69
Spreckelsville-Ross We (5424-11) 0\ . ... _ ................. .............. . .. ; ........... + . eor2f1t\\ 0 ". EXHIBIT 1 r.- _,1' . / 1-'

r.- · 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 5424-11.wcr2.acc We received the final required documentation

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: r.- · 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 5424-11.wcr2.acc We received the final required documentation

:~.

Spreckelsville-Ross We (5424-11) 0\

. ... C\l~······· _ ................. ~O~:a~.n::ger .............. .

.. ; ........... ~,~ + .

eor2f1t\\ ~ee' 0 r"'~

". EXHIBIT 1 r.- _,1' . / 1-' (.··:T~/·.rr

Page 2: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o o Well Check Program 4/1/04 - Revised for update to Well Standards (February 2004)

Data Input

Well Number 5424-11 Well Name Spreckelsville-Ross Ground Elevation 27 Cement Grout 25 Grouting Method other Hole Diameter 12.5 Total Depth 45 Estimated Head 2 Public Water Supply Well? no Solid Casing Material pvc plastic plastic Solid Casing Specification Schedule 40 Solid Casing Length 30 Solid Casing Diameter 6 Solid Casing Wall Thickness 0.25 Open Casing Length 15

Results

Page 3: r.- · 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 5424-11.wcr2.acc We received the final required documentation

Search Results o o Page 1 of 1

.. action menu Copyright ©3/17/2004 by Hawaii Information Service

• PUBLIC RECORD DATA Taxkey Subdiv/Condo Tnr Property Address Owner/Lessee Beds Baths 2-3-8-2-117 Spreckelsville F SPRECKELSVILLE ROSS, ALICE K

Land area Living area 2.15 ac

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

http://webre2.hawaiiinformation.comlresearchl Asp/Functions/Property 1 search. asp 3117/2004

Page 4: r.- · 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 5424-11.wcr2.acc We received the final required documentation

LINDA LINGLE GOVERNOR OF HAWAII

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

Dear Mr. Robertson:

o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

September 27, 2007

Well Completion Report Part II for Well No. 5424-11

LAURA H. THIELEN 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

5424-11.wcr2.acc

We received the final required documentation for the Spreckelsville-Ross Well (Well No. 5424-11) and acknowledge that your Well Completion Report Part II is complete as of September 19,2007.

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 staffat 587-0251 or toll-free at 984-2400 extension 70251.

CI:ss

c: Alice Kathy Ross

Sincerely,

W.hn 1't

KEN c. KAWAHARA, P.E. Deputy Director

/

Page 5: r.- · 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 5424-11.wcr2.acc We received the final required documentation

.1.

LINDA LINGLE GOVERNOR OF HAWAII

Ms. Alice Kathy Ross

Dear Ms. Ross:

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

September 27,2007

Certificate of Pump Installation Completion for Well No. 5424-11

LAURA H. THIELEN 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. OEPUTY DIRECTOR

5424-II.ccpi

We are pleased to inform you that the Pump Installation work permitted for the Spreckelsville-Ross Well (Well No. 5424-11) 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:

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

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

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

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

5. Your approved pump has a capacity of 40 gpm at a head of 200 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. Ifthe pump replacement is greater than the existing pump, you will need to apply for a new pump installation permit.

Page 6: r.- · 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 5424-11.wcr2.acc We received the final required documentation

\

Ms. Kathy Ross Page 2

o o September 27,2007

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.

7. The proposed use shall not adversely affect existing or future legal uses of water in the area, including any surface water or established in stream 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.

8. In the event that your installed pump is less than 70 gallons per minute, and no elevation survey has been completed, you may be required to do one in the future.

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

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

CI:ss Encl: Water Use Report Forms

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

Sincerely,

Wf7f7 1't

KEN C. KAWAHARA, P .E. Deputy Director

Page 7: r.- · 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 5424-11.wcr2.acc We received the final required documentation

MEMO and ROUTE'itIP (vor.1/10/07) o

01/23/07

LI W~C:....::.R....::......=2---.:C:::....::h...::....:e:::....::c:....:..k~f:....:o:....::...r_W-=--=-=e:..::.:II:......::N:....::...o=-:.=---=~5~4;;;;;2~4-",,;,1=1 =--~(s..:.:urv...::....:e:.!..y..::.::to:....:...re:..::g~ul..:.:at::..:.io:..:....n :..:..:.me=-m:..:.:o:!...-) ------.JI ~ fJy-eLke1K\f1\~ ~ r l~t( g

1. Pum Tests Check s ecial condition of PIP? Ye Yes No

Step-Drawdown Test:

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

Aquifer Pump Test:

followed WCPI Stds T & S analysis attached

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

analysis attached

o o

o

_PumpingStepOrawdown.xls used _<70 gpm no test required

_AquiferTest used _Cooper-Jacob.xls used _PumpingCooper-JacobRECOVERY.xls used _ <50 gpm no test required

_ Theis.xls used

Stream Surface Water Impacted: 0, ~ If yes, identify most probable stream

\ \ /1/\ - li 1 \

2. Pump Installation Check Mitch Ohye (initial)

data complete followed Special Cond & Elev.

well database updated

Yes No If no. describe deficiency

o q.

,P ~ o o

, 1 ,_

, I

3. €arle~nore/Ryan ____ (initial) take action based on above analysis

ATTACHMENTS FOR ACCEPTANCE:

1WCR2 ACCEPTANCE LETTER

2PUMP INST. COMPLETION CERTIFICATE

3METER INSTALL. REPORT (IF NECCESSSRYj ___ _

4WUR

=r To be sent to driller

J To be sent to landowner/operator

} Staff internal checks

4. Roy 11 (initial) check(Entered WCR 2/PICC accept date into database)

5. SUS~ ~ (initial) finalize & enter on WUR database

Ghar~enore/Ryan File

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

Page 8: r.- · 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 5424-11.wcr2.acc We received the final required documentation

State of Ha9aii 0 COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Res~urces

For Official Use Only:

RECE!'lFD

_~~ __ ~W=E~L~L~C=O=M~P~L_E~T~ __ N_R_E_P_O_R_T_-_P_A_RT __ II ___ !B ~IC21 Pump InstallatloR JLI A 9: 03 Instructions: Please print in Ink or type and send,compIeted report (with attachments, if applicable) to the Commission on Water Resource Managen1ent, P.O. Box 621. Honolulu. Hawaii 96809. The Commission may not accept incomplete repot1s. This funn stwtIbe submiltedwilhin 60 days of the completion ofwork.CU '\i'~ISSiCN (iN Wt . .TE~ For assistance, please consult the HawaiWel~ and Pump InstaIation Standards or cal tftt)r-S ,,;C"/CC ~A ". ~i -, !~EMr,:1 .-1 Regulation Branch at 587-0225. For update$ to tbisform or additional information. please visit our website a\,t ,'" '- ','" "', J -, tE.i~ http://www.hawaii.gov/dlnrlcwrml ""

1. State Well No.: 5.0\'2...4 -HWelI Name: £'pse(.tlEl-<'a\1\\...L.E; - A% Island: MAul

2. Address: 20\ NAKA\ .. """ '.sc. ~I\:\:I: Q,,1Jti Tax Map Key: 3-0- 002: til

3. Pump Installation Company: ; uJAtl.ew\ DAlY-INa.:r:u;: ~ 4. Date Pump Installed: 1- '!O .. bs

~:

5. PERMANENT PUMP INFORMATIoN . "

Pump Type, Make, Serial No.~ f1=Ulxt.{cS St Lh \.....\.cd it 4QS3c> -Cf .3 H~ Rated Capacity: AD gpm at head of: zoo ft.

/

Motor Type, H.P., Voltage. fPI11: ---"_ .... Z~~.e.:..."'..3--'SIoC.l..F-'·'--......;".3uHuel:.----'~...ci~_v-~prn~L..-______ _

Pump type (check one):

o Deep Well Turbine

;a:. Submersible

o Centrifugal

6. Method of flow measurement

o Rotary o Propeller

o Rotary-Oisplacement o Reciprocating

o Rotary-Gear o Impulse

o Flowmeter Manufacturer ____ Model no. ____ Size ____ _

o Weir )( Open PiPe 0 Orifice* 0 Other*, explain below

*attach schematic'"" 7. Fill in the as-built section on the ~ side of this sheet.

8. Attach the rating curve for the ~1Ied pump.

9. Attach photograph of well cleartys~ the benchmark on the concrete pad, the well head, and the method of flow measurement. "

10. Other remarks/comments: c,

D~ ~ -,:. ~ 5 .... ,,"i1

c ,

; ;,

Pump Installation Contractor (print) i B '(,"era ~y@c-57a/A Lie. No. _ ..... Z...,:OQl .... 15,J--___ _

Signature ~I¥i Cidm,J.." Date \p\' lo~

Page 9: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o "MICHAEL ROBERTSON" <[email protected]>

09/19/2007 11 :42 AM

o To eharley.F.lee@hawaiLgov

ee

bec

Subject Ross well # 5424-11 info

Ross well is N 20 54 34.4 I W 156 24 22.8 /

In separate email is well head photo with flowmeter.

Thanks, Michael

Page 10: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o o "MICHAEL ROBERTSON" <[email protected]>

To [email protected]

cc 09/19/2007 11 :40 AM

bcc

Subject Buzainus and Ross well head photos Buzainus is the outside one, Ross is the ins

>From: teri pedro <[email protected]> >To: [email protected] >Date: Tue, 18 Sep 2007 21:37:17 -0700 (PDT) >MIME-Version: 1.0 >Received: from web55707.mail.re3.yahoo.com ([216.252.110.38]) by >bayO-mc4-f9.bayO.hotmail.com with Microsoft SMTPSVC(6.0.3790.2668); Tue, 18 >Sep 2007 21:37:18 -0700 >Received: (qmail 96145 invoked by uid 60001); 19 Sep 2007 04:37:17 -0000 >Received: from [72.234.197.12] by web55707.mail.re3.yahoo.com via HTTP; >Tue, 18 Sep 2007 21:37:17 PDT >X-Message-Delivery: VjOzLjQuMDtlczOw02k9MDtsPTA7YTOw' >X-Message-Info: >JGTYoYF78jEO+COXDvAL4aBO+8lMity9RyhOnHy+WL7G1g3eXPzQKRKb58BR10PVWpKdqbEdi93WO Qs/N/u3Kg== >DomainKey-Signature: a=rsa-sha1; q=dns; c=nofws; s=s1024; d=yahoo.com; >h=X-YMail-OSG:Received:Date:From:To:MIME-Version:Content-Type:Content-Transfe r-Encoding:Message-ID; > >b=FZ6VGhw8XC2EljqqMnzuww27Flkos2Gf9rUMlnMF9pA2ZK5Xu2S1vNRW1M1h4Ne6aGCtsONYZ7C 9zUL03gbe759UR9G1NB9+JBIKhN4TYf8/ldaSgOZYUwdH+mvPthuNrMvs/ebwk7fQekHwpBzt2vn7i RP2MrAlK7zUvIGQ130=; >X-YMail-OSG: LejgbvkVM1leFdaoMiOW9gfmQ6dZ3AkCMa6300r. >Return-Path: [email protected] >X-OriginalArrivalTime: 19 Sep 2007 04:37:18.0692 (UTC) >FILETIME=[C2EFAA40:01C7FA76] > > > >--------------------------------->Shape Yahoo! in your own image. Join our Network Research Panel today!

flowmasterpixs006. jpg flowmasterpixs008. jpg flowmasterpixs004. jpg flowmasterpixs003.jpg flowmasterpixs01 O. jpg

Page 11: r.- · 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 5424-11.wcr2.acc We received the final required documentation
Page 12: r.- · 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 5424-11.wcr2.acc We received the final required documentation

LINDA LINGLE GOVERNOR OF HAWAII

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

Dear Mr. Robertson:

STATE OF HAWAII DEPARTMENT OF lAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

February 5, 2007

o

Well Completion Report Part II for Well No. 5424-11

PETER T. YOUNG CHAIRPERSON

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

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

STEPHANIE A. WHALEN

5424-11.wcr2,ack

We have received your Well Completion Report Part II for the Spreckelsville-Ross (Well No. 5424-11). However, matters which must be addressed before we accept your report as complete are as follows:

1. Fill in the date of installation 2. Send a photo of the wellhead showing benchmark and surroundings 3. Install a meter for measuring water use 4. Provide GPS coordinates if possible

Until these matters are addressed, we cannot issue the certificate(s) of well construction completion and/or pump installation completion that transfer(s) responsibility of all aspects of well usage and maintenance to the well operator/landowner. Please remember that the well may not be pumped for purposes other than well and aquifer testing until the certificates of 1) well construction completion and 2) pump installation completion have been issued, otherwise such pumpage would constitute a violation of the permit conditions. Since the permit is issued to the contractor, the contractor will be responsible for any non-testing pumpage violations when the certificates of completion have not been issued (where pumping tests are as defined in the Hawaii Well Construction and Pump Installation Standards). Please respond to the above item(s) within thirty (30) days of this letter's date. Failure to do so may result in fines of up to $5,000 per day.

