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§ 154.084 MEDICAL, INSTITUTIONAL CARE DEVELOPMENT.
   A Medical, Institutional Care Development (MICD) may be located in the MR-30, MR-MU, and MR-NC Districts as a , subject to a finding by the Mills River , on the advice and recommendation of the Town of Mills River Planning Board, that certain conditions be met. The purpose of this section is to permit the establishment of certain medical and institutional care facilities within individual residential districts and to minimize any detrimental effects of the facilities on existing or future land uses.
   (A)   Land development standards. The land development standards apply for all medical, institutional care developments:
      (1)   Ownership control. The land in an MICD be under single ownership or management by the applicant before final approval and/or construction, or proper assurances (legal title or execution of a binding sales agreement) be provided that the development can be legally completed by the applicant.
      (2)    requirements. The proposed of the MICD be calculated using a combination of a persons per acre basis and a habitable per acre basis and conform to that permitted in the district in which the development is located as follows:
         (a)   The number of persons served by any proposed MICD be calculated using the criteria:
            1.   One person per health care bed.
            2.   One person per studio or efficiency unit.
            3.   One and a quarter persons per 1 bedroom unit.
            4.   One and a half persons per 2 bedroom unit.
            5.   Two persons per 3 bedroom unit.
         (b)   The maximum (persons per acre) for an MICD be 12.
         (c)   The number of habitable per acre be 1.45.
      (3)   Frontage requirements. MICD be prohibited except on parcels of land having a minimum frontage of 200 feet on a paved, public, -maintained road or highway.
      (4)   Minimum size. The minimum lot area for an MICD be 10 contiguous acres. The required 10 acres not be divided by, nor include, any portion of an existing public or road right-of-way. Furthermore, no existing bodies of water qualify as a portion of the required minimum lot area.
      (5)   Types of usage allowed. The types of licensed medical and institutional care facilities are allowed within an MICD:
         (a)   Hospitals.
         (b)   Domiciliary homes for the aged and disabled.
         (c)   Continuing care facilities.
         (d)   Nursing homes.
         (e)   Combination homes as defined by G.S. § 131E-101(1).
         (f)   Customary , including garages, storage and service utility .
         (g)   Recreational facilities intended exclusively for use by the residents and guests of the facility and which are an integral part of the development.
         (h)   Administrative offices and non- dwelling support services for the facility and accessory commercial uses, subject to the conditions:
            1.   All sales be for the use and convenience of the residents or guests of the facility.
            2.   All   not occupy more than 15% of the total floor area of the facility, except that in no case the exceed 12,000 square feet. No individual permitted in this subsection occupy more than 5% of the total floor area of the facility, except that in no case any individual exceed a minimum of 4,000 square feet.
            3.   No external advertising or signs be allowed for any commercial activity permitted within or on any portion of the MICD.
      (6)   Design requirements.
         (a)   The normal minimum lot size, lot setbacks and lot frontage requirements of the respective district within which the MICD is located are hereby waived, provided that the spirit and intent of this section are complied with in the total development plan as determined by the . The   exercise ultimate discretion as to whether the total development plan does comply with the spirit and intent of this section.
            1.   Setbacks. The developer establish minimum lot setbacks as applicable. Non- dwelling , or facilities, such as, but not limited to, covered informational areas and private security booths, may be allowed within an adequate proximity to any adjacent or road right-of-way within the MICD but be located no closer than 25 feet to any exterior line of the MICD.
            2.   Height limitations. No or containing or bed facilities exceed 35 feet in height from the highest ground elevation.
            3.   Required distance between . The minimum distance between in an MICD be as follows:
               a.   All located or situated end to end (shortest sides) and are less than 20 feet in height from the highest ground elevation have a minimum of 20 feet between . When one (1) or both exceed 20 feet in height from the highest ground elevation, the     be increased an additional one (1) foot for every foot of increased height to a maximum of 30 feet .
               b.   All located or situated side to side, or side to end (longest sides) and are less than 20 feet in height from the highest ground elevation have a minimum of 30 feet between . When one (1) or more adjacent exceed 20 feet in height from the highest ground elevation, the building   be increased an additional one (1) foot for every foot of increased height to a maximum of 40 feet.
               c.   The Planning Board may permit the minimum   for single-level units to be reduced below the minimums stated above, provided that the construction of adjacent walls conforms with the North Carolina Building Codes, but in no case   be closer than 15 feet. When the minimum is reduced, the area between   remain open and unobstructed.
