- -lI-W~l2 · installation permit dated 6/9/05 by Mike Robertson of Wailani Drilling. Please call ....

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LINDA LINGLE GOVERNOR OF HAWAII

Mr. Michael Robertson Wailani Drilling, Inc. P.O. Box 790299 Paia, HI 96779

Dear Mr. Robertson:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

June 23, 2006

Well Completion Report for Well No. 4424-01

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING JAMES A. FRAZIER NEAL S. FUJIWARA

CHIYOME L. FUKINO, M.D. LAWRENCE H. MilKE, M.D., J.D.

STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING DEPUTY DIRECTOR

4424-01. wcr2.acc

We received your Well Completion Report Part II for the Keokea Highlands 2 (Well No. 4424-01) and acknowledge that it is complete as of June 8, 2006.

This completes your obligations under the pump installation permit. A certificate of pump installation completion will be issued to the well operator/landowner and you will receive a copy. The certificate transfers responsibility of all aspects of well usage and maintenance from you to the well operator/landowner.

If you have any questions, please contact Charley Ice of the Commission staff at 587-0251 or toll-free at 984-2400, extension 70251.

CI:ss

c: Maui Highlands Properties, LLC Haleakala Ranch

Sincerely,

w.f'rH 1't

DEAN A. NAKANO Acting Deputy Director

/

o o LINDA LINGLE

GOVERNOR OF HAWAII


COMMISSION ON WATER RESOURCE MANAGEMENT

Mr. Doyle Betsill Maui Highlands Properties, LLC 635 Kenolio Road Kihei, HI 96753

Dear Mr. Betsill:

P.O. BOX 621 HONOLULU, HAWAII 96809

June 23, 2006

Certificate of Pump Installation Completion for Well No. 4424-01


MEREDITH J. CHING JAMES A. FRAZIER NEAL S. FUJIWARA

CHIYOME L. FUKINO, M.D. LAWRENCE H. MilKE, M.D., J.D.

STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING DEPUTY DIRECTOR

4424-0 I .ccpi

We are pleased to inform you that the Pump Installation work permitted for the Keokea Highlands 2 Well (Well No. 4424-01) is complete and acceptable. This certificate of pump installation completion allows you to commence pumping your well for reasonable & beneficial water use.

To protect Hawaii's natural ground water resources for the benefit of all, the following requirements apply to the use of your well:

1. If the well is not in use it must be properly capped.

2. If the well is to be abandoned then the landowner must cause a licensed contractor to apply for a well abandonment permit in accordance with §13-168-12(f) prior to any well sealing or plugging work.

3. In the event that the well operator and/or landowner changes, the Coinmission shall be notified of the change prior to the change, and all forms shall be transferred to the new owner.

4. In the event the benchmark in the concrete base of the well is altered in any way, an updated elevation survey (page 5 of the Well Completion Report Part I) shall be submitted to the Commission. The Well Completion Report Part I can be obtained by contacting staff or at www.hawaii.gov/dlnr/cwrmlforms.htm.

5 . Your approved pump has a capacity of 300 gpm at a head of 582 ft. In the future, pump replacements of equal or lesser capacity will not require an additional permit from the Commission, but will require the submission of a Well Completion Report Part II by the licensed pump installer. If the pump replacement is greater than the existing pump, you will need to apply for a new pump installation permit.

I

Mr. Doyle Betsill Page 2

o June 23, 2006

6. The landowner shall cause the well operator to maintain the installed meter or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate devices or means for measuring chlorides and temperature. These data shall be measured monthly and reported to the Commission on a monthly basis, on forms provided by the Chairperson (attached), in accordance with § 13-168-7, HAR.

7. The proposed use shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. The authorization to drill a well and/or install a pump shall not constitute a determination of correlative water rights. The landowner and well operator are notified that the quantity of water taken from the well and/or the pump capacity could be reduced by the Commission in the future.

Because groundwater in Hawaii is a public trust, and adverse effects at one well may affect other water resources, any violation of the above conditions, or any other provision of the Hawaii Administrative Rules, may be subject to fines of up to $5,000/day. The Commission needs your help and asks that you to do your part in utilizing this shared resource. We prefer to work with you in meeting the goal of protecting our ground water resources together.

If you have any questions, please contact Charley Ice of the Commission staff at 587-0251 or toll-free at 984-2400, extension 70251.

CI:ss Encl: Water Use Report Forms

c: Maui Department of Water Supply Wailani Drilling, Inc.

Sincerely,

w."'rH 1'1.


MEMO and ROUT~L1P (vor.12/21/05) fl; No "5;J!1I~ye~I2B106;;;...Jl<" .. I) lAtP

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I WCR 2 Check for Well No. 4424-01 (survey to regulation memo) I 2) ? I P ~ ~~

1. Pump Tests Check' special condition of PIP? Yes/No) Kevin GOOdinga(initial if yes) ~~ Yes No If no, describe deficiency ~

Step-Drawdown Test:

followed WCPI Stds analysis attached proposed pump cap O.k.

Aquifer Pump Test:

followed WCPI Stds T & S analysis attached

Well Interference: estimated Steady-State drawdown at 1-mile radius is ____ ft.

analysis attached

Stream Surface Water Impacted:

Geology Code for Well Index: ____ _

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res No If no, describe deficiency

data complete followed Special Cond & Elev.

well database updated

3. Erle~nore/Ryan ____ (initial)

ATTACHMENTS FOR ACCEPTANCE: 1 WCR2 ACCEPTANCE LETTER

2PUMP INST. COMPLETION CERTIFICATE

A o o

3METER INSTALL. REPORT (IF NECCESSSRY) __ _

1- To be sent to driller

J To be sent to landowner/operator

} Staff internal checks

4. oy 1< &;i i' I check(Entered WCR 2/PICC accept date into database) 5 ~ (initial) finalize

Charle enore/R Ie

BS/20/2005 13:2g 18088795159 BETSILL BROTHERS CON PAGE 02/04 p.2 Jun 09 05 11:33p B08 .0:/""'\ 57!17

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03/20/2005 . 18088795159 P"",

BETSILL BROTHERS CON PAGE 03/04 ,..1.\, Jun 09 05 11~~3p Wa~ni Dril11M~inc 80B ~ 8797 p.l

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ID:OLNR CWRM PAGE: 003 R =96~;

May 1\3 06 10:21 a Michael Robertson 8083226797 p.1

Model 3005 ''-- 300 GPM Pe-rformance Curves

FLOW RANGE: 60 -410 GPM OUTLET SIZE: 311& 4"1 NPT* NOMINAL CIA. 6"

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83/20/2006 13:29 18088795159 BETSILL BROTHERS CON PAGE 01/04

Date: March 20, 2006

To:

From:

Charlie Ice

Michelle Cockett Planner

Re: Maui Highlands

Fax: (808) 587-0219

# of pages wnh cover sheet 4

Well Construction Completion Report Part 2 on TMK: (2)2-2-002 :054

Hi Charlie,

Attached is the well completion report for Well #2- Pump Installation for State Well No.4424-01on the above property and the signed pump installation permit dated 6/9/05 by Mike Robertson of Wailani Drilling.

Please call me at 874-6617, if you need additional information or have . . any questions.

Mahalo

MAR-20-200601:24PM FAX: 18088795159 ID: DLNR CI.JRM PAGE:001 R=96%

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Dear Mr. Betsill:

Pump Installation Permit Keokea Highlands Well 2 (Well No. 4424-01)


MEREDITH J. CHING CLAYTON W. DELA CRUZ

JAMES A. FRAZIER CHIYOME L. FUKINO, M.D.

LAWRENCE H. MilKE, M.D., J.D. STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING OEPVTY DIRECTOR

June 2, 2005

Enclosed are two (2) originals of your approved Pump Installation Permit for the captioned well(s) that authorize permanent pump installation work for your well(s). As part of the ChairJ)erson's approval, the following special conditions were added and are part of your permit under Permit Condition 11:

Special Conditions

1. If the elevation benchmark needs to be altered, the permittee, well operator, and/or well owner shall ensure that the benchmark Is transferred (or the well resurveyed) and documentation of the new benchmark shall be submitted to the Commission within sixty (60) days after the pump Is installed.

The ~ermittee is responsible for all conditions of the permit. This includes ensuring the submission of a completed Well Completion Report Part n form within sixty (60) days after the pump installation work is completed. Be advised that you may be subject to fines of up to $5,000 per day for any violations of your permit conditions starting from the permit approval date.

Please sign both permit originals and return one for our files.

IMPORTANT - Pump installation shall not commence until a fully signed permit is returned to the Commission.

Finally, this letter is notice that we have accepted your Well Completion Report - Part I as complete as of May 24, 2005.

If you have any questions, please call Charley Ice of the Commission staff at 587-0251 or toll-free at 974-4000 (Hawaii) or 984-2400 (Maui) extension 70251.

Sincerely,

W/in 1't

Peter T. Young Chairperson

Enclosure

c: Haleakala Ranch USGS DWS

/

, \. o PUMP INSTALLATION PERMITO Keokea Highlands Well 2. Well No. 4424"()1

Note: This permit shall be prominently dlsplaved at the site until the work Is completed

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled 'Water Use, Wells, and Stream Diversion Works", this document permits the pump installation for Keokea Highlands Well 2 (Well No. 4424-O1) at TMK 2-2-2:54, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

1. The Chairperson to the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any work covered by this permit commences and staff shall be allowed to inspect installation activities in accordance with §13-168-15, Hawaii Administrative Rules

2. No withdrawal of water shall be made other than for testing until a Certificate of Pump Installation Completion has been issued by the Commission.

3. This permit shall be prominenUy displayed, or made available, at the site of construction work until work is completed.

4. The pump installation permit shall be for installation of ~gpm rated capacity, or less, pump in the well. This permanent capacity may be reduced in the event that the pump test data doe~suPPort the capacity.

5. A water-level measurement access shall be permanenUy installed, in a manner acceptable to the Chairperson, to accurately record water levels.

6. The permittee shall install an approved meter or other appropriate means for measuring and reporting withdrawals and appropriate devices or means for measuring chlorides and temperature at the well head.

7. Well Completion Report Part II shall be submitted to the Chairperson within 60 days after completion of work. This form can be obtained by contacting staff or on the intemet at www.hawaiLgov/dlnr/cwrm.

8. The permittee, well operator, and/or well owner shall comply with all applicable laws, rules, and ordinances, and non-compliance may be grounds for revocation of this permit.

9. The pump installation permit application and any related staff submittal approved by the Commission are incorporated into this permit by reference. This permit is also subject to the HWCPIS. If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result. Any variances from the HWCPIS shall be approved by the Chairperson prior to invoking the variance.

10. The work proposed in the pump installation permit application shall be completed within two (2) years from the date of permit approval, unless otherwise specified. The permit may be extended by the Chairperson upon a showing of good cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later than the date the permit expires.

11. The permittee, its successors, and assigns shall indemnify, defend, and hold the State of Hawaii harmless from and against any loss, liability, claim, or demand for property damage, personal injury, or death arising out of any act or omission of the applicant, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the granting of this permit.

12. Special conditions in the attached cover transmittal letter are incorporated herein by reference.

Date of Approval: PETER T. YOUNG, Chairperson Expiration Date:

May 24, 2005 May 24, 2007 Commission on Water Resource Management

I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the pump Installer have signed, dated, and returned the permit to the Commission. I understand that this permit Is not to be transferred to any other entity, I also understand that non-compllance with any permit condition may be grounds for revocation and fines of up to $5,000 per day starting from the permit date of approval.

Installer's Signature: ___________ C-57, C-57a, or A License #: C-20115 Date: __ _

Printed Name: Michael Robertson Firm or Title: Wailani Drilling. Inc.

Please sign both copies of this permit, return one to the Chairperson, and retain the other for your records.

Attachments

/


Mr. Doyle Betsill

o




June 2,2005

Maui Highlands Properties, LLC 635 Kenolio Road Kihei, HI 96753

Dear Mr. Betsill:

Certificate of Well Construction Completion for Well No. 4424-01





DEAN A NAKANO ACTING DEPUTY DIRECTOR

4424-01, wccc

Weare pleased to inform you that the Well Construction work permitted for the Keokea Highlands Well #2 (Well No. 4424-01) is complete and acceptable and welcome you as a new member to the community of well owners and groundwater users in Hawaii. _

To protect Hawaii's natural ground water resources for the benefit of all, the following requirements apply to the use of your well:

1. Before this well can be pumped on a regular basis, a certificate of pump installation completion must be obtained.

2. If the well is not in use it must be properly capped.

3. If the well is to be abandoned then the landowner must cause a licensed contractor to apply for a well abandonment permit in accordance with §13-168-12(f) prior to any well sealing or plugging work.

4. In the event that the well operator and/or landowner changes, the Commission shall be notified of the change prior to the change, and all forms shall be transferred to the new owner.

5. In the event the benchmark in the concrete base of the well is altered in any way, an updated elevation survey (page 5 of the Well Completion Report Part J) shall be submitted to the Commission. The Well Completion Report Part J can be obtained by contacting staff or at www.hawaiLgov/dlnr/cwrmlforms.htm.

/

\..

Mr. Doyle Betsill Page 2 June 2,2005

o

Because groundwater in Hawaii is a public trust, and adverse effects at one well may affect other water resources, any violation of the above conditions, or any other provision of the Hawaii Administrative Rules, may be subject to fines of up to $5,000/day. The Commission needs your help and asks that you to do your part in utilizing this shared resource. We prefer to work with you in meeting the goal of protecting our ground water resources together.

