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PROJECT DISTRICT APPLICATION
COUNTY OF HAWAIʻI PLANNING COMMISSION (Type or legibly print the requested information)
APPLICANT(S):
APPLICANT’S SIGNATURE: DATE:
ADDRESS:
LIST APPLICANT’S INTEREST (if not owner):
PHONE: (Bus.) (Res.) (Email)
REQUEST:
(Existing Zoning)
TO
(Proposed Zoning)
TAX MAP KEY(S):
SIZE OF PROPERTY AFFECTED AREA(S)TOBE REZONED: _____________________________
LANDOWNER(S):
FEE SIMPLE LANDOWNER(S) WRITTEN AUTHORIZATION
(may be provided by letter with the below statement included):
DATE:
DATE:
AGENT:
AGENT ADDRESS:
PHONE: (Bus.) (Res.) (Email)
Please indicate to whom original correspondence and copies should be sent.
ORIGINAL: COPIES:
THIS PROJECT DISTRICT APPLICATION MUST BE ACCOMPANIED BY THE FOLLOWING:
1. A filing fee of five thousand dollars ($5,000) to be paid via EPIC.
2. An original (signed) copy of the completed application.
3. A Background and County Environmental Report to include information as listed on the
attached form.
Note: A County Environmental Report shall not be required for an application where an
Environmental Impact Statement or Environmental Assessment has been completed and filed
with the Office of Environmental Quality Control in compliance with HRS, Chapter 343,
Environmental Impact Statements.
4. A location map and description of the property in sufficient detail to determine its precise location.
5. A scale-drawn master conceptual plan of the property, showing the project district boundaries and the land uses and acreage of land involved; all existing and proposed structures, uses and improvements; proposed subdivision; and reference points such as roadways, shoreline, etc.
6. A legal description of the proposed rezone area in map and written form by metes and bounds as certified by a surveyor shall be submitted with this application. This application shall notbe considered complete unless the metes and bounds description in map and written form have beenreceived.
7. A list of the names, addresses and tax map keys of all owners and lessees of record of surrounding properties who are required to receive notice under Section 25-2-4, Hawaiʻi County Code.
8. Any other plans or additional information relevant to this application may be requested by the Planning Director to facilitate processing of this request.
Background and County Environmental Report
(Attachment to Change of Zone, Project District, and Agricultural Project District Applications)
Please use this form as a guide for required information to be included in your Change of Zone,
Project District or Agricultural Project District -Background and County Environmental Report.
A. SUBJECT REQUEST
1. Details of Proposed Use/Development:
a. Project description:
b. Statement of objectives and reasons for the request:
c. Number of acres/square feet:
d. Proposed units/lots/floor area of proposed building envelope:
e. Development timeframe and cost:
f. Membership size/number of employees and clientele:
g. Parking arrangement:
h. Traffic impacts (assessment of existing traffic conditions, anticipated increase
in traffic and traffic impacts from proposed use). Please note, a Traffic Impact
Analysis Report (TIAR) may be required pursuant to HCC Chapter 25-2-46):
I. Proposed on-site and off-site infrastructure:
J. Other related information:
B. CONFORMANCE WITH STATE/COUNTY PLANS
2. State Land Use designation:
3. County Zoning:
4. General Plan designation (LUPAG Map):
5. Applicable goals/policies and objectives of the General Plan:
6. Consistency with Applicable Community Development Plan:
7. Special Management Area:
8. Discussion on how the proposed use is consistent with Chapter 205A, Coastal Zone
Management (existing public access, scenic or open space resources, coastal view planes, and coastal ecosystems) :
C. PHYSICAL CHARACTERISTICS AND ENVIRONMENTAL SETTING OF
THE PROPERTY AND SURROUNDING AREA
Physical Characteristics/Environmental Setting:
9. Description of subject property, location , climate , topography, slope, soils (including
size, shape, existing structures):
10. Lava Hazard Zone:
11. Distance from coastline :
12. Agricultural Lands of importance in the State of Hawaiʻi (ALISH) designation:
13. U.S.D.A. Natural Resources Conservation Services Soil Service Report soil type:
14. Land Study Bureau soil rating :
15. Flood Insurance Rate Map (FIRM) designation: (Contact Department of Public
Works -Engineering Division)
16. Existing drainage ways or improvements:
17. Air/noise/water quality:
Archaeological and Historic Resources:
18. Describe and show on the plot plan any known historic and archaeological resources on the property. Examples include human skeletal remains, structural remains, sand deposits, midden deposits, and lava tubes. The application may be provided to the State Department of Land and Natural Resources Historic Preservation Division (SHPD) for a determination of whether the project will affect archaeological/historic resources. Please be aware that a hearing before the Planning Commission may not be held until SHPD and the Planning Department determines resources on the property are adequately identified, recorded, mitigated and/or preserved.
Valued Cultural Resources:
19. Identify any traditional and customary native Hawaiian rights that are exercised in the area; the extent in which the proposed development will affect these rights; and feasible action to be taken to protect native Hawaiian rights if they exist. Examples include areas of traditional collection of terrestrial
resources (kī leaf, aho chord, thatch, medicinal plants and ferns) or marine or riparian resources (limu, ʻōpae, ʻoʻopu, hīhīwai) used for subsistence, cultural and religious purposes. Traditional and customary rights may also include rights of access to the archaeological and historical resources of the property.
Public Access:
20. Existing public access to and along the shoreline or to mountain areas and knowledge of
public access being used.
Natural Resources:
21. Existing floral /faunal resources (any native or exotic plants; any listed or
candidate for endangered species):
22. Scenic or coastal resources:
Social-Economic Characteristics:
23. Social settlement pattern for the area:
24. Economic resources of the area:
25. Land values:
Surrounding Properties:
26. Zoning
27. Land use(s) :
D. PUBLIC FACILITIES AND SERVICES
28. Description of access: (paved or unpaved ; private or county, right-of-way and pavement
width. If private roadway, submit evidence of legal access rights):
29. Availability of water:
30. Sewage disposal:
31. Solid waste:
32. Police & fire protection:
32. Schools:
33. Parks:
34. Other utilities and services (telephone/electricity):
E. ENVIRONMENTAL ASSESSMENT AND ANALYSIS
35. Relationship between local short term uses of environment and maintenance and enhancement of long-term productivity:
36. Mitigative measures proposed to avoid, minimize , rectify, or reduce impact:
37. Alternatives to the proposed development:
38. Irreversible and irretrievable commitments of natural resources that would be
involved if proposed action implemented:
F. AGENCIES -COMMENTS
39. You may consult with the following agencies and include discussion in your report or
attach their written comments regarding your proposal:
a. Department of Public Works:
b. Department of Water Supply:
c. Police Department:
d. Fire Department:
e. Department of Finance -Real Property Tax Division:
f. State of Hawaiʻi Department of Transportation -Highways Division: (If applicable)
g. State of Hawaiʻi Department of Health :
h. State of Hawaiʻi Department of Agriculture: (Agricultural lands)
i. Neighbors, Community groups/individuals , Civil Defense, Office of Housing
and Community Development, Kailua Village Design Commission, State of
Hawaiʻi Real Estate Commission, and State of Hawaiʻi Department of Human
Services: (If applicable)
Rev. 4/6/2023