • Steve Hardin-We are not seeking a vote tonight,but are here to provide insight regarding the petition. We expect to return for the January 3`d Commercial Committee(Committee).The site is the current vacant building at the corner of 146th St.and Hazel Dell Parkway,the former bank branch.The remainder of the development is mostly medical and health care related.The current proposal is to tear down the existing building and build a new medical facility. Greater connectivity will be provided to the campus. • Jared Stark-The concept is a free standing emergency department and urgent care center.Medical care is experiencing increased costs across the country.About 70%of all emergency room(ER)visits are unnecessary. Many of the ER services can be provided at a cost effective urgent care facility. Recently I had the option to take my daughter to either an urgent care which costs around$200- $250 or an ER which would cost around$2,500-$3,000. • Steve Hardin-The submitted Packet contains the site plan,architecture,and landscape plan. We did receive Staff comments. Our team has worked through the Staff comments and we are comfortable that appropriate changes can be made,to Staffs satisfaction,by the January 3rd Committee. Two issues need to be worked on with Staff before the o The aerial under Tab 2 shows a number of evergreen trees within the Hamilton County(County) right-of-way(ROW)as a buffer to residential neighbors. We worked with Staff regarding the removal of the trees to obtain better visibility. The County Highway Department is in support of removal of the trees. We have worked with Staff to provide an appropriate landscape plan. We have not had an opportunity to speak to the Urban Forester yet. o Staff has also asked for a more comprehensive sign plan for the site. We have decided to not seek a variance for the third wall sign. • Steve Hardin-The Planned Unit Development(PUD)standards require similar complimentary architecture to existing buildings in the campus. The first version of the PUD included a more modern building. We have worked with Staff to create a building with both modern and existing elements. Department Report: Rachel Keesling • The PUD requires that the building complement existing buildings in the area. Pictures were provided of surrounding buildings in the submitted Packet. More work needs to be done on design, specifically where brick and EIFS is used. • The PUD stipulates that petitions only need to submit ADLS Amendment reviews through the Committee. • There is a landscaping easement along Hazel Dell Parkway which needs to be worked around. 146th St. is in the County's jurisdiction. Hamilton County is comfortable with removing the trees; however the Urban Forester is not. • The petitioner is providing a vehicular connection to the buildings to the east.The building is pulled up to the corner and parking is provided in the rear and side. • Review of wayfinding signage will occur when provided to Staff. • Another change requested was moving the dumpster to the west so it was not one of the first things seen when entering the site. • An updated site plan has been provided. • The entrance off the combined drive will remain. • Staff recommends that the petition is continued to the January 3`d Committee meeting. Commercial Committee Minutes 12-04-18 2 Committee Comments: Laura Campbell • Councilwoman Sue Finkam asked about the future round-a-bout plans for this intersection.Have you worked with the County Highway Department?She was concerned about the proximity of the building to the intersection. • Mark Leach-The County has not worked with us. • Rachel Keesling-Staff is working with Hamilton County to obtain the plans for the intersection.There is more right-of-way at the north section of the intersection. • Steve Hardin-At Technical Advisory Committee(TAC)no one mentioned needing additional ROW. We will have an update for you at the next meeting. • Sue Finkam's concern was additional ROW will be needed and the building would then be too close to the round-a-bout. • Tom Kegley-If a round-a-bout is built;I would be concerned about the main driveway entrance. • I learned that up until 10 pm the ER is charged at the urgent care rate?Is this still the case with this new facility? • Jared Stark-It will not take the place of that. Tom Kegley • A new trend is emerging with the aim to keep people out of hospitals and instead provide alternate means of healthcare. In the wings is the 96th St. and Spring Mill Rd.hospital project which will come back. Will the emergency care be for level 1 trauma also or will a patient be triaged and sent to Noblesville, IN or Westfield, IN. • Jared Stark-The facility will not be level 1 trauma and most of the surrounding ERs are not level 1 trauma centers.There are certain patients