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September 22, 2014
September 2212014 PEC Record TOWN OF VAIL ` PLANNING AND ENVIRONMENTAL COMMISSION September 22, 2014 at 1:00pm TOWN COUNCIL CHAMBERS / PUBLIC WELCOME 75 S. Frontage Road - Vail, Colorado, 81657 MEMBERS PRESENT Henry Pratt Michael Kurz Luke Cartin Pam Hopkins Webb Martin John Rediker Dick Cleveland Site Visit: None MEMBERS ABSENT 75 minutes A request for a recommendation to the Vail Town Council on the adoption of the Vail Valley Medical Center Master Plan, to establish a comprehensive redevelopment plan for the Vail Valley Medical Center, Lot 10 (Town of Vail parking lot), and US Bank Building, located at 181 and 281 West Meadow Drive and 108 South Frontage Road West/ Lots E, F, and 10 Vail Village Filing 2, and Lot D-2, A Resubdivision of Lot D Vail Village Filing 2, and setting forth details in regard thereto. (PEC140011) Applicant: Vail Valley Medical Center, represented by Braun and Associates Planner: Warren Campbell ACTION: Continued to October 13, 2014 MOTION: Kurz SECOND: Cartin VOTE: 6-0-1 (Cleveland recused) Community Development Director George Ruther discussed the structure of the review process and a proposed schedule. He outlined how different components of the proposal would be reviewed at different times in an orderly fashion. He discussed a definitive time frame for the review with an established end date. In conclusion he reiterated the PEC role in the process as a recommending body. Outlined the purpose of the master plan and its eventual incorporation into the TOV comprehensive plan. Warren Campbell provided an outline of the goals of the meeting and anticipated format. Campbell quickly walked through what was included in the staff memorandum with special attention to loading/delivery and a background of previous public hearings. Doris Kirchner, President and CEO of VVMC, provided an introduction to the project and how it relates to healthcare in the community. Tom Braun, planning consultant for the VVMC, discussed the proposed outline. Discussed the expectations of the master plan and what is appropriate at the master plan level vs. the CUP process. Braun discussed the proposed loading and delivery and Meadow Drive. Braun provided an overview of the use of Meadow drive by all users. Discussed previous planning efforts involving Meadow Drive and the current conditions. Challenges presented by lack of a back -of - house for dedicated deliveries. Compared loading and delivery conditions at VVMC to other existing conditions in Vail Village. Page 1 Mark Bunnell, traffic engineer for Turnkey Consulting, outlined his traffic analysis of West Meadow Drive. He walked through traffic count numbers for the various types of users. Tom Braun discussed the challenges with moving the loading and delivery to the frontage road. He spoke to the various users of the access off of the Frontage Road including ambulances, patient drop-off, parking access for quests and employees. He further spoke to the challenges of getting a loading and delivery vehicle through the anticipated parkgin structure and moving materials throughout the hospital. He contrasted the situation at VVMC with other properties such as the Sebastian and Solaris. Discussed the length of the various frontages adjacent to the Frontage Road. Spoke of the design challenges. Russ Sedmak, architect for the VVMC, spoke of a sense of entry and other requirements of a medical center front door. Elements included design, wayfinding, signage and the need for the design to be intuitive and not complicated. Showed examples of other medical centers (Steamboat, Boulder and Summit) and how loading, emergency and front door accesses are separated. Russ contrasted these facilities with the Vail situation. Russ walked through the proposed vehicle site access. The separation of public versus service corridors was presented and its necessity for a functional situation. Russ spoke to the need for loading and delivery to occur off of West Meadow Drive for varied reasons. Russ outlined how the service entry along Meadow drive would function. Alternatives that were explored were shown. Tom Braun spoke to the possibilities of shared facilities and the challenges with scheduling and unknowns with other users. Coordination challenges were presented. Braun wrapped up what the VVMC is proposing and why. Commissioner Cartin asked what would happen to loading and delivery trip counts at build out. Tom Braun answered that it was anticipated that there would be no more trips but each delivery may include a greater amount of material. Commissioner Cartin asked about service vehicles that need additional time. Tom Braun provided greater detail on expected deliveries and delivery types. Commissioner Pratt asked for additional numbers related to ambulances and other vehicles accessing the site. Tom Braun spoke to the various user and their frequency. Commissioner Martin asked about access to the west parking lot. Commissioner Rediker asked about traffic control tot eh west parking lot. Tom Braun spoke to the access control measure to the west parking lot for laoding and delivery of larger trucks only. Commissioner Kurz mentioned the dynamics of West Meadow and how it functions as a link between Vail Village and Lionshead. Commissioner Pratt asked about full size semis. Page 2 Tom Braun and Russ Sedmak spoke to the occasional deliver of mattresses using a full sized semi truck. He mentioned that a plan would be developed to use the west parking lot similar to what was described for the oxygen semi delivery. Commissioner Cartin spoke to screening of activities in the surface parking lot. Tom Braun again mentioned the division between master plan and CUP levels of detail. Commissioner Pratt opened the public hearing to public comment. Peter Knobel spoke to the needed for cooperation between the Evergreen and the VVMC. Jim Lamont provided a collection of photos showing existing loading and delivery practices. Spoke to expectation and the challenges to master planning dynamic situations. Jim spoke to challenges with existing loading and delivery functions with the Vail Front Door project and the village as a whole. The provided photos demonstrated loading and delivery challenges and the multitude of users on West Meadow Drive. The photos depicted several instances of large delivery vehicles providing service to the site block the pedestrian sidewalk and the street. Construction traffic and staging was broached. Jim wrapped up by explaining his previous comments about moonlighting, sunshine and the need for public monies to assist with this challenge, particularly for the use of a loading and delivery facility. Mery Lapin, resident of 232 W. Meadow, spoke to the steps the hospital has made with the master plan. Spoke to the management challenges of changing people's habits. Spoke to the Towns role in policing future problems and what the steps should be if the hospital does not do what it says. Mery also spoke to the ability of the hospital to restrict access to certain vehicles and forbid certain size trucks. Mery compared the situation to the helicopter flight path and the success of communication. Discussed Lot 10 and its use and his desire that the town not sell but rather lease. Spoke of the short sightedness of putting town owned properties at risk. Questioned the periodic arrival of the generator truck and its use in the future. Spoke to the use of the US Bank frontage and that is should be studied and included in the master planning process. Warren Campbell stated that the question that needs to be answered is: "Should loading and delivery be prohibited from West Meadow Drive entirely or is there a circumstance or conditions whereby loading and delivery could be permissible on West meadow Drive?" Commissioner Martin inquired if the hospital had a receiving coordinator. Tom Braun stated that there was not currently a laoding and delivery manager and the challenges without an existing formalized dock. Commissioner Martin observed that the proposed dock may be undersized and questioned the sequencing of construction activities. Tom Braun provided the proposed sequencing and anticipated further discussion. Commissioner Rediker asked about the