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

Sincerely,

~bHA6 Hydrologic Program Manager

CI:ss

c: Ms. Alice Kathy Ross

/

Page 13: r.- · 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 5424-11.wcr2.acc We received the final required documentation

LINDA LINGLE GOVERNOR Of HAWAII

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

Dear Mr. Robertson:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O.80X621

HONOLULU. HAWAII 96809

February ~, 2007

Well Completion Report Part II for Well No. 5424-11

PETER T. YOUNG CHAIRPERSON

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

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

STEPHANIE A. WHALEN

5424-11. wcr2.ack

We have received your Well Completion Report Part II for the Spreckelsville-Ross (Well No. 5424-11). However, matters which must be addressed before we accept your report as complete are as follows:

1. Fill in the date of installation 2. Send a photo of the wellhead showing benchmark and surroundings 3. Install a meter for measuring water use 4. Provide GPS coordinates ifpossible

Until these matters are addressed, we cannot issue the certificate(s) of well construction completion and/or pump installation completion that transfer(s) responsibility of all aspects of well usage and maintenance to the well operator/landowner. Please remember that the well may not be pumped for purposes other than well and aquifer testing until the certificates of 1) well construction completion and 2) pump installation completion have been issued, otherwise such pumpage would constitute a violation of the pennit conditions. Since the permit is issued to the contractor, the contractor will be responsible for any non-testing pumpage violations when the certificates of completion have not been issued (where pumping tests are as defined in the Hawaii Well Construction and Pump Installation Standards). Please respond to the above item(s) within thirty (30) days of this letter's date. Failure to do so may result in fines of up to $5,000 per day.

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

Sincerely,

~b:/;j Hydrologic Program Manager

CI:ss

c: Ms. Alice Kathy Ross

/

Page 14: r.- · 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 5424-11.wcr2.acc We received the final required documentation

~I;. State of H . aU . For Official Use Only:

/ I. COMMISSION ON WATER RESOURCE MANAGEMENT RECE!VFD V ) Deparbnent of Land and Natural Resources

WELL COMPLETION REPORT - PART II 06 DEc 21 A 9 : 03 Pum2 Installation

Q

Instructions: Please print in ink or type and sendcomplafled report (wIh aIfadIments. if applicable) to the Commission on Water Resource Management. P.O. Bole 621. ~ Hawai 96809. The CorMtission

ir;ls~;r;u mIVlf,T[!I( may not accept incomplete reports. This fonn staaIf be submiII8d .... 60 days oItha compIeIion of work. CO For assistance, please consul the HawaiWei COnstruction and Pump 11I5t.I.0I1 Standacds or cal !'l1E r il 'ter: P'" \GEMENT Regulation Branch at 587.Q225. For updateS to this form or addiliollallnforrnatiofi, please visit our website .) ..r __ '> \ 1_ " ..... ,j tf' I i

http://www.hawail.gov/dlnrlcwrml

1. State We" No.: ,5;\24 -u Well Name: SM«~~l.-C. v\ LLt:. - ~ Island: UAUl 2. Address: 20, t-...l~ \.t~ ~l • .. sr. Q=\tA .HI 'b,1JQ Tax Map Key: 3-a- (YJ2: l t] 3. Pump Installation Company: ·loYAllAU, DQ..\u...l~&: I XU[-4. Date Pump Installed: 1:. - '30 • 05

rnonctIIdaYIYea •. 5. PERMANENT PUMP INFORMATION

Pump Type, Make, Serial No.~ §t:l1 k'd.-k:~ ~~bWfL %30-Q 3 H~ Rated Capacity: Ao gpm at head of: 2.£2Q ft.

MotorType, H.P., Voltage, rpm: Z:lO '" S.F. .3\4P 34M ~ptn

Pump type (check one):

0 Deep Well Turbine o Rotary o Propeller

;a:. Submersible o Rotary-Oisplacement o Reciprocating

o Centrifugal o Rotary-Gear o Impulse

6. Method of flow measurement

0 Flowmeter Manufacturer Model no. Size

o Weir )!( Open Pipe 0 Orifice- 0 Other*, explain below

-attach schematiC

7. Fill in the as-built section on the other side of this sheet.

8. Attach the rating curve for the installed pump.

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

10. Other remarks/comments: *S.,.. .. ~ D~~ ~ ~

Pump Installation Contractor (print) i B'CMQrfi. ~w@c-57a1A lie. No. Z()U!)

Signature :.&.kA¥~ Q difri~ Date 1C\l lQ(."

WCR2 Form 212311)5 Paoe 1 Qf 2

Page 15: r.- · 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 5424-11.wcr2.acc We received the final required documentation

7. AS-BUILT '!CT SECTION (Please aIIach BS-buiIt if diIIerent ~ provided below)

i

Bench mark elevation surveyed to nearest 0.01 ft. = ~. mean sea level

~vatiol1 of top of chase tube ~ 1,0 '» ft. mean sea level

Pump intake depth = a c.t •• ft. <11-----1 (referenced to bench mark)

Chase tube depth = C).'"\ ft. olI--~--I (referenced to bench mark)

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

H airtine installed, bottom of airline elevation =

N/A ft. mean sea level

WCR2 Form 2/23/05 Page 2 of 2

Page 16: r.- · 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 5424-11.wcr2.acc We received the final required documentation

Performance Curv(.~ 40 GPM • Model 405

FLOW RANGE: 24 - 55 GPM OUTLET SIZE: 2 • NPT

~ w u.. -a « w :::r:

1800

1700

1600

1500

1400

1300

1200

1100

900

800

700

600

500

400

300

200

100

o o

'f i l5jfj -'J i'iP' oiooj ,I _I

"" ... ·FIlII

"1 r2 iP 1 .. ~1U; [11.2 Pl

i- 144 ;1Q..~ f1HP

5

i 1 I I

10 15 20 25 30

I CAPACITY (GPM)

SPECIFICATIONS SUBJECT TO ~ L WITHOUT NOnCE-4· MQlOR Sl}I.NQARO. 1-1.0 HPI3450 tAI-. 6" MOTOR STA~RD.15-20 HPI3450 !RPM-

- .... • ... -- ..... &._'- f

35

NOMINAL DIA. 4"

I"

40 45 50 55

Performance conforms to ISO 9906 Annex A o 5 ft_ rt*l_ subnl9lgence_

. ------ -----------_ .. _----.. __ ....... __ ... -....... .

Page 17: r.- · 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 5424-11.wcr2.acc We received the final required documentation

--O PUMP INSTALLATION PERMJ1Illl , . SpreckeJsviUe-Ross, WeD No. S424-~

Note: This pel'l!it slid be pn1IIIiIu!JItIr IIi6pItqpIIIt tile sitelllllil tile work is collUJlete4

In accordance with· Department of Land and NatmaJ Resources, Commission on Water Resource Management's Administrative Rules, Section I3~168. entitled "Water Use. WeDs, and Stream Diversion Worksn

, this document permits the pump installation for Spreckelsville-Ross (Well No. 5424-11) at TMK 3-8-2:117, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2(04) 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, Honolu1u, HI 96809, shall be notified, in writing, at least two (2) weeks before any work covered by this permit conunences and staff shall be allowed to inspect installation activities in accordance with §)3-168-15, Hawaii AdministnItM: Rules.

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

3. This permit sball be prominer;tiY displayed, or made available. at the site of CODSIlUCIion work until work is completed.

4. The pump instaIlation permit ~lbe for installation of a 40 gpm rated c:apaeity, or less, pump in thewell. This permanent capacity may be reduced in the event that the pmnp test data does DOt support the capacity.

5. A water-level measurement ac<:ess sbaB be perlll8Delltly insIaIled. in a manner acc:qMab1e to the CbaiJperson, to accurately record water levels.

6. The permittee shall install an :approved meter or other 8JIIlfOIlIiate means for measuring and reporting withdrawals and appropriate devices or means for measurit)g chlorides and tc::qJefatme at the well bead.

7. Well Completion· Report PartiI1 sbaIl be submitted to the CbairpeIson within 60 days after completion of wort. This form can be obtained by contacting staff of on the internet at www.bawaiigovldlnr/cwrm.

8. The permittee, well operator,:and/or well owner sban ~y with aU applicable laws, rules, and ordinances, and non-compliance may be grounds for revocatim> of this permit.

9. The pump installation permit lq)plication and any related staff subndalllfJllRMd by the Comnission are incorporated into this permit by reference. This permit is also subject to the HWCPIS. If the HWCPIS are DOt fOI1owul and as a consequc:nc:e water is wasted or contaminated, a Den on the ~ may result. Any v.ianocs fivm the HWCPIS shall be approved by the Chairperson prior to invoking the variance.

10. The work proposed in the JlIID1' installation permit application sbaIl be completed within two (2) years from the date of permit approval, unless otherwise specified. The permit nay be cxtadc:d by the OIaiIpason upon a showing of good cause and good­faith performance. A request to extend the: permit sba11 be submiUed to the Omitpason no Jater Iban the date the permit expires.

II. The permittee, its successors, Fmd assigns shall indemnify, dr:fend. and bold the State of Hawaii harmless from and against any loss, liability, claim. or demand fi)r property damage. pc:nonaI injury, or death arising out of any act or omission of the applicant, assigns, officers. employees, <jontractors. and agents uode:r this permit or relating to or connected with the granting of this permit

12. Special conditions in the attached cover transmittaI lc:tter are incorporated herein by reference.

Date of Approval: Expiration Date:

.JWle 24, 2005

.June 24, 2007 PETER T. YOUNG, Chairperson Commission on Water Resource Management

I have read the conditions and tetms of this permit .ad 8Ildentaad tIIeID. I a«ept uti agree to meet these conditions as a prerequisite od underIyiDg condiCieD of ." ability to proceed ad Bdentud tUt I sUll BOt commence work until I and tbe pump installer have signed, dated, uti retaned tile permit .. tile Comwi • •• I uadentaad that this permit is not to be transferred to oy other entity. I ~ 1IIIdenbuld fIIat _ &elllpli8J1ee wItII aay penait amdidea ... y be p8IUlds for revoc:ation and fiDes of op to 55,800 per clay ............ tile penIit dIIte "' ....... aL

Installer's Signature: ~~S7' C.S7a, or A License #: lOllS

Printed Name: ....:Mieha~·~~el~RobertseD~~=~ _____ Finn or Tide: Wailui Drillinr, Inc.

Please sign both copies oftltis perMit, "'rtI e1U" tile ~ ."" ,.... t1t~.thr for ~r records.

Attachments

Page 18: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o o Wailani Drilling Company Lic.#C201l!" r-

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

6/2112005

Return Receipt Fax Memo

Charley,

Enclosed are the following items:

( WCR I for Opana Point Holt Well 2 # 5617-05 complet6. ~ (l.,~ 0"\ r., J~ 'l WCR I for Opana Point Holt Well 1 # 5517-05 complete) ~WCR I for Sprecklesville -Ross Well # 5424-11 complete --.JL WCP (signed) for Patno Well # 6852-01. This is also to provide notice of intent to

start the Patno well by July 202005.

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

Thank you.

f~~' Sincerely, Michael Robertson

Page 19: r.- · 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 5424-11.wcr2.acc We received the final required documentation

" ~

LINDA LINGLE GOVERNOR OF HAWAU

Ref:5424-11.pip

Ms. Alice Kathy Ross

Dear Ms. Ross:

C Q

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

Pump Installation Permit Spreckelsville-Ross (Well No. 5424-11)

PETER T. YOUNG CHAIRPERSON

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

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

STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING DEPUTY D4RECTOR

August 4, 2005

Enclosed are two (2) originals of your approved Pump Installation Permit for the captioned well(s) that authorize permanent pump installation work for your well(s). As part of the 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. Attached for your information is a copy of the Maui Department of Water Supply review comments, for your information.

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.

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

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,

Wf7M ~

Peter T. Young Chairperson

Enclosure

c: Wailani Drilling, Inc. USGS MauiDWS

/

Page 20: r.- · 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 5424-11.wcr2.acc We received the final required documentation

QPUMP INSTALLATION PERMIT~ preckelsville-Ross, Well No. 5424-1'"

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

In accordance with Department of Land and Natural Resources, Cormnission 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 Spreckelsville-Ross (Well No. 5424-11) at TMK 3-8-2:117, 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 40 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.hawaii.gov/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 of this permit.

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

Date of Approval: Expiration Date:

June 24, 2005 June 24, 2007

PETER T. YOUNG, Chairperson 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.

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

Printed Name: _M=i""c:::h""a""'ei:....:R=o""'b,:::.er""t"'s""on=------ Firm or Title: Wail ani Drilling, Inc.

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

Attachments

Page 21: r.- · 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 5424-11.wcr2.acc We received the final required documentation

LINDA LINGLE GOVERNOR OF HAWAII

Ms. Alice Kathy Ross

Dear Ms. Ross:

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

August 4, 2005

Certificate of Well Construction Completion for Well No. 5424-11

PETER T. YOUNG CHAIRPERSON

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

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

STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING OEPUTY DIRECTOR

5424-11.wcc

We are pleased to inform you that the Well Construction work permitted for the Spreckelsville-Ross Well (Well No. 5424-11) is complete and acceptable and welcome you as a new member to the community of well owners and groundwater users in Hawaii.

