PUMPINSTALLATIONPERMd Sherrill Well, Well No. 2144-01 · o C1 WELL CONSTRUCTION PERMIT Sherrill Well, Well No. 2144-01 Note: This permit shall be prominently displayed at the construction

LINDA LINGLE GOVERNOR OF HAWAII

Ms. Tracie Sober Valley Well Drilling, LLC 91-458 Komohana Street Kapolei, ill 96707

Dear Ms. Sober:

o d

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOX 621

HONOLULU, HAWAII 96809

August 16, 2010

Pump Installation Permit Sherrill Well (Well No. 2144-01)

LAURA H. THIELEN CHAIRPERSON

WILLIAM D. BALFOUR, JR. SUMNER ERDMAN NEAL S. FUJIWARA

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

LENORE N. OHYE ACTING DEPUTY DIRECTOR

Ref: 2144-01.pip

Enclosed are two (2) originals of your approved Pump Installation Permit for the captioned welles) that authorize permanent pump installation work for your welle s). As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 14:

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. 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. Also, please contact the Noise Radiation and Indoor Air Quality Branch at 586-4700 to check compliance with construction noise permit requirements for this project.

3. 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/cwrmlforms.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 copy to the Commission office 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 Ryan Imata ofthe Commission staff at 587-0255.

Sincerely,

k~.~(L, ~ LAURA H. THIELEN r

Chairperson

Enclosure

c: Les Sherrill (with applicable comments - DOH WWB, CWB) USGS

--------------------,--,-,---------------- -

__ PUMPINSTALLATIONPERMd Sherrill Well, Well No. 2144-01

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

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the pump installation for Sherrill Well (Well No. 2144-01) at TMK 4-2-098:005, Oahu, 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 (HAR).

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 50 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 pertnittee 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 sixty (60) days after completion of work (please contact staff or visit www.hawaii.gov/dlnr/cwrm/resources _permits.htm for current form).

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

9. The pump installation permit application and, if relevant, any related staff submittal approved by the Commission are incorporated into this permit by reference.

10. If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

11. Any variances from the HWCPIS shall be approved by the Chairperson prior to invoking the variance.

12. 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.

13. 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.

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

Date of Approval: Expiration Date:

July 12,2010 July 12, 2012

~ -~ ~'1: '<f" LAURA H. THIELEN, airperson 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.

fustaller's Signature: C-57, C-57a, or A License #: C Date: ------

Printed Name: Tracie Sober Firm or Title: Valley Well Drilling, LLC

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

Attachments

----------------


Ms. Tracie Sober Valley Well Drilling, LLC 91-458 Komohana Street Kapolei, HI 96707

Dear Mr. Sober:

o


COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOX 621


August 16,2010

Well Construction Permit Sherrill Well (Well No. 2144-01)



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

LENORE N. OHYE ACTING DEPUTY DIRECTOR

Ref: 2144-01.wcp

Enclosed are two (2) copies of your approved Well Construction Permit for the captioned well(s) that authorize well construction activities but excludes installation work for a permanent pump. As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 17:

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. Also, please contact the Noise Radiation and Indoor Air Quality Branch at 586-4700 to check compliance with construction noise permit requirements for this project.

2. The well shall be grouted in lifts in order for the PVC casing to exceed the 200' limit described in Section 2.4(d) ofthe Hawaij Well Construction and Pump Installation Standards.

Please refer to the Permit Processes Worksheet (transmitted with your acknowledgement letter) for further information 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 permit originals and return one copy to the Commission office for our files. For copies of the aquifer pump test worksheet, please call staff or visit www.state.hi.us/dlnr/cwrmlforms.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 Ryan Imata of the Commission staff at 587-0255.

Sincerely,

k\\-.~ ~ LAURA H. THIELEN

Chairperson

Enclosures

c: Les Sherrill (with applicable comments - DOH WWB, CWB) USGS

-

o C1 WELL CONSTRUCTION PERMIT

Sherrill Well, Well No. 2144-01 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 Sherrill Well (Well No. 2144-01) at TMK 4-2-098:005, Oahu, 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.

\3.

14.

15.

16.

17.

The ChailP-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 (HAR).

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 a pumping test in accordance with the HWCPIS (the latest pump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrmlresources-permits.htm). The permittee shall 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 pump installation permit is approved and issued by the Chairperson. No WIthdrawal of water shall be made for purposes other ilian 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. If it can be shown that the well does not tap basal ground water then this condition may be waived after consultation with and acceptance by Commission staff. However, in no instance can the well tie drilled deeper than one-half (1/2) of the theoretical thickness without Commission approval.

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.

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' State Historic Preservation DiVIsion. Work may recommence only after written concurrence by the State Histonc Preservation Division.

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/cwrmlresources_permits.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 construction permit application and, if relevant, any related staff submittal approved by the Commission are incorporated into this permit by reference.

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), HAR, 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 m accordance with §\3-168-12(f), HAR.

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

Date of Approval: July 12,2010 Expiration Date: July 12, 2012

~ LAURA H. THIELEN,Cha~rson 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 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 #:

Printed Name: Tracie Sober

C-24947

Firm or Title:

Date:

Valley Well Drilling, LLC

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

Attachment

----------------------------_. ----------------------...

fl,MMISSION ON WATER RESOURCE MANAGEM' ROUTE SLIP FOR PERMIT ISSUANCE 1/22110

FROM: RYAN DATE: 6/10/10

TO: INIT. TO:

CHENG, C. 4 KAWAHARA, K. CHONG,R. KIMURA, J. DANBARA, S. KUNIMURA, I. FUJII, N. OHYE,L.

-1-HARDY, R. l\ -3-OSHIRO, K. -2-HOAGBIN, S. UYENO, D.

ICE,C. YODA, K. -5-IMATA, R. YOSHINAGA, M.

WELL NUMBER 2144-01 WELL NAME

application type BOTH 1 WCP COVER LETTER ~ 2 WCP =z..-3 WELL CHECK PRINTOUT --lL..

proposed well section issues?

