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PLOS ONE <br />Identifying wastewater management tradeoffs in Kona, Hawai'i <br />takeaway from this analysis might be that concentrating exclusively on the cesspool conver- <br />sions (per the language in Act 125) without concurrently improving the WWTP where all <br />future permitted development will likely flow through may lead to suboptimal nutrient reduc- <br />tions and marine habitat outcomes. <br />Although the focus on the benefit side is largely on the environmental changes associated <br />with each management action evaluated, additional co -benefits may be generated such as job <br />creation and other economic impacts in the wastewater management industry. Providing an <br />exhaustive list of co -benefits and quantitative estimates for each is beyond the scope of this <br />study. However, impacts to Hawai`i's economy, defined as the direct, indirect, and induced <br />economic activities generated by the local expenditures required to support each wastewater <br />management action are likely to be in the millions of dollars and thousands of jobs. When type <br />II multipliers generated from the State's input-output model [6 i ] for the waste management <br />and remediation services industry are applied to the costs of each scenario, estimated eco- <br />nomic impacts range from $206-919 million in business sales, $55-247 million in earnings, <br />$11-51 million in state tax revenue, and 980-4,371 jobs, depending on the management action <br />and the share of total cost that is counted as local expenditures. Including such co -benefits <br />help to provide a more holistic picture of the wastewater management problem, but it should <br />be noted that while costlier management options tend to generate higher economic impacts, <br />more is not necessarily better; if such co -benefits are more rigorously estimated to inform the <br />evaluation of the management actions under consideration, the opportunity cost or alternative <br />use of funds for each action should also be evaluated. <br />Not all possible combinations of wastewater treatment technologies are considered here, as <br />current Hawaii OSDS procedures, design criteria, standards, and restrictions are limited to <br />septic tanks, ATUs, and absorption trenches/beds. More cost-effective and efficient alterna- <br />tives have been implemented in other areas of the country and beyond, but such systems must <br />be approved on a case -by -case basis by the State Department of Health. For example, layered <br />soil treatment systems are a low maintenance disposal option with expected nitrogen removal <br />in the range of 50 to 90 percent [24] . If paired with a standard septic tank, nutrient removal <br />efficiency could be on par with an ATU system at a fraction of the cost in certain areas. In <br />some instances, decentralized cluster wastewater systems may also be a more cost-effective <br />alternative than individual OSDS upgrades. However, there are several factors to consider: the <br />number of (current) cesspool owners in the cluster that would connect to the decentralized <br />wastewater system, terrain, land availability, and the funding mechanism [24]. Because the <br />optimal solution would likely require a portfolio of treatment technologies, one might inter- <br />pret the results of this analysis as a base case that can be expanded upon in the future to con- <br />sider emerging technologies as knowledge of such systems improve and as the state's OSDS <br />technology approval procedures continue to evolve. <br />When a suboptimal choice is selected among the kinds of scenarios presented here, there <br />can be tangible costs associated with reductions in coastal water and habitat quality, such as <br />lower occupancy rates for areas like our study site in Hawaii that are highly dependent on <br />tourism. Perhaps more significant for local residents are the intangible costs such as unpleas- <br />ant odors, unappealing windrows of invasive species biomass that are costly nuisances and bio- <br />logical threats to native marine biota. Such costs can be on the order of tens of millions of <br />dollars or more. For example, results from a study of the Kihei coast on Maui (Hawai`i) suggest <br />that a failure to undertake nutrient abatement measures at the study site will eventually reduce <br />current annual benefits derived from coral reefs by nearly $15 million [62]. The study further <br />suggests that reducing nutrient levels will not only avoid losses but will also eventually increase <br />annual benefits above the current level to nearly $30 million more than what would be realized <br />in the absence of nutrient management. However, because of the delay between the time of <br />PLOSONE IIhu�tlps://doaa.oirg/n0.t:171/�OLuirirualll,lpoine,0257125 September8,2021 20/26 <br />