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Search Results

Subdiv/CondoTaxkey Apt 2-1-5-5-21

Page 1 of 1

o o Copyright 1/10/2001 by Hawaii Information Service

• PUBLIC RECORD DATA Property

TnrAddress F

Land Owner/Lessee Beds Baths area SULUVAN,TERRENCE JAMIE 3.51 ac M

Living area

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

~ttp:1 Iwebresearch.hawaiiinfonnation.comIREsearchi AsplFunctionslProperty ISearch TMK.asp.? A 111 DID 1

BENJAMIN J. CAYETANO GOVERNOR OF HAWAII

Mr. Terrence Sullivan P.O. Box 717 Haiku, HI 96708

Dear Mr. Sullivan:

o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

April 17,2002

Well Completion Report for Well No. 4100-01

GILBERT S. COLOMA·AGARAN c .... RPERSON

BRUCE S. ANDERSON MEREDITH J. CHING

CLAYTON W. DELA CRUZ BRIAN C. NISHIDA

HERBERT M. RICHARDS, JR.

LlNNEL T. NISHIOKA DEPUTY DIRECTOR

4100-01.wcr2.acc

We received your We)1 Completion Report Part II for the Koali-Sullivan Well (Well No. 4100-01) on April 15, 2002 and acknowledge that it is complete. This completes the permitting requirements for this. well.

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

c: Wailani Drilling, Inc.

Sincerely,

0yeJ,~ LINNEL T. NISHIOKA Deputy Director

l

... ' '" Monday, April 15, 20023:22 PM Soundworks 808-877-7845 p.01

I

ATTN. Charlie Ice

Fax Number 1-808-587-0219

Phone Number 1-808-587-0251

FROM Soundworks

Fax Number 808-877-7845

Phone Number 808-877-7023

SUBJECT ATTN Charley Ice

Number of Pages 2

Date 4/15/02

MESSAGE

Here is fax copy of Sullivan PIP will make another copy and mail you hard copy

PS FYI just got those 4 surveys done on those old wells, soon as I get them I wiill complete forms & get them to you ASAP OK.

Mahalo, Bill

I

" Monday, April 15, 2002 3:22 PM Soundworks 808-877-7845

,......... """'. '-' PUMP INSTALLATION PERMIT "-"

Koali-Sullivan Well. Well No. 4100'()1 Note; This permit shall be prominently displaved at the site until the work Is completed

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled 'Water Use, Wells, and Stream Diversion Works", this document permits the pump installation tor Koali-Sullivan Well (Well No. 4100-01) at Ahuakeio (Koali), Hana, Maui, TMK 1-5-5:21, subject to the Hawaii WeI Construction & Pump Installation Standards (1123197) 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 10 inspect installation activities in accordance with § 13-168-15, Hawaii Adminisbative Rules.

2. The pump installation pennit shall be for installation of a 16 gpm rated capadty at 168 ft. of head, or less, pump in the well.

3. The permittee, well operator, andlor well owner shall provide and maintain an approved meter or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate devices or means for measuring chlorides and temperature. These data shall be measured monthly and reported to the Commission on an annual basis, on forms provided by the Chairperson (attached).

4. The proposed use shall not adversely affect existing or Mure legal uses of water in the area, including any surface water or established instream flow standards. This permil or the authorization to pump waler from a well shall not constitute a detennlnallon of correlative waler rights. The permittee, well operator. and/or well owner are notified and by this provision understands that the quantity of water taken from the well could be reduced by the Commission in the future. This permit is not a commitment .that the pump capacity permitted here or even some lesser amount Is guaranteed in the future.

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

6. The permittee. well operator, and/or \WI! owner shall comply with all applicable laws. rules, and ordinances. and non-compliance may be grounds for revocation of this permit.

