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Form 881()'1 o o ""r'''-'YED t-< t:.. v t:. I

STATE OF HAWAII 39 APR § All : 01 COMMISSION ON WATER RESOURCE MANAGEMENT

DEPARTMENT OF lAND AND NATURAL RESOURCES \ A TF.R & DIVISION OF WATER RESOURCE MANAGEMENT L~~D g~ V ~Uil~ENT

REGISTRATION OF WELL AND

DECLARATION OF WATER USE

INSlRUCTlONS: Please type or print. II ilfonnallon ill not available or not appIc:abIe. indicate as NlA. Fill out as completely as poaibIe. 1Ign. and ,lie form with the DiIIIsIon cC Water Resource Management. P.O. Box 373. Honolulu. Hawaii 9680G. Phone 548-3948 or 548-7543 lor aaIatance.

8AlTERY OF WELLS: For a baIIery cC wells. on the IUrlace. in a tunneJ, or in a shaft. submit a registrallon form for each well together with a lingle IIIIP or pial plan showing layout cC WIlla.

STATE WELL NO.: 110'1' 1-1- \ ISLAND: _O::::.::A-1kJ:..::::!.::~ __ WELL NAME OR DESIGNATION: ___ ..J\.k~f)I.;lJb\~OI.J\lL.LIod..' ..wUJL ... l __________ _ SOURCE OR STATION NAME (For a baIIary cC .... ): _______________ _

\\ 'x 1, \ .' • \'

A. WELL OPER~TOR "'1\ I,"

Firm name: '{ 0 'i.... \ l,..~ \ ~ ~~ lJ\. A. Contact person: __ ~--__:_~-­Address: ? . o. 10 a "l A: 1lo ~~Ol \i~Ctt..U • \\1\~Pt\\

B. OWNER OF WELL SITE Armname: _____________ _

Contact person: _____________ _ Address: _______________ _

Zip: ____ Phone: ______ _

C. WELL LOCATION '_ / Tax Map Key: 9- 1- 01,/- t:Q..J Town. Place, District: _...:..,Hc...:..,' ...;;, _"'_"_Ll_'-_' U_L.._/-7/ ...... Mc::;;.;;..;.'A.~~~e.,,;=~.,j. AiiCl(;h USGS "Quad" map (scale 1 :24,000). tax map. or other map showing the well location.

D. WELL DATA For DrUJecI Well •• IUbmI "a-buiI" drawing. drIIJe(. log. and pump teat reauItI.and complete itema ,below.

For Tun ..... end Shafts. submit conaIrUctIOn dtawInga. pial plan. or ak8tch IIIIP.

Ground elevation ( ..... iea level): ft. Year drilled or constructed: ~(.AI~ Reference point (Used to measure depIh to water): Well contractor: .Iktc~ rIj

Elevation: ft. Description: . Casing diameter: ~ in.

Solid casing depth (Below glOWld): 170 ft. Depth to water (Below reIeAInQe point): . ft. .' Perforated CCJSing depth (Below ground): ft. Maximum recorded chloride: ppm' Total depth of well: 170ft. Minimum recorded chloride: ppm Maximum chloride In 1987: ppm Minimum chloride in 1987: ppm

E. INSTALlED PUMP DATA (NtJ~' Pump type: 0 Vertical shaft 0 Submersible 0 Centrifugal 0 Other (.pec:iIy): _____ _

Power: 0 Diesel, _,_. HP 0 Gas, _ HP [j Electrie, _" _ HP 0 Other (specly): ___ _ Pump capacity: .. galIons per miriuta._ Pump installation contractor: _______________ --.;. __________ _

. . . (continued over)

For Official Use Only: Date. receiv8d: A"'''" ,i., Date accepted: __ '_ 1>'" , Field checked by: ___ Date: __ Latitude: to, . 'll~ " Hydrologic Unit: __ _ Comments: Longitude: \71,00,"' O~.. State Well No.: ~'l-ot, z,.'l,.

Rer.r.ncea: HawaII RevIMd StaluteS •. ChaPIer 174C.

HawaII Adminlstralive Rules. Chapt .... 13-167 to 13-171.

F. DECLARATION OF WATER USE

NOTE: The purpoee err the Ded8ndion err W.er lJM II to obtain intonnatlon neceuary for the managemenl 01 the Stale's water nMIOUICM. The 0ec:IandI0n doN nat conIer • legal rlglt to water or Ita ...

Water use data are recorded: 0 Daily 0 Weekly 0 Monthly o Other (Deecribe):

Method of measurement: 0 Flow Meter 0 Orifice o Other (Descrbe):

Quantity of Use (Report metered or estimated monthly water use from the well describacl on the reverse aide 01 this form, for the calendar years 1S183 thtough 1.7. For a baIlery err weIIII which .e not individually metered. but which are connected to a single meter or other ~!ring dIw\coIt, ~ totaIt_ ''''''' the bettery.):

WATER USE, IN GALLONS X 1000

1983 1984 1985 1986 1987 Januarv F ... hn' ......