If you have any questions, please contact Charley Ice of the Commission staff at 587-0251 or toll-free at 974-4000 (Hawaii), 984-2400 (Maui) extension 70251.

CI:ss

c: Haleakala Ranch Maui Department of Water Supply

Sincerely,

w.~rh 1't


MEMO and ROUTE 9up (ver. 5123105) o

WCR 1 Check for Well No. 4424-01 (survey to regulation memo)

1. Pump Tests Check Glenn Baue~r ~~ __ (initial) Yes No

Step-Drawdown Test:

followed WCPI Stds analysis attached proposed pump cap O.k.

Aquifer Pump Test:

followed WCPI Stds T & S analysis attached

Well Interference: '2, ..f estimated Steady-State ' ~

drawdown at 1-mile radius is _""_'_7 __ ft. analysis attached

Stream Surface Water Impacted:

Geology Code for Well Index: --r I=. o

o o o

o

2. Construction Check Mitch Ohye _---\'--_ (initial) Yes . No -/ -

i'"

data complete • " 0 followed Special Cond & elevations;e/ 0 well database updated y 0

If no, describe deficiency

If no, describe deficiency

f,' " V! '.'../

Latitude Longitude

OS/25/05

I ~(.. 1.-<: 0 \ , C;4 /

NAD27

NAD83

<l 0 44 91. I...f

'YO 44- 41,-rj I c;~ ").. + '":7\ • 4-~ -

3. Erle~nore/Ryan ,

(.~ (initial) take action basJSl on above analysis '"" ~ltl f'1cSffM' ~ p.w *)('2'710' ~~ ... WGc.~ ~~

ATIACHMENTS FOR PUMP INSTALLATION PERMIT (2x): __ not necessary - only WCP or BOTH. ~ 1COVERLETIER } ~. /' 2COUNTY COMMENTS (DWS/SMA) ~

3DOH COMMENTS To be sent to driller/pump installer 1 .. 4 DLNR COMMENTS (LD/OCCUDHP) V-.I ka trJ ~ 1I.r( ~ SWELL CONST. COMPLETION CERTIFICATE -ft'(A ~n-.. ~QII...

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Staff internal checks 7~~~ 't f~

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Well Name: Keokea Highlands 2 (4420) Date of Test: February 26, 2005 Date of Analysis: 26-May-05

Alternative way for determing T from step-drawdown data (Mink, per. comm) Q =ftl\3/d Q1 (gpm) = 280 = 53900 ftl\3/d s = ft. Q2 (gpm) = 160 = 30800 ftl\3/d Set up two equations:

s1 = jQ1 + nQ11\2 s2 = jQ2 + nQ21\2

Q2= Q1=

30800 s2 = 53900 s1 =

1.15 3.35

25 Well Depth below sea level = Radius of well (ft) = 0.33 = r

n = s1 - (Q1/Q2)s2/Q1(Q1-Q2) = j = s/Q - nQ =

Laminar flow equation:

1.07E-09 4.25E-06

green = input red = calculated blue = equations

s = jQ = 0.229167 6.84% Head loss due to laminar flow

Thiem Eq.

T = 1/2pij(ln{re/r})

re = Well Depth BSL * 1.6 = 40 Therefore: / T = 1/2pij(ln{re/r}) = 179588 ftl\2/d

o

o o THEIS DRAWDOWN CALCULATION by Glenn Bauer & Roy Hardy with numerical apprOXimations by Huntoon (1980)

Keokea Highlands Well 2 (4424-01) FILE NAME = TEST NAME = DATE =

Transmissivity calculated from step-drawdown test.

INPUT PARAMETERS

Transmissivity Storage Coeff. Time Pumping Rate

Radial distance, r (ft.) from well

1 10 50

100 250 500

1000 1500 2000 2500 3000 5000

10000

OBSERVATION WELL

Jan-05

GREEN VALUES

T= 179,588 S= 0.150 t= 200,000 Q= 53,903.7

u W(u)

1.0441E-12 27.0 1.0441E-10 22.4 2.6101E-09 19.2 1.0441E-08 17.8 6. 5254E-08 16.0 2.61 01 E-07 14.6 1.0441E-06 13.2 2.3491E-06 12.4 4. 1762E-06 11.8 6. 5254E-06 11.4 9.3965E-06 11.0 2.6101E-05 10.0 0.00010441 8.6

fr'/day dimensionless days ft'/day

Drawdown s (ft)

0.65 0.54 0.46 0.43 0.38 0.35 0.32 0.30 0.28 0.27 0.26 0.24 0.21

Radial distance r from pumping well 5280 ft

Timet Drawdown s days years u W(u) (ft)

0.1 0.00 58.21 8.831E-28 0.000 1 0.00 5.82 0.00044217 0.000 2 0.01 2.91 0.01462316 0.000 3 0.01 1.94 0.05311685 0.001 4 0.01 1.46 0.10691889 0.003 5 0.01 1.16 0.16767953 0.004 6 0.02 0.97 0.23067361 0.006 7 0.02 0.83 0.29345081 0.007 8 0.02 0.73 0.35478275 0.008

10 0.03 0.58 0.47112078 0.011 36 0.10 0.16 1.40016982 0.033

200 0.55 0.03 2.98846993 0.071 500 1.37 0.01 3.88747341 0.093

1000 2.74 0.01 4.57482465 0.109 2000 5.48 0.00 5.26506753 0.126 5000 13.70 0.00 6.17961366 0.148

10000 27.40 0.00 6.87217897 0.164 20000 54.79 0.00 7.56503515 0.181 50000 136.99 0.00 8.48115126 0.203

100000 273.97 0.00 9.17424023 0.219

Aquifer thickness b = Hydraulic Conductivity K = Pumping rate Q =

120 ft 1,496.57 ftlday

280 gpm 0.403 mgd 0.624 cfs

Theis Curve s vs. r @ time t

g Ul

c: ~ 0.5 +-------------------1

1 "

o

1.0

g Ul

c: ~0.5

l "

0.0

2000 4000 6000

distance r (ft) 6000

Theis Curve s vs t @ observation r

, .. •

o 50000

•

100000

time t (days)

150000

10000

200000

Theoretical drawdown a mile (5,280 ft) from the pumping well when u=< 0.01

T= Sp. yield = t= s=

179,588 ft</d 0.15 365 days

0.085 ft.

----__________________ ,,_"""'!.~w ... _

o o

Wailani Drilling Company Lic.#C20115

Michael Robertson 77-181 La Aloa Ave. Kailua Kona, Hawaii 96740 Ph.808 572-2673 Fax 322-6797 Cellular 264-7079

5/20/2005

Return Receipt Fax Memo

Charley,

Enclosed are the following items:

/ WCR I for Keokea Highlands Well 2 # 4424-01 complete. 7 WCR 2 for Keokea Highlands WeIll # 4425-01 complete. ~ ~ ~ ~t

Please confirm receipt by checking off the enclosed items and faxing a copy of this memo to me at 808/322-6797. Hard copies to follow in the mail.

Thank you.

~~ Sincerely, Michael Robertson

._-------_._.-.... " ..

...

o o

Source Water Contamination Susceptibility Assessment

Maui Highlands Water System Keokea Highlands Well No.1 a ell No.2

State Well N . 4425-01 . d 4424-01

~ fiv. \r .ft"~ fa v fr<.l \ co fI

August 2006

Prepared for:

Highlands Services LLC 3220 South Kihei Road Kihei, Hawaii 96753

Prepared by:

Mink & Yuen, Inc. 1670 Kalakaua Avenue, Suite 605

Honolulu, Hawaii 96826

and

Pural Water Specialty Co., Inc. 1955 Vineyard Street

Wailuku, Hawaii 96793

II State of HaOii . 0 For Official Use Only:

COMMISSION ON WATER RESOURCE MANAGEMENT Department of land and Natural Resources

WELL COMPLETION REPORT - PART I Well Construction

Instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. The Commission may not accept incomplete reports. This form shall be submitted within 60 days of the completion of work. For assistance, please consult the Hawaii Wen Construction and Pump Installation Standards or call the Regulation Branch at 587-0225. For updates to this form or additional information, please visit our website at http://www.hawaii.gov/dlnr/cwrmJ

,t~~'''''':' "l~"':-"':"-' ,,~\ 4 ','~:!:" -"r ~ ~,

;'i-"":

1. State Well No.: 4424-01 Well Name: _K;.,;:;.;;..eo;;;.;k~e;..;;;a;...:H...;.;I,*,g.;;.;;h;..;;;la:;:.;n..:.;,ds~2 _____ ISland: Maul

2.

3.

Address: Keokea, el ..... 600', Makawao Tax Map Key: ....;;;.2-....:;2;...:-2;;;.;:...;..54~ ____ _

Drilling Company: l)J ~w .. ~~ :x ~ 4. Drilling method used during contruction: 7ROBry 0 Percussion 0 Other (describe)

5. Date Well Construction (drilled.cased.grouted) completed: ~cJ 0 s: Fill out attached Driller's Log . ~day/year

In addition to the drillers log, If a geologic log was prepared, please submit with this form.

6. Was the subject well cored? 0 Yes ~o

7. Initial water-level encountered SlS

8. Step-Drawdown Test completed?

9. Constant Rate Aquifer Test completed?

Parameters prior to pump test:

10. Water-level: ::t .<00

11. Chloride: ~;\ 0

12. Temperature: CoCo. ~

ft. below ground

o No l!fYes

o No lIt'Yes

Date and time of measurement ~ll::ftime Attach Step-Drawdown Test form (12117/97 SDPTDForm)

Attach Constant Rate Aquifer Test form (12/17/97 CRPTD Fotm)

ft. above msl Date and time of measurement

ppm Date and time of sampling:

OF Date and time of measurement:

13. Fill In the as-built section on the other side of this sheet.

14. Fill in attached surveyor's report.

15. If a pump is not planned to be installed. please describe (below in the remarks section) how well is secured to prevent unauthorized access (example: lockable cover. threaded coupling. etc.)

16. The proposed manufacturer's rated pump capacity is S>...<oo gpm at a head of <eSC fl (Attach pump specifications and rating curve)

17. Remarks:

Licensed Driller (print) -LJMU..3.( ..:::c...::.;~.:.;ct..:'~;:LL\ _~~r...;:klCl..Sr....;+s.:...!!,t.,;.",\,--__ C-57 Lic. No. ---,=~=Q...;;;...z\,-"\",,S-"--____ ,

Signature Date _ .... 3-.,.£..;;;b.-S'""-ttl-'l):..;:S::.... __

Pennittee (print)

Signature Date

o

13. AS-BUILT 0- SECTION (Please attach as-built if different Oiagram provided below)

", Hole Diameter: \ g in Elevation at top of casingS~ ft., msl* ""\ [ (to nearest 0.01 ft.) -L1-....-..--fI-i Minimum of 2' Radius & 4" Thick Concrete Pad

r.Be=-nch-:--m-a-.rk----1----------tlr°k-:1:< ~ y~ r Ground Elevation: Sst. fS;., msl

elevation: I'AI(\.' :. :. • •• , Please refer to the S5"A~ msr /}: ;.:::

(Survey to nearest Cement Grout: qDC> fl ~.:: 0.01 ft.) (min. 70% of distance from :":'~.4!.:'

:: :: :~i 1"::' j

HAWAII WELL CONSTRUCTION AND PUMP INSTALLATION STANDARDS to ensure that your as-built is in compliance

ground elevation to top of water surface or 500 ft.. :.0;:: whichever is less.) -. ~.~:

• o· W ..... § '.~: 0.

.'.

with applicable standards.

Annular space between hole and casing (min.3"):

~i.:~~ -0:"-

¥ :. ~. .. : 4 ..

:: ~ ::::

S ~

Solid Casing: (~ 90% x (Ground F.lev.-Water Level Elev»

Length: S 5'.1 _ft.

,,/;./: .... 4: , ..... 1i .... ~.~:~

Nominal Diameter: ____ 9)~'I"" __ ---,-in.

Wall Thickness: ____ ~~:tS!!!!"",.~~---.-in. L\.b in. w -/ ~:;:

~-------~ ~:

~c- f :: :: -g ~'.': ::J .:.r e Bottom EIeVatlO~:-----"s:II!:.I.....:!O,~..L---- fl, msl

Total Deeth

5""fl

Rock or Gravel Packing: ~ Q. x

~ ~

'-;:============~ .. I~ -,,,"u,~t--1~~

';I.

~ g /\I

Alb. Material:

fl

o Crushed Basalt

o Rounded Gravel

> - : Water Level Elevation:

;?, .c.,o ft. rnsI*

'-----------1 - -- '-

-*msl = mean sea level

//

i-

Open Casing: ilil"Perforated o Screen

Length: __ -:~=b~---_--ft. Nominal Diameter: __ ' ... g_---:::-----in.