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

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

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

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

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

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

Because groundwater in Hawaii is a public trust, and adverse effects at one well may affect other water resources, an)' violation of the above conditions, or any other provision of the Hawaii Administrative Rules, may be subject to fines of up to $5,000/da),. The CommisslOn 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 ofprotectmg our ground water resources together.

If Y-0u have any questions, please contact Charley Ice of the Commission staff at 587-0251 or toll-free at 984-2400 (Maui), extenslon 70251.

CI:ss Enclosures

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

Sincerely,

Wf7H 1't

DEAN A. NAKANO Acting Deputy Director

Page 22: r.- · 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 5424-11.wcr2.acc We received the final required documentation

MEMO and ROUTE~LIP (ver. 5/25/05) 0 06/27/05

I WCR 1 Check for Well No. 5424-11 (survey to regulation memo) I S~gvitk - (Grg-S 1. Pump Tests Check Glenn Bauer ~ (initial)

"" Yes No If no, describe deficiency

Step-Drawdown Test:

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

Aquifer Pump Test:

followed WCPI Stds T & S analysis attached

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

analysis attached

Stream Surface Water Impac~ ~

Geology Code for Well Index: _....I.I'--"~ __

.gr 0 g!

~ 0

0

o

0 f2! 0

0 gI

0

o ...-Ifyes, identify most probab 6~ e~ Wlt~ ''.foo ~ U. (~) e9-ttMj

.j I. , 0'·, r:S 1lAs I- fYOCo~ -k.r 11M,! .s-~ wdI ?

If no, describe defici b ~ t\A/ \ V ~ (initial) \

2. Construction Check Mitch Ohye .. Yes No

data complete D . followed Special Cond & elevations;9 ' well database updated J'O

NAD27

NAD83

o o o

Latitude

~ 4 ~lZ.-bp~

Longitude

15b t4 ~:?

, ~I.. 'l-4 '2-~

~har"enore/Ryan ~ (initial) take action based on above analysis

""' ATTACHMENTS FOR PUMP INSTALLATION PERMIT (~): __ not necessary - only WCP or BOTH.

1 COVER LETTER ../ <' f-i (I, - - -_ .. I ) 2COUNTY COMMENTS B'SMA) ;Z ( ((~ w~ (fOlA)..d<

3DOH COMMENTS To be sent to driller/pump installer 4DLNR COMMENTS (LD/OCCUDHP) ('

5WCR 1 Accept / 9 bt ~Cf.lli!M:--wv'Cli;l7f""-~ 6WELL CONST. COMPLETION CERTIFICATE ~ <}------ To Landowner ~ _~ec,...( .. ~

~.

Staff internal checks

I\<) ~z. . - ""1-' f" N @ J).; ~ ~ fjOy t...J..I (initial) check (Entered WCR 1IWCCC accept date into database) fIJ"~ >

, Subia ~ (initial) finalize ~' . . (initial) signature (Entered PIP issue date if required) . Charley enore/Ryan File

Page 23: r.- · 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 5424-11.wcr2.acc We received the final required documentation

) APR-28-2004 09:58

t ."~

ALAN M. ARAKAWA Mayor

April26,2004

DEPT. OF WATER SUPPLY

DEPARTMENT OF WATER SUPPLY COUNTY OF MAUl

200 SOUTH HIGH STREET WAILUICU. MAUl, HAWAII 96793-2155

www.mauiwater.org

Mr. Peter T. Young , Chairperson CommIsSion on Water Resource Management Department of Land and Natural Resources PO Box 821 Honolulu Hi 96809

Subject: Well ConstrudionlPump Installation Permit Application Spreckelsville - Ross Well (Well No. 5424-11)

TMK: (2) 3-8-002: 117

Dear Mr. Young:

Thank you for the opportunity to provide comments on this application.

Zoning Compliance

808 270 7833 P.03/04

GEORGE Y. TENGAN Director

JEFFREY T. PE;ARSON. P.E. Deputy Director

The property is designated Agricultural by the State Land Use Commission, Paia-Haiku Community Plan, and County zoning. The proposed use is an allowed use under this land use designation. The project site is located in Spedal Management Area. SMA exemption was granted on November 3, 2003.

Aquifer status and Proposed Amount of Withdrawal

The pl'Ojed is served by the Paia Aquifer. According to the 1990 State Water Resources Protection Plan, this aquifer has an estimated sustainable yield of potable water of 8.0 MGO pre-inigation times. The Plan also states that a very large volume of Koolau Sector surface runoff is transported to the system ~ ditches for illigatlon and that only the reach between Hamakuapoko and MalikO contains potable basal water. The estimated sustainable yield as recoverable potable water Is 4.0 MGD. .

From di5CUssions with the applicant, we were informed that CC)nstruction of dwelling is underway and that domestic and fire protection !jefVices Will be provided via co~nty ~em. The pro~ on-site well will be used to irrigate land$oapelorchard on a 2-acre lot. Proposed amount of Withdrnwal is 5,000 gpd. ay standards, estimated average daily demand for lot this size would be abOut 10,000 gpd

While the proposed well does not have immediate effect on any existing OWS wells, there are several private wells In the zone of influence. The proximity Df the proposed well to eXISting wells could conceivably present potential conflld in use. This conflict depends on pumpage. drawdown and aquifer status. In addttion. DWS has concems about cross-connections. The property will be served by both county water system and the proposed well. We recommend that the applicant be required to install backflaw prevention device approved by the department in order to provide sanitary protediun to the department's water supply.

Pllntad on rocyc/ad paper @

Page 24: r.- · 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 5424-11.wcr2.acc We received the final required documentation

APR-28-2004 09:59 DEPT. OF WATER SUPPL Y 808 270 7833 P.04/04

. ,.,.

Page 2 Mr. Peter T. Young Spreckelsville - Ross Well (Well No. 5424-11) Aprll26,2004

Conservation

We encourage the applicant to consider the follOWing water conservation measures in and around the property: Majntain Irrigation Smm: A simple, regular program of repair and maintenance can prevent the loss of

hundreds or even thousandS of gallons a day. Refer to the attached handout, "The Costly Drfp.· Use Climate -adlpled Plants: The project is located In the Maui County Planting Plan - Plant ZOne 5.

We encourage the applicant to utilize approprfate native and non invasive species and avoid the use of potentially invasive plants. Native plants adapted to the area, conserve water and protect the watershed from degradation due to invasive alien species. Attached is a list of appropriate plants for the zone as well as potentially invasive plants to avoid.

Groundwater Protection

In order to protect groundWater resouroes, we encourage the applicant to adopt Best Management Practices (BMPs) designed to minimize InfiHration and runoff from daily aotivitles. Sample BMPs are as enumerated below.

1) Inspect exposed parts of the well periodically for problems such as: cracked or corroded well casing. broken or missing well cap, damage to protective casing, settling and cracking of surface seals.

2) Slope the area around the well so that surface runoff drains away from the well. 3) Provide a welf cap or sanitary sual to prevent unauthorized use of or entry into the welf. 4) Provide for sediment removal or well deanlng as necessary. 5) Avoid mixing or using pesticides. fertilizers, herbicides. degreasers, fuels, or other

pOllutants near the well. 6) Do not locate any type of potentially polluting adivity up slope from the well.

Should you have any questions. please call our Water Resources and Planning DiviSion at 270-7199.

Sincerely.

~ Director

tam . c: Engineering Diviaian

Applicant. vCh iidtaChr'nants The eo.uy DrIp Maul CGutiy P-no Plan • PIIInt Zane So What 8nd HlM'to Plant In your Araa

2

TOTAL P.04

Page 25: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o

Results

Page 26: r.- · 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 5424-11.wcr2.acc We received the final required documentation

State of Ha~i 0 ForomcialUseOnly: COMMISSION OTWATER RESOURCE MANAGEMENT / Department of Land and Natural Resources r:. c ,'" .

WELL COMPLETION REPORT - PART I Well Con.tructlon

Instruction.: Ple .. e 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, pleas. 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://wwN.hawail.gov/dlnrlcwrml

1. State Well No.: 5424·11 Well Name: .......;;;.SJ:.pre;..;;;..;;c..;.;ke.:;;.;I;,;;. • ..;,.;vl;;.;lI.;;;.e-R..;;..;:,;;.os;.;:;;.;;;._____ Island:

3. Drilling Company: tJ~:, ~J ................ 2. Address: Nonohe Place at Makah~kl Place S reckel.vllle Tax Map Key: 3-8·2:117

Maul

4. Drilling method used during contructio~ ~ 0 Percussion 0 Other (describe)

5. Date Well Construction (drilled,cased,grouted) completed: t.f I ~J.C)C; Fill out attached Drill.,.. Log month/dayJyear

In addition to the drill.,.. log, If a geologic log wa. prepared, pi ..... ubmlt with thl. form.

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

7. Initial water-level encountered '30 ft. below ground Date and time of measurement: monthlday/year time

8. Step-Drawdown Test completed?

9. Constant Rate Aquifer Test completed?

Parameters prior to pump test:

utNo 0 Yes

o No Cll"'Yes

Attach St.p-Orawdown Test form (12117/97 SDPTD Form)

Attach Constant Rate Aquifer Teat form (12117/97 CRPTD Form)

10. Water-level: ~ ft. above msl Date and time of measurement:

11. Chloride: _--:::3:;...0_0 _____ ppm Date and time of sampling:

12. Temperature: __ "'.:...2G-:-''t~ ___ OF Date and time of measurement:

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

14. Fill In attached surveyor'. report.

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

16. The proposed manufacturer's rated pump capacity is '\.0 gpm at a head of f $ 0 ft. (Attach pump speCifications and rating curve)

17. Remarks: ~ ~ ~ c\..o~ <;~ ~ M:.a "04t"'"

Llcen.ed Driller (print) M -\ L\o.g,'I;, \ <L~trbO'1 C-57 Lic. No. ac>\\'~

Signature ~~ Date 5"b/~

Permittee (print) ALI'" KATHY £psI

Signature a t!n kuA. Date ~/lIJfJy WOR1 Form 4129103 Psge 1 of 4

Page 27: r.- · 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 5424-11.wcr2.acc We received the final required documentation

13. AS-BUILT WELL SECTION (Please attach as-built if different from diagram provided belOw) o [ Hole Diameter' l ,;\, -{ in 0 Elevation at top of casing ~o. ft., mal* ,I.-L-_..! (to nearest 0.01 ft.) -'-l-"---;- Minimum of 2' Radius & 4" Thick Concrete Pad

rBe::-n-:ch:-m-ark:---I------------I=t..-: .. ~:S. tyPi r Ground Elevation: , 3.0 ft., msl

elevation: //IfiII;.' .~., ••• ' /I1m-' 'I""'"

o ~ ~-~~. ~.:~: ~o. ft., msl* (Survey to nearest 0.01 ft.)

Total Depth

~~ ft.

Cement Grout: I ~ ft. (min, 70% of distance from ground elevation to top of water surface or 500 ft., whichever Is less.) f-

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

:. foo .. ' ~ .. : ,,~ r,,"

t~ ..... !.4 0

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

~: I / :.:::. V·"·

J-- ::'~~ L-_______ --.J .... In.

'--Ro-ck-o-r-G-ra-ve-I p-a-ck-I-ng-:--' -I- ::;:

IJ Ir ft. Material: o

o Crushed Basalt o Rounded Gravel ...

;:::=======~I n ~

::l· .. ' ~'.': -. .:",' ~::: j :~.:: W . ... ] •• 4 ••

.'. :.f'-

I !::.:. ' .. ~::: " ,4'- , .,. .. j .... • 6 ...

~":4 w ::~. ~ .,' ~'.,: ~

i Q. )(

~ g N

Iii ~

Please refer to the HAWAII WELL CONSTRUCTION AND PUMP INSTALLATION STANDARDS to ensure that your as-built Is In compUance

with applicable standards.

4f---I Solid Casing: (~ 90% x (Ground Elev.·Water Level Elev»

Length: ;)0 ft.

Nominal Diameter: _.....;":::::...::--:::=--_____ in.

Wall Thickness: • d. -:;- in.

Bottom Elevation: - , ft., mal

Open Casing: I!!'!""Perforated o Screen

v Length: ___ -I\u~o:!:!o....r-_____ ft.

Nominal Diameter: __ ....:~~..., _____ in.

Wall Thickness: , 'd.. ~ in. Water Level EI!YItlon:

~msl" ~~OOJ.-~@

L- Eii ~ __ Bottom Elevation: -\ ~ _ .:2 ft., msl

Open Hole: & Length: A ft. Diameter: __ ..:....:~...,.. ________ in.