inconsistencies between the provided loading and delivery traffic studies and the photos presented by Jim Lamont showing larger trucks. Mark Bunnell stated that the photos did exhibit trucks larger than had been communicated to him as providing deliveries. The team would need to go back and examine the provided data. Page 3 Commissioner Kurz spoke to the challenges of the site and the neighborhood and if an offsite warehouse may be an option. Spoke to town responsibilities related to traffic and pedestrian flow and its lack of effective management. Commissioner Hopkins spoke to perhaps the hospital is creating their own constrictions by not fully including the US Bank property and the west parking. Spoke to limiting services to limit impacts. Commissioner Cartin spoke to the use of the west parking lot for over sized vehicle use and that only accommodating certain vehicles indoors is short sighted. Spoke to using streetscape improvements to limit non permitted loading and delivery. Spoke to triggers in the plan that would require reevaluation of certain components including loading and deliveries. Commissioner Pratt spoke to the PEC not being confined to the status quo. Spoke to ideas that have not been presented. Planned loading facility is undersized. Spoke to issues that are not being fully addressed concerning loading and timing. Pratt encouraged an alternative approach be examined to take the loading access from the internal courtyard to internalize the operation and not have extraneous impacts along the public way. Proposed a ramping solution which would provide one-way access of the Frontage Road and exiting via Meadow Drive. Page 4 Val"I Valley Medical Center Extraordinary People. Extraordinary Care. Extraordinary Facilities. Presentation of Facilities Master Plan Vail Planning and Environmental Commission September 22, 2014 AoIV�kRA I design l %.NP JI' ANOLNG & Cr?MMdk)NITY QFYLLUP%ii NT 'M Today's Agenda am 1. Introductions —Tom Braun 2. Response to Previous Questions - Tom Braun 3. Overview of Meadow Drive/Proposed Loading and Service Functions — Tom ..1 4. Meadow Drive Traffic Analysis— Mark Brunell 5. Design Considerations — Russ Sedmak 6. Wrap Up — Tom Braun i u?17 � } l " N moor Introduction Meadow Drive/Loading and Delivery Staff "Planning Considerations" "Provide for adequate on-site loading and delivery services which minimizes negative impacts on the neighborhood. Special consideration should be given to re -locating this use to gain access to the VVMC Campus from the South Frontage Road". "Minimize the number of vehicle trips on West Meadow Drive to improve the pedestrian experience along the street". Introduction Tom'��S -r—TOV Buses (240) ,,,,-----Background/ Neighborhood traffic (294) r' ♦ � pin7. `VVMC Loading (58) ,- est Lot (1400) - Big picture — peak day in winter west lot spins off +/-1400 trips. With completion of east wing that number is 58 What that means to Meadow drive can not be overstated otentiaf_-StLttdQor �_�dining patio kandscap screening Vv� eadow Drive / Streetsca Introduction -Varied roof heights - and building offsets along Meadow Drive New pedestrian access to hospital at existing bus stop Diagram Enclosed Loading/Service tJ Facililty New pedestrian connection to N 11 frontage road Landscape screening Introduction Streetscape Master Plan Vehicular traffic was a primary concern. There was a strong need to reduce volume of vehicular traffic on this street. Most agreed that mixing the exi.ating volume of vehicular and pedestrian traffic in the roadway was inappropriate because of safety concerns. In PiM- 7 It was obvious from the first design study that all of the proposed oplaons for the Streetscape improvements would need to leave the existing vehicular circulation patterns intact. This was due to the number of private homes on the street and the need to maintain adequate access for Town buses and emergency vehicles. West Meadow Drive is a long, gently curving street that has an open feel due to generous setbacks of the surrounding buildings. It is used by Town buses and private vehicular traffic. Because there is no curb and gutter or continuous sidewalk, pedestrians and vehicles share the street. This mixing of pedestrians and vehicles has raised safety questions. The problem is further complicated by the inclusion of emergency traffic (i.e. ambulances) for the hospital. The streetscape design for West Meadow Drive will require accommodating these sometimes incompatible uses. Streetscape Master Plan MEADOW DR. SECTION B WEST MEADOW DRIVE Meadow Drive �• r E i a •- fix. ML-ZWW- I F r 47- w, ,q*, r e . 3 ;_4 — -agi- - � � ° iiH i jhyo' Ri► $' , Y --6;1--% adow Drive a l �- i Overview of Loading and Meadow Drive i 4' c - � h � 4 �l I + y 1 y P` a 7W, 44 -now 0 pop i - t Meadow Drive Traffic Analysis w - —TOV Buses (240) ----Background 1 Neighborhood traffic (294) VVMC Lading (58) • Meadow Drive Traffic Analysis Table 1 — VVMC Delivery and Service Trips on West Meadow Drive Vehicle Type Peak Hour Traffic Volume 1,2 (vehicles per hour) Daily Traffic Volume' (vehicles per day) AM Peak Hour (7:30 am — 8:30 am) PM Peak Hour (4:00 pm — 5:00 pm) Delivery 6 8 503 Service 4 2 2 8 Total 8 14 58 Motes: 1. The Peak Hour and Daily Traffic Volumes represent the total number of trips IN and trips OUT; for example, the Total Daily Traffic Volume of 58 for Delivery and Service Vehicles represents 29 vehicles that make 29 trips IN plus 29 trips OUT for a total of 58 daily trips. 2. The AM and PM peak hours are based on the peak hours at the Vail Road and West Meadow Drive intersection; the highest hour for delivery and service vehicles to/from the VVMC is 12 vehicles per hour and occurs from 10 am to 11 am. 3. 6 of the 50 trips are made by large trucks (one garbage truck, and two small semi -trucks with trailers); the rest of the trips are made by large vans. 4. The service vehicles are pick-up trucks or large vans. Meadow Drive Traffic Analysis Vendor Deliveries: -1p.m. - 10amand4pm Hospital Couriers -Passenger Van Materials Manage mem-Panel Van Mond.y: -8:2bam, 10:20—, i2:20pm, 2:20pm, 4:20pm - 1 P.M. PHS - Pa nal Van Hospital Shuttles - Passenger Va.n Hospital Couriers -Passenger Van - 17 - 7:00 AM, S:OD AM, 4:00 AM, 50:00 AM, 1130 AM, 1230 PM, 1:35 PM, 2: - 8:20a m, 10:20am, 12:20pm, 2:20pm, 4:20pm Stericycle - Panel Van 3:35 PM, 4:35 PM, 5:35 PM, 7:30 PM, 8:30 PM (approximates per schedut Hospital Shuttles - Passenger Van - 5 a.rn. 7:00 AM, 8:00 AM, 9:00 AM, 10:00 AM, 11:3D AM, 12:30 PM, 1:35 PM, 235 PM, Freshpolnt - Panel Van clay- WrdnrsPHS 3:35 PM, 4:35 PM, 5:35 PM, 7:30 PM, 8:30 PM ((approximates perschedule) In tween4.m-7am PHS -Panel Van G&K -Panel Van -2a'm' Friday: -6a,m. Freshpoint - Panel Van PHS - Panel Van Vail Honey Wagon- Garbage Truck - between 4am - 7am -7a:m. G&K -Panel Van -2 a.m. Alaco -Panel Van -6a.m. Freshpoint -Pa nal Van - between Bam -Ilam Vail Honey Wagon - Garbage Truck - between 4am -7am Scryker-Panel Van - 7 a.m.. G&K -Panel Van - between 7am -gam Stryker- Panel Van- 6 a.m. USPS -Postal Van -between 7am -9am Vail Honey Wagon -Garbage Truck -9 a.m. USPS -Postai Van - 7 a.m. Ped£x - Panel Van - 9 a.m, Stryker -Panel Van -10am and 4pm FedEx -Panel Van -hetween 7.. -9.m UPS - Panel Van - 10am and 4pm Coke - Seml Trailer and -loam and 4pm UPS -Panel Van - between Sa-10a Meadow Gold nel Van - 10am and 4pm Recall Document Destruction -Panel Van - between 10am-7pm Pepsi -Semi Trailer -between Bam-12pm Robinson Dai -Panel Van ry -between loam-12pm USPS -Postal Van - between 10am- 2pm Materials Management - Panel Van - 9 a.m. Alpine Vending -Panel Van '1p_m. FedEx -Panel Van -between loam-lpm Hospital Couriers -Passenger Van - 10ama cl Western slope water -Panel Van -8:20am, 10:20am, 12:20pm, 2:20pm, 4:20pm UPS -Panel Van -between 9am-12pm Hospital Shuttles - Passenger Van Materiab Management Panel Van -7:O0 AM, 8:00 AM, 9:00 AM, 10:00 AM, 1130 AM, 12:30 PM, 1:35 PM, 2: - 1Dam and 4pm - 1 p.m. 3:35 PM, 4:35 PM, 5:35 PM, 7:30 PM, 8:30 PM (apprvxlrnates per schedui Meadow Gold Bakery • Panel Van Hospital Couriers -Passenger Van -between loam-2pm &:20a m, 10:20. m, 1220pm, 2:20pm, 4:20pm Thursday: Robinson Dairy- Panel Van Hospital Shuttles - Passenger Van PHS - Panel Van - between 10am - 2pm - 7;00 AM, 8:00 AM, 9:00 AM, 10:00 AM, 11:30 AM, 12:30 PM, 1:35 PM, 235 PM, a.m. - 2.. . Materials Managemem - Panel Van 3:35 PM, 4:35 PM, 5:35 PM, 7:30 PM, @30 PM (approdmates per schedule) Syse. - Panel Van - 1 p.m. -between 4am-9arn Hospital Couriers -Passenger Van Tuesday: Sterirycle -Panel Van -8:20. m, 1020am, 12:20pm, 2:20pm, 4:20pm PHS- Panel Van - 5 a.m. Hospital Shuttles - Passenger Van - 2 a.m- Dietary Towel DelNery -Panel Van -7:DOAM, 8:00 AM, 9:OOAM, 10:OOAM, 11:3DAM, 12:30 PM, 1:35 PM, 2:35 PM, Sysco - Panel Van - 6am 3:35 PM, 4:35 PM, 535 PM, 7:30 PM, 830 PM (approximates per schedule) -hetween 4am-9am G&K -Panel Van G&K -Panel Van -6a.m. No Set Schedule las needed): - 6a.m. Vail Honey wagon -Garbage Truck Steam Master - Panel Van Stryker- Panel Van - 7.