Wall Thickness: _. __ ~>dg(o",s=~_~--_in. -as: a~ fl, msl Bottom Elevation:

ft. °7:n:~: ~k: ~iameter: __ --4~7r~-------in. Bottom ElevatiOn:_ ............... A.a-_____ ft., mal

Solid Casing Material: (0" Ahc'L-k -0 \ KG:>~ WtblAUA PO,> 2-Carbon Steel: compliant with (check one or more): 0 ANSIJAWWA C200 0 API Spec. 5L m<sJ)t'A53 0 ASTM A139

And compliant with (check one or more): 0 ASTM A242 0 Type E 0 Type S ef'Grade B 0 Other Stainless Steel: (check one): 0 ASTM A409 (production wells) 0 ASTM A312 (monitor wells)

ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 0 Schedule 80 PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): 0 Schedule 40 0 Schedule 80 0 Schedule 120 Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996

o Centrifugally Cast Resin Pipe confonning to ASTM 02997

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517 o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

Open Casing Material: /" Carbon Steel: compliant with (check one or more): a ANSIJAWWA C200 0 API Spec. 5L 6 AS,!>, A53 0 ASTM A139

And compliant with (check one or more): 0 ASTM A242 0 Type E 0 Type S I!I"'Grade B 0 Other

Stainless Steel: (check one): 0 ASTM A409 (production wells) 0 ASTM A312 (monitor wells)

ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 0 Schedule 80

PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): 0 Schedule 40 0 Schedule 80 0 Schedulo120

Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996

o Centrifugally Cast Resin Pipe conforming to ASTM 02997

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517

o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA e950 o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Auorocarbon Tubing conforming to ASTM 03296

o o

.' o o

State of Hawaii For Offtcial Use OBIy: COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources DRILLER'S LOG

Well Number: L\ '-\ ~ '\ - 0\

to

to

to

Remarks:

Dl Form 06124/20(14

o o

.'

.. WE. LL &t £O"'''''~ l·be.. \... 0 cA"T\o\l : . ' '" UTI-rU~e. : .to '+"\ S' .Z.4 . . -l-o~ nut)&:": 1st. ,J Sol. '5>4 PLOT PLAN

AH.u .... 4- •.. 2.005. --(I""lIide Lllitua IfIcll.oqiIIId~ of well referenced tel NAJl27 to newest secondl

" . ..... ..... ........ Benchmult Elevation w..; ..... ~ (0.01 ft. above msl)

o

o , c .

o o

JAAabie 1 (SDPTD Form 12117197)

S"RIP-DRAWDOWN PUMP TEST OAT.., (not required for wells producing < 100,000 gpd or 70 gpm)

Pumped Well No. t.t4 ~"\- OL Observation well no. -~y:x;.-~-:-:,:"--;-r.----Pumped Well Name keo\<~ 'l\\1c\k~s.~ Distance between Obs. & Pumped Well ft. Target Q a. to gpm Reference pt. for depth to water 5. ft. msl

/ Static Water Level @ start of test a I <00 ft. msl Water level measurements by: I!I steel tape 0 pressure transducer 0 airline

START TEST Date: OJ~slo)' Time of day: g'3D h~

4 l\ 0

-15 I' \, 0

0 L' Starlpump

1 "

1.5 "

2 .. 2.5

3

4

5

6 )\ I.

7 I \ ~.

8 ~\.

" 10 55\ ~o

15 . ,5" 20 \ \ It

25 \ \ \

302 Chloride sample taken

Step 2 begin?

o o

o Orable 1 (SDPTD Form 12117197)

Suggested Acfual Depth DrawdQYlll PumPing Elapsed . 'Sapsec:l . ,t6 ..

s' ',' rale 0 P.,

time ,Tirne ,wate ... , Q' EC CI- . ,D'F t t (unadj~ . (~least3 or ' (nearest .... I' .' .. ton~afeSt ·5 "steps) < _DC

(min) (min) O.1ft) Q~1ft) '" (gpm) ~) (mg(!)

~] £~~.tio ~~~S'" d.d.O · ?>~ \I ,,, · 3'\ 1\ " · <-to S5J.·'?>5 ~,O · 'is S-5~ .3~ ~.o"3> · So ls-S;l. .?,'\ ~.O~

_t:;S j J L.I · (,,0 5"5~\'io ~,o5 · lof ~S;IP -a ,<15 ~£>o · ~~ \ " I, · Co~ \ I II · Co'i 'I '( bS 'I l( · <DCa 553.'\0 --;,o$'

Col l5Sj,~C;-o 7, \5" · C:,g 155~.55 :s ;.).0 · &'9 55>,(,0 3,dS" · 10 l553.10 ~.3O · J~ ~5~.15 ?' ~S'" · go S-.')~./j 3>. 3~ · ~S- l5"s-~, 11 -"> • .>1 '1 0 5"5~.70 -:>. ~o

4

0

1 starting pumping rate Q

2 minimum length of step period of constant pumping rate

3 minimum mandatory Chloride (Cn measurementlsampUng at end of every step

4 Use same ending drawdown figure as start for recovery

~nthi~table·is.for: .'. \,PumpedWeli '.,

mJObserVation Well

Remarks

Max possible duration, water level or quality did not stabilize for any 24 period

Begin recovery data next page Flow meter reading at end of pumped period:

\ ~~Q~ gals

1 IsS'O .<=to 0 1.5 . h 0

2 0

2.5 0

3 0

4 0

5 0

6 0

7 1C;-9) .\"1 0

8 0

10 0

15 0

20 0

25 0

30 0

40 0

50 0

60 0

70 0

80 0

90 0

100 0

150 0

200 0 / 250 0

END TEST Date: 9l.[A S-{oS Time of day: I ! $'0 A.}It

ADDITIONAL REMARKS:

Person in charge of pump test (Print):,_..!-Ikk..:...t..,;l~_~-.....L.h""'~~~--=~~~JLr~~~_Signature:' __ ~.,L.!...=.....:;,...s~~~M~-.oloJl.~A.,k=-=:::..-__

Th. alIHtut. 0"". IA4IIcota thot the tfoto ,.,.,aq ... w. forM I. occur. olld true t. the H.t of the ,., ...... k".w ...... who .,.,ot" thl. puM, t.d.

Table 2 (CRPTD Form 12(17197)

cerSTANT-RATE PUMP TEST DATb

Pumped Well No. 4,-\ ~'-\.. 0 \ Observation well no. 1/.1\. Pumped Well Name Kee'i<\ \-\~"'hwk ~a. Distance between Obs. & Pumped jJ It Target Q d $0 gpm Reference pt. for depth to water :S-~ f't

Static Water Level @ start of test Water level measurements by: Ilsteel tape 0 pressure transducer 0 airiine -=...:.----START TEST Date: a 1~(,.loS= Time of day: 9"o,a

~

-15

a a 0 1 Start pump/C'- taken .

1 10

1.5

2 l~

2.5 l,

3 If l\

4 \ \ \,

5 I \ '(

6 551.\. \ 7 \ \ h

8 \ \ l,

10 \I I,

15 \ \ ... 20

25 \ \ II

30 I I " 40 \ \ I,

50 I(

60 II " 70 \\ II

80 t\ H

90 SS'\ 100 \'

o

200

250 II

300 400 \1

500

600 700

800

900

2000

2500

3000

4000

5000

6000

7000

8000 9000

10000

o

1 Chloride sampling required 2 Use same ending drawdown figure as start for recovery

Av~. Q-:

CI- sample taken

Cl- sample taken

CI- sample taken

CI- sample taken

CI- sample taken

CI- sample taken

• Cl- sample taken

CI- sample taken

• CI- sample taken



CI- sample taken


Max possible duraQon, water level or quality did not stabilize for

recovery data next page Flow meter reading at end of pumped period: 'to 0 ti 3S' gals

c o

Table 2 (CRPTD Fonn 12117/97)

1 0

1.5 0

2 0

2.5 0

3 0

4 0

5 0

6 0

7 0

8 0

10 0

15 0

20 0

25 0

30 0

40 0

50 0

60 0

70 0

80 0

90 0

100 0

150 0

200 0

250 0

END TEST Date: :t I ~1 'oS Time of day: q S-c APt

ADDITIONAL REMARKS:

Pe~on in charge of pump t;~~:~:: ~ ~: The signature above indicates that the data reported on this fonn is accurate and true to the best of the person's knowledge who operated this pump test.

o o

I COMMISSION ON WATER RESOURCE MANAGEMENT

FROM: ROY DATE: ~IAN 2 a 2005 SUSPENSE DATE:

TO: INIT. TO: INIT: FOR:

BAUER, G. CHING, F. DANBARA, S. FUJII, N. GOODING, K. HARDY, R. '/l~I HIGA, D.

. ICE, C. ---IMATA, R. IZU, Y. KUNIMURA, I.

NAKAMA, L. NAKANO, D. OHYE, M. SAKODA, E. STAHL, K. SUBIA, S. SWANSON, S. UYENO, D . YODA, K. YOSHINAGA, M.

Approval Signature Information

(11/04)

PLEASE:

See Me Review & Comment Take Action Type Draft Type Final + File Xerox __ copies

o

.:1

e

~

I ' ALAN M. ARAKAWA Mayor

o o MICHAEL W. FOLEY

Director

WAYNE A. BOTEILHO Deputy Director

p"!:" '0't::" 1 \ t r:- n !i < '_,' • -'

COUNTY OF MAUl US JAN 20 A 8: 35 DEPARTMENT OF PLANNING

January 18, 2005 t't-·1,i'

R[:":

MEMO TO: GEORGE Y. TENGAN Director, Water Department

FROM: MICHAEL W. FOLEY

AnN:

Director, Planning Department

EVA BLUMENSTEIN Water Resources Planner

SUBJECT: Keokea Highlands Well 2 (Well No. 4424-01), Maui Highlands Properties LLC (04-038)

The Planning Department has reviewed the subject request and has the following comments to offer:

1. The proposed well is located on lands designated as Agricultural by the State Land Use Commission.

2. The proposed well is located on land designated Agricultural in the Kihei-Makena Community Plan.

3. The proposed well is located on lands zoned Agricultural. The proposed use is an allowable use in the zoning district.

4. The proposed well is located outside of the Special Management Area, therefore, a Special Management Area Use Permit is not required.

Thank you for the opportunity to comment. If additional clarification is required, please contact Ms. Robyn Loudermilk, Staff Planner of this office at 270-7735

MWF:RLL:dm c: Clayton I. Yoshida, AICP, Planning Program Administrator

Robyn L. Loudermilk, Staff Planner Commission on Water Resource Management Project File General File K:\WP _DOCS\PLANNING\LETTERS\ltr2004\467 4]eokeaHighlands.wpd

250 SOUTH HIGH STREET, WAILUKU, MAUl, HAWAII 96793 PLANNING DIVISION (808) 270-7735; ZONING DIVISION (808) 270-7253; FACSIMILE (808) 270-7634

J COMMISSION ON WATER RESOURCE MANAGEMENT

FROM: ROY DATE: JAN 1 0 2005 SUSPENSE DATE:


BAUER, G. CHING, F. DANBARA, S. FUJII, N. GOODING, K.

~HARDy,R. ~ HIGA, D. + ICE,C. IMATA, R. IZU, Y. KUNIMURA, I.

NAKAMA, L. NAKANO, D. OHYE, M. SAKODA, E. STAHL, K. SUBIA, S. SWANSON, S. UYENO, D. YODA, K. YOSHINAGA, M.


(11104)

PLEASE:

See Me Review & Comment Take Action Type Draft Type Final File Xerox __ copies

o

J

Jan 10 05 11:34a Wailani Drillin~inc 808 322 6797 p. 1 • ~~ f"fW",

.-----------------~--------------------------~~~. --------------~

ailani Drilling Inc. Lic.#C57-20115

ichael Robertson 77-18] La Aloa Ave. Kona, Hawaii 96740 Ph.808572-2673 Fax 572-0925 Cellular 264-7079

0: Charley Ice or: Water Resource Commission e: Start Work Notice

Dear Charley:

Date lIlO/2005

This is to provide written notice for starting work on the following well:

Keokea We112. Well No. 4424-01

Please fax receipt fonn to me to confirm.

Thank Youf,\ ~ ~ ~~ Michael Robertson

Certified By The National Groundwater Association

JRH-l0-2005 11:33RM FRX:BOB 322 6797 ID:OLHR CWRM PRGE:OOl R=94%

Jan 10 05 11:34a ~ ~l/~II~~~~ 13:55

Wailani Dril1in~inc 18088)<'-159 BETSILL

808 322 6797 BROTHERS ; ''''-1

.... .,., 808 322 6797

TO: BIiIB 321! r;rt;17 Jan 07 05 02:33p ~l.ni Drillinc inc

~-87-298!5 14:eI! FIOI:~ OR'I SIJIJ 59? Et9

2.

3.

s .

•• 1.

a,

n.

FRX:808 322 6797 ID: DU"-IR CWRM

10. 2 PAGE 82/82

p.l

PRGE:002 R=94%

~ ....., MESSAGE CONFIRMATION JAN-07-200S 02:21 PM FRI

NAME/NUMBER PAGE START TIME ELAPSED TIME MODE RESULTS

FAX NUMBER NAME

808 587 0219 DLNR CWRM

818083226797 3 JAN-07-2005 02:20PM FRI 00'38" STD ECM

[ O.K 1

UNOALINGlE OCWEIWOII 01 ,,_AN

PE.TER T YOUNG ~1~Q(l'i

MEREDITH J CHING CLAYTON W. Ot:.LA tFtUZ

JAMES A FRAZIER CHIVOME l FUKINO. M 0

LAWRENCE H MilKE, M 0 J D STEPHANIE A WHALEN

STATE OF HAWAII DEPARlMENT DF LAND AND NA11JRAL FlESOURces

COMMISSION ON WATER RESOURCE MANAGEMENT po ElOXG21

HONOLUL.U, HAWAII ~

YVONNe Y IZU DePIINOIllfCfOll

January 7,2005

Ref:4424-01.wcp


Dear Mr. Betsill:

Well Construction Permit Keokea Highlands Well 2 (Well No. 4424-(1)

Enclosed are two (2) copies of your approved Well Construction Permit for the captioned well(s) that authorize well construction activities but excludes installation work for your permanent pump. As part of the Chairperson's approval. the following special conditions were added and are part of your permit under Permit Condition 13:

Special Conditions

1. Attached for your information is a copy of the Department of Health·s (DOH) ",view comments. Please note DOH's requirements related to discharge of effluent from well drilling and testing activities.