4 PIP COVER LETTER 5 PIP

COMMENTS: 6 SDWB 7 WWB 8 CWB 9 HEER

10 LD 11 HP 12 LUC not in CD 13 OCCL not in CD

date rec'd )S , S \7 X X

14 SMA not in SMA X 15 BWS (Oahu)

NOTES: DRILLER

]CO

Valley Well Drilling Valley Well Drilling 24947

INIT.

Sherrill

issues?

91-235 Oihana Street Suite A

TMK

phone fax cell

PUMP CAPACITY WELL OWNER LANDOWNER COMMENT DEADLINE 90-DA Y DEADLINE

Kapolei HI 682-1767

o o

4-2-098:005 50

Les Sherrill Les Sherrill

7/12/10 7/12/10

SUSPENSE DATE:

FOR:

Approval -4-Signature -3- Information

96707

PLEASE:

See Me -1-Review & Comment

Take Action

-2-Type Draft Type Final

File Xerox copies

if checked, send to applicant

_____________ '11P1!11!It_

D o

>'''''-

Well Background Check Well Construction Pump Installation

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

4463-05 North Point 12 NELHA C-24947 WELL 4/112009

BMW 6 Del Monte Fresh Produce C-24947 C-24947 BOTH 8/9/2007 8/9/2007

3901-01 Paumalu Sean Ginella C-24947 C-24947 BOTH

1225-03 Kilauea-KPGIIII Ahaina Hou Land, LLC C-24947 PUMP

4463-06 North Point 12A NELHA C-24947 WELL 4/1/2009

4463-07 North Point 12B NELHA C-24947 WELL 4/1/2009

4363-17 Mera 11 NELHA C-24947 WELL 4/1/2009

4363-18 Mera 11A NELHA C-24947 WELL 4/112009

4363-19 Mera 11B NELHA C-24947 WELL 4/1/2009

4363-14 Kona Blue 10 NELHA C-24947 WELL 4/1/2009

4361-01 Queen K 13 NELHA C-24947 WELL 411/2009

4363-15 Kona Blue 10A NELHA C-24947 WELL 4/1/2009

4262-05 Moana 9A NELHA C-24947 WELL 411/2009

4262-06 Moana 9B NELHA C-24947 WELL 4/1/2009

4262-04 Moana 9 NELHA C-24947 WELL 4/1/2009

5429-02 Honuhonu Honuhonu Ranch C-24947 C-24947 BOTH 10/20/2009 10/27/2009 10/20/2009 10/27/2009

4363-16 Kona Blue 10B NELHA C-24947 WELL 4/1/2009

7/19/2004 5229-05 Maui Lani 6 Maui Lani Partners C-24947 C-21896 BOTH 8/2/2004 9/21/2005 7/26/2006 6/26/2007 41712009 4/13/2009

7/19/2004 5229-04 Maui Lani 5 Maui Lani Partners C-24947 C-21896 BOTH 8/2/2004 9/21/2005 7/26/2006 6/26/2007 41712009 4/13/2009

2/23/2005 0521-10 Dry Gulch Flats William Lydgate C-24947 C-24947 BOTH 7/29/2005 811/2005 3116/2006 5/16/2006 7/29/2005 8/112005 10/1212006 10/1212006

3/1/2005 5229-06 Maui Lani 7 Maui Lani Partners C-24947 C-21896 BOTH 31712005 9/21/2005 7/26/2006 6/26/2007 41712009 4/13/2009

4/14/2005 1225-05 Kai Halalu 1 Miller Family Trust C-24947 C-29578 BOTH 4/27/2005 5/112006 8/10/2006 12/19/2006 412712005 215/2009 2118/2009 2/18/2009

11/25/2005 4527-18 Kaonoulu 5 Keuranes Ltd. C-24947 C-18254 BOTH 1/11/2006 1/18/2006 4/16/2007 4/19/2007 1/11/2006 9/16/2009

12/4/2005 3004-06 Kaala Farms 1 Kaala Farms C-24947 C-24947 BOTH 12/12/2005 12/14/2005 1211212005 12129/2005 J '7. 12/812005 3306-13 NSLF-015 North Shore Land & Farming, C-24947 C-24947 BOTH 1211212005 12119/2005 • 212912008 9/812008 1211212005 12128/2005 816/2009

1218/2005 0519-07 Miller 01 Robert J. Miller C-24947 C-24947 BOTH 12112/2005 12/19/2005 819/2006 10/13/2006 1211212005 12119/2005 712112007 3/21/2007 '1

12/8/2005 3306-14 NSLF-023 North Shore Land & Farming, C-24947 C-24947 BOTH 12/12/2005 12/19/2005 212912008 212912008 12112/2005 12/28/2005 811312009 V .-,,; ;"

