HomeMy WebLinkAboutPD RECOMMENDATION REPORT (PL-USE-2023-000010) RHamakuaHealthCenterUSE-4/27/2023
COUNTY OF HAWAI`I PLANNING DEPARTMENT
RECOMMENDATION
HAMAKUA HEALTH CENTER, INC.,
USE PERMIT APPLICATION (PL-USE-2023-000010)
Upon review of the request against the guidelines for granting a Use Permit, the Planning
Director recommends that the request to establish a permanent medical clinic and
caretakers' residence be approved by the Planning Commission. Since this recommendation
is made without the benefit of public testimony, the Planning Director reserves the right to
modify and/or amend this position based on additional information presented at the public
hearing. This approval recommendation is based on the following findings:
The applicant is requesting a Use Permit to allow for the establishment of a
permanent medical clinic and caretakers' residence including accessory structures on an
approximately 1.322-acre portion of a 5.682-acre property within the State Land Use
Urban District and County Single-Family Residential (RS-15) zoning district. A Use
Permit is required to establish a medical clinic in the RS-15 zoning district. Additionally,
the applicant has concurrently applied for a Special Permit to establish a transitional
medical clinic and workforce housing on the portion of the subject property situated in
the State Land Use Agricultural District.
According to the applicant, Hamakua Health Center currently operates its North
Kohala healthcare center in a building located adjacent to Kohala Hospital. Due to an
increase in demand for community medical services, the existing facility has no
additional space that would allow Hamakua Health Center to expand its operations to
meet the growing patient population in the North Kohala district.
The applicant is proposing to develop the Hamakua Health Center that will
consist of a transitional medical clinic,permanent medical clinic and workforce housing
in three (3) phases ("Project"):
■ Phase L• Phase I will consist of the construction of a transitional medical clinic, a
single-story, approximately 4,153-square foot building located on the
northwestern corner of the property. The existing Building C on the subject
property will remain in its current condition and will be initially utilized for the
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live-in caretaker, who will provide evening security for the proposed Project and
may be utilized for storage, an office or other related uses accessory to the
transitional medical clinic and permanent medical clinic.
■ Phase IL• Phase II will consist of the construction of a permanent medical clinic,
a two-story, approximately 23,973-square foot building which will be located in
the southwestern corner of the property. Existing Building C will continue to
house the live-in caretaker and Project-related uses and existing buildings A and
B will be demolished.
■ Phase III: Phase III will be the final phase and will consist of the construction of
the workforce housing, a proposed two-story, approximately 5,696-square foot
multi-family dwelling which will house workers and employees as well as
traveling multi-disciplinary researchers and trainees working at the Project.
As the project is anticipated to be developed in three (3) phases, the first phase is
anticipated to be completed by late 2023 or early 2024. The permanent medical clinic
will be constructed during the second phase which is anticipated to be completed by
2025.
The applicant is proposing that there will be up to 43 full-time employees,
including physicians (primary care physicians, internists, pediatrician, women's health);
nurses; behavioral health specialists; dentist and support staff; a 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).
The estimated hours of operation of the permanent medical clinic will be from 7:30 am
until 6:30 pm Monday to Saturday.
The Zoning Code requires a Use Permit for medical clinics in the County's
Single-Family Residential-15,000 square feet (RS-15) zoning district. In considering a
Use Permit for any proposed use, Rule 7 of the Planning Commission relating to Use
Permit,requires that such action conform to the following guidelines:
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A. The granting of the proposed use shall be consistent with the general purpose
of the zoning district, the intent and purpose of the Zoning Code, and the
County General Plan;
B. The granting of the proposed use shall not be materially detrimental to the
public welfare nor cause substantial adverse impact to the community's
character or to surrounding properties; and
C. The granting of the proposed use shall not unreasonably burden public
agencies to provide roads and streets, sewers, water, drainage, school
improvements, police and fire protection and other related infrastructure.