March Aoril Mav June JulY Alit'liid

~. IIUUr .... .. t' ANNUAL

Minimum day's use: _______ gallons Maximum day's use: ______ gallons Typical times of usage: _________________________ _

Type of Use (Check aI oalegory boxes ttIIIl apply lind provide additional informalion .. Indicated.):

Category AddHiQnal InfQrmatiQn

o Municipal (= resorts. hot •• buaIneaaea

o Domestic (systems aervII)g 25 people or lisa)

~rrigation /Aln=N /)c;P :fVr"u=r

de:-

o Industrial

o MilHary

o Other

Number of service connections: _________ _

Acres lrriQ!ted: Crop(s): U Sug-a-r--.... O....--P--In-e-a-pp--:I-e--------

o Qtl)er (specify): --r-'!r=-~-----Non-Crop: lB'"Landscape 0 Golf Course o Other (s~ify): _____ ....,....-----Method: 0 Drip U Furrow ti:FS'prlnkler

o Cooling 0 Manufacturing 0 Mill o Other (specify): ___________ _

Specify (livestock, aquaculture. etc.): __________ _

I declare that the contents of the above Declaration of Water Use are, to the best of my knowledge and belief, true, correct, and complete.

Water Users Signature: !~~ ~ Date: ~&4t Printed Name: L ~, ~MH'- /~ Firm or THle (Well Operator, et .): _____________ ------

STATE OF HAWAII

DEPA~NT OF L.f)ND AND NATURAL RESOU ......

P. O. BOX UI V .. " -

HONOLULU. HAWAII e.a09

FIELD MEMORANDUM

WELL(S) NO. _'2.;;....."Z_o....-z,::;;...--:-z::;;;....;;'Z. ___________ DATE J~ z-cr, I~el ,

LOCATION _..L.Ho:1~o",!4~· .lC~~' 7..,--.-J.O"'-l:~~:.::.-..---------------SUBJECT~6~·~~~~~~~~~of~~w64~~, __________________________ __

PRESENT M&. Yo6cm' Ho~a~ N.I P.s.. ~ '<-.t.. - tzQWAL.Q i I

FIELD NOTES 'We)). t~ \?V~ lIVV\.M.74{. H:~ H-v. ~

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"'u~ f!1,1181: I

page of __ ~ __

01'. lED .... ,g DEPARTMENT OF THE INTERIOR

QEOLOGICAL auRVEY

W"TaR RaIOURO •• BRANOH

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,-:; 1/ ill Date / - ,19_r"V_ No. of Meu. ____ _

SUPPLEMEN'tARY DISCHARGE MEASUREMENT NOTES q~_ (V/:> _.L~'/' C?~4~ __ fU It __ -=-'" 0

Enter on this form ample notes in regard to the following:

1. Accuracy of measurement; 2, gage; 8, observer; 4, bench marks; 5, gage­height corrections; 6, adjUBtmenta to total dJaohArge; 7, station equipment; 8, channel, control, and point of zero flow; 9, ratiDg, backwater; 10, diversions, regulation; 11, zeoordai 12, cooperation.

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EW A QUADRANGLE HAWAII-HONOLULU CO. v'

ISLAND OF OAHU fit'"

~ ~.5 MINUTE SERIES (TOPOGRAPHIC) ~t\ ~ WAIPAHU 2.2 MI. 15s001'30"

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-INSET-

GEORGE R. ARIYOSHI GOVERNOR OF HAWAII

STATE OF HAWAII

DEPARTMENT OF L.AND AND NATURAL. RESOURCES

... O. BOX 4121

Mr. Yokichi Hokama P.O. Box 476 Ewa Beach, Hawaii 96706

Dear Mr. Hokama:

HONOLULU. HAWAII .eao.

December 27, 1979

Pearl Harbor Ground Water Control Area

· . DIVISIONS:

COHVEYANC&.

"'SH AND GAMI:

,.ORC.T"Y LAND MANAGeMENT

STATe PARKS

WATIER AND L.AHO O&VCL.O,..,..I:NT

We acknowledge receipt on December 20 , 1979 , of your Declaration of Existing Water Withdrawal and Use in the Pearl Harbor Ground Water Control Area. Our staff will review the data and may contact you for a field inspection of your well (s) before certification of your declared water use is made by the Board of Land and Natural Resources.

We appreciate your early filing of the declaration of existing water use.

Very truly yours,

-4u~;~:O - @......, Chairman of the Board

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o State of Hawaii Q Department of Land and Natural Resources

DECLARATION OF EXISTING WATER WITHDRAWAL AND USE Pearl Harbor Ground Water Control Area

Instructions: This form must be properly completed, signed, and submitted for each individual well or connected battery of wells on or before January 2, 1980, in accordance with Regulation 9 of the Department. Submit the form with any attachments to Department of Land and Natural Resources, P.O. Box 373, Honolulu, Hawaii 96809.

