I€¦ · BENJAMIN J. CAYETANO GOVERNOR OF HAWAII Mr. Leroy Sharber Kauhale Makai 938 S. Kihei Road...

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Well Information (m) Hydraulic Conductivity (mId)

WELL NO Head o Aquifer Active

THEIS COOPER- HARR HARR RECOV ZANGAR POLUBARIN THOMAS AVERAGE Dla-meter ThO k Length JACOB 10"4 10"6 IC ness ERY OVA SON

3925-01 0.2 0.20 9.3 9.3 860 950 1500 1100 3926-11 0.3 0.15 3.0 4.5 790 630 700 490 420 610 4026-13 0.3 0.15 2.7 3.6 810 760 920 770 2000 2200 1200 4125-02 1.1 0.25 6.4 9.4 140 360 400 480 350 4126-03 0.3 0.30 6.4 6.7 1900 02100 2000 4226-13 0.4 0.30 6.1 6.5 390 440 760 530 4226-15 1.2 0.15 6.1 9.7 520 460 780 510 1300 720 4226-17 0.7 0.15 2.4 2.8 450 340 380 240 2200 560 630 1100 730 4326-09 0.5 0.15 7.3 9.9 360 380 410 300 950

. 1200 1400 1500 820

4327-07 0.4 0.15 7.7 7.7 2300 2300 890 740 1500 4527-10 0.3 0.61 2.1 2.4 40 40 30 20 30 i$.527-14 0.4 0.15 8.8 23.9 2 20 30 20 3 10 4727-08 1.0 0.20 6.7 8.0 690 860 210 160 480 4821-01 0.3 0.15 15.2 18.6 90 100 150 100 110 4822-01 1.2 0.15 16.5 19.5 90 90 50 40 60 60 4824-01 1.3 0.30 13.1 15.6 240 180 80 60 2200 810 890 1200 700 4830-01 1.3 0.20 9.1 11.2 20 30 90 40 40 4831-01 1.4 0.20 15.8 17.4 170 80 70 700 760 960 460 4834-01 0.6 0.15 2.9 2.9 700 700 4835-04 0.8 0.15 3.1 3.9 20 10 20 10 20 50 50 70 30 4930-01 2.3 0.15 6.1 11.1 50 50 70 50 60 220 240 210 120 4936-01 1.5 0.25 8.8 8.8 120 140 220 160 5129-03 1.4 0.25 12.2 13.6 350 370 130 120 1100 240 270 370 370 5130-01 3.7 0.20 57.3 66.4 1 1 1 1 5130-02 4.9 0.51 152.4 157.9 5 2 2 2 2 5131-01 5.6 0.46 32.0 37.9 410 550 140 130 250 210 230 270 270 5137-01 1.6 0.30 9.4 12.0 90 100 90 60 90 240 270 360 160 5138-01 1.4 0.41 13.7 14.8 220 160 90 70 880 970 1500 550 5220-01 1.4 0.41 16.3 16.3 530 590 930 680 5230-03 2.6 0.51 33.2 35.8 510 710 210 180 210 270 300 400 350 5238-01 1.9 0.36 16.5 16.5 660 700 230 200 320 340 380 580 430 5240-07 2.1 0.15 4.2 4.2 40 50 30 20 300 110 120 200 110 5317-01 3.7 0.46 37.8 41.8 90 90 30 30 540 240 270 330 200 5320-01 0.3 0.30 9.8 10.0 1500 1600 2100 1400 2000 1700

BENJAMIN J. CAYETANO GOVERNOR OF HAWAII

Mr. Leroy Sharber Kauhale Makai 938 S. Kihei Road Kihei, HI 96753

Dear Mr. Sharber:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

July 13, 2001

Well Completion Report for Well No. 4527-14

GILBERT S. COLOMA-AGARAN CH41RPERSON

BRUCE S. ANDERSON ROBERT G. GIRALD BRIAN C. NISHIDA DAVID A. NOBRIGA

HERBERT M. RICHARDS, JR.

LlNNEL T. NISHIOKA DEPUTY DIRECTOR

4527-14.wcr

We received your W~I Completion Report Part" for the Kihei-Kauhale Makai (Well No. 4527-14) on June 22,2001 and acknowledge that it is complete.

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

LN:ky

Sincerely,

(~BJa=f .. LlNNEL T. NISHIOKA Deputy Director

MEMO and R9JTE SLIP a __ ,OIc~,"" 2 Che~k"for

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

Step-Drawdown Test:

followed WCPI Stds 0 0 analysis attached 0 0 proposed pump cap o.k. 0 0

Aquifer Pump Test:

followed WCPI Stds 0 0 T & S analysis attached 0 0

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

analysis attached

Stream Surface Water Impacted:

2. Pump Installation Check Mitch Ohye

data complete followed WCPI Stds well database updated

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o o ... If yes, identify most probable stream

\}LAJ (initial) ~/~i ,,0\ i: No H no, describe delicion"!'

" 0 'L ~ g 011 ~

3. Charley/Lenore/Ryan ____ (initial) take action based on above analysis

4. Roy ___ (initial) check *No Si~,!e~ ti~~tr~~;· Rn ".

5. Susan Subia ____ (initial) finalize

6. Linnel ____ (initial) signature

7. Charley/Lenore/Ryan File

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Wailani Drilling Company Mike Robertson 655 Kulike Road Haiku, Maui, Hawaii 96708 Ph. 808/572-2673 Fax 572-0925 Cellular 2647079

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Lic.#C20115

06/14/2001

Return Receipt Fax Memo For:Charlie Ice

Charlie. Enclosed are the following items:

/Signed Pump Installation Permit for Kihei-Kauhale Makai Well # 4527-14

Please confirm receipt by checking off the enclosed items and faxing a copy of this memo to me at 808-572-0925.

From: Mike Robertson

Thank you : Mike Robertson

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Lic.#C20115 Wailani Drilling Company Mike Robertson 655 Kulike Road Haiku, Maui, Hawaii 96708 Ph. 808/572-2673 Fax 572-0925 Cellular 264 7079

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0611412001

Return Receipt Fax Memo For:Charlie Ice

Charlie. Enclosed are the following items:

JSigned Well Completion Part II for Kihei-Kauhale Makai Well # 4527-14 and Final Well drawing with pump

Please confirm receipt by checking off the enclosed items and faxing a copy of this memo to me at 808-572-0925.

From: Mike Robertson

Thank you : Mike Robertson

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'Co KAllHALE MAKAI POI

~'!lII'" of HaAIl 0 ....... ~o-..... --u .. -O-.-,)'-! - ... CO_ISSIION ON WATER RESOURCE MANAGEMENT De ... ,. .... 11d of Lan~ end Natural R_oura.

COMPLEltlON REPORT - PART II

W.., Name: KIllIl-KaUh ... M.kat

2. Addms: Tax Map Kay: 3. Pump Inlblftatian y: V. ~ 'IV /' f)/</t,;"( Nt;.. 4. o.te Pump Instilled:. L) ~e A'T1"lkI-/eO (XzY4:;,"1

tIICIIItIIOayIyMt •

13.10: 53

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'land: Mau'!!..l __

3-G-1:I~"

5. P~~~"'_TION! ,.. S",bJ1le.ts,ble I Pump Type, Makel Serial No.; G&Y4IlffOS, /JrJ$/S"u-7, Rated Ca ity: I So

Motor Type, H.P., ¥oItage, rpm: ' • ISH I' 21:>0 3 ,0,

gpm

Type or now meted :f\M!tl? IN'" Which meuures in .

IN

6. Method or flow ~m'"t ~ioJneter uanufacturer Mlc./l(JII\.Gre6a.c. (y\.- 3 _.::3~ __

~I Open Plpa~ 9 OrifiCe· 8 Other-, explain below

• IChernatic : 7. Fin in the as-built n on the other _ 0' thl8 theet.