The proposed request meets the guidelines for approval of a Use Permit, for the
reasons listed below:
The granting of the proposed use shall be consistent with the general purpose
of the zoning district,the intent and purpose of the Zoning Code, and the County
General Plan. The establishment of a permanent medical clinic, caretaker's residence
and related facilities on the subject property is consistent with the purpose of the Zoning
Code because these types of facilities can be permitted in the RS zoning districts and the
State Land Use Urban district through the issuance of a Use Permit from the Planning
Commission.
The Use Permit process provides an avenue to review projects on a case-by-case
basis to determine infrastructure needs and identify and address impacts on surrounding
properties and existing uses. The permanent medical facility will be developed in
compliance with Zoning Code regulations related to building height, yard setbacks, off-
street parking and landscaping. Additionally,the proposed permanent medical facility is
intended to provide medical services to the community, which is consistent with the
intent of RS zoning districts regarding close proximity to services.
The General Plan is intended to be used as a policy guide for the coordinated
growth and development of all sectors of the County. It sets forth goals, policies,
standards and courses of action to accommodate growth without congestion, to designate
and preserve the lands needed for residential use, commercial and visitor services,
industry, agriculture and open space and to coordinate these uses with the County's
service and circulation systems. The overall goals,policies and standards are set forth to
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physically plan the lands in the County in the best interest of the island's residents. The
proposed request is consistent with the following goals and policies of the Land Use
Element of the General Plan:
Land Use Element
• Designate and allocate land areas in appropriate proportions and mix and in
keeping with the social, cultural, and physical environments of the County.
• Promote and encourage the rehabilitation and use of urban areas that are serviced
by basic community facilities and utilities.
• Encourage the development and maintenance of communities meeting the needs
of its residents in balance with the physical and social environment.
Public Facilities Health and Sanitation Hospitals and Related Facilities
• Encourage the development of new health care facilities or the improvement of
existing health care facilities to serve the needs of Hamakua, and North and South
Kohala.
• Encourage the establishment or expansion of community health centers and rural
health clinics.
In order to create an effective land use pattern, zoning districts and their
associated uses should closely correspond to the General Plan Land Use Pattern
Allocation Guide (LUPAG) map for the area. The Land Use Pattern Allocation Guide
Map component of the General Plan is a representation of the document's goals and
policies to guide the coordinated growth and development of the County. It reflects a
graphic depiction of the physical relationship among the various land uses. The LUPAG
Map establishes the basic urban and non-urban form for areas within the County. The
subject property is cut into two different LUPAG designations. About two thirds of the
subject property is identified by the LUPAG map as Low Density Urban and the
remaining one-third of the subject property and northern most portion of the parcel is
identified as Important Agricultural Lands. These designations closely align with the A-
20a and RS-15 zoning for the property.
For the Low Density Urban designation, typical uses include residential, with
ancillary community and public uses, and neighborhood and convenience-type
commercial uses; with overall residential density that may be up to six units per acre.
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Allowable uses within these areas, with appropriate zoning, may include commercial
facilities that serve the uses in the area, and community and public facilities. As the use
can be considered a commercial facility that serves the residential uses in the area,the
request will not be contrary to the LUPAG Map designation for this area.
The proposed permanent medical clinic will be consistent with and supportive of
uses allowed within the Low Density Urban designation which encompasses
approximately two-thirds of the subject property. Thus, the proposed used is consistent
with the General Plan Land Use Pattern Allocation Guide (LUPAG) Map designation for
the property.
The North Kohala Community Development Plan (NKCDP)has a goal to manage
the future growth of the district in a manner that is consistent with the Kohala lifestyle
and ideals of being a rural community with a strong cultural heritage, an agricultural
base, and a small-town feel. Strategy 4.9 (Increase Community Awareness of Healthcare
Services in Kohala) is noted under"Action/Strategy" in the Implementation matrix
contained in the document, and the availability of a variety of healthcare services is
recognized as an important component of overall adequacy of healthcare in a community.