Tuesday, April 20, 2010 Pagel 0/3

Approved Well No. Well Name Applicant Well Construction

Driller Pump Inst. Type Issued Signed WCR1 Accept Pump Installation

Issued Signed WCR2 Accept

1/3/2006 3306-15 Bareis Springs Orion Bareis C-24947 C-24947

4/17/2006 3306-17 Christensen 1 Christensen Brothers Constru C-24947 C-24947

9/5/2006 3306-19 NSLF-024 North Shore Land & Farming, C-24947 C-24947

10/7/2006 2710-08 Waianae-Schmidt Peter Schmidt C-24947 C-24947

3/27/2007 3306-22 Kamalani Kamalani Ranch Co. C-24947 C-24947

5/25/2007 2355-16 WG Minami 2007 WG Minami Inc. C-24947 C-24947

5/25/2007 3306-23 Payes Linda Payes C-24947 C-24947

9/25/2007 4100-06 Kawela Mauka Ex Sean Ginella C-24947 C-24947

10/30/2007 5631-08 Makalii - 05 Don Schmanski C-24947 C-24947








1/23/2008 3306-24 NSLF 11 North Shore Land & Farming, C-24947 C-24947

2/1/2008 4427-06 Kihei Fire B1 U.S. Geological Survey

2/1/2008 4327-10 Kalama Beach A U.S. Geological Survey

2/1/2008 4427-07 Kihei Fire B2

2/1/2008 4427-08 Kihei Fire B3

U.S. Geological Survey

U.S. Geological Survey



5/5/2008 0620-01 Kapaa Cannery Kauai Natural Waters, LLC

C-24947

C-24947

C-24947

C-24947

C-24947

C-24947

C-24947

6/30/2008 3554-07 Thielen-01 Anchor Construction Mgmt Co C-24947 C-24947

9/18/2008 0619-01 Mitchell Norman & Sheila Mitchell C-24947 C-24947

9/23/2008 5944-02 MW 11-7 County of Kauai - Solid Waste C-24947

9/30/2008 5641-03 KOR Lot 3 Starwood SVO Pacific C-24947

!~

Tuesday,ApriI2~2010

BOTH 1/25/2006 1/27/2006 2/29/2008 2/29/2008 1/25/2006 1/27/2006 212912008 2129/2008

BOTH 4/24/2006 4/26/2006 3/10/2008 3/10/2008 4/24/2006 4/26/2006 311 0/2008 3/1 0/2008

BOTH 9/19/2006 9/21/2006 7/29/2008 7/29/2008 9/19/2006 9/21/2006 7/29/2008 7/29/2008

BOTH 10/11/2006 10/16/2006 3/11/2008 3/11/2008 10/11/2006 10/16/2006 3/11/2008 3/11/2008

BOTH 4/10/2007 4/12/2007 111712007 5/29/2008 4/10/2007 4/1212007 8/6/2009 3/1/2010

BOTH 6/14/2007 6/18/2007 7/11/2008 7/24/2008 6/14/2007 6/18/2007 7/11/2008 7/24/2008

BOTH 6/14/2007 6/18/2007 212912008 2129/2008 6/14/2007 6/18/2007

BOTH 10/17/2007 10/29/2007 216/2009 4114/2009 12/13/2007 101212008 9/9/2009 9/9/2009

BOTH 11/28/2007 11128/2007

BOTH 11/28/2007 11/28/2007

BOTH 11/28/2007 11/28/2007

BOTH 11/28/2007 11/28/2007

BOTH 11/28/2007 11/28/2007

BOTH 11/28/2007 11/28/2007

BOTH 11/28/2007 11/28/2007

BOTH 11/28/2007 11/28/2007

BOTH 316/2008 3/26/2008 9/212008 9/24/2008 316/2008 2/9/2009

WELL 3/312008 2111/2008 6/3/2009 7/16/2009

WELL 3/312008 2111/2008 6/3/2009 7/16/2009

WELL 3/312008 2/11/2008 6/312009 7/16/2009

WELL 3/312008 2/1112008 6/3/2009 7/16/2009

WELL 3/312008 2/11/2008 6/312009 7/16/2009

WELL 3/312008 2/11/2008 6/312009 7/16/2009

PUMP 5/21/2008 11/19/2008 914/2009 9/4/2009

BOTH 7/30/2008 8/27/2008 11/5/2008 7/30/2008 8/27/2008 5/412009

BOTH 9119/2008 10/2/2008 7/30/2009 9/19/2008 211912009 9/30/2009

WELL 9/23/2008 9/25/2008

BOTH 10/3/2008 1011712008

Page 2 of3

~~;

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

9/30/2008 5641-04 KOR Lot 3 Backu Starwood SVO Pacific C-24947 BOTH 10/3/2008 10/17/2008

11/312008 3208-01 Chase Candace Chase C-24947 C-24947 BOTH 11/13/2008 11/19/2008 11/13/2008 11/19/2008

12/812008 0620-01 Kapaa Cannery Kauai Natural Waters, LLC C-24947 WELL 12/2212008 12/24/2008 914/2009 9/4/2009

1/5/2009 3306-25 NSLF 13 Menehune Water Company C-24947 C-24947 BOTH 11712009 1/12/2009 3/30/2009 3/31/2009 11712009 1/12/2009

1/812009 0519-09 Kauai Natural Art Boyer Kawaihau Partners C-24947 C-24947 BOTH 1/16/2009 1/23/2009 1/16/2009 1/23/2009

2/27/2009 0136-01 McCarty James & Victoria McCarty C-24947 C-24947 BOTH 3/5/2009 3/6/2009 7/30/2009 8/612009 3/5/2009 3/6/2009 7/30/2009 8/612009

4/8/2009 3307-24 NSLF-09 Samuel Dolman C-24947 PUMP 4/16/2009 4/20/2009

4/812009 3307-23 NSLF-08 North Shore Land & Farming, C-24947 PUMP 4/16/2009 4/20/2009

7/612009 3903-03 Kipahulu National National Park Service [011 C-24947 PUMP 7/14/2009 7/1712009 10114/200910/14/2009

716/2009 5524-01 Kauai Bottling Co Kauai Bottling Co., LLC C-24947 C-24947 BOTH 7/14/2009 7/17/2009 7/14/2009 7/17/2009

7/30/2009 3013-09 Ohikilolo Our Lady of Keaau C-24947 PUMP 9/28/2009 9/30/2009 12/28/2009

11/612009 0422-01 Makaleha Joel Calhoun C-24947 C-24947 BOTH 11/13/2009 11/19/2009 11/13/2009 11/19/2009

11/18/2009 0915-02 Popohaku-Harris Terry Harris C-24947 C-24947 BOTH 12/4/2009 1217/2009 3111/2010 4/612010 1214/2009 121712009 3/11/2010 4/612010

Tuesday, April 20, 2010 Page 3 0/3

o CI

Results

~ell Depth Theoretical Thickness of Aquifer 7380 1/4 Aquifer Thickness 1845 Depth of Well below Sea Level -20 okay Section 2.2

Well Casing Minimum Wall Thickness

Material pvc plastic Minimum Thickness per standards no requirement Wall Thickness Provided o no standard Section 2.4(b)

Minimum Le~th of Solid Casing 90% of ground to top of aquifer 18 Length of solid casing Provided 180 okay Section 2.4(c)

Casing Material Schedule 40 in compliance Section 2.4(d) (for pvc only - check for 200' limit) too deep for plastic Section 2.4(d)

Annular Space Depth of Grouting

Calculated Depth of Grouting 14

Depth of Grouting provided 140 okay Section 2.6(c) Minimum Annular Space required 1.5 Thickness of Annular Space 2 okay Section 2.6(d)


o o CHAIRPERSON


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

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

STATE OF HAWAII KEN C. KAWAHARA, P.E.