2. The well casing !lhall meet the minimum thickness required in the Hawaii Well Construction and Pump Installation Standards (HWCPIS, February 2004).

This permit does not authorize work for your permanent pump installation. Approval and issuance of your pump installation permit is contingent upon completed application and information provided to and accepted by Commission staff as required in the Well Construction & Pump Installation Standards (February 2004) and any special conditions performed under this permit. However, a permanent pump may be installed prior to the permanent pump installation permit issuance in accordance with the Commission's April 15, 1998 Declaratory Ruling No. DEC-ADM98-G5, which states that:

"Permanent pump installatIon for capacitlas between 0-70 gpm and where the proposed use is for private individual needs in non-ground-water management areas may be allowed prior to the final pump Installation permit issuance. When required as a condition of the well construction permIt, subsequent pumping tests shall validate the acceptability of th .. permanent pump. The permanent pump installed prior to final pump installation permit issuance is subject to removal if the testing shows that a smaller pump is required to reduce the potent/til of affecting neighboring wells and localized upconing at th" applicant's well, •

LINDA LINGLE GOVERNOR OF HAWAI1

o o PETER T. YOUNG

CHAIRPERSON



LAWRENCE H. MilKE, M.D., J.D STEPHANIE A. WHALEN




YVONNE Y. IZU OEPUTY DtRECTOR

January 7, 2005

Ref:4424-01.wcp


Dear Mr. Betsill:

Well Construction Permit Keokea Highlands Well 2 (Well No. 4424-01)

Enclosed are two (2) copies of your approved Well Construction Permit for the captioned well(s) that authorize well construction activities but excludes installation work for your permanent pump. As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 13:

Special Conditions

1. Attached for your information is a copy of the Department of Health's (DOH) review comments. Please note DOH's requirements related to discharge of effluent from well drilling and testing activities.

2, The well casing shall meet the minimum thickness required in the Hawaii Well Construction and Pump Installation Standards (HWCPIS, February 2004).

This permit does not authorize work for your permanent pump installation. Approval and issuance of your pump installation permit is contingent upon completed application and information provided to and accepted by Commission staff as required in the Well Construction & Pump Installation Standards (February 2004) and any special conditions performed under this. permit. However, a permanent pump may be installed prior to the permanent pump installation permit issuance in accordance with the Commission's April 15, 1998 Declaratory Ruling No. DEC-ADM98-G5, which states that:

"Permanent pump installation for capacities between 0-70 gpm and where the proposed use is for private individual needs in non-ground-water management areas may be allowed prior to the final pump installation permit issuance. When required as a condition of the well construction permit, subsequent pumping tests shall validate the acceptability of the permanent pump. The permanent pump installed prior to final pump installation permit issuance is subject to removal if the testing shows that a smaller pump is required to reduce the potential of affecting neighboring wells and localized upconing at the applicant's well. "

/

Mr. Doyle Betsill Page 2 January 7, 2005

o o

If you qualify and wish to take advantage of this ruling, please include a written request to install the permanent pump prior to final pump installation permit issuance when you return to us your signed well construction permit.

Please sign and have the contractor sign both permit originals and return one for our files. Also, copies of the aquifer pump test worksheet and the well completion report form are enclosed for your use.

IMPORTANT - Drilling work shall not commence until a fully signed permit is returned to the Commission. Please provide all the information in this packet to your well drilling contractor. The permittee, well operator, and/or well owner are responsible for all conditions of the permit. This includes ensuring that the well construction contractor, or other party who constructs the well(s), submits a completed Part I of the Well Completion Report form (enclosed) within sixty (60) days after the well construction work is completed. Be advised that you may be subject to fines of up to $5000 per day for any violations of your permit conditions starting from the permit approval date.

If you have any questions, please call Charley Ice of the Commission staff at 587-0251 or tollfree at 984-2400 extension 70251.

Sincerely,

WFrf1 1"z.

Peter T. Young Chairperson

Enclosures

c: Wailani Drilling, Inc.

--------_________ .. _~·'t ... u~

OwELL CONSTRUCTION PERMITO Keokea Highlands Well 2, Well No. 4424-01

Note: This permit shall be prominently displayed at the site until the work is completed

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled 'Water Use, Wells, and Stream Diversion Works", this document Ilermits tile construction and testing of Keokea Highlands Well 2 (Well No. 4424-01) at Keokea, el. -600', Makawao, Maui, TMK 2-2-2:54, subject to the Hawaii Well Construction & Pump Installation Standards (February 2004) which include but are not limited to the following conditions:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

The Chairperson of the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified in writing, at least two (2) weeks before any work authorized by this permit commences and staff shall be allowed to inspect installation activities in accorClance with §13-168-15, Hawaii Administrative Rules. .

The well construction permit shall be for construction and testing of the well only. A minimum 11/4-inch diameter monitor tube shall be permanently installed, in a manner acceptable to the Chairperson, to accurately record water levels. The permittee, well operator, and/or well owner shall coordinate with the Chairperson and conduct a pumping test in accordance with the Standards (a pump testing worksheet is attached). The permittee, well operator, and/or well owner shall submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump and withdraw water for use. No permanent pump may be installed until a pump installation permit is approved and issued by the Chairperson.

In basal ground water, the depth of the well may not exceed one-fourth (1/4) of the theoretical thickness (41 times initial head) of the basal ground water unless otherwise authorized by the Chairperson.

The permittee, well operator, and/or well owner shall incorporate mitigation measures to prevent construction debris from entering the aquatic environment, to schedule work to avoid periods of high rainfall, and to revegetate any cleared areas as soon as possible.

In the event that subsurface cultural remains such as artifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee, well operator, and/or well owner shall stop work and contact the Departmenfs Historic Preservation immediately.

The proposed well construction shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. This permit or the authorization to construct the well shall not constitute a determinalion of correlative water rights.

The following shall be submitted to the Chairperson within sixty (60) days after completion of work: a. Well completion report, (attached - Part I, Well Construction Report). b. Elevation (referenced to mean sea level, msl) survey by a Hawaii-licenSed surveyor. c. As-built sectional drawing of the well. d. Plot plan and map showing the exact location of the well. e. Complete pumping test records, including time, pumping rate, drawdown, chloride content, and other data.

The permittet:L well operator, and/or well owner shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of tnis permit

The well construction Q.ermit application is incgrporated into this permit by reference and is subject to the Hawaii Well Construction & Pump Installation Standards (February 18, 2004; HWCPIS). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

The permit may be revoked by the Commission if work is not started within six (6) months after the date of ap~roval or if work is suspended or abandoned for six (6) months, unless otherwise specified. The work proposed In the well construction permit application shall be completed within two (2) ~ars from the date of permit approval, unless otherwise specified. The permit may be extended by the Chairperson upon a showing of gOOd cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later than three (3) months prior to the date the permit expires. If the commencement date is not met, the Commission may revoke the permit after giving the permittee, well operator, and/or well owner notice of the proposed action and an opportunity to be heard.

If the well is not to be used it must be proper1y capped. If the well is to be abandoned then the permittee, well operator, and/or well owner must apply for a well abandonment permit in accordance with §13-168-12(f) prior to any well sealing or plugging work.

The permittee, its successors, and assigns shall indemnify, defend, and hold the State of Hawaii harmless from and against any loss, liability, claim, or demand for property damage, personal injury, or death ariSing out of any act or omiSSion of the applicant, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the granting of this permit.

Special conditions in the attached cover transmittal letter are incorporated herein by reference.

wFrl-i ~

Date of Approval: December 29, 2004 December 29, 2006

PETER T. YOUNG, Chairperson Expiration Date: Commission on Water Resource Management

I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the driller have signed, (tatoo, and returned the permit to the CommISSion. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $5000 per day starting from the permit date of approval.

Permittee's Signature: _____________ _ Date: ______ _

Printed Name: Firm or Title: _______________ _

Driller's Signature: ______________ C-57 License #: Date: ______ _

Printed Name: Firm or Title: ______________ _

Please sign both copies of this permit, retum one to the Chairperson, and retain the other for your records.

Attachment c: USGS

Department of Health! Safe Drinking Water, Wastewater, and Clean Water Branches Maui Department of Water Supply Wailani Drilling, Inc.

/

· \ COMtv,(SSION ON WATER RESOURCE MANAGbiENT

FROM: ROY DATE: JAN - 5 2005 SUSPENSE DATE:


BAUER, G. CHING, F. DANBARA, S. FUJII, N. GOODING, K. HARDY, R. ~ '2,. HIGA,D. ~ -+- ICE,C. IMATA, R. IZU, Y. KUNIMURA, I.



(11/04)

PLEASE:


o o

.. "


TO:

FROM:

SUBJECT:

o o

-2 AM to: q9

• 0:1 l;-i .. , SUPPLY STATE OF H~}nY OF i-l lAUI

DEPARTMIiNT OF LAND AND NATURAL RESOURCES

~~IS$lc»toi',(WATER RESOURCE MANAGEMENT . ,- : '-:-., - PO BOX621 . . _I HONOLULlJ, HAWAII 96809

November 29, 2004

Michael W. Foley, Director Department of Planning County of Maui

Peter T. Young, Chairperson 11 Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Keokea Highlands Well 2 (Well No. 4424-01)

1204004

PETER T, YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W DELA CRUZ

JAMES A. FRAZIER CHIYOME L FUKINO, M.D.

LAWRENCE H. MilKE, MD, J.D STEPHANIE A WHALEN

YVONNEY IZU DEPUTY DIRECTOR

Transmitted for your review and comment is a copy of the captioned well application.

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by December 29. 2004. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-0251.

CI:ss Attachment( s)

RESPONSE:

See attached comments

Contact Person;p George Tengan, Director

Signed: 9# h ~

Phone: (808) 279-7816

ALAN M. ARAKAWA MAYOR ... o o

DEPARTMENT OF WATER SUPPLY COUNTY OF MAUl

December 22, 2004

Mr. Peter T. Young, Chairperson

P.O. BOX 1109 WAILUKU, MAUl, HAWAII 96793-7109 Telephone (808) 270-7816. Fax (808) 270-7833

State of Hawaii Department of Land and Natural Resources Commission on Water Resource Management P.O. Box 621 Honolulu, Hawaii 96809

Re: Well Construction/Pump Installation Permit Application Keokea Highlands Well 2 (Well No. 4424-01)

Dear Mr. Young:

GEORGE Y. TENGAN DIRECTOR

JEFFREY T. PEARSON, P.E.

Thank you for the opportunity to comment on this well construction/pump installation permit application. We have the following comments:

Zoning Compliance The property is designated Agriculture by State Land Use District, County Zoning and Community Plan. Well development is an allowable use by these designations.

Aquifer Status and Proposed Amount of Withdrawal The proposed well would withdraw 1 MGD for domestic use from the Kamaole aquifer, which has a sustainable yield of 11 MGD. The application for the Keokea Highlands Well 1 (Well No. 4425-01) proposes to withdraw another 1 MGD within 1 mile radius. According to the Commission on Water Resource Management (CWRM) well database, as of April 2004 there are 15.374 MGD pump capacity from active wells within the Kamaole aquifer, not including active wells with no reported pump capacity or pumpage. While the proposed well would not have an immediate effect on existing DWS wells, the combined pumpage of the Keokea Highland wells would likely impact private wells within the zone of influence and the sustainable health of the aquifer.

System Infrastructure DWS has concerns about the proliferation of private systems within the DWS service area. In general, DWS discourages the development of individual private wells within the DWS service area. In the past, such wells~ at times been poorly sited or system inadequately deSigned versus standards. We would encourage the applicanrto discuss possible contribution to offsite improvement in lieu of private source development with our Engineering Division.

We suggest that the applicant be required to report monthly pumpage to DWS as well as the CWRM.

Ground Water Protection In order to protect ground water resources, we encourage the applicant to adopt Best Management Practices (BMPs) designed to minimize infiltration and runoff from daily activities. Sample BMPs are as enumerated below.

1. Inspect exposed parts of the well periodically for problems such as: cracked or corroded well casing, broken or missing well cap, damage to protective casing, settling and cracking of surface seals 2. Slope the area around the well so that surface runoff drains away from the well 3. Provide a well cap or sanitary seal to prevent unauthorized use of or entry into the well 4. Provide for sediment removal or well cleaning as necessary 5. Have the well tested once a year for fecal coliform or other constituents that may of concern 6. Keep accurate records of any well maintenance, such as disinfection or sediment removal, that might

--- --------------~.''' ... '''''''"'-.---'-~-. .,----------________ ._1l1li_111_

· --- - o require use of chemicals in the well.

o 7. Avoid mixing or using pesticides, fertilizers, herbicides, degreasers, fuels, or other pollutants near the well 8. Do not locate any type of potentially polluting activity up slope from the well

Should you have any questions, please contact our Water Resources and Planning Division at (808) 270-7199.

