Honokali-Caro Well (5513-03)Honokala-Caro Well (Well No. 5513-03) is complete and acceptable and welcome you as a new member to the community of well owners and groundwater users in

-"-" "-" - --"--"----

\ .

/

-

---- --"-¥----- ----" ------

Honokali-Caro Well (5513-03)

M(}KlJPIJP~ Pt'

MEMO and ROUT~LlP (ver. 04/0312008) 0 07/01/08

I WCR 1 Check for Well No. 5513·03 (survey to regulation memo) 1~~Gun, 1. Pump Tests Check Diane England ~initial)

Step-Drawdown Test: followed WCPI Stds analysis attached

Constant Rate Test: followed WCPI Stds analysis attached

Potential Well Interference:

Potential Stream Impacts:

Additional Testing or Data Required:

Pump Test Comments Attached:

Proposed Pump Capacity is OK.:

Yes No

o o

o o

o

o

o

o o

o o

~m no test required

2. Well Log Check Geology Code forwellljndexT/( Fm Name: KI/J0... VO/t.>D. England&z-(initial)

3. Construction Check Mitch Ohye (l;:/ (initial)

data complete 0 followed Special Cond & elevations 0 well database updated 0

NAD27

NAD83

R. Torres ,,/ (initial) If no. describe deficiency ~

Latitude

'~.i L •... AJ t I~; l' JJ4 () Eo ~

Longitude

1'\10 \ q <,,)(.....

//, (.. S ,"'-{ I"')' fe ;;..{".- ' ,

---..

C<" ---I-C--\:-,-- (initial) take action based on above analysis

ATTACHMENTS FOR PUMP INSTALLATION PERMIT (2x):

1 COVER LETTER

2COUNTY COMMENTS (OWS/SMA)

3DOH COMMENTS

40LNR COMMENTS (LO/OCCUOHP)

5WCR 1 Accept SWELL CONST. COMPLETION CERTIFICATE

__ not necessary - only WCP or BOTH.

} To be sent to driller/pump installer

<------ To Landowner

} Staff internal checks

5. Roy 12 Zin' eck (Entered WCR 1IWCCC accept date into database) 6. SUS~ (initial) finalize 7. Ken (in bal) signature 8. Mitch (initial) signature (Entered PIP issue date if attached/required)

ear'Ryan File

... o o LINDA LINGLE LAURA H. THIELEN

GOVERNOR OF HAWAII

Mr. Joe Caro

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

August 5, 2008 /

Dear Mr. Caro:

Certificate of Pump Installation Completion for Honokala-Caro Well Well No. 5513-03 (TMK 2-9-002:026)

CHAIRPERSON

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

CHIYOME L. FUKINO, M.D. DONNA FAY K KIYOSAKI, P.E. LAWRENCE H. MilKE, M.D., J.D.

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

5513-03.ccpi

Weare pleased to inform you that the Pump Installation work permitted for the Honokala-Caro Well (Well No. 5513-03) is complete and acceptable and welcome you as a new member to the community of well owners and groundwater users in Hawaii. 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:

I. 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 Commission shall be notified prior to the change.

4. In the event the benchmark in the concrete base of the well is altered in any way, an updated version of the Well Elevation page of the Well Completion Report Part I shall be submitted to the Commission. If a licensed surveyor had estimated the original benchmark elevation then a licensed surveyor must establish the new benchmark elevation. The Well Elevation portion of the Well Completion Report Part I can be obtained by contacti~g Commission staff or at www.hawaii.gov/dlnr/cwrmlforms.htm.

/

Mr. Joe Caro Page 2

o August 5, 2008

5. Your approved pump has a capacity of 2 gpm at a head of 85 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.

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 annual basis, on forms provided by the Chairperson (attached), in accordance with §13-168-7, HAR. Blank water use report forms are also available at www. hawaii.gov/dlnr/cwrmlresources j>ermits.htm

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 587-0218 or toll-free at 984-2400 (Maui), extension 70218.

CI:ss End: Water Use Report Forms

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

Sincerely,

:t?~~t:::~ Deputy Director

LINDA LINGLE LAURA H. THIELEN GOVERNOR OF HAWAII CHAIRPERSON




I August 4, 2008


CHIYOME L. FUKINO, M.D. DONNA FAY K. KIYOSAKI, P.E. LAWRENCE H. MilKE, M.D., J.D.


5513-03.ccwc

Mr. Joe Caro

Dear Mr. Caro:

Certificate of Well Construction Completion for Well No. 5513-03 (TMK 2-9-002:026)

We are pleased to inform you that the Well Construction work permitted for the Honokala-Caro Well Well (Well No. 5513-03) 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: .

I. 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 weIl 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(t) prior to any well sealing or plugging work.

4. In the event that the weIl operator and/or landowner changes, the Commission shall be notified prior to the change.

5. In the event the benchmark in the concrete base of the weIl is altered in any way, an updated version of the Well Elevation page of the Well Completion Report Part I shall be submItted to the Commission. If a licensed surveyor had estImated the original benchmark elevation then a licensed surveyor must establish the new benchmark elevation. The Well Elevation portion of the Well Completion Report Part I can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrmlforms.htm.

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 staffat 587-0218.

CI:ss

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

Sincerely,

:t~::wi::P~ Deputy Director

/

LINDA LINGLE GOVERNOR OF HAWAII

Mr. Michael Robertson Wailani Drilling, Inc. P.O. Box 523 Puunene, HI 95784

Dear Mr. Robertson:

c o




August 5, 2008 /

Well Completion Report Part II for Well No. 5513-03

LAURA H. THIELEN CHAIRPERSON


CHIYOME L. FUKINO, M.D. DONNA FAY K. KIYOSAKI, P.E.

LAWRENCE H. MilKE, M.D, J.D.


5513-03.wcr2.acc

We received your Well Completion Report Part II for the Honokala-Caro Well (Well No. 5513-03) on July 30, 2008~d acknowledge that it is complete.

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 587-0218 or toll-free at984-2400 (Maui), extension 70218.

