HomeMy WebLinkAboutSMA Assessment Short Form (4)
East Hawai‘i Office· 101 Pauahi Street, Suite 3 · Hilo, Hawai‘i 96720
Phone (808) 961-8288 · Fax (808) 961-8742
West Hawai‘i Office · 74-5044 Ane Keohokalole Hwy · Kailua-Kona, Hawai‘i 96740
Phone (808) 323-4770 · Fax (808) 327-3563
County of Hawai‘i Planning Department
www.cohplanningdept.com · planning@co.hawaii.hi.us
SPECIAL MANAGEMENT AREA
SHORT FORM ASSESSMENT FOR NON-SHORELINE PARCELS
All development within the Special Management Area (SMA) shall be administered through the
Department under Planning Commission Rule 9, pursuant to the objectives and policies and the Special
Management Area guidelines as provided by Chapter 205A, Hawai‘i Revised Statutes (HRS), as
amended. For non-shoreline parcels which are not affected by the shoreline setback area, the Department
may use this form to assess the following uses, activities or operations (check all that apply):
Construction or reconstruction of a single-family residence that is less than seven thousand five
hundred (7,500) square feet of floor area and is not part of a larger development
(Existing Total Floor Area*:________square feet; Proposed Total Floor Area*:________square feet);
Repair or maintenance of roads and highways within existing rights-of-way;
Repair, maintenance, or interior alterations to existing structures;
Demolition or removal of structures, except those structures located on any historic site as
designated in national or state registers;
Structural and nonstructural improvements to existing single-family residences, where otherwise
permissible, that do not increase the total floor area to seven thousand five hundred (7,500)
square feet or greater
(Existing Total Floor Area*:________square feet; Proposed Total Floor Area*:________square feet); or
Nonstructural improvements to existing commercial structures. ___________________________
Submittal Date: _______________________ Tax Map Key: _________________________________
Landowner: ______________________ Applicant (if other than owner): _______________________
(Print Name) (Print Name)
Phone: Bus.: __________________ Hm./Cell: __________________ Email: _______________________
This assessment must be accompanied by the following information. In addition, the Director may
require additional plans or information deemed necessary to assess the proposed use, activity or operation.
1. A plot plan of the property, drawn to scale, showing all proposed and existing structures, uses or
activities. The plot plan must also indicate the location of any known historical sites,
environmentally sensitive areas, and Anchialine ponds;
2. A copy of the Building Permit Application or Application for Plan Approval, if applicable; and
3. A floor plan including the total floor area* calculation for any proposed construction, enlargement,
or reconstruction of a single-family residence. Please note that pursuant to HRS, any single-family
residence seven thousand five hundred square feet of floor area, or greater, will require an SMA
(Major) Use Permit.
* Floor area shall be the total area of all floors of a building(s) associated with the single family
residence, including a basement, measured along the exterior walls of such building(s). The floor area of
a building(s), or portion thereof, not provided with surrounding exterior walls shall be the usable area
under the horizontal projection of the roof or floor above (ie. storage, garages, carports, and lanais
under roof are to be included).
SMA Short Form Assessment – Page 2 of 2
P:\Forms & References\E-Forms\2013 Updated Forms\SMA Assessment Short Form MSWord.doc
Revised 12/2/13
CONDITIONAL APPROVAL AND ACKNOWLEDGEMENT
A determination that the proposed use is exempt from the definition of “Development”, as defined in
Planning Commission Rule 9 is hereby approved subject to the following conditions to assure that the
proposed use, activity, or operation does not have a cumulative impact, or a significant adverse
environmental or ecological effect on the SMA: 1. The applicant shall secure all necessary approvals and permits from other affected federal, state, and county agencies as necessary to comply with all applicable laws and regulations. 2. This exemption only applies to the proposed uses, activities and operations as presented on the plans submitted. No additional development shall be allowed within the SMA without obtaining a permit. 3. Artificial light from exterior lighting fixtures, including, but not necessarily limited to floodlights, uplights or spotlights used for decorative or aesthetic purposes shall be prohibited if the light directly illuminates, or is directed to project across property boundaries toward, the shoreline and ocean waters, except as may otherwise be permitted pursuant to Section 205A-71(b), Hawai‘i Revised Statutes. 4. No land alteration, grubbing, landscaping or construction activities, including but not limited to, the stockpiling of debris, construction materials or equipment, shall occur in the shoreline setback area without securing a prior written determination of minor structure or activity pursuant to Rule 11-8 from the Planning Director or approval of a Shoreline Setback Variance from the Planning Commission. 5. Discovery of any unidentified sites or remains, such as artifacts, shell, bone or charcoal deposits, human burials, rock or coral alignments, pavings or walls will require that all work in the immediate area cease. The Planning Director shall be immediately notified. Work may proceed with an archaeological clearance from the Planning Director. The archaeological clearance requires a finding that sufficient mitigative measures are taken for the discovery; with written guidance from the State Historic Preservation Division of the Department of Land and Natural Resources. 6. Best Management Practices regarding water quality and equipment maintenance must be strictly adhered to during all phases of construction.
In issuing this exemption, the Department has relied on the information and data that the
landowner/applicant has provided. If, subsequent to this exemption, such information and data prove to
be false, incomplete or inaccurate, this exemption may be revoked, in whole or in part. In addition, the
Department may issue a Notice of Violation and Order, in accordance with Planning Commission Rule 9.
Planning Department: ___________________ __________________ Approval Date: _____________
(Signature) (Print Name)
Additional Department Comments: ________________________________________________________
I acknowledge that I have read the above, I will comply with all of the conditions stated, and have been
given a copy of this signed exemption. Authorized agent may sign on behalf of landowner only if a
signed letter of authorization, a completed Building Permit application, or a completed Plan Approval
application has been provided.
Landowner/ Agent: _______________________ _______________________ Date: _______________
(Signature) (Print Name)