7. The pump installation permit application and any related staff submittal approved by the Commission are incorporated into this permit by reference. The this pennit is also subject to the Hawaii Well Construction & Pump Installation Standards (1123197). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

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

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

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

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

Date of Approval: Expiration Date:

December 20, 2001 December 20, 2001

·c::j.f-. I

. COLOMA-AGARAN, C irperson

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 85 B

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 retwned the pennlt to the Commlssion_ I also understand that non-compllance with any permit condition may be grounds for revocation and fines of up to $1000 per day starting from the pennit date of approval_

p.02

Permittee's Signature~~_.5it.f~~ Date: / -2. <!--t:J '2-Printed Name: terrell c e ,--5(..(./ (, ilc( 11\ Firm or Title: --=L __ ·'_tc.J_"J_~--,-r _________ _

Installer's Signature: 'Y\\.~ ~~~~ ~ ... "c-57a,orA Ucense#: ~~ \ ~<; Date: I /3ci~~ Printed Name: fl ~ «S~ R c L\·~·, h"1~1 Firm or TitJe: W C .. S."M-~ N}C&... :1 tV!....

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

Allactunenls c: USGS

Department of Hcalthl Safe Drinking Water & Wastewater BranCh Meui Depm1ment of Water Supply Wailanl Dtilling Company

J

MEMO and R8JTE SLIP o 04/11/02

I WCR,2 Check for Well No. ,100;..01 " '(sl.Irveytoregulationmemo)

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

Step-Drawdown Test:

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

Aquifer Pump Test:

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

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

analysis attached

Stream Surface Water Impacted:

2. Pump Installation Check Mitch Ohye

data complete followed WCPI Stds well database updated

. 3. Charley/Lenore/Ryan "v

4. Roy_~ __ (initial) check

5. ~ia-+ ..... __ (initial) finalize

.f!...Jnnel ____ (initial) signature

7. Charley/Lenore/Ryan File

,

o

o

\ ,

\)\7.

(initial)

o

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

(initial) l\., \,\/0 'V 7' No If no, describe deficiency

o g 0 ;,../

take action based on above analysis

~e ~ ~t(. af ~v.J.J. t> (r ,/ r~-'"1'I1f7'

-OF ,. State of Hawcai 0

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

For Official Use Only:

WELL COMPLETION REPORT - PART II Pump Installation, J,

Instnactlons: Please print in ink or type and send completed report (with attachments, if applicable) to the ::1, Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. The Commission may not accept incomplete reports. This form shall be submitted within 60 days of the completion of work. For assistance, please consult the Hawaii Well Construdion and Pump Installation Standards or call the Regulation Branch at 587-0225. For updates to this form or additional information, please visit our website at http://www.state.hi.usldlnr/cwrm/

1. State Well No.: 4100-01 Well Name: Koali-Sullivan

A~~~ 8 A 1\ : 0 3

". ~ . \ -_.-

Island: Maui -----2. Address: Ahuakelo (Koali), Hana • Tax Map Key: _1.;;..-5..;;;,.-5-::..:..::2::;..:1 _______ _

3. Pump Installation Company: WAI '-44'" f ,pta"" N4

4. Date Pump Installed: (, /;l.D '0 I monthlday/year

5. PERMANENT PUMP INFORMATION (Attach pump specifications and rating curve)

Pump Type, Make, Serial No.: S4bwlIt'5i.'cj

GRutJDr:"OS .. It.S;;lo-\f,

Rated Capacity: l b 'I p ~ gpm at head of: 3 S &, ft.

Motor Type, H.P., Voltage, rpm: t=,?,N~L/~J dllP~ 6ltSlo (} PH);J 34/:;'-0 Rl'm

Type of flow meter: -ret It Bj IV ~ which measures in _G-:...;,.', _p.~h\~. _____ _

Model Number m -~ Serial Number ....!tJ:....:-...JI~1\..:...-______ _

o Rotary o Propeller

Pump type (check one):

o Deep Well Turbine

,g Submersible o Rotary-Displacement o Reciprocating

o Centrifugal o Rotary-Gear o Impulse

6. Method of flow measurement

I!Y' Flowmeter Manufacturer hl,c~paert".eMake -,u~o ltic..

o Weir 0 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 photograph of well and concrete pad clearly showing benchmark on concrete pad.