Sincerely,

~~~ :t.~·Director CI:ss

c: Joe Caro

I


Mr. Michael Robertson Wailani Drilling, Inc. P.O. Box 523 Puunene, HI 96784

Dear Mr. Robertson:

o o




August 5, 2008 I

Well Completion Report Part I for Well No. 5513-03

LAURA H. THIELEN CHAIRPERSON



CHIYOME L. FUKINO, M.D. DONNA FAY K. KIYOSAKI, P.E.

LAWRENCE H. MilKE, M.D., J.D.

55 13-03 ,wcr 1. ace

We received your W,ll Completion Report Part I for the Honokala-Caro Well (Well No. 5513-03) on July 30, 2008 and acknowledge that it is complete.

This completes your obligation under the well construction permit. A certificate of well construction completion will be issued to the well operator/landowner and you will receive a copy. This certificate transfers responsibility of specific 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 587-0218 or toll-free at 984-2400 (Maui), extension 70218.

Sincerely,

RA, P.E.

CI:ss

c: Joe Caro

I

o o State of Hawaii 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 Well 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.state.hi.us/dlnr/cwrm/

1. State Well No.: 6513-03 Well Name: }ivOk?/a-CiJlr() 2. Address: ?tv\{? \1f1. r 'fPM ~15'-iO,r~i~ ttl tqtl43j Tax Map Key:

For Official Use Only:

Island: H~'

2 .q. 007.'· 02£1 3. Drilling Company: -LlL.L;.u· £.L.LL..' --'-"~/L1..LJ'U!1~IJ...I.""-'--...----____________ _

4. Drilling method used during construction: otary ~percussion 0 Other (describe)

5. Date Well Construction (drilled,cased,grouted) completed: lo' \1 . 01-" Attach Completed Drilte(s Log monthlday/year

6. Was the subject well cored? 0 Yes J' No

7. Step-Drawdown Test completed? ~ No 0 Yes Attach Step-Drawdown Test form (12117/97 SDPTD Form)

11. After casing installation (this information should be before any pump tests are performed with casing installed)

Chloride: ~ ppm, Temperature: ;:}1

note: all elevations to mean sea subtract the depth to the water level.

12. As-built section filled In completely 0

13. Photograph of well and concrete pad shOWing benchmark on concrete pad attached 0

14. GPS coordinates provided In degrees, minutes, seconds 0

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. Remarks:

licensed Driller (~ ~. Signature

C-57 Lic. No. --t:.;2...;.=O:.LII:-?:::.....-____ _

Date _1.L-.....L·ltQ~· 0:....:..1' ___ _

weR1 Form 6/12/07 Page 1 of 5

//

12. AS-BUILT WELL SECTION (Please attach as-buift if different from diagram provided belOw)

$".?iJ c' Hole Diameter: \'l-,~5 in. Elevation at top of casing ___ ft., msl' .. . _..-L.-.. -i

Bench mark elevation:

(to nearest 0.01 ft.)._' . -'+::. Minimum of 2' Radius & 4" Thick Concrete Pad

~ ...... --. ~F~~[f :~t!~-:·: .~. ,:,f Ground Elevation~lf'3'" ft., msl 0 surveyed)(Estimated

, ::'.;:' :.::' '> I ~\ ,7l,'';-

~ft.,msl' o (Surveyed to nearest 0.01 ft.)

~Estimated)

Grouting method:

o Positive displacement (if annular space is less than two inches, attach photo of tremle)

1-Other

Cement Grout: 15 ft. (min. 70% of distance from ground elevation to top of water surface or 500 ft., whichever is less.)

Annular space between hole and caSing (1.5" for positive displacement, 3" for other methods):

~ ,

in.

Rock or Gravel Packing:

hl~ ft. Material:

o Crushed Basalt

o Rounded Gravel

Water Level Elevation:

I~ Ii ~UI -'f :.::.' ~':::::i I:

, I,:i .. ~.: .. :;~. ~::i:-I -UJ~ ~ " ::';.; I

~;:: ~{I -g I

/r'::' Yj e i -{ ~;/ ~'::;'II; I -t-- t)';;' ~Q g!

i " ""~1 AI I

'""I! ~ i i ~'- ,~ .

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: (;;, 90% x (Ground Elev.-Wster Level Elev»

Length: ~ ft.

Nominal Diameter. to In.

Wall Thickness: .2S in.

Bottom Elevation: q·e~ ft.,msl

Open Casing: )lperforated o Screen

Length: ~ ft.

Nominal Diameter. lil in.

Wall Thickness: in. ~Li'i ~-:/ .. , ~ ~l ~=-=====~===~=--.J

II ~-

Total Depth

q;2 ft.

~.? ft. msl'

(item 11 from page 1)

'2~ Bottom Elevation: -1=4 ft., msl

j I

Open Hole:

rll'd Length: ft.

Diameter: Y\I~ in.

Bottom Elevation: 'iJ1~ fL, msl .L .. _ ... ". __ .. _.

'msl = mean sea level

Solid Casing Material: Carbon Steel: compliant with (check one or mere): 0 ANSIIAWWA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A139

And compliant with (check one or mere): 0 ASTM A242 or A606 0 Type E 0 Type S 0 Grade B 0 Other

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

ASS Plastic conforming to ASTM F480 and ASTM D1527: (check one) 0 Schedule 40 0 Schedule 80

PVC PlastiC conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): ~Schedule 40 0 Schedule 80 0 Schedule 120

Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe confonning to ASTM 0~996 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 confonning to AWWA C950

o PTFE Fluorocarbon Tubing conforming to ASTM D3296

o FEP Fluorocarbon Tubing conforming to ASTM D3296

Open Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A139

And compliant with (check one or mere): 0 ASTM A242 or A606 0 Type E 0 Type S 0 Grade B 0 Other

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

ASS Plastic conforming to ASTM F480 and ASTM D1527: (check one) 0 Schedule 40 0 Schedule 80

PVC Plastic conforming to ASTM F480 and (ASTM D1785 or ASTM D2241): (check one): lX'Schedule 40 0 Schedule 80 0 Schedule 120

Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM DI996

o Centrifugally Cast ReSin Pipe conforming to ASTM D2997

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM D3517

o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950

o PTFE Fluorocarbon Tubing conforming to ASTM D3296

o FEP Fluorocarbon Tubing conforming to ASTM D3296

WCR1 Form 6/12/07 Page 2 of 5

o 1-0D1- o

DRILLER'S LOG

WELL NUMBER: 5t? 1'3 - 0:3 In addition to the driller's log, if a geologic log was prepared, please submit with this form

Depths (fl.) Rock Description Water Level Cl- Dates

_I 10JQ v.ul CIJij ..l..D..- 10 2:Q fen cJ~

--~

20 10 ~ 0 bo wn tk¥jJ--21LloH/2 sof+ tanvtJd<.'!:L-~ !::J.Llo'50sof-t-bmvoa< __

~.

6JLlo{f;O herd bluvvt¥ __

(ALlo"3:Q vne£lilM'n bJut1'tI<_ 6/2?;7

~IO~ ll2vd blt\.i,vvt1<. __

~IO~ P.Otau.~ bJfU<kdcK. __

e5 to!l2 ;:;n~7,/ihf __ _ 10 _______ _

_ 10 _______ _

_ 10 ___________ _

_ 10 _______ _

_ 10 ___________ _

_ 10 ___________ _

_ 10 ___________ _

_ to ___________ _

Remarks:

Depths (fl.) Rock Description Water Le"'" CI- Dates

_10 _______ _

_10 _______ _

_10 _______ _

_10 _______ _

_10 ___________ _

_10 ___________ _

_10 ___________ _

_10 _______ _

_10 ___________ _

_10 ___________ _

_ 10 ___________ _

_10 _______ _

_10 ___________ _

_10 ___________ _

_10 _______ _

_10 _______ _

_10 ___________ _

_to ___________ _

weR1 Form 6112107 Page 3 of 5

-------...................... -0 01----·

-- '--.-/

WELL CONSTRUCTION PERMIT

Honokala-Caro Well, Well No. 5513-03 Note: This permit shall be prominently displayed at the construction 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 construction and testing of Honokala-Caro Well (Well No. 5513-03) at TMK 2-9-2:26, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

II.

12.

13.

14.

15.

The Chai~rson ofthe 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 accordance with §13-168-1S, Hawaii Administrative Rules.

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

The well construction permit shall be for construction and testing of the well only. The permittee shall coordinate with the Chairperson and conduct apumping te&t in accordance with the HWCPlS (the latest rump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dInr/cwrmlforms.htm). The JlCI11!ittee shal sulimit to the Chairperson the test results as a basis for sup,POrting an application to install a permanent pump. No permanent tJump may be mstalled until a pumtJ installation permit is approved and issued by the ChlllrpeTSOn. No withdrawal of water shall be made for purposes other than testing without a Certificate of Pump Installation Completion. The permitted pump capacity described on thc pump installation permit may be reduced in the event that the pump test does not support the capacity.

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

The permittee shan 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 historically significant remains such as artifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee shall stop work and immediately contact the Department of Land and Natural Resources' Division of Historic Preservation.

The proposed wen 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 Well Completion Report Part I shall be submitted to the Chairperson within sixty (60) days after completion of work (please contact staff or visit www.hawaii.gov/dlnr/cwrm/forms.htm for current form).

The permittee shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of this permit.

The well constmction 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.

The work proposed in the well construction permit application shall ~ completed within two (2) y~ from the date of permit approval, unless !>therwise specified. The permit may be extended by the Ch8lrpetSon upon a showmg 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.

If the wen is not to be used it must be properly capped. If the well is to be !lbandoned during the course of the project then the permittee must apply for a well abandonment permit in accordance with § 13-168-12(1) prior to any well sealmg or plugging work.

The permittee, its successors, and assigns shall indemnify,detend, and hold the State of Hawaii harmless from and against any loss, liability, claim, or demand for p~operty ~age. personal iqjury, or death ll!'ising ol!t of any' act or omission of the applicant, assigns, officers, employees, contractors, and agents under this permIt or relatmg to or connected With the grantmg of thiS permit.

This permit shall apply to the location shown on the application only. If the well is to be relocated, the permittee shall apply for a new well construction/pump installation permit m accordance with Hawaii Administrative Rules § 13-168-12(1).

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

W.f7M 7"z.

Date of Approval: February 6, 2007 Expiration Date: February 6, 2009

PETER T. YOUNG, Chairperson Commission on Water Resource Management

I have read the eonditions 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 have signed, dated, and returned the per-mit to the Commission. I understand that this permit is not to be transferred to any other entity. 1 also understand that non-compliance 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.

Driller's Signature: ~~C-57 License #: .....;2::.,;0:..::1:,.::1::..;5 ___ _ . L / Date: ~1(s- 07 I

Printed Name: Michael Robertson Finn or Title: Wailani Drilling, Inc.

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

Attachment

/

MEMO and ROUT8L1P (ver.04/0312008) o

WCR 2 Check for Well No. 5513-03 (survey to regulation memo)

1. Pump Tests Check( special condition of PIP? Yes/No) D. England-::--::-:-_ Yes No If no. describe deficiency

Step-Drawdown Test:

followed WCPI Stds analysis attached

Aquifer Pump Test:

followed WCPI Stds T & S analysis attached

Potential Well Interference:

Potential Stream Impacts:

Additional Testing or Data Required:

Pump Test Comments Attached:

Proposed Pump Capacity is OK.:

o o

o o

o

o

o

o

o

o o

o o

o

o

o

o

o

0<70 gpm no test required

0<50 gpm no test required

stream names:

07/01/08

... ::::::7' 2. Pump Installation Check Mitch Ohye \! (initial) R. Torres __ (initial)

Ye~ No If no, describe deficiency

data complete followed Special Cond & Elev.

well database updated

o o o

CAe;:> (initial) take action based on above analysis

ATTACHMENTS FOR ACCEPTANCE: 1WCR2 ACCEPTANCE LETTER

2PUMP INST. COMPLETION CERTIFICATE

3METER INSTALL. REPORT (IF NECCESSSRy) _~'--

4WUR

1" To be sent to driller

J To be sent to landowner/operator

} Staff internal checks

4. ROY-+- (initial) check(Entered WCR 2/PICC accept date into database)

5. Susan Hoagbin (initial) finalize

6. Ken (initial) signature

7. Faith Ching (initial) enter into WUR database

~har~yan File

o o State of Hawaii For Official Use Only:

COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources·

WELL COMPLETION REPORT - PART II Installation

Instructions: Please print in ink or type and send completed report (with attachments, If applicable) to the Commission on Weter Resource Management, P.O. Box 621., Honolulu, Hawaii 96809. The Commission may not accept inCOmplete reports. This form shaH be submitted within 60 days of the completion of work. For essi&tance, please consult the HawaII WeU Construction and Pump Installation Standards or call the Regulation Branch at 687-0225. For updates to this form or additional Information, please visH our website at htlp:/Iwww.hawaii.gov/dlnrIONrml

1. State wen No.: 5'510- 02; Well Name: Iftbkt>/J -Cevo 2. Address: I}tb \~IVOfx¥jqI540 IPRi~H1tfWfa11"aPKey:

Island: Heu-i '2 -1' Of)"], : tJ2 Y

3. Pump Installation Company: lJl!ai/;;.n; Dblling. In?· '. 4. Date Pump Installed: 1· Vb r DB

-~~~~~~~~~---------5. PERMANENT PUMP INFORMATION

Pump Type, Make. Serial No.: .g G'(l,f .. '2 I by~ Rated Capacity: :2 gpm at head of: €35 Motor Type. H.P., Voltage. rpm: "5!\\7nwsip\-e (Wm ~in) ) 1. \if) II'? V ) ~f5 0 Pump type (check one):

o Deep Well Turbine

'If Submersible

o Centrifugal

6. Method of flow measurement:

o Rotary

o Rotary-Displacement

o Rotary-Gear

o Propeller

[) Reciprocating

o Impulse

ft.

fFlowmeterw/totalizer Manufacturer ~e( ~lno.'~#BaJt?~Size \ '/Z/I o Other. explain and attach schematic

7. Fill In the· ... bullt section on the other side of this sheet

8. Attach the rating curve for th8' Installed pump.

9. Attach photograph of well clearly showing the benchmark on the concrete pad, the wen head, and the method of flow measurement

10. Well Owner Company ,Tt>e [aCO __ ._., . '. Contact'_ -,:s.;;.:::;~~:---:::-_-:--_____ _

Address fH 13 \1{1- ,'fO ~~ql?tfO J lIsia H1 Qlllq.q Phone • Fax ________ _

11. Land Owner Company ~.. Contact ' _________ _ Add~ss ____________________ ~ ________________________ ____

Phone _________________ _ Fax ______________ __

12, Rema~s ________________________________________________________ __

Pump Installation Con '-+A¥LI'WI~~~:..:piu..~"""-71C-57a1A Lie. No. ----..... ......... '"'----------11

Signature Date 1;.

WCR2 Form 02/26107 Page 1 of 2

7 • AS-BUILT PUMP SECTION (Please attach a&-built If differrmt from diagrsmprovidedbelow)

Bench mark elevation IJlurveyed to nearest 0.01 ft = lu~ft, mean sea level

Elevation of top of chase tube £5'. $lP ft. mean sea level

Pump intake depth = f3C1 'ft, (referenced to bench mark)

Chase tube depth = 'ttt3 ft. (referenced to bench mark)

If airline installed, bOttom of airline elevation = h~:2 ft. mean sea level

WCR2 Form 03117106 Page 2 of 2

"

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25 GRUNDFOS'~

Wailani Drilling Services, Inc. License #C57-20115 110 West Uahi Way, Wailuku, HI 96793 Phone: 808-249-0149 • Fax: 808-244-4791 E-mail: [email protected]

Honokala-Caro Well # 5513-03 GPS: N 200 55'36.0"

W 1560 13'52.2"

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

"Leah" <[email protected] om>

07/30/2008 03:22 PM

To <Charley.F.lce@hawaiLgov>

cc

bec

Subject RE: Hookala-Caro Well #5513-03

Oh no! Did I forget something? I sent the new well head photo and gps last Thursday. Did you not get it? I' II reattach it to this one. I wonder if you didn't get a batch of emaHs I sent. I had questions about a number of wells and never heard back from you. I figured you have been busy, but now I wonder if you just didn't get them. Please let me know if the pictures I sent are a better size for your email inbox.

Leah

From: [email protected] [mailto:[email protected]] Sent: Wednesday, July 30, 2008 2:42 PM To: Leah Subject: Re: Hookala-caro Well #5513-03

Hi! Any progress on this?

"Leah" <[email protected]> TO<[email protected]> cc

07/18/200803:32 PM SubjectHookala-Caro Well #5513-03

Charley,