According to Section 25-1-5(b) of the Zoning Code, a"Medical clinic"means an
office building or group of offices for persons engaged in the practice of a medical or
dental profession or occupation. Based on the preceding, the proposed use meets this
definition of a medical clinic and will not be contrary to Zoning Code and the proposed
use is consistent with the General Plan and the NKCDP.
The granting of the proposed use shall not be materially detrimental to the
public welfare nor cause substantial, adverse impact to the community's character
or to surrounding properties The subject, 5.682-acre "ax shaped"property is situated at
the northeast corner of Akoni Pule Highway and Maluhia Road. The subject property is
relatively flat with elevations ranging between 435 and 500 feet above mean sea level.
Approximately +2.5 acres of the subject property encompasses a portion of
Waiakalaupala Gulch which runs in the north-south direction that is heavily overgrown
and forms a physical demarcation for the subject property's area of developable area. The
property was the former location of the Kohala Club Hotel and approximately 1.322 acres
of the property is partially improved with three buildings. The proposed request, if
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approved, will allow the development of a permanent medical clinic and related facilities
on the subject property.
Surrounding properties immediately adjacent to the west of the subject property
along Akoni Pule Highway are zoned Neighborhood Commercial-10,000 square feet
(CN-10) and Agricultural-20 acres (A-20a). Properties located to the north are zoned
Agricultural-20 acres (A-20a). Surrounding properties within the Single-Family
Residential (RS-15) zoning district, Agricultural-3 acres (A-3a) and Agricultural-20 acres
(A-20a) zoning district are located to the south and east of the subject property.
Associated uses include institutional, residential, and agricultural uses.
The property was previously used as the Kohala Hotel, with no adverse impacts
on surrounding properties. The applicant has proposed that the project will not employ
visually offensive structures or equipment, does not produce unsafe or unpleasant odor,
noise, heat, or other particulates, and does not involve chemicals or other substances
which pose a threat to health and safety in the community. In addition, the large size of
the property and natural topography will physically provide a buffer to adjoining
properties.
The proposed project will meet the required yard setbacks of 20 feet from the two
fronts and 10 feet from its side property lines required by the RS zoning designation.
Additionally, the applicant will be required to put in landscaping through the Plan
Approval process to further minimize any adverse noise and visual impacts that may be
generated by the project. All buffer yard landscaping shall conform to the standards for
separation of a residential (RS) zoning district from a commercial (CN) zoning district as
provided for in Planning Department Rule No. 17 to further minimize impacts.
Traffic will be staggered to the site based on scheduled appointments. To mitigate
traffic impacts the applicant is also proposing to provide on-site parking for 19 vehicles
for Phase I of the project which includes the construction of the transitional medical
clinic. Once the permanent medical clinic is constructed along with the workforce
housing, parking for a total of 90 vehicles including ADA and a loading/unloading area
will be constructed on the subject property. The applicant has stated that the estimated
hours of operation of the transitional medical clinic will be from 7:30 am until 6:30 pm
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Monday to Saturday and the same will be for the permanent medical clinic once it is
constructed.
The permanent medical clinic, driveway and related improvements will create
temporary construction impacts such as an increase in noise, dust, and construction
traffic. These impacts will be temporary in nature and minor in scope and therefore are
not anticipated to have a substantial adverse impact on the surrounding properties,
particularly since some of the surrounding properties are already developed with
commercial and community uses.
Lastly, the Planning Department has not received objections from the surrounding
community regarding the proposed request. Based on the above discussion, no significant
adverse impact to surrounding properties is expected.