DEPUTY DIRECTOR

TO:

FROM:

SUBJECT:

DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT po. BOX 621


June 7, 2010

Dr. Puaalaokalani Aiu, Administrator Historic Preservation

Ken C. Kawahara, P.E., Deputy Directo~j,t Commission on Water Resource Manag~~ent

, I

Well Construction/Pump Installation Permit Application Sherill Well (Well No. 2144-01) TMK: 4-2-098:005

t ...0

}>

1',,) W

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

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by July 12,2010. 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 or request additional review time, please contact Ryan Imata of the Commission staff at 587-0255. If you 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 applic~n ~"n form c=t , <, a . = :~:.':-~

RI: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 permit will not disturb historic sites.

Cc= I

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

r~:·~ ~ .. ~; ;::ilfTi :;-0:;0 .....j

"NO HISTORIC PBOPSBTl. AFFECfED"

Phone:

Date:

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RECEIV[O LA.NO DIVISION

. 'LAURA H. THIELEN CHAIRPERSON

WILLIAM D. BALFOUR, JR SUMNER ERDMAN NEAL S. FUJIWARA

CHIYOME L FUKINO, M.D.

2010 JUN - 8 A to: DONNA FAY K KIYOSAKI, P.E. ~ENCE H. MilKE, M.D., J.D.

STATE OF HAWAII KEN C. KAWAHARA, P.E.

DEPUTY DIRECTOR

June 7, 2010

TO:

FROM:

SUBJECT:

DEPARTMENT OF LAND AND NATURAL RESOUR~~. r~" LI' NO & COMMISSION ON WAT;~B~;~?URCE MA~AiTI~'l.rr(ESOURCES

Morris Atta, Administrator Land Division

HONOLULU, HAWAII 96809 STATE :i F H AW I~ II

Ken C. Kawahara, P.E., Deputy Direct4r Commission on Water Resource Management

Well ConstructionlPump Installation Permit Application Sherill Well (Well No. 2144-01) TMK 4-2-098:005