Ok, let me explain what I just figured out. We have 2 gps units. I used to use the old one, but now am using the new one. Instead of the readings for latitude and longitude reading for example 55" 19.02" it will read like 55.465'. On the first unit is reads it in ( . ) & ( II ), the second unit is reading it in ( , ) only. So, when ever I go out to a well to do work I always retake the gps just to have it. I realized that one of the drillers took it on the older unit and it reads N 20 0 55'36.0" W 1560 13'52.2". I just thought to look on the other gps. I don't have an old reading for Huelo Grace though unfortunately. Bill will go get that reading next Wednesday anyways for me. Sorry about that! I corrected the Well head picture and gps for you and attached it. I need to read the manual for the gps to figure out how to get the reading in the correct format.

Have a good weekend, Leah[attachment 'Well Head Picture.doc" deleted by Charley F Ice/DLNRIStateHiUS]

No virus found in this incoming message. Checked by AVG - http://www.avg.com

Version: 8.0.1381 Virus Database: 270.5.7/1581 - Release Date: 7/30/20086:56 AM Well Head Picture. doc

o Wailani Drilling, Inc. License #C57·20115 110 West Uahi Way, Wailuku, HI 96793 Phone: 808-249-0149 • Fax: 808-244-4791 E-mail: [email protected]

o

tlonokcdarCCLro-WelL # 5513 -03 GPS N 20 0 51.050"M 156 0 29.420' /

o PUMP INSTALLATION PERM

-'Honokala-Caro Well. Well No. 5513':63

o Note: This permit sllall be prominent/Y displayed at tile site until tile 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 Honokala-Caro Well (Well No. 5513-03) at TMK 2-9-2:26, 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 prominently displayed, or made available, at the site of construction work until work is completed.

4. The pump installation permit shall be for installation of a 70 gpm gpm rated capacity, or less, pump in the well. This permanent capacity may be reduced in the evet1\ that the pump test data does not support the capacity.

5. A water-level measurement access shall be permanently 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 dcvices 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 intcrnet 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 arc 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 goodfaith performance. A request to extend the pennit shall be submitted to the Chairperson no later than the date the permit expires.

II. The pennittee, its successors, and assigns shall indemnity, 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: Expiration Date:

February 6, 2007 February 6, 2009

WhH ""

PETER T. YOUNG, Chaitperson 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-compliance 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.

"".11".', Sign"""'" 'j'h.J..~?, C-5?., '" A Lire",,,,", 20115 Date: '1' (Ii I OJ: J

Printed Name: Michael Robertson Finn or Title: Wail ani Drilling, Inc.


Attachments

I

o "Leah Robertson" <[email protected] om>

06/16/2008 03:32 PM

To "Charley.F .lce@hawaiLgov" <Charley. F .lce@hawaiLgov>

cc

bcc

Subject Re: Hookala-Caro Well #5513-03

Darn! I always forget those! You do need what else was on the well head picture because it was the GPS. Here is a scanned version.

Leah

On 6/16/08, [email protected] <[email protected]> wrote:

Thanks, Leah. please don't forget the signed permits! The photo came through with wingdings instead of text, but I'm assuming the photos are self-expla natory.

"Leah Robertson" <[email protected]>

06/16/2008 11 :32 AM

Charley,

To "[email protected]" <[email protected]>

cc Subject Hookala-Caro Well #5513-03

Here is everything for this well. Please let me know that you received this.

Thank you, Leah[attachment "Drill Log.pdf' deleted by Charley F IceIDLNRlStateHiUS] [attachment "WCRl.pdf' deleted by Charley F Ice/DLNRlStateHiUS] [attachment "WCR2.pdf' deleted by Charley F IceIDLNRlStateHiUS] [attachment "Well Head Picture.doc" deleted by Charley F IceIDLNRlStateHiUS] [attachment "Pump Curve.pdf' deleted by Charley F IceIDLNRlStateHiUS]

-m-m Well Head Picture scanned. pdf WCP.pdf PIP.pdf

c ..".I COMMISSION ON WATER RESOURCE MANAGEMENT

FROM: Roy DATE: JUN _ 7 2007 --~------------

SUSPENSE DATE:

TO:

ANAKALEA, P. CHING, F. CHONG,R. DANBARA, S. ENGLAND, D. FUJII, N. HARDY, R.

-f- HOAGBIN, S. ..JL ICE, C.

IMATA, R.

INIT. TO:

KIMURA, J. KUNIMURA, I. NAKAMA, L. OHYE, M. SAKODA, E. SWANSON, S. UYENO, D. YODA,K. YOSHINAGA, M .

INIT: FOR:

__ Approval Signature Information

(3/07)

PLEASE:

See Me Review & Comment Take Action Type Draft

--!TYpe Final File Xerox _ copies


June 5, 2007

Mr. Peter Young

o o

STATEOFHAWAII D7.J1JM 7 DEPARTMENT OF LAND AND NATURAL RESi5'i1iiCEs

STATE HISTORIC PRESERVATION DIVISION 601 KAMOKILABOULEVARD, ROOM f5',,'; >.\1.' (:.I.T.,

KAPOLEI,HAWAlI96707 I'~IT.':.'," H.); \ . . ... 1

"-~01101rWater Resource Management Department of Land and Natural Resources P.O. Box 621 Honolulu, Hawai'i 96809

Dear Mr. Young:

SUBJECT: Chapter 6E-8 Historic Preservation Review -Well Construction/Pump Installation Permit Application

ALLAN A. SMITH IN'TD.D( CJL\lRPERSON

BOARD 0' lARD AND NATURAL IlJl:IOURCItI C01OOSSlON ON WA1D. RESOUIlCE JiANAOIDOtn'

PETER T. YOUNG DI!PIJTY DOII!crOIl

LOG NO: 2007.0105 DOC NO: 0705JP23 Archaeology

(Well Number 5513-03) for the Proposed Installation ofthe Hookala-Caro Well Ho'olawa Ahupua'a, Makawao District, Island of Maui TMK: (2) 2-9-002: portion of 026

Thank you for the opportunity to review and comment on proposed well installation permit application, which was received by our staff on January 8, 2007. We understand the proposed undertaking follows the construction of 2 buildings (primary residence and agricultural cottage) inclusive of a required septic system. Approximately 23,740 square feet of the parcel has been previously grubbed and graded. The parcel is 2.44 acres in total with an existing approximately 940 square foot cottage, cesspool, and a banana orchard.

We have previously provided comments for the proposed undertaking and recommended that an archaeological field inspection be conducted on the subject parcel (LOG NO: 2006.1896/ DOC NO: 0606JP13). Consequently, an archaeological field inspection was conducted by Xamanek Researches, LLC (letter report dated September 12,2006). The area was found to be recently and previously heavily impacted. During the archaeological survey, one traditional Hawaiian (pre-Contact) basalt artifact was identified and collected from the surface of an existing dirt access road (LOG NO: 2006.3565/ DOC NO: 061OJP40).

An archaeological monitoring plan was received by our staff on October 17, 2006 (Fredericksen 2006, A General Archaeological Monitoring Plan for a 2.44 Acre Portion of land Located in Honokala, Hamakualoa, Makawao District, Island ofMaui [TMK (2) 2-9-02:026}. .. Xamanek Researches, LLC, ms (LOG NO: 2006.3571/ DOC NO: 0610MK39). We have provided comments for recent construction work conducted on the parcel and indicated that it is unlikely that any historic properties will be affected with the implementation of the accepted monitoring plan.

The plan conforms to Hawaii Administrative Rules Chapter 13-279 which govern standards for monitoring. The subject plan includes the following provisions:

o Mr. Peter Young Page 2

An archaeologist will be on site on a full-time basis and will have the authority to halt excavation in the event that cultural materials are identified. Consultation with Maui SHPD will occur in this event, to determine acceptable course of action. If human burials are identified, work will cease, the SHPD Burial Sites Program (808) 243-4640, Maui SHPD (808) 243-1285, Oahu SHPD (808) 692-8015 and the MauilLanai Islands Burial Council will be notified, and compliance with procedures outlined in HRS 6E-43 will be followed. Coordination meetings with the construction crew will be held prior to project initiation. The plan further indicates that an acceptable report will be submitted to this office within 180 days of project completion.

Please notify our Maui [(808) 243-5838] and Oahu [(808) 692-8020] offices, via facsimile, at onset and completion of the project and monitoring program. Should there be any questions or concerns do not hesitate to contact the Maui SHPD at (808) 243-4641.

Aloha, ~

~!L~MA--Me anie Chinen, Administrator

Historic Preservation Division

JP:mk

c: Mr. Erik Fredericksen, DPWEM, County of Maui 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 Mr. Hinano Rodrigues, SHPD Culture & History

(.)

Wailani Drilling, Inc.

Charley Ice STATE OF HAWAII

Michael Robertson, Lic.#C57-20115 P.O. Box 790299. Paia, Hi 96779

Phone: 808-579-8768 • Fax: 808-579-8769

Th~day,Febnuuy15,2007

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

Dear Charley:

Notice to Start Work Honokala-Caro Well No. 5513-03

Pulehu Farm Well No. 4719-01

This is to provide written notice that we will be starting work in 10 days on the above mentioned well. I have also attached a copy of the signed Well Construction Permit.

Please feel free to call with any questions or concerns.

Thank you, Nicole for Michael Robertson

Encl: Well Construction Permit

Page 1 ofl

o

o WELL CONSTRUCTION PERMIT


In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section l3-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the construction and testing of Honokala-Caro Well (Well No. 5513-03) at TMK 2-9-2:26, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

I.

2.

3.

4.

5.

6.

7.

8.

9.

10.

II.

12.

13.

14.

IS.

The ChaiT£erson 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 accordance WIth § 13-168-15, Hawaii Administrative Rules.


The well construction permit shall be for construction and testing of the well only. The permittee shall coordinate with the Chairperson and conduct a pumping test in accordance with the HWCPIS (the latest rump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrm/forms.htm). The permittee shal submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump. No permanent pump may be mstalled until a pump installation permit is approved and issued by the ChaIrperson. No withdrawal of water shall be made for purposes other than testing without a Certificate of Pump Installation Completion. The permitted pump capacity described on the pump installation permit may be reduced in the event that the pump test does not support the capacity.

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

The permittee 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.


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 Well Completion Report Part I shall be submitted to the Chairperson within sixty (60) days after completion of work (please contact staff or visit www.hawaii.gov/dlnr/cwrm/forms.htm for current form).


The well construction 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.

The work proposed 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 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.

If the well is not to be used it must be prorerly capped. If the well is to be abandoned during the course of the project then the permittee must apply for a well abandonment permit in accordance with § 3-168-12(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 injul)', 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.

This permit shall apply to the location shown on the application only. If the well is to be relocated, the permittee shall apply for a new well construction/pump installation permit m accordance with Hawaii Administrative Rules §13-168-12(f).

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

Date of Approval: February 6, 2007 Expiration Date: February 6, 2009

Printed Name: Michael Robertson Finn or Title: Wailani Drilling, Inc.


Attachment

~----------~----------------------------------.--.. " .. -.--.-------------------------

COQSSION ON WATER RESOURCE MANAGEMENT Q ROUTE SLIP FOR PERMIT ISSUANCE 5/19/05

FROM: CHARLEY DATE: #~T SUSPENSE DATE:

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

-1-HARDY, R. HIGA, D. ICE, C. IMATA, R.

WELL NUMBER 5513-03

~ WELL CONSTRUCTION

KUNIMURA, I.

;JJfNAKAMA, L. NAKANO, O. OHYE, M.

--SAKOOA, E. -2-SUBIA, S.

SWANSON, S. UYENO, D. YODA, K. YOSHINAGA, M.

ATTACHMENTS FOR WELL CONSTRU..cTION PERMIT: 1 COVER LETTER ./ 2 PERMIT (2x) ~

COMMENTS: --+--3 SOWB ./ 4 WWB --

Approval --Signature -3-lnformation

Honokala-Caro

5 CWB TO BE SENT TO APPLICANT

6 HEER 7 LO 8 HP 9 OCCL

10 SMA -r ~t1t.~~

riJ PUMP INSTALLATION

FOR OFFICE USE ONLY

ATTACHMENTS FOR PUMP INSTALLAJION 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 OCCl

10 SMA i l'r1lt~ht;I:lUilI&llJ~t{ItjW'.£l!rtif~$:::!jit!Rf FOR OFFICE USE ONLY " "" ' J~,Jt~"!i\~~':MJ('iFl'~~~<'\1~ ,~'~ ,~'JItk»~

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft

-2-Type Final -4-File

Xerox copies

-----------.~.-•..... ".-.. --~-. ----------------


o o PETER T. YOUNG

CHAIRPERSON


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

Ref: 5513-03.pip

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

Dear Mr. Robertson:


COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOX 621


Pump Installation Permit Honokala-Caro Well (Well No. 5513-03)

STEPHANIE A. WHALEN

February 12,2007

Enclosed are two (2) originals of your approved Pump Installation Permit for the captioned welles) that authorize permanent pump installation work for your welles). As part ofthe Chairperson'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.

2. The permittee shall conduct aquifer pump tests in accordance with the Hawaii Well Construction and Pump Installation Standards (revised February 2004) on the latest aquifer pump test data forms, which are available by contacting staff or on the web at www.hawaii.gov/dlnr/cwrm/forms.htm.

The permittee is responsible for all conditions of the permit. This includes ensuring the submission of a completed Well Completion Report Part II 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.

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

Sincerely,

Wf7H 7'z.

Peter T. Young Chairperson

Enclosure

c: Joe Caro (with applicable comments - DOH SDWB, Land Division, MDWS, Maui Planning) USGS MauiDWS

I

- ~UMP INSTALLATION PERMIT 1"\ 'llffnokala-Caro Well, Well No. 5513-0jllr

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 permits the pump installation for Honokala-Caro Well (Well No. 5513-03) at TMK 2-9-2:26, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

I. 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 prominently displayed, or made available, at the site of construction work until work is completed.

4. The pump installation permit shall be for installation of a 70 gpm gpm rated capacity, or less, pump in the well. This permanent capacity may be reduced in the event that the pump test data does not support the capacity.

5. A water-level measurement access shall be permanently 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 internet 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 goodfaith performance. A request to extend the permit shall be submitted to the Chairperson no later than the date the permit expires.

II. 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 ofthis permit.

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

Date of Approval: Expiration Date:

February 6, 2007 February 6, 2009

W.fif7 1'L


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-compliance 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 #: 20115 Date:

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


Attachments


Ref: 5513-03.wcp

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

Dear Mr. Robertson:

o o




Well Construction Penn it Honokala-Caro Well (Well No. 5513-03)

PETER T. YOUNG CHAIRPERSON



STEPHANIE A. WHALEN

February 12,2007

Enclosed are two (2) cOllies of your approved Well Construction Penn it for the captioned well(s) that authorize well construction activitIes but excludes installation work for a pennanent pump. As part of the Chairperson's approval, the following special conditions were added and are part of your pennit under Penn it Condition 13:

Special Conditions

1. Attached for your information are copies 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. Attached for your information is a copy of the State Department of Land and Natural Resources Land Division's comments related to water lease requirements.