Bottom Elevation: )J " ft., msl

*msl" mean sea level

Solid Cuing Material; Carbon StHI: compliant with (check one or more): [J ANSVAVtMlA C200 [J API Spec. 5L a ASTM A53 0 ASTM A 139

And compliant with (check one or more): CI ASTM A242 CJ Type E CJ Type S 0 Grade B CI Other Stalnl ... Steel: (check one): CI ASTM A409 (production wells) 0 ASTM A312 (monitor wells) ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) [J Schedule 40 0 Schedule 80 PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): ~chedule 40 0 Schedule 80 0 Schedule 120 Thermoset PI.stlc: (check one) tJ Filament Wound Resin Pipe conforming to ASTM 02996

o Centrifugally Cast Resin Pipe conforming to ASTM 02997 [J Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517 o Glass Fiber Reinforced ReSin Pressure Pipe conforming to AVI/VI/A C950 o PTFE Fluorocarbon Tubing conforming to ASTM 03296 o FEP Fluorocarbon Tubing conforming to ASTM 03296

Open Cu'ng Mater.al: Carbon Steel: compliant with (check one or more): 0 ANSIIAVtMlA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A 139

And compliant with (check one or more): tJ ASTM A242 0 Type E 0 Type S 0 Grade B tJ 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): !fSchedule 40 0 Schedule 80 0 Schedule 120 Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996

[J 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 AVtMlA C950 o PTFE Fluorocarbon Tubing conforming to ASTM 03296 o FEP Fluorocarbon Tubing conforming to ASTM 03296

weR1 Form 11112102 Psge 2 of 4

Page 28: r.- · 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 5424-11.wcr2.acc We received the final required documentation

c DRILLER'S LOG

o WELL NUMBER: $'t;).. ~ - "

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

~toL ~~ -LtoXL ~~ Jlto~O *TbM ~O to~ S~ b,..~t::

'(.

~to~ .\t~ ~W_\·_

~to~ A A ~ 't)~ __ to _____________ _

__ to _____________ _

__ to _____________ _

_ to ___________ _

__ to ___________ _

__ to _____________ _

__ to _____________ _

__ to _____________ _

__ _ to _____________ _

__ to _____________ _

__ to _____________ _

__ to _____________ _

Remarks:

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

__ to _____________ _

__ to _____________ _

_to _____________ _

__ to _____________ _

__to _____________ _

__ to _____________ _

__ to _____________ _

__to _____________ _

_to _____________ _

_ to _____________ _

__to _____________ _

__to _______________ _

__to _____________ _

__to ___________ _

__to _____________ _

__ to _____________ _

__to _____________ _

_to ___________ _

weR1 Form 11112102 Page 3 of 4

Page 29: r.- · 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 5424-11.wcr2.acc We received the final required documentation

c o CRPTD Fonn 518103

CONSTANT-RATE PUMP TEST DATA

Pumped Well NO . ....,;54:::..=2c..:..4-..:..1...:,.1 ____ _ Observation Well No. Pumped Well Name .S.ereck.elsville-Ross Distance between Obs. & Pumped Well dJ f\. ft. Target Q 50 gpm Reference pt. for depth to water ~ ft. msl

Static Water Level @ start of test ~ ft. msl Water level measurements by: 0 electrical sounder 0 pressure transducer 0 airline

START TEST Date: 'ilU?>/Q-S Time of day: cr l) 0

,-Flow Meter Reading Start:_---I.\ .... >'--_ gallons

Suggested Actual Depth Drawdown ~ in this table is for: elapsed elapsed to S Pumping T;JcP. Pumped Well

time time water rate OF o Observation Well t t (unadjusted Q EC cr or

(nea .... t to nearest _DC (min) (min) 0.1 tt) 0.1 It) (gpm) (J.Ullhos) (mgll) Remarks

-45 Start test

-30 -15

0 0 \~ .o~ 0.00 L\~ 1 Start pump/Cr taken · 1 18.ClC( ott '300 1~.'f.

1.5 h · 2 " ·

2.5 'I · 3 t\ · 4 \\ · 5 'I · 6 \~ .O<b \o~ · 7 t- · 8 h ·

10 , . ·

15 " · 20 \.

· 25 " · 30 \S .0'\ 1C:»~ · 40 h '( · 50 ,~ \( · 60 't \ · 70 \2,.00\ \ 0 '-\ ·

Page 30: r.- · 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 5424-11.wcr2.acc We received the final required documentation

0 ~ CRPTD Fonn 518103 Suggested Actual Depth Lrrawdown -- Data In this table is for: elapsed elapsed to S Pumping Te~ Er"Pumped wen

time time water rate o Observation Well t t (unadjusted Q EC cr or

(nearest to nearest _oC (min) (min) 0.1 1\) 0.1 1\) (gpm) (~hos) (mg/l) Remarks

80 ,~ 0'\ ,0,\ 4d-. 0

90 \\ 0

100 'l. 0

150 ,~ O~ o~ . 200 \, c, 0

250 'I.. ,. 0

300 \ , , I 0

400 '\., '" 3001

1'7'3~o cr sample taken

500 ~2>D \i, ()~ O?l 0

600 0

700 0

800 1 cr sample taken

0

900 0

1000 1 cr sample taken 0

1500 1 cr sample taken 0

2000 1 cr sample taken 0

2500 1 cr sample taken 0

3000 1 cr sample taken .

4000 1 cr sample taken 0

5000 1 cr sample taken 0

6000 1 cr sample taken 0

7000 1 cr sample taken 0

8000 1 cr sample taken 0

9000 1 cr sample taken 0

10000 Max possible duration, water level or quality did not stabilize for any 24 period

~ eegln recovery data next page

0 Flow meter reading at end of pumped period;" ~Da\S .1 gals

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

Page 31: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o o CRPTD Form 518103

Suggested Actual Depth Recovery ~ In this table Is for: elapsed elapsed to Orawdown Pumping Temp. Pumped Well

time time water S rate _oF o Observation We" t t (Unadjusted Q EC cr or Remarks (nearest to nearest _oC

(min) (min) 0.1 It) 0.1 ft) (gpm) (J.IIllhos) (mg/I)

0 0 l'b. o"6 0 · Start recovery

1 \ t -' 0" 0 · 1.5 1\ 0 ·

2 \"b OS 0 · 2.5 \1 0 ·

3 Vj 0 · 4 ~ 0 · 5 l~d)9 0 · 6 0 · 7 0 · 8 0 ·

10 0 · 15 0 · 20 0 · 25 0 · 30 0 · 40 0 · 50 0 · 60 0 · 70 0 · 80 0 · 90 0 ·

100 0 · 150 0 · 200 0 · L

250 0 l:Yao% recovery achieved

· [J ao% recovery not achieved

END TEST Date: 9 (~., {o{ Time of day: S-'. 10 ~ ...... ADDITIONAL REMARKS: __________________ _

Person in charge of pump test (print): M', c.k '" t.\ ~ Q ~~"fso'=1 Signature: ~ ~ The signature above Indicates that the data reported on this form is accurate and true to the best of the person's knowledge who operated this pump test.

Page 32: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o WELL CONSTRUCTION PERMIO Spreckelsville-Ross Well, Well No. 5424-11

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 construction and testing of Spreckelsville-Ross Well (Well·No. 5424-11) at Nonohe Place at Makahiki Place, Spreckelsville, Maui, TMK 3-8-2:117, subject to the Hawaii Well Construction & Pump Installation Standards (February 2004) which include but are not limited to the following conditions:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

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

The well construction permit shall be for construction and testing of the well only. A minimum 1114-inch diameter monitor tube shall be permanently installed, in a manner acceptable to the Chairperson, to accurately record water levels. The permittee, well operator, and/or well owner shal coordinate with the Chairperson and conduct a pumping test in accordance with the Standards (a pump testing worksheet is attached). The permittee, well operator, and/or well owner shall submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump and withdraw water for use. No permanent pump may be installed until a pump installation permit is approved and issued by the Chairperson.

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

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

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

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

The following shall be submitted to the Chairperson within sixty (60) days after completion of work: a. Well completion report, (attached - Part I, Well Construction Report). b. Elevation (referenced to mean sea level, msl) survey by a Hawaii-licensed surveyor. c. As-built sectional drawin.9 of the well. d. Plot plan and map shOWIng the exact location of the well. e. Complete pumping test records, including time, pumping rate, drawdown, chloride content, and other data.

The per:mitteehlNeil op~rator, and/or well owner shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of t IS permit.

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

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

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

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

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

Date of Approval: Expiration Date:

April 12, 2004 April 12, 2006

PETER T. YOONG, Chairperson Commission on Water Resource Management

I have read the conditions and terms of this germ it and understand them. I accept and agree to meet thesecgnditionsGii? a prerequisite and underlying condition of my ability to procee and understand that I shall not commence work until I and the. driller ha"Ve" signed, dated, and • returned the permit to the Commission. I also understand that non-compliance with any permit condition may tie groUl~ for revocation and fines of up to $1000 per day sta 'ng from the permit date of approval. . S;; :::0 Permittee's Signature:~..!-l~4-l'-P~~:"--_____ _ Dbte: V 7.--1 :71r

" "l.(c.t I(I'\-WY fLo» Firm or Title: __ ~O..:..w-=:A..l'="'::(' __ ·.L1 _--= __ ..,.. . .0;: ___ _ J;lI ......

Printed Name:

Driller's Signature: _'Yhl...!..:ij>N!!!!!!.c....~L~· --.-..:~I(....lJ!:~~~~>--- C-57 License #: d(:) \ \ S- ~te: &ll () 1l'-l Printed Name: M ~~ ~ .. t \ B. 0 l\1~"" \os () '" Firm or Title: ---loW.IoLJlia.!\ ;!01!\ ... 06 ...... '..........,~""· ~a] .... • ... l ~AI .... .I!..~,~~~.('Vt:1.&. __

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

Attachment c: USGS

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

Page 33: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o 0 ailani Drilling Inc. Lic.#C57-20115

ichael Robertson 655 Kulike Road Haiku, Maui, Hawaii 96708 h.808 572-2673 Fax 572-0925 Cellular 264-7079

Date 5/30/2004 0: Charley Ice or: Water Resource Commission e: Spreckelsville - Ross Well # 5424-11

Dear Charley:

This is to provide written notice of intent to start work on this pennitted well .. Owners wants to take advantage of the declaratory ruling #DEC-ADM98-G5 because proposed pump is rated at 50 g.p.m.

Th£UIk You,

~~ Michael Robertson

c:::J . -:~ "'" )

~ z ) c..,) -

: -)

"'-- ::D : a -.

--j ; - .J:..

1::::)

Certified By The National Groundwater Association

::0 ,,, '"') 11

" ... ,11 (J

Page 34: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o o

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

Rt"('cn(.-;::- D Lic.#C20115

Return Receipt Fax Memo For:Charley Ice Re. WCR's and PIP's

Charley. Enclosed are the following items:

Charley. Enclosed are the following items:

,/ Signed Well Construction Permit and start work notice for Waihee Equestrian Well # 5731-06

~igned Well Construction Permit and start work notice for Sprecklesville - Ross Well # 5424-11

-/ WCRI For Kaupakalua UpcountryLLC Well 5417-03 V\-O M ~ ./' WCR II and signed PIP for Nahiku-Harlow Well 4904-01

./ WCR II and signed PIP for Opana Point 2 Well 5617-03

./ WCR I For Kealii-Naish Well 5615-07

I apologize for the delay on 2 of these reports. The surveyor had the wells mixed up and had to go back out and re survey.

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

Thankyou: .~ ~ Michael Robertson

Page 35: r.- · 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 5424-11.wcr2.acc We received the final required documentation

FROM: Cbarley

TIl. J.NlI. _BAUER,G. _GOODING,K _FUJII,N. _OHYE,M _YOSHINAGA, M _ SWANSON, S. _ KUNIMURA, I.

_IMATA, R. _NAKAMA, L. _HIGA,D. _UYENO, D _MATHIAS, T

COM~'~SION ON WATER RESOURCE MANAGE~ENT

DATE: ______ _

IQ:

-LHARDY,R. _SAKODAJE. _NAKANO,D. _LAU,E _ DAN BARRA, S ..k. SUBIA, S. _YODA,K.

_Approval _Signature _ Information

21May03

pLEASE· _ Review & Comment _Type Draft _Type Final _File _ Xerox _ copies _ Take Action:

_CHING,F. -_ ANAKALEA, P - P~ease See Me

(\Cot ~~~) ~t ~ ~V\.{n~ ~ (~{!o-4-~ M.D-; ~ ¥pveu~ -~ ~- .y;t.

Page 36: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o Mr. George Y. Tengan, Director Maui Department of Water Supply 200 South High Street Wailuku HI 96973

Dear Mr. Tengan:

o

Review of Well Construction Permit Applications Spreckelsville-Ross Well (5424-11)

Thank you very much for your comments on this well. Your staff's work on applications for review are consistently thorough and are to be complimented. Your recommendations are duly passed to the applicants, and are worthy of every consideration. ~ _. £ ... ,., •

1.Jru~-

In the case of the Spreckelsville-Ross Well, we wanted to share addi ·onal information about the aquifer in this area, as your staff has noted some possibility of . etween wells. Your staff correctly points out that return irrigation flow artificially elevates the water levels above normal levels. This could become a problem if and when the artificial augmentation ceases.

Most of the wells in the Spreckelsville area are designed for irrigation use, and at such time as the water levels in the aquifer approach more normal conditions, there may develop a greater reliance on the County system, which serves potable needs. Many of the existing wells are brackish, and this situation would continue, perhaps become more brackish.