8. Other remarksll nil:

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Pump In ..... lon Co,nI'IlCtOr (print) t)\\ I'-€.' .eo b etC! -bas,J C-571C-5781,., Llc. No. ___ e;;;.:::;~~ __ _

Signatu,. ~ ~ ~ Date --+II~.L..':j--';;;"r..-__

........... (print)

Signature

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I J II II Ult It! I t.: I; liU~; i'f; Ii; t-; Jill; -IiI;; I,; f;Jt,i I ··1·· 'Ilr i 11,1 11 tl~1!11 J I J It. 1-' I J f~f Jf :u§ -1· ; . ~ ... -,-; !! lil~nlt Irl if L nu; -Ull--11!-.!~:!_ I '-' ~~I ~_R •. - II ,I i :& 1~_g. ! .. , rt I'!1tr ii~-

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t j lili Ii· OJ In n Iniil! Iii I! f}i liil! iH! 'II! i!il ~I ~ 1 lrl; r~ I~I u tlrhll ,1 it i!il !r,1 r raj: I~ 0

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Wailani Drilling Company Lie. # C20115

655 Kulike Road Haiku, Maui, Hawaii 96708 Ph. 808 572-2673 Fax 572-0925 Cellular 264-7076

depth-ft.

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10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95

100

Bench Mark 9.42 Ft. Top of Slab Measures 3ft x 6ft x 4 in

Kauhale Makai Well # 4527-14 Final drawing: with Pump· 06/15/01 Elevation 9.42 ft, m.s.l. @ Bench Mark (Slab)

Flanolad Flow Meter

1/2 in. thick custom fabricated Well Seal

"Total Well Depth 86 ft.

initial chlorides 2518 ppm

Pump tested at 100 gpm for 24 hours with maximum drawdown of 5.73 ft.

*Note: not drawn to scale

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MEMO and R9JTE SLIP

··;VV9:B)!":i.~ti;~~~~f~~~·i!:W:! .. ' . ~V\:: •. ·4527~~!4i:.;;(~dtJ~yto .regulation.memo)

1. Pump Tests Check Glenn Bauer AI!!!! (initial) Yes No

Step-Drawdown Test:

followed WCPI Stds ~ 0 analysis attached fi 0 proposed pump cap o.k. fJ 0

Aquifer Pump Test:

followed WCPI Stds ~ T & S analysis attached 0

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

analysis attached o o

If no, describe deficiency

Stream Surface Water Impacted: o o ..- If yes, identify most probable stream

2. Construction Check Mitch Ohye tLv (initial) Yes No

data complete followed WCPI Stds well database updated

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ft 3~enOre/Ryan ____ (initial)

ATTACHMENTS FOR PUMP INSTALLATION PERMIT: .

1 COVER LETTER f 2PERMIT (2x) 7 3 DOH COMMENTS

4LAND 51 .... GOMMENTS 5WCRFORM

6WURFORM

4. ROY~initial) check 5. Kathy '( v· (initial) finalize 6.~ \~ (initial) signature 7 ~LenOre/Ryan File

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__ not necessary - only WCP.

To be sent to applicant

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Mr. leroy Sharber Kauhale Makai AOAO 938 South Kihei Road Kihei, Maui, HI 96753

Dear Mr. Sharber:

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June 5,2001

Pump Installation Permit Kihei-Kauhale Makai Well (Well No. 4527-14)

GILBERT S. COLOMA·AGARAN """"'''EIISON

BRUCE S. ANDERSON ROBERT G. GIRALD BRIAN C. NISHIDA

DAVID A. NOBRIGA HERBERT M. RICHARDS, JR.


4527-14

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 Chairperson's approval, the following special conditions were added and are part of your pennit under Pennit 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 permittee, well operator, and/or well owner are responsible for all conditions of the permit. This includes ensuring that the pump installation contractor submits a completed Part II of the Well Completion Report form (enclosed) within sixty (60) days after the pump installation work Is completed. Be advised that you may be subject to fines of up to $1000 per day for any violations of your permit conditions starting from the permit approval date.

Please sign and have the contractor sign both permit originals and return one for our files. A copy of the Well Completion Report (Part II) and a copy of your water use report fonn are enclosed for your use.

IMPORTANT - Pump installation shall not commence until a fully signed permit is returned to the Commission. Except for the monthly water use report form, please provide copies of all the information in this packet to your pump installation contractor.

Finally, this letter is notice that we have accepted your Well Completion Report - Part I as complete as of May 3, 2001.

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

c$P,1.6~ ~~tE~OlOMA-AGARAN Chairperson

Enclosure c. Wail ani Drilling Company

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" PUMP INSTALLATION PERMITft KiMl-Kauhale Makai Well. Well No. 4!!'1-14

In a.cc;:ord~nce with Dep~rtment of La!1d and Natural Resources, Commission on Water Resource Management's Admlnlst~atlve R.ules, Section 13-168, entitled 'Water Use, Wells, and Stream Diversion Works", this document permits the pump Installation for Kihei-Kauhale Makai Well (Well No. 4527-14) at 938 South Kihei Road , Maui, TMK 3-9-4:75, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) 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. The pump installation permit shall be for installation of a 100 gpm capacity, or less, pump in the well.

3. The permittee, well operator, and/or well owner shall provide and maintain an approved 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 an annual basis, on forms provided by the Chairperson (attached).

4. 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. This permit or the authorization to pump water from a well shall not constitute a determination of correlative water rights. The permittee, well operator, and/or well owner are notified and by this provision understands that the quantity of water taken from the well could be reduced by the Commission in the future. This permit is not a commitment that the pump capacity permitted here or even some lesser amount is guaranteed in the future.

5. The permittee, well operator, and/or well owner shall complete and submit as-built drawings and Part II - (Permanent) Pump Installation Report of the Well Completion Report (attached) to the Chairperson within sixty (60) days after completion of work.

6. 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.

7. The pump installation permit application and any related staff submittal approved by the Commission are incorporated into this permit by reference. The this permit is also subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

8. The permit may be revoked if work is not started within six (6) months after the date of approval or if work is suspended or abandoned for six (6) months, unless otherwise specified. 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 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.

9. If the well is not to be used it must be properly 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.

10. 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.

11. Special conditions in the attached cover transmittal letter are incorpora

Date of Approval:

Expiration Date:

May 3, 2001 May 3, 2003

( \

S. COLOMA-AGARAN, Chairpe n

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 also understand that non-compllance with any permit condition may be grounds for revocation and fines of up to $1000 per day starting from the permit date of approval.

Permittee's Signature: Date: ____ _

Printed Name: Firm or Title: ________________ _

Installer's Signature: C-57, C-57a, or A License #: Oate: ___ _

Printed Name: Firm or Title: _______________ _

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

Attachments c: USGS

Department of Health/ Safe Drinking Water & Wastewater Branch Maui Department of Water Supply Wailani Drilling Company

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J Well Name: Kauhale-Makai Well No. iii7 -14 Date of Test: March 7, 2001 \II 1 Date of Analysis: 16-May-01

I

Alternative wify for determing T from step-drawdown dat~ (Mink, per. comm) Q =ft"3/d Q1 (gpm) = 100 = 1 ~250 ft"3/d s = ft. Q2 (gpm) = 50 = 9625 ft"3/d Set up two equations:

s1 = iQ1 + nQ1"2 s2 = jQ2 + nQ2"2

Q2 = 9625 s2 = 2.05 Q1 = 19250 s1 = 4.48 Well Depth below sea level = 78.6 Radius of well (ft) = 0.5 = r

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

Laminar flow equation:

2.1E-09 0.000193

green = input red = calculated blue = equations

s = jQ = 3.72 83.04% Head loss due to laminar flow

Thiem Eq.