Sincerely,

~~ ~ George Y. Tengan

Director emb

c: engineering division

P:\WPdocs\WUPAs\Well permit app comments\Keokea Highlands 2 4424-01 .wpd

2

FROM: ROY

TO: INIT.

BAUER, G. CHING, F. DANBARA, S. FUJII, N. GOODING, K. HARDY, R. k HIGA, D.

i ICE, C. IMATA, R. IZU, Y. KUNIMURA, I.

~ y

COMMISSION ON WATER RESOURCE MANAGI:NlENT

DATE: JAN -3

TO:


m;

INIT:

SUSPENSE DATE:

FOR:


(11/04)

PLEASE:


o

o

JAH-03-2005 10:54 DEPT. OF WATER SUPPLY 808 270 7833 P. 01/03

:J 1204004'

LINDA LINGLE ao~"HO" or HAWAII

TO:

FROM:

SUBJECT:

CE\VEO - 2 Atll(}1 149

,e., .. '.. . .. ; <>UPPL Y .. \.i~- li"l /'.~ • i,_~ \ ~

STATE OF H~I)' Or rvtAUI DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O.BOX~1

HONOLULU, HAWAII 9$$09

November 29, 2004


Peter T. Young, Chairperson '1 Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Keokea Highlands Well 2 <Well No. 4424-01)

PETER T. YOUNG C'iAIRPDl.50N

MEREDITM J. CHING CLAY'TOI-l W. DELA CRUZ

JAMES A, FRAZIER CMIYOME L. FUK1ND. M.j).

LAII'IP.ENCE H MI1KE. M.O. jD :;;n;:PHANIE A. WHALEN

VVONNj; Y 12U OtPUTY DIIU:CiOIl!


We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this Cmt!lr memo form by December 29. 2004. If we do not receive comments or a request for additional review time by this date, we will assu~e that you have no comments.



RESPONSE:

See attached c~ent$

Contact Person~ George Tengan, Director

Signed: ~:;:--~

JAtl-03-2005 10: 40Rtvl FRX: 808 270 7833

Post-I" Fax Note 7671

TO

Phone: (808) 279-7816

ID: DLNR CWR~1 PRGE:001 R=97%

JRH-03-2005 10:54

ALAN M. ARAKAWA MAYOR

DEPT. OF WRTER SUPPL '( ,,",'~

\llIij~~

808 270 7833 P.02/03 /"'" GE.QRGE Y. TENGAN """ DIRECTOR

JEFFREY T. PEARSON, P.E.

DEPARTMENT OF WATER SUPPLY COUNTY OF MAUl

December 22,2004

Mr. Peter T. Young, Chairperson

P.O. BOX 1109 WAILUKU, MAUl, HAWAII 96793-7109 Telephone (808) 270-7816 • Fax (BOS) 270·7833

State of Hawaii Department of Land and Natural Resources Commission on Water Resource Management P.O. Box 62' Honolulu, Hawaii 96809

Re: Well Construction/Pump Installation Permit Application Keokea Highlands Well 2 (Well No. 4424-01)

Dear Mr. Young:

Thank you for the opportunity to comment on this well construction/pump installation permit application. We have the following comments:

Zoning Complianoe The property is designated Agriculture by State Land Use District, County Zoning and Community Plan. Well development is an allowable use by these designations.

Aquifer Status and Proposed Amount of Withdrawal The proposed well would withdraw 1 MGD for domestic use from the Kamaole aquifer, which has a sustainable yield of 1 1 MG D. The application for the Keokea Highlands Well , (Well No. 4425-01) proposes to withdraw another , MGD within' mile radius. According to the Commission on Water Resource Management (CWRM) well database, as of April 2004 there are 15.374 MGD pump capacity from active wells within the Kamaole aquifer, not Including active wells with no reported pump capacity or pumpage. While the proposed well would not have an immediate effect on existing DWS wells, the combined pumpage of the Keokea Highland wells would likely impact private wells within the zone of influence and the sustainable health of the aquifer.

System Infrastructure DWS has concerns about the proliferation of private systems within the DWS service area. In general./DWS discourages the development of individual private wells within the DWS service area. In the past, such well~~ at times been poorly sited or system inadequately designed versus standards. We would encourage the applicant to discuss possible contribution to offsite improvement in lieu of private source development with our Engineering Division.

We suggest that the applicant be required to report monthly pumpage to DWS as well as the CWRM.

Ground Water Protection In order to protect 9 round water resources, we encourage the applicant to adopt Best Management Practices (BMPs) designed to minimize infiltration and runoff from daily activities. Sample BMPs are as enumerated below.

,. Inspect exposed parts of the well periodically for problems such as: cracked or corroded well casing. broken or missing well cap, damage to protective casing, settling and cracking of surface seals 2. Slope the area around the well so that surface runoff drains away from the well 3. Provide a well cap or sanitary seal to prevent unauthorized use of or entry into the well 4. Provide for sediment removal or well cleaning as necessary 5. Have the well tested once a year for fecal COliform or other constituents that may of concern 6. Keep accurate records 01 any well maintenance, such as disinfection or sediment removal, that might

l~J '/,fi,}" ... Aft .1til.~" . 1",U:" JRN-03-2005 10:40Rr1 FRX:808 270 7833 ID:DLNR CWRr1 PRGE:002 R=100%

JRt,j-03-2005 10: 55 DEPT. OF I!JRTEP SUPPL Y 808 270 7833 P.03/03

require use of chemicals in the well. 7. Avoid mixing or using pesticides, fertilizers, herbicides, degreasers, fuels, or other pollutants near the well 8. Do not locate any type of potentially polluting activity up slope from the well

Should you have any questions, please contact our Water Resources and Planning DiviSion at (808) 270·7199.

Sincerely,

~~ .A- George Y. Tengan Director emb

c: engineering division

P:\WPdocs\WUPAs\Well permit app comments\Keokea Highlands 24424·01 .wpd

JRN-03-2EJ05 10: 40RI'1 FRX: 808 270 7833 ID:DLNP CWPM

2

PRGE: 003 P=100~;

~MISSION ON WATER RESOURCE MANAGEMEN~ ROUTE SLIP FOR PERMIT ISSUANCE

FROM: CHARLEY

BAUER, G. CHING, F. DANBARA, S.-FUJII,N. --

--GOODING, K.--

1,3 HARDY,R. ~ HIGA, D. :J:I:=

--HIRANO, E. -5-ICE,C.

IMATA, R. JINNAI, R.

WELL NUMBER 4424-01

lQ: WELL CONSTRUCTION

D PUMP INSTALLATION

DATE:;2..g ~O+

KUNIMURA, I. MATHIAS, T. NAKAMA, L. NAKANO, O.

SUSPENSE DATE:

3 Approval -3-Signature -4-lnformation

IZU, Y. JJ::, I' L ,df _4_0HYE, M. Jt:!::=!

SAKOOA,E. W -2-SUBIA, S. == SWANSON, S.

UYENO, D. --YODA, K. --

WELL NAME Keokea Highlands 2

TO BE SENT TO APPLICANT

ATTACHMENTS FOR PUMP INSTALLATION PERMIT: 1 COVER LETTER 2 PERMIT (2x)

COMMENTS: 3 SOWB 4 WWB 5 CWB TO BE SENT TO APPLICANT

6 HEER 7 LO 8 HP 9 WCRII FORM

10 WURFORM :,\~!~Nl.fS;\M.ut~~;t;~ti5t_ FOR OFFICE USE ONLY

PLEASE:

See Me -1-Review & Comment

Take Action --Type Draft -2-Type Final -5-File

Xerox copies

o o

Results

Dec-28-04 03:28pm From-DEPT OF PLAN~~~ COUNTY OF MAUl 808-242819 T-631 P.Ol/0l F-795

LINDA LINGI.IO QOv~AkCr.: OJ: ~lAW'AI

TO:

FROM:

SUBJECT:

~ To Ol.N~

fal( If

LAWRENCE H MilKE. M.D J.D. STEPI1AI-IIE A. WhALEN

UEF T G:: :'1. [I. c.: I,; ~tiNNE Y IZU STATE OF HAWAII C··. j \",' ~~"1YQ'A'CTO.

DEPARTMe.NT OF LAND AN!) NATURAL RESOURCES . [j d '.~ , . ~ /., I ... I

COMMISSION ON WATER RESOURCE MANAGEMENT r:. t:. L: l: 1 '/ ; ... , P.O. eOX621

HONOLULU. HAWAII 96&OSI

November 29,2004

George Tengan, Director Department of Water Supply County of Maui




We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo fonn by December 29, 2004. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.


CI:ss Attachment(s)

RESPONSE:

[ ]

Signed:

DEC-28-2004 03:21PM FRX:808 242819

Phone: 1..'10 "i1B!:)

___ /2/----'---~_q..::....II)_J~Date:

ID:DLNR CWRM PRGE:001 R=100%

,+


FROM: ROY DATE: UEC 30 _

SUSPENSE DATE:


BAUER, G. CHING, F. DANBARA, S. FUJII, N. GOODING, K. HARDY,R. ~ HIGA. D.

./ ICE, C. IMATA, R. IZU, Y. KUNI,MURA, I.



(11/04)

PLEASE:

See Me Review & Comment Take Action Type Draft Type Final

--;;;7' F i I e Xerox __ copies

c

•

" ( ,


TO:

FROM:

SUBJECT:

o o

'04 DEC-1



D1")J.A.!tB$ A. FRAZIER I ~~L. FUKINO, M.D

LAWRENCE H. MilKE, MD, J 0 STEPHANIE A. WHALEN

DE P T r:: ~ j. r \! ~.: ~NNE Y IZU

OEPARTMEN~~ AJ,";o ~~o ~:~~~ RESOURCES C C: i, .. \' i".~":UTY DIRECTOR

COMMISSION ON WATER RESOURCE MANAGEMENT r·, L ~, l ... i ,; P.O. BOX 621


November 29', 2004





We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by December 29, 2004. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.


CI:ss Attachment(s)

RESPONSE:

[ ]

Contact Person: _Ro.:.....-b--+'1.;....;V\:---!l-o~\AA~;.;;...(N'_VY\A~·...:..ll=-__

Signed:

Phone: , 12. c.o

1-10~~~oG .. ~,'." c,...;)

12/2-q;~'4 D:e:

o o , . , )

I COMMISSION ON WATER RESOURCE MANAGEMENT (11 (04)

FROM: ROY DATE: DEC 30 SUSPENSE DATE:

TO: INIT. TO: INIT: FOR: PLEASE:

BAUER, G. NAKAMA, L. Approval See Me CHING, F. NAKANO, D. Signature Review & Comment DANBARA, S. OHYE, M. Information Take Action FUJII, N. SAKODA, E. Type Draft GOODING, K. STAHL, K. Type Final HARDY, R. ~ SUBIA, S. File HIGA, D. SWANSON, S. Xerox __ copies ICE, C. UYENO, D. IMATA, R. YODA, K. IZU, Y. YOSHINAGA, M. KUNlMURA, I.

~rl{t?AA r&.f'lAl. ~+- .1/'''-

-

e

- ... LINDA LINGLE

GOVERNOR OF HAWAII

o o

TV MU::-r 30 A 9: 3 Z ~ '1 1. • .1.1·


r;

1 'd".~r. -.: H~ST;9RtC PRESERVATION DIVISION

KAKUHlHEWA BUILDING, ROOM 555 601 KAMOKILA BOULEVARD

KAPOLEI, HAWAII 96707

December 21, 2004


BOARD OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

DAN DAVIDSON DEPUTY DIRECTOR· LAND

YVONNE Y. IZU DEPUTY DIRECTOR - WATER

AQUA nc RESOURCES BOATING AND OCEAN RECREATION

BUREAU OF CONVEYANCES COMMISSION ON WATER RESOURCE MANAGEMENT

CONSERVATION AND COASTAL LANDS CONSERVATION AND RESOURCES ENFORCEMENT

ENGINEERING FORESTRY AND WILDLIFE HISTORIC PRESERVATION

KAHOOLAWE ISLAND RESERVE COMMISSION LAND

STATE PARKS

MEMORANDUM LOC NO: 2004.3644 DOC NO: 0412CD22

TO:

FROM:

SUBJECT:

Yvonne Izu, Deputy Director Commission of Water ResourC~Mana ement

Melanie Chinen, Administrator ; State Historic Preservation Divisio

Chapter 6E-42 Historic Preservation Review - Well Construction/Pump Installation Permit Application for the Proposed Keokea Highlands Well 2 (Well No. 4424-01) [State/COWRM] Keokea Ahupua'a, Makawao District, Island of Maui TMK: (2) 2-2-002:054

Thank you for the opportunity to review and comment on the Well Construction/Pump Installation Permit Application for the Proposed Keokea Highlands Well 2, which was received by our staff on December 2, 2004. Our review is based on reports, maps, and aerial photographs maintained at the State Historic Preservation Division; no field inspection was conducted of the subject property.

Based on the submitted permit application, we understand the proposed undertaking consists of the construction of a new well and the associated pump.

A search of our records indicates an archaeological inventory survey has not been conducted of the proposed project area. This area in general is likely to have once been the location of pre-Contact farming, perhaps with scattered houses. As the subject property appears vacant and unaltered, we believe that it is possible historic sites may be present in the proposed project area.

Therefore, in order to determine the effect of the proposed undertaking on historic sites, we recommend that no action be taken on the subject Well ConstructionlPump Installation Permit Application until an archaeological field inspection has been conducted of the proposed project area, including access routes, to determine whether significant historic sites are present. Additional archaeological work may be recommended based on the findings of the field inspection.