9. Other remarks/comments:

Size ~ II

Ir- l'itA2/, S.:-r 6J 17(,t=-'T.jI/LLt,S I/)Q~r EL-t!'.(.;ATI,p~ ro.< OtrT'.t..c-r,

,

Pump Installation Contractor (print) M" kS'" As> LRl"iS'b@-57aJALiC. No. _~ ... c~l"",(",,,(~ ___ _

Signature :n~.~ 0 W; Ii J=is:~ Date \ , ~C (C\ 9l.

Pennitle. (print) ~elt c. SO' Sl.A..lL '11(.{ e1 Signature ~~l ,5l{~~ Date /-21(-0'2-

9. AS-BUIL T PUOECTION (Please attach as-built if different fI'oOrem provided below)

Bench mark elevation surveyed to nearest 0.01 ft. =

ft. mean sea level ~;t'

Elevation of top of chase tube --:T.r"IIIII""'" ft. mean sea level "7. 7~

Pump intake depth = /7 h ft. (referenced to bench mark)

Chase tube depth = /7 S" ft. (referenced to bench mark)

If airline installed, ';1JAm of airline elevation =

ft. mean sea level

. '" - • Performance Curves 16 GPM Model 16S

FLOW RANGE: 10 -20 GPM OUTLET SIZE: 1114 II NPT NOMINAL OIA. 4H

2300

2200

2100

£q, 4-\QO .. D\ ~~u· Su..\..Ll"~

116Sfoo.rou~ [10 nr 3450 =:

2000

1900

1800 1700 8 IE s~r~ .. ~1 ~n!:t rt1la-tlP1

1600

1500

1400

1300

g 1200 31t:1~~n~'aJ 1 iP)1 u.. -c 1100 Lti J: 1000

900

2 4 6

SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE. 4' MOTOR STANDARD, .5-5 HPI3450 RPM. 6" MOTOR STANDAAD,7.5-10HPI345O RPM. AHernate motor sizes available.

8 10

OPERATING RANGE: 10 to 20 GPM ~BElOtY10GPU seE MODe. 10S

RPM =

12 14 16 18. 20 CAPACITY (GPM) J /69~/h tJ/IJ!~""'T/If/.q

.., .5ee "tA.le~. Performance conforms to ISO 2548 Annex B • 2 ft. min. submergence.

-------------~

o ·0 -- . '",

o

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

o

Lic.#C20115

Dt4j?h~;0~2 All: D 2

.1'/'-. .~.:.~ \' .! I

Return Receipt Fax Memo For:Charlie Ice

Charlie. Enclosed are the following items:

:;: Request to install larger pump for Vandevelde #5616-05 WCR I Felton #5616-07

---:;r Info for Robertson 5615-01 ~ WCR II for Maui Kamaole #4226-16 -:I: WCR I for Steele #5616-06 -r Notice to decrease pump size @Front Street # 5341-02 ~ Correction notice on WCP for Maui Kamaole #4226-16 -r WCRII for Sullivan # 4100-01

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

From: Bill Steele

BENJAMIN J. CAYETANO GOVERNOR Of HAWAII

Mr. Terrence Sullivan P.O. Box 717 Ha'iku, HI 96708

Dear Mr. Sullivan:

o o



HONOLULU. HAWAII 96809

January 11, 2002

Pump Installation Permit Koali-Sullivan Well (Well No. 4100-01)

GILBERT S. COLOMA-AGARAN CI-WRPERSON

BRUCE S. ANDERSON MEREDITH J. CHING

CLAYTON W. DELA CRUZ BRIAN C. NISHIDA

HERBERT M. RICHARDS. JR.

L,INNEL T. NISHIOKA DEPUTY OIRECTOR

4100-01.pip

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. Please enclose the pump specification and rating curve for the installed pump with the Well Completion Report.

The permittee, well operator, and/or well owner are responsible for all conditions of the permit. Be advised that you may be subject to fines of up to $1000 per daYTor any violations of your permit conditions starting from the permit approval date.