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

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

125.76

4552 ft"2/d /

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COMMISSION ON WATER RESOURCE MANAGEMENT (05/04

./. >< FROM: ROY ....:..:..-=--------

DATE: AUG 11 2004 SUSPENSE DATE:

PLEASE:

See Me TO: INIT. TO: INIT: FOR:

BAUER, G. - CHING, F.

MATHIAS, T. - NAKAMA, L.

Approval Signature Information

- Review & Comment - Take Action

- DANBARA, S. -- NAKANO, D. -- OHYE, M.

- Type Draft - Type Final

- FUJII, N. - GOODING, K.

-- SAKODA, E. - STAHL, K.

--'- File . Xerox _- copies

- HARDY,R. - HIGA,D.

-+- ICE, C. . IMATA, R. -IZU,Y. - KUNIMURA, \.

- SUBIA,S. - SWANSON, S. - UYENO,D. - YODA,K. - YOSHtNAGA, M.

___ . ___ ~ .... u "'UII~::1, LUU4 on the Special Management Area use Permit application for the proposed Kilohana Waena Subdivision and Well Improvements. On behalf of our client, D&I Enterprises, LLC (D&I), we would like to offer the following responses.

With regards to the brackish water well, located on parcel 74, D&I intends to use the water for irrigation of the sUbdivision's common area landscaping. If it is deemed feasible, the applicant is also willing to allow homeowners access to the brackish water for irrigation of their private yards. We concur with your comments with regards to testing of the well and the requirement of a pump installation permit. Waiolani Drilling has been hired as the well consultant for the project and will be assisting 0&1 through the well permit process.

The applicant concurs with your comment with regards to the water demand for the project. It is our understanding that the County of Maui Department of Water Supply (DWS) is currently issuing water meters to those ready to receive service. Further, DWS is moving forward on projects to increase the water resources that supply the South Maui area such as treatment of surface water and utilizing water from the Hamakuapoko wells in East Maui to remedy the water situation in Central and South Maui. .

.... , .

..' . ·e·n vir 0 n men t . . . . .plo nn{ng ...... ······· ..... .

305 High Street, Suite 104 . Wailuku, Hawaii 96793' ph: (808)244.20i5 'fox: (808)244c8729 . planning@-mhinconlq:c&v r n t. '--'

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-:;lable 1 (SDPTD Form 12117197)

STEP-DRAWDOWN PUMP TEST DATA (not required for wells producing < 100,000 gpd or 70 gpm)

Pumped Well No. '15,;17 - 1'1 Observation well no. _-!JrJ~A:..:..--_.,....,.."..,~--=-__ _ Pumped Well Name IS..Aitl"f(~ - /1JA/CI4; Distance between Obs. & Pumped Well AlA ft Target Q i't1 gpm ~Reference pt. for depth to water ,. C/2. ft, msl'(5LAS)

Static Water Level @ start of test 1. V6 ft. msl (~Ati ) Water level measurements by: [("steel tape 0 pressure transducer 0 airline

STARTTEST Date: 3llo/ Flow Meter Reading Start: ()

Time of day: IJ.' (/I(J ,11.111 ." Ile'f". ItT • .,..." of SLt\,

gals ,'" ,:~ , ,.., , ", """ " "

Suggested' ~l. ,I .,.,... Drawdawn Pumping rate Q

(at..,. 3 steps) (gpm)

" EIapSf:Kf', " ElaPsed to $ .. time." Time ,water"

t . t i '(UIladJl!&.l8d (IleaAlSt toneareSt

'(min) (min) O. t ft) 0.1 ft)

-45 -'Is " -30 -"}~ 7. f() o -15 o

o o b 1 I I. It)

1.5 /,) ,. 00

2 2,. I. /)~ 2.5 1. s' 1.0)

3

4

5 It

6

7

8

10

15

20

25 , I

/,0)

7> 12,,",) 1)..38 f/, VB

10) f3,oB I .. • ~ ;.., d

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1 Sc

So

lod

EC CI-I

,<lunhos) , (mgII)

Start testl Step 1

2n'b 7 </_ Start pump

Chloride sample taken

Step 2 begin?

c:;:tDle ~ ("'1(1'"' u t-orm 1.oll1:1l}

CONSTANT -RAlE PUMP TEST DATA

Pumped Well No. ~5",;/7 -/ V Observation well no. VI" Pumped Well Name IcAlttlA~" - /J?OK""" Distance between Obs----:. &~Pum~L-ped--=-=W-=-::BI-::':--A/.-'A--- ~ft . Target Q I do gpm .At Reference pt for depth to water 9. </~ ft. msl ~

r Static Water level @ start of test 7. 7'3 ft m ~ Water level measurements by: e'" steel tape IJ piessure transducer 0 airtine

STARTTEST Date: "li7/o/ Time of day: /;1:"" {Jill .eeF. n TO" DF $,-,,6

F'owMeter~;', I Start. {; 7f(J ,gals

~ ,Actual DepIft = UlUUs

i;=:. for.

T lo~· . '4 Pwnping ~. time '-liftiiii"

~;, .. rate _oF

-t '. t", ,~~,;~~ I~c'-;";':'i~> .' Q EC' .~ or ,;_~

.,.' ....... ,: .. 'I", • ' ...• ";'0,'{:7: ":)":: ".: Ii': "'.,,':, .. , . ' .... ;..

(min) .:(mihf·~~:' 1':":7ictf:ir (gpm) ~) (mgII).

-45 - '-{s" 7.J' 0 Start Test

-30 ·<~o 7.77 \f

-15 -I tj 7,'73 ,\

0 a 7, 7} 0.00 ~S7J 73 . Start pumpfCt taken

1 I f).·T} s.oo 100 · 1.5 II')" 12.)7 5, co ·

2 1.- H '!' · 2.5 J..< ·

3 3 · 4 lj · 5 S · 6 (,. · 7 7 · 8 g ·

10 10 ,l- · 15 /., 1.2. ~o .'1/17. 100 · 20 · 25 · 30 I

· 40 · 50 1'1

~'" · 60 (PO ''1.1:0 c.j, l/ 7 loo · 70 i \I · 80 t- V It · 90 q~ 11,4 )"' 1.f.72 \00 · . .. .-

WEll NUMBER: r.r~ 7 - (r DRIlleR'S LOG (7126199 DL Form)

Depths (ft.) Rock Description, Water level, etc. Dates

_6_to~ Tot Soli ...

~ to ~ -=..S..:;.."".;..;.. ... _l __ -=----__ i •

~O t05").. SAN! t. ConAL -- -- f

S_~_to_l c,_ f>l\4< ~k.

__ to __________ _

__ to __________ _

__ 1o __________ _

__ 1o __________ _

__ 1o __________ _

__ 10 __________ _

__ 1o __________ _

__ to __________ _

__ 10 __________ _

__ to __________ _

__ 10 __________ _

__ 1o __________ _

__ 1o __________ _

Remarks:

~''',Io\

QlI~l'~ ~ \')..110\

~l ~t 10\

a \~~ '0\

Depths (ft.) Rock Description, Water level, etc. Oates

__ to __________ _

__10 __________ _

__ 1o __________ _

__ 10 __________ _

__ 10 __________ _

__ to __________ _

... ____ 10 __________ _

__to __________ _

__10 __________ _

__10 __________ _

__to __________ _

__to __________ _

__10 __________ _

__10 __________ _

__10 __________ _

__to __________ _

__(0 __________ _

__to __________ _

'; BENJAMIN J. CAYETANO

GOVERNOR OF HAWAII

Mr. Leroy Sharber Kauhale Makai AOAO 938 South Kihei Road Kihei, Maui, HI 96753

Dear Mr. Sharber:

o o




DEC 1 9 2000

Well Construction Permit Kihei-Kauhale Makai (Well No. 4527-14)

GILBERT S. COLOMA·AGARAN CHAIRPERSON


DAVID A. NOBRIGA HERBERT M. RICHARDS, JR.