— - After bpm - between 7am -9am Stryker- Panel Van US Walling -Sei Trailer USPS -Postal Van -between 7am-9am befom -re Gam, day of the week varies and depends on needs - 9 a.m. Alscn -Panel Van Haspirs - Panel Van FedE. -Panel Van - 10am and 4pm -between Sam-17ant West.. Slope Water -Panel Van - before Gam, day of the week varies and depends on needs UPS -Panel Van -tx:tween9am-12p. GE Medical -Panel Van - 10amand 4pm USPS -Postal Van - here at least once a weekand between Sam -2pm - 9 a." Sterl - Panel Van Alpine Air. - Panel Van FedEx -Panel Van - here at least once a weekend between Ram-2pm - No set time - Warn and 4pm HSS (Steriliser Divisions -passenger cars Matedela Managemem- Panel Ven UPS -Panel Van - here one day a week, and between hours of Ram-2pm �����������������0 � ����������0������� � ���C�����0�������� � ���C�����0�������� � ����������������1� � ��������1�������1� � ������0����������� � ���0�0�0�0�0������ � Meadow Drive Traffic Analysis Table 2 — Compare VVMC Traffic Volumes on West Meadow Drive Traffic Volume Source Peak Hour Traffic Volume (vehicles per hour) Daily Traffic Volume (vehicles per day) AM Peak Hour (7:30 am - 8:30 am) PM Peak Hour (4:00 pm - 5.00 pm Background Traffic Passenger Vehicles 33 81 2941 Buses 142 202 2402 Total 47 101 536 VVMC Traffic (Delivery and Service Vehicles onl 8 10 58 Total (Background + VVMC 55 111 594 VVMC as % of Total 15% 9% 10% Notes: 1. The daily traffic volume on West Meadow Drive is not known; the 294 vehicles per day was estimated using the ITE Trip Generation Manual (ITE Land Use 260 Recreational Homes; there are 93 residential units that access West Meadow Drive). 2. Bus numbers estimated based on frequency/headway information provided by Vail Transit. Overview of Loading and Meadow Drive Overview of Loading and Meadow Drive Overview of Loading and Meadow Drive Ac- Jw Vs lk f ter, L y a -Oda L Overview of Loading and Meadow Drive ��,, W _ p lh. .Vill, 46 Al165, ad .�+ 11 kAL r l � A l M 4 OL i lit 'A � r .A.,N1 ti , l PARK CITY MEDICAL CENTER )SPITAL AKW IL I pp- 5� sI1l� u�+Poo i=sd kL CENTER t Ss Z - � • ice" 94 f + Y..�-. ' , �i[ - .'G�-I� s _ J' . 1 _ a • . •�'' '� � �� � . � .� t � -' ter'';(. _ �.� 'r ice`` '. # : p .� ..,:� � � .�� f• � „ },. - v " F. N' 1 - An - 000 • • - R r t t��f ,n� - it -M jca nter.:, 14 !:AP JT 40 Jr r �r „ Gtr/• .e°`�; _ � - � �{� � N.,i� r Y�.J �.� 1 _ � s L� �_ � 1 SERVICE �1VTRY MAIN :;OIEM 1C CYENTROF x ,; a - ;ANCE VMC SERVICE ENCLOSURE SCALE 1:30 I ]3.83 pp *= za 00 a. 17.87su-30 f t Wayne Man 81atn : am Track : 8.00 feet Lack to tort. llme : 6.0 wkfth :8.46 Steering Angle : 31.8 Track :8.00 Lock to L. Tl :6.0 Steer&og Angle :48.0 I i i ......... ARDIO / CENTRAL i oj - -•_._. _. UC. WAIT UTILITY S.P.R.I. AN I (E) 500 SFx x PLAN SF i r- - - - ------------ ---_---_--- NT - CY -PULMONARY CARDIO- MATERIALS MGT. i SERVICE i ' 2,920 SF YARD (E} 141'-4" 6,075 SF � SKAAL HUS CONDOS CARDIO- _ ,�0 5� i i .r li ULM©NAR Qocx 1,300 SF i ' V? g-30 "SHI 2011 (u5 ---------------------� �rtASH- -- -- O.H DOOR INIC I } ._._._._._. - ._. _. ._._. ------ ne k v _. --------------------------------------------- - ----- a- - - - - �TAFF•- 4DOW WEST MEADOW DRIVE ;ANCE VMC SERVICE ENCLOSURE SCALE 1:30 I ]3.83 pp *= za 00 a. 17.87su-30 f t Wayne Man 81atn : am Track : 8.00 feet Lack to tort. llme : 6.0 wkfth :8.46 Steering Angle : 31.8 Track :8.00 Lock to L. Tl :6.0 Steer&og Angle :48.0 POTENTIAL ROUNDABOUT EMERGENCY/AMBULANCE .' M ACCESS LOOP d I PROPERTY LINE ■ ■ TO EMERGENCY BELOW TO PUBLIC/STAFF/ PARKING BELOW VVMC -ACCESS/ CIRCULATION low \90 . Z OUTBOUND .ULANCETRAF ti ■ rai ENTRANCE PATIENT 1\10 PARKING �I u PUBLIC ELEVATORS PUBLIC CORRIDOR LOBBY �i�r■ilr■til SERVICE ELEVATORS HOSPITAL SERVICE CORRIDOR INTERNAL SERVICE ENCLOSURE LOADIN •■•■■■•■)NO" OC f <i■■■: ■ ■ ■ ■ MEDICAL ■ PROFESSIONAL BUILDING 1 PR0PERT Jaw ■ EMERGENCY PUBLIC SERVICE • SERVICE VEHICLES EMERGENCY/AMBULANCE •� 6 6 61 w r ACCESS LOOP A a PROPERTY LINE _t 41 SERVICE - - - - - - -�� ENCLOSURE ,I as ��WMC -ACCESS/ CIRCULATION SERVICE CONFLICT Al II I ENTRANCE I � I PATIENT 1I PARKING 1 — — — — — PUBLIC ELEVATORS ,4PUBLIC CORRIDOR LOBBY HOSPITAL ERVICE ELEVATOR SERVICE CORRIDOR J all- a, ■ ■ ` 290, �i OUTBOUND 1 lJLANCETRAF ■ ■ � MEDICAL ■ PROFESSIONAL � BUILDING i PROPERT n. EMERGENCY PUBLIC SERVICE APPROXIMATE LOCATION OF - EVERGREEN LODGEBEYOND NEW HOSPITAL ENTRY PLAZA ABOVE PARKING LEVEL 03 PL MAIN LOBBY STRUCTURE nJ ELEV 8179.66' EMERGENCY LEVEL 02 _ I- ELEV 8166.33' ER ICE ENCLOSURE PLANT SERVICES LEVEL01 I _ ELEV 8152.3 OUTLINE OF VVMC PARKING STRUCTURE J - - - - - - - - - - - - - - - - - DIAN .V 8175' FRONTAGE ROAD VVMC SITE NORTH SOUTH SECTION- LOOKING WEST SCALE 1:30 HEERY DESIGN 9-22-2014 APPROXIMATE LOCATION/HEIGHT OF MEDICAL PROFESSIONAL BUILDING -BEYOND NEW HOSPITAL ENTRY PLAZA ABOVE PARKING PL STRUCTURE ELEV 8179' MAIN LOBBY PL LEVEL 03 ELEV 8179.66' EMERGENCY LEVEL 02 PLANT SERVICES SERVICE ENC 09URE ELEV 8166.33' LEVEL 01 ELEV 8152.33' FRONTAGE ROAD L__--_- - LINE OF NEW UNDERGROUND PARKING p - - - VVMC SITE NORTH SOUTH SECTION- LOOKING EAST SCALE 1:30 HEERY DESIGN 9-22-2014 „> la •. � ate+ ' 4' '^ y - Ilk Ik Mob i1611u1UiVT y. . I 1 Wrap Up TL 14F 4 ACT AM'�ME .:. Wrap Up TOV Buses (240) C 1 West Lot (1400) VVMC Loading (58) 4!tl: ".. cop -sm- 0 010i h- Wrap Up TOV End of Presentation VHA Photo Documentation Summary — PEC VVMC Proposed 2014 Master Plan Public Hearing — 09/22/14 ,'A VVMC Loading and Delivery portal prior to Construction of 2012 Enclosure: VMC Loading and delivery portal after construction of L&D enclosure. AN VL 4 y "fir = ,.,� ; -� _ �► • v r �'� � moi✓ op',f�� -44 '� `•' �,,yy, � � .; '�- � Y i 9 1 4,4 IL r .1 yzMr ;,� gra Y ,y�5h �^a .. '`�_ � •�. � �,� •, ,.�� v 1%3 i 's,j.. g?R 'c •~y �1. rte' a.; mit' � +� ••,,` .•+ _ World- Clas- Moving: Special Products Division — lasvanlires.com Jm �'�%.• �'i: • � v. p�1 V -i ,moi. a a Yi ., AA—Ralk I Trucks loading from main pedestrian walkway on West Meadow Drive at VVMC L&D enclosure. A off, x 492 rax �� � I • r rl e t; '*ck I� r,e • l .� I L sr 9 : - - Col., Wit, tit �re�o- - 4T� "WIMP, too. mc� - Sao I Iva dm IL 66 -Ad -, '7 V� � -a "C- ftf - - - m i VVMC Recycling within Loading & Delivery Enclosure est- .. vj k,. � . �~ lawT�,�i �' n �' w•+ `'��euw� ,�'-- ,``,�, '� -� ' yp'r� '`�.. F�.. 1 �,_ �l pf ! viIX 1 11 Ijrn�5 JL K,( ate:` %A" V APT • , ; INTQWN a. j 1 Y •1 ' J - 1 f 1 r h - ' I 1ti� f - 1.. mi r I V. l t -- • �y � � 'ti 4 � � 'icy � '�" rdipto 0 � �� �� � ��� � v � � �+mow tib, , �� � • „ � �X �'�. � �� �i � , ">'"`$ lsii' tl ��Wn. I� 11�I � S• rA err I Alk -Or" i (STQI pp F-Vj s+' II Is 'Po.; As � . ,:.IIP ► ;, �_,.�-... r Fit. � rx H '�1�!- . rk 7y. pI�`1 . , , J7 -` `� � •i*' . it • r ' ►�!� - _pop - l VVMC Construction Staging from L&D enclosure on West Meadow Drive. 3 r AA A N -:4 s � � v''. f., •{ •`�. j a• � tom..