3. Attached for your information is a copy of your county's Department of Water Supply comments related to their concerns.

Please refer to the Pennit Processes Worksheet (transmitted with your acknowledgement letter) for further infonnation regarding the process of drilling a well and installing a pump.

No withdrawal of water shall be made other than for testing purposes until a certificate of pump installation completion has been issued by the Commission.

Please sign both penn it originals and return one for our files. For copies of the aquifer pump test worksheet, please call staff or visit www.state.hi.us/dlnr/cwrmlfonns.htm.

IMPORTANT - Drilling work shall not commence until a fully signed permit is returned to the Commission. The permit shall be prominently displayed or made available at the construction site during construction. 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.

If you have any questions, please call Charley Ice of the Commission staffat 587-0251.

Sincerely,

W.f7f1 1't.

Peter T. Young Chairperson

Enclosures

c: Joe Caro (with applicable comments - DOH SDWB, Land Division; DWS, Maui Planning) USGS MauiDWS

/

-~" o 0 WELL CONSTRUCTION PERMIT


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 Honokala-Caro Well (Well No. 5513-03) at TMK 2-9-2:26, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

I.

2.

3.

4.

5.

6.

7.

8.

9.

10.

II.

12.

13.

14.

15.

The ChaifQerson 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 accordance with § 13-168-15, Hawaii Administrative Rules.


The well construction permit shall be for construction and testing of the well only. The permittee shall coordinate with the Chairperson and conduct a_pumping test in accordance with the HWCPIS (the latest rump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrm/forms.htm). The permittee shal submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump. No permanent pump may be Installed until a pumll installation permit is approved and issued by the ChaIrperson. No withdrawal of water shall be made for purposes other than testing without a Certificate of Pump Installation Completion. The permitted pump capacity described on the pump installation permit may be reduced in the event that the pump test does not support the capacity.

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 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.


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 Well Completion Report Part I shall be submitted to the Chairperson within sixty (60) days after completion of work (please contact staff or visit www.hawaii.gov/dlnr/cwrmlforms.htm for current form).


The well construction 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 HWCP1S 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.

The work proposed 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 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.

If the well is not to be used it must be prorerly capped. If the well is to be abandoned during the course of the project then the permittee must apply for a well abandonment permit in accordance with § 3-168-12(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.

This permit shall apply to the location shown on the application only. If the well is to be relocated, the permittee shall apply for a new well construction/pump installation permit In accordance with Hawaii Administrative Rules §13-168-12(f).

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

wf'rh 1't

Date of Approval: February 6. 2007 Expiration Date: February 6. 2009


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 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-compliance 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.

Driller's Signature: C-S7 License #: 20115 -=::..::..=.::......----- Date:

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


Attachment

/

Well' Background Check

Approved Well No. Well Name Applicant

Kaplan Residenc Wailani Drilling

2253-01 Waiea-Lindsey 1 Noenoe Lindsey

4/27/1992 5615-01 Haiku-Robertson Michael H. Robertson

5/17/1995 5615-02 Peahi-Phillips Chuck Phillips

12/6/1995 3153-01 Hokukano Ranch Hokukano Ranch, Inc.

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

1/24/1996 5615-05 Peahi-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 Peahi-Trier Richard Trier

7/17/1996 5515-03 Peahi-Wanner David Wanner

9/11/1996 5426-01 Papaula-Ruben Michael Ruben

9/11/1996 5230-01 Ka Hale A Ke Ola Maui Econ. Concerns

12/18/1996 5414-01 Huelo-Hipp Gary Hipp

12/18/1996 5413-07 Huelo-Baker Ed Baker

12/18/1996 5413-08 Huelo-Lowen Alan Lowen

3/4/1997 5329-21 Maui Cent Park 3 County of Maui DPR



4/22/1997 5413-09 Waipio-Hagar Sam Hager

6/3/1997 5417-01 Edington Anthony Edington

6/9/1997 5517-01 Joachim Brian Joachim

9/22/1997 5731-03 Kupaa 1 Maui DWS

9/22/1997 5731-02 Kanoa 1 Maui DWS

12/8/1997 5413-10 Huelo-Naiditch Jack Naiditch

3/12/1998 5616-03 Clark Bob Clark

5/1/1998 5741-01 McDonald Mark McDonald

Well Construction Driller Pump Inst. Type Issued Signed WCR1 Accept

Pump Installation Issued Signed WCR2 Accept

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 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

WELL

BOTH

BOTH 4/27/1992 5/15/1992 8/27/1993 4/24/2002

BOTH 6/21/1995 3/611996 7/19/1996 9/12/2002

WELL 2/21/1996 3/1211996 1/29/1997 1/29/1997

4/27/1992 5/15/1992 8/27/1993 4/24/2002

6/21/1995 211/2000 7119/1996 9/1212002

BOTH 1/24/1996 7/15/1996 7/19/1996 10/1211998 10/1211998 211/2000 10/31/1996 9115/2006

BOTH 2/28/1996 121612001 2118/1997 4/24/2002 212811996 1216/2001 2118/1997 9/1212002

BOTH 4/25/1996 211811997 2118/1997 1011211998 121211998 2118/1997 2/18/1990

BOTH 4/25/1996 3/30/1996 211811997 1011211998 10/1211998 5/25/1999 211811997 2/18/2004

BOTH 7/911996 7/19/1996 9/1212002 1011211998 1129/1999 2/311999 9/1212002

BOTH 8/12/1996 10/20/1996 211811997 212511997 1011211998 5124/2000 211811997 9/1212002

BOTH 101711996 4/4/1998 7/1/1997 5/30/2000 3/20/1998 4/14/1998 5/18/2000 5/30/2000

BOTH 101711996 10/11/1996 10/111997 10/1/1997 1/811998 2123/1998 2/27/2002 6/312002

BOTH 11711997 12118/1998 7/111997 10127/1997 3/20/1998 3/30/1998 7/11199710/27/1997

BOTH 11711997 5/18/2000 2/18/1997 5/18/2000 10/12/1998 5/18/2000 211811997 5/18/2000

BOTH 11711997 5/8/1998 7/1/1997 10120/1997 3/31/1998 6/10/2000 5/1212000 8/15/2000

BOTH 314/1997 9/10/1997 1/16/1998 4/16/1998 5/13/1998 6/16/1998 7/21/1998 1/512001

BOTH 3/411997 9/10/1997 1/16/1998 4/16/1998 5/13/1998 6/16/1998 7/21/1998 1/5/2001

BOTH 3/411997 9/10/1997 1/1611998 4/16/1998 5/13/1998 6/16/1998 7/21/1998 1/5/2000

WELL 4/23/1997 6/10/1997 7/111997 10127/1997 3/20/1998 3/23/1998 5/1212000 5/1212000

BOTH 614/1997 6/8/1999 1218/1999 2/10/2000 2117/2000 3/1/2000 1218/1999 6/20/2000

BOTH 6/10/1997 9/18/1997 10/1/1997 10/1/1997 10/17/1997 1211211997 121121199712/17/1997

WELL 9/24/1997 7/16/1998 6/23/1999 6/23/1999

WELL 9/24/1997 7/16/1998 7/111999 9/27/1999

BOTH 12/1211997 8129/1999 1/31/2000 5/412000 5/16/2000 7/24/2000 113112000 5/4/2000

BOTH 3/17/1998 3/24/1998 9/29/1998 1/31/2000 3/3/2000 3/2212000 12117/199812117/1998

BOTH 51711998 5/25/1998 4/17/2000 4/18/2000 5/512000 5/25/2000 4/17/2000 5/26/2000

Page 1 0/6

Approved Well No. Well Name Applicant Well Construction

Driller Pump Inst. Type Issued Signed WCR1 Accept Pump Installation

Issued Signed WCR2 Accept

5/1/1998 5841-03 Shoemaker Scott Shoemaker C-20115 C-20115 BOTH 51711998 6/17/1999 8/22/2000 9/25/2000 10/10/2000 10/16/2000 1/2512001 3/19/2001

5/21/1998 5328-52 Maui Beach Hotel Maui Beach Hotel C-20115 C-20115 BOTH 5/22/1998 5/26/1998 7/28/1999 5/17/2000 5/26/2000 6/612000 6/20/2000 6/20/2000

6/22/1998 5137-01 Launiupoko 2 Launiupoko Associates, LLC C-20115 WE LL 6/24/1998 8/17/1998 12114/2001 211412002

6/23/1998 5615-04 Pea hi-Bock Jerry Bock C-20115 C-20115 BOTH 6/24/1998 8/30/1999 8/22/2000 9/13/2000 9/2212000 9/25/2000 11/16/200011/20/2000

6/24/1998 5614-01 Honopou-Young Lafayette Young C-20115 C-20115 BOTH 6/25/1998 8/611998 61711999 5/12/2000 5/26/2000 61712000 6/21/200010/27/2000

7/10/1998 5515-04 Peahi-Johnson Mary Johnson C-20115 C-20115 BOTH 7114/1998 81711998 8/22/2000 9/13/2000 12/15/2000 1211812000 1/25/2001 3/19/2001

10/21/1998 5424-09 Spreckelsville-Ge Tom Gerlach C-20115 C-20115 BOTH 11/211998 4123/1999 8/22/2000 9/27/2000 10/20/2000 11/20/2000 1125/2001 3/19/2001

11/18/1998 4936-01 Olowalu Elua Olowalu Elua Assoc., Ltd. C-20115 C-20115 BOTH 1218/1998 7/13/1999 7/16/1999 7/16/1999 9/211999 9/15/1999 10/15/199910/15/1999

2/19/1999 3806-03 Kaupo-Mokulau Mokulau Trust C-20115 C-20115 BOTH 3/411999 10/9/1999 8/2212000 2/3/2005 11/10/2004 1/14/2005 111112004 21312005

8/10/1999 5616-04 Peahi-Honig Fredrick Honig C-20115 C-20115 BOTH 8/1711999 8/30/1999 8/2212000 1/31/2001 216/2001 41212001 4/1/2001 4/9/20010

8/17/1999 5840-03 Kahana Gartner Kahana Ranch C-20115 C-20115 BOTH 8123/1999 9/211999 7/9/2000 7/9/2000 7/26/2000 91712000 9/1112000 1/25/2001

8/26/1999 5731-04 Kanoa 2 Maui DWS C-20115 WELL 9/8/1999 2/2212000 6/13/2000 7/19/2000

8/26/1999 5939-02 Napili Park Maui County Parks Dept. C-20115 C-20115 BOTH 9/211999 9/14/1999 4/27/2000 9/29/2000 10/18/2000 10/30/2000 11/14/2000 11/28/2000

8/26/1999 4226-15 Hale Kamaole Hale Kamaole Condo Assoc. C-20115 C-20115 BOTH 91211999 9/20/1999 10/21/1999 10/21/1999 313/2000 3/15/2000 3/15/2000 6/16/2000

8/26/1999 4821-01 Omaopio-Esty Edward Esty C-20115 C-20115 WELL 9/211999 9/16/1999 211512000 4/20/2000 5/512000 5/15/2000 5/18/2000 5/18/2000

1/9/2000 5414-02 Huelo-Ulin David & Nancy Ulin C-20115 C-20115 BOTH 1/18/2000 1/30/2000 8/2212000 9/17/2001 9/28/2001 11/1/2001 12120/2001 1/11/2002

3/17/2000 5425-03 Papaula-Golting Eric Golting C-20115 C-20115 BOTH 41712000 12/1212000 11/28/2000 10/30/2002 11/20/2002 1211812002 12/24/2002 1212412002

4/10/2000 5514-02 Hoolawa-O'Neili Shawne O'Neill C-20115 C-20115 BOTH 4/28/2000 5/612000 9/26/2000 6/28/2001 7/10/2001 9/612001 9/6/2001 91712001

5/1/2000 5620-04 Pauwela Lewis 2 Sky Lewis C-20115 C-20115 BOTH 6/13/2000 1212212000 4/26/2001 4/26/2001 6125/2001 7/1212001 8/1/2001 8/1/2001

5/1/2000 5620-03 Pauwela Lewis 1 Sky Lewis C-20115 C-20115 BOTH 6/13/2000 12122/2000 4/26/2001 5/15/2001 6/25/2001 7/1212001 8/1/2001 8/1/2001

5/26/2000 5518-04 Kuiaha-Smith Smith Development C-20115 C-20115 BOTH 6/15/2000 6/15/2000 7/24/2000 8/912000 8/14/2000 8/30/2000 9/112000 9/1/2000

7/6/2000 5341-02 Front St. Housing William Dorbush C-20115 PUMP 7/31/2000 101112000 1118/200012119/2002

8/9/2000 4327-07 Kihei Akahi Irrigat Kihei Akahi Condo Asso. C-20115 C-20115 BOTH 8/21/2000 8/30/2000 1/312001 21912001 2114/2001 4/3/2001 4/26/2001 3/27/2002

8/11/2000 4822-01 Kula Meadows Kula Meadows, LLC C-20115 C-20115 BOTH 8/14/2000 8/14/2000 11/16/2000 11/16/2000 1211512000 12/19/2002 113/2001 1/3/2001

8/14/2000 5616-05 Manawai-Vandev Dennis Vandevelde C-20115 C-20115 BOTH 9/2212000 9/26/2000 5/312001 6/28/2001 10/1212001 4120/2002 6/19/2002 6/19/2002

10/27/2000 5413-11 Hoalua-Grace Gwendolyn Grace C-20115 C-20115 BOTH 11/3/2000 121312000 4/9/2001 10/30/2002 11/18/2002 11/26/2002 1219/2002 1219/2002

10/27/2000 5517-02 Manawai-Papanui Papanui, LLC C-20115 C-20115 BOTH 11/3/2000 11/30/2000 6128/2001 7/17/2001 6/1212001 7/24/2001 8/112001 8/1/2001

11/16/2000 4326-09 Kamaole-Maui Vi Maui Vista AOAO C-20115 C-20115 BOTH 12119/2000 12/21/2000 419/2001 4/9/2001 4/30/2001 5/912001 5/16/2001 11/6/2002

Page2of6

Approved Well No. Well Name Applicant Well Construction

Driller Pump Inst. Type Issued Signed WCR1 Accept Pump Installation

Issued Signed WCR2 Accept

11/16/2000 4805-02 Nahiku-Betsill Betsill Brothers Constuction In C-20115 C-20115 BOTH 121712000 12112/2000 9/12/2002 10/30/2002 3/4/2003 4/15/2003 4/28/2003 4/28/2003

12/4/2000 4527-14 Kihei-Kauhale Ma Kauhale Makai

12/27/2000 5522-03 Kuau-Newbro Mike Newbro

2/9/2001 4100-01 Koali-Sullivan Terrence Sullivan

2/27/2001 5514-04 Hoolawa-Cookma Christopher Cookman

4/6/2001 5614-03 Honopou-Bathelt Friedrich Bathelt

4/20/2001 5616-06 Manawai-Steele Bill Steele

4/23/2001 5514-05 Hoolawa-Sadri Asghar R. Sadri

5/29/2001 5616-07 Manawai-Felton Frank Felton

7/3/2001 5320-02 Maunaolu 1 Maunaolu Assoc. LLC

7/3/2001 5616-08 Grossman Gerald Grossman

7/10/2001 5617-01 Haiku Summit Tr Summit Trade Inc.

7/10/2001 5517-03 Haiku Summit Tr Summit Trade Inc.

8/14/2001 4226-16 Maui Kamaole A Maui Kamaole AOAO

8/27/2001 5240-07 Lahaina Park Maui County Parks Dept.

11/1/2001 5424-08 Spreckelsville-W Roger Wark

11/5/2001 4026-13 Kea Lani Irrigatio The Fairmont Kea Lani Maui

12/4/2001 3926-11 Makena Surf Makena Surf Association

12/8/2001 4834-01 Ukumehame Envi Hawaii Army National Guard

1/23/2002 5413-12 Huelo-Jones Chuck Jones

4/1/2002 5620-05 Maliko Moretti 1 Maliko Bay Trading

4/1/2002 4226-17 Kamaole Sands AOAO Kamaole Sands

4/1/2002 5620-06 Maliko Moretti 2 Maliko Bay Trading

4/1/2002 4702-01 Kaeleku Smith Randy Smith

4/8/2002 4904-01 Nahiku-Harlow Harlow Tadaro

4/8/2002 3810-01 Nuu Mauka Nuu Mauka LLC

5/21/2002 5615-06 Haiku-Robertson Mike Robertson

5/24/2002 5514-06 Hoolawa Kahui P Kahui Pon~, LLC

Wednesday, December 27, 2006

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

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

BOTH 12/19/2000 619/2001 5/3/2001 5/3/2001 6/5/2001 6/18/2001 6/22/2001 6/22/2001

BOTH 2/27/2001 2/26/2001 5/312001 5/3/2001 7/10/2001 7/26/2001 9/18/2001 9/18/2001

BOTH 3/5/2001 3/14/2001 12/20/2001 12/20/2001 1111/2002 1/30/2002 4/812002 4/15/2002

BOTH 3/512001 3/12/2001 12120/2001 6/19/2002 10/25/2002 11/15/2002 1219/2002 1219/2002

BOTH 4/12/2001 5/912001 6/19/2002 6/19/2002 8/28/2002 10/24/2002 10/30/2002 10/30/2002

BOTH 4/24/2001 4/27/2001 12120/2001 4/812002 4/17/2002 4/20/2002 6/19/2002 6/19/2002

BOTH 4/30/2001 5/412001 2118/2003 2118/2003 3/27/2003 4/30/2003 5/912003 5/9/2003

WELL 6/5/2001 6/15/2001 12120/2001 4/812002

BOTH 7/6/2001 7/18/2001 10/5/2001 10/18/2001 11/16/2001 11/19/2001 121201200112120/20010

BOTH 7/10/2001 10/4/2001 11/21/2002 1212412002 1/27/2003 2/25/2003 3/312003 3/3/2003

WELL 7/1212001 8/20/2001 11/29/2002 519/2003

WELL 7/1212001 8/20/2001 11/29/2002 519/2003

BOTH 9/20/2001 10/1/2001 11/9/2001 11/21/2001 1211012001 12111/2001 4/812002 4/8/2002

BOTH 9/28/2001 10/10/2001 8/19/2002 8/28/2002 1/9/2003 2119/2003 2120/2003 2/27/2003

BOTH 11/23/2001 11/25/2001 10/30/2002 1212312002 1/812003 31712003 3/1212003 3/1212003

BOTH 11/16/2001 11/20/2001 10/30/2002 10/30/2002 11/20/2002 1214/2002 1218/2002 1218/2002

BOTH 121712001 12119/2001 8/19/2002 8/19/2002

BOTH 12/27/2001 312112002 6/30/2003 6/30/2003

BOTH 21112002 214/2002 11/21/2002 1212412002

BOTH 4/1712002 10/25/2002 1219/2002 1/10/2003

BOTH 4/17/2002 4/22/2002 9/412002 8/21/2002

BOTH 4/17/2002 9/25/2002 12/9/2002 1110/2003

BOTH 4/17/2002 4/30/2002 10/30/2002 112912003

BOTH 4/15/2002 7/23/2002 11/21/2002 11/21/2002

BOTH 411512002 10/3/2003 3/1212003 3/12/2003

BOTH 6/412002 6/9/2002 11121/2002 1212312002

BOTH 6126/2002 10/1212002 12/9/2002 121912002

9/1212002 9/13/2002 101712002 101712002

8nJ2003 8/25/2003 9/212003 9/212003

1/27/2002 212812003 3/12/2003 3/12/2003

1/27/2003 10/25/2002 1218/2002 5/18/2000

9/10/2002 9/1712002 10nJ2002 1/28/2003

1/14/2003 1/27/2003 2/312003 5/18/2004

1/31/2003 212412003 3/3/2003 3/3/2003

3/2212004 4/20/2004 6/312004 6/3/2004

3/20/2003 4/412003 4/28/2003 4/28/2003

1/31/2003 2/512003 3/3/2003 3/3/2003

1/29/2003 212412003 3/12/2003 3/1212003

Page 3 of6


6/18/2002 5514-07 Speere- Hoolawa Chris & Becky Speere

6/26/2002 5514-08 Namale Castellini Andrew Castellini

6/27/2002 4803-01 Nahiku Mau Mary Anne Doane Mau

7/12/2002 5514-10 Honokala Simme Malte Simmer

7/16/2002 5514-09 Honokala McKinn Evan McKinney

12/6/2002 4835-02 Ukumehame Sug Sugar Way, Ltd.

1/6/2003 5412-01 Hanawana-Dougl Keith Douglas

1/27/2003 5617-02 Opana Point 1 Opana Point Partners, LLC

1/27/2003 5617-03 Opana Point 2 Opana Point Partners, LLC

21712003 5424-10 Sandate Residen Ronald Sandate

2/25/2003 4930-01 Pohakea A&B Properties, Inc.