Please sign and have the contractor sign both permit originals and return one for our files. A copy of your water use report form is enclosed for your use. '

Except for the monthly water use report form, please provide copies of all the information in this packet to your pump installation contractor.

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

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

AIOhaJj.~

~s. COLOMA-AG! Chairperson

Enclosure

c: Wailani Drilling Company

/

--f\ PUMP INSTALLATION PERMIT t-. ~oali·Sullivan Well. Well No. 4100-O~

Note: This permit shall be prominentlv displaved at the site until the work is completed

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled 'Water Use, Wells, and Stream Diversion Works", this document permits the pump installation for Koali-Sullivan Well (Well No. 4100-01) at Ahuakeio (Koali), Hana, Maui, TMK 1-5-5:21, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:

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

2. The pump installation permit shall be for installation of a 16 gpm rated capacity at 168 ft. of head, or less, pump in the well.

3. The permittee, well operator, and/or well owner shall provide and maintain an approved meter or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate devices or means for measuring chlorides and temperature. These data shall be measured monthly and reported to the Commission on an annual basis, on forms provided by the Chairperson (attached).

4. The proposed use shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. This permit or the authOrization to pump water from a well shall not constitute a determination of correlative water rights. The permittee, well operator, and/or well owner are notified and by this provision understands that the quantity of water taken from the well could be reduced by the Commission in the future. This permit is not a commitment that the pump capacity permitted here or even some lesser amount is guaranteed in the future.

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

6. The permittee, well operator, and/or well owner shall comply with all applicable laws, rules, and ordinances, and non-compliance may be grounds for revocation of this permit.

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

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

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

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

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

Date of Approval: Expiration Date:

December 20, 2001 December 20, 20e!) "'.>

. /1

eJ. irperson

Commission on Water Resource Management

I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the pump installer have signed, dated, and returned the permit to the Commission. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $1000 per day starting from the permit date of approval.

Permittee's Signature: Oate: ____ _

Printed Name: Firm or Title: ________________ _

Installer's Signature: C-S7, C-S7a, or A License #: Oate: ____ _

Printed Name: Firm or Title: _______________ _

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

Attachments c: USGS

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

/

MEMO and RbtTE SLIP o

WCR 1 Cfi."e" .'ck·'~ ... o.·r "'.· .... "' .. "e·.···.II""N.' 0', '.'" ",· .. ,4 ... 1'0"'0".\.'.'" · .. 1i> ,.,... . . , .. "',,'. t ti ' YY' ~,)i"(sufll:~y,to!!fegu~,,PO

1. Pump Tests Check Glenn Bauer-.":l~ __ (initial) Yes No

Step-Drawdown Test:

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

Aquifer Pump Test:

followed WCPI Stds S T & S analysis attached 0

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

analysis attached 0

o o o

o ~

o

If no, describe deficiency

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

I ,·.t-(,( ~ "I-14-cn."

12/26/01

2. Construction Check Mitch Ohye kiL·/ (initial) Yes No If no, describe deficiency ~

('t j Fi P data complete followed WCPI Stds well database updated ~ ~

~,y'''

( I\...--£if,

3e~enOreiRyan ----'c_ ....... • __ (initial) take action based on a .......