-. i Ate' s u tot. +. s � s 0) TOWN OF VAIL' Memorandum TO: Planning and Environmental Commission FROM: Community Development Department DATE: September 22, 2014 SUBJECT: A request for a recommendation to the Vail Town Council on the adoption of the Vail Valley Medical Center Master Plan, to establish a comprehensive redevelopment plan for the Vail Valley Medical Center, Lot 10 (Town of Vail parking lot), and US Bank Building, located at 181 and 281 West Meadow Drive and 108 South Frontage Road West/ Lots E, F, and 10 Vail Village Filing 2, and Lot D-2, A Resubdivision of Lot D Vail Village Filing 2, and setting forth details it regard thereto. (PEC140011) Applicant: Vail Valley Medical Center, represented by Braun and Associates Planner: Warren Campbell DESCRIPTION OF REQUEST The applicant, Vail Valley Medical Center (VVMC), represented by Braun and Associates, is requesting a public hearing with the Planning and Environmental Commission to continue the review of the proposed Vail Valley Medical Center Master Plan (VVMC MP), dated August, 2014. The public hearing will include: • responses by the VVMC to questions raised thus far in the public process, • a discussion of loading and delivery for the redeveloped medical center, • opportunity for public participation, and • a schedule of next steps. As this public hearing will limit the scope of discussion to loading and delivery as just one element of the proposed VVMC MP, staff has not prepared a recommendation for any action by the Planning and Environmental Commission. Town staff will provide a recommendation at the November 24, 2014 public hearing. II. DISCUSSION ITEMS The end result of the master planning process is to create a facilities master plan for the VVMC campus. As such, the plan will be used primarily by VVMC to help guide and direct future decisions for development on the VVMC campus. While many aspects and elements of the plan have little, or no relevance, on the Town of Vail or the immediate neighborhood (i.e., interior layout of the buildings, sequencing of construction, size of the emergency generator, etc.), there are many other aspects or elements of the plan which will. For example, elements such as parking; pedestrian circulation; loading and delivery; bulk, mass and scale; vehicular access, etc. For that reason, it is imperative that input from the community and other potentially impacted parties is taken throughout the master planning process. These design solutions and options for the implementation of these elements will become part of the master plan. Once incorporated into the Vail Land Use, the master plan will be used as a benchmark for evaluating more detailed development plan proposals provided as part of a conditional use permit application. Further, portions of the master plan should be created with the expressed intent and goal of its inclusion in the Vail's Comprehensive Plan. Through its inclusion in Vail's Comprehensive Plan, the master plan becomes pertinent and relevant to future development review processes and actions by the Town. In order to achieve this goal, the Vail Land Use Plan should be amended to include those aspects or elements of the master facilities plan which bear relevance on the Town of Vail and the immediate neighborhood. VVMC Responses to Questions Raised Throuah Public Process The applicant has prepared responses to questions raised to date over the course of the public hearing process. Those questions and responses will be provided and presented at the public hearing. Loading and Delivery Proposed VVMC MP Language The language addressing Loading and Service in the VVMC MP is as follows: Relocating loading and delivery facilities off of West Meadow Drive has been suggested by community members. Moving these facilities to the new South Frontage Road access was studied but deemed infeasible. This is due primarily to grade changes between the South Frontage Road and West Meadow Drive; limited road frontage on the South Frontage Road; the need to accommodate multiple "Front Door" uses (patient and guest drop-off,. ambulance access and a ramp to access hospital parking. The new loading facility is proposed to remain on West Meadow Drive. However, with the redevelopment of the East Wing the loading facility will be entirely enclosed and sized such that vehicles can complete turning movements within the structure. Noise, odor and visual impacts of loading and delivery functions will be mitigated with this new enclosed facility, enhancing VVMC's compatibility with adjacent residential uses. Town of Vail Page 2 Staff has reviewed the proposed VVMC MP language regarding loading and service and has the following comments and questions. Purpose Statement of Loading and Delivery • The proposed VVMC MP language needs to clearly articulate the challenges with regard to providing and locating loading and delivery on the site and solutions that could be developed to address them. The proposed VVMC MP language needs to address opportunities to utilize/incorporate a shared loading and delivery facility with potential existing and future adjacent properties. In several instances shared loading and delivery facilities have proven to result in an optimization in the use of space and reduction in the associated negative impacts of the use. Three potential properties might benefit from this concept. Those are the US Bank Building, Evergreen Lodge, and the VVMC. The proposed VVMC MP language does not provide a clear explanation for why loading and delivery access is appropriate off of West Meadow Drive and cannot be provided off of the South Frontage Road West (Frontage Road). The Frontage Road is an arterial road which is most appropriate to handle large and over -sized vehicles with minimal conflict with other multi- modal users throughout town. West Meadow Drive is a dead end local road/pedestrian link which incorporates several multi -modal users which may be in conflict with larger delivery vehicles. Recent projects such as Solaris, the Sebastian Hotel, and the Four Season Resort have all incorporated shared, enclosed loading and delivery facilities with access off of the South Frontage Road. Solaris has approximately 425 feet of street frontage, Sebastian has approximately 190 feet of street frontage, and Four Seasons has approximately 455 feet of street frontage. Upon review of the development site, including the US Bank Building, VVMC has approximately 300 feet of street frontage. Provide additional details, documentation, and reasoning to address the appropriate location and solutions to address any potential negative impacts of loading and delivery for the VVMC site. • Pedestrian safety is an additional element which should be evaluated in any loading and delivery facility evaluation in conjunction with a future development plan application. • Is it anticipated that trucks larger than what is designed to maneuver within the enclosed loading and delivery bay would need to back into the bays? If so, how would this occur to ensure pedestrian safety? Town of Vail Page 3 Prohibiting loading and delivery in the public roadway or the more pedestrianized areas of Vail is a well stated policy. For instance, the Lionshead Redevelopment Master Plan in Section 4.7, Loading and Delivery, speaks to the importance of prohibiting loading and delivery in the public roadway and pedestrian areas. The Vail Village Master Plan contains goals, policies, objectives addressing the need to limit vehicular traffic in pedestrian areas and provide loading and delivery facilities consistent with the overall "dispersed quadrant" approach to address their negative impacts. Staff believes these policies need to be continued and included within the VVMC MP. The language needs to include statements addressing these concepts and desired outcomes. • It has been the experience of staff that there are multiple vehicles larger than an SU30 (non -articulating truck with a 30 -foot distance between front and rear axles) which visit the site with some regularly. It is important to address these vehicles in more detail and clarity. Several noted examples have been the temporary generator trailer, mobile medical facilities, etc. Loading and Service Vehicle Traffic Report The applicant has provided a traffic report from Turn Key Consulting quantifying Delivery and Service Vehicles on West Meadow Drive, dated September 16, 2014 (Attachment A). This report provides analysis on the overall traffic volumes on West Meadow Drive and VVMC and specific delivery and service volumes. The memorandum states that "it is anticipated that the same number of delivery trucks will visit VVMC — they will just deliver or pick-up more stuff each trip." As a result of this finding the report analyzed existing delivery and service volumes. Table 1 of the report identifies the delivery and service trip volumes at peak times and overall on a per day time