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

-- .. , -"-

~~~1 !"TlfT! z;u -;


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 Ryan Imata of the Commission staffat 587-0255.

RI:ss Attachment( s)

RESPONSE:

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

kX 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

Kl Other comments: Original source of private title is Mahele Award 44: 2 issued between 1845 and 1855.

Contact Person: _____ G~a:.::r:..y~Ma=r:...:t:..::i:.:..n'____ _____ _

\

Signed:_...L..& __ -_~___;;f-1-~---~"'------

Phone: 587-0421 ---=-.::..:...--=-.:.=.::=---

Date: June 10, 2010

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To <[email protected]> "Seto, Joanna L n

<[email protected] v>

06/08/2010 05:49 PM

cc "Ledda, Madeleen $Maddie$" <[email protected]>

bcc

Subject RE: Review for Comments

Subject: National Pollutant Discharge Elimination System Regulations for the Well Construction/Pump Installation Permit Application(s) for the Subject Well(s)

Well Nos. 2583-02, 3486-09, 3787-14, 2144-01

Dear Mr. Imata:

The Department of Health, Clean Water Branch (CWB) has the following comments for the subject well(s):

1. For Well-Drilling Activities

Any discharge to State waters of treated process wastewater effluent associated with well drilling activities is regulated by Hawaii Administrative Rules (HAR), Title 11, Chapter 55, Appendix I, effective October 22, 2007, and compiled June 15, 2009. Treated process wastewater effluent covered by this general permit includes well drilling slurries, lubricating fluids wastewater, and well purge wastewater. This general permit does not cover well pump testing. The applicable Notice of Intent (NOI) Forms and filing fee shall be submitted at least 30 calendar days before the start of discharge to the:

Department of Health

Clean Water Branch

919 Ala Moana Boulevard, Room 301

Honolulu, Hawaii 96814-4920

The CWB-NOI Forms are available online at http:Uwww.hawaii.gov/health/environmental!water/cieanwaterlforms/genl-index.htm 1. Inquiries may be directed to the CWB at (808) 586-4309 or by fax (808) 586-4352.

2. For Well Pump Testing

The discharger shall take all measures necessary to prevent the discharge of pollutants from entering State waters. Such measures shall include, if necessary, containment of

______________________________________ ~f _________________ ----____ ___

------------''''''-

o initial discharge until the discharge is essentially free of pollutants. If the discharge is entering a stream or river bed, best management practices shall be implemented to prevent the discharge from disturbing the clarity of the receiving water. If the discharge is entering a storm drain, the discharger must obtain written permission from the owner of the storm drain prior to discharge. Furthermore, best management practices shall be implemented to prevent the discharge from collecting sediments and other pollutants prior to entering the storm drain.

3. For Construction Activities Disturbing One (1) or More Acres of Total Land Area

By HAR, Title 11, Chapter 55, Appendix C, effective October 22, 2007, and compiled June 15,2009, an NPDES permit or Notice of General Permit Coverage is required before the start of the construction activities that result in the disturbance of one (1) or more acres of total land area, including clearing, grading, and excavation. The total land area includes a contiguous area where multiple separate and distinct construction activities may be taking place at different times on different schedules under a larger common plan of development or sale. An NOI (see Comment No.1, above) shall be submitted 30 calendar days before the start of construction activities.

Thank you for the opportunity to comment,

Joanna

Joanna L. Seto

Engineering Section Supervisor

Clean Water Branch

State of Hawaii Department of Health

Phone: (808) 586 - 4309

Fax: (808) 586-4352

Notice: This information and attachments are intended only for the use of the individual(s) or entity to which it is addressed, and may contain information that is privileged and/or confidential. If the reader of this message is not the intended recipient, any dissemination, distribution, or copying of this communication is strictly prohibited and may be punishable under state and federalla w. If you have received this communication and/or attachments in error, please notify the sender. via e-m.ail immediately and destroy all electronic and paper copies. .

From: Susan S Hoagbin/DLNR/StateHiUS@STATEHIUS@DOHMAIL On Behalf Of Susan S Hoagbin/DLNR/StateHiUS@DOHMAIL Sent: Monday, June 07, 20104:11 PM To: Morikami, Lori N; Miyahira, Michael M; Seto, Joanna L; Palmer, Richard Cc: Ryan R Imata Subject: Review for Comments

Please respond to this email request for comments to [email protected].

« File: 2583-02.pdf » «File: 3486-09.pdf» «File: 3787-14.pdf»

o "Morikami, Lori Nil <[email protected] ov>

06/08/2010 10: 1 0 AM

o To "Susan S Hoagbin/DLNRIStateHiUS@DOHMAIL"

<IMCEANOTES-Susan+20S+20Hoagbin_DLNR_StateHiUS [email protected]>

cc <Ryan.R.lmata@hawaiLgov>, "Ryan R Imata/DLNRlStateHiUS@DOHMAIL" <IMCEANOTES-Ryan+20R+20Imata_DLNR_StateHiUS+40

bcc

Subject Review for Comments - Response

Good Morning Susan and Ryan - «TMK 315025123 13th Street - Ex Csp I 043248. pdf» «TMK 3 1 5 025123 13th Street - Ex Csp screens 10 43248.doc»

«TMK 31 300303313-252 Kamaili Rd - Csp 1 - 27761.doc» «TMK 3 1 3 003 00313-252 Kamaili Rd - Csp 2 - 29808.doc» «TMK 1 4 2 098 00542-117 Old Kalanianaole Rd - ST. doc»

We have the following for records/files for your requests:

Sweet Water Well, Well No. 3787-14, TMK (3) 1-5-062: 005 = No Records

Carols Well, Well No. 3486-09, TMK (3) 1-5-025: 123 - Cesspool New ID #43248

Lanham Well, Well No. 2583-02, TMK (3) 1-3-003: 033 - Cesspool New Csp 1 ID# 27761, Cesspool New Csp 2 ID#29808

Sherill Well, Well No. 2144-01, TMK (1) 4-2-098: 005 - Septic Tank ID# 39859

Attached are our OneStop Database screens and plot plans (if filed with us).

Please let me know if you need hard copies sent to you.

Aloha, Lori

Lori Morikami, Planner

Planning & Design Section

Wastewater Branch

Department of Health

919 Ala Moana Blvd Room 309

Honolulu, Hawaii 96814

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

email: [email protected]

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

o o

From: Susan S Hoagbin/DLNR/StateHiUS@STATEHIUS@DOHMAIL On Behalf Of Susan S Hoagbin/DLNR/StateHiUS@DOHMAIL

Sent: Monday, June 07, 20104:11 PM

To: Morikami, Lori N; Miyahira, Michael M; Seto, Joanna L; Palmer, Richard

Cc: Ryan R Imata

Subject: Review for Comments

Please respond to this email request for comments to [email protected].

«File: 2583-02.pdf»

«File: 2144-01.pdf»

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I·· fa C MISSION ON WATER RESOURCE MANAGEMENT

ROUTE SLIP FOR NEW APPLICATIONS

FROM: CHARLEY ----------------- DATE: 20-Apr-10

KUNIMURA, I. NAKAMA,L. UYENO, D.

FUJII, N.

-1-HARDY, R. -t\.-I-YODA, K. --=s:J YOSHINAGA, M. -2-HOAGBIN, S.

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SUSPENSE DATE:

Approval -3-Signature

Information

WELL NUMBER '2..' '--\ t.\ - b l WELL NAME Sherrill

~WELL CONSTRUCTION ;;a-- PUMP INSTALLATION