The granting of the proposed use will not unreasonably burden public
agencies to provide roads and streets, sewer,water, drainage, school improvements,
police and fire protection and other related infrastructure. Access to the subject
property is currently from an existing 20-foot-wide driveway to Akoni Pule Highway,
which is a minor arterial roadway under the jurisdiction of the County of Hawaii by a
Transfer Agreement between the State of Hawai`i Department of Transportation and the
County of Hawaii dated December 7, 2021. The applicant is proposing to construct a
secondary driveway from Maluhia Road, a private roadway located to the west of the
property. The applicant obtained a Grant of Easement, dated September 21, 2022, and
recorded at the Bureau of Conveyance of the State of Hawai`i,which granted the
applicant easement rights over Maluhia Road. Access to the transitional medical clinic is
proposed to be from Maluhia Road with an interior turn-around and fire apparatus access
lane. The applicant is proposing to expand the existing Akoni Pule Highway driveway
access from 20 feet to 60 feet during the operation of the transitional medical clinic.
Access to the permanent medical clinic and workforce housing will be from the proposed
Maluhia Road driveway and will include the Akoni Pule Highway driveway once the
driveway improvements have been completed. To minimize impacts to Maluhia Road, a
condition has been added to require that improvements to the Akoni Pule Highway
driveway be completed prior to the issuance of a certificate of occupancy for the
permanent medical clinic.
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A Traffic Assessment Report(TAR) for the proposed Hamakua-Kohala Health
Wellness Center dated November 2022 was conducted by the Traffic Management
Consultant(TMC). The TAR included traffic counts and studied the impacts of the
proposed project on two (2) intersections in the vicinity of the subject property.
According to the TAR,Maluhia Road and Akoni Pule Highway driveway currently
operate at a Level of Service "B" (Control delay is not significant). The TAR concluded
that at full buildout in 2025,the Akoni Pule Highway driveway could be expected to
operate at a Level of Service "C" during the AM peak hours and a Level of Service "B"
during the PM peak hours while the Project's Maluhia Road driveway is expected to
operate at a Level of Service "B" during both AM and PM peak hours. The TAR
provides several recommendations to mitigate traffic impacts including providing
adequate site distance, road widening, and a stop-control at the tee-intersection of the
Maluhia Road driveway and Maluhia Road. The Department of Public Works
recommended that access to Akoni Pule Highway, shall meet with the approval of the
Department of Public Works-Engineering Division and shall include adequate site
distances. DPW did not provide recommendations on the Maluhia Road access because it
is a private easement, rather than a County roadway. A condition of approval will be
added to require that the applicant comply with all requirements of DPW regarding the
driveway access to Akoni Pule Highway prior to the issuance of a certificate of
occupancy for the permanent medical clinic.
According to the applicant, the property is currently served by an existing 8-inch
waterline along Akoni Pule Highway fronting the property, and an existing 5/8I'-inch
meter. Additionally,the applicant stated that the existing meter is sufficient to service
Phase I of the development, however, it is insufficient for Phase II and Phase III.
According to a memo from the Department of Water Supply, the existing 5/8,'-inch meter
is only suitable for one single-family dwelling with an average daily usage of 400 gallons
per day (gpd). Additionally, DWS stated that while the Department has no objections to
the proposed development, the Department cannot provide additional water at this time.
DWS went further to state that they are constructing a new water tank, Hala`ula Well,
and they will re-evaluate the water usage calculations once the well improvements have
been completed and are in operation. According to the water demand calculations
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provided by the applicant, the water usage for operation of the transitional medical clinic
will remain unchanged. The permanent medical clinic and workforce housing will require
an additional five (5)units of water and DWS has preliminarily informed the Project's
engineers that additional units of water can be made available for Phase II and Phase III
of the development subject to final determination by DWS. Since DWS has stated that
the existing meter is only sufficient for an average daily usage of 400 gpd, a condition
requiring the applicant to either obtain additional water commitments, provide on-site
potable water, or come to an agreement with the DWS on the availability of water has
been added. This will allow the applicant to work with DWS, should more water become
available to the area.