period. A trip includes the arrival and departure of a single delivery and service vehicle. It identifies a total of eight (8) AM and ten (10) PM peak trips with a total of 58 trips (29 vehicles) per day. There are several notes below the table to provide background and clarification on elements contained within the table. Table 2 of the report identifies the percentage of VVMC delivery and service vehicle trips as a percentage of the traffic volumes created by the residential properties and town buses on West Meadow Drive. The report states that on a daily basis he VVMC delivery and service vehicle trips account for 10% of the overall vehicle trips on West Meadow Drive. Staff has reviewed the Turn Key report regarding loading and service vehicles and has the following comments and questions. Provide the background research data for the determination of the VVMC delivery and service vehicle trips included in Table 1 as an appendix to the memorandum. Town of Vail Page 4 • Use ASHTO classifications to describe and identify types of delivery and service vehicle visiting the site. • The data included in Note 2 needs to be included as a column in Table 1. • Table 2 needs to be amended to include actual traffic counts in place of ITE trip generation estimates. III. BACKGROUND The idea for a facilities master plan for the VVMC campus rose out of the municipal site redevelopment project. During discussions regarding the municipal site project, a number of land planning opportunities and facility improvement needs were identified. While the municipal site redevelopment project is no longer being actively pursued by the VVMC and the Town of Vail, the need for certain facility improvements on the VVMC campus remains and opportunities for better land planning still exists. Through previous communications with the Town, VVMC has been given conceptual approval to explore master planning options and ideas which may include the use of certain town owned land. More specifically, that land includes the town's municipal site located at 75 South Frontage Road and 281 West Meadow Drive, library parking lot (Lot 10, Vail Village Filing 2). No final decisions on that matter, however, have been reached. On April 8, 2013, the Planning and Environmental Commission the applicant presented conceptual ideas for the creation of the master plan and received input from the Commission on the types of issues which needed to be addressed by the Plan. To that end, a significant amount of time and thought has gone into addressing on-site and off- site traffic circulation, determining the parking need, options for addressing the parking need (both on-site and off-site), loading and delivery options, and construction sequencing. Additionally, further investigation has gone into the potential use of the municipal site and/or Lot 10 to help address the physical and spatial needs of the Vail Valley Medical Center. On May 12, 2014, the Planning and Environmental Commission held a public hearing to address, the planning process, background work that has been completed to date, planning considerations, the format of the master plan document, opportunities for public participation, and a schedule of next steps. In August of 2014, the Vail Town Council and the VVMC decided to exclude the town's municipal site in the VVMC MP as a potential site for parking to meet the requirements of the medical campus. On September 8, 2014, the Planning and Environmental Commission held a public hearing where an introduction to the proposed VVMC MP was presented. The Commission recommended that the project move forward with a clear agenda of topics to be covered at each hearing. This would allow the public to decide in advanced to attend to participate in those elements of the VVMC MP which most interested them. Town of Vail Page 5 IV. APPLICABLE PLANNING DOCUMENTS The following planning documents are applicable to the review of this application: ZONING CODE General Use District 12-9C-1: PURPOSE: The general use district is intended to provide sites for public and quasi -public uses which, because of their special characteristics, cannot be appropriately regulated by the development standards prescribed for other zoning districts, and for which development standards especially prescribed for each particular development proposal or project are necessary to achieve the purposes prescribed in section 12-1-2 of this title and to provide for the public welfare. The general use district is intended to ensure that public buildings and grounds and certain types of quasi -public uses permitted in the district are appropriately located and designed to meet the needs of residents and visitors to Vail, to harmonize with surrounding uses, and, in the case of buildings and other structures, to ensure adequate light, air, open spaces, and other amenities appropriate to the permitted types of uses. VAIL LAND USE PLAN The Vail Land Use Plan contains multiple goal statements placed into six different categories. Staff believes the following goal statements are applicable to the effort to master plan the VVMC campus. 1. General Growth /Development 1.1. Vail should continue to grow in a controlled environment, maintaining a balance between residential, commercial and recreational uses to serve both the visitor and the permanent resident. 1.2. The quality of the environment including air, water and other natural resources should be protected as the Town grows. 1.3. The quality of development should be maintained and upgraded whenever possible. 1.12 Vail should accommodate most of the additional growth in existing developed areas (infill areas). 6. Community Services 6.1. Services should keep pace with increased growth. Town of Vail Page 6 6.2. The Town of Vail should play a role in future development through balancing growth with services. 6.3. Services should be adjusted to keep pace with the needs of peak periods. The Land Use Plan designates the desired Land Use Category of all properties in the Town. The VVMC is comprised of several properties with differing land use designations. Resort Accommodations and Service (US Bank Building) This area includes activities aimed at accommodating the overnight and short- term visitor to the area. Primary uses include hotels, lodges, service stations, and parking structures (with densities up to 25 dwelling units or 50 accommodation units per buildable acre). Transition (VVMC Campus) The transition designation applies to the area between Lionshead and the Vail Village. The activities and site design of this area is aimed at encouraging pedestrian flow through the area and strengthening the connection between the two commercial cores. Appropriate activities include hotels, lodging and other tourist oriented residential units, ancillary retail and restaurant uses, museums, areas of public art, nature exhibits, gardens, pedestrian plazas, and other types of civic and culturally oriented uses, and the adjacent properties to the north. This designation would include the right-of-way of West Meadow Drive and the adjacent properties to the north. LIONSHEAD REDEVELOPMENT MASTER PLAN Section 4.7 Loading and Delivery 4.7.1 Properties with Direct Service Access As a general rule, properties that can provide for their own service and delivery needs should comply with the following guidelines: a. Loading and delivery facilities should be located deep enough into the property that the estimated peak volume of service vehicles does not back up into or block the access road or pedestrian areas. b. Service drives and loading docks must be screened with landscaping, fencing, retaining walls or other appropriate design techniques. c. All reasonable measures shall be taken to prevent noise and exhaust impacts on adjacent properties. d. In no case shall a property utilize the public roadway or pedestrian area to stage service and delivery vehicles. Town of Vail Page 7 V. NEXT STEPS A letter outlining the upcoming topics and dates for discussion in the review process is attached for reference (Attachment B). Are there any additional materials the Commission anticipates at this time in order evaluate future discussion items encompassed by the VVMC MP? The Planning and Environmental Commission is asked to table