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

.3 DQII eOMMEN I S-4LAND 01\'. COMMENTS-

5WCR2FORM

6WURFORM

~l (initial) check .6 (initial) finalize

~~~-=-__ (initial) signature narle Lenore/Ryan File

J /

-onlyWCP.

o

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

Lic.#C20115

1211812001

Return Receipt Fax Memo For:Charlie Ice


WCR 1 for Steele 5616-06 (no survey) WCR 1 for Cookman 5514-04 (no survey) WCR 1 for Sullivan 4100-01 PIP & WCR II for Ulin 5414-02 PIP & WCR II for Smith 5320-02 with attachments

__ Survey for Robertson 5615-01 Deed for Harlow

--

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

From: Bill Steele

State of HaOii 0 For Official Use Only:

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

WELL COMPLETION REPORT - PART I Well Construction

Instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. The Commission may not accept incomplete reports. This form shall be submitted within 60 days of the completion of work. For assistance, please consult the Hawaii Well Construction and Pump Installation Standards or call the Regulation Branch at 587-0225. For updates to this form or additional information, please visit our website at http://www.state.hLus/dlnr/cwrm/

1. State Well No.: 4100-01 Well Name: Koali-Sullivan Island: Maui

2. Address: _H_an_a_H ..... ig .... h_w_a--"y'-'-,_A_h_u_a_k-'-ei--'('-K_o--,~;-Ii ..... ),_H_a_n_a _____ Tax Map Key: _1..:....-..;:..5....::-5;..:c:2=-1=----_____ _

3. Drilling Company: (,,Vv1/l_/4-1V I' D ~ /I. L I'" t:. 4. Drilling method used during contruction: 0'Rotary D Percussion D Other (describe)

5. Date Well Construction (drilled,cased,grouted) completed: 5/31/0 I .Attach Driller's Log (712&199 DL Form) month/day/year _

In addition to the driller's log, if a geologic log was prepared, please submit with this form.

6. Was the subject well cored? D Yes ~o

7. Initial water-level encountered / Jz ft. below ground Date and time of measurement: oS/;o /0/

8. Step-Drawdown Test completed?

9. Constant Rate Aquifer Test completed?

Parameters prior to pump test:

lff'No DYes

D No ~es

month/day/year time

Attach Step-Drawdown Test form (12117197 SDPTD Form)

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

10. Water-level: I\i ('iJ~.fI.l,.x',;,(.\'.· c~ ft. above msl Date and time of measurement:

11. Chloride: __ --=3'-.5' ____ ppm Date and time of sampling:

12. Temperature: ___ --'ft"'--7 ____ OF Date and time of measurement: month/day/year time

fl/Ubl tJ.;AoJt'h infh/daY!year time

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

14. Attach plot plan and surveyor's stamped elevation 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. Remarks:

Licensed Driller (print) M\,...... (2vbe&-isa .. )

Signature Vh:Ju~

Surveyor (print)' :re.€.. Ll;ftm;IJ~ Q SIA,e.()~ please attach stamped report

Signature

Permittee (print)

Signature

C-57 Lic. No. .........;;...,;l_e>---<...I'-'I5":.<........ _____ _

Date ----l~.::;..· .... !...::.?.....:.&.L..0..::...o .. / ___ _

L.P.L.S. Lic. No. __________ _

Date _.;..c..//-.//<---.::;8+,/._tJ-./I'---__ _

Date --,6~-....ILf_-_()-I-( ___ _ WCR1 Form 9129/00

/

... 13. AS-BUILT We;- SECTION (Please attach as-built if different f'(Jagram provided below)

71,. Hole Diameter: 10.25 in. Elevation at top of caSing /(,17. ft., msl* (to nearest 0.01 ft.) Minimum of 2' Radius & 4" Thick Concrete Pad

Bench mark elevation:

II 7:1..{, ft., msl* (Survey to nearest 0.01 ft.)

Total Depth