In addition, you will be interested to note that experience drilling in this area reveals a consistent discovery of a less-permeable layer of lava extending across most of this slope of Haleakala. Right at the coast, this occasionally results in the _t,IMe anomalous condition in which potable water is struck below sea level, with some ~an characteristics, suggesting that this layer is behaving as caprock in some ways. This condition has not been fully analyzed nor mapped, and may not be consistent from place to place, but it does create unexpected results, as noted.

In this case, we very much appreciate your comments about careful conservation use and avoidance of cross flow between irrigation and potable systems.

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

Sincerely,

Peter T. Young Chairperson

Page 37: r.- · 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 5424-11.wcr2.acc We received the final required documentation

'.tI'~'

FROM: ED SAKODA

TO:

ANAKALEA, P. BAUER, G. CHING, F. DANBARA, S. FUJIJ, N. ~OODING, K.

~HARDy,R. ~A,D. _V_ IICCEE, C.

IMATA, R. KUNIMURA, I.

) ") { .

COMMISSION ON WATER RESOURCE MANAGEMENT

DATE: MAY. I I 2004

INIT. TO:

LAU, E. MATHIAS, T. NAKAMA, L NAKANO, D. OHYE, M. S~KODA, E. SUBIA, S. SWANSON, S. UYENO, D. YODA, K. YOSHINAGA, M.

INIT:

SUSPENSE DATE:

FOR:

Approval Signature Information

(03/03)

PLEASE:

SeeM~ Review & Comment Take Action Type Draft

__ Type:Fjnal File Xerox _. _. copies

Page 38: r.- · 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 5424-11.wcr2.acc We received the final required documentation

.-...

ALAN M. ARAKAWA c o Mayor

MICHAEL W. FOLEY Director

WAYNE A. BOTEILHO Deputy Director

D4 MAY 11 A/O: a I COUNTY OF MAUl

DEPARTMENT OF PLANNING

May 5,2004

MEMORANDUM

TO: GEORGE Y. TENGAN Director, Department of Water Supply

ATTN: EDNA MANZANO Water Resources Planner

FROM: MICHAEL W. FOLEY Director, Planning Department

SUBJECT: SPRECKELSVILLE-ROSSWELL(WELLNO.5424-11)ATMAUITAXMAP KEY: 3-8-002:117

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

1. The proposed project is located on lands designated as Agricultural by the State Land Use Commission. The proposed use is an allowable use in this designation.

2. The proposed project is located on lands designated as Agricultural by the Wailuku-Kahului Community Plan.

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

4. The proposed project is located within the Special Management Area (SMA). The Department issued an SMA exemption (SM5 2003/0406) for the development of a single-family residence and associated improvements, including the proposed well.

5. Spreckelsville is serviced by the Central Maui Water System. Since the issuance of the SMA exemption by the Department, the lao Aquifer, also part of the Central Maui Water System, has been

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

Page 39: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o Memorandum to: George Y. Tengan May 5,2004 Page 2

designated by the Water Resources Commission for special management. Additional water sources for this system may be available in the Spreckelsville region. The Department would have concerns should the withdrawal of water in Spreckelsville further impact the Central Maui Water System.

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

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

Robyn L. Loudermilk, Staff Planner Aaron Shinmoto, Planning Program Administrator (2) Commission on Water Resource Management General Files K:\WP _DOCS\PLANNING\LETTERS\ltr2004\1663_RossWell.wpd

Page 40: r.- · 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 5424-11.wcr2.acc We received the final required documentation

· t Uay-'p5 .. 04. 0~:14pm Froll-DEPT OF PLANNING COUNTY OF MAUl 808-242819 T-721 P.Ol/02 F-050 ALAN M. ARAKAWA·

Mayor

MICHAEL W. FOLEY Director

WAYNE A. BOTEILHO Deputy Director

COUNTY OF MAUl

DEPARTMENT OF PLANNING

FACSIMILE TRANSMISSION COVER SHEET

DATE: S\~"'D~ . TO: c:"" ....... !!'J>....-.\ ~ "D~"'\-U- ~"'''VIU>- ~-,-..., \- '

TELEPHONE NO.: S'::t"\-t1l."S \ FACSIMILE NO.: C5~\ -0:2.\~

FROM: ~..,.. '-0,"" ~'G.Y'n'\\ \. \

NO. OF PAGES (INCLUDING COVER SHEET): _2. __

REMARKS OR SPECIAL INSTRUCTIONS:

MAUl COUNTY CODE IS AVAILABLE ON THE INTERNET

www.co.maui.hi.us

If you do not receive all pages or if there is a problem with this transmittal, please call (808) 270-7735. Our facsimile number is (808) 270 .. 7634.

[email protected]

250 SOUTH HIGH STREET. WAILUKU, MAUl. HAWAII 96793 . Pl.ANNING DIVISION (808) 270-7735; ZONING DIVISION (808) 2,.0-1253; FACSIMILE (60s) 270-7634

Page 41: r.- · 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 5424-11.wcr2.acc We received the final required documentation

May~.(J5-04 02:14pm From-DEPT OF PLANNING COUNTY OF MAUl 808-242819 T-721 P.02/02 F-050

L.INDA L.INGL.E -", .........

TO:

STATE OF HAWAII OEPARlMENT OF lAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOX Ii21

110~L.UL.U. HAWAII IIII8D8

March 22, 2004

FROM:

Michael W. Foley Department of Planning County of Maui

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

SUBJECT: Well Construction/Pump Installation Pennit Application Spreckelsville-Ross Well (Well No. 5424-11)

c ~::-~ t •• ' ""l.J

-. :"":;-l • : :.:': (.::>

.... " .. '. ""':)

. : "'i;-. ...,. .• . ~::.l-= .• ;J.r: .-~ ,.-,:

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

MEREDITH J CHIIliG CLAYTONW DelACRUZ

JANes A FAAUiR CHIYOMe L. FUKlNO. M.D. STEPHAIIIIE A. WlW.EN

ERNE61'Y.w. LAU . DOu'I'f DtA~DR

s: ;;a ;

N \0

~. _. ,

f,J. o

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form b~ApriI15, 2004. Ifwa do not receive comments or a reQuest for additional review time y this date, we will assume that you have no comments.

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

CI:ss Attachment(s)

Contact Person: (q)~V\ Lovtde-vvw.i~~

Signed: ~ 4- . ~~ .

Phone:

Date:

Page 42: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o o /

LINDA LINGLE GOVERNOR OF HAWAII

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

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

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

ERNEST Y.w. LAU DEPUTY DIRECTOR

May4,2004

Ref:5424-11.wcp

Ms. Alice Kathy Ross

Dear Ms. Ross:

Well Construction Permit Spreckelsville-Ross Well (Well No. 5424-11)

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

Special Conditions

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

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

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

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

Page 43: r.- · 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 5424-11.wcr2.acc We received the final required documentation

Ms. Alice Kathy Ross Page 2 May 4,2004

o o

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

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

IMPORTANT - Drilling work shall not commence until a fully signed permit is returned to the Commission. Please provide all the information in this packet to your well drilling contractor. The permittee, well operator, and/or well owner are responsible for all conditions of the permit. This includes ensuring that the well construction contractor, or other party who constructs the well{s), submits a completed Part I of the Well Completion Report form (enclosed) within sixty (50) days after the well construction work is completed. Be advised that you may be subject to fines of up to $1000 per day for any violations of your permit conditions starting from the permit approval date.

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

Sincerely,

W.f7H 1't

Peter T. Young Chairperson

Enclosures

c: Wailani Drilling, Inc.

Page 44: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o WELL CONSTRUCTION PERMIlQ Spreckelsville-Ross We". Well No. 5424-11

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 construction and testing of Spreckelsville-Ross Well (Well No. 5424-11) at Nonohe Place at Makahiki Place, Spreckelsville, Maui, TMK 3-8-2:117, subject to the Hawaii Well Construction & Pump Installation Standards (February 2004) which include but are not limited to the following conditions:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

The Chairperson of the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any work authorized by this permit commences and staff shall be allowed to inspect installation activities in accordance with §13-168-1(5, Hawaii Administrative Rules.

The well construction permit shall be for construction and testing of the well only. A minimum 1114-inch diameter monitor tube shall be permanently installed, in a manner acceptable to the Chairperson, to accurately record water levels. The permittee, well operator, and/or well owner shall coordinate with the Chairperson and conduct a pumping test in accordance with the Standards (a pump testing worksheet is attached). The permittee, well operator, and/or well owner shall submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump and withdraw water for use. No permanent pump may be installed until a pump installation permit is approved and issued by the Chairperson.

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

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

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

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

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

The pelJTlitte~Lwell op~rator, and/or well owner shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of mlS permit.

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

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

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

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

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

Date of Approval: Expiration Date:

April 12, 2004 April 12, 2006

PETER T. YOONG, Chairperson Commission on Water Resource Management

I have read the conditions and terms of this sermit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of m}t ability to procee and understand that I shall not commence work until I and the driller have signed, dated, and returned the permit to the Commission, I also understand that non~ompliance with any permit condition may be grounds for revocation and fi nes of up to $1000 per day starting from the permit date of approval.

Permittee's Signature: _____________ _ Date: ______ _

Printed Name: Firm or Title: _______________ _

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

Printed Name: Firm or Title: _______________ _

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

Attachment c: USGS

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

Page 45: r.- · 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 5424-11.wcr2.acc We received the final required documentation

FROM: ERNIE

TO:

ANAKALEA, P. BAUER, G. CHING, F. DANBARA, S.

~UJI'N.

__ ODING, K. HARDY, R.

--J- HIGA, D. V ICE, C.

IMATA, R. KUNIMURA, I.

CO~lSSION ON WATER RESOURCE MANAt~lENT

DATE: APR 29 2001

INIT. TO:

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

IN IT:

SUSPENSE DATE:

FOR:

Approval Signature Information

(03/03)

PLEASE:

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

Page 46: r.- · 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 5424-11.wcr2.acc We received the final required documentation

~ -",. o o LINDA LINGLE

,GOVERNOR OF HAWAII

PETER T. YOUNG CHAIRPERSON

BOARD OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

Applicant! Agency: Address:

DAN DAVIDSON DEPUTY DIRECTOR • LAND

ERNEST Y.W. LAU DEPUTY DIRECTOR· WATER

n~ APR 29 9 28 A: AQUATIC RESOURCES BOATING AND OCEAN RECREATION

BUREAU OF CONVEYANCES STATE OF HAWAII COMMISSION ON WATER RESOURCE MANAGEMENT , '. CONSERVATION AND COASTAL LANDS

DEPARTMENT OF LAND AND NATURAL Rt1tIm\l!lD~Ecr,<: 1''\:' W.'t~ Nj:fRv.Ar, TIONAND RESOURCES ENFORCEMENT ~n ',' "",!,' , ' I •• ', ENGINEERING

HISTORIC PRESERVATION DIVISIO~ES:.Ji ';C~~ r·,· · ,:~UiE;:T~~~~~i~~~~~E~~~i,~~ KAKUHIHEWA BUILDING, ROOM 555 KAHOOLAWEISLAN~NE~ERVECOMMISSION

601 KAMOKILA BOULEVARD STATE PARKS

KAPOLEI, HAWAII 96707

HAWAfI HISTORIC PRESERVATION DIVISION REVIEW

Ernest Y. W. Lau, Deputy Director State of Hawaii

Log #: 2004.1306 Doc #: 0404CD59

Received: 26 March 2004

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

SUBJECT: Chapter 6E-42 Historic Preservation Review - Well ConstructionlPump Installation Permit Application for the Proposed Spreckelsville - Ross Well (Well No.: 5424 - 11) [State/COWRM]

Ahupua' a: Hamakuapoko District, Island: Makawao, Maui TMK: (2) 3-8-002: 117

1. We believe there are no historic properties present, because:

__ a) intensive cultivation has altered the land ~ b) residential development!urbanization has altered the land ~ c) previous grubbing/grading has altered the land ~ d) an acceptable archaeological assessment or inventory survey found no historic properties (See SHPD DOC NO.: 9503SC19ILOG NO.: 14194)

__ e) other:

2. This project has already gone through the historic preservation review process, and mitigation has been completed _ .

./ Thus, we believe that "no historic properties will be affected" by this undertaking

In the event that historic sites (human skeletal remains, etc.) are identified during the construction activities, all work needs to cease in the immediate vicinity of the find, the find needs to be

Page 47: r.- · 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 5424-11.wcr2.acc We received the final required documentation

'" ' - " o o protected from additional disturbance, and the State Historic Preservation Office needs to be contacted immediately at 243-5169, on Maui, or at (808) 692-8023, on O'ahu.

Staff: ~~~~~..!!.4~ .. -"'y~~~ Cathleen A. Dagher Assistant MauilLana' i Islan (808) 692-8023

Date: Z-1 ~~y

Page 48: r.- · 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 5424-11.wcr2.acc We received the final required documentation

ALAN M. ARAKAWA Mayor

o o

DEPARTMENT OF WATER SUPPLY COUNTY OF MAUl

April 26, 2004

Mr. Peter T. Young, Chairperson

200 SOUTH HIGH STREET

WAILUKU, MAUl, HAWAII 96793-2155

www.mauiwater.org

Commission on Water Resource Management Department of Land and Natural Resources PO Box 621 Honolulu Hi 96809

Subject: Well Construction/Pump Installation Permit Application Spreckelsville - Ross Well (Well No. 5424-11)

TMK: (2) 3-8-002:117

Dear Mr. Young:

Thank you for the opportunity to provide comments on this application.