         (b)   Every   have direct access to a paved, dedicated and walkways to other and areas dedicated for common or recreational use. Provision be made for access for emergency vehicles to all sides of or containing or bed facilities. All walkways be hard surface, all-weather materials. Any pedestrian and wheelchair circulation system be insulated as reasonably as possible to provide of pedestrian and motorized vehicular traffic.
         (c)   Handicap accessibility. All portions of the development conform to the minimum applicable federal, or local laws and regulations pertaining to handicap accessibility unless otherwise required in this section.
         (d)   The location of shown on the development plan be so arranged as not to be detrimental to existing or other proposed or to the character of the surrounding .
      (7)   Privacy. Each development provide reasonable visual and acoustical privacy for all units. Fences, insulation, walls, barriers and landscaping be used as appropriate for the protection and aesthetic enhancement of and the privacy of its , of objectionable views or uses and reduction of noise. Multilevel   be located within a medical, institutional care development (MICD) in a way as to dissipate any adverse impact on adjoining low-rise and not invade the privacy of the of the low-rise .
      (8)   Perimeter requirements. If topographical or other barriers within 200 feet of the perimeter of the development do not provide reasonable privacy for existing uses adjacent to the development, the may impose any of the requirements:
         (a)    located on the perimeter of the development must be set back from lines and rights-of-way of abutting in accordance with the provision of this chapter controlling the district within which the is situated.
         (b)    other than single-level units, located on the perimeter of the development, require in a manner which is approved by the .
         (c)   The location of the on the perimeter of the development, as shown on the development plan, be so arranged as not to be detrimental to existing or to the adjacent .
         (d)    compatible with the character of the development may be required to protect residents from dangerous conditions existing on or off site or to provide increased security for the residents of the facility.
      (9)    coverage. The total coverage area, including non-dwelling , or facilities, but excluding roads, parking or service areas and recreational facilities, not exceed 25% of the net lot area.
      (10)   Parking. All parking must meet the requirements of §§ 154.105 through 154.114.
      (11)   Utilities. All utilities conform to the requirements:
         (a)   Water system. Adequate water volume and pressure for domestic use and   be available to the proposed project. The water system be designed by a registered engineer and approved by the appropriate and local agencies.
         (b)   Sewer system. The project have an approved waste disposal system designed by a registered engineer, if applicable, and approved by the appropriate and local agencies.
         (c)   Stormwater drainage. Stormwater runoff be collected, channeled or piped to discharge into natural drainageways in a manner which will not cause erosion or adverse effects to adjacent . The system be designed by a registered engineer or other competent professional. The design be for a 25-year storm and incorporate requirements of the erosion and sedimentation control plan, both temporary and permanent facilities.
      (12)    design and access. All within the MICD conform to the North Carolina Department of Transportation standards for subdivision . The MICD have at least one (1) primary entrance/exit onto a public roadway and one (1) emergency entrance/exit. A turning or deceleration lane be provided.
      (13)   Exterior . An MICD provide an exterior system for adequate resident safety along access drives, service areas, pedestrian walks and recreation areas. The system be designed in keeping with the scale and architectural harmony of the project. Fixtures be oriented, to the degree possible, to reduce glare within the project and onto adjacent .
      (14)    identification. All   be identified in a manner that will provide immediate recognition when viewed from the or access drive.
      (15)   Landscaping and buffering. Within an MICD, a landscaping plan be considered a required element of the project. The landscaping must minimally meet the provisions of §§ 154.230 through 154.237.
         (a)   The landscaping plan require that all exposed soils be covered with a permanent cover. Landscaping or natural vegetation cover at least 20% of the net project area.
         (b)   Provisions for the permanent maintenance of all landscaping and screen planting areas and materials be provided.
