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Nags Head approves permit for Outer Banks Hospital cancer center; parking reduced by three spaces

Nags Head Board of Commissioners · May 6, 2026
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Summary

The Nags Head Board of Commissioners approved a vested‑right special use permit and site plan amendment for Outer Banks Hospital’s cancer treatment center at 4927 South Croatan Highway, allowing a small HVAC/mechanical expansion and a reduction from 57 to 54 parking spaces; staff said the change will not increase patient capacity.

The Nags Head Board of Commissioners voted May 6 to approve a vested‑right special use permit and site plan amendment for the Outer Banks Hospital cancer treatment center at 4927 South Croatan Highway, clearing the way for an HVAC mechanical expansion and a three‑space parking reduction.

Planning Director Kelly Wyatt told the board the request is “really centered around the mechanical equipment expansion and the associated parking adjustment necessary to accommodate those improvements.” Wyatt said the amendment does not add patient treatment areas, increase patient capacity, or change the facility’s operational characteristics.

Wyatt presented staff analysis showing the infusion center contains 10 treatment bays and that operational parking demand for the site is approximately 47 spaces; the property currently contains 57 spaces and, after the requested reduction to 54 spaces, would still exceed the estimated site demand. Staff cited previously completed post‑opening parking utilization studies—done six months and one year after opening—that observed a peak occupancy of about 32 spaces (roughly 56% of supply).

James Lutjens of ECU Health, who spoke for the applicant, said the facility’s original HVAC system was underdesigned and caused serious humidity problems in compounding rooms. “It was literally raining in one of these rooms last year,” Lutjens said, and described temporary measures in place until the permanent equipment is installed.

After brief board questions and comments emphasizing the site‑specific, operational nature of the change, a motion to approve the permit and site plan amendment was made and adopted by voice vote.

The approval includes the conditions and references cited by staff in the record; the board’s action was limited to the site plan and vested‑rights amendment and did not change the facility’s use or capacity. Any future changes beyond the approved mechanical work would require additional review by staff and the board as applicable.