Zoning Compliance

GEORGE Y. TENGAN Director

JEFFREY T. PEARSON, P.E. Deputy Director

COMMISSION ON WATER RESOURCE MANAGEMENT

The property is designated Agricultural by the State Land Use Commission, Paia-Haiku Community Plan, and County zoning. The proposed use is an allowed use under this land use designation. The project site is located in Special Management Area. SMA exemption was granted on November 3, 2003.

Aquifer Status and Proposed Amount of Withdrawal

The project is served by the Paia Aquifer. According to the 1990 State Water Resources Protection Plan, this aquifer has an estimated sustainable yield of potable water of 8.0 MGD pre-irrigation times. The Plan also states that a very large volume of Koolau Sector surface runoff is transported to the system by ditches for irrigation and that only the reach between Hamakuapoko and Maliko contains potable basal water. The estimated sustainable yield as recoverable potable water is 4.0 MGD.

From discussions with the applicant, we were informed that construction of dwelling is undelWay and that domestiC and fire protection services will be provided via county system. The proposed on-site well will be used to irrigate landscape/orchard on a 2-acre lot. Proposed amount of withdrawal is 5,000 gpd. By standards, estimated average daily demand for lot this size would be about 10,000 gpd

While the proposed well does not have immediate effect on any existing DWS wells, there are several private wells in the zone of influence. The proximity of the proposed well to existing wells could conceivably present potential conflict in use. This conflict depends on pumpage, drawdown and aquifer status. In addition, DWS has concerns about cross-connections. The property will be served by both county water system and the proposed well. We recommend that the applicant be required to install backflow prevention device approved by the department in order to provide sanitary protection to the department's water supply.

Printed on recycled paper ~

Page 49: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o Page 2 Mr. Peter T. Young Spreckelsville - Ross Well (Well No. 5424-11) April 26, 2004

Conservation

o

We encourage the applicant to consider the following water conservation measures in and around the property: Maintain Irrigation System: A simple, regular program of repair and maintenance can prevent the loss of

hundreds or even thousands of gallons a day. Refer to the attached handout, "The Costly Drip." Use Climate -adapted Plants: The project is located in the Maui County Planting Plan - Plant Zone 5.

We encourage the applicant to utilize appropriate native and non invasive species and avoid the use of potentially invasive plants. Native plants adapted to the area, conserve water and protect the watershed from degradation due to invasive alien species. Attached is a list of appropriate plants for the zone as well as potentially invasive plants to avoid.

Groundwater Protection

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

1) Inspect exposed parts of the well periodically for problems such as: cracked or corroded well casing, broken or missing well cap, damage to protective casing, settling and cracking of surface seals.

2) Slope the area around the well so that surface runoff drains away from the well. 3) Provide a well cap or sanitary seal to prevent unauthorized use of or entry into the well. 4) Provide for sediment removal or well cleaning as necessary. 5) Avoid mixing or using pesticides, fertilizers, herbicides, degreasers, fuels, or other

pollutants near the well. 6) Do not locate any type of potentially polluting activity up slope from the well.

Should you have any questions, please call our Water Resources and Planning Division at 270-7199.

Sincerely,

~ Director

eam c: Engineering Division

Applicant, with attachments The Costly Drip Maui County Planting Plan - Plant Zone 5- What and How to Plant in your Area

2

Page 50: r.- · 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 5424-11.wcr2.acc We received the final required documentation

QMISSION ON WATER RESOURCE MANAGEMEQ ROUTE SLIP FOR PERMIT ISSUANCE

FROM: CHARLEY DATE: 1.-1 Apnt't otf SUSPENSE DATE:

BAUER, G. KUNIMURA, I. MATHIAS, T. NAKAMA, L. NAKANO, D.

3 Approval -3-Signature -4-lnformation

CHING, F. DANBARA, S.-­FUJII,N. -­GOODING, K.--

-1-HARDY, R. ~ HIGA,D. -U­HIRANO, E.

-5-ICE,C.

_3_LAU, E. ~ (., <' < ,i,.--f 4 OHYE, M. I/v .... ' ,

--SAKODA,E. ~ -2-SUBIA, S. == SWANSON, S.

IMATA, R. JINNAI, R.

WELL NUMBER 5424-11

IS4:. WELL CONSTRUCTION

UYENO, D. YODA,K.

WELL NAME Spreckelsville-Ross

ATTACHMENTS FOR WELL CONSTR)JCTION PERMIT: 1 COVER LETTER ~ 2 PERMIT (2x) ,/

COMMENTS: --3 SDWB ./ 4 WWB -:r-5 CWB ~ TO BE SENT TO APPLICANT

6 HEER 7 LD"; 8 HP '? /

1~~~~;~~~ * FOR OFFICE USE ONLY

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft

-2-Type Final -5-File

Xerox copies

? \\;~.;,,:;)tfa1Jlllt~ ___ :B,tJr:.

D PUMP INSTALLATION / (itwoJ e.~ ~/J\Ur overlooW!

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

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

6 HEER 7 LD 8 HP 9 WCRII FORM

10 WURFORM ,11i;~};~N.r'!'$;WGRKsREt;;f,:;;;(y1;Jlti$;;. FOR OFFICE USE ONLY

Page 51: r.- · 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 5424-11.wcr2.acc We received the final required documentation

04-14-04 07:43am Froll-DOH/Sate Drinkinl Water Branch 8085864351 T-158 P.002/003 F-927 RECEIVED

,.

TO:

FROM:

SUBJECT:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O.BCXB21

HONOl.IJUJ. HAWAI 1IIIIIIlB

March 22, 2004

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

William Wong, Safe Drinking Water Branch

SAFE DRfNKING \I'/.I\TER BRF;NCH MAR ~ 0 2004

MEREDmt J. CHING ClAYTON W. DaA CR~

JAME8 A FRAZER C/UYOIE L FUKINO. M.D. &TEPIiANIE A WHALEIII

ERNESTY.W.lAU ---

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

j!PeterT. Young. Chairperson Commission on Water Resource Management

Well ConstructionIPump Installation Permit Application Spreckelsville-Ross Well (Well No. 5424-11)

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 for any conflicts or inconsistencies with the programs, plans, and objectiVes specific to your department. Please respond by returnina this cover memo form by April 15, 2004. If we do not receive comments or a request fOr additiOnal review time by this date, we will assume that you have no comments.

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

CI:ss Attachment(s)

RESPONSE:

[ J

( 1

[ ]

II

[ ]

[ I

This well Cll.lalilies as a 6DlR8 WhICh Will serve as a soun;e of pulable water to II putiu:: water"!iY&fem (defined B& BI!JVinij 25 or II1IK\! people at leslit 60 ~ ~ y"r or ha& 15 at _ S8I'Iice connecuons> ana must receive DI~r Ofliealth IIPJlIVVIIII!d!!!: to Its use to CQITlply wiUI tiawaii AdminiStratiVe Rules <HAAl, Tille 11, Chaplsr 20. Ride5 Ralaling to Potable water Systems. §11..zo.29.

This wall does not guaIify as a GOutt8 salVIna a lIubile Wfter !!I~m (Bervelles!illlMin 25 people or mare people at Iea&t 6D ~ PfoY"y"r Dr 15 681'ViCe con!1l!dionB) and if the well wafer IS used for dIlrikln\l. tne IIIfvate owner $110,,16 test fur" b!lderiQlogK;;al and dlemical Pre!IIeIIllI! beIOta ini!IaUng !!Iud! UISI! and ~ monib'tlla water quality thereafter. However. If fUture lllannee! we from lIIiS source Increase!ll to meet DIe public walei' ~ definition tllen Direclot Of Haaltn apptovallS reqUired adS!!: to Impiemen1llllOn.

If the wall is used to~fI01able :1M non-DOtIIbIe purposes in a Bingle &y&Iam. the! U&8r WU eliminate CIOSS-COI1n~ :lnc:t baddIow connections by . Iy saparali/lg potable and non-pglBble m\l:flUj by an air gap or an appovad backtlOw~. and by Clearly lBbeIing all 18 spigD\5 with ~ siOns to ~ inallVeftelll consumptJofl tJf no~ waII!r. BaCkfIDw prevention CleVlces !IhouIa be routlilely III'~ and IB&tad.

It does nolappear that this wall wiD be \I$ed Jot consumpave purpoaea analB not aubjatt to S;m. Drinking W;Mr Reg\.JIa\ion$.

For lIIe a~r5 infOrmatIOn, a source of poaaibla wastawaICIt contamination [lis [lis not located near 1f1e pmpDIII!d weD sitE (1llfQnnation atlac:hed).

AA NPDES permIllII requinld.

othat releVllrlt DOH tuleslreguladonl, infvnnl1\iDn. or racomlllllldations ale IIUlIdIed.

( I No gornmen1!llobia t( J /1 Contact Person: «/1iC t

II J ' Phone:

Signed: l;ttt {,{/thtt

Page 52: r.- · 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 5424-11.wcr2.acc We received the final required documentation

LINDA LINGLE GOVERNOR OF HAWAII

o o

04 APR 6 AIO •

MAR 30 2004

Jv-. PETER T YOUNG

CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

.1 6 JAMES A FRAZIER ~ CHIYOME L FUKINO, M.D

STEPHANIE A WHALEN

ERNEST y,w. LAU DEPUTY DIRECTOR

STATE OF HAWAII m':"': :';::",[',:. -.;) ')./ ,~, n DEPARTMENT OF LAND AND NATURAL RE ,t:t~,~~. ,~' ,',. ' . .:

COMMISSION ON WATER RESOURCE '~G&MeNT' \']f~I/LT P,O, BOX 621

HONOLULU, HAWAII 96809

March 22, 2004

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

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

~ Alec Wong, Clean Water Branch

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

SUBJECT: Well Construction/Pump Installation Permit Application Spreckelsville-Ross Well (Well No. 5424-11)

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 for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond bv returning this cover memo form by April1S. 2004. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

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

CI:ss Attachment(s)

RESPONSE: [ I

[ I

[ I

[ I

[ I

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

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

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

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

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

[ I An NPDES permit is required.

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

~ No comments/objectiq,ns tJO ~5 Contact Person: \A)V/ N ~. "iWl{ .. f1\

~71.( '- , Signed: __________ -+-t _______ _

Phone: ~0 ~ 'iff Date: ~.-\ -1Ooq

Page 53: r.- · 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 5424-11.wcr2.acc We received the final required documentation

~ ..

Mar-31-Z004 04:itpm From-DEPT OF HEALTH ENVIRONMENTAL MNGMT 808586435Z T-460 P.OOZ/DDZ F-86Z

LINDA LINGLE ~ClfHotlMil\t'

\MAR 3 0 2004~ 'fit

STATE OF HAWAII DEPAFmtENT OF LAND AND NATURAL RESOURCES

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

HONOllJl.U. HAWAII IiIiIIOII

March 22, 2004

MIE~DITH J. CIiING CLAYTONW. DBACRIIZ

JAMES A. FRAZIER CHIYOIoE L. FUlClNO. M.D mPHAHIE " WHALEN

eRNf$TY.W.lAll ..."., ... ~

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

William Wong, Safe Drinking Water Branch Dr. Keith Kawaoka. Hazardous Evaluation and Emergency Response 1. Alec Wong, Clean Water Branch

FROM: JI Peter T. Young, Chair~rson Commission on water Resource Management

SUBJECt: Well ConstruotionlPump Installation Permit Application Spre~kelsville-Ross Well (Well No, 5424-11)

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 for any conflicts or inoonsistencies with the programs, plans, and objectives specific to your department. Please respond bl returninG this cover memo form by April 16. 2004. If we do not receive comments or a reques fOr additiOnal review time by this date, we will assume that you have no comments.

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

CI:ss Attachment(s}

RESPONSE: ( J

( I

{ I

I' ( I

ThiB wall (jlllllil'illB ... II soun;e willen WlII18rve ~ il ~n;e 9f potable WOlter w • pUblIC water &nlem (doftnecl a& Ii~ng 2Ci or mont pe~le at IeaIIt 6IJ dllYli per yea( or lias 1:i 01 mOl'l!l &BfYICII connucliOnS) and mlUOl receIVe OltedOr of Health BJIfII'OIIaI-aar lOlls use II> QOInpIy wItn H8WIIiI Admlnlstnnl1le Rules (HARl. Tille 11. Cl1IIpIer 20, RUle. Relalln9111 Potable WQter Syi1oms. §11 ,

TIl" _II does not gl$lify II" II source servtng a public Willer a~ lSfllVta leu tIIan 26 jIeOt)l. or more:=5at ... GO days PIIr year or 15 MMCfI DOfInaccione) lInG if Ihe well warer" ~ for IInnlllllQ,lh. private CIWMI' should teat for b IC;d 11111 CtI8mICaI presence lIIIfore Inltlalng sum use and IVII1in~y .monltor 11\. waIIiIr gulllllY 1IIfttflaftar. ~.I1f tutu,. $nn un frOm thRI CIOIIICe Increases 10 meet lie public wat8r BY5t8m CIefIMIOIIlllen Dil'lElOr« Heallh approval iii raquirea IIIlSI£ 10 irnplemenlallOl't

If \he well ill uMICI W IlUlIPIYeith bl. and I'\On1)OIabIe purposer. in a &ingle sys1em. INI user 'hilil elimlnat8 CIOH-COmecllon& .. nd backllOW connections ~ ph Iv IiIIpII!1IIting potallle ancl non-poCablo systems by an air gop or an aJll!rovad bilcktow preventsr, anII ~ CIeiItIY IilbelillQ ilIl non-pDtiI Ifli9oI!I wttn warning ~ to prevent llalvenant COlllumpbon 01 non-potable walet. IlaQkIlow preventiDll deYicetI should be roullnelV and 181i1ad.

h doee not appear that \his well will be IIHd fOr COI\Sump!iye purposes and ill nQllulljeGI to Safe Drinking WII1Ilr Regulaliol1l.