         (c)   Where the deems necessary, a screen planting or other architectural features be provided to form a visual between the MICD and adjacent residential uses.
      (16)   Design. The development be designed in such a manner that the layout of parking areas, service areas, entrances, exits, , courts, landscaping, signage, , noise or other potentially adverse influences be such as to protect the medical residential character within the development and desirable character in any adjoining .
   (B)   Timing. If no development has occurred pursuant to the issuance of a   2 after the date of the   for the MICD, or upon the expiration of one 90 day extension of time for starting development granted by the , the     become null and void and the procedures for application and review as outlined in this section be required for any development on the subject .
   (C)   Staged development (phasing). After general construction commences, the   review at least once every 6 all issued and compare them to the overall development phasing program. If he or she determines that the rate of construction of residential units or nonresidential substantially differs from the approved phasing program, he or she so notify the developer, and the may issue the appropriate orders to the developer as it sees fit and, upon continued violation of this subsection, may order the to refuse any further until the project is in general accordance with the approved phasing program.
   (D)   Open space required. A minimum of 20% of the total land area of the development be set aside as permanent commonly owned open space. The open space be exclusive of any required parking, rights-of-way and roads or service areas required for operation and maintenance of the MICD and be guaranteed as permanent in the site plan or other documents as may be required to be recorded.
   (E)   Maintenance. MICD be approved subject to the submission of an instrument or instruments setting forth a plan for permanent care and maintenance of permanent open spaces, recreational areas, and rights-of-way which would be legally enforceable. No such instrument be acceptable until approved by the Town Attorney as to legal form and effect and the as to suitability for the proposed uses.
   (F)   Procedures for application and review. An applicant desiring to develop an MICD adhere to the procedures:
      (1)   Pre-application conference. Prior to submission of an application for a   to the , the applicant arrange a pre- application conference with the Planning Board and its staff.
         (a)   The applicant submit to the Planning Board a sketch development plan and a brief description of the proposed development strategy. The sketch plan and development strategy show and describe the layout of the MICD, depicting proposed areas and types of development, open spaces and .
         (b)   The pre-application conference is designed to inform the developer of the local government's regulations and policies concerning development alternatives and to inform the local government of the developer's intentions, enough to be able to give him or her some informal, non-binding feedback on the acceptability of his or her ideas. The greater the level of common understanding between the developer and the local government that can be achieved at the pre-application conference stage, the smoother the remaining steps of the review process will be.
      (2)   Application for a   . Upon completion of the pre-application conference, the applicant submit to the a  application for a Major   in accordance with § 154.180. The applicant submit 11 copies of a preliminary development plan or final site plan and required documentation to the at least 30 days prior to the Planning Board's first scheduled consideration of the project.
      (3)   Planning Board review. The Planning Board review the preliminary development plan and final site plan for conformance with the provisions of this chapter and forward its recommendations to the . If no action is taken by the Planning Board within 45 days of the meeting at which the Planning Board first considers the development plan, it be deemed to have recommended approval of the development plan, and the may proceed to act upon the application.
      (4)    review. The   not issue a   until it has received recommendations from the Planning Board. The   submit a copy of their decision on a specific MICD to the Planning Board and the applicant. The decision of the   be to approve, disapprove or approve with conditions.
      (5)   Issuance of . The for the Town of Mills River or the Henderson County Building Inspector not issue a certificate of zoning compliance or any   for any portion of the proposed project until the applicant is in compliance with the decision of the .
      (6)   Waiver of preliminary development plan. An applicant may choose to omit the preliminary development plan, provided that the project is to be completed in a single phase and all required documentation is provided and submitted in accordance with this section.
   (G)   Preliminary development plan requirements. Upon application for an MICD and the pre- application conference, an applicant submit a preliminary development plan for the entire MICD project, except where a waiver is permitted in accordance with division (F)(6) above. The preliminary development plan provide the information on the plan and include accompanying documentation:
      (1)   The proposed name of the development and the names of the developer, land , engineer, architect and landscape architect or other professionals.
      (2)   A site plan to a scale of not less than one (1) inch equals 50 feet, a North arrow, a vicinity map and date; topographic mapping with contour intervals of not more than 5 feet.