There is no municipal sewer system in North Kohala. The subject property is
currently serviced by two (2) existing cesspools, which will be closed per DOH
guidelines. Due to the topography and siting of the permanent medical clinic, the
permanent medical clinic will install a new Individual Wastewater System (IWS)with
leach field. The workforce housing will connect to a new IWS that will share the primary
and secondary backup absorption beds from the permanent medical clinic. The total
wastewater output for the proposed project is estimated to not exceed the total 15,000
gpd. According to comments provided by the State Department of Health (DOH),while
the Department has no objection with the Project, the two proposed IWS would not meet
the criteria set forth in Chapter 11-62 of the Hawaii Administrative Rules and therefore
the applicant will be required to install a wastewater treatment plant as the proposed
flows exceed 1,000 gallons per day. A wastewater treatment system is distinct from a
septic system, or individual wastewater system (IWS), and is required to address the
higher-level output associated with commercial use of the subject property. A condition
of approval will be added to require that the applicant complete the wastewater upgrade,
meeting with the approval of DOH,prior to occupancy of each phase.
Futhermore, the Department of Public Works Building Division provided
comments on the subject application that permits shall be required for the proposed
project. Agencies that review a commercial building permit application include the
Department of Health; Fire Department; Department of Public Works- Engineering
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Division and Building Division, which includes Building, Electrical and Plumbing code
review.
An existing fire hydrant is located in the grass swales along Akoni Pule Highway,
approximately 100 feet east of the Project's existing Akoni Pule Highway Driveway. A
fire hydrant flow test was conducted by Engineering Partners, Inc. (EPI) on August 8,
2022. Based on the test, it was confirmed that the existing municipal water system
provided adequate water flow,pressure and storage and meets the fire protection needs of
the Project. In addition, the applicant is proposing to construct a stand-alone 10,000-
gallon water catchment tank with a 4-inch waterline supplying the Fire Department
connection that will be mounted on a concrete monument which will alleviate the need
for a fire hydrant to be installed for the Project.
The property is situated within an area designated as Flood Zone "X," or an area
determined by FEMA to be outside the 500-year flood plain. Electrical and telephone
services are available to the subject property. Police, fire, and medical services are
located nearby in Kapa`au.
In addition to the criteria for granting a Use Permit,the request is not
contrary to Chapter 205A, Hawaii Revised Statutes, relating to Coastal Zone
Management Area. The Special Management Area (SMA) is part of the Coastal Zone
Management Program regulated by the County. The property is located outside of the
SMA, approximately 1.2 miles away from the nearest shoreline and will not be impacted
by coastal hazards or affect beach erosion, coastal ecosystems, and marine resources.
Additionally, there is no record of a designated public access to the shoreline or mountain
areas that traverses the property. Thus, the proposed request and use of the property will
not adversely impact those resources.
Based on the preceding, the proposed use is not contrary to the objectives of
Chapter 205A, Hawaii Revised Statutes relating to Coastal Zone Management.
The request will not have a significant adverse impact to traditional and
customary Hawaiian Rights. In view of the Hawaii State Supreme Court's "PASH"
and "Ka Pa`akai O Ka`Aina" decisions, the issue relative to native Hawaiian gathering
and fishing rights must be addressed in terms of the cultural, historical, and natural
resources and the associated traditional and customary practices of the site:
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■ Investigation of valued resources: An archaeological assessment of the subject
property, including the permit area, was done by Scientific Consultant Services,
Inc., on March 2023. Additionally, a Botanical Survey and Vertebrae Faunal
Survey of the subject property was conducted by Geometrician Associates LLC
on December 2021.
■ The valued cultural, historical, and natural resources found in the permit area: The
most recent draft AIS identified one (1) site with six (6) features within the
project area. The one (1) site identified in the AIS was assessed as significant
under criterion "d" (yielding information important for research on history or
prehistory) with five (5) features also significant under criterion "c" (embodying
distinctive characteristics of Historic era structures and their method of
construction). No further work or preservation is recommended.