this public hearing to the October 13, 2014. VI. ATTACHMENTS A. Turn Key Consulting memorandum addressing Delivery and Service Vehicles on West Meadow Drive dated September 16, 2014. B. Letter from George Ruther, Community Development Director, dated September 15, 2014, outlining the next steps in the process C. Correspondence from neighboring property owners received since September 8, 2014. Town of Vail Page 8 J--�,TumKey 4 _ _ Consulting, LLC MEMORANDUM 2533 West Pinyon Ave Grand Junction, CO 81505 970-985-4001 TO: Dan Feeney, PE, Vail Valley Medical Center (VVMC) FROM: Skip Hudson, PE DATE: September 16, 2014 RE: Delivery and Service Vehicles on West Meadow Drive This memo addresses the delivery and service vehicle traffic on West Meadow Drive. The information in the Table 1 is based on the current delivery vehicle information provided by the VVMC Facilities group, and your email regarding the VVMC service vehicles. Table 1 shows the existing VVMC traffic volumes on West Meadow Drive. It is anticipated that these numbers will not change after the Master Plan construction is completed. Even though the VVMC will be larger in size, employee more people, and serve more patrons and guests, it is anticipated that the same number of delivery trucks will visit VVMC — they will just deliver or pick-up more stuff each trip. Table 1 — VVMC Delivery and Service Trips on West Meadow Drive Vehicle Type Peak Hour Traffic Volume 1,2 (vehicles per hour) Daily Traffic Volume' (vehicles per p day) AM Peak Hour (7:30 am — 8:30 am) PM Peak Hour (4:00 pm — 5:00 pm) Delivery 6 8 503 Service 4 2 2 8 Total 8 10 58 Notes: 1. The Peak Hour and Daily Traffic Volumes represent the total number of trips IN and trips OUT; for example, the Total Daily Traffic Volume of 58 for Delivery and Service Vehicles represents 29 vehicles that make 29 trips IN plus 29 trips OUT for a total of 58 daily trips. 2. The AM and PM peak hours are based on the peak hours at the Vail Road and West Meadow Drive intersection; the highest hour for delivery and service vehicles to/from the VVMC is 12 vehicles per hour and occurs from 10 am to 11 am. 3. 6 of the 50 trips are made by large trucks (one garbage truck, and two small semi -trucks with trailers); the rest of the trips are made by large vans. 4. The service vehicles are pick-up trucks or large vans. Page 1 of 2 Table 2 compares the background (non-VVMC) traffic on West Meadow Drive to the VVMC delivery and service Vehicles that will be on West Meadow Drive after the VVMC Master Plan construction is completed. The VVMC main entrance will be relocated to the 170 South Frontage Road so the only VVMC traffic on West Meadow Drive will be delivery and service vehicles. Table 2 — Compare VVMC Traffic Volumes on West Meadow Drive Traffic Volume Source Peak Hour Traffic Volume (vehicles per hour) Daily Traffic Volume (vehicles per day) AM Peak HourPM (7:30 am — 8:30 am) Peak Hour (4:00 pm — 5:00 pm) Passenger Vehicles 33 81 294' Background Traffic Buses 142 202 2402 Total 47 101 536 VVMC Traffic (Delivery and Service Vehicles only) g -F 10 58 Total (Background + VVMC) 55 111 594 VVMC as % of Total 15% 9% 10% Notes: 1. The daily traffic volume on West Meadow Drive is not known; the 294 vehicles per day was estimated using the ITE Trip Generation Manual (ITE Land Use 260 Recreational Homes; there are 93 residential units that access West Meadow Drive). 2. Bus numbers estimated based on frequency/headway information provided by Vail Transit. Page 2 of 2 TOWN OF 0 VAIL } 75 South Frontage Road West Vail, Colorado 81657 vailgov.com September 15, 2014 To Whom It May Concern: Community Development Department 970.479.2138 970.479.2452 fax The Vail Valley Medical Center has submitted an application proposing the adoption of the Vail Valley Medical Center Facilities Master Plan and an amendment to the Vail Land Use Plan. According to the Town's Code, the Planning & Environmental Commission must first review the proposed Master Plan and forward its recommendation to the Vail Town Council. A recommendation from the Commission may include an approval, a denial, or an approval with modifications. The Town Council shall have final decision-making authority on whether the Master Plan is adopted or the Land Use Plan is amended. To aid in the understanding of the review process of the Master Plan by the Commission, a schedule has been developed which summarizes the topics to be addressed over the course of the review process and meeting dates have been assigned. The goal of this effort is to provide improved communication and establish further predictability within the review process. That being said, the following schedule has been developed for the master plan review process: VMCC Facilities Master Plan Outline of PEC Review Process The following summarizes topics to be discussed at upcoming Planning and Environmental Commission hearings. September 22, 2014 1. Response to questions raised by Commissioners and the public at the September 8th PEC hearing and in letters submitted to the PEC. 2. Presentation of the "road map" for the Town's review of the Master Plan. 3. Discussion of the Master Plan review process and the Conditional Use review process. 4. Presentation of Loading/Delivery/Service for the project. October 13, 2014 1. Response to questions raised by Commissioners and the public at the September 22 t PEC hearing and in letters submitted to the PEC. 2. Presentation of the following: • Parking • Building Massing/Architecture • Meadow Drive/Streetscape • Employee Housing • Middle Creek • Procedural considerations (zoning, MP land use designations) • Traffic/Circulation October 27, 2014 1. Response to questions raised by Commissioners and the public at the October 13th PEC hearing and in letters submitted to the PEC. 2. Presentation of the helipad. November 14, 2014 1. Upload final draft version of the master plan to the Town's website for public review. November 24, 2014 1. Applicant and staff provide final follow-up on master plan topics 2. Request for PEC recommendation to Vail Town Council Again, the goal of creating this schedule is to provide improved communication and establish further predictability within the master plan review process. Understanding that it may be difficult to attend every meeting in person, please feel free to send your written comments to me and I will ensure the information gets to the Commission for their consideration. Should you have any questions with regard to the information addressed in my letter, please do not hesitate to call or write. You can reach me most easily by telephone at (970) 376-2675 or by email at gruther(a)vailgov.com. I look forward to a successful outcome for all the interested parties to this master planning process. Sincerely, George Ruther, AICP Director of Community Development Town of Vail Town of Vail Page 2 Warren Campbell From: MusylM@gtlaw.com Sent: Friday, September 12, 2014 2:26 PM To: Andy Daly Cc: George Ruther; Warren Campbell; Council Dist List Subject: Vail Valley Medical Center proposed redevelopment plan Dear Mayor Daly, Messrs. Ruther and Campbell and Members of the Vail Town Council, I have owned property in Vail since 1981. My wife and I are currently owners of a condominium at Alphorn, 121 West Meadow Drive. I am writing in response to your request for public comment on the Vail Valley Medical Center ("VVMC") proposed redevelopment plan. I have two major concerns that I would ask you to address in your consideration of the plan. The first is the location of the VVMC helipad. It is my understanding that the location does not meet FAA technical standards as it is too close to residential structures (Alphorn, Skaal Haus, Scorpio, etc.). As I'm sure you are also aware, there are flight restrictions on helicopters operating at altitudes over 6000 feet. The altitude, changing weather, wind and other conditions in the narrow Vail Valley, along with these flight restrictions, will make helicopter takeoffs and landings extremely dangerous. Common sense would dictate that such flights avoid high density residential areas. In addition to safety concerns, there are, of course, issues with the landing lights surrounding the landing pad, noise and traffic, again in a residential neighborhood. Our