      (3)   A legal boundary description of the entire tract proposed for development, including a statement that the area shown on the preliminary site plan includes all the area and development currently under ownership, option or other consideration by the land or developer shown on this plan. The description include the location of all existing rights-of-way, , streams or waterways, adjacent uses, the names of adjacent   and identified flood hazard areas.
      (4)   Project layout including the location of all existing and the proposed general location and allocation of , road locations, accessory and uses, setbacks, buffers and landscaping areas, natural areas, recreational facilities and areas and project phasing lines.
      (5)   Preliminary utility layouts with preliminary approval from the appropriate local or agencies; the location of all other utilities within or adjacent to the development site.
      (6)   Proposed typical site details for ; signage; walkways; and walls; landscaping; parking layout; cross section for roads, access roads and traffic volume; and any other pertinent site details. The site details be accompanied by a description of how services and improvements are to be provided.
      (7)   Preliminary information on the proposed plans with regard to the ownership and maintenance of common areas and facilities, open space, landscaping and , roads and utilities.
      (8)   Documentation from the Henderson County Emergency Medical Service and the Mills River Fire Chief of the adequacy of the project's facilities for emergency medical and fire services.
      (9)   Documentation of submission of a preliminary or overall erosion control plan to the appropriate agency.
      (10)   A designation and description of the proposed phasing plan for the project, including the approximate timing schedule and the type of guaranty of performance to be requested.
      (11)   Summary of project data, including:
         (a)   Total project area.
         (b)   Approximate net project area.
         (c)   Total permitted, requested and method of calculating (persons per acre).
         (d)   Approximate percent of coverage.
         (e)   Approximate percent of open space.
         (f)   Approximate length of roads and designation as public or private.
         (g)   Type of units and conceptual plans and elevations for residential .
      (12)    documents. In addition to those indicated above:
         (a)   The zoning district or districts in which the project is located.
         (b)   A general statement of objectives to be achieved by the MICD through the particular approach proposed by the applicant.
         (c)   A statement of the applicant's intentions with regard to the future selling and/or leasing of all or portions of the MICD.
      (13)   Additional information. Any additional information required by the in order to evaluate the impact of the proposed MICD. The may waive a particular requirement if, in its opinion, the inclusion is not essential to a proper decision on the project. The advice and recommendations of the Planning Board is 1 of advisory capacity, and the has final authority on granting or denying a   .
   (H)   Final site plan. Upon approval of the preliminary development plan by the , except as waived under division (F)(6), the developer submit a final site plan that contain the information:
      (1)   The proposed name of the development and the names of the developer, land , engineer, architect, designer, landscape architect or other professional.
      (2)   The site plan to a scale not less than one (1) inch equals 30 feet, a North arrow, a vicinity map and date; topographic mapping with contour intervals of not more than 2 feet indicating existing and proposed contours.
      (3)   A legal boundary description of the entire tract proposed for development, the location of all existing rights-of-way, , streams or waterways, adjacent uses and the names of adjacent   . If the final plans are for a phase of the MICD, the specific phase of the project be shown.
      (4)   Project layout, including the location of all existing and, for each proposed principal and accessory and use, setbacks, roads, off- parking and loading layout. A typical cross section and public or private designation for all roads be submitted if not approved with a preliminary site plan.
      (5)   Basic floor plans, rendered elevations or perspectives.
      (6)   The landscaping and plans and the location of all walkways, recreational areas, fences and walls, and signage. If the proposed typical site details for these items were not approved with a preliminary site plan, the details be submitted with the final site plan.
      (7)   The location, , size and gradient of all sanitary and storm sewers and water mains. The location of all other utilities within or adjacent to the development site.
      (8)   Method of buffering or concealing service areas, retention and collection areas and mechanical equipment from public and residential areas.
      (9)   Method of collecting, channeling or piping to discharge stormwater into natural drainageways that will assure no damage to neighboring .
      (10)   Approval of water and sewage systems; plans from the appropriate agency if applicable.
      (11)   Approval of the soil erosion and sedimentation control plan by the appropriate agency.