Neither the applicant nor the Planning Department are aware of any
cultural or historic resources on the property, nor is the property listed as a
historic site on the State or National Register of Historic Places. Additionally,
there are no known customary or Native Hawaiian cultural rights exercised on the
property. Furthermore, past ground disturbance activities within the property,
including clearing and past use of the property as a hotel, would indicate that the
potential for subsurface archaeological resources is unlikely.
A request for review of the application was sent to the State Historic
Preservation Division (SHPD) as a part of this application process. In a letter
dated April 29, 2022, SHPD provided comments on a previous proposed project
that encompassed an approximately 1.5-acre portion of the subject property. In
the 2022 letter, SHPD determined that no historic properties were to be affected.
However, for the new proposed project area, no new comments have been
received from SHPD.
The subject property has been partially cleared and developed with three
structures. Flora on the remainder of the property includes introduced plant
species such as fruit trees and vegetable crops, in addition to various non-native
tree and shrub species. There are no known endangered or listed plant species on
the property.
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Although not detected during the survey, it is possible that small number
Hawaiian Hawk, endangered Hawaiian Petrel, the endangered band rumped storm
petrel and the threatened Newell's shear-water fly over the area between the
summer and fall seasons. The Hawaiian goose or nene, although not observed
during the survey, have the potential to be present. The Hawaiian Hoary Bat,
although not observed during the daytime surveys, are assumed to be present. No
native terrestrial reptiles or amphibians were observed during the survey. The
report recommended standard mitigation measures to protect the endangered
species listed above that should be adhered to during construction and operation
of the Hamakua Health Center.
■ Possible adverse effect or impairment of valued resources: Native vegetation may
be destroyed by ground alternation and construction activities, however, there is
no evidence that the flora in the area is particularly desired or used for cultural
practices. There are no identified springs, pu`u, native forest groves, gathering
resources, or other natural features present on or near the project site that would
support traditional resource uses. Some vegetation may be destroyed by
construction of the transitional medical clinic and workforce housing, but there is
no evidence of adverse effects or impairments to valued resources.
As mentioned above, impacts on identified archaeological resources will
be addressed through the approval of a draft AIS and Archaeological Preservation
Plan for sites identified for preservation. As archaeological remains could be
inadvertently be uncovered during development activities, a condition of approval
will be added to address and mitigate any inadvertent finds.
Hawaiian fishing/gathering rights will not be affected by this project and
as there is no direct public access to the shoreline or mountains located within the
project area. With implementation of the mentioned conditions of approval the
proposed action will not affect traditional Hawaiian rights.
■ Feasible actions to protect native Hawaiian rights: To the extent to which
traditional and customary native Hawaiian rights are exercised, the proposed
action will not affect traditional Hawaiian rights; therefore, no action is necessary
to protect these rights. A condition of the permit will require the applicant to stop
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work and notify the DLNR-SHPD should any unidentified sites or remains be
encountered and proceed only upon receiving an archaeological clearance from
the DLNR-SHPD.
Lastly, this approval is made with the understanding that the applicant remains
responsible for complying with all other applicable governmental requirements in
connection with the approved use, prior to its commencement or establishment upon the
subject property. Additional governmental requirements may include the issuance of
building permits, the installation of approved water systems, compliance with the Fire
Code, installation of improvements required by the American with Disabilities Act
(ADA), among many others. Compliance with all applicable governmental requirements
is a condition of this approval; failure to comply with such requirements will be
considered a violation that may result in enforcement action by the Planning Department
and/or the affected agencies.
Based on the preceding findings,the establishment and operation of a
permamnent medical clinic, caretaker's residence and related improvements would
be compatible with the existing land uses and the physical and social environment of
the area and would promote the effectiveness and objectives of the Zoning Code and
General Plan. Approval of this request is subject to the following conditions:
1. The applicant(s),its successor(s) or assign(s) ("Applicant") shall be responsible for
complying with all of the stated conditions of approval.
2. The operation of the permanent medical clinic and related improvements shall be
conducted in a manner that is substantially representative of plans and details
contained within the Use Permit Application received by the Planning Department on
March 9, 2023, and any representations made to the Leeward Planning Commission.