If you have any questions, please call Cathleen A. Dagher at 692-8023.

CD:jen

c: Michael Foley, Director, Dept of Planning, 250 S. High Street, Wailuku, HI 96793 Maui Cultural Resources Commission, Dept of Planning, 250 S. High Street, Wailuku, HI 96793


o RECEIVED

o PETER T YOUNG

CHAIRPERSON

L .t.. ~ "; C' 1'.'1 S ! 0 H

zno~ NOV 30 A 10: 05


JAMES A FRAZIER CHIYOME L. FUKINO, M.D

LAWRENCE H. MilKE, M.D, J.D STEPHANIE A. WHALEN

STATE OF HAWAII YVONNEY IZU

DEPUTY DIRECTOR

TO:

FROM:

SUBJECT:

'. :.:·D~ARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

P.O, BOX 621 HONOLULU, HAWAII 96809

November 29, 2004

Dede Mamiya, Administrator Land Division

Yvonne Y. Izu, Deputy Director 11 Commission on Water Resource Management


Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installation permit application.

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by December 29, 2004. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.


CI:ss Attachment(s)

RESPONSE:

[ ] A water lease/permit is required of this applicant and an application for such will be requested by our division.

A water lease/permit is not required of this applicant. Xx] [ ] A water lease/permit has been obtained by the applicant through lease no. _________ _

~x]

[ ]

[ ]

[ ]

This well project [ ] requires [XJ does not require a CDUP. If a CDUP is r~~ed it [:iias [ ] has not been approved and [ 1 is [ 1 is not currently active. -r. >J. cj

Other relevant Land Division rules/regulations, information, or recommendations ar~~~~hed. R No objections

Other comments:

~ ., .. l:;.

. ".- r Contact Person: _...:G::::.;a~r~y%....!M.!.!a:!;.!rwt~i=.!c.n!.-_________ _ Phone: 5 B 7 - o4zf~;

)

, 09:08am From-DOH/Safe D~ini Water Branch

'-'"

8085864351 T-318 P.001/001 F-054

LINDA LlNGL~ l)c:rvt:::fQI(O/'\ Of HAW All

TO:

FROM:

SUBJECT:

STATE OF HAWAII DEPARTMENT OF LAND AND NJI,iURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O.QOX~1

I-IONOLUllJ. HAWA~ 96S0g

November 29,2004

Honorable Chiyome L. Fukino, M.D., Director Department of Health Attention: Harold Yee, Wastewater Branch

WONNEV.IZU D~F'lITY CIR':CTOR

William Wong, Safe Drinking WatBr Branch Dr. Keith Kawaoka, Hazardous Evaluation and Emergency Response Alec Wong, Clean Water Branch



Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installa.tion permit application_

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returnil!!) this cover memo form bv December 29. 2004. If we do not receive comments or a request tor additional review time by this date, we will aSSume that you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional infonnation, or request additional review time, please contact Charley Ice of the Commission staff at 587-0251.

CI:ss Attachment(s)

RESPONSE:

Il

[ I

[ J

! 1

[ I

[ 1

This well qualifies as a source which will serle "''' ~ $Ol.lrce of potable water to a public water sy~tem (defincd as servinll 25 (lr more people at least 60 days per year or has 15 or more ~e['jlce connectiOnS) and mlJl:it receive Director of Health approval prior to ~s u!Je to comply with H.,w:;lll Adml(llstr;j.tllie Rules (HAR). Title 11. Chapter 20, Rules Rebtlng to Potable Watr;,r Systems, §11-2D-29.

ThiS we:! does not qualify as a source sarving a public willer SyS\effi (serve:; 1135s than 25 people or more people at lesst 60 ~ys per year 01' 15 SE;rviGS connections) and if the well water is used for ,kinKing. the private owner should lest for 1;)3ClerioiogiGai and chemical presence before initi",ting sl,ICh I.lse ",nd routinely monitor the water qLlality there",fter. However. if future planned use from this source \IlCre8~es to meet the PUblic WOller syslem d(}finrtiOn then Director of Health appro"~1 Is leQuil'¢d w;im: to ImplementatIon.

If the well is used to supply bolh potable and no~t:able PUrposes 1/\ 3 single Sy.slt:m. the user shall eUmlnilte Cl'Oss-eOnm:c:tions and backftow connec;ioos by phyai~lIy separating potable and non'ilotatJIe Systems by an air gap or an approved backflaw preventer. and by clearly labeling all non-potable spigots with Vll3rflil\Q SiQIlS 10 prevent inadvertent consumptron of non.pot;,ble water. Backflow prevention devices should be routinely Inspected and tested.

It does not appear that this well will be used for oonlOumptive j;)l,IlJloses 31\d is not $ubject til Safe Drinking Water R.egl,lla~Ons.

For tI1e ;,ppllcenrs In/orrnatlon. 3 source of pOssible wastewater contamination [Jls [Jls not Icc:ale<:lllear the proposed well site (infonnatlon at.achBd).

An NPDES pelTTlit is required.

other relevant DOH ruIBlilregulaJio~s. information. or rBCOmmendatio~s are attachea.

Phone: 586-4258 1'\ 2004

Date: nEC t.

DEC-09-2004 09:35RM FR><: 8085864351 ID: DU-lR CWRM PRGE:001 R=9T

\

FROM: ROY

TO: INIT.

BAUER.G. CHING. F. DANBARA. S. FUJII. N. GOODING. K. HARDY. R. ~ -t HIGA. D. ICE. C. ~ IMATA. R. IZU. Y. KUNIMURA. I.


DATE: DEC - 3

TO:

NAKAMA. L. NAKANO. D. OHYE. M. SAKODA. E. STAHL. K. SUBIA. S. SWANSON. S. UYENO. D. YODA. K. YOSHINAGA, M.

2004

INIT:

SUSPENSE DATE:

FOR:


(11/04)

, PLEASE:

See Me Review & Comment

Take Action Type Draft Type Final File Xerox __ copies

o

LINDA LINGLE GOVERNOR OF HAW .....

Date:

To:

Attn:

From:

Subject:

CHlYOME L FUICIIIO, M.D. DIRECTOR OF HEAllH

STATE OF HAWAII DEPARTMENT OF HEALTH

P.O, BOX 3378

!HI Dr.1" 3 p\/): \ 2 , 'I '''t L-v c.. In reply, please reler to: U EMD/WB


Wastewater Branch Fe 919 Ala Moana Blvd. Room 309 Honolulu~ Hawaii 96814-4920

Phone (808) 586-4294 Fax (808) 586-4300

STATE MESSENGER DELIVERY

l~-O~J'oao~ Commission on Water Resource Management Department of Land & Natural Resources State of Hawaii

Lori Kajiwara Ph 586-4290 direct line Planning & Design Section Fax 586-4300 Email: [email protected] watercommissionfax.wpd sam

As of January 8, 2003

Well Construction/Pump Installation Permit/Water Use Permit for

Well No. ~ w!C€t\ ~b~ [a I'! c( .s . '0 0 ~tJ.- ~ See-

Please find enclosed the application of the above subject project.

STATE MESSENGER DELIVERY


Mr. Paul Gruwell P.E. 91-607 Malakole Road Kapolei, Hawaii 96707

Dear Mr. Gruwell:

STATE OF HAWAII DEPARTMENT OF HEALTH

P.o. Box 3378 HONOLULU, HAWAII 96801-3378

December 9, 2002

Subject: Individual Wastewater System (IWS) Plans for James Santos Project Site: 59-534 Hoalike Road, Sunset Beach, Oahu TMK: (1) 5-9-25: 21 IWS File No.: 3656

LORETTA J. FUDDY, A.C.S.W., M.P.H. ACTING DIRECTOR OF HEALTH

In reply, please refer to: File: EMDIWB

We have received your Certification of Construction and As Built Plans for the above IWS. Information submitted to us indicates that the installed IWS meets applicable provisions of Hawaii Administrative Rules, Title 11, Chapter 62, entitled "Wastewater Systems."

As the professional engineer responsible for the Certification of Construction, please inform your client that the above IWS is approved for use. We strongly recommend that you discuss the necessary operation and maintenance of the individual wastewater system with your client. Emphasis should be placed on periodic inspections for scum and sludge accumulation as well as informing them not to dispose of materials that could affect the operation of the wastewater system.

As the professional engineer, you are also responsible for seeing that your client receives a copy of this Approval for Use letter. The owner will be required to give a copy of this letter to the County Building Inspector as a prerequisite to receiving final approval on the dwelling.

Should you have any questions, please feel free to contact the Wastewater Branch at 586-4294.

Sincerely,

DENNIS TULANG, P.E. Chief, Wastewater Branch

JO:lmh

o o DtC -

+-LINDA LINGLE GOVERNOR OF HAWAII


TO:

FROM:

SUBJECT:



HONOLULU. HAWAII 96809

November.29,2004


William Wong, Safe Drinking Water Branch


JAMES A FRAZIER CHIYOME L. FUKINO. MD.

LAWRENCE H. MilKE. M.D. J.D STEPHANIE A WHALEN

YVONNE Y. IZU

A~., J~;OIRECTOR

Dr. Keith Kawaoka, Hazardous Evaluation and Emergency Response Alec Wong, Clean Water Branch

Peter T. Young, Chairperson ~ Commission on Water Resource Management



We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form b~ December 29, 2004. If we do not receive comments or a request for additional review time y this date, we will assume that you have no comments.


CI:ss Attachment(s)

RESPONSE:

[ 1

[ 1

[ 1

[ 1

This well qualifies as a source which will serve as a source of potable water to a public water system (defined as servin!) 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of Health approval prior to Its use to comply with Hawaii Administrative Rules (HAR), Title 11, Chapter 20, Rules Relating to Potable Water Systems, §11-20-29.

This well does not qualify as a source serving a public water system (serves less than 25 people or more people at least 60 days per year or 15 service connections) and if the well water is used for drinking, the private owner should test for bacteriological and chemical presence before initiating such use and routinely monitor the water quality thereafter. However, if future planned use from this source Increases to meet the public water system definition then Director of Hearth approval is required prior to Implementation.

If the well is used to supply both pOtable and non-potable purposes in a single system, the user shall eliminate cross-connections and backflow connections by physically separating potable and non-potable systems by an air \lap or an approved backflow preventer, and by clearly labeling all non-potable spigots with waming signs to prevent inadvertent consumption of non-potable water. BackfloWJl[evention devices should be routinely inspected and tested. ~ (;) ~

It does not appear that this well will be used for consumptive purposes and is not subject to Safe Drinking Wat~iRegulations.

For the applicant's information, a source of possible wastewater contamination \.fs [I is not located near the-p~Sed wefije (information attached). ~'ti >~, :.1;:

.'.

[ 1 An NPDES permit is required. 1rJ.l" .~j c..,)

~ Other relevant DOH rules/regulations, information, or recommendations are attached. ~f-'ll CI Ta.f)f:;... ffiJFO "0

~ No comments/objections .- N

Contact Person: LD~ ~i~at1 Phone: -8f3(p-~~H----"-Signed: ®~~ Date: d. -otft":>oO

/. o o CHIYOIIE L FUICIIIO, lUI.

DIMCIOII OF HEAL1H

STATE OF HAWAII DEPARTMENT OF HEALTH In NPIY.,.... .... to:

P.O. BOX 3378 HONOLlA.U. HAWAII 86801

Wastewater Branch 919 Ala Moana Blvd. Room 309 Honolulu, Hawaii 96814-4920

Phone (808) 586-4294 Fax (808) 586-4300

EMD/WB

A septic tank file has been found and the following information is provided. In general, the Department of Health has reviewed and approved of the plans based on the information submitted as verification that a treatment individual wastewater sVstem (IWS) such as a septic tank was constructed and authorized to be used for

wastewater disposal from a bUilding/dwe~n~.) 1)_ fl. _ 00"'.. 08' I Tax Map Key number oI...J c;L-/ ~ ~ ~

Address 8~~ upoa ~if Septic Tank Filt;! # _

Applicant Name fA I} { I- fOrGt e1d@

Submit Plan Date

Plan Approval Date

Inspection Date

System Approved for Use Date

BPA Date

System / Disposal Via

Use For

Designed By

Percolation Rate / Capacity

1:1/ :J-;l-/, qq 7

Wastewater Branch Engineer PD Section (Oahu)

For further information, you may also call the Wastewater Branch neighbor island engineers:

Mr. Dane Hiromasa at the Kealakekua Health Center, Kona at (8080322-1507

Mr. Jerry Nunogawa at the Hawaii District Health Office, Hilo at (808)933-0401

Mr. Joe Tateyama at the Kauai District Health Office at (808)241-3323

['X( Mr. Roland Tejano at the Maui District Health Office at (808)984-8232

cesspool faxes.wpd sam rev October 10. 2003

D8~-02-2004 11 :29am From-DEPT OF HEA~TH,ENVIRONMENTAL MNGMT 8085864352 T-732 P.OO2l00Z F-101 ,i

....

LINDA LINGLE u(lw'ifo\NOF"t¢FttM\"flll

PETEFt 1. YOUNG G..,,,,~eA::lO~

TO:

FROM:

SUBJECT:

·04 OEC-1

STATE OF HAWAII Oe:PARTMENT OF LAND AND NATURAL RI=.SOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. 90)(621

HONOLULU. HAWAII 36609

November 29, 2004


MEREDITH J. CHI'"G CLAYTON W. CELli CRlJ~

P 1 '4 BIfoNO JI\MSS A. FRA~IER . I CHIVOME L. FIJKINO. "1.0 LAWRENCE H. MilK\;, M.P .. J.C.