second major concern is traffic. As I understand the current proposal, much of the traffic that currently uses the frontage road (including 65 parking places at the bank building) will be re-routed (at least through the course of construction) to the driveway between Alphorn and Skaal Haus. This driveway is narrow, obscured from West Meadow Drive and currently is used almost exclusively by Scorpio and Alphorn owners. Re-routing a large volume of traffic to this driveway will significantly impact Alphorn, Skaal Haus and Scorpio with added noise, light and vehicle exhaust. It will also create added congestion to West Meadow Drive. As I'm sure you know, West Meadow Drive sees an extraordinary amount of non -vehicular activity, e.g., pedestrian, bicycle, skateboard, rollerblade, etc. Current vehicular use of the road is made up generally of owners (who are very familiar with these activities and, as a result, are extra careful) and the TOV bus. We believe that limiting traffic on West Meadow Drive ought to be the goal. Increasing traffic, even on a temporary basis, will create an unreasonably hazardous condition. We understand that you take the planning process seriously and applaud your efforts on behalf of all of members of the community. Thank you for your consideration of our comments. Marc and Regina Musyl Alphorn Condominium Owners If you are not an intended recipient of confidential and privileged information in this email, please delete it, notify us immediately at postmasterkgtlaw.com, and do not use or disseminate such information. VVMC NEIGHBOR INPUT & QUESTIONS BY TOPIC Sept. 22, 2014 TRAFFIC/LOADING 1. If town officials are truly interested in the public welfare as well as alleviating the traffic congestion in Vail, why do they want patients from communities to the west to have to travel to Vail for general medical care, pediatrics, obstetrics, etc. Why not continue emergency and orthopedic care in Vail which, after all, is a ski resort and a summer resort and not a medical hub. Based on Eagle County's population and the dynamics of a medical center, it's not economically or operationally feasible to separate services like obstetrics, for instance, because interdependent services would have to be duplicated. When appropriate, WMC services have been expanded or added to the west, including two urgent cares (Avon & Gypsum), a surgery center (Edwards) and the addition of multiple medical services to the Edwards and Eagle medical campuses (internal medicine, endocrinology and a cardiology clinic, for example). 2. While the hospital moves to greatly expand its operations and fly in more patients - employees, patients, visitor and service traffic will inevitably increase on Meadow Drive. At this time, WMC's patient and employee numbers are not growing dramatically, and we expect those numbers to remain relatively flat or grow slowly along with population growth in coming years. With the creation of a new main entrance on South Frontage Road, there will be a dramatic decrease in traffic on West Meadow Drive as all patient, employee and visitor traffic will access WMC from the Frontage Road. 3. While the WMC Facilities Master Plan moves the ambulance traffic and the main entrance traffic to the South Frontage Road, it does not eliminate traffic to the Steadman Clinic, the Howard Head Clinic, the employee parking lot and commercial deliveries. In truth, the traffic that is being diverted to the South Frontage Road will be less than the traffic that will still be using West Meadow Drive. I would hesitate a guess that the traffic to the Steadman Clinic and the Howard Head Clinic now consists the majority of the daily traffic on West Meadow Drive to the WMC and that traffic will only increase in the future. The creation of a new main entrance on South Frontage Road will remove the traffic listed above from West Meadow Drive. The access point to the West Lot will remain, but will be controlled and limited in use to emergency vehicles (such as fire trucks). 4. Why can't loading/service vehicles access WMC from the west? Bringing loading/service vehicles in from the west would not remove vehicles from West Meadow Drive, it would only re -locate them. Complications with western access include the vehicle/pedestrian conflict that would be created at the pedestrian outlet at the Lionshead Parking Structure and within the Library/Ice Area plaza area. S. The driveway from West Meadow that is alongside Alphorn, Skaal Haus, to Scorpio and the Bank building already sees more traffic than is sometimes safe for local property owners and guests. The proposal that would increase this traffic without including modification and safety upgrades is not acceptable, and a description of what will be "left" after the two year construction is lacking. With the main hospital entrance moving from W. Meadow Drive to South Frontage Road, traffic will dramatically decrease in this area upon project completion. There will be an increase in traffic during construction, and specific safety measures will be discussed during the CUP (Conditional Use Permit) meetings. HELIPAD 6. As I was thinking about the helicopter issue, I started wondering if a nearby helicopter pad was even required for the hospital (or is it just "nice to have"). Why does the VVMC even require/desire helicopter access at all? As a Level III trauma center, VVMC needs medical helicopters to transport patients to more advanced hospitals (primarily in Denver) to save lives and improve patient outcomes. A helipad that can serve VVMC is essential when dealing with time -sensitive, critical care situations. A helipad on-site is proposed to improve existing helipad operations, including reducing the amount of patient transfers and reducing travel time. This question will be addressed in more detail at the PEC's October 27th meeting. 7. I'm not aware of any additional high altitude training requirements for medical helicopter pilots in Colorado or any provisions for medical helicopters as to size or engine power requirements for utilizing Vail landing sites. Shouldn't Vail have minimum established requirements in place? Operational aspects of the proposed helipad will be addressed at the PEC's October 27th meeting. 8. If helicopter operations in Vail are so routine and safe, why does the Vail Fire Department deploy for each landing and takeoff and the road is blocked off for the existing non -FAA approved landing site? Operational aspects of the proposed helipad will be addressed at the PEC's October 27th meeting. 9. If the landing site is just a "convenience" for the hospital, shouldn't the City consider a landing zone far away from residential zoned property and condominiums nearby that have multiple stories, possibly impeding ingress and egress of the helicopter landing and takeoff routes? VVMC does not consider the proposed helipad a "convenience", but a necessity to save lives and improve patient outcomes in necessary situations. The location of the proposed helipad will be addressed at the PEC's October 27th meeting. 10. What are the limits imposed on medical helicopter landings and takeoffs by the Town of Vail and/or the FAA? Operational aspects of the proposed helipad and regulatory considerations will be addressed at the PEC's October 27th meeting. 11. Shouldn't the Town of Vail have a noise ordinance in place to limit undue impact of helicopters, truck "Jake" brakes and automobile "boom" boxes? The town does have a noise ordinance in place. Noise aspects of the proposed helipad will be presented at the PEC's October 27th meeting. 12. It seems no one has asked what the medical impact (timeliness of care) that would be encountered if the helicopters had to land on the golf course or down valley at the Eagle airport. Is it medically significant? It might make a difference if the VVMC was a Level 1 or 2 Trauma Center, but it isn't. As a Level III Trauma Center, VVMC is flying patients out to a more advanced trauma center. We are very rarely receiving patients. The time necessary to transport a patient in a critical care/emergency situation is vital and absolutely considered "medically significant" by our expert physicians, trained trauma staff and executive leadership. This topic will be addressed at the PEC's October 27th meeting. 