4S27-14.wcp

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 thickness shall meet requirements in Hawaii Well COnstruction and Pump Installation Standards.

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 (1/23/97) 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 pnor 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.

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 $1000 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 587-70251 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai) extension 770251. .

Aloha, ~

~~LOMA-AGARA <k Chairperson ,{)

Enclosures c. Wailani Drilling Company

/

,~

~

C)vELL CONSTRUCTION PERMIT 0 Kihei-Kauhale Makai. Well No. 4527-14

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 construction and testing of KiheiKauhale Makai (Well No. 4527-14) at Waiohuli, Kihei, Maui, TMK 3-9-4:75, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) 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 riotified, 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 accordance 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 installedl in a manner acceptable to the Chairperson, to accurately record water levels. The permittee, well operator, and/or well owner shal 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 Department's 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 determination 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 permittee, wei) operator, and/or well owner shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of thiS permit.

The well construction ~rmit application is incorporated into this permit by reference and is subject to the Hawaii Well Construction & Pump Installation Standards (January 23, 1997; 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 SiXJ6) months after the date of app'roval or if work is suspended or abandoned for six (6) months, unless otherwise specified. The work propose in the well construction 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 gocid cause and good-faith ~rformance. A request to extend the permit shall De 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 properly 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, eersonal 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.

Date of Approval: December 4, 2000 December 4, 2002

. JOHNS, Chairperson Commission on Water Resource Management Expiration Date:

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, dated, 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 $1000 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 Company

/

Well No.

Well Name

Applicant

o 4527-14 Kihei-Kauhale Makai

Kauhale Makai AOAO

SECTION 1: WELL LOCATION INFORMATION

Island

Aquifer System

Aquifer Sector

MAUl

CENTRAL

KAMAOLE

data

Date of Review

Reviewer

Proposed Use

o

Proposed Withdrawal

System Sustainable Yield

12115/00 RRI

Irrigation

65000 11

SECTION 2: WELL SECTION DATA (enter data in grey cells only)

Elevation at top of casing ft., m.s.1. Solid Casing

Ground Elevation ft., m.s.1. Material

Cement Grout ft. Designation

Rock Packing ft. Length ft. Hole Diameter in. Diameter in.

Total Depth ft. Wall Thickness in. Casing

Estimated Head ___ ft., m.s.1. Material

Calculated Aquifer Thickness 41 ft. Designation

Length

County Water Supply (YIN ?) --- Diameter

Wall Thickness

Openings

Open Hole

Length

Diameter

SECTION 3: CHECKLIST (values to check are shaded)

Well Depth

Theoretical Thickness of Aquifer

114 Aquifer Thickness

Depth of Well below Sea Level Well Casing

Minimum Wall Thickness

Material

County or Non-County

Minimum Thickness per standards

Wall Thickness ProvidfK1 Minimum Length of Solid Casing

90% of ground to top of aquifer

Length of solid casit'lg ProvidfK1 Casit'lg Material

Annular Space Depth of Grouting

Calculated Depth of Grouting

Depth of Grouting provided Th~knessofAnnular~

41 ft. 10.25 ft.

10 ft.' okay (refer to HWCPIS Section 2.2) -----

PVC

non-county

0.280 in.

0.250 in.

8.1 ft.

11ft Sch40

6.3 ft. 10 ft.

3.25 In.

tdO small (refer to HWCPIS Section 2.4 c)

oiqay (refer to HWCPIS Section 2.4 d) 'Okay (refer to HWCPIS Section 2.4 e)

If the cell above reads #N/A, reference HWCPIS)

okay (refer to HWCPIS Section 2.6 c)

okay (refer to HWCPIS Section 2.6 d)

Page 1

f.

co· ISS ION ON WATER RESOURCE MANAGEMENO • ROUTE SLIP FOR PERMIT ISSUANCE

FROM: CHARLEY

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

-1-HARDY, R. I: HIGA, D. :::::n= HIRANO, E.

-5-ICE,C. IMATA, R.

--JINNAI, R. --KUNIMURA,I.-

DATE: At;; ~OD SUSPENSE DATE:

LUM, A. ·3 Approval NAKAMA, L. -3-Signature == NAKANO, D. c' 4 Information

3 NISHIOKA, L. ~. 4 OHYE,M. ~ ,,1.\.0\

__ SAKODA, E. __ I _2_SUBIA, S. ~

SWANSON, S'----D. --UYENO,D. --YODA, K. --

PLEASE:

See Me -1-Review & Comment

Take Action --Type Draft

2 Type Final -5-File --Xerox

,...

__ copies

WELL NUMBER 4G"~1-¥f WELL NAME f!::t'hfU'..-~ ~( K WELL CONSTRUCTION

ATTACHMENTS FOR WELL CONSTRUCTION PERMIT: 1 COVER LETTER ~ 2 PERMIT (2x) .,/ 3 PUMP TEST 7-:-4 DOH COMMENTS ~ 5 LAND DIV. COMMENTS ;~.

WCRFORM

TO BE SENT TO APPLICANT

FOR OFFICE USE ONLY

o PUMP INSTALLATION

ATTACHMENTS FOR PUMP INSTALLATION PERMIT: 1 COVER LETTER 2 PERMIT (2x) 3 DOH COMMENTS TO BE SENT TO APPLICANT 4 LAND DIV. COMMENTS 5WCRFORM 6 WURFORM

} FOR OFFICE USE ONLY

BENJAMIN J, CAYETANO GOVERNOR Of HAWAII

'A,,~

"""" NOV 2 8 2000 TIMOTHY E. JOHNS

CHAIRPERSON

~:/........sL

t'r-t>(



STATE OF HAWAII LlNNEL T. NISHIOKA

DEPUTY DIRECTOR

TO:

FROM:

SUBJECT:

DEPARTMENT OF LAND AND NATURAL RESOURCES



NOV 20 2000

Honorable Bruce S. Anderson, Director Department of Health Attention: Dennis Tulang, Wastewater Branch

William Wong, Safe 'n.ki ~ate~r~a h {

Timothy E. Johns, Chairperson • Commission on Water Resource

Well Construction/Pump Installation Permit Application Kauhale Makai (Well No, 4527-14)

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 November 30, 2000.

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 587-70251.

CI:ky Attachment( s)

RESPONSE:

[ I 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 J and must receive Director of Health approval prior to Its use to comply with Hawaii Administrative Rules (HARJ, Title 11, Chapter 20, Rules Relating to Potable Water Systems, §11-20-29.

[ I

[ I

[ I

[ I

[ I

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 Health 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 ~ap or an approved backflow preventer, and by clearly labeling all non-potable spigots with waming signs to prevent inadvertent consumpllon 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).

d c:::::s

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

No comments/objections ~ .~

"

Contact Person: La Vl tV, ~ l yva~

Signed: ch;·h -¥ ("')

.J:,.. )' '1' .-"

~ ',1 - :~

c",..)

..r::..

________________ ....... _.~""r"A .... _~..",...>"'>,..-~"""

TO;

FROM:

808-586-4370 T-519 P.OI/OI F-222

RECEIVED SAFE DRINKING WATER BR~~.~~HNS

srATE OF HAWAII

BRl.ICE S. """DERSCH ) -, .:;:lrV'I ROBERT G. GIAAlD

i~OV ::.. . ~. BAlAN C. NISHIDA 17AV/o A. NOBRIGA

HERBI;RT fool. ~CHIoAOS. JR.

LINNEL T. NIShIOKA tJJEJVrr 0M,t(;,0It

DEPARTMENT OF LAND AND NATURAL. RESOURCES

COMMISSION ON WATER RESOURCE MANAGf:MENT "'.0. aOXIi21

HONOlUllI. HAWAII 98800

NOV 20 2000

Honorable Bruce R Anderson. Director Department of Health Attention; Dennis Tulang, Wastewater Branch

William Wong, S~fe Oli'~ wate~rra h I

Timothy E. Jahns, Chairperson ' Commission on Water Resource nage~' . '1)

SUBJECT: Well Construction/Pump Installation Permit Application Kaohale Makai (Well No. 4527:Hl


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 r-eturning this cover memo form by November 30, 2000.