Well Construction Driller Pump Inst. Type Issued Signed WCR1 Accept

C-20115 C-20115 BOTH 7/29/2002 9/13/2002 2/312003 8/18/2003

C-20115 C-20115 BOTH 9/13/2002 12/15/2002 611312003 2/612004

C-20115 C-20115 BOTH 7/9/2002 7/31/2002 12/9/2002 1113/2003

C-20115 C-20115 BOTH 7/29/2002 6/30/2005 1/30/2006 1/30/2006

C-20115 C-20115 BOTH 7/29/2002 12/15/2002 611312003 6/13/2003

C-20115 C-20115 BOTH 12/23/2002 2115/2003 6/30/2003 6/30/2003

C-20115 C-20115 BOTH 1/912003 1/28/2003 4/28/2003 5/912003

C-20115 C-20115 BOTH 2/20/2003 5/20/2003 2/412004 2/4/2004

C-20115 C-20115 BOTH 2120/2003 6/20/2003 5/512004 5/5/2004


8/25/2003 9/22/2003 9/29/2003 9/29/2003

2/9/2004 3/23/2004 4/512004 8/25/2004

1/27/2003 2/24/2003 3/12/2003 3/12/2003

211412006

71212003 7/10/2003 7/16/2003 7/16/2003

9/15/2003 9/28/2003 12117/2003 12/17/2003

511512003 7/612003 7/16/2003 7/16/2003

3/15/2004 3/20/2004 5/512004 5/5/2004

5/14/2004 5/28/2004 6/312004 6/3/2004

C-20115 C-20115 BOTH 2120/2003 4/18/2003 8/13/2003 9/29/2003 10/27/2003 11/21/2003 912712006 o C-20115 C-20115 BOTH 3/512003 411 0/2004 6/16/2004 6/16/2004 8/312004 8/18/2004 9/23/2004 9/23/2004

2/25/2003 5531-01 Waihee Mauka 1 Living Waters Land Foundatio C-20115 C-20115 BOTH 3/13/2003 3/20/2003 9/29/2003 214/2004 212212006

2/25/2003 5530-06 Waihee Laquidar Charles and Doreen Laquidar C-20115 C-20115 BOTH 3113/2003

2/25/2003 5631-07 Waihee Varel John Varel C-20115 C-20115 BOTH 3/13/2003

4/22/2003 4835-03 Ukumehame Sug Sugar Way, Ltd. C-20115 C-20115 BOTH 5/15/2003 1/26/2004 5/512004 5/5/2004 5/14/2004

5/9/2003 5517-03 Haiku Summit Tr Stream Resources Inc. C-20115 PUMP 6/312003 7/1/2003 7/16/2003 7/16/2003

6/4/2003 5631-08 Waihee-Sarasin Bryan Sarasin C-20115 C-20115 BOTH 6/19/2003 4/28/2004

6/18/2003 5840-04 Kahana-Betsill Kahana Development LLC C-20115 C-20115 BOTH 71212003 7110/2003 9/10/2003 9/10/2003 10/15/2003 112812004 101712004 101712004

6/19/2003 5617-04 Stream Resource Naftulin 1 Serle LLC C-20115 C-20115 BOTH 6/25/2003 7/112003 21412004 219/2004 3/3/2004 3/20/2004 5/512004 5/5/2004

6/24/2003 5519-04 Kiilau-Jones Charles Jones C-20115 C-20115 BOTH 7/2/2003

8/13/2003 5840-06 Kahana Delaney William Delaney C-20115 C-20115 BOTH 9/8/2003 9/5/2003 21412004 214/2004 2120/2004 3/20/2004 4/512004 4/5/2000

8/19/2003 5840-05 Kahana-Kurose James Kurose C-20115 C-20115 BOTH 8/25/2003 91712003 2/4/2004 2113/2004 2/20/2004 8/112004 21312005 213/2005

8/21/2003 4226-18 Kamaole- Maui Hi AOAO Association C-20115 C-20115 BOTH 9/5/2003 9/20/2003 211812004 31212004 318/2004 3/11/2004 4/512004 6/29/2004

9/19/2003 5417-03 Kaupakulua Upco Upcountry LLC C-20115 C-20115 BOTH 11/5/2003 11/20/2003 613/2004 6/3/2004 6/29/2004 1212212004 2114/2005 3/8/2005

10/13/2003 4425-01 Keokea Maui Hig Maui Highlands LLC C-20115 C-20115 BOTH 11/5/2003 12/10/2003 912312004 9/23/2004 10/1212004 31512005 5/24/2005 5/27/2005

10/28/2003 0038-01 Kapalua Brennan John Brennan C-20115 C-20115 BOTH 11/5/2003 121212003 10/5/2005 10/5/2005 12113/2005

111712003 3805-01 Kalepa-Starr Kalepa Farm Inc. C-20115 C-20115 BOTH 1111212003 21212004 1/30/2006 1/30/2006 211412006

12/5/2003 5615-07 Kealii-Naish Kathryn Naish C-20115 C-20115 BOTH 12111/2003 1110/2004 6/3/2004 6/3/2004 7/1/2004 8/26/2003 8/31/2004 8/31/2004

Wednesday, December 27,2006


1/12/2004 5519-05 Kauhikoa Winn Peter Winn

3/17/2004 5514-11 Hoolawa Spell Heather Spell

4/2/2004 5416-01 Kaupakalua IN & IN & RS, LLC.

4/2/2004 5417-04 Kaupakalua IN & IN & RS, LLC.

4/12/2004 5424-11 Sprekelsville-Ros Alice Kathy Ross

4/21/2004 4126-05 Wailea Ike Grand Champion Villas

4/23/2004 2052-01 Maunaoni Mauna Loa Land, LLC

5/5/2004 4326-12 Ke Alii 2 KAK" LLC

5/5/2004 4527-16 Waiohuli-SI. Ther SI. Theresa Church

5/5/2004 4326-11 Ke Alii 1 KAK" LLC

5/19/2004 5731-06 Waihee Equestria Koolau Callie Co.

5/25/2004 5517-04 Haiku Davison Kevin Davison

6/3/2004 5424-12 Spreklesville-Buzi Micah Buzianis

6/4/2004 5517-05 Opana Point Holt Peahi Farms, LLC

6/10/2004 4835-04 Ukumehame 3 Sugar Way, Ltd.

6/18/2004 3824-01 Ulupalakua- Berk Roberto Berkowicz

8/1/2004 5731-07 Waihee Equestria Koolau Callie Co.

8/18/2004 5617-05 Opana Point Holt Peahi Farms, LLC

9/15/2004 3725-01 Moomuku 1 Hawaii VIP Country Club, Inc.

10/6/2004 4225-01 Maui Meadows T State of Hawaii DLNR

10/18/2004 5617-01 Haiku Summit Tr Louis B. Murphey

12/17/2004 4226-19 Kilohana Waena D & I Enterprises, LLC

12/20/2004 5230-03 lao Tank Explorat Maui DWS

Well Construction Drilfer Pump Inst. Type Issued Signed WCR1 Accept


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 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

BOTH 1/26/2004

BOTH 3/22/2004

BOTH 411212004

BOTH 4/12/2004 6/20/2004

11/29/2006

"?

BOTH 514/2004 5/30/2004 6/24/2005 6/24/2005

11/29/2006

8/4/2005

BOTH 412112004 4/26/2004 11/8/2004 11/8/2004 11/29/2004 112012005 2/312005 2/3/2005

BOTH 5/4/2004 11129/2006

BOTH 5112/2004 10/4/2004

BOTH 511212004 411/2005

BOTH 5/1212004 1014/2004 o BOTH 5/21/2004 5/25/2004 6/10/2004 6/15/2004 6/29/2004 10/29/2004 11/112004 11/1/2004

BOTH 61912004

BOTH 6/912004 9/5/2004

BOTH 6/23/2004 8/28/2004 6/24/2005 6/30/2005 811212005 9/20/2005

BOTH 611712004 81212004 3123/2005 3/30/2005 4/20/2005

BOTH 6/25/2004

BOTH 8/212004 8/11/2004 11/1/2004 lf712005 1/18/2005 1/30/2005 2/312005 2/3/2005

9/21/2004 9/30/2004 6/24/2005 6/30/2005 811212005 9120/2005 BOTH

BOTH

WELL

PUMP

9/16/2004 9/20/2004 213/2005 219/2005 2/17/2005 212412005 3/14/2005 311412005

10113/2004 (otif;o~('V ~ 'p?t(Z& IO/(Pt~ I o~ ~i ~ ":::"'-:'~--1-01""2'-9/-.!20f-0-4-1-1-11212004 1 0/5/2005 10/5/20050

BOTH 12130/2004 2/1/2005

WELL 12130/2004 4/512006

12/29/2004 4424-01 Keokea Maui Hig Maui Highlands Properties, LL C-20115 C-20115 BOTH lf712005 1/10/2005 5/24/2005 5/24/2005 61212005 619/2005 3/20/2006 6/812006

1/3/2005 3558-01 Keauhou-Roberts Michael Robertson C-20115 C-20115 BOTH 1/6/2005 1/31/2005

1/3/2005 1652-02 Opihihale-Rullo Donald Rullo C-20115 BOTH lf712005 3/25/2005

5/4/2005 5240-09 Kahoma Irrigation Kahoma Development Co. C-20115 C-20115 BOTH 5/13/2005 5/31/2005

5/12/2005 5831-01 Kahakuloa-Winn Peter Winn C-20115 C-20115 BOTH 5/31/2005 11/5/2006 5/31/2005

Wednesday, December 27,2006

Well Construction Pump Installation Approved Well No. Well Name Applicant Driller Pump Inst. Type Issued Signed WCR1 Accept Issued Signed WCR2 Accept

5/12/2005 5517-06 Oili-Garcia PeterWinn C-20115 C-20115 BOTH 5/31/2005 8/12/2005 5/31/2005

7/15/2005 5515-05 Kealii-Harrisson John Harrisson C-20115 C-20115 BOTH 8/4/2005 1/5/2006 8/4/2005 1/5/2006

8/3/2005 5413-13 Huelo-Grace Lorraine G. Grace Trust C-20115 C-20115 BOTH 8/4/2005 8/4/2005

101712005 5515-06 Clark Steve Clark C-20115 C-20115 BOTH 10/13/2005 111012006

101712005 4326-13 Kamaole-Aloha V Joseph Sugarman C-20115 C-20115 BOTH 10/13/2005

10/712005 5413-14 Huelo- Dosland Mike Robertson C-20115 C-20115 BOTH 10/13/2005

212312006 5318-01 Pauwela Farms 1 Pauwela Farms C-20115 C-20115 BOTH 31712006 31712006

2/23/2006 5318-02 Pauwela Farms 2 Pauwela Farms C-20115 C-20115 BOTH 31712006 31712006

4/16/2006 5424-13 Spreckelsvilie-Ba Barkly Bastian C-20115 C-20115 BOTH 5/1/2006 5/1/2006

5/25/2006 4930-02 Pohakea 2 Wailuku Water Co., LLC C-20115 C-20115 BOTH 5/31/2006 5/31/2006 0 5/25/2006 4930-03 Pohakea 3 Wailuku Water Co., LLC C-20115 C-20115 BOTH 5/31/2006 5/31/2006

6/15/2006 5517-07 Ulumalu-Hamilton Laird Hamilton C-20115 BOTH 6/20/2006 6/20/2006

7/20/2006 5419-04 Kokomo Goings Arthur A. Goings C-20115 C-20115 BOTH 8/3/2006 8/3/2006

7/20/2006 5839-03 Kahana-Mailepai Maile Pai LLC C-20115 C-20115 BOTH 7/26/2006 7/26/2006

7/20/2006 5839-04 Kahana-Mailepai Maile Pai LLC C-20115 C-20115 BOTH 7/26/2006 7/26/2006

7/26/2006 5513-02 Honokala-Bryce Betty K. Bryce C-20115 C-20115 BOTH 8/3/2006 10111/2006 813/2006 10/11/2006

11/15/2006 4720-01 Omaopio-Siele B John Siele C-20115 C-20115 BOTH 1215/2006 1215/2006

11/20/2006 4926-02 Hawaiian Cement Hawaiian Cement C-20115 C-20115 BOTH 11/21/2006 11/2112006

o

Pnnn A nrt:.

02-06-07 03:39pm From-DOH/Safe Or i ~kinl Water Branch 80€58S4351 T-9l4 P.001/OOa F-Z73

TO:

808

STATE OF HAWAii OEr>AA'IlIelllT OF LAND AND NATURAl.. ReSOURCES

COMMISSION ON WATER RESOURCe MANAGt=:MeNT PO EClXG21

HoNQl,.ULU HAWAII 008(I:;I

January 2. 2007

Honorable ChJyome L. Pukfno, M.D., DireC1m' Pepanmern of Health AttenIiO!t: DircclOf'S Office

Harold Ville. Wastewater Branch 8Tuarr Yamada. Safe Drinking Wa.:erBralJch Alec Wong, Clean Water Branch

_4M':~ ~A.~

-~~ a.trt_1.. ~AtO ~"H MIIQ;,-'O.JP

S'l"9'~1E j\. WhAI.oIIN

D~""""'II;/\/'IQ """'OENJ'I_IQII

FROM~ Peter T. Youn&. Chairperson 11 Commission Oil Watl::r Rc::sO\l!'Cc MatlilgtmCllt

SUBJECT: Well ConstlU(:tion/Pump lnstallaticm Permit Applic;a HQpkaJa-Caro Well (Well N2. 55] ;-03)

, rS

PlllIsse find Ihe alUlched maps to locate the proposed well. try.. J .. _ .. nons about tIli. permit application, ~UC5f additional information, or requem additional review lime, please contact ChaTley Ice of the Carmnission staffat 587-0lSl.

C);SS Atttl~mem(s)

RE$PONSB; r 1

II

I J

I J

11 IJ 11

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U dI)W,'(AlGFrcarlha' ft. .. u,.eIl ""ill be i.lieC I"<Jr .c6li""lrbtn'''''~ (I~J"I'.Jllpr.q I, 1!1t;Z~ ':*JtI~ 10 SDf'6Dris,kinB WaCer.R6SlJlatiOD.S.

Fw' die ~f.IlIl(IIlI1·' ml'mnllllOn.1I &Ollrc~ orpooslQI< ",,,strn-aICl Cl1Il1SU.i ..... "D I 1 ... 1 i .. ~Q! 1~'~I~d _lIlC IIl1:1po»od l1l;I1 @ I imoolll1io/ll iIII~l

All I\JI'DE.~ JUDli! is fl!((uirtd

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In Iht corm 11\IIllh~ lcirll10n orllJe Il'm Cllan~ bUI is.m! willli» Ihe 11arcel rl's"il...,J .m !1,,~ ijPJlil~1II1QD. DIll cil\'i!1OI1 ~cll5ldels 1111; 1:QIIIJIo;d1'1D &I1n br Ipp'i::ab~. ;0111 w. <1 ...... 1 1I1l,,,I,,, ,~\ ...... II", .ICV' " .... -"'.\>11

1-05-2007 03: 45PI'1 FAX: 8085854351 PAGE: 001 R=90%

02-05-07 03:39pm From-DOH/Sat! Drinkina Water Branch 8085354351 T-914 P"002/00a F-ZTa

6-5513-03 Maui

The Department of Health, Safe Drinking Water Branch has the following additional comments for the Well Construction I Pump Installation Pennit Application for the Hookala-Caro Well (Well No- 6-5513·03 Maui):

UndergroWld Injection Control (Ule) Comments:

1. The well is located below the VIC line;

2. The siring of a drinking water source below the VIC line affects the allowed potential for new injection well construction. New injection wells will then be prohibited within the setback areas defined in Chapter 11-23" We suggest that the surrounding landowners be intonned of this proposed action becallse it may affect the development potential of the properties within the setback area.;

3. In general, a shallow well. or a well that recharges quickly from local rainfall, should not be used as a potable water source because such a well increases the risk of having unsatisfactory groundwater quality that when cons"WIled may compromise health. Factors that directly influence a well's groundwater quality include wastewater disposal systems (cesspools, septic systems. drainage wells), lawn/garden/crop-growing activities, and even the proximity to the ocean where salt water intrusion roay occur;

4. Well water quality should be initially and periodically tested for its acceptable and intended use, especially if it is to be used for human consumption. Water quality should not be presumed acceptable and unchanging. Land-based activities around the well and within the well's recharge area may, over time, have "an unacceptable affect on the well's water quality. Well construction materials and related equipment could also affect water quality;

5- Well-section details are missing; ruid "f~"f{,., ~ t1.~ rt,.or-vc... z.u..J.... sW "t erC(; • ~( fi~ tNO ~ •

6- Check to see if the name Ho'okala should instead be Honokala..

"EB-06-2007 03:46PM FRX:8085864351 ID: DU'-lR CWRI1 PRGE:002 R=96%

"t

CHARMAINE TAVARES Mayor

JEFFREY K. ENG

R~(1y!Oi'6flfL D ERIC H. YAMASHIGE, P.E., L.S.

Deputy Director

07 JAN 30 A 8: 3 2 DEPARTMENT OF WATER SUPPLY

COUNTY OF MAUl

January 29,2007

200 SOUTH HIGH STREET WAILUKU, MAUl, HAWAII 96793-2155 Telephone (808) 270-7816. Fax (808) 270-7833

www.mauiwater.org

Mr. Dean A. Nakano, Acting Deputy Director Commission on Water Resource Management Department of Land and Natural Resources, State of Hawaii P.O. Box 621 Honolulu, Hawaii 96809

RE: Well Construction/Pump Installation Permit Review and Well Construction/Pump Installation Permit Application for Hookala-Caro Well (Well No. 5513-03)

Dear Mr. Nakano:

Thank you for the opportunity to comment on this well permit review and application.

The applicant is proposing to construct a new well and install a new pump for the withdrawal of 10,000 GPD (gallons per day) for domestic consumption. The project site overlies the Honopou aquifer with a sustainable yield of 29 MGD (million gallons per day). In order to protect the groundwater resources, the Department encourages the applicant to adopt best management practices (BMPs) for well construction/pump installations to prevent contamination during construction as well as maintenance. These practices include:

1. Inspect exposed parts of the well periodically for problems such as cracked or corroded well casing, broken or missing well cap, damaged protective casing and settling or 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 be of con

cern. 6. Avoid mixing or using pesticides, fertilizers, herbicides, degreasers, fuels or other pollutants

near the well. 7. Do not locate any type of potentially polluting activity up slope from the well.

Mr. Dean A. Nakano Page 2 January 29,2007

8. Keep accurate records of any well maintenance, such as disinfection or sediment removal that require use of chemicals in the well.

Should you have any questions, please contact our Water Resources & Planning Division at 244-8550.

Sincerely,

Mh It.1!r Jeffrey K. Eng, Acting Director ayi c: Applicant

Engineering Division WRPD File

Jan'-l8-0T '09: l8arn Frorn~DEPT OF PLANNINr. COUNTY OF MAUl 808-242819

'07 JAN -4 P 3 :29

DEPT QF PLANNINSTATE OF HAWAII CO UN r y Qfp,l!h'f..,E.N~ OF LAND AND NATURAL RESOURCES

Re.~t$~IPN ON WATER RESOURCE MANAGEMENT P.o. BOx 62'

HONOLV~1). tjAWAH 9$009

Janomy 2, 2007

Mr. Michael W. foley, Director Planning Department County of Maui 250 South High Street VVailuku, HI 96793

Dear Mr. Foley:

Special Management Area Use Permit Requiremems for Well C<;mstructionlPump Installation Permit Ap lication

Hookala·Caro Well 'Well No. 5513-03

T-Z61 P.Ol/03 F-09T

MEREPITH J. CHING JAMes A FRAZieR NEAL S. FUJIWARA

CHIYQME L FUKINO, M.D. LAWRENCE H, MilKe, MO, J.D.

STEPHANI~ A WHALeN

DEAN A. NAKANO ACTt,.,'.) WuT'f olnt:C'T¢A:

Transmitted for your review and comment is a copy of the captioned Well ConslructionlPump Installalion permit application.

VVe would appreciate yOLlr comments on the captioned application with regard to the SMA permitting requirements specific to your division. Plea§e res ond b returning this cover memo form bv January 31, 2007. Ifwe do nor receive comments or a request or a itiona review time by this dare, we will assume you have no comments.

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

CI;ss

RESPONSE:

Sincerely,

Wl7H ~

DEAN A. NAKANO Acting Deputy Director

[X] This w¢ll project (>i requires [ 1 does nol T¢quil'c a %1A. J1 a SMA is requir<!d it rXl has I: j has nO! been approv<!'d and IX] is I I is nol currently active,

[ ) Otht:r relevant rules/regulations, inform1ltion, or recomm¢ndalions an: fmached.

[ ] No ob.ieclion~

(xl Othereommems: Would have concerns should the well impact the County ot Maui's water supply and system.

Contact Person: Robyn r.ollderm.i] k Phone: 270 7-+&&--

~;""P';' ~~. ~~ft N-18-2007 08:59RM FAX:808 242819

~LI()}~ __ _ PR(;E: 001 R=100%

Date: ID: DLNR G~Rf'l

LINDA LINGLE GOVERNOR OF HAWAii

TO:

FROM:

SUBJECT:

a p12: 24

STATE OFtH~V¥~~~'1"\1I "I~.! It I ,\ Tr~ DEPARTMENT OF LAND ANR;NA1:.I:!~J,:~l='At#~pM:-: ~1..,1 '_

COMMISSION ON WATER RlESbURCE.M'ANAGt-iliNt

Russell Tsuji, Administrator Land Division

P.O. BOX 621 HONOLULU, HAWAII 96809

January 2, 2007