ATTACHMENTS FOR APPLICATION PR.0CESSING - Both applicant & staff generated 1 TRANS. LETTER ~ 2 PERMIT PROCESS TABLE ~

3 CWRM MAP ..x.. 4 APPL. FORM (11 COPIES) ./

5 USGS MAPS (11 COPIES) ~ 6 TAX MAPS (11 COPIES) ~ 7 PARCEL OWNER VERIF. ?r MLS PRINTOUT 8 CONTRACTOR VERIF. DCCA LICENSE SCREEN PRINTOUT 9 ALL INFO FILLED IN --7-

27-Apr-10

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft acknow letter

-2-Type Final, label file folder, update People.db 4 File & Input Issue Date

--Xerox copies

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DATE ACTION

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Ms. Tracie Sober Valley Well Drilling 91-458 Komohana Street Kapolei, HI 96707

Dear Ms. Sober:

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COMMISSION ON WATER RESOUR~E MANAGEMENT P.O. BOX 621


June 7, 2010




KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

2144-01.ack

Well ConstructionlPump Installation Permit Application for Well No. 2144-01

We acknowledge receipt, on April 13, 2010, of your completed Well ConstructionlPump Installation permit application and filing fee for the Sherill Well (Well No. 2144-01). 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 Ryan Imata of the Commission staff at 587-0255 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai) extension 70255.

RI:ss Attachment

c: Les Sherrill

~:?fhRA'PE V · Deputy Director

------------------------ .. '-'

o o LINDA LINGLE LAURA H. THIELEN

GOVERNOR OF HAWAII CHAIRPERSON

TO:

FROM:


COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621


June 7, 2010

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

Stuart Yamada, Chief, Safe Drinking Water Branch Alec Wong, Chief, Clean Water Branch


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

KEN C. KAWAHARA, P.E. OEPUTY DIRECTOR

Dr. Keith Kawaoka, Office of Hazard Evaluation and Emergency Response

Laura H. Thielen, Chairpersod J,r Commission on Water Reso~~~r Management

SUBJECT: Well Construction/Pump Installation Permit Application Sherill Well (Well No. 2144-01) TMK 4-2-098:005 Well address: 42-117 Old Kalanianaole Road


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 July 12,2010. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Ryan Imata ofthe Commission staff at 587-0255,


RESPONSE:

[ 1

[ 1

[ 1

[ 1

[ 1

[ 1

[ 1 [ 1

[ 1

This well qualifies as a source which will selVe 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 IS or more service connections) and must receive Director of Health approval prior to its use to comply with Hawaii Administrative Rules (HAR), Title 11, Chapter 20, Rules Relating to Potable Water Systems, § 11-20-29. .

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

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

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

For the applicant's information, a source of possible wastewater contamination 1 lis 11 is not located near the proposed well site (information attached).

An NPDES permit is required.

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

In the event that the location of the well changes but is still within the parcel described on this application, our division considers the comments to still be applicable, and we do not need to review the new location.

No comments/objections

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

Signed: __________________ _ Date: --------------------


June 7, 2010

TO:

FROM:

SUBJECT:

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Morris Atta, Administrator Land Division


Ken C. Kawahara, P .E., Deputy Direct4{tt Commission on Water Resource Management

Well Construction/Pump Installation Permit Application· Sherill Well (Well No. 2144-01) TMK 4-2-098:005



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

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




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 Ryan Imata of the Commission staff at 587-0255.


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 o




June 7, 2010

Dr. Puaalaokalani Aiu, Administrator Historic Preservation

Ken C. Kawahara, P .E., Deputy Directo~ ~ Commission on Water Resource Manag~A;ent

Well ConstructionlPump Installation Permit Application Sherill Well (Well No. 2144-01) TMK: 4-2-098:005



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


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 July 12,2010. If we 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 or request additional review time, please contact Ryan Imata of the Commission staff at 587-0255. If you 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 application form.


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 permit will not disturb historic sites.

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

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

Signed: __________________ _ Date: --------


o o




June 7, 2010

Mr. Wayne M. Hashiro, P.E., Manager and Chief Engineer Board of Water Supply City and County of Honolulu 630 South Beretania Street Honolulu, HI 96843

Dear Mr. Hashiro:

Well ConstructionlPump Installation Permit Review Well ConstructionlPump Installation Permit Application

Sherill Well (Well No. 2144-01)





Transmitted for your review and comment is a copy of the captioned Well ConstructionlPump Installation permit application. If you have any comments on this application, please submit them by July 12,2010. Ifwe do not receive comments we will assume you have no comments.

If you have any questions about this permit application, please contact Ryan Imata of the Commission staff at 587-0255.

RI:ss Attachment

sincerelY'~

f L~tH TlllELEN Chairperson

Professional and Vocational lenSing (PVL) - powered by eHawaii.gi Page 1 of 1

Business/Person Name License Location Details

VALLEY WELL DRILLING LLC CT-24947 91-458 KOMOHANA ST KAPOLEI HI 96707 II

htlp:llpvl.ehawaii.gov/pvlsearchiapp;jsessionid=7596DAID9C7F4BB9ABFD332E9BACI6... 6/2/2010

-----------' .... -

Hawari Administrative Rules Title 11, Chapter 200 M Unofficial

(c) The proposing agency or applicant shall respond in writing to the comments received or postmarked during the forty-five-day review period and incorporate the comments and responses in the final EIS. The response to comments shall include:

(1) Point-by-point discussion of the validity, significance, and relevance of comments; and

(2) Discussion as to how each comment was evaluated and considered in planning the proposed action.

The response shall endeavor to resolve conflicts, inconsistencies, or concerns. Response letters reproduced in the text of the final EIS shall indicate verbatim changes that have been made to the text of the draft EIS. The response shall describe the disposition of significant environmental issues raised (e.g., revisions to the proposed project to mitigate anticipated impacts or objections, etc.). In particular, the issues raised when the applicant's or proposing agency's position is at variance with recommendations and objections raised in the comments shall be addressed in detail, giving reasons why specific comments and suggestions were not accepted, and factors of overriding importance warranting an override of the suggestions.

