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DEADLINE TO FILE BY FEBRUARY 26,2021 COUNTY OF HAWAI'l Reserved for office use: `‘, ) c ,,%" Public Access, Open Space, and Natural Resource Preservation Commission SUGGESTION FORM For Lands and/or Property Entitlements for Acquisition The Public Access, Open Space, and Natural Resources Preservation Commission is accepting suggestions for sites or projects to improve upon public access, open space, and natural resources preservation, pursuant to Chapter 2, Article 42, of the Hawai'i County Code. Please use the form below to tell the Commission about a place or access you would like to see protected. Forms completed thoroughly will enhance assessment. The Commission welcomes re-submission of properties previously submitted where County Council has not taken action. Please use one form per suggestion and limit total application size including attachments to less than 10 MB (megabytes) or 20 pages maximum (include photos, maps, and figures). Completeness of requested content will affect ranking. Name of Site or Project: Ahupua'a,Council District,and Location within: Tax Map Key(TMK)Number(s): Land Area(Acreage): Landowner(s): Property is either: fee simple purchase request easement request or both Contact Name: Mailing Address: Phone/Fax: Email: Purpose of suggested site (for public acquisition)or project(please check those that apply) n Public outdoor recreation and education, n P• reservation of forests, including beaches, coastal ar- including access to beaches&mountains eas, natural beauty, &agricultural lands 1 n Preservation of historic of culturally im- n P• rotection of watershed lands to preserve water qual- portant land areas and sites ity and water supply nProtection of natural resources, including buffer zones 1 ➢ Attachment A: Provide a Tax Map Key Plat map and a property map with the property boundaries and/or proposed access outlined or highlighted.To confirm the council district(map on page 3) by contacting the County Clerk's Office at: (808)961-8277 (URL) https://www.hawaiicounty.gov/our-county/legislative/office-of-the-county-clerk/elections- information. (Optional: include regional maps with nearby protected/public areas). ➢ Attachment B: Provide a clear statement detailing how public acquisition would fulfill one or more of the above pur- poses. Also, explain the intent, long-term vision, and/or strategy of this proposed acquisition or project. ➢ Attachment C: Provide, if available, additional community endorsements for this proposed acquisition o r project through letters of support(simply reference any additional documents). In addition, please identify community or- ganizations, land trusts, or individuals that could be contacted for further information about this proposed acquisi- tion or project. ➢ Attachment D: Provide verification of community organizations, land trusts, or individuals,who are willing to be part of the long-term management/maintenance of this property. Revised(10-14-20) Hawai'i County is an Equal Opportunity Provider and Employer Page 1 of 3