1. WATER USER: Name Yo I< I GI-/-l fIok../I-M~ Mailing address fi C/. ,80~ Lf-7~ phone: 6~/ ZJ f'~s d-vR- /3e79-ut-, HI ~670~

2. WATER USER'S CilJ WELL CJ CONNECTED BATTERY OF WELLS: ' User's Well Name and Location TMK 9- / - tfJI9 - O:l..!

User's Well No. (s)

Pump or natural flow capacity (gpm)

Capacity determined by flowmeter, nameplate, orifice, etc. (specify)

Year pump inst. /modified

/ ..FD q~M /V,{J-~6PL"T€ ?

3. BENEFICIAL USE OF WATER: (a) Major Use: OMunicipal CJ Agriculture OMilitary DIndustrial --------ODomestic Dother (specify) (specify) (b) Minor Uses: (specify) (c) For Agriculture Use list crop (s) , total acreage

irrigated , and attach map showing acreage irrigated by the well source.

4. BENEFICIALLY USED WATER WITHDRAWALS: (a) All figures given in (b) are records of: QMetered flow ONameplate pump capacity

OOrifice OWeir DOther (specify) _______________ _ (b) Records available (in million gallons per day, three decimal places) :

Year Monthly Month 1974 1975 1976 1977 1978 1979 Average Jan. Feb. Mar. Apr. May June July Aug. Sep. Oct. Nov. Dec.

Yr. total ~ Mo, Ave 5-year average: mgd, hIghest day use mgd on ,19

(c) For Agriculture Use only: description of withdrawal schedule (include times of day and days ofweek: _________________________________________________________ __

5. WELL DESCRIPTION: On the attached computer list of wells, make corrections or additions thereon in red pencil as necessary and return with Declaration form, If information is readily available in another form, you may submit it in lieu of a corrected computer list.

Declaration: Under penalties provided in Regulation 9 of the Department of Land and ~atural Resources. the underSigned declare and certify that :his declaration has been examined. including acoompanying statements and to the best of knowledge and belief, it is true, correct, and complete,

/ /~'7~-Signature: ~~"--p~----------~~~=."._---------------~ WATER USER

Date: ,_., __ /_.2._-_/_7_-_7---:.,9 ____ _

Signature: --7?'--~--=",,~-'-' ____ ' ___ M-, _L __ ~--= ..... ~ ______ __ r I.A.~DOW~R OF WELL SITE

Date: ___ / __ 2_-_/...;...'7_·-_'7'...:;1 _________ _

For Official Use: (I Last day to certify_----=~:.....a.....t2--~I...L-=1~j)_' __ Date Certified ------------------------Amount certified --------------WELL NO. .J..~ 0.,1 - ~ ~ ------------------------

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l201-\J'i WAIP~HIJ nOI-IO wAIPAHU 2l~5-H At EA 2155-31 HAlAWA WEllS

2255-38 2255-J9 U58-10 1300-18

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ttALAWA WEllS HAUlWA WHlS PF:APl CIf\' PEN. ,,/\ I P AHU

HOIIEAE WEllS 1 IIflAEAE wuu, l. liuAEl\l Wl:.llS .3 "OAlAE WEllS 4

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2302-01 KUNIA WELLS

112302-04 KUNIA I WEll~

r, 2354-01 HAlA~A SHAFT 2355-03 tlEA Gl WEllS II

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li355-11 KIILAUAO w.llS

2355-12 KALAUAU wrll~ 2355-13 KAlAUAO WELLS i355-14 KAlAUAO wflLS 2356-45 AI EA

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OWNER UR

USER

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05 HONUlUlU 8WS 05 H{INUlUlU 8WS 05 IIONUlUlU ews 05 HUNUl UL U 8wS

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S TA Tf or HAWA II OEPARTMENT OF lANO AND NIlTURAl PF.SOIJRCES

OIVISIUN Of WATER ANO lllNU OEVELOPMENT Sf:P 6. 1919

YEAR DRlO

GROUNO kAll:.R INDEX - OAHU COUE 3

£lRILLlP C U{JH 0 I Nh TES LAT lONG

PHYSICAL VAU MAJ IlECIJRlJS AVAil AT uses

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1956 1945 1938 1938

1945 19~9

1954 1961

1961 1961 1940 1926

1959 1959 n59 1959

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MUlliN MUlliN SAMSON-SM('lCK "AU f IC OPLG

PACI f I{' VHG PA{'IFI(' ORlG MULLIN HCCANDLE SS

SAMSON-SMOCK SAMStlN-SHlJCK SAMSON-SHotK SA" SUN- SHOU,

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212245 1580158 £12250 1500158 212231 1515523 212251 1515514

212251 212251 2112 55 212HO

212321 212321 212321 212321

15155lif IH55H 1575820 1580019

1580131 1580131 1580131 1580131

212321 1580131 212121 1500131

1957 SAMSON-SHOCK 212318 1580208 1957 SAMSON-SHUCK 112318 1580208

1912 WAT Res INTl 1912 WAT RES INTl 1'144 lq41 MUlliN

1941 1947 1955 1955

1963 1965 1965 1965

1"~65 1969 1<Jt,<,; lq .. ~

1954 1'155 195~ 195q

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212322 1515503 212322 1515503 212313 1515!dS 21131) 1515535

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