Dean A. Na~ano, Acting Deputy Directorl1 Commission on Water Resource Management

Well ConstructionlPump Installation Permit Application Hookala-Caro Well (Well No. 5513-03) TMK 2-9-002:026

-c.n~':-) _.-

~-. -

PETER 1. 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 OEPUTY DIRECTOR

-c::::o c::> ,--~ . <-

,;,,-,. --,- :::0

:J:> ~~~j~ ::;z:

; '.J f"Tj .r: « U '-rn

~CJ Y:J c' .s= • . }

Transmitted for your review and comment is a copy of the captioned Well ConstructionlPump 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 January 31, 2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume 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 staffat 587-0251.

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.

[Xx [ ]

[ ]

[ ]

PJX

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

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

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

No objections

Other comments: Original source of private title is Land Commission Award 5250-B:2 issued between 1845 and 1855.

Contact Person: Gary Martin ____ -2 ____________ __ Phone: 587-0421

Date: JAN - 8 2007

LINDA LINGLE GOVERNOR OF H .... WAII

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

Dear Mr. Robertson:

o




January 2, 2007




STEPHANIE A. WHALEN

DEAN A NAKANO ACTING DEPUTY DIRECTOR

5513-03.wcpia.ack

Well ConstructionlPump Installation Permit Application for Well No. 5513-03

We acknowledge receipt, on December 27.2006, of your completed Well ConstructionlPump Installation permit application and filing fee for the Hookala-Caro Well (Well No. 5513-03). You can expect your application to be processed within ninety (90) days from this date.

For your information, the attached table describes the process, responsible parties, and deadline requirements for drilling or modifying a well and installing, modifying, or replacing a pump.

By this acceptance letter, we are also notifying the well operator/landowner that water may not be pumped for purposes other than testing until the certificate of well construction/pump installation completion letter is issued to the well operator and landowner. Additionally, the permitted pump capacity described on the pump installation permit may be reduced in the event that the pump test does not support the capacity. No certificate of pump installation will be issued until the Commission has determined that the pump capacity will not have adverse effects on the aquifer, other nearby wells, or streams. In other words, you may need to remove the pump and install a smaller pump at the Commission's discretion before you can withdraw water for purposes other than testing.

If you have any questions about your permit application, please contact Charley Ice of the Commission staff at 587-0251 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai) extension 70251.

CI:ss Attachment

c: Joe Caro

Sincerely,

W.fif7 1't


/ / o o

\ / \ UNDAUNGlE

~NOR OF HAWAII PETER T. YOUNG

CHAIRPERSON

TO:




January 2, 2007

Honorable Chiyome L. Fukino, M.D., Director Department of Health Attention: Director's Office

Harold Yee, Wastewater Branch Stuart Yamada, Safe Drinking Water Branch Alec Wong, Clean Water Branch

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

FROM: Peter T. Young, Chairperson 1 Commission on Water Resource Management

SUBJECT: Well Construction/Pump ]nstallation Permit Application Hookala-Caro Well (Well No. 5513-03)

Transmitted for your review and comment is a copy of the captioned Well ConstructionlPump lnstallation 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 returning this cover memo form by January 31, 2007. ]fwe 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. ]fyou have any questions about this permit application, request additional information, or request additional review time, please contact Charley Jce of the Commission staff at 587-0251.

CJ:ss A ttachment( s)

RESPONSE:

[ ]

[ 1

[ ]

[ ]

[ 1

f]

f]

I]

f]

This well qualifies as a source which will serve as a source of potable water to a public water system (defined as serving 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, § 1) -20-29.

This well does not qualitY 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 routinelv monitor the water quality thereafter. However, if future planned use from this source increases to meet the public water system definition then DirectO'r 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 gap or an approved backflow preventer, and by clearly labeling all nonpotable spigots with warning signs to prevent inadvenent consumption of non-potable water. Backflow prevention devices should be routinely inspected and tested.

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

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

An NPDES pennit is required.

Other relevant DOH nrleslregulations, infonnation, or recommendations are attached.

In Ihe evenllhallhe local ion oflhe well challges bul is still wilhin the parcel described 011 this application, our division considers Ihe comments 10 still be applicable. and we do not need 10 review Ihe new location.

No commenls/objeclions

Contact Person: Phone: ------------------------------------- --------------Si2.ned: Date:

/ .\ U,iA LINGLE

GOveRNOR OF HAWAII

TO:

FROM:

SUBJECT:

o



Russell Tsuji, Administrator Land Division


January 2, 2007

Dean A. Na~ano, Acting Deputy Director 1 Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Hookala-Caro Well (Well No. 5513-03) TMK 2-9-002:026



CHIYOME L FUKINO, M.D. LAWRENCE H. M"KE, 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 returning this cover memo form by January 31,2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume 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:

[ ] 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. __________ _

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

[ ] No objections

[ ] Other comments:

Contact Person: _________________ _ Phone: -------

Signed: ____________________ _ Date: --------

TO:

FROM:

SUBJECT:

o




January 2, 2007

Melanie Chinen, Administrator Historic Preservation

Dean A. Nakano, Acting Deputy Director 11 Commission on Water Resource Management

Well Construction/Pump ]nstallation Permit Application Hookala-Caro Well (Well No. 5513-03) TMK: 2-9-002:026

PETER r. YOUNG

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

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

STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING 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 bv returning this cover memo form by January 31, 2007. ]fwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please find the attached maps to locate the proposed well. ]fyou have any questions about this permit application or request additional review time, please contact Charley Ice of the Commission staff at 587-0251. ]fyou require additional information regarding specific information that can be provided by the applicant, please contact the applicant directly at the contact information provided on the appJication form.

Cl:ss Attachment(s)

RESPONSE:

[ ] This is a [ ] public (county or state) project [ ] private project and [ ] will [ ] may disturb historic sites.

[ ] We concur that the work described under this pennit will not disturb historic sites.

[ ] We do not concur that the work described under this pennit will not disturb historic sites. We require the following for our conculTence:

Contact Person: _________________ _ Phone: -------

Signed: _____________________ _ Date: --------


o




January 2, 2007

Mr. Michael W. Foley, Director Planning Department County of Maui 250 South High Street Wailuku, HI 96793

Dear Mr. Foley:

Special Management Area Use Permit Requirements for Well Construction/Pump Installation Permit Application

Hookala-Caro Well (Well No. 5513-03)



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

STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING OEPUn DIRECTOR

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

We would appreciate your comments on the captioned application with regard to the SMA permitting requirements specific to your division. Please respond by returning this cover memo form bv January 31, 2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume 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 1ce of the Commission staff at 587-0251.

CI:ss

RESPONSE:

Sincerely,

W.f7f1 1't


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

[ ] Other relevant rules/regulations, infonnation, or recommendations are attached.

[ ] No objections

[ ] Other comments:

Contact Person: ___________________ _ Phone: _______ _

Signed: ________________________________________ ___ Date: ________________ _


o




January 2,2007

Mr. George Tengan, Director Department of Water Supply County ofMaui 200 South High Street Wailuku, HI 96793

Dear Mr. Tengan:

Well Construction/Pump Installation Permit Review Well Construction/Pump Installation Pennit Application

Hookala-Caro Well (Well No. 5513-03)

PETER T. YOUNG CtwRPERSON



STEPHANIE A. WHALEN


Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installation pennit application. If you have any comments on this application, please submit them by January 31, 2007. Ifwe do not receive comments we will assume you have no comments.

If you have any questions about this pennit application, please contact Charley Ice of the Commission staffat 587-0251.

CI:ss

Sincerely,

W!in 1't


CO~SION ON WATER RESOURCE MANAGEMENT 0 ROUTE SLIP FOR NEW APPLICATIONS

FROM: CHARLEY DATE: 27-Dec-06 SUSPENSE DATE:

CHING, F. FUJII, N.

4 NAKAMA, L. 1 Approval

NAKANO, D. ~Signature GOODING, K.--

1 HARDY,R. * HIGA, D.

-3-OHYE, M. _3_'nformallon SAKODA, E. SWANSON, S. I

-2-HOAGBIN, S.--

ICE, C. IMATA, R. KUNIMURA, 1.-

--UYENO, D. J:g --YODA, K. ,,~-

==YOSHINAGA, .

WELL NUMBER 551? -oB o WELL CONSTRUCT/ON

l-\.nol~ WELL NAME HoOlraWe Caro

o PUMP INSTALLATION

ATTACHMENTS FOR APPLICATIOZROCESSING - Both applicant & staff generated 1 TRANS. LEITER 2 PERMIT PROCESS TABLE .......::!.L 3 CWRM MAP -,f, 4 APPL. FORM (11 COPIES) ? 5 USGS MAPS (11 COPIES) =F 6 TAX MAPS (11 COPIES) . 7 PARCEL OWNER VERIF. MLS PRINTOUT 8 CONTRACTOR VERIF. ~ DCCA LICENSE SCREEN PRINTOUT 9 ALL INFO FILLED IN ----:r-_'_ f\.o ttf> ~~

10 BACKGROUND CHECK ~ 11 $25 FEE DEPOSIT SLIP ~

3-Jan-07

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

f4 BOTH

12 DHP/CDUP/SMA pre·Bcre.n .....b£A.. (SMA map printout http://gis.hicentral.com/website/parcelzoning/viewer.htm.,or INGRID'S SMA/CD MAP) (LUC map printout http://luc.state.hLuslluc_maps.htm., or INGRID'S SMA/CD MAP)

FOLDER:~ 5ZI MADE NEW FILE FOLDER, ATTACHED o FILE FOLDER ALREADY MADE, IN FILE CABINET

INCOMPLETE ACTION DATES:

DATE ACTION

QRTMENT OF LAND AND NATURAL RESO~S OCUMENTNO· -- UAC OR ATTACHED WORKSHEET DATE: December 27.2006

SRC/ COST : YR APP D OBJ CTR PROJECT PH ACT AMOUNT NAME/DESCRIPTION (\,/\fANG INPUT)

, 07 326 C 1026 0752 (1 ) $25.00 Wailani Drilling Inc. (Ck #21638)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $ 25.00

:MARKS: LINE (1) Hoolawa Caro LINE (2) LINE (3 LINE (4) LINE (5) LINE (6) LINE (7) LINE (8) LINE (9) LINE (10)

STATEOFHA~ 0 DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT APPLICATION FOR A WELL CONSTRUCTION I PUMP INSTALLATION PERMIT

ItructlOns: Please print in ink or type and send completed application with attachments to the CommiSsion on ~er Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. Application must be accompanied by 10 )Ies. a~d a non-refundable filing fee of $25.00 payable to the Dept. of Land and Natural Resources. The mmlSSlOn may not accept incomplete applications. For assistance, call the Regulation Branch at 587-0225 For !her information and updates to this application form, visit http://www.hawaii.gov/dlnr/cwnn. .

VELL LOCATION INFORMATION STATE WELL NO. (if already assigned) 3. ISLAND 4. TMK

~:

ER'S NAME/COMPANY

For OffiCi1lt ~t~lrv E D

~s DEC 26 A9: 43

I Landowner's Fax

ROPOSED WELL CONSTRUCTION PROPOSED PUMP INSTALLATION Pro~WOrk ~Construct New Well o Modify Existing Well o Abandon/Seal Well

8. Con~ion Type [3'1)rilled o Dug o Shaft o Tunnel

s this well part of a battery of wells? 0 Yes No

10. Proposed Work EHnstali New Pump o Replace Pump

11. Proposed Pumping Rate, gpm (gallons per minute)

C M 12. Proposed Amount of Withdrawal, gpd (gallons per day)

13. Method of flow measurement o FJpwmeter ~penPipe o Weir o Orifice o Other (explain)

Proposed Surveyor name and license number (a survror Is required for all ell Construction Permits and may be required for some Pump

Installation Permits) £, V ~\"eV'£l. 4f--~ 76 ~OPOSED USE

unicipal (water systems serving greater than 25 individuals or 15 service connections)

16. Domestic Number of units to be served:

17. Industrial (describe)

18. Irrigation (describe crop and no. of acres)

19. Military (describe)

ZOo Other (describe)

'HER LEGAL REQUIREMENTS If required! items 21. and 22. must be obtained before the Commission can legally issue a permit:

Conservation District Use Permit (CDUP) ~uired, CDUP # date approved ___ _ ~ot Required (attach documentation from OCCL) have not checked with OCCL about whether or not a CDUP is required. I understand that checking with OCCL prior to making this application will !xpedite my review. I further understand that issues raised by this agency may delay or result in denial of the permit issuance, or revocation of the :l8rmit after it is issued.

!equired, SMA # :> V'\ ~ J ~ date approved \~ t!J b ~K..erM-b. (p Special Managem~nt A~iie IJl (Sw,P) ~ / t L/

lot Required (attach docu~tiOllfrOfJl apprrcable County en t have not checked with the county about whether or not an SMA Permit is required. I understand that checking with the County prior to making this Ipplication will expedite my review. I further understand that issues raised by this agency may delay or result in denial of the permit issuance, or evocation of the ermit after it is issued. Historic Preservation Division (HPD) of the Department of Land and Natural Resources have consulted with the HPD regarding potential impacts of well construction activities on historic sites. I have attached applicable documentation

rom the HPD. have not consulted with the HPD regarding potential impacts of well construction activities on historic sites. I understand that checking with the HPD

lrior to making this application will expedite my review. I further understand that issues raised by this agency may delay or result in denial of the tarmit issuance, or revocation of the rmit after it is issued. Additional the histo of ast land use is attached. tional remarks, explanations, etc. (attach additional sheet if more space is needed)

E: Signing below indicates that the signatories understand and swear that the information provided is accurate and true to the best of their knowledge. tar, the signatories understand that upon permit approval: 1) the proposed work is to be completed within two (2) years ofthe approval date; 2) the actor shall submit to the CommiSsion a well completion/abandonment report within 60 days after the completion date of the permitted work; 3) in the I that the application is not completed correctly, any permit may be suspended until the item is brought in to compliance, and any work done while the it is in sus nsion ma resuH in fines of u to $5000/da . <'ELL DRILLER (Must be filled out if application is for Well Construction) 25. PUMP INSTALLER (Must be filled out if application is for Pump Installation)

I~ ~."Q2,~ c\M.c.. ac>\(~ <="- S~ ~~ou5' ,~ee business name . , C-57 License No. Licen~ business ~ _ ;z;jJC-57a1A License No.

~~ MiJ.,,,\lk~tr{-»~ 10.14.1 lcj. ~""Q~ I;J~ ,(Ob Iture Print Date ~ Signature Print Dale '

I. ~ lSoa'\C; P~~:t ,c.:,11, 4IiiC:..,..:::.-=S::";~~,,,,-__________ _ 1oJ", \~c:..",e ~ Address

<* M 5 N I C. C>~ .",.~"..--_____ ":~ ____ _

E-mail Phone Fax

ISS

E-mail Fax

VllCPI Application Form 0511212005

o o

PROPOSED WELL SEcnoN (PfHstj attach schematic if diffetent from diagram provided below)

,-Hole Diameter: l i1. Sin.