Please find the attached mars to locate the proposed well. If you have any questions about this permit application, request additiona information, or request additiona review time, please contact Charley Ice of the Commission staff at 587-70251.

CI:ky Attechment(s)

RESPONSE: Tni& _I qualifies as a :source Which will 61)~ 1)5 (I &curCl! of potable walef 10 a public warer 8V$!em (aetlnad as sarving 2S or IrlOrII people

. allea't SO days per year or hill ,6 or mare lie",rea connectlonol alld mv:ot re~\l1I Direaor of HellltllPllfOVill\ JIdg[ 10 Itl U&8 to ClClI1lPly with l1awlltl AOIlIlniSltalive Rules CHAR). Tille 11. Chapler 20. Rulf;$ Relating to Porable Wa1et Systems. §'1~

[ )

Thi& _II <lOGs not qua~fy OlIO a liouree ef)fVing « PI/bite Wilier ,ystem (SflI"t8S 18&& rhen 25 peopie Of m::'cCi0p!8 81188&160 Clays per ~a( or 1S lielVlC8 <:OI\nedion&) ana if the well 'w8ler ie ulied for Drinking, Ille pnvatll owner should teStier "DkIgicaIsnd Ctlamlcal pt81leflee betOfe initiating 6UC/l use /lnQ rollllnoly monitor lI'Ie waltr quality ther88f1(1r. Howevet, if future p/aIllI8iJ U68 tn;Jm ttli, 1O\Hte ,ncreaeee 10 me~11I'I8 public water system aeft"llioll lIIen Director 0/ Health approval I. requirecl m!IU to ImplemenlBlIon.

[ J

( J If me ~lls uW 10 &upply bolh polll1)le enG non-poUlbie putpO,e$ in a .. ngle 6yo14lm, me usC( snail fIIiminal8 CW65-Cllflll!lClions ana beClC1low COMeaionIi by phYlljCIIII~ separllling paUlOle ano non-polable IiVli18ma by all arr 9'1P or an apprlllled baddIOVt' pIeV8tIler, a~ by

~ellrlY lalleling all non-J)OllIbl6 spigotS witn wammo IIiOns 10 prevsnt in8lllfertent COMumptlOn of non-polllb!e ..,.1Ot. 8addlow prevtnlion

aevices shoula be roUliilely inspected and 186111(1.

It doe6 not a~.r t~;a! this _I wi" be u!ied fOl consumpliy", purposes and i. nol 6Uoj8C\ to Safe OrinkinG Wat&r RaguiatiollS.

[ I

[ ! I!

Forme applicant's iQfCrmatiQl1. B r;ource of poSlliblO WIIsrewlilCr contaminatiOn (JI& (] Is not lOCa!ed neat the propOSlId wallliite (information III11lClledJ.

Other relevMI DOH n.llSSIlBgUlation&. in/ormarian, or recommeC1dallo", are allllched

NO ecmmern&lobjeclion&

Contact Person: ~/1,.J 0.-t4m~ //I (:) Phone:

Signee: ~5/1L~ Date;


TO:

FROM:

SUBJECT:

o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAl RESOURCES


HONOLULU. HAWAII 96809

NOV 20 2000

Dean Y. Uchida, Administrator ~ Land Division ~ ,.., Linnel T. Nishioka, Deputy Directo J. Commission on Water Resource Manage ent

Well Construction/Pump Installation Permit Application Kauhale Makai (Well No. 4527-14)

TIMOTHY E. JOHNS CHAIRPERSON


HERBERT M. RICHARDS. JR.


Transmitted for your review and comment is a copy of the captioned well application which includes a request for a pump installation permit.

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 November 30. 2000.



RESPONSE:

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

PCp{ A water lease/permit is not required of this applicant.

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

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

[ J No objections

pete Other comments: Original source of private title is Land Patent Grant No. 9681 issued on April 8, 1929.

Contact Person: ___ G_a_r.=.y_M_a_r_t_i_n _______ _ Phone: 58 7-0421

J '-7 .... _. +- . Signed: __ JU-L..:.=-_7 __ ;----.!r~ ,,_~_-=-~-=--_-_-- d

c;::!I

~ '~i1 .",'

<: \ .j (_ .......

r-;- '~~. c.J ..~).

C=' il .-~

" -c.,,:1 'n

:J ..c.. -.I

-,------~--.. -------------------------------

______________ ....... _____ .. t ................ , .. ,.,"' ...... "",~~ !\l[!,J 1I1>·l't',.tt'$~!QF

J o o \

OEPAATMENT OF lJIND PN.> ~TUtAl RESOlRCES

OOCtf"e-rt N). ~c OR ATIAO£O w::>RKSt£ET . MTE: HOV ?n ?MfI

SRCI COST F YR N'P OOeJ CTR PROJECl PH ACT NO.M' ftWotE/DESCRIPTlON° (W~ It-.PUr)

S ~1 32E C 1026 0752 (1) $25.00 Wailani Drilling, Inc. (Check #3291) - -- --- - ---- ---- ---- -- --- ..... ------------.-._--..

- -- --- - ---- --- ---- -- --- (2) ------------------------ -- --- - --- --- --- -- -- (:J) ------------:------------- -- --- - ---- --- ----- -- (4) -- --------------------------

TOTAl $25.00

R~KS: LINE (1) Kihei-Kauhale Makai (Well No. 4527-1 )

LINE (2)

LINE (3)

I LINE (4)

.r

o o \


Mr. Donald A. Wright Leroy Sharber Kauhale Makai AOAO 938 South Kihei Road Kihei, Maui, HI 96753

Dear Mr. Wright:

o o



HONOLULU. HAWAII 96809

NOV 20 2000

TIMOTHY E. JOHNS CHAIRPERSON


DAVID A. NOBRIGA HERBERT M. RICHARDS. JR

LlNNEL T. NISHIOKA DEPUTY DeRECTOR

4527-14

Well Construction/Pump Installation Permit Application for Well No. 4527-14

We acknowledge receipt, on November 3, 2000, of your completed Well Construction/Pump Installation permit application and filing fee for the Kauhale Makai (Well No. 4527-14). 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.

Please be aware that your proposed driller may have unfinished business with the Water Commission, which would have to be resolved before we can accept his signature on a permit, and no work shall commence unless a copy of the permit has been fully signed by both permittee and driller.

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:ky

c: Wailani Drilling Company

~>~ LlNNEL T. NISHIOKA Deputy Director

/

o o BENJAMIN J. CAYETANO

GOVERNOR OF HAWAII TIMOTHY E. JOHNS

CHAIRPERSON

TO:

FROM:


COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOX 621


NOV 20 2000

Honorable Bruce S, Anderson, Director Department of Health Attention: Dennis Tulang, Wastewater Branch

William Wong, S~fe ';;c5 Water Bra?yh

Timothy E. Johns, Chairperson ( ." f-J /) fX---4-Commission on Water Resource nage~' J \\



LlNNEL T. NISHIOKA DEPUTY DlRECTOFl

SUBJECT: Well Construction/Pump Installation Permit Application Kauhale Makai (Well No, 4527-14)


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 November 30, 2000.