      (12)   Submission of the proposed documents for the ownership and maintenance of all common areas and facilities, open space, landscaping and , roads and utilities.
      (13)   Submission of the proposed guaranty of performance provisions, including a list of all improvements to be covered by the guaranty agreement.
      (14)   Summary of project data, including:
         (a)   Total project area: area in proposed phase.
         (b)   Net project area in proposed phase.
         (c)   Total proposed: in proposed phase, including number of persons per acre.
         (d)   Percentage of coverage in proposed phase in relation to project total coverage.
         (e)   Percentage of coverage in proposed phase in relation to project total open space.
         (f)   Length of roads and public or private designation in the proposed phase.
      (15)   Additional information. Any additional information required by the in order to evaluate the impact of the proposed MICD. The may waive a particular requirement if in its opinion the inclusion is not essential to a proper decision on the project. The advice and recommendations of the Planning Board is one (1) of advisory capacity, and the has final authority on granting or denying a   .
   (I)   Initiation of construction. No construction ground-disturbing activities be initiated until the preliminary or final site plans have been approved by the , a guaranty of performance has been approved and until all local utility approvals and an approved soil erosion and sedimentation control plan have been received.
   (J)   Guaranty of performance.
      (1)   In order to insure that the public improvements are completed properly within a period of time specified, the developer enter into a guaranty for completion with the . A performance guaranty be negotiated between the developer and the prior to the issuance of the   by the .
      (2)   The guaranty of performance require that the developer complete the public improvements, including, but not limited to, roads, parking areas and rights-of-way; water and sewer facilities; drainage, erosion and sedimentation control facilities; and and landscaping. The specific improvements to be guaranteed are to be designated with submission of the final site plan. The guaranty be provided by a performance bond, letter of credit, certified check, cash escrow, cash payment or bond as approved by the . No certificate of occupancy may be issued until either the improvements are completed or adequate guaranties are approved.
      (3)   The guaranty of performance be in an amount equal to 125% of the cost of the improvements included in the final site plan. If the project is to be completed in phases, the guaranty of performance may be applied to each phase. The release of a guaranty of performance by the , in total or in part, based on the percentage of improvements completed, be made upon a certification from the that the improvements have been completed in accordance with the approved final site plan for a phase of the overall project or the entire project.
   (K)   Default. Upon default (meaning failure on the part of the developer to complete the required improvements as specified and within the time period specified in the guaranty) the developer , if requested by the , pay all or any portion as may be required of the guaranty to the Town of Mills River for the purpose of completing the specified improvements. Upon payment, the , at its discretion, may expend the portion of the funds as it deems necessary to have completed all or any portion of the required improvements. The town return to the institution any funds not spent in completing the improvements.
   (L)   Construction codes. The developer must comply with all applicable and local construction codes and requirements.
   (M)   Amendments to the development plan. Minor changes in the location, siting or character of and may be authorized by the , if required by engineering or other circumstances not foreseen at the time the final development program was approved; provided, however, that no change authorized by the under this section may increase the size of any or by more than 10%, nor change the location of any or by more than 10 feet in any direction, nor make any changes beyond the minimum or maximum requirements set forth in this chapter. All other changes in the MICD, including changes listed below, not be made without re-submission of the MICD according to the procedures in this section:
      (1)   A change in the use or character of the development.
      (2)   An increase in overall .
      (3)   An increase in intensity of use.
      (4)   Alteration of the traffic circulation system.
      (5)   A reduction in approved open space.
      (6)   A reduction of off- parking and loading space.
      (7)   Any change in ownership or control of all or a portion of the development.
   (N)   Failure to comply. Construction and/or use of the MICD be set forth in the plans, application and supporting documents approved by the . Construction and/or use differing from the approved plans and application, except as herein provided, be deemed a violation of this chapter and subject to penalties as provided in Administration and Enforcement .
(Ord. passed 3-1-2004; Am. Ord. passed 7-29-2004; Am. Ord. 10-13-2005; Am. Ord. 00038, passed 11-21-2006; Am. Ord. 00041, passed 4-26-2007; Am. Ord. 2021-06, passed 4-22-2021)