Elevation at top of casing ft., msl* le-• Minimum of 2' Radius & 4" Thick Concrete Pad (to contain benchma

8~ ~8 surveyed to nearest 0.01 ft.)

0.<1, .q" r Ground Elevation: lOp ft., msl* o •• t>,<l ••• r,. ••

!,I,%\ -t> •• . .. '11m.' II"""

~'.::: .:: : Please refer to the Cement Grout: tOO ft. ... ;.'.:

':.'~- :. ~. 1M WAll WILL !;;ONS:nwCTIQ~ AND (min. 70% of dis nce from '~.:.:

... ground elevation to top of :::~ PUMP INSTAU.ATIQN STANDARDS

'.:t>" water surface or 500 ft., ~);~ ~ :~::

to ensure that your as-built is in compliance with

whichever is less.) applicable standards.

- :.:: . A •• .. . . .. . .. . .. Grouting method: Annular space between hole

'::~- ::i· Solid Casing: (~ 90% x (Ground Elev.-Water Level Elev» • .6., •• : ...

and casing (1.5" for positive !-.-: o Positive -.:t> ,:1>' , QO displacement, 3" for other .;.,;. ;.:' Total Length: ft. JiSPlacement [tt :'~:~:~ methods): ("

Other ',-:: .... Nominal Diameter: in .

~ V :.ll" .<1.,

in. 1>',.:1. ;:.:A Wall Thickness: .d.,S"' in. - :'-!f', :. '~: . ...

~ Bottom Elevation: 0 4. " ft., msl*

Rock or Gravel Packing: - f-

~' Total Depth Nit- ft. I Open Casing: ~rforated I~O

~ o Screen ft. Material:

I o Crushed Basalt ~ Total Length: 'to ft.

V Nominal Diameter: c.. o Rounded Gravel in.

'" I as'" 8 Wall Thickness: in. Estimated Water Level Bottom Elevation: - 'to ft., msl* ,_~'I i Elevation:

-[- note: Neither bentonite nor mud should be used in (a ft. msl* saturated zone during drilling

Open Hole:

Length: J 1 A ft.

Diameter: orA in.

- Bottom Elevation: 01 k:. ft., msl* .. .. * The approxunate 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 CompletionlWell Abandonment reports and referenced to a benchmark which has been established by a surveyor licensed by the State.

or 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 _ §! xWaterLvf E1m!jon )

Example: Estimated + 2 ft. Water Level Elev. ----. Bottom Elevation of Wen Limit:; ( 2 - ~) = -18.5 ft.

;olid Casing Material: arbon Steel: compliant with (check one or more): 0 ANSIIAWJVA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A139

And compliant with (check one or more): 0 ASTM A242 (or A606) 0 Type E 0 Type S 0 Grade B 0 Other

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

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

VC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (Check one): ~hedule 40 0 Schedule 80 0 Schedule 120

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

o Centrifugally Cast Resin Pipe conforming to ASTM 02997


o Glass Fiber Reinforced Resin Pressure Pipe conforming to AVIMIA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

.pen Casing Material: arbon Steel: compliant with (check one or more): 0 ANSIIAWNA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A139

And compliant with (check one or more): 0 ASTM A242 (or A606) 0 Type E 0 Type S 0 Grade B 0 Other

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

!3S Plastic conforming to ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 / 0 Schedule 80 IC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): Iil'Schedule 40 0 Schedule 80 0 Schedule 120

18nnoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996 o Centrifugally Cast Resin Pipe conforming to ASTM 02997


o Glass Fiber Reinforced Resin Pressure Pipe conforming to AVIMIA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

rk

WCPI Application Form 0511212005

c

~EPARTMENT OF PLANNI~~

1"'lIi SPECIAL MANAG MENT AREA ASSESSMENT/EXEMPTION FORM (SMS)

PROJECT NAME: Caro Residence and Related Improvements PROJECT ADDRESS/LOCATION: Along Honokala Road, Haiku, MauL Hawai'i 96768 TAX MAP KEY NUMBER(S): (2) 2-9-002: 026 Building Permit Application No. BT 2006/XXXX APPLICANT'S NAME:(PRINT) Joseph & Elizabeth Caro; 120 Hana Hwy., Box 9-142. Paia. HI 96779 PHONE NO. 281-1008 PROPOSED PROJECT: Construction of a 2.400 sq. ft. dwelling along with related improvements.

The proposed construction was determined to be: ~ 1. Construction of a single-family residence that is not part of a larger development;

2. Repair or maintenance of roads and hi~hways within existing rights-of-ways; 3. Routine maintenance dredging of existing streams, channels, and drainage ways; 4. Re~air and maintenance of un~ergro. und utilitv lines, including but not limited to

5. 6. 7.

8.

9. 10.

11. 12.

13.

14.

15.

wa er, sewe~ powel, and telep Ol're and minor appurtenant slructures such as pa mounteu transformers an sewer pump stations; Zoning variances, except for height, density, parking, and shoreline setback; Repair, maintenance, or interior alterations to existing structures; Demolttiqn or removal of $tructures, except those structures located on any historic site as designateCi In national or state registers; Use of any land for the pUIJ)ose of cUltlVatin~, p'lanting growing, and harvesting pl~nts\ crOp.s, trees, aM other agricultur~I, orticulturIil, or fore~try products or ann:na husbandry, or aquaculture or mancu ture of plants or amrrtals, or other agncultural purposes; Transfer of title of land; Creation or termination of easements, covenants, or other rights in structures of land; Subdivision of land into lots greater than twenty acres in size; Subdivisi9n of a parcel of land into~our or fewer parcels when no associated constructl n-ac ivities are opose' provided that an land which is so subdivide8 Shall IJqt therePfter qua iN for this excepti:rn with respect to any subsequent subdiVIsion or any of the resulting parCels; Installation of underground utilitv lines ancl appurtenant aboveground fixtures less than four feet in heignt along eXisting cornCiors; Structural anq nonstructural improvements to existing single-family residences, where otherwise permissible; and Nonstructural improvements to existing commercial structures.

Comments/Remarks: ____________________________ _

Reviewed by: __ ·.....:D~D~ ___ _ Date: __ 1.:..:21:..:5~/2::::0~06~ __ Permit.No. SM5 2006/0488

(Planner's Initial)

Pursuant to Section 22,., Chapter 205A Hawaii Revised Statutes, as amended, and the rules of the Planning _Commissions In Maui County, the proposed activity was evaluated and determined to "'NOT be a development.

Therefore, the ap~ivi~ is ,I;~E~PT from the 1~uirements of Chapter 205A, HRS.

Approved by: ' .1(. /~ /' r ,MICHAEL FOLEY, DIRECTOR Date:

(.Signature>U (/

File: SM5, CZM-SM5, asp, Zoning Enforcement and Administration Division(3), Applicant

INl.:m)MO~UUO\U4tltl_ C aroResidence\SJ\/I5Form.wpd

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

..... '1.

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.' ,,''O'''''~!f' ." I t I j' , _ , " ' -."""". ' ,h " , ," ".,"" , ,. ,,' ,,' ' _\ r, " ~>" --' , '~ , ," ' " """,' .; • " . I ' :~ \ ' '. f, ).....-' \" , I "."..:>. ' I' I 1" " ...' '\0 ( f'" 'l \' I ~. ,". "\ 'I "~."'" I~ 'i '. ,',0,"" '.,.. , '" _____ " -V' , ,j , '-'" .,j," , ,'- " .!_. :.

, ..' I I! II I ,'", ~' • ~:. :', \. . ••

'., 1/ ' .. ~......... ! " O~""'''' ,-" 1 I. '''''''; . I

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\

STATE OF HAWAII DEPAR1W3ff OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE IlANAGEIIENT

For 0IficiaI Use Only:

~ECE1YEQ APPLICATION FOR A WELL CONSTRUCnON I PUMP INSTALLATION PERMIT u6 DEC 26 A 9: 43

nstructions: Please print in .. or ~ and send COJtIF1lld If appIjc .... wIh attachnelllS to the ec.NI1·51·O'i on ~ Resource Management. P.O. Box 621. HonaIuIu. ......... 96809. AtlfiI' ....... , must be accompanied by 10 op.es and a non-ntfundabIe filing fee of $25.08 payable .., the Dept. of land and Natural Reaoun:es.. The :omtnisaion m~ not accept ~ 8P1111:..... For assisIanca, cal .. RagulafiOA a..ch 81 117-G2Z5. For Jrther InformatiOn and updates to this apple.bon form ... hIrp;/Iwww ........ goMII.kMIIL

WELL LOCAnoN INFORMATION 1. STATE WEll NO. (If already assigned) 4.1MK

The following roost be aIIached before tis . is iIIXIIII*Id .PoItion of 7.5-NinuIe Series USGS lopOgrIaptIic map (scale 1:24.000) wilt wellocIIon labeled and include tile _ 01 the quad map • Property faX map, stIoMng wellocaIion refen!l1C8d t) estaIIIshecI propesty boundaIies • Photograph ofttle proposed weI_ .A schematic . .._ ... _!oedand W8II~

\IeII Opendor'a Mailing Address

Lalllo"""5 Fax -'ROPOSED WELL CONSTRUCTION PROPOSED PUMP INSTALLATION

pr~~NewWel 8. ~Type. 10. ProposedWodl ~Consbu\ol ~ B Instal New Pump

13. Method of flow measwement o t:.Jgwmeter

o MOdify Existing WeI 0 Dug 0 Replace Pump o AbandonlSeal WeI 0 Shaft

o Tt.nteI

1iJ""'"0000Pipe h;P!;=~=~~---IOWeir o Orifice

o Other (explain) Is this well part of a baIteIy ofwels? 0 Yes No

'. Proposed SUrveyor ....... and Icanse ........ kG-requIntd tor.. ConstructIon PMnIts and may be required for some Pump Installation Permits) ~ Ji._ -- 6

G, ~~~ ~ ~(!)1 ROPOSEDUSE

1 unicipal (water systems serving gMater than 25 idwiduaIs or 15 seMce COIIlIeCtioIlS)

16. Domestic: Number of units to be served:

17. Industrial (describe)

18. Irrigation (describe aop and no. of aaes)


20. Other (describe)

"HER LEGAL REQUIREMENTS If ~ iIamS 21. end 22. must be obtained beJOre the Commis;Won can legally issue 8 permit:

Conservation DIstrict Use PennIt (COUP) ib!quired. COUP.. dale appRWed 1/01 Required (altach documeiltali",* from oca.) ---have not chec:ked with OCCL about whaCher 01' nut a COUP is sequiIed. I understand that cheddng with OCCL prior to making this application will Itxpedlte my review. I fufther undersCaItd Itat issues raised by this agency may delay or result in denial of the penni issuance. or revocation of the :lef1Ilit after it is issUed.

~equired,SMA. ~W'\ dale.....,... f.\/a~fJ' ~peciaI~m~ lot Required (anactl ~ ~ ... CouniY~ have not checked with the county about whelher or not an SMA PennI is requiIed. I undeIstand thal c:heddng with the County prior to making this Ipplication will expedite my 1eIriew. ,further undeIStaAd that issues raised by this agency may delay or MSUIl in denial Of the pennit issuance, or evocation of the after. is issued. ;tistoric PJeservation Division (J-FD) of the DepaI ..... 1I of Land and NaIunII Resoun:es have consuIIed with the HPD regM1ing poIenIIaI impadS of ... CIIIIIStIudiDIt adiI.,1 on bisIoric sIBs. I helle aIIadied appic able documentation -omtheHPD. have not consulted with the HPO teganiing potential in.,acts of wei construGtiUr.' ac:tiviie:' on historic siIes. I Ulld8lstand that ~ing. with the HPD ,rior to making.this appIic .... '" wil8Iq)8dIe my...... I fUIthar undedtIMld that ISSUeS raised by this agIII'q may delay 01' result an den .. 1 of the ennit isSUanCe. 01' rewcaIiDn of.. alerl is....... the cI land .... is IIIIadtal

::: Signing below indicaees thai the signaeories .identaI1d 8IId _ tbat the iltbmaIion pnMded is ac:curaIe and true to the best of their knowledge. er. the signatories understand thai upon pennl8IJPI"CMII; 1) the JlftlPClS8dwork is to be CCSSS;. II IIf wIhiIltwo (2)yeafS of the 8JIPI'ovaIdaIe; 2) the actor shall submit to the eon ... 1isskIn a wei ~AbaliduI""" dIpCIIl .............. c:cmpIeIion dale of the peilliilled work; 3) in the that the application is not conNI I II~. any penni may be suspended IftlI1ieIlam is brought in to oompIianc::e. and any work done while the

t is in ft!SUIt in tines of to !Ell DRIllER (MUst be ad out' " ........ is DVM CoMIRIdIIlI.) 25. PUMP INSTAllER (Must be Mad out I iIflIliIIcaIian is for Pump Installation)

~!?:e:.oia;,~ ~~~ ~t::. ~~flkenseNo. J-JJ~ M;J.t3\S\cl.try»' lata, 'rf,. ~j)~ cl:lI!O~ lure Print Dale SignaluIe Print ~ . ~ 150 a.cts ~~\.tt ,t.,,' ~~-=S:':~~L--_________ _ ss ~.:\ \<~..e ~ Address

~S.,t., 51,,1(.c\ fi MsII .c.~ =~ _____ =-----I Fax -. E-mail Phone Fax E-mail

WCPI ApplIcation Fonn 0511212005

PROPOSED WELL SECTION (PItJase aIIac:h scIIemIIIc: if..,.", ftom diagtam pnMdsd below)

Hole 0iameIer. __ .~ in.

Elevation at top of caHlg .l:2..L ft.. msI" l t Ie- Minimum of Z Radius & 4- Thick Conaete Pad (to contain benchms t- SIJnIII¥!!d to neaI1I6l 0.01 ft.)

0~ .:.; :i; ~M r Ground EIeYaIion: 180· ft., msI* ------ 11- ... .':. I W'"'' /7-.'· ....

Please refer 10 the .~ ..~ . Cement~ fl

;."< HAWAII MLl1COfWllUCDON AND :.:l "·t .. (min. 70% of from ;.. .... : .. ' PUMPINSTAI.lATJON STANDARDS ground elevation to top of ~ .... :

~:? .. : .,- to _ ... your ~ik Gin COOJpIiaaI:e with water surtac:e or 500 It. ~~~ . . *IJIiIic:abk: standards . whichewef is Iess.) "';',," .. ~. - • <.

;, ... : "

Annular spec:e between hole : .... i ",,!,.

Solid ~ P- 90% x (Ground EIev.-water Level EIev» Grouting method: :.-: .. : ~:.: and casing (1!S' for posiIiwe [] PosIIive

~ ... :.,.

ToIaIleI9h: lQt> ft. ~ "rforoller .... :" ......

~ methods): . :i.: :-:: Nominal Diameter: Co in .

'!> in. - ~V· .'. :~:.

Wallbidmess: .d-SO: in. : .. ""; ..... ;

~: .. : .;. .... : Bottom EIe¥ation: .~ fl,msI" :: ;. - l- .: JI':

Rock or Gravel Paddng:

f Tots/Depth II.Ir ft. f--., ()pen casing: ~ o Screen I ~O ft. Miileriat

~ [] Crushed Basal Tolal LengIh: 'to It.

t---r-/ Nominal Diameter: f- In. o Rounded Gravel . as' '" WaI Thidmess: in. .

Estimated Water l.eveI Bottom Elevation: - ~O fl,msI" ~I Elevation: I ~- noIe: ,.,.,., benIoniIe nor mud should be used in -1- l-fa fl mst" saturaIed zone dutittg drif/ing

Open Hole:

LengIh: 11 A It.

Diameter: alA in. L-~ Bottom EJavation: IH k- It., mar .. -...

The apprmdmaIe elevation must be ralanInced tD ............ (mil) at the lime of apflIe ..... Mng. Final ...... 01 ... QlIIIPGIJ8IIB .... be submI1ad in the WeI CompIatioI .... "VeII ~ •• ,..Il raparts end Ief'eI8IlC8d to a benCtImafk which has been estIbIiIhad by a SUNeJ'OI" /ic:en8ed by the State.

For non-salt .... Basal Walls· bcIMDm ..... 1Iian 01 ... should nat be deeper .... 114 01 aquifer thic:kness or,

Bottom EIeYaIIon of1Mlllinl => (w.ra. ..... - .. Ix .... "". '. )

EXan1pIe: EstimaIed + 2 ft. Waller level Bev. ...... Bottom EIeYation d \Nell Urnit .. ( 2 - ~, '" -18.5 ft.

Solid Casing 1!!J!riaI: Carbon Steel: compIIanl witt (c:hec:k one at nKJIe): [] AHSI/AWNA C200 0 API Spec. 51.. [] ASTM A53 0 ASTM A 139

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

Stainless Steel: (check one); 0 ASlM M09 (prodUction weIs) 0 ASTM A312 (monitor wells) ASS Plastic c:onfoImIng to ASTM F480 and ASTU D1527: (c:IIedI: one) 0 Sc:heduIe <to a Sc:heduIe 80 PVC PIastk confonning to ASTM F480 and(AS11l 01785 or ASTM (2241): (check one): ~ <to a Sc;heduIe 80 0 Schedule 120

Thennoeel PIastfc: (cheCk one) 0 Filament Wound Resin Pipe conforming to ASTM D2996 o Cer*ifUgaIy cast Resin Pipe confoming 10 ASTU 02997 [] Reinforced Plastic ..... PIessure Pipe confonMIg to ASTM D3517

a Glass Filer RellI'orc:ed Resin Prassure Pipe conforming to AWNA C950 o ~ FtuorocaIbon Tubing cOllfofming 10 ASTM 03296 a FEP FIuoIocadJon Tubing contarmtng to ASTM D3296

Open Casina 1Iat!tjaI: ::arbon SIMI: compliant willi (check one or more): 0 AHSMAWNA C2IIO 0 API Spec:. 51.. a ASTM A53 0 ASTM A 139

And compianl wIlh (c:hedc one at more): 0 ASTM A242 (or MOO) 0 Type E 0 Type S 0 Grade B 0 Other

Stainless Steel: (checIc one): a ASTU M09 (produdion weIs) [] ASTM A312 (monitor wells)

~8S PIasIIC conforming to ASTM F480 and ASTM 01527: (check one) 0 Sc:tI8duIe <to / [] Schedule 80 've PlastIc conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (dIec:k one): ,. Sc:heduIe 40 0 Sc:tIedute 80 0 Schedule 120

1Iennoset Ptaatfc: (check one) 0 FiIamenI Wound Resin Pipe conforming to ASTM D2996 [] CenbifugaIy Cast Resin PIpe conkInning to ASTM D2997

o Rei'Iorc:ed ~ MoItarPlwMn PIpe conformiIg to ASTM 03517 [] Glass Filer Reiftfon:ad ResIn PI8san Pipe conforming 10 AWNA C950

o PTFE F/uorocafbon Tubing conforming to ASTM D3296 o PEP Ftuorocamon Tubing confonning 10 ASTM 03296

rk

i

,

i

WCPt Application Fotm 0511212005

STATE OF HAWAII OEPAR11IENT OF lAM) AND NATURAL RESOURCES COIIIIISSION ON WATER RESOURCE IlANAGEIIENT APPLICATION FOR A WELL CONSTRUCnON I PUMP INSTALLATION PERMIT

, B

WELL LOCAnoN INFORMAnoN 1. STATE WELL NO. (If already assigned) 4. lMK

:JROPOSED WELL CONSTRUCTION PROPOSED PUMP INSTALLATION '.Pr~Work 8.~Type ~Construet New WeI ~


RIt 'CE. ,'IE 0

lEe 26 A 9 ~ ,,3