Any substantial expansion of the facility or uses beyond what was represented shall
require an amendment to this permit.
3. Prior to construction, the Applicant shall secure Final Plan Approval for the proposed
development from the Planning Director in accordance with Section 25-2-70, Chapter
25 (Zoning Code), Hawaii County Code. Plans shall identify all existing and/or
proposed structure(s),paved driveway access and paved parking stalls associated with
the proposed development, landscaping, signage, fire protection measures, outdoor
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lighting (if any) and other improvements associated with the proposed development.
Landscaping shall be indicated on the plans for the purpose of mitigating any adverse
noise or visual impacts to adjacent properties in accordance with the requirements of
Planning Department's Rule No. 17 (Landscaping Requirements) and Chapter 25
(Zoning Code), Hawaii County Code. A buffer yard landscaping shall also apply to
the property's road frontage located along the south and west property boundary in
accordance with the requirements of Planning Department's Rule No. 17
(Landscaping Requirements) and Chapter 25 (Zoning Code), Hawaii County Code.
4. Currently there is one 5/8-inch meter available to service the subject property that
shall not exceed an average daily usage of 400 gallons per day (gpd) for the proposed
use. Prior to the issuance of a Certificate of Occupancy for any of the proposed
structures, the applicant shall either obtain additional water commitments for the
proposed use, as required by the Department of Water Supply; provide on-site potable
water storage tanks meeting the requirements of the State Department of Health Safe
Drinking Water Branch (DOH-SDWB); or obtain an agreement with the Department
of Water Supply on the availability of water. The applicant shall coordinate with the
DOH-SDWB to ensure compliance with their requirements. The applicant shall
submit a copy of a letter from the DOH-SDWB stating that the potable water and
drinking water sources meet their requirements prior to the issuance of a certificate of
occupancy.
5. The Applicant shall implement any improvements required by the Fire Department
and/or Department of Water Supply to ensure that fire protection requirements can be
met for commercial uses prior to issuance of a Certificate of Occupancy for each
phase.
6. The method of sewage disposal shall meet with the requirements of the Department
of Health, and shall be provided prior to issuance of a Certificate of Occupancy for
each phase.
7. Prior to the issuance of a Certificate of Occupancy for the permanent medical clinic,
the applicant shall complete construction of the 60-foot Akoni Pule Highway
driveway. Access to the project site from Akoni Pule Highway shall meet with the
approval of the County of Hawaii Department of Public Works.
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8. A drainage study shall be prepared by professional civil engineer licensed in the State
of Hawaii and submitted to the Department of Public Works prior to issuance of
Final Plan Approval. Any recommended drainage improvements, if required, shall be
constructed meeting with the approval of the Department of Public Works prior to the
issuance of a Certificate of Occupancy.
9. All development-generated runoff shall be disposed of on-site and not directed
toward any adjacent properties.
10. The Applicant shall comply with Chapter 27 —Flood Control, of the Hawai`i County
Code.
11. All earthwork and grading activity shall conform to Chapter 10, Erosion and
Sediment Control of the Hawaii County Code.
12. In the event that surface or subsurface historic resources, including human skeletal
remains, structural remains (e.g. rock walls,terraces, platforms, etc.), cultural
deposits, marine shell concentrations, sand deposits, or sink holes are identified
during the demolition and/or construction work, the Applicant shall cease work in the
immediate vicinity of the find, protect the find from additional disturbance and
contact the State Historic Preservation Division at(808) 933-7651. Subsequent work
shall proceed upon an archaeological clearance from DLNR-SHPD when it finds that
sufficient mitigation measures have been taken.
13. The Applicant shall comply with all other applicable laws, rules,regulations and
requirements of the affected government agencies for the proposed use.
14. Should any of these conditions not be met or substantially complied with in a timely
fashion, the Planning Director may initiate procedures to revoke this Use Permit.
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