/81--- ft.

Cement Grout: 120 ft. (min. 70% of distance from ground elevation to top of water surface or 500 ft., whichever is less.)

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

:3 il in.

Rock or Gravel Packing:

tI /,4 ft. Material: 9 Crushed Basalt 9 Rounded Gravel

Water Level Elevation:

1.4/ ft. msl*

*msl = mean sea level

Ground Elevation:I"".i3 ft., msl

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

with applicable standards.

¥-------j Solid Casing: (~ 90% x (Ground Elev.-Water Level Elev»

Length: n I • '3 ft.

Nominal Diameter: __ '1L-.1 _______ in.

,250 Wall Thickness: in.

Bottom Elevation: __ -_4:....:~C-..::g:-.-__ _ ft., msl

Open Casing: tYP"erforated 9 Screen

Length: _____ --L../~=-__ _.-- ft.

. i' %... -9 " in. Nominal Diameter:

Wall Thickness: ,;lSo in.

Bottom Elevation: - 1~.1S ft., msl

Open Hole:

Length: ____ .......I.tJl:!.L:AL-_____ ft.

Diameter: ____ --LtV=-.!..!.4'--_____ in.

Bottom Elevation: __ -!..N::..LA'--___ ft., msl

Solid Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A 139

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

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

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

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

Thermoset Plastic: (check one) o Filament Wound Resin Pipe conforming to ASTM D2996

o Centrifugally Cast Resin Pipe conforming to ASTM 02997

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM D3517

o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950

o PTFE Fluorocarbon Tubing conforming to ASTM D3296

o FEP Fluorocarbon Tubing conforming to ASTM D3296

Open Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A 139

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

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


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


o Centrifugally Cast Resin Pipe conforming to ASTM D2997


o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950



J ;'

... o o ..

, ..

Wailani Dr;.] ling Company ~2101J2001 lic. C20115

655 Kulike Road Haiku,~i, Hawaii 96708 ( Ph. 808 572-2673 Koali-Sullivan Well # 4100-01 I d (I 0 I Fax 572-0925 Cellular 2647079 Survey (Top of Casing) is 167.76 ft above m.s.l.

depth-ft. o

10 20 30 40 50 60 70 80 90

100 110 120 130 140 150 160 170 180 190 200 210 220 230 240 250 260 270

167.26 msl @ Benchmark

~

Total Depth of Well 182 ft. Initial Chlorides 36 ppm

6 in.well seal @ 167.76 msl ~ .Water Meter

HP Grundfos Submersible Pump set @ 178 ft.

Pumped tested at 16 gpm for 8 hours with maximum drawdown of .01 ft.

280 ·Note: not drawn to scale

290 300 310 320 330

• 11/29/2001 19:44 8982448422 t£WCOMER-LEE PAGE 01/e1

NEWCOMER· LEE I.AJIJ SURVEYORS, INC.

1498 Lower Main Street, Su;le '0" • Wailuku, HI 96193-1931· Tel: (808) 244-8889 • Fax 244-8422

WELL ELEVATION SURVEY

NOVE~BER S~ 2001

smith Development 1043 Makawao Avenue, Suite 208 Makawao, Maui, Hawaii 96768

Attn: Ian D. Smith

01-5319

On October 31, 2001, the well located on Parcel 21 of Ta.x Map Key:(2) 1-5-005 was surveyed by surveyors under roy instructions and the elevation at the top of the well casing was determined to be 167.76 Feet above Mean Sea Level. This elevation wa.s referenced to an e~tablished benchmark on the bridge over Papahawahawa Gu 1 ch. .

5319WELL. VipS

NEWCOMER-LEE LAND SURVEYORS, INC. a Hawaii corporation

ro~ik BRUCE R. LEE Licensed Professional Land Surveyor Certificate NQ. 5983-LS