For tho aDDlIcant'r; l~rma1ion, a source at possible WilStaw.illlr contamlnatiM I Jill [J III not Joc:atecl /IU' the prgpcllOd weB lile (lnrormallcfn a\tacheCl).

All NPOES peunlt 1:1 requlrea.

O1I1er relevant OOH ruJealregulaaons. llIfOrmillion, 01 racommenclallOnS ;I .. a1Iached.

No c:omrnentslobJectionII

Contact Person: f'. (t/v· W (J 1 si9ned:_.--:Qjs:::.::=~~~=~~--t------

~ 'l(,-U:3 b i Date:_'3~/~~....:..lll;-o_y-~ Phone:

D"I:831'7-

Page 54: r.- · 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 5424-11.wcr2.acc We received the final required documentation

Mar-31-Z004 04:39Pm From-DEPT OF HEALTH ENVIRONMENTAL UNGUT 8085864352 T-461 P.OOI/OOZ F-863

The Department of Health, Clea~ Water Branch has the following comments:

1. For Well .. Driliing Activities

Any discharge to State waters of treated process wastewater e~uent associated with well drilling acti\!ities is regulated by Hawaii Administrative Rules, Title 11, Chapter 55, Appendix I, effective 'Septe'1'ber 22, 1997. Treated process wastewater effluent covered by this general permit includes well drilling slurries, lubricating fluids wastewaters, and well purge wastewaters. This genera I· permit does not cover well pump testing. The applicable Notice of Intent Forms and filing fee shall be submitted at least thirty (30) days before the &tart of discharge to the'Department of Health, Clean Water Branch at 919 Ala Moana Boulevard, Room 301, Honolulu, Hawaii 9681+4920 or P.O, Box 3378, Honolulu, Hawaii 96801-3378. Inquirie& may be directed.to the Clean Water Branch at (808) 586-4309 or by fax at (B08) 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 the initial discharge until the discharge is essentially free of pollutants. If the discharge is entering a stream or river bed, best management pradices shall be implemented to prevent the discharge from disturbing the clarity of the receiving water. If the discharge is entering a storm drain, the. dis~harger must obtain written permission from the owner of that storm drain prior to discharge. Furthermore, best management practices shall be implemented to pr~vent the discharge from collecting 5edimentsand other pollutants prior to entering the st~ drain.

, JS/cr

"

Page 55: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o o LINDA LINGLE

GOVERNOR OF HAWAII PETER T. YOUNG

CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

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

ERNEST Y.W. LAU

STATE OF HAWAII DEPUTY DIRECTOR

DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

P.O. BOX 621 HONOLULU, HAWAII 96809

March 22, 2004

TO: Dede Mamiya, Administrator Land Division

FROM: krne.st Y.W. Lau, Deputy Director Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Application Spreckelsville-Ross Well (Well No. 5424-11)

; , . i

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

r-.' f"'. , < '.' .;,;".:'

.• .. >J

I- :> Lv

-(J

!.-. I . I . -" ..

I.:.J 1 j

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returnina this cover memo form by April 15. 2004. If we do not receive comments or a request for a ditional 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,

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

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

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

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

[ ] No objections

'J I

-1

_.)

bdc Other comments: Original source of private ti tIe is Grant 3343 issued prior to statehood in 1959

Contact Person: _---'---'G~aaJ:,.q¥-7 ..... Mll/l.a.a J;.rtl:.J,;; nQ.--------- Phone: 5 ~17 04;n

Signed:_-=~=¥--=--_+-_..::..~ _____ ~' _____ _ Date: [,Ff(

Page 56: r.- · 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 5424-11.wcr2.acc We received the final required documentation

LINDA LINGLE GOVERNOR OF HAWAII

Ms. Alice Kathy Ross

Dear Ms. Ross:

o Q

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

March 22, 2004

PETER T. YOUNG CHAIRPERSON

MEREDITH J, CHING CLAYTON W. DELA CRUZ

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

ERNEST YW, LAU DEPUTY DtRECTOR

5424-11.wcpia.ack

Well Construction/Pump Installation Permit Application for Well No. 5424-11

We acknowledge receipt, on March 17, 2004, of your completed Well Construction/Pump Installation permit application and filing fee for the Spreckelsville-Ross Well (Well No. 5424-11). You can expect your application to be processed within ninety (90) days from this date.

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

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

CI:ss

c: Wailani Drilling; Inc.

Sincerely,

WfrH )1 ERNEST Y.W. LAU

Deputy Director

/

Page 57: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o Q LINDA LINGLE

GOVERNOR OF HAWAII PETER T. YOUNG

CHAtRPERSON

TO:

FROM:

SUBJECT:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

March 22, 2004

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

MEREDITH J. CHING CLAYTON W. DELA CRUZ

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

ERNEST Y.w. LAU DEPUTY DIRECTOR

William Wong, Safe Drinking Water Branch Dr. Keith Kawaoka, Hazardous Evaluation and Emergency Response 1. Alec Wong, Clean Water Branch

;/If Peter T. Young, Chairperson Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Spreckelsville-Ross Well (Well No, 5424-11)

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 for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by April 15, 2004. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

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

CI:ss Attachment(~)

RESPONSE: [ 1

[ 1

[ 1

[ 1

[ 1

[ 1

[ 1 [ 1

This well qualifies as a source which will serve as a source of potable water to a public water system (defined as servinQ 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of Health approval m:!2!: 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 gualify as a source serving a public water system (serves less than 25 people or more people at least 60 days per year or 15 service connections) and if the well water is used for drinking, the private owner should test for bacteriological and chemical presence before initiating such use and routinely monitor the water quality thereafter. However, if future planned use from this source Increases to meet the public water system definition then Director of Health approval is required prior to Implementation.

If the well is used to supply both potable and non-potable purposes in a single system, the user shall eliminate cross-connections and backflow connections by phySically separating potable and non-potable systems by an air \lap or an approved backflow preventer, and by clearly labeling all non-potable spigots with waming signs to prevent inadvertent consumption of non-potable water. 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 appticanfs information, a source of possible waslewater contamination [lis [l 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.

No comments/objections

Contact Person: ________________ _ Phone: ______ _

Signed: __________________ _ Date: ______ _

Page 58: r.- · 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 5424-11.wcr2.acc We received the final required documentation

LINDA LINGLE GOVERNOR OF HAWAII

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU. HAWAII 96809

March 22, 2004

TO: Dede Mamiya, Administrator Land Division

FROM: krne.st Y.W. Lau, Deputy Director Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Application Spreckelsville-Ross Well (Well No. 5424-11)

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

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

JAMES A. FRAZIER CHIYOME L. FUKINO. M.D. STEPHANIE A. WHALEN

ERNEST Y.w. LAU DEPUTY DIRECTOR

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please res ond b returnin this cover memo form by April 15, 2004. If we do not receive comments or a request or a Itlonal 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. __________ '

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

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

[ ] No objections

[ ] Other comments:

Contact Person: _________________ _ Phone: ______ _

Signed: __________________ _ Oate: ______ _

Page 59: r.- · 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 5424-11.wcr2.acc We received the final required documentation

LINDA LINGLE GOVERNOR OF HAWAII

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

March 22,2004

TO: Holly McEldowney, Acting Administrator Historic Preservation

FROM: ~Ernest Y,W. Lau, Deputy Director Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Application Spreckelsville-Ross Well (Well No. 5424-11)

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

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W DELA CRUZ

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

ERNEST YW. LAU DEPUTY DIRECTOR

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by April 15, 2004. 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, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-0251.

CI:ss Attachment( s)

RESPONSE:

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

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

[ 1 No objections

[ 1 Other comments:

Contact Person: ________________ _ Phone: ___________ _

Signed: ________________________________ _ Date: ______ _

Page 60: r.- · 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 5424-11.wcr2.acc We received the final required documentation

LINDA LINGLE GOVERNOR OF HAWAII

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

March 22, 2004

TO: George Tengan, Director Department of Water Supply County of Maui

FROM: ~peter T. Young, Chairperson Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Application Spreckelsville-Ross Well (Well No. 5424-11)

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

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

JAMES A. FRAZIER CHIYOME l. FUKINO, M.D. STEPHANIE A. WHALEN

ERNEST Y.w. LAU DEPUTY DtRECTOR

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form b~A~ril15, 2004. If we do not receive comments or a request for additional review time y ris date, we will assume that you have no comments.

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

CI:ss Attachment( s)

RESPONSE:

[ ]

Contact Person: ______________ _ Phone: _________ _

Signed: ______________________ Date:

Page 61: r.- · 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 5424-11.wcr2.acc We received the final required documentation

LINDA LINGLE GOVERNOR Of HAWAII

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

March 22, 2004

TO: Michael W. Foley Department of Planning County of Maui

FROM: ~peter T. Young, Chairperson Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Application Spreckelsville-Ross Well (Well No. 5424-11)

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

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

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

ERNEST YW. LAU DEPUTY ~RECTOR

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 April 15, 2004. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

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

CI:ss Attachment( s)

RESPONSE:

[ ]

Contact Person: ______________ _ Phone: ________ _

Signed: ____________________ Date:

.-..• _--.. -. --------------

Page 62: r.- · 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 5424-11.wcr2.acc We received the final required documentation

FROM: CHARLEY

UER, G. __ .. :.HING, F.

FUJII, N.

CQ"SSION ON WATER RESOURCE MANAGEMENP ROUTE SLIP FOR NEW APPLICATIONS

DATE: 12-Mar-04 SUSPENSE DATE: 19-Mar-04

PLEASE:

LUM, A. 3 Approval See Me NAKAMA, L. -3-Signature -1-Review & Comment

3 NAKANO, D. 4 Information Take Action HARDY, R. 3L:

-4-0HYE, M. ~/j,~., , --NISHIOKA,L. ~'D'_ -5-Type Draft acknow letter

-2-Type Final, label new file folder HIGA,D. 2L HIRANO, E.

-5-ICE,C. IMATA, R. JINNAI, R.

KUNIMURA, 1.== --SAKODA, E. -2-SUBIA, S. --SWANSON, S. --UYENO, D. --__ YODA,K.

WELL NUMBER 5Zf2tf ' « WELL NAME Sprekelsville-Ross

-5-File --Xerox

D WELL CONSTRUCTION D PUMP INSTALLATION g BOTH

ATTACHMENTS FOR APPLICATION P.,ROCESSING - Both applicant & staff generated 1 TRANS. LETTER -L-2 CWRM MAP .", 3 APPL. FORM (5COPIES) 3~ 4 USGS MAPS (5 COPIES)~ 5 TAX MAPS (5 COPIES) .,/ . 6 PARCEL OWNER VERIF.-TMLS PRINTOUT 7 CONTRACTOR VERIF. ~ DCCA LICENSE SCREEN PRINTOUT 8 ALL INFO FILLED IN .I' 9 BACKGROUND CHECK --

10 $25 FEE DEPOSIT SLIP -r 11 DHP, SMA, EA check 7"""

FOLDER: g MADE NEW FILE FOLDER, ATTACHED D(( FILE FOLDER ALREADY MADE, IN FILE CABINET

INCOMPLETE ACTION DATES:

DATE ACTION

copies

Page 63: r.- · 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 5424-11.wcr2.acc We received the final required documentation

DQRTMENT OF LAND AND NATURAL RESoAs DOCUMENT NO . .. UAC OR ATTACHED WORKSHEET DATE· 2/23/04

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

S 04 326 C 1026 0752 (1 ) $25.00 Kathy Ross

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $ 25.00

REMARKS: LINE (1) Sn.cQr.klesville-Ross Well, tmk: J..8..2o.tH LINE (2) LINE (3 LINE (4) LINE (5) LINE (6) LINE (7) LINE (8) LINE (9) LINE (10)

Page 64: r.- · 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 5424-11.wcr2.acc We received the final required documentation

WELL & PUMP INFORMATION: . <,,--81n thedlagrananthe badt'GfINebm.)

2. WELLNAME: .' Sf C(! c.k \e~'v;,\\"- R~$~ . · Island: __ M;.;.;::;~· . ...;:;:!.~I..:;,'~;,;;.;j=-".:~--.-.. ____ _

'~. ao-, M"kcLh;h.' <t' l\,'t Tax;M8pKey: ,*-:: ,i':' ~ -it-: \..!J ,AIIIdI: (a}pcdan ofa7.5-M11U1t SeIIai.USGStopQ(II ...... map (8CIIIt 1:24,000) ... walllacaIian ...... and InclIdit the .... of ... qum map

i. (b)a~ ..... ~~~ .. r"'iI.ItDII"""""PIIII*tY"""" :'" " " 3. PROPOSEDWORK:" .,: PI Q1niiiIuctl4'aWWeI ar' ........ ~ .'