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 587-70251,

CI:ky . Attachment( s)

RESPONSE:

[ 1

[ 1

[ 1

[ 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 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 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-{;onnections and backflow connections by physically separating potable and non-potable systems by an air ~ap or an approved backflow preventer, and by clearly labeling all non-potable spigots with warning signs to prevent inadvertent consumpllon 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 [l is not located near the proposed well site (informallon attached):

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

No comments/objections

Contact Person: _________________ _ Phone: ______ _

Signed: ____________________ _ Date: _______ _

-BENJAMIN J. CAYETANO

GOVERNOR Of HAWA,I

TO:

FROM:

SUBJECT:

o


COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOX 621


NOV 20 2000

Dean Y. Uchida, Administrator Land Division ~t. ~ /:

Linnel T. Nishioka, Deputy DirectoL_),l\:'\~r vJ. Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Kauhale Makai (Well No. 4527-14)

TIMOTHY E. JOHNS CHAlRPERSO~

BRUCE S. ANDERSON ROBERT G. GlRALD BRIAN C. NISHIDA DAVID A. NOBRIGA

HERBERT M. RICHARDS, JR

LlNNEL T. NISHIOKA 0EP\JT'1' DIRECTOR

Transmitted for your review and comment is a copy of the captioned well application which includes a request for a pump installation permit.

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 November 30, 2000.



RESPONSE:

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

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

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

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

[ ] No objections

[ ] Other comments:

Contact Person: Phone: ------------------- ----------

Signed: __________________ _ Date: ________ __

··""--'-"---""1-------------

FROM: CHARLEY

QMISSION ON WATER RESOURCE MANAGEME~"f'" ROUTE SLIP FOR NEW APPLICATIONS

DATE: 24-0ct-OO SUSPENSE DATE:

PLEASE:

LUM, A. 3 Approval See Me BAUER, G. --CHING,F. NAKAMA, L. -3-Signature -1-Review & Comment --FUJII,N. -1-HARDY, R. ~. --HIGA,D. , --HIRANO, E.

5 ICE,C. -IMATA,R. --JINNAI, R. --KUNIMURA,I:--

NAKANO, D. -4-lnformation -3-NISHIOKA, l. ~ -4- ~ \\/111.--0-0 OHYE,M. ~

SAKODA,E. + -2-SUBIA, S. ,

SWANSON, S \ ---'T,.}

UYENO, D. YODA,K.

--Take Action -5-Type Draft acknow letter -2-Type Final, label new file folder -5-File --Xerox __ copies

WELL NUMBER 452'1 -At WELL NAME _K_ih_e_I_"-_K_a_U_h_a_le_Nt_'fA_l?I_'i_i _____ _

o WELL CONSTRUCTION 0 PUMP INSTALLATION

ATTACHMENTS FOR APPLICATION PROCESSING - Both applicant & staff generated 1 TRANS. LETTER 2 CWRMMAP 3 APPL. FORM (3X) 4 USGS MAPS (3X) 5 TAX MAPS (3X) 6 PARCEL OWNER VERIF.-- MLS PRINTOUT 1 CONTRACTOR VERIF. --"--

o BOTH

8 ALL INFO FILLED IN ~

9 BACKGOUNDCHECK == -~ ~e~ ~.y~~' . :1- ~et .... )Co(cC.·(I' /,/';;;,' ..J •. ",/A., /

FOLDER. l - ~.. I o MADE NEW FILE FOL:.;ER, ATTACHED o FILE FOLDER ALREADY MADE, IN FILE CABINET

INCOMPLETE ACTION DATES:

DATE

t;r' r"t \."

ACTION

well Background Check

Approved Well No. Well Name Applicant

Nahiku-Betsill Betsill Brothers Const. Inc.

5413-11 Huelo-Grace Gwendolyn Grace

5518-05 West Kuiaha 2 West Kuiaha Associates, LLC

Kapakalua Rober Loma Robertson

Kihei-Maui Vista Maui Vista AOAD

5517-02 Manawai-Papanui Papanui, LLC

4127/1992 5615-01 Haiku-Robertson Michael H. Robertson

5/17/1995 5615-02 Pea hi-Phillips Chuck Phillips

1/24/1996 5413-05 Huelo-Gould Sherrie Gould

1/24/1996 5615-05 Pea hi-Wilson Deborah Wilson

3/13/1996 5616-02 Heaaula-Martin Peter Martin

3/13/1996 3904-06 Kipahulu-Nicoll Sacred Haleakala Trust

4/10/1996 5615-03 Pea hi-Trier Richard Trier

7/1711996 5515-03 Peahi-Wanner David Wanner

9111/1996 5426-01 Papaula-Ruben Michael Ruben

12118/1996 5413-08 Huelo-Lowen Alan Lowen

1211811996 5414-01 Huelo-Hipp

1211811996

4/2211997

5413-07 Huelo-Baker

5413-09 Waipio-Hagar

6/911997 5517-01 Joachim

9/2211997 5731-02 Kanoa 1

9/2211997 5731-03 Kupaa 1

12/8/1997 5413-10 Huelo-Naiditch

311211998 5616-03 Clark

511/1998 5841-03 Shoemaker

5/111998 5741-01 McDonald

Gary Hipp

Ed Baker

Sam Hager

Brian Joachim

Maui DWS [02]

Maui DWS [02]

Jack Naiditch

Bob Clark

Scott Shoemaker

Mark McDonald

5/21/1998 5328-52 Maui Bch Hotel Maui Beach Hotel

Driller

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

Type

BOTH

BOTH

WELL

BOTH

WELL

BOTH

BOTH

BOTH

BOTH

WELL

BOTH

BOTH

BOTH

BOTH

BOTH

BOTH

BOTH

BOTH

WELL

BOTH

WELL

WELL

BOTH

BOTH

BOTH

BOTH

BOTH

Well Construction Issued Signed WCR1 Accept

4127t1992 8/27/1993

6121/1995 7/1911996

Pump Installation Issued Signed WCR2 Accept

8t27/1993

6/21/1995 7/19/1996 o 1/24/1996 7/15/1996 7/19/1996 10/12/1998 10/12/1998 211/2000 0/31/1996

2/2811996 2118/1997 2/18/1997

4/2511996 2/18/1997 2/18/1997 10/12/1998 121211998 2118/1997 211811997

4/25/1996 3/30/1996 211811997 1011211998 10/1211998 512511999 2118/1997

7/9/1996 7t19/1996

8/1211996 1012011996 211811997

10nt1996 711/1997

1nt1997 51811998 7/1/1997 10120/1997

ln/1997 1211811998 7/1/1997 10127/1997

1 nt1997 511812000 211811997 5/1812000

412311997 6/10/1997 7/1/1997 10/27/1997

10/1211998 1/29/1999 213/1999 91211999

1011211998 5124/2000 211811997 512612000

3/20/1998 411411998 5/1812000

3131/1998 811512000 511212000 8/1512000

3120/1998 313011998 7/1/1997 10127/1997

10/1211998 5/1812000 211811997 5/18t20oo

3120/1998 3/2311998 5/1212000 5/1212000

6110/1997 9/1811997 1011/1997 10/1/1997 10/17/1997 1211211997 211211997 12117/1997

9124/1997 7/1611998 7/6/1999 7/6/1999

912411997 7/1811998 6123/1999 6/23/1999

1211211997 8/29/1999 113112000 5/4/2000 5/1612000 7/24/2000 113112000 5/412000

3117/1998 3124/1998 9129/1998 1131/2000 3/312000 312212000 2117/1998 12117/1998

5nt1998 6/17/1999 812212000 9/25/2000 1011 012000

5nt1998 5/25/1998 4/1712000 4/18/2000 5/512000 5/25/2000 4t17/2000 5/2612000

512211998 5126/1998 7128/1999 5/1712000 5/26/2000 6/612000 6/20/2000 612012000


612311998 5615-04 Pea hi-Bock Jerry Bock

6124/1998 5614-01 Honopou-Young Lafayette Young

7110/1998 5515-04 Peahi-Johnson Mary Johnson

7/1311998 5412-01 Hanawana-Dougl Keith Douglas

1012111998 5424-09 Spreckles-Gerlac Tom Gerlach

1111811998

112211999

2119/1999

5/26/1999

8/10/1999

4936-01

3712-01

3806-03

3926-10

5616-04

Olowalu-Elua Olowalu Elua Assoc., Ltd.