that this facility is not able to treat based on equipment, physician level,and accessibility to specialists. • Would this be a low level center where a patient is given some treatment and then sent back out again? • Jared Stark-We do transfer patients.The average is one or two a day. Alan Potasnik • Are you planning on having any beds at the facility? • Jared Stark-We will not have any inpatient beds and it is not our purpose or core goal,which is to provide great care at a cost effective manner and high level of service. The amount of time patients spend at the facility is incredibly low. • An ambulance bay and emergency entrance will exist? • Jared Stark-Lab and imaging services will be on site with the appropriate technicians.A physician will be on site 24/7. • This will be a 24/7 facility?With regards to the emergency medical service(EMS)vehicles,the use of sirens will be sensitive to neighbors to the west. Is there a policy to address this? • Jared Stark—Correct. We do not control the policy of the EMS system. EMS personnel know the capabilities of surrounding facilities and will decide where the patient will go based on these two factors? Because we are not a level 1 trauma center,we expect EMS to go to other facilities.The amount of ambulance traffic will be low and most patients will arrive at the facility in their own vehicle or with a loved one. • Tom Kegley-I live in the Reserve at Springmill which backs up to St.Vincent Heart Center.The sirens are turned off as soon as they enter Illinois St. • The hospitals used to control the ambulances to facilities and now the City of Cannel(Cannel)controls ambulances within City limits. • I am assuming that the dumpster is for general trash. Where will medical waste be disposed? Commercial Committee Minutes 12-0418 3 • Jared Stark—The intention of the dumpster is for trash and paper. Biohazard will be stored inside and picked up for disposal. • Rachel, under Tab 2,the Fifth-third bank will be torn down and the new building will be pushed closer to the intersection?The existing entrance is between the Fifth-third bank and the church parking lot. If an EMS vehicle entered the property what side of the building would it go to? • Rachel Keesling-It would go to the south.The main entrance off of Hazel Dell Parkway and 146th St. are the exact same.The ambulance entrance is on the southern portion of the building.The main patience entrance is at the northeast corner. • Anthony Zerre-For clarification,the south entrance is just ambulatory pick-up. It is not a drop off.The north entrance is the ambulatory drop-off. • There will be no changes to the entryway to the south;this will still serve the office buildings to the east of the site?There is an exit onto 146th St.also? • Anthony Zerre-Correct.Yes,that is further east on the campus. Tom Kegley • Where is the actual emergency entrance located? • Anthony Zerre-Patient drop-off is on the northeast corner of the building. Alan Potasnik • Rachel you mentioned in the Department Report something about the architectural design. Can you please explain this in more detail? • Rachel Keesling-When you look at the building elevations,the amount of EIFS is relatively in check. However,when you look at the south end of the building there is an expansive EIFS feature. I want to push the brick further up to follow the roofline and ridges in order to reduce the amount of EIFS on the building.There is flexibility in the PUD to provide a greater design aesthetic. • Anthony Zerre-We did include those changes in the dumpster enclosure,mechanical screening areas,and generator enclosure. • Rachel Keesling-I asked the petitioners to follow the design of the building with a base middle and top for the enclosures and screening areas. Brick walls will be used to cover the generators on the south end of the building. • Was there no bike parking to begin with? • Rachel Keesling-There was not,but there will be. John Adams • Do we have approval authority or does this petition need to be approved by Plan Commission? • Rachel Keesling-The PUD stipulates only Committee approval is needed.There will be a variance request for building size. Over 11,000 sq. ft. is requested and sq. ft. shall not exceed 8,000. Signage will be revised to be in compliance. • The petitioner has done a great job of integrating the building with the existing infrastructure. Alan Potasnik • The office buildings to the east,are they owned by Riverview? • Anthony Zerre-The buildings directly east are private practices,but the buildings just east of that are owned by Riverview. • Are there plans to do anything with the southern stub street? • Anthony Zerre-No. This item will be continued to the next Commercial Committee meeting on Tuesday January 3,2018. Commercial Committee Minutes 12-04-18 4