(cIJfIdc .. """.,., 0 MadIy ...... w.r [] MadIy~ . 0 AIiIIitdanI8eir .. '

, .,....,WeI,No.:, _. ______ (l1rincMn,p-..callOoi.iilillllan8t587.a2215)

it' ~ . . , . ODLv . 0 SII8It 0 TtmaI

.. lNsw81partofaballeryofW8lls?OV_ ~ ~ __ ): ~": '.

. ,1

4. CONS1'RUCTION:

5. PROPOSED PUMPING RATE: __ 5~Q:....-___ gaIons par~<.;' .'. ",

6. PROPOSED USE: 0 ....... (lncludlnahallala, ..... )

(cIa:It .. """..., 0 Dan..uc(lndMdull.I1IIIICOIIIftlI ......... ),'

'"

Daaa .... ...v.26or __ lIl1iMtao-.per,...« ... 1SOr· ....... ClllilIadbIlO ,,[]·v. [] No

~=- ... ~ ~::::, ··_,..;::;a~, ___ _

7. (8) PROPOSEDAMOUNT9FWITHDRAWAL:. ..~ 56t)O , ~perdaY" ,?>!\"'/04

(b) METHOO:o.: Fi..OW~: -, rIFk;; ... '0' CJpen:f!pe 0 WeIr [] ~ [] 0IhiII(~ OTHER IMPORTANT INFORMATION::,.:,

8. ~~EQUIREMEN'Ts:,~ .... ,."",._ • ."". ....... CGn~iIIpIbJ_ .... iiiu..".".. . .. . . . -~ -' . . .. ~ . . . " .. " , ."

ca .................... PenIIIt (COW') Totlnd GUtlfa CDlP .... II •• ' •. caIIllI..MtlJind,~ at 587-0114 o Nat...... If .................. _· .. _.'_ ............. _

........ 11 ................. _ .., .............. · .. II ........ tEAJ 'Tod kin •• fan EIS crEA .... I LIllY. call OEQC at 588-4185 D ttiRaquilad ......... ditiiJdlll*l .. oeac..,... ",:',:< .. " ".:-~'

............... ,...PenIIIt(8MNl) To"" •• fanSIMP1anerlllity: CIn'OIIu.caII527.&374:cm ..... callSI81-82II8;far .... CIUIIr. Qd 2lD-'I236: an KauatiCIII'MM877. ' . .

D Nat....... If ....... dlllellllllJlllIIftIIllMdllld~· ___ _

9. REMARKS. EXPLANAT~:

For ofticiaI use only LatItude longitude

AquIar Syslam No. ------ SIal8 Wei No. . ~__r:I"T"':_r_~r:__---------

I

\

Page 65: r.- · 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 5424-11.wcr2.acc We received the final required documentation

't:; ... .. ..,,< .

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

• 0"

~.- ..

~::.?: .

Cement GPx.t: ~5' ft.---.L (min. 7OJ'. of·dIII8nce·froII'I,

~ ::. ... 6._ to assure that your ~,P!,,-D' arc in . oompIianoe witJJ:'81le;astiiigr.e~ns.

ground elevation to toP. o~. water eurface or SlO It., whIChever Is Iess.)

" MInImum annuIarepace . between hole and caslng.~ '$'

. Rode or Gravet ~·tJ e­~.al:. O'CfU$hed SUaI

D RotnIed Gravel

.~ Level EJevdon:" . ~

ft ..

. I., ,~

. ~, .' '. '*---. Open Hole: f\ . ~· ____ A~l~~· _______ ft.

DJarneter:\( In. ", " Bottorit ElevatIOn:' .. \ '" .. ft.. JIIIII*

.... ~~, "

, '-:.:.'

Fornon-aaltwater aaaalVllala. botlorneJevationofwelllhoUkl not be deeperthan 1l4ofaqu!lerthldmesaor, - Bottom ~ ofWai ~ .. (Walar EIevalion - 41 • .."....,.. ..... ) ." '.

1!xampIe: EaIii ....... +2tt. ............. -.BallDmEllwdanofWellLlml- (2. ~) • -tUft. . . . "

. *lhe approxknate'eImllionmusl b8 rd.ritnCed to mean sea .... (riIIII) at the t!m8' Or ~ tiIno. 'Finalelavation& of ... componenIs shall be aubmIted In the 'II!IJl ~I Abendonmett repot18 and refeI'e",* to a ~ which has been estabIItIhed by a aneyor lcenaed by the state.

SolId CasinG Matadali .... SIiIeI: compliant wIIh (cIJecIr one or 1JIGfit):

. AnCtcompeanhillh (clWduane 01'lII0I8):' . OA$1M'A242 0 l)p8 E' 0 i)p. S', :O:a... B·' .. 0 aher_' ______ _ ......... St8ei:(~·0ne):OAS1MAG·'OASTMA312 ' .... ,. . ',' . ASS PIII8IIc: conforming to ASlU F4IBOand ASTM01527: (dJedc one) 0 SchedUIe4) 0 ~ eO' ... PVCPIaIIc~k,ASTMF480and(A8n.01785orAS1M:D2241):(c:lJedtone)::· -f1{ ScfiacU.:4) 0 ~80 n.mos.tPlUilc:·(chl.dronii) .- 0 Fll8mtntWoundRealn~'~IoMTMD2S9& .... ' '.' '. .. ... . ,... . ... :: ...... : .. , ';'g:::~~=;t'::::~~'~1; .':.: .....,

o GluaFlMr ReIni.rced Reiin~ ~~tOAWwA c9sb" , .' " ". . 0 PTFE FIuoroc:aIban ~-conrormtng·to ASTM Da298.c.· ... ....

• '.. • I.' . -. .' _.... ' . • ~" •. ':, • • .

. • .' ;" f'.' .-,;y., c. ,~,,:,,~, r C1..F.ERF.Iuoruc:aIbon Tubing c:onfot'mlng..to..ASlM·Il32G6.·.,· .. ,., .. "'" "0 ... ""_ .• : •••.•... ' _."., .• "" .. " ".,,i':-, •. ::.;, .... ':.' '0

Opeftclsina ......... i ... ' .... ,: .';.' ". ,',...., ',:. ':, '.' . ;>" . : .. 81ee1:compIIIuIlWlh(c:fNICIc OINt or men): '. 0 ANSUAWNA C2tO .;' . O,API Spec.:$). ·0. AS1M ~ 0 AS1M A13D

'. '~"

AndCOInpl.ntwllh (c:bedc one 01'lII0I8): ·0 ASTM A242'O Type E'· 0 1)pe S '. O'Grade rI" :: 0 0Ihaf_. :_ .. _______ _

.......... 8teeI: (cIHIt:k _): 0 AS1'M A4l9 0 ASlM A312

. AIls ..... ConfOn1IingtO' ASlU F4BO and ~STM 01527: (Ch8c:ic ane) '0 'SCheduIe 4)'0 Soheduie 80

PVC PIaIIc confoamIng 10 A~ F4BO __ (ASTM 01785 or ASTM D2241): (cIJed( one): .. '., ,oJ ScheckIe 4) 0 Sc:beduIe 80 ~ Pt.6: (c:heck CtIJe) 0 Fu.m.ntwiu.t R-* ~ ~., ASTuD2S9Ei.· "-" .....

" 0 ~_IiC8it'R .. .,..~'b)Ain ... f02997

" " "'''':·:'''':'~·:-:':~':·':.'''·::'''::'·''~:'·:b-:=;::;=~=:=:;:=~'.":"~;"'~"~;."~':" . .':~.'~:':::'. ". ":,,.C".

o PT:FEJ:~ TUbing conrOnnina cD A8TM ~ .. .. ,:·0 FEP·Alorocarbon TubIng·c:onimftInri Io·ASlMD3298 . . . "'0 • '~"

, .

Page 66: r.- · 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 5424-11.wcr2.acc We received the final required documentation

ALAN M. ARAKAWA Mayor

MICHAEL W. FOLEY Director

WAYNE A. BOTEILHO Deputy Director

o o

COUNTY OF MAUl

DEPARTMENT OF PLANNING

SPECIAL MANAGEMENT AREA ASSESSMENT/EXEMPTION FORM (SMS)

PROJECT NAME: ~R~os~s~R~e~si~d=en~c=e~~~~~~ __ ~~~ ______________________________ ___ PROJECT ADDRESS/LOCATION: -:-:=2=0:,-:1 -==M=a=k=ah=i=kic..;:S::.:t:...::re=e,=:,-t....:..P...:::a,-,=ia::.L' ..!...H!!.=i. ______________ _ TAX MAP KEY NUMBER(S): 3-&-002:117 Building Permit Application No. BT 20032222 APPLICANT'S NAME:(PRINT) Kathy Ross PHONE NO. -=28=3::...-.!..-14=8:.:..7 ____ _ PROPOSED CONSTRUCTION: 1st Farm Dwelling. with garage,art studio. storage,swimming pool and drilling for a water well for agriculture irrigation use.

The proposed construction was determined to be: 1L 1. Constructio.nof asingle.;famUy resid~nce that is notpartofalarger develc>cpment;

2. Repairormai.ntenanc~ ofroadsand hiilhwayswifhin exi~th'l9rights~f-ways; . 3. Routine maintenance dredging of existing streams. chani1f~I$, anddrain;:l'geways; 4. R. epair .a. n.d. m ... ai.n.·.t. en .. ·.an .. c.e O.f.,u. n.c:tergroundutilitv lines, inclUding but notli.m. i'tedtQ wate.r,

sewer,power, andtel"ephpneand ~inorappunenantstrucfuressuchaspad mounted transf()rmersandsew~rp.gmp~tabons;

5. Zoningvar1ances,excepffor hei'ght; density, parking, and shoreline setback; 6. Repairj maintenc;lnce, orinterior alterationstoeXistings.tructures; 7. Demoution.gr relT!9vc;l1 ofstructJ.lre.s,exceplthose structures located onany historic site as

designated I", natlOr'1alor state 'registers; .. .. ,. .... . 8. Use of any land for the purpose of curtivating, planting~growing,andharVe$ting plants,

gh\%tft%n~;anf;f ottleragficultural, horticultural, or fores,try.producfsoranilnal·

or aqu3cultureor maricultureofplants or animals, or other agricultural purposes; 9. Transfer of title ofland; . .

10. Creation ortermil1at{on of easements, covenants, or other rights in structures of land; 11. Subdivision of land into lots greater than twenty acres in size; . 12. SfrJbf;f~vi.SiQnofaiP~r~eIOf.land into four or fewer pargelswftEm nOc;lSsocic;ltedconstruction­

activities arepr9PQsed; provided that any hind which is s.q subdivif;fef;f shall not thereafter qualify'for this exception with respect to any subsequent subdivision of any of ·the resulting parcels;

13. InstaliatiQnof unf;fergroundutility lines and appurtenant aboveground fixtures less than four feet in height afong existing corridors;

14. StrUc.t4l'al c;lnd'lQn.stru9turar improvements to existing single-family residences, where otherwise permissible; and

15. Nonstructural improvements to existing commercial structures.

Comments/Remarks: In the event that historic sites (human skeletal remains, etc.) Are ic!entified during the construction activities, all work needs to cease in the immediate vicinity. of the fino, the find nee.dS to be protected from additional disturbance anc!the DLNR, State Historic PreserVation Division Office needs to be contacted immediately at \808) 243-5169, on Maui, or at (808) 692-8023, on Oahu.

Reviewed by: ~.!.!M!!.AA-'7-""""''''''''''''''' (Planner's Initial)

Date: 11/01/03 Perm it No. ----:_=S:..;..'""...:...fiL.!.J dLlc<.;;..oi-1.·" _6tJ_D_V_ Pursuant to Section 22, Chapter 205A Hawaii Revic;~d Statutes, as amended, and the rules of the Planning

Commissions in Maui County .. .the proposed activity was evaiuatef;f and determined to NOT be a development. Therefore, the activity is EjCEfvlPT from the requirements of Chapter 205A, HRS.

Approved bY:/Yl U :FA , MICHAEL W. FOLEY, DIRECTOR Date: '1- 3 '- {J '> (Signature) ~

File: SM5, CZM-SM5, OSP, Zonin Enforcement and Administration Division 3 . S:\ALL\FORM\ExemptSM5.2

K:\WP _DOCS\PLANNING\smx\2003\0537 _KathyRoss\Exemption

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

Page 67: r.- · 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 5424-11.wcr2.acc We received the final required documentation

lOrs

. CltJB

ti~ ~ , .

Page 68: r.- · 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 5424-11.wcr2.acc We received the final required documentation

o

o

NONOHE PLACE

~ SITE PLAN

Page 69: r.- · 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 5424-11.wcr2.acc We received the final required documentation

Pspsu/s Point

+

/ ~~

, " .. - 1---------.--\ - ~~~-