STEPHANIE A. WHM.EN

yVONNE Y IZ.\J ctPYf'i Pll<'ijCT~

/rwI

William Wong, Safe Drinking Water Branch Dr. Keith Kawaoka. Hazardous Evaluation and Emergency Response Alec Wong, Clean Water Branch

Petet T. Young, Chairperson 11 Commission on Water Resource Management

Well Construction/Pump Installation Pennit Application Keokea Highlands Well 2 (Well No. 4424·01}


We would appreciate your comments on the captioned application for any conflicts Or inconsistencies with the programs, plans, and objectives specifIC to your department. Please respond bv returnina this cover memo form b~ December 29, 2004. If we do not receive comments or a request for additional review time y this date, we will assume that you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional infonnation, or request addifional review time, please contact Charley Ice of the Commission staff at 587-0251.

CI:ss Attachment(s)

RESPONSE: [ J

[ l

[ 1

[ J

[ 1

'l'his weft qualifies ae a eource wnlch will serve a.~ a eource of potable water 10 e public waler syStem (defined ali 5arving 25 or more people at leasI60 aays per year or tuls ,S or more seNlce connections) and mu~t receive O.'~lot of"H0a~h aprll"OvalJ:rl9' to 11e ~se 10 cOmply with Hawaii Administrative Rules (l-IAR). Tille 11, Chapter 20, Rules Relating to Potable WElter SyS1ams. §11·2 .2 .

1111$ wall doee not qu~lify as a sou rca seNing a puplic walBr Systl;lrYl (servss less tMn 25 people or m'm~ people al least 60 days pl;lr Y&l\f or Hi service connections) and Iftha well walar is used for drinking. the private owner should teS~ for bacteriOlogical and chemICal ~ence before Initiating eucn uea and rOl.ltinely monitor tmI water gUiilllty 1l1@reafter, However, II future planned use from thiS so~rce Increases to meet 1M p.ibllc wa~r eystem <;I",finltlon lhan Director of Health app(Oval IS required IlI:i2I: to ,mpk!:n"II!Intation

If the welilli l,15$d to supply both potable ;and non·potable purposes in a single syst&m, the user shall eliminate Cl"OSS-CO(lneCIlOflS and DaC1<.flow connElction6 py phY6icaily separating potable and non-potable sy61ems by ail air 9<:1p or en approJea OaCl<fIO'N prevemer, and by Clearly I~belll\g a~ Ilon'p<;>tallie IOIPigotB with wllming eigns to PfEl"snt inadvl;lrtSi\t coos~mj;>Uol1 of no,l-polabla water. tlackllOw prevention /levleeli sl10uld be routinely inspectcQ and tested.

It doe5 ,101 appear thst this weD will be used for con.sum;>tive purposes and is not subject to Safe Prin~i[1Q WaleI' Regulstlon5.

For lile applicant's information. a source of possible wa:stawa1er contamination ( lis ( lis not locatacj Ilaar Ihe proPQEleo well :llle (information attaChed).

( 1 An NPDES parmit is required.

~ Oll'let l'etevant DOH rulaslfegulalionf>. infofmation. or recCllTlInsndsljollf> are altact1ed.

/~nmm ;.iO~!l~4' ~ Signed: M

Phone: t10-CCP~ Date:-...t....l t:j--l-;t....,...?_O -I-~_

DEC-02-2004 11:20AM FH>< : 8085864352 ID:DLNR CWRM PAGE: 002 R =9T~

/" ~e;'-02-2004 11 :29am 6'

\.

From-DEPT OF HEA~ENVIRONMENTAL MNGMT

"" 8085864352

rhe Department of Health, Clean Water Branch has the following comments:

1. For Well-Drilling Activities

T-732 p.001/a02 F-10l

e..ny di5charge to State waters of treated process wastewater effluent associated with well drilling activities is 'egulated by Hawaii Administrative Rules, Title 11, Chapter 55, Appendix I, effective September 22,1997. Treated process wastewater effluent covered by this general permit includes well drilling slurries, lubricating nuids wastewaters, and well purge wastewaters. This general· permit does not cover well pump testing. The applicable Notice of Intent Forms and filing fee shall be submitted at least thirty (30) days before the start of discharge to the Dep~rtment of Health, Clean Water Branch at 919 Ala Moans Boulevard, Room 301, Honolulu, Hawaii 96814-4920 or P.O. Box 3378, Honolulu, Hawsii 96801-3378. Inquiries may be directed to the Clean Water Branch at (808) 586-4309 or by fax at (8CSj 586-4352.

2. For Well Pump Testing

The discharger shall take ali measures necessary to prevent the discharge of pollutants from entering State waters. Such measures shall include, if necessal)'. containment of the initial discharge until the discharge is essentially free of pollutants. If the discharge is entering a stream or river bed, best management practices shall be implemented to prevent the discharge from disturbing the clarity of the receiving water. If the discharge is entering a storm drain, the discharger must obtain written permission from the owner of that storm drain prior to discharge. Furthermore, best management practices shall be implemented to prevent the discharge from collecting sediments and other pollutants prior to entering the stann drain.

JS/cr

---.... -.--~ ....... --.-. -~-... _-_.

.....

DEC-02-2004 11: 20f=l~'1 Ff=lX: 8085864352 ID:DLNR CWRM Pf=lGE:001 R=97%


Mr. Doyle Betsill

o Q




November 29, 2004

Maui Highlands Properties, LLC 635 Kenolio Road Kihei, HI 96753

Dear Mr. Betsill:





YVONNE Y. IZU DEPUTY DIRECTOR

4424-01.wcpia,ack

Well Construction/Pump Installation Permit Application for Well No. 4424-01

We acknowledge receipt, on October 7, 2004, of your completed Well Construction/Pump Installation permit application and filing fee for the Keokea Highlands Well 2 (Well No. 4424-01). You can expect your application to be processed within ninety (90) days from this date.

For your information, the process of constructing a well is normally regulated and permitted in two (2) steps. First, a well construction permit is issued for drilling and testing purposes only.· Based upon information provided by you through a Well Completion Report Part 1 (Well Construction), a pump installation permit (upon completed application) may then be issued to authorize pump work. If a pump is installed then a Well Completion Report Part 2 (Pump Installation) is required.

If you have any questions about your permit application, please contact Charley Ice of the Commission staff at 587-0251 or toll-free at 984-2400 extension 70251.

CI:ss

c: Wailani Drilling, Inc.

Sincerely,

WJkrl-7 1"t

YVONNE Y. IZU Deputy Director

o LINDA LINGLE PETER T YOUNG

CHAIRPERSON GOVERNOR OF HAWAII

TO:

FROM:

SUBJECT:


COMMISSION ON WATER RESOURCE MANAGEMENT P,O. BOX 621


November 29, 2004


William Wong, Safe Drinking Water Branch


JAMES A. FRAZIER CHIYOME L FUKINO, M.D

LAWRENCE H. MilKE, M.D, J.D STEPHANIE A. WHALEN

YVONNE Y IZU OEPUTY DIRECTOR

Dr. Keith Kawaoka, Hazardous Evaluation and Emergency Response Alec Wong, Clean Water Branch




We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form b~December 29. 2004. If we do not receive comments or a request for additional review time y this date, we will assume that you have no comments.



RESPONSE:

[ I

[ I

[ I

[ I

[ I

[ I

[ I [ I

This well qualifies as a source which will serve as a source of potable water to a public water system (defined as servinQ 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of Health approval prior to Its use to comply with Hawaii Administrative Rules (HAR), Title 11, Chapter 20, Rules Relating to Potable Water Systems, §11-20-29.

This well does not qualify as a source serving a public water system (serves less than 25 people or more people at least 60 days per year or 15 service connections) and if the well water is used for drinking, the private owner should test for bacteriological and chemical presence before initiating such use and routinely monitor the water guality thereafter, However, if future planned use from this source Increases to meet the public water system defimtion then Director of Hearth approval is required prior to Implementation.

If the well is used to supply both potable and non-potable purposes in a single system, the user shall eliminate cross-connections and backflow connections by physically separating potable and non-potable systems by an air \lap or an approved backflow preventer, and by clearly labeling all non-potable spigots with warning signs to prevent inadvertent consumption of non-potable water. Backflow prevention devices should be routinely inspected and tested.

It does not appear that this well will be used for consumptive purposes and is not subject to Safe Drinking Water Regulations.

For the applicant's information, a source of possible wastewater contamination [lis [lis not located near the proposed well site (information attached).

An NPDES permit is required.

Other relevant DOH rules/regulations, information, or recommendations are attached.

No comments/objections

Contact Person: ________________ _ Phone: ___________ _

Signed: __________________ _ Oate: ______ _


TO:

FROM:

SUBJECT:

o




November 29, 2004

Dede Mamiya, Administrator Land Division

Yvonne Y. Izu, Deputy Director ~ Commission on Water Resource Management



PETER T YOUNG CHAIRPERSON


JAMES A FRAZIER CHIYOME L. FUKINO, M 0

LAWRENCE H. MilKE, M.D, J.D STEPHANIE A WHALEN


We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returnina this cover memo form by December 29. 2004. If we do not receive comments or a requestfor additional review time by this date, we will assume you have no comments.


CI:ss Attachment(s)

RESPONSE:

[ ] A water lease/permit is required of this applicant and an application for such will be requested by our division.

[ ] A water lease/permit is not required of this applicant.

[ ] A water lease/permit has been obtained by the applicant through lease no. _________ _

[ ] This well project [ ] requires [ ] does not require a COUP. If a COUP is required it [ ] has [ ] has not been approved and [ ] is [ ] is not currently active.

[ 1 Other relevant Land Division rules/regulations, information, or recommendations are attached.

[ 1 No objections

[ 1 Other comments:

Contact Person: _______________ _ Phone: _____ _

Signed: __________________ _ Oate: ______ _


TO:

FROM:

SUBJECT:

o o




November 29,2004

Melanie Chinen, Administrator Historic Preservation

Yvonne Y. Izu, Deputy Director 11 Commission on Water Resource Management





JAMES A. FRAZIER CHIYOME L. FUKINO, MD

LAWRENCE H. MilKE, M.D , JD STEPHANIE A. WHALEN

YVONNE Y. IZU DEPUTY DIRECTOR

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by December 29. 2004. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.



RESPONSE:

[ ] There may be areas in the vicinity of the well site that contain subsurface cultural remains such as artifacts, burials or concentrations of shells or charcoal.

[ ] Other relevant Historic Preservation rules/regulations, information, or recommendations are attached.

[ ] No objections

[ ] Other comments:

Contact Person: ________________ _ Phone: ________ _

Signed: ___________________________________ _ Date: ____________ _

._--------------------,,,,,,,.,,,, .. , .... _.


TO:

FROM:

SUBJECT:

o




November 29, 2004





MEREDITH J CHING CLAYTON W DELA CRUZ

JAMES A. FRAZIER CHIYOME l. FUKINO, MD

LAWRENCE H. MilKE, M.D, J D STEPHANIE A. WHALEN



We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by December 29, 2004. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.



RESPONSE:

[ ]

Contact Person: ______________ _

Signed:

Phone: ------

________ Date:


TO:

FROM:

SUBJECT:

Q o




November 29,2004






JAMES A FRAZIER CHIYOME L. FUKINO, M.D

LAWRENCE H. MilKE, M.D., J.D STEPHANIE A WHALEN



We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by December 29. 2004. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commissio!,) staff at 587-0251.


RESPONSE:

[ ]

Contact Person: ______________ _ Phone:

Signed: ___________________ Date: _______ _

AISSION ON WATER RESOURCE MANAGEMENO ROUTE SLIP FOR NEW APPLICATIONS

FROM: CHARLEY

BAUER, G. CHING, F. FUJII, N.

-1-HARDY, R. 1\ HIGA, D.

--HIRANO, E. -4-ICE,C.

IMATA, R. IZU, Y. KUNIMURA, 1.-

DATE: 12-0ct-04 SUSPENSE DATE:

NAKAMA, L. Approval NAKANO, D. 1 Signature == NISHIOKA, Lolor' I.nformation

_3_ OHYE, M. .0"', ' "....( SAKODA, E. \ ." \

-2-SUBIA, S, --SWANSON, S. --UYENO,D. --YODA, K. --__ YOSHINAGA, M.-

19-0ct-04

PLEASE:

See Me -1-Review & Comment --Take Action --Type Draft acknow letter

2 Type Final w/elec.signat., label file folder -4-File --Xerox copies

WELL NUMBER ~O 1 WELL NAME Keokea Maui Highlands 2

o WELL CONSTRUCTION o PUMP INSTALLATION

ATTACHMENTS FOR APPLICATIO~ PROCESSING - Both applicant & staff generated 1 TRANS. LETTER .I 2 CWRM MAP ~f

3 APPL. FORM (5COPIES) -y-4 USGS MAPS (5 COPIES) ::z:= 5 TAX MAPS (5 COPIES) ,/,

6 PARCEL OWNER VERIF. """"7- MLS PRINTOUT 7 CONTRACTOR VERIF. Ji DCCA LICENSE SCREEN PRINTOUT 8 ALL INFO FILLED IN

9 BACKGROUND CHECK

10 $25 FEE DEPOSIT SLIP -::7'; 11 DHP & SMA c!,eck --j:-(f..~~fINJ ~

FOLDER: ----~ MADE NEW FILE FOLDER, ATTACHED o FILE FOLDER ALREADY MADE, IN FILE CABINET

INCOMPLETE ACTION DATES:

DATE ACTION

? no mtps. Extremely high use for domestic.