13. MeIhod of flow measurement o F=jpwmeter

o MOdify existing WeI 0 Dug o Abandon/Seal WeB 0 Shaft

o Tunnel

'0. Proposed Work B ...... NewPump o Replace Pwnp 1if""""0000p ..

t1;D!;;=::t.~;-;;-~--;OWeir o 0fIice

I. Is this well part of a baDery of weIs? 0 Yes ,., o Other (explain)

4. Proposed Surveyor ....... 1Icenee ---(II kG is twquIred for.. ConstructIon PenRIts .. may be required for some Pump Installation Permits) tt::::? ..1l_ - 6

L-I 'C.~ SII s,C!J 1 -ROPOSED USE

unicipal (water systems serving gleaterllan 25 indMduaIs or 15seMce corii'leCtiollS)

16. Domestic Number of &mils 10 be served:

] 17. InduStrial (describe)

) 18. Irrigation (describe crop and no. of aaes)

I 19. Militaly (describe)

I 20. Other (desaibe)

ITHER LEGAL REQUIREMENTS If ~ items 21. and 22. must be obtained bekn lire Commission can legally Issue a permit

I. ConMrvation DIstrtc:t Use PennI (COUP) I~, COUP. daleapplUlled __ _

Not Required (altaCh docunlelllaliDn flam 0CCl) I have not checked with OCCL about whether or not a COUP is n!IqlIinId. ,undentand 1hat cheddng with OCCL prior to making this application will expedite my review. I further undelStand thai issUes nised by this agency may delay or teSUlln denial of the penni isSuance, or revocation of the

rmit after it Is issued.

.~ Required. SMA. ::>WI\ ~ . dI*t..,...,.., a.A' ~." Special ManagerflIIlt~~' ~ Not Required (abCh 1RIm 8ft11c ....... CounlY-~ I have not checked with the counIy about whatber or not an SMA PennI is raquiec1 I understand that cheddng with Che County prior to making this application will expedile my review. I fuIttIer undeI ..... thai iSsues Ialsed by this agency may delay or result in denial of the permit issUance, or revocation of the alar I is issued. ~ PreseNaIion Division (HPD) of tile DepaIt/.1IIfIl oft..1d and NaIunII Resoun:es

I have consulted wIh the HPD IeganIing poIenIiIIt impads of ... CIIIMtniCIioP adiJiIes GIl tIisIDric ...... h8IIe aItached appit:atJle documenlalion from the HPO. I have not consulted with the HPO tegafdillg polenIi8I inpacls of wei constIUdion adiwiIies on historic sites. I w.defS'and that c:hecking with the HPO prior to ma/(ingthis appIk:aIion ....... my..... I fuIthw undet ..... tINII issUes raised by thiS agency may delay or resuII in denial of the

it issuance, or revocation 01... ... i is....... . .. fill lind use is atIadIec1

lTE: Signing below Indicates thai the .ig ....... a1dDIRItld and ___ that the iliibmaIDn PfO'4idad is ac:awate and true to lhe best of their knowledge. rther. the signabies undeIstaIlCllbat upGIl penni appn.at 1) Ibe .. aposed wart is 10 be CGtNJ'ala d wiIbin two (2) years of the approval daAe; 2) the 1lrador shaI Stbnit to the ea: ... I.Jon a well ~1doI"'" n!pOft ..... .,. ...... campIeIi:on dille of .. petmlted WOIk; 3) In the IfIt that the appIicaIion is not com;AalJed conectIf • ..,.....-may be suspended untIlbellem is brought in to cornpIanc::e, and any wort< done While the mit is in s resulin fines of to

\\Q'f ApplIcation Form 0511212005

PROPOSED WELL SECl10H (PIBarItJ 8IIIIch ar:IIemalir; if.,.,.", Iiwn diegtam ptOIIidtsd below)

Hole DiImeIer: I; .S in.

/evation at top of casing ft.. msr ~.+_ • .r;- Minimwh of 'Z Rac:ius & 4- Thick Concrete Pad (to contain benchma

~ SUIveyed to INNIf8&I 0.01 ft.)

E

r;:b .... .,; .. : ~ .... "«

~.:.;.: r Ground Elevation: 1W2 ft .• msr '7/m.\ ... . ., "ROO' """" ....... ..... Please refer to the :::-

Cement~ ft. ;...: : .... f" • .... 7· HAWAII WIU, CONSTllUCTlQt! AND

(min. 70% of from ;., .... ';. .a.:; ground elevation to top of

~f ~~~ PUMPINS'IAU.ADON §IANPABDS

water surface or 500 ft.. .. _ ... your as-IJoilt is ia c:ompIianc:e with

whiche¥er is Iess.) appIieablc standards.

- ::~: ~ .. : '.

Grouting method: Annutar space between hole : .... f .... ~. ~:~ t!-:.: Sold casing; ~ 90% x (Ground EIeY.-water l.aveI EJev»

aNt casing (1.5" tor posiIMt o Positive .-:,;;

~ 'S'toroller ~7' .:-- Toial LengIb: IDb ... :. ft.

~ ~ .......

methods): "t\' G, :~.:

..... Nominal Diameter. in.

~ _I---V ' .. in. .'. '<. WaI Thk:kness: .~~ in. :.-; ...... ;

;. .... : ;:: .. 8oItom Elevation: 0 ft.. msr ::;. :~;. Roc* or Gravel PacIdng: -f-

~ ! Total Depth tJ.~ ft. r---, ~ Open Casing: ~ I~O Miit8riat

a Saeen ft.

o Crushed Basal l ~ T oIaIlet1gIh.: tfo ft. Iii

o Rounded Gravel / NomInal Diameter. r- in. u V/

I as' ,. WalllIicMess: in. Estimated water l.aveI Boltom Elevation: - CfO ft •• msr I Elevation: I ~ -(-....L.. note; Neither benlorJile nor mud should be used in

(Q ft. msI" salUt'afed zone C1uring drilling

Open Hole:

LengIh: jlA ft.

Diameter: alA in. ! L- Mk Boltom Elevation: ft., ms\* ..-v

"The eIrMdion must be , approximate .... ad to ..... _ .... (mil) at the time of appIIcaticln Mng. FinalelaitlllliDns of ... CIOInPGI-* .... be submlIled in the wall co. ........ Alaldoltment ...... and refentnced to a bendlmark which hal been ......... by • ~ licensed by the State.

'or /1OfH81t water Basal WeIs - boIkIm .. Ilion of ... should not be deeper IhIn 114 of aquifer thickness or,

BoIlom EIavaIion of WeI UnI = (waIar aru .... _ 4J 1l .... ~f.ImI!i!II )

Example: EsIirrIMed + 2 It w.r Level EIev. -. Bc80m Elevaton of WeI LImit = (2 - ~) '" -18.5 It.

.olid Casing Material: arbofl Steel: compliant will (check one Of more): 0 NSAWNA C200 0 API Spec:. 51. 0 ASTM A53 0 ASTM A 139

And compliant with (check one or more): 0 ASTM A242 (or AB06) a Type E 0 Type S a Grade B 0 Other

tainless Steel: (check one): 0 ASTM M09 (pIoduc:tion well) 0 ASTM .0.312 (monitor wells)

as Plastic conforming to ASTM F480 aNt ASTM 01527: (dIec:k one) 0 Sc:hMIuIe 40 0 Schedule 80 Ie PlastIc conforming to ASTM F480 and (AS1lI 01785« ASTM D2241): (check one): ~ 40 0 Schedule 80 0 Schedule 120

l8f1I1oset Ptastic: (check one) 0 FIlament Wound Resin Pipe conforming to ASTM D2996 o ~ Cast ReUl Pipe confon.ing to ASTM 02997 o ReinfoICed Plastic Mortar Pressure PIpe conforming to ASTM 03517

o Glass FiJer ReIItforoed RaUl Pressure PIpe c:onfonnIng to A'NWA C950

o PTFE AIarocarbon Tubing c:onfonning to ASTM 03296 o FEP Fluorocarbon Tubing conforming to ASTM 03296

pen Casing Material: rbon S1eeI: compIiai'It wiIh (check one Of more): 0 NfSVAWIiA C20D [J API Spec:. 51. 0 ASTM A53 [J ASTM A 139

And compIient wIIh (check one or more): 0 AS1U A242 (Of A606) [] Type E 0 Type s a Grade B [J Other

In'" Steel: (check one): 0 ASTM A409 {produetion wells) 0 ASTM A312 (monitor wells)

S Plastic conforming to ASTM F480 and AS11I 01527: (cheCk one) D Schedule 40 / 0 SdIeduIe 80 :: PlastIc confoIming to ASTM F480 aNt (ASTM 01785 or AS11I [)2241): (dJeCk one): IifSc:hedUle 40 0 &:heduIe 80 0 Schedule 120

lI'II'Ioset~: (che<;k one) 0 FlIamefC Wound Restn PIpe conIOrming to ASTM 02996 o Centrifugally Cast Resin PIpe confOrming to ASTM D2997 D ReInfon:ed Plastic Mortar PIesaure Pipe c:onformitg to ASTM 03517 o Glass FiJer ReilIfon::ed Resin Pressure PIpe conforming to AWWA C950

o PTFE FIuoRIcaIbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing confofming to ASTM 03296

WCPt Application Fonn 05112/2005

•~ :::~~~ANDNATURALRESOURCeS

COMMISSION ON WATER RESOURCE MANAGEMENT APPUCATION FOR A WELL CONSTRUCTION I PUMP INSTALLATION PERMIT

II'I8trudIons: Please print in ink or 1we and send 0CIiIIIP11I'. ~ eppIclllion ... aIadwnenIs to the Commission on Nater Resource Management. P.O. Box 621. Honc*JIu. ..... 96809. ApflIk:aIIon muet be ~ by 10 :opies and a norwefundabIe Mng fee 01 $Z5.OO .,.,... II) the DIIpl 01 UnS and NIIIuraI ReIcJuR:a. The :ommission may not accept inaImpIBIe appIkaIIaN. For .·11 ...... cal the RagI ..... Blanch at 517 .... For lllther InfonnaIion and updates to thisllllPici8lion form. .. hIfp:IIWww.h8wai.~.

WELL LOCAnoN INFORMATION


~ECEIVED

DS DEC 26 A 9: ~ 3

r:'fjV,'~I~SI,\!tl f'\lJ VU TP' \7\)\ ' ,..,.,.. ., .. [, 1 ,l' .... r\

RES " ·"Cr. r) 1 'j! ,,~\.,.., '·r ~, UI;,\ l~ ,j'\, 1\1~:;L:.fTlt-it

1.STAl'EWElINO:(I ... ·aSsigned) T~~= Q. G-o T4:-lMK 3.1S1.AND ~ -!:L -fJ(J:l..: o~,

_ sec DIal --;;a;;;-~: The following must be aIIached befOIa .. appa:aiiIln is aa:epIed

.PQftion of 7.5-4finute SeIiea USGS tDpographIc map <-=- 1:204.000) Will welloI:aIon labeled IRS indude 1he name of1he quad map • Properly tax map. shoWIng welloc:aIIDn retereIlr:ed to I tJIstted IIfQII8fty ~ • Photograph oflhe proposed wei lie .A schematic diIIar.Wn showing the weide. access 1OiIII81d1ll\1l108lld well i'trIaWur::Ue

s.:t:eLI:NAMEJaM'ANY I~~~ 18.~~ """ Operator'a MiilllillgAddAlla . I ~ MIhss

~a.'---L ~::~ 1t.--=FaX

·ROPOSED WELL CONSTRUCTION 'ProJiIgsed WOrt 8. ~ Type ~Construct New Well B15fIIed o Modify Existing WeI 0 Dug

PROPOSED PUMP INSTALLATION 10. Pnlposed Wort B hiIiiiW Maw Pump o Replace Pump

T-'---- s contaa

<!:~~

I~~ 13. Method of flow measu/ement

~ o AbandonISeal WeI 0 Shaft

o Tunnel t1;p!;;;;;~;!;;~..:..-----t0Wlilir o Orifice

J I 0 Other (explain) Is this well part of a battery 01 wells? 0 Yes • No

I. ::='"=--u--v-:1::::5"7?~~ ___ "--fW""-ROPOSEDUSE

~unicipaI (water systems $8Mng gIB8Iar than 25 RIiIiduaIs or 15 servICe cow.ledions)

16. Domestic Number or unIs to be served: -;;r 17. Industrial (desaibe)

18. Irrigation (describe crop and no. 01 acres)


20. Other (describe)

"HER LEGAL REQUIREMENTS ,,~items 21. and 22. must be CIIIfIIi_"'" the CommlisaiDn can IBgBIIy issue. pennit:

COiiseMdtOn DIstrict Use Penni (COUP) ~uifed. COUP" dale approved kit Required (aItaCh documenlaIion fRJm oca..) ---have not cheCkad wIlh OCCL about whether or IlOl a CDlF is ntqIIRd. I undet ..... that c:IIICkIng witt OCCL prior to making tis application will .xpedile my review. I fuIttIer widelstand thai issUes railed by this agency mar delay or R!SUI in denial or lie penni isSIBICe,. or rewcation of the lefmit after It is isI5uad.

::ifed. SMA.. "" dale apptOVed f!J' "81~~ lot Required (atblCh ~ appIcaNa County~ have not checked wIlh the counlY abed ...... or Il0l .. SMA Pennit is R!IqUinId. I UIIderstMd that c:t.eddng willi lie County prior to making this ppIicalion wit expedIe my review. I bther Uiidei ..... thaI __ ...... by this agency may deIIIy or .... in deniIII 01 the permit issuance. or ~vocaIiOn of the oennI after It is issued. iiStorlc Preservation Oiviston (HPD) of the DePidn-1l 01 land and Natur8lReSOuroes have consulted with the HPD IeganIng potential impads 01 ... construc:tion adMIies on historic sites. I have aIIached applicable documentation omtheHPD. have not consuIed with the HPO ...... 19.,.,...... inIpIcIs 01 ... COI1IIIUdion adioIiIies on historic .................. that c:bedIing with the HPD nor to making:this IiIPIAk 1lI •• ,"""-' my ............ undW .......... --...... by this IIgIIftq' mav deIIIy or result in denial of the armit iSSUanCe. or revocation of the oermI ... It is Issued. AdcIlionaItf. the IIIMOrY 01 past land use is attached. Ional remarks. exiiIiftations. elf:. (iti8ch addiIionaI sheet if more space is needed)

:: Signing below incIicates thai tile signaIIDIieIa ........... MIl ............ ilibir .. lolt provided is ~ and true to the beSt of their knowledge. lr. the signatorieS understand that upon pemtIl appnMIt 1) the proposed work is to be COR14lleted wiItm two (2) years of the approval date; 2) the tetor shall submit to the Commission a WIllI ~.~ fepoIt wihin to days alter the completion dale 01 the permitted work; 3) In the that the application is not CD11Jllated c:orredIJ • .." penni Jnaf be suspended _ .. lam is bnIught in 10 compIiaI1at. and flAY work done while the : is in sa--... mav resuI in Ines 01 UD to 15IJOOidiav_ ELL DRilLER (IIII8t be .. aut ' ...... 11\ 1s ..... CGiMHa:lDiiO 25. PUMP i\lSrAU..ER .... be tIaIt aut 1 ""* ..... for Pump Instll.fen)

~ D.jgJ;'~ at>\\> & S~ ~(~ rr~ "';J.&'~";a'a,!~ ~~- alA::r;Joc. ure 'Pm Dale. t SignaUe ~ . ~ 1504'\5 fk\tt ''-1'' ~~-=-S::..CV:y~.&-.. __________ _ IS ~.:, ~,..e d AddIeIs

l81'-' 51,,1(.'\ Q .sf ,c.o-. =~-----=-----Fax E-mal Phone Fax E-maH

WCPt Application Form 0611212005

PROPOSED WELL SEC110N (PItJeIe tJIItIt:h __ naIr;,..,.." tom G1iagram pIfNided belOw)

Hole Diameter: I il ,S in.

Elevation at 10p of casing ft..msrl • I c-- Minimum of 'Z Radius & .. - Thick Conaete Pad (to contain benchma

f-- J SUM!yed to nearest 0.01 ft.)

0~ ~ ~ i~ Ground EIevaIion: ,eD ft.. msr ....... ",.'C ... :c

//-"". .•. ~-' ' •• , "',.," rt-"""

::':" Please refer to the •. ~. Cement Grout ~ ft. ;."<

: .... l .:~-.. UAl!~ WELLCONSTBl!CTION AND (min. 70% of from .;.. .... ~ ;.:; ground elevation to top of .::~ ::; PUMPINST6 I .1.ADON STANDARDS water surface or 500 It. ~~~ : :=: to _ ..... your as-bailt is ia c:ompIiante with

whic:hfwer is less.) ............ apPlicable standards. "~ ..

- _"6: :~: ~" .. : '.

Grouting method: Annular space between bole ::i .. ~ .. ~".: , .... : Sold Casing; ~ 90% x (Ground EIe¥.-water Level EJev»

InJ c:asing (1.5" for poeitiIIe a PositiVe :: ;. dispIac:eIJIeMt ~ for ohr ~

.... : .. Total Length: '00 ft .

~ .... "-

methods): :!': ~ .. ;:. ..- Nominal Diameter: in .

~ V' ;.:. .. ~ . a.~ in. -I-- : .. -; ...... i WeI Thickness: in.

~ .. ~ ;.:: .. 8oftom Elevation: t"> ft., msr Rock or Gravel Pacti1g: -~ ~

TotalOepth /J.1r- ft. Open casing: ~ I- o Screen I~O Miil8riat ft. ~ a Crushed Basalt TOIaIl.ength: 'to ft.

~/ NomInal Diameter: t'-o Rounded Gravel ~ in.

,., 1 as'"

~ Wall Thickness: in.

Estimated Water level '10 8oftom Elevation: - ft.,msr Elevation: ~] -+ note: NeiIher benbJile nOT mud should be used in

to ft. msf" I safInIed zone dUtiiIg drilling

Open Hole:

length: 1} A ft.

Diameter: alA in.

Bottom Elevation: J\t k " ....... ft., msl*

* The oUnaee el8'walioh must be .eIanenced to ..... appri _ ... (....,

at the time of applQltilIII", Final eIevaIiDIa or ... CDIIPOI ..... .... be submitted In the \\WI ~·NeI AbancbIlMl1l NPQrts and refefenced to a benchmark Whicb has been estIiIbIIIhed bf a uwyor licensed by the State.

=or non-saIt water Basal WIllIs - baftom alelf8liDn of W81lIhouId not be cIiIIIII*" 114 fII aquiIer thicknesa or,

Bottom Elevation fllWIII UnI = (weier EIIMllioil - 4hWW"7'B . • )

exampte: Estimated. 2 ft. Wallar level BfN. -to BoHom EIeYaIioR d WeI LImit .. ( 2· ~) '" -18.51t.

;olid Casing Material: :arboft Steel: compliant wiIh (check one or more): 0 NtSIJAWNA C200 0 APt Spec.. 51.. a ASTM A53 a ASTM A139

And compliant with (check one or more): D ASTU A242 (or A606) D Type E 0 Type S 0 Grade B 0 Other

taln .... steet (check one): a ASTM M09 (production wells) 0 ASTM A312 (monitor wells) as Plastic confOPning to ASTM F480 and ASTM 01527: (dIec:k one) a SdIedute 40 0 Schedule 80 vc PlastIc confOrming to ASTM F480 and (ASTU 01785 01 ASTM 02:241): (chec:k one): ~ 40 D Schedule 80 a Schedule 120

l1ermoeet Plastic: (check one) D FIlament Wound Resin ~ confomling to ASTM D2996 o CeI*fugaIIoJ Cast Resm ~ COI\fonning 10 ASTM 02997 D Reinforced Pfastic MoIIar PIessufe PIpe conforming to ASTM 03517

D Glass Fiber ReirIfoIC:ed Resin Pressure Pipe conforming to A'WWA C950 o PTFE Fluorocarbon Tubing confocmtng to ASTM 03296 D FEP FIuoiOC:arbon TUbing conforming to ASTM 03296

lpen Casino Material: trbon Steel: compliant with (dleck one or more): D AHSfIAWNA C2fIO 0 API Spec. 51. a ASTM A53 0 ASTM A 139

And compliant with (check one or mcxe): 0 ASTM A242 (or A606) a Type E 0 Type S 0 Grade B 0 Other unless Steel: (check one): 0 ASTM A409 (produc:lion wells) 0 ASTM A312 (monitor wells)

IS PlastIc conforming to ASTM F480 and ASTM 01521: (check one) a Schedule 40 / a Sc:heduIe 80 C PlastIc conforming to ASTM F..aD and (ASTII 01785 or ASTM [)2241): (dleck one): fI Sc:heduIe 40 0 Sc:heduIe 80 0 Schedule 120

mnOHt PIestIc: (check one) 0 FRarnent Wound Restn ~ conforming to ASTM D2996 a CentrifugaIy Cast Resin PIpe COI1bming to ASTM D2997 o Reil10rced Plastic Madar PIessuIe f;)e conforming to ASTM 03517 o Glass Fiber ReiIIfon:ed ReJIn Pressure PIpe conforming to A'WWA C950 a PTFE FIuoRIcarbon Tubing confonning to ASTM D3296

a FEP Ftuoroc:amon Tubing confonning to ASTM 03296

rk

WCPt Application Fonn 0511212005

Documents

Honokali-Caro Well (5513-03)Honokala-Caro Well (Well No. 5513-03) is complete and acceptable and welcome you as a new member to the community of well owners and groundwater users in