13. Why is the town and the VVMC so wedded to the helicopter landing on the medical center when it is clearly so disruptive to local residents (and maybe more important, to paying tourists)? The reason to move the helipad onto the VVMC campus is to save lives and improve medical outcomes for people that live in our community, as well as guests who visit our area. The helipad fulfills the hospital's mission to provide superior health services with compassion and exceptional outcomes. And, because of input we've received from the Town of Vail and our neighbors, we know the community truly cares about the well-being of locals and guests who may encounter life-threatening medical situations. The level of disruption (number of trips/year, etc.) will be addressed at the PEC's October 27th meeting. 14. If the helicopter issue continues (or increases the frequency of landings and takeoffs), what will be the impact on Scorpio and nearby building insurance rates? Do we individually have to take out greater liability policies because the risk has increased and is well known to us? Will the town reimburse us, or at least indemnify our increased risk profile? The proposed helipad will not inherently increase the frequency of medical helicopter trips, and we believe VVMC's new Cardiac Catheterization Lab may actually decrease the need for helicopter transport. This question can best be addressed by property owner's insurance carriers. The question of the town providing re -imbursement is best addressed by the Town. 15. If Vail really wants an expanded hospital complex, wouldn't it be cheaper in the long run to build it outside of the main core of Vail? (I know, tax revenues seem to rule their decisions, but have they studied the impact of redevelopment of the WMC into condos or hotel use?). Re -building an entirely new medical center would be more expensive than expanding the existing facility, and the Town of Vail and the greater community have endorsed and advocated for the hospital to remain in Vail. WMC has not studied the feasibility/impact of re -developing the site into condos or hotels (covenant restrictions on the property would preclude WMC from developing these types of uses). 16. What are the number of days (% of total year) where the snow or wind conditions preclude helicopter operations? What are the number of days where the weather is "marginal" for helicopter operations? To the extent available, information in response to this question will be provided at the PEC's October 27th meeting. 17. What is the ambulance drive time between the WMC and a host of alternate landing sites? Is the delay medically relevant? What alternate landing sites have been considered away from populated Vail core areas? Why hasn't more emphasis been provided on considering these sites? What instructions were given to the consultant to investigate alternate sites? Where is their analysis? Ambulance travel time from Vail to a Denver or Grand Junction hospital is approximately 2 hours, while a helicopter's flight time is approximately 3S minutes. The additional time to transport a patient from the current VVMC Emergency Department into an ambulance, coordinate with law enforcement to block traffic on West Meadow Drive and physically transfer the patient is approximately 30 minutes. The goal of the proposed on-site helipad is to save lives and improve patient outcomes by eliminating ambulance transport, which increases a patient's travel time and number of transfers. Sites further away from WMC have not been considered as these would not eliminate the need for ambulance transport, and would only increase travel time. 18. How close to the safety limits for gross weight is a medical helicopter loaded with an emergency medical person, flight crew, and patient(s)? Operational aspects of the proposed helipad will be addressed at the PEC's October 271h meeting. 19. Will there be nighttime flying restrictions for helicopter operations? (Night flying always increases the risks - especially for helicopters in challenging high-altitude flying conditions). Operational aspects of the proposed helipad will be addressed at the PEC's October 271h meeting. 20. Has anyone ever charted the increased risk of high altitude, high gross weight helicopter accidents as compared to low altitude landings and takeoffs? What studies were consulted? To the extent information is available; this question will be addressed at the PEC's October 27th meeting. 21. Are CDs available for the deliberations of the PEC and Town Council meetings for those of use unable to make the meetings? Access to recordings of Town meetings is best addressed by Town Staff. 22. What is the liability of the Town of Vail to residents regarding approval of a heliport in the event of a helicopter catastrophe, especially in light of having approved buildings of great height nearby? This question will be addressed at the PEC's October 27th meeting. 23. If helicopter transport is desirable as an option for the Vail community, locating it in a relatively low population dense location (e.g. golf course) does not risk patient outcome and improves safety all around. Locating a helipad a greater distance from VVMC would increase risk to patients. This topic will be addressed at the PEC's October 271h meeting. US BANK BUILDING/MOB 24. Will the new "Medical Professional Building 3 Stories" along the east boundary impact any of the views from Scorpio? Are architectural elevations available? There are no changes proposed to the size of the Medical Professional Building (also referred to as the US Bank Building) as a part of this master planning process. MEETINGS/NEIGHBOR INVOLVEMENT 25. Why is it that meetings important to Vail property owners are scheduled at short notice and usually out of season? Steps have been taken to establish a defined schedule for PEC meetings to review the Master Facility Plan. This schedule will be presented at the PEC's September 22nd meeting and has been distributed via email to interested parties. 26. The short notice scheduling's and cancellations ensured you would not get a representative sampling of the nearby residents - most of which lived out of town and could not change schedules on short notice. But then again, that may have been your intent in the first place. VVMC has made significant efforts to communicate community meetings in a timely manner, and none of our public forums were cancelled or changed on short notice. Steps have been taken to establish a defined schedule for PEC meetings to review the Master Facility Plan. This schedule will be presented at the PEC's September 22nd meeting and has been distributed via email to interested parties. 27. Sequence of events, upcoming meetings, etc. how is this going to work? Steps have been taken to establish a defined schedule for PEC meetings to review the Master Facility Plan. This schedule will be presented at the PEC's September 22nd meeting and has been distributed via email to interested parties. OTHER QUESTIONS 28. What is the real motivation behind an expanded medical center in Vail? VVMC's motivation to expand the medical center is to upgrade the facility to better meet current healthcare standards and to provide superior health services to the community. 29. Is elder care an element of VVMC's future plans? VVMC is supporting multiple facets of elder care by contributing financially to the Castle Peak Senior Care Community, a 64 -bed skilled nursing and assisted living senior care facility to be built in Eagle. Additionally, VVMC currently cares for our elderly (and all ages) via our physicians, Patient Care Unit (PCU), Intensive Care Unit (ICU), Emergency Department (ED), cancer care through Shaw Regional Cancer Center, physical therapy through Howard Head Sports Medicine, cardiology (including a new cardiac cath lab scheduled to open in early 2015), endocrinology, internal medicine, compounding pharmacy services and other. 30. Does VVMC have any existing employee housing units? Yes. 31. How will construction traffic be handled? Construction traffic, staging, etc. is typically addressed during the Conditional Use Permit review process. Construction traffic and other aspects related to construction will be addressed at that time.