Waiopai Haleakal Haleakala Ranch [01]

Kaupo-Mokulau Mokulau Trust

Makena-Kaufman Jack Naiditch

Pea hi-Honig Fredrick Honig

8/17/1999 5840-03 Kahana Gartner Kahana Ranch

8/26/1999 5939-02 Napili Park

8/26/1999 5731-04

4821-01

Kanoa 2

Omaopio Esty

Hale Kamaole

Maui County Parks Dept.

Maui DWS [02]

Edward Esty

Hale Kamaole Condo Assoc.

8/26/1999

812611999

1/9/2000

1/9/2000

3117/2000

4226-15

4821-02

5414-02

5425-03

5514-02

Omaopio-Siele Jack Siele ?

Huelo-Ulin

Stable Road Golti

Ualena-O'Neili

DaVid&Na~

EriCGotlin~~ Shawne O'Neill 4110/2000

5/1/2000

51112000

5620-03

5620-04

Pauwela Lewis 1 Sky Lewis ? • Pauwela Lewis 2 Sky Lewis

5123/2000 5523-01 Paia Ulmer Kurt Ulmer ?

5/26/2000 5518-04 Kuiaha-Smith Smith Development

7/6/2000 5514-03 Huelo Klopping Steve Klopping

7/6/2000

819/2000

5341-02

4327-06

Front SI. Housing William Dorbush

Kihei Akahi Kihei Akahi Condo Asso.

8111/2000 4822-01 Pulehu Kula Meadows, LLC

8/14/2000 5616-05 Manawai-Vandev Dennis Vandevelde

Driller

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

Type

BOTH

BOTH

BOTH

BOTH

BOTH

BOTH

WELL

BOTH

BOTH

BOTH

BOTH

BOTH

C-20115 BOTH

C-20115 BOTH

C-20115 BOTH

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

BOTH

BOTH

BOTH

PUMP

WELL

WELL

WELL

~~%W1m 11 j vh"""i/@~~~,,·.,,·,·'A~~~$"'""")"'w,«'w.V~~~~~''m*,>~~$«}~-. .. -mm:~~~:;.,.~~, ill M ;; hi@ %~~~"»'.w</'>"";~"'~

Tuesday, October 24, 2000


6124/1998 8/3011999 812212000 911312000

6125/1998 8/611998 617/1999 511212000

7114/1998 81711998 8/14/2000

7/1611998 81611998

11/211998 412311999 812212000 9/2712000


9/2212000 9/25/2000

5/2612000 61712000 612112000

1218/1998 7/1311999 7/16/1999 7/16/199te.J

_~41t~o-f ~ 218/1999

314/1999

41712000

8/17/1999

10/9/1999 812212000

91211999-~~

8/30/1999 8/22/2000

8/23/1999 9/2/1999 7/9/2000 7/9/2000 7/26/2000 9/11/2000

9/2/1999 9/14/1999 4/27/2000 9/29/2000 10/18/2000

9/8/1999 2122/2000 6/13/2000 7/19/2000

9/211999 9/16/1999 2/15/2000 4/20/2000

9/211999 9120/1999 0121/1999 10121/1999

1/1812000

1/18/2000 1/30/2000 812212000

41712000 -? cvk... ~. ",z

412812000 51612000 9126/2000

6/1312000 b~'" 0-.;;1.

6/13/2000 0 \

5126/2000 r( If / I II

6/1512000 6/1512000 7124/2000 81912000

711812000 8/1512000

7/3112000 'I. t (

(t 1\

812112000 to h 'I \l

8114/2000 8/14/2000

912212000 9126/2000

5/5/2000 5/15/2000 5/18/2000 5/18/2000

31312000 311512000 3115/2000 611612000

I..- \ :_1 ~-;.., •• J

8114/2000 8/30/2000 911/2000 911/2000

Page 2


6/24/1998 5614-01 Honopou-Young Lafayette Young

7/10/1998

7/13/1998

10/21/1998

5515-04

5412-01

5424-09

Pea hi-Johnson Mary Johnson

Hanawana-Dougl Keith Douglas

Spreckles-Gerlac Tom Gerlach

11/18/1998 4936-01 Olowalu-Elua Olowalu Elua Assoc., Ltd.

112211999 3712-01 Waiopai Haleakal Haleakala Ranch [01)

2/19/1999 3806-03 Kaupo-Mokulau Mokulau Trust

5/26/1999 3926-10 Makena-Kaufman Jack Naiditch

8/10/1999

8/17/1999

5616-04

5840-03

Pea hi-Honig

Kahana Gartner

8/26/1999 5731-04 Kanoa 2

8/26/1999 5939-02 Napili Park

8/26/1999 4226-15 Hale Kamaole

8/26/1999 4821-01 Omaopio Esty

1/9/2000 5414-02 Huelo-Ulin

Fredrick Honig

Kahana Ranch

Maui DWS [02)

Maui County Parks Dept.

Hale Kamaole Condo Assoc.

Edward Esty

David & Nancy Ulin

119/2000 4821-02 Omaopio-Siele Jack Siele

3/17/2000 5425-03 Stable Road Golti Eric Gotling

4/10/2000 5514-02 Ualena-O'Neill Shawne O'Neill

5/112000 5620-04 Pauwela Lewis 2 Sky Lewis

5/1/2000 5620-03 Pauwela Lewis 1 Sky Lewis

5/23/2000 5523-01 Paia Ulmer Kurt Ulmer

5/26/2000 5518-04 Kuiaha-Smith Smith Development

7/6/2000 5514-03 Huelo Klopping Steve Klopping

7/6/2000 5341-02 Front St. Housing William Dorbush

8/9/2000 4327-06 Kihei Akahi Kihei Akahi Condo Asso.

8/11/2000 4822-01 Pulehu Kula Meadows, LLC

8/14/2000 5616-05 Manawai-Vandev Dennis Vandevelde

Driller

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

Type

BOTH

BOTH

BOTH

BOTH

BOTH

WELL

BOTH

BOTH

BOTH

BOTH

WELL

BOTH

BOTH

WELL

BOTH

BOTH

BOTH

BOTH

BOTH

BOTH

BOTH

BOTH

BOTH

PUMP

WELL

WELL

WELL


6125/1998 8/6/1998 6f711999 5/1212000

7/14/1998 8f711998 8/14/2000


5126/2000 6f712000 6/21/2000

c (J LV (tr: ~ M (':> ((' ~e~.,e S'v.A~ •

7/16/1998 8/611998

111211998 4123/1999 8/2212000 41 V--J1O:XJ I I

1218/1998 7/13/1999 7/16/1999 7/16/1999 9/211999 9115/1999 0/15/1999 10/15/1999

218/1999

314/1999 1019/1999 812212000 j,Wv- 28 Seff (11 ~ ~

4f712000 91211999

8/17/1999 o 8/30/1999 812212000

8123/1999 9/211999 719/2000 7/9/2000 7/26/2000 9/1112000

9/811999 212212000 6/13/2000 7/19/2000

9/211999 9114/1999 412712000 912912000

9/211999 9120/1999 012111999 10(21/1999 31312000 3/1512000 3/15/2000 6/1612000

91211999 9/16/1999 211512000 4120/2000 5/5/2000 5/15/2000 5/18/2000 5/18/2000

1/1812000 1/30/2000 812212000

111812000

4f712000

4128/2000 5/6/2000 912612000

6/13/2000

6/13/2000 o 512612000

6/15/2000 6/1512000 712412000 8/9/2000 8/1412000 813012000 9/1/2000 9/1/2000

7/1812000 8/1512000

713112000

8121/2000

8/14/2000 8/1412000

912212000 912612000

c

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EXH'IBIT 1 ! l'

o

State of HawO ~ For Official Use Only:

COMMISSION ON WATER RESOURCE MANAGEMENf Department of Land and Natural Resources APPLICATION FOR PERMIT

,.- ,--. r .... " ,," p - .

rJ Well Construction and/or ~ Pump Installation p \ • 3 ~ Instructions: Please print in ink or type and send completed application with attachments to the Commission T" '" flf~" \ 0 on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. AppHcation must be accompanied by v oJ Uv ' 3 copies and a non-refundable filing fee of $26.00 payable to the Dept. of Land and Natural Resources. The Commission may not accept incomplete applications. For assistance, call the Regulation Branch at 687-0226. For further information and updates to this application form, visit http://www.state.hi.usJdlnr/cwrm. . . APPLICANT INFORMATION: (Fill out a" three, if applicable, and place a check next to the primary contact) m: SO' ::"~ \~ 1. (a) Et'WELLOWNER: Ka..c,)~'\le M(,jkg~ Contact Person: Le('o~S\"'wb('r-Phone: :3,9 S'l?S18

Mailing Address: or 3~ S. k ~ \'el Rd. K; he.·, H 1:. '1 t..7S!> Fax: <x7'+ ('S!?\ E-mail: _-L-N"--'-CA'--______________ _

(b) D LAND OWNER: Sc.. WI R Ou) ~ Contact Person: ______ _ Phone: _______ _

Mailing Address:

Fax: E-mail: _______ --:-_____________ _

(c) D CONTRACTOR: '-0 a.:LJ ~ J C'e- Contact Person: ,AM 0 ~hone: _S ..... 7..L.!i!!;.\"'-'9).""'-""{,,'-'7..,;~~_ Mailing Address: Ca 55 k w \ d<;e ad. 1-\4 " \(...1 )-\:r.. '1 L7e>CX

Fax: 5 7 ~c, '"\ ~ S E-mail: .....I.JJ:!£v...i;.k~. _____ _ Lic #: ~ c;j \ S-(Circle one(p"*. C-57a, or A)

WELL & PUMP INFORMATION: (Please fi" in the diagram on the back of this form.)

2. WELL NAME: Is: \ ~e', - k c. u ~ de (\'1~ Island:

Address S ~ 2 S K ~ \(!\ lAo. Tax Map Key: A - /5' -': O\-~ Zone Sec Plat Parcel

Attach the relevant portion of (a) a 7.S-Minute Series USGS topographic map (scale 1 :24,000) and include the name of the quad map. and (b) a property tax map, showing well location referenced to established property boundaries.

3. PROPOSED WORK: ut'Construct New Well Ii1Install New Pump· (check all that apply)

D Modify Existing Well· D Modify Pump·

D Abandon/Seal·

'State Well No.: _________ (if unknown, please call Commission at 587"()225)

4. CONSTRUCTION: " Drilled D Dug D Shaft D Tunnel

Is this well part of a battery of wells? DYes ~o (Please describe)

5. PROPOSED PUMP INFORMATION: Rated Pump Capacity: __ --1..1_'+.:...0=-____ gallons per minute

Pump Type (Check one):

D Deep Well Turbine

~ Submersible

D Centrifugal

D Rotary

D Rotary-Displacement

D Rotary-Gear

6. PROPOSED USE: (check al/ that apply)

D Municipal (including hotels, stores, etc.)

D Domestic (individual, noncommercial water system)

D Propeller

D ReCiprocating

D Impulse

D Industrial

D No. of Dwelling Units:

rVlrrigation (crop) ~ D Military

riI No. of Acres: S ~ F D Other (explain):

7. (a) PROPOSED AMOUNT OF WITHDRAWAL:

(b) METHOD OF FLOW MEASUREMENT:

OTHER IMPORTANT INFORMATION:

__ -=C&J::c...=S'=-D_D_O ______ gallons per day

at Flowmeter D Open-pipe D Weir D OrifICe

8. LEGAL REQUIREMENTS: 0 coUP D SMAP D EIS D EA rJ! None

D Other(expla

D Other (expla

I understand that approval of this application attaches the following standard conditions: 1) the proposed work is to be completed within two (2) ye the approval date; 2) the contractor shall submit to the Commission a well completion/abandonment report within 60 days after the completion dat the permitted work; 3) monthly water use data shall be submitted to the Commission; 4) such approval shall not constitute a determination of corn water rights and shall not guarantee the p~mp capacity or future use up)o the permitted pump ~pacity.

. Ko..v..~lt.- I"\a.\c4, AoPto F-.Q.v..ho..le- frl~""', ~CAD Well Owner ~Ol\Odct A. \Jr. ~ Landowner ~nc..{cQ A. vJ" ht-

Signature

Date

For official use only

Signature

Date

~ 10 a.. OV

Latitude _______ Aquifer System No. Longitude State Well No.

Contractor

Signature

Date

/

e o 10. PROPOSED WELL SECTION (Please attach schematic if cftfferent from diagram provided below)

Hole Diameter: I cl..~ in.

Elevation at top of casing .lL-. ft., msl* Minimum of Z Radius & 4" Thick Concrete Pad (to contain benchmark surveyed to nearest 0.01 ft.)

Total Depth

ao-'iOtt.

Cement Grout: \ Q ft. (min. 70% of distance from ground elevation to top of water surface or 500 ft., whiGhever is less.)

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

3 in.

Rock or Gravel Packing:

N A- ft. Material: o Crushed Basalt o Rounded Gravel

Estimated Water Level

Elevation:

_-,-__ ft. msl*

1\1

Ground Elevation: ) 0 ft., msl*

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

with applicable standards.

Solid Casing: (290% x (Ground Elev.-Water Level Elev»

Total Length: , ( ft.

Nominal Diameter: Co in.

Wall Thickness: l :J- S- in.

Bottom Elevation: 0 ft., msl*

Open Casing: o Screen

Total Length: ID ft.

Nominal Diameter: ~ in.

Wall Thickness: I do. S- in.

Bottom Elevation: - 10 ft., msl*

note: Neither bentonite nor mud should be used in

saturated zone during drilling

Open Hole:

Length: __ J.l"-,--J ~&::...' _______ ft,.

Diameter: __ ,AAJ.I ... A~, ________ ,in.

Bottom Elevation:--:N~,.:...:A:::... _____ ft., msl*

* The approximate elevation must be referenced to mean sea level (msl) at the time of application filing. Final elevations of well components shall be submitted in the Well CompletionJWell Abandonment reports and referenced to a benchmark which has been established by a surveyor licensed by the State.

For non-salt water Basal Wells - bottom elevation of well should not be deeper than 1/4 of aquifer thickness or,

Bottom Elevation of Well Limit = (Water Elevation _ 41 x Water L~el Elevation)

Example: Estimated + 2 ft. WalerLevel Elev. -+ Bottom Elevation of Well Limit = (2 _ 41 ~ (2» = -18.5 fl.

lid Casing Material: 'bon Steel: compliant with (check one or more):O ANSIIAVINVA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A 139

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

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

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

: Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): I]('Schedule 40 0 Schedule 80 0 Schedule 120

rmoset Plastic: (check one) o 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 AVINVA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

,n Casing Material: on Steel: compliant with (check one or more):O ANSIIAVINVA C200 0 API Spec. 5L OASTMA53

QGrade B And compliant with (check one or more): 0 ASTM A242 0 Type E 0 Type S

OASTMA139

o Other

less Steel: (check one): OASTM A409 (production wells) OASTM A312 (monitor wells)

~Iastic conforming to ASTM F480 and ASTM 01527: (check one) a Schedule 40 Q Schedule 80

'Iastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): "Schedule 40 Q Schedule 80 0 Schedule 120

loset Plastic: (check one) Q Filament Wound Resin Pipe conforming to ASTM 02996

Q Centrifugally Cast Resin Pipe conforming to ASTM 02997

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