~BOTH

?

----------__ .-, ... _'4~ ... ___ 1' _______________ ... __

DOCUMENT NO . ARTMENT OF LAND AND NATURAL RESO.S

UAC OR ATTACHED WORKSHEET DATE' October 7 2004 .. ,

SRC/ COST F YR APP D OBJ CTR PROJECT PH ACT AMOUNT NAME/DESCRIPTION (WANG INPUT)

S 05 326 C 1026 0752 (1 ) $25.00 Wailani Drilling Inc.

" " " " " " (2) $25.00 Nadine Nakamura

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $ 50.00

REMARKS: LINE (1) Keokea Highland #2, 2-2-002:54 LINE (2) Kaapuna Kai, tmk: 4-9-11 :20 unit 2 LINE (3 LINE (4) LINE (5) LINE (6) LINE (7) LINE (8) LINE (9) LINE (10)

o 0

Wailani Drilling Company Lic.#C20115

Michael Robertson 77-181 La aloa Ave. Kailua Kona Hawaii 96740 Ph.808/572-2673 Fax 322-6797 Cellular 264 7079 10/5/2004

Return Receipt Fax Memo For:Charley Ice Re. WCR's and PIP's I D I '-1/6 ~ Charley. Enclosed are the following items:

Charley. Enclosed are the following items:

/ WCP maps,check etc. For Keokea Highlands Well 2

v"WCR II and signed PIP for Kahana Betsill Well #5840-04

Hard copies to follow in the mail!

~

Co

i i1

-)

,0-"·

-. -,

-, ::..., '''r"'''l

- --

c:::J ~.~

c::J C) -i

-J

:P co

~ ~

Please confirm receipt by checking off the enclosed items and faxing a copy of this memo to me at 808-322-6797

Thankyou: ~ ~ Michael Robertson

::0 n ")

,1 -, -,

1 .-, ~

o o State of Hawaii For 0fIIdaW~~: COMMISSION ON WATER RESOURCE MANAGEMENT t'?,t,. '": .. IF r') Department of Land and Natural Resources APPLICATION FORPERMIT ..... ,,' "1'

'Well Construction and(or . rilMDR .,Iation

WELL & PUMP INFORMATION: (Pleasetlllnthed~ontheb8ckof~bm,) ...

2. WELL~E: \(eo Keq\-hOh\~;;~~ ~ ~.: Island: . Mo..u· l .. . ,

Address 'd \ u e l\ \Qv\, \-\ ~ 'I,· Kt.ht \ Tax Map Key: .',~ - . 'd;,' . - 00 d.: bS'( .,.~ '.. I . i... . Zone - Sec Plat Pa'ceI

Attach: (8) portion Of a 1.~ ~ USGS ~ map (scale 1:24,oop) \\m MIl location labeled and Include the name of the quad map (b) 8 property tax map, ~walllocation nt1'erenced to established prop8rtybomdaries .,

3. PROPOSED WORK: .... g' Construct New Well '. GJ.1ilstau New Plmp"

(check B!1 thtIIt apply) 0 Modify Exlstlngrlei~ 0 Modify Plmp* .

o AbandonlSear *State Well No.: ('If unknc7M1. please call Commission at 587-0(25)

4. CONSTRUCTION: ri'riIIed 0 Dug- .. 0 ~ ,0 Tumel ~ Isthiswellpartofabatteryofwells? litfes ONo{Pktasedescribe) .'a ~ a '

5. PROPOSED PUMPING RATE: \ ~QOg~11Ons per minute,' I

6. PROPOSED USE: 0 MlI'IIcIpaI ('mcIudIng hotels. stares, etc.) 0 Industrial (check BIt thtIIt apply) _/. .

[if' Domestic (1ndIvIdtia( I1OI'IcXIti'Im8water system)

Does this wall serve 25 or more ~ at least eo days ~ year or hIM 15 or _ 88NIila eonlBdlDll8? Ji{ Yes ~ o Irrigation(crop) 0 No,of~"

o MIlitary 0 Other (explain): ______ _

7. (a) PROPOSED,AMOUNTO~WITHDRAWAL: \,OOO,6 0V gallonspentay·,~, ....

(b) METHOD'OFFLOW MEASUREMENT: ti"'Flawn)eter 0 ()penilIpe 0 Weir 0 briric:C;; 0 OIhei-(expIa/n) . . (

OTHER IMPORTANT INf:OrdIATlOt,a: "" ","

8. LEGAl REQUIREMENTS: ffreqeil8d, IhesepemilB_beolJtalne(1~f/I&.~canleflalit'~ap6nnit. ..... ' " • f' -.

For official use only Latitude ______ Aquifer System No. Longitude State Wen No.

/

e' l' }.!(

~ ... ~'" 1 '.

,1.":

10. PROPOSED WELL SECTION (Please attach st:IJeI7t8BC ildtrerert troIn diagnJti1'provk1ed beIItW)

"HOIe~, d;),,S' 'JIi._. ,.c,

Elevation at top of casing .!::alL tl, ms/" l r-' [ Ie- MWmlm of X. ·RadiIa" 4- Thick Cooc:rete Pad. ~ contain bellChrn8r' st.rveyed to neaRISt 0.01 ft., .. .. K

<- 0'~ ~~ r '.GnIund Elevation: ~'1l, msI* '. '//~,: "'- "'-" ~:~: ~~: ",. . Please refei:tO~ '. , .. .

~W!lI!m1rL ¢br1~ ANIl CemerIt . Grout: 5 c:D It. ~~

: .. ~.

~J i .. e.Y!'P INSTALLADON IJANDARPS

(min. 70% d distance from

~~ to 8I'ISU'8 that )flU' as-bUIt is In CQII1lIiInl8

wound ekWatIon to top of with applicable standards. water SIQJce or 500 tl. whichever is Iess.) ----

~ ~:~. '~ r~ ~

Solid CasIng: (~90% x (Grolni Elev.-watetlfNelEleY))

AnntMrspace betw'I:len Total Length: (~ ft. hole and casing (min.3"):

~~ '. Nominal DIameter: I~ in.

~In. /I:.:t :::,. j Waillickness: I ;;)~p v in. -- ::i. W I

~.~ .: I Bottam ElevatIon: C f:l. ms/" Rock or Gravel Packing: - r-

>< Total ' iii:-" It. " ~ .. r---. .....

~. ". ,.Open Casing: . .. o~.

(2~Q ft. /Fi ,Total Length: 2Q It. o Crushed Basalt

~~ 1\1 .. ',1'

o Rculded Gravel V Nominal DIameter: Ie... in.

Walllickness: ,~O I,,"

in. . , F t' -~O Estinated W8I.er Level . Bottom ElevatIon: tl, ms/"

ElevatIon: .... , r·:; note: NeIther bentonle nor ~ should be used in

;3 -'-,- 1-,

ft. msI* ," : ;;-$llhmied mtJfJ durlna driIIiI1(J

, Open Hole:

V CJM...$). Len9th: ,;

-

* The approximate elevation must be referenced to mean sea level (ms/) at the time d application tIing. Final eWvaIblS dwall cOmponentsahal be submitted In the Well CompIetiorVWeI Aballdollment reports n IeferelICed to a benttImartt which has been established by a SlI'veyor licensed by the State.

DIameter:

Bottam EIevaIion:

For norHI8It water Basal Wells - bottom elevation cl weH shoUd not bedeeper \han 114 of aqUrer tbk:kness qr,

Bottam. Elevation d WeI linIt '" (Water Elevation ~ ,41 ,x Wt!lar ~ EIr!don )

Example: Estimated + 2ft. W_l8Y81 EIev. -+ BoIom Elevation of Well limit- (2- !1.f2l) '" -18.5ft.

AlA-N~

~, '. I

Solid Casing Material; . .L._ 'A53 c..-. -...: compIia't wItt,'l{clwlclcone or men): 0 ~'JAWNA C200 0 API Spec. 51. W'ASTM 0 A5TM A139

And~wIth (da.on.or.mOf.e):.. 0 ASTMA242. 0 Tp. E 0 .1)I:!EI S , !" 0 GraIM B 'fJOIher ........... : (checIc one): 0 ASTM A409 (production walls) 0 ASn.rA312(ioonitcf~f ,..... .

ft.

In.

tl,ms/"

ASS Plaskcxriom'i~ ~AS~J7480 and ASTM 01527: (checlcone) 0 Schedule 40 0 SchediJi81:io . PVC Platllcoonklnnlng toASTM F480and (ASTM D17850rASTM 02241): (checlc0A8): 0 ScheduIe40 oScheduls~ 0 Schedule 120 Thennoeat PIasIIc: (checIc one) : [] FIlanent WOtIId Aesin PIpe ccrionnIng ~~ D2996 '; i

o CentrIfugally cast Resin Pipe ccrionnIng to ASTM D2997 .

o Reinforced PlasticMol1ar ~'~"~\o ~ 03517 ', .. ' o Glass Fiber ReirIorced ResIn PnIssuIe PlpeCQUbmlng to AWNA C950 o PTFE Fluorocarbon Tubing confmlling \0 AS1"M 03296 o FEP FItJorocaboI. Tubing wtb ".~ toASTM ~ I"

ODIn CUing Material: c.bon SIMI: c:ompllantwith (checlconeormen): 0 ANSlJAWNAC200 0 API Spec. 5L IlI"'ASTMA53 0 ~TM.A139

And ~t with (checIc one or more): 0 ASTM A242 0 Type E 0 Type S 0 Grade B 0 Other ." ~-":'(tII8f:k~): •. , '-' '" 0 ASTM A40Q;(I#Qd!M!.\lOrlwalls) "0 ASTM A312 (monitor weI$) ABSPIaIiIQ~\o~~F~and~TMD1527:(~on:e)~" "c;:SCheduIe~r" ciSCheduleSC) PVC PIMIC'conbning.toASTM F480and (ASTM D1785 or ASlM ~41~ (chedc one):. 0 Schedule 40 0 ScheduW80 0 Schedule 120,.

• ~~:(dleclccne) , , oFbnent WOI.IId ResIn Pipe ccrionnIng to AS1'M D2996 ",' . I? CerItrifugaIy cast Resin PIpe canrormIng to ASTM D2997

o Reinforced PlasticUortar Pressl.rePipe collbnllng'\o ASTM 03517 o Glass Fiber ReinI'oroed Resin Pressure PIpe confomiIrIg to AWWA C950 o PTFE Fluorocarbon Tubing c:onbming \0 ASTM D329& o FEP Fluorocarbon Tubing COI'IfCnning to AStM·b3296

ZONE "'

- .. ·illill'---·-----~- __ _ If

() ,,,,, I

-"--"'--.,., .. - ~

o

.--JaiLA. AlAU/O

103

c oj

i.

I ", ......... i I

'" ._ .. J

'.1:: ...........

\.

~" .. ···-·-t~ ... --: ., , '\ ..

.1,

1 ,

"

...... ,j~. ''''

<~-~".J.'

•. ' :~t;., .'P .. ",,'

I J. i i

.. ,' .............. ','!A "H-"';iA"' :l'" ,

. ~ ) 1,:

...

. ," '

-/ ...... ~

. ;t'L ..... H

"._-',. L:.~._ .. _ ...

r

i i

:,.;.: .... ,: " . ::" .

E

... ~ .

.... \'. , \

!

".':

..........

/'

. ... p:-.. , .",.:'"

i'V·· . ' . . ;.y,"

-. , .... ~ .. ~·"·1' .. ·'

I. .. ,.j-.

I

+.-.~

Explanation

o e:::::::::

O 2 TDEMTransmitte()

Geoelectric Cross-~

N

2000 4000

Scale in Feet =

Sounding Location Mal

Haleakala Ranch Pro; 1_',_. __ I ,. ••

State of Hawaii II DCCA II Business Name Search Results for HALEAKALA RANCH C... Page 1 of2

F~. ~ 0

Purchase Certificate of Good Standing New Search

General Information BusineSs Entity Name HALEAKALA RANCH COMPANY

Record Type Master Name for a Domestic Profit Corporation

File Number 103 D1

Status Active

Purpose CATTLE RANCHING I LAND LEASES & LICENSES

Place Incorporated Hawaii UNITED STATES

Incorporation Date 09/01/1888

Mailing Address 529 KEALALOA AVE MAKAWAO Hawaii 96768 United States of America

Term PER

Agent Info Agent Name WILLARD J. STLUKA

Agent Address 529 KEALALOA AVENUE MAKAWAO Hawaii 96768 United States of America

Annual Filing Info Filing Year Filing Status

2004 Processed

2003 Processed

2002 Not Filed

2001 Processed

2000 Processed

1999 Processed

Officer Information Name Office Date

STLUKA,WlLLARD J PIC EOID 07/01/2004

L YONS,CAMILLE D ivlS 07/0112004

http://www.ehawaiigov.org/dccalbizsearchlexelbizsearch.cgi?&file _ no= 1 03&file _ suffix=... 10/5/2004

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- -lI-W~l2 · installation permit dated 6/9/05 by Mike Robertson of Wailani Drilling. Please call ....

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