(d) An addendum document to a draft environmental impact statement shall reference the original draft environmental impact statement it attaches to and comply with all applicable filing, public review, and comment requirements set forth in subchapter 7. [Eff 12/6/85; am and comp AUG 31 1996] (Auth: HRS §343-5, 343-6) (Imp: HRS §343-5, 343-6)

§1l-200-23 Acceptability. (a) Acceptability ofa statement shall be evaluated on the basis of whether the statement, in its completed form, represents an informational instrument which fulfills the definition of an EIS and adequately discloses and describes all identifiable environmental impacts and satisfactorily responds to review comments.

(b) A statement shall be deemed to be an acceptable document by the accepting authority or approving agency only if all of the following criteria arc satisfied:

(1) The procedures for assessment, consultation process, review, and the preparation and submission of the statement, have all been completed satisfactorily as specified in this chapter;

(2) The content requirements described in this chapter have been satisfied; and

(3) Comments submitted during the review process have received responses satisfactory to the accepting authority, or approving agency, and have been incorporated in the statement.

(c) For actions proposed by agencies, the proposing agency may request the office to make a recommendation regarding the acceptability or non-acceptability of the EIS. In all cases involving state funds or lands, the governor or an authorized representative shall have final authority to accept the EIS. In cases involving only county funds or lands, the mayor of the respective county or an authorized representative shall have final authority to accept the EIS. The accepting authority shall take prompt measures to determine the acceptability or nonacceptability of the proposing agency's statement. In the event that the action involves both state and county lands or funds, the governor or an authorized representative shall have final authority to accept the EIS. Upon acceptance or non-

- 25 -

Hawafi Administrative Rules Title 11, Chapter 200· Unofficial

acceptance of the EIS, a notice shall be filed by the appropriate accepting authority with both the proposing agency and the office. For any non-accepted EIS, the notice shall contain specific findings and reasons for non-acceptance. The office shall publish notice of the determination of acceptance or non-acceptance in the periodic bulletin in accordance with section 11-200-3. Acceptance of a required statement shall be a condition precedent to the use of state or county lands or funds in implementing the proposed action.

(d) For actions proposed by applicants requiring approval from an agency, the applicant or accepting authority may request the office to make a recommendation regarding the acceptability or non-acceptability of the statement. If the office decides to make a recommendation, it shall submit the recoinmendation to the applicant and the approving agency within the thirty-day period requiring an approving agency to determine the acceptability of the final EIS and described in section 343-5(c), HRS. Upon acceptance or non-acceptance by the approving agency, the agency shall notifY the applicant of its determination, and provide specific findings and reasons. The agency shall also provide a copy of this determination to the office for pUblication of a notice in the periodic bulletin. Acceptance of the required EIS shall be a condition precedent to approval of the request and commencement of the proposed action. An approving agency shall take prompt measures to determine the acceptability or non-acceptability of the applicant's statement. The agency shall notifY the applicant and the office of the acceptance or non-acceptance of the final EIS within thirty days ofthe final EIS, provided that the thirty-day period may be extended at the request of the applicant for a period not to exceed fifteen days. The request shall be made to the accepting authority in writing. Upon receipt of an applicant's request for an extension of the thirty-day acceptance period, the accepting authority shall notifY the office and applicant in writing of its decision to grant or deny the request. The notice shall be accompanied by a copy of the applicant's request. An extension of the thirty-day acceptance period shall not be allowed merely for the convenience of the accepting authority. In the event that the agency fails to make a determination of acceptance or non-acceptance for the statement within thirty days ofthe receipt of the final EIS, then the statement shall be deemed accepted.

(e) A non-accepted EIS may be revised by a proposing agency or applicant. The revision shall take the form of a revised draft EIS document which shall fully address the inadequacies of the non-accepted EIS and shall completely and thoroughly discuss the changes made. The requirements for filing, distribution, publication of availability for review, acceptance or non-acceptance, and notification and publication of acceptability shall be the same as the requirements prescribed by sections 11-200-20, 11-200-21, 11-200-22, and 11-200-23 for an EIS submitted for acceptance. In addition, the revised draft EIS shall be evaluated for acceptability on the basis of whether it satisfactorily addresses the findings and reasons for non-acceptance.

(t) A proposing agency or applicant may withdraw an EIS by sending a letter to the office informing the office of the agency's or applicant's withdrawal. Subsequent resubmittal of the EIS shall meet all requirements for filing, distribution, publication, review, acceptance, and notification as a new EIS. [Eff 12/6/85; am and comp AUG 31 1996] (Auth: HRS §343-5, 343-6) (Imp: HRS §343-5, 343-6)

- 26 -

o

e

Search Results o o Page 1 of 1

Assessed values and Building Details reflect tax year 2010 for all islands. Taxes reflect tax year 2009.

Search criteria: TMK Taxkey 1-4-2-98-5

PUBLIC RECORD DATA Taxkey Subdiv ICondo Tnr Address Owner I Lessee Bds Bths Land area Liv area Last Sale Instr

r .1-4-2-98-5 Olomana F 42-117 OLD SHERRILL, 3 5 2.00 ac 9,759 7/1/2003 DEED $1, KALANIANAOLE LESLIE R & RD LAURA K

This information has been supplied by third parties and has not been independently verified by Hawaii Information Service and is therefore not uaranteed.

Copyright @6/2/2010 by Hawaii Information Service

http://web07.hawaiiinformation.comlREsearchIHIS/Searchisearch _PUB.asp?NOCACHE= 1... 6/2/2010

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

8ARTMENT OF LAND AND NATURAL RESO_ES C DO UMENT NO.: UAC OR ATTAC HEET HEDWORKS DATE: April 14, 2010

SRC/ COST F YR APP 0 OBJ CTR PROJECT PH ACT AMOUNT NAME/DESCRIPTION (WANG INPUn

S 10 326 C 1026 0752 (1 ) $25.00 Les R. Sherrill

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $ 25.00

REMARKS: LINE (1) Sherrill Well LINE (2) LINE (3 LINE (4) LINE (5) LINE (6) LINE (7) LINE (8) LINE (9) LINE (10)

o STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

o

APPLICATION FOR A WELL CONSTRUCTION I PUMP INSTALLATION PERMIT 2111 APR 13 AM g: 30

