Staff Recommendation

APPROVE the request for a hospital containing up to 300 patient beds and associated services and a physically connected medical office building containing up to 100,000 sq. ft. of floor area as shown on the site plan subject to 17 conditions

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1. Obtaining a Certificate of Need from the Tennessee Health Facilities Board
2. Meeting all applicable requirements of the City of Knoxville Engineering Dept. and the Tennessee Dept. of Transportation regarding access to the site and improvements to the existing road system which include but are not limited to:
> Widen the main entrance and align with Dowell Springs Bv.
> Construct the eastern entrance on Middlebrook Pk.in a manner that will prohibit left turns from the site on to west bound Middlebrook Pk.
> Limit access to the driveway that connects to Old Weisgarber Rd. via the installation of an automated gate at a location approved by the City Engineering Dept. Limit the use of driveway to emergency vehicles and employees only
> Construct the western most driveway at Dick Lonas Rd. and provide the proposed traffic signal when warranted with all associated costs the responsibility of the applicant if the proposed improvement is permitted/required by the City of Knoxville and/or the Tennessee Dept. of Transportation.
> Clearing of vegetation in order to meet the minimum required sight distance standards
> Obtaining a driveway connection permit from the City of Knoxville and the Tennessee Department of Transportation.
> Certification on the final plat by the applicant's surveyor that there is 450 feet of sight distance in both directions along Middlebrook Pk. At the eastern and western most driveway locations
> Re-timing of the traffic signals throughout the corridor in order to maximize their operation
> Coordinate with KAT bus access for the proposed facility
> The applicant performing a background traffic study(s) to document existing traffic conditions in West Hills. After the hospital has been open for one year the applicant will restudy the same area to determine the impact of pass through traffic on the neighborhood. If traffic volumes have increased by 20% or more, the applicant will be responsible for producing and implementing a traffic calming plan, with the cost of to the applicant not to exceed $150,000. This work is to be done in coordination with the City Engineering Dept. and with the support of the West Hills neighborhood
3. Provision of the required stream buffers, stabilizing existing stream banks, provision of storm water detention facilities and meeting all other requirements of the Knoxville Storm Water and Street Ordinance
4. Meeting all applicable requirements and obtaining all required permits from the Tennessee Department of Environment and Conservation and U.S. Army Corp of Engineers if required
5. Obtaining a special pollution abatement permit from the City of Knoxville
6. Participation in the KUB sewer capacity reservation program and connection to sanitary sewer and meeting any other relevant requirements of the Knox County Health Department.
7. Provision of 2 improved access points to the proposed trail system that is proposed along the southern boundary of the site
8. Close the trail/ Middlebrook sidewalk system in order to provide a loop around the entire facility
9. Coordinate with the City of Knoxville Greenways Coordinator the incorporation of the proposed trail system with the City's greenway system
10. Provide pedestrian crosswalks on Middlebrook Pike at the intersections where traffic signal are installed or modified as a result this project
11. Recording a subdivision plat of the site prior to obtaining any building permits
12. Installation of landscaping as shown on the landscape plan within six months of the issuance of occupancy permit for this project.
13.. Site lighting to be installed according to the "Site Lighting Narrative" dated Nov. 22, 2013 provided by the applicant
14. All signs are to be installed per the sign renderings provided by the applicant with the approval of the City of Knoxville Sign Inspector.
15. Meeting all applicable requirements of the Knoxville City Arborist.
16. Meeting all applicable requirements of the Knoxville Zoning Ordinance.
17. A revised site plan reflecting the conditions of approval must be submitted to MPC staff for certification prior to obtaining any building or grading permits.

With the conditions noted, this plan meets the requirements for approval in the O-1 District and the other criteria for approval of a use on review.

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Disposition Summary

APPROVE the request for a hospital containing up to 300 patient beds and associated services and a physically connected medical office building containing up to 100,000 sq. ft. of floor area as shown on the site plan subject to 17 conditions