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

Oct 16 01 08:36a Wailani Drillin~, Inc. 1-80P-5?2-0925 o lM:lL NUMBER: '490 ~O I

DRILlER'S LOG (T126I99OLForm)

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

j.

:;2).. to 2..J... DLv. e .Roc Ie. . •

3:2- to c.f~ 74« ,4,<,&

t;s- to So1 Lo~e t4t!£tJC/C:

~ tol/l:Z;2. B 1. u e e:, c A:

__ to __ tf:ztt L ctJ IV d- 5"'/

__ 1o __

__ 1o __________ _

__ 10 __ 4' i20UJAJ

__ to __________ _

7 J... to ~ Hoa !lit 4Mue-L :'

__ 10 __ 13 J..l-( e. !Co~. K...

/1

II

If

II

II

it

S/q7~1

s;/oSMI

~L_toLZ2...3Lu.e t20 (Ic. wi'--/ 7;Z 10 L&..l. T.4tV £tJ e/e

Remarks:

~

Depths (ft.) Rock Descriplioo, Water level. ele. Dates

__ to __________ _

__ 1o _______ ~ __ _

__ 10 __________ _

__ to __________ _

__ to __________ _

_._to __________ _

__1o __________ _

__ 1o __________ _

__ 10 __________ _

__ 10 __________ _

_ ___ 10 __________ _

__ 10 __________ _

__ 10 __________ _

__ to __________ _

__ 10 __________ _

__ to __________ _

p. 1

o Orable 2 (CRPTD Form 12117197)

~NSTANT -RATE PUMP TEST DATA

Pumped Well No. 1// tJo -01 . Observation well no. '" A

Pumped Well Name k'oeh- SylLitMAI Distance between Obs. & Pumped Well M ~ ft. Target Q Ita gpm ;l' Reference pt. for depth to water r/a . .&:i _ ft. msl

Static Water Level @ start of test I. ¥ I ft. msl Water level measurements by: Iff'steel tape 0 pressure transducer 0 airline

START TEST Date: 87idlo-r Time of day: 8,' 00 A vn

1/ ., -15 If .,

0 0 /I 0.00 Start pump/CI- taken

1 I I 0 I

" 3S- (P7.

1.5

2 a.. I 0 I 2.5

3 3 I/, {,.ft, .01 4 1\ I' 5 $ 6 ~

7

8

10 10

15

20

25 f~lJ.31 ; 0 I

30 30 40 "10 50

60

70

80

90 qo 31 .01

100 I (J 0 1\ 1\

150 ISo 1(, 51., .0 ,

200 .;z 0 (J '1

250 ;;J.So

300 300

400 I../So • t)\

500

600

700

800

900

1000

1500

2000

2500

3000

4000

5000

6000

7000

8000

9000

10000

o

1 Chloride sampling required

2 Use same ending drawdown figure as start for recovery

CI" sample taken

CI" sample taken

CI" sample taken

CI" sample taken

CI" sample taken

CI" sample taken

CI" sample taken

CI" sample taken

CI" sample taken

CI" sample taken

CI" sample taken

CI" sample taken

CI" sample taken

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

Begin recovery data next page Flow meter reading at end of pumped period:

75:5" gals

o Orable 2 (CRPTD Form 12117/97)

t 01

I 0 0

1.5 " II 0

2 'I " 0

2.5 'I I J 0

3 II " 0

4 Cc L(..t c::. 0

5 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

250 0

END TEST Date: :?I{;;~Jqli Time of day: -'/: () 0 fJ /J1

ADDITIONAL REMARKS:

Person in charge of pump test (print): /V.4TJ/f/¥,Rq 6ee-/s~~

Signature: !W.~l ' The signature above indicates that the data reporte ~is form is accurate and true to the best of the person's knowledge who operated this pump test.

COMMISSION ON WATER RESOURCE MANAGEMENT (10/99)

FROM: ___ L~INu.:!N!.!=E!:.L _____ DATE: __ A_PR_2_6_20_0_' ___ SUSPENSE DATE, _______ _

TO:

_BAUER,G. _CHING, F. _ DANBARA, S. -YUJII, N. _~HHAARDy,R. ~ _ HIGA, D. J..l----r- HIRANO, E. ---.L ICE, C. _IMATA, R. _JINNAI, R. _ KUNIMURA, I.

TO:

_LUM,A. _NAKAMA, L. _NAKANO,D. _ NISHIOKA, L. _OHYE,M. _SAKODA,E. _'_SUBIA, S. _ SWANSON, S. _UYENO, D. _YODA,K.

_Approval _ Signature

Information

PLEASE:

See Me Review & Comment Take Action

_Type Draft _Type Final

File _ Xerox _ copies

~ ~ 6. ~h- f~ "'(If/Ol Q~ ~ ,1«,,-

.. J~ ~ ~ l'J.e.oe.lot 'l4~ ~I .tt.:.o &:",..4- J,.k 0-

)

(,II, ;J/~

M - ~ D1Ww- cm~,~