PD BACKGROUND REPORT (PL-SPP-2023-000039 & PL-USE-2023-000010)

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Special Permit Application and Use Permit Application Hamakua Health Center, Inc. existing cesspool serving Building C will be closed and a new IWS will be installed (see Exhibit 4 and Exhibit 4a). a. Staff and Services: Expanded healthcare services will result in a total of 42 full-time employees, including physicians (PCP, internists,pediatrician,women's health); nurses; behavioral health specialists; dentist and support staff, Hawaiian Healing Director and lomi lomi masseuse; pharmacist,technician and support staff, and administration and support staff(manager, front office staff, care coordinators,refill and referral specialists,medical records staff and janitorial and grounds maintenance staff). b. Water, Wastewater and Fire Control Services: Based on the Project water demand calculations, water from the existing 5/8th-inch meter is insufficient to meet the water demand needs for the Phase II development(see Exhibit 19a). The DWS is expected to complete construction and operation of a new water tank in 2023, and has preliminarily informed the Project's engineers that additional units of water can be made available for the Permanent Clinic component of the Project, subject to final determination by DWS (see Exhibit 19b). The wastewater from Phase II will be handled by a new IWS with primary and backup secondary absorption beds approved by the DOH will be installed(see Exhibit 4a). Fire control will be handled by the DWS municipal system, supplemented by a dedicated, stand-alone 10,000-gallon water catchment tank with a 4-inch waterline supplying the Fire Department Connection mounted on a concrete monument which will alleviate the need for a fire hydrant to be installed for subsequent phases. C. Access and Parking: Upon completion of construction, access to the Permanent Clinic will be via both the Akoni Pule Driveway and Maluhia Road Driveway. Interior connecting roadways with a turn-round and fire apparatus access lane will be provided. HKH will be seeking approval from the Department of Public Works ("DPW") to widen the existing Akoni Pule Highway Driveway apron from 20 feet to 60 feet to allow access for fire apparatus vehicles. During certain periods of the construction phase, vehicles will access the Project from the Maluhia Road Driveway. A total of 82 off-street parking stalls (includes 9 ADA stalls) and a loading/unloading area, are proposed (see Exhibit 4a). _________________________________________________________________Page 6 of 38