Instructions: Please print in ink or type and send completed application with attachments to the Commission on Water Resource Management. P.O. Box 621. Honolulu. Hawaii 96809. Application must be accompanied by 10 copies and a non-refundable filing fee of $25.00 payable to the Dept. of land and Natural Resources. The Commission may not accept incomplete applications. For assistance. call the Regulation Branch at 587-0225. For further information and updates to this application form. visit http://www.hawaii.gov/dlnr/cwrm.

WELL LOCATION INFORMATION 1. STATE WELL NO. (if already assigned) 4. TMK

~ -~-.Q:rl 005

7. Proposed Work 1:% Construct New Well o Modify Existing Well o Abandon/Seal Well

8. Construction Type Ill- Drilled DOug o Shaft o Tunnel

9. Is this well part of a battery of wells? 0 Yes l£l-. No

10. Proposed Work ~Install New Pump o Replace Pump

11. (gal

12. Witt

14. Proposed Surveyor name and license number (a surveyor is required for all We Installation Permits)

Dr erYf9 PROPOSED USE

o 15. Municipal (water systems serving greater than 25 individuals or 15 service connecti

Pi! 16. Domestic Number of units to be served: I

o 17. Industrial (describe)

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

o 19. Military (describe)

o 20. Other (describe)

zone sec plat

Landowner's Contact

rkq~t not, the ctfc\ ,nutj ( ~\tch

rr tv\n~L s~~ f\ OV\ itt ~o~~ \11'\V ,~ (n ~t ~t\J\Y\bOY &

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OTHER LEGAL REQUIREMENTS If required, items 21. and 22. must be obtained before the Commission can legally issue a permit: 21. Conservation District Use Permit (COUP) o Well is in Conservation District

o Required. COUP # date approved o Not Required (attach documentation from OCCl) ----o I have not checked with OCCl about whether or not a COUP is required. I understand that checking with OCCl prior 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 permit issuance. or revocation of the permit after it is issued.

o Well is not in Conservation District RI I have not checked if well is in or out of Conservation District. I understand that checking if the well is in a Conservation District may expedite my

review. I further understand that issues raised ma dela or result in denial of the ermit issuance. or revocation of the ermit after it is issued. 22. Special Management Area Permit (SMAP) o Required. SMA # date approved .,--__ .,-o Not Required (attach documentation from applicable County agency)

parcel

DC I 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 application may expedite 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 ermit after it is issued.

23. State Historic Preservation Division (SHPD) of the Department of land and Natural Resources o I have consulted with the HPD regarding potential impacts of well construction activities on historic sites. I have attached applicable documentation

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

prior to making this application may expedite my review. I further understand that issues raised by this agency may delay or result in denial of the ermit issuance. or revocation of the ermit after it is issued. Additionall • the histo of ast land use is attaChed.

24. Water Use Permit No. (if applicable):

Additional remarks. explanations. etc. (attach additional sheet if more space is needed)

~ C\. t 11 r-(Qvtc~ VH(j rUlf\i In \1 n

lOt

NOTE: Signing below indicates that the signatories understand and swear that the information provided is accurate and true to the best of their knowledge. Further. the Signatories understand that upon permit approval: 1) the proposed work is to be completed within two (2) years of the approval date; 2) the contractor shall submit to the Commission a well completiOn/abandonment report within 60 days after the completion date of the permitted work; 3) in the event 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 ermit is in sus nsion ma result in fines of u to $5000/da .

25. WEll DRillER (Must be filled out if application is for Well Construction) 26. PUMP INSTAllER (Must be filled out if application is for Pump Installation)

Li~!~\aSi~F} la~r\ \I i OJ, LLG C-5~ ~:1 ~o. Licen~ee business name LtG c~;lc:!% License No.

111vYn ~ I'(Qcjc ~ObCY 4-\1·\0 ~ ~ lY~(\t S\)~\I A-.\~.\~ Signature Print Date Signature Print Date

q \ -t\~~ f:0\l10 \1<1 n5 St. \(i~o\-ci I t\ \ ~~]Yt q 1-45~ \<0 f\10 nq\'lq ~t . ¥:'lUO )t\ f "\ ~~3~1 Address Address t

(,81'1}(;1 0~1,-\1k~ V'f,dhl@\"I\f\.Y\ l;~l·lit,'t bn"I1Io~ \(W5b\~ft~q·Yt-r Phone Fax E-mail Phone Fax ~-mail

WCPI Application Form OS/20/2009

o o

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PROPOSED WELL SECTION (Please attach schematic if different from diagram provided below)

Hole Diameter: lain.

Elevation at top of casing 2.01- ft., msl' I.' Minimum of 2' Radius & 4" Thick Concrete Pad (to contain benchmark surveyed to nearest 0.01 ft.)

Ground Elevation· 2.0 G ft msl' ., ,. Please refer to the

Cement Grout: 11il ft. (min. 70% of distance from

HAWAII WELL CONSTRUCTION AND

ground elevation to top of PUMP INST ALLA TION STANDARDS

water surface or 500 ft., to ensure that your as-built is in compliance with

whichever is less.) applicable standards.

Grouting method:

~ Positive displacement

Annular space between hole Solid Casing: (2: 90% x (Ground Elev.-Water Level Elev))

o Other

Total Depth

1.1-0 ft.

and casing (1.5" for positive displacement, 3" for other methods):

~in.

Rock or Gravel Packing:

loO ft. Material:

Ii'I Crushed Basalt

o Rounded Gravel

Total Length: I ~ 0 ft.

Nominal Diameter: fa in.

Wall Thickness: in.

Bottom Elevation: to ft., msl'

Open Casing: ~ Perforated o Screen

Total Length: 10 ft.

Nominal Diameter: f.tJ in.

Wall Thickness: in.

Bottom Elevation: - tQ ft., msl' Estimated Water Level

Elevation:

I~~ ft. msl' note: Neither bentonite nor mud should be used in

saturated zone during drilling

Open Hole:

Length: ~~

ft.

Diameter: in.

Bottom Elevation: ft., msl'

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

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

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

Example: Estimated + 2 ft. Water Level Elev. --+ Bottom Elevation of Well Limit = ( 2 _ 41 ~ (2)) = -18.5 ft.

Solid Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L o ASTMA53 o ASTMA139

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

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

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

PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): J;f Schedule 40 0 Schedule 80 0 Schedule 120

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

o Centrifugally Cast Resin Pipe conforming to ASTM 02997

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517

o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

Open Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA 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

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

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

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

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

o Centrifugally Cast Resin Pipe conforming to ASTM 02997

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517

o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

WCPI Application Form 05/20/2009

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SREPlAN

PRlNTDA='l~~ G Qww-.-.v.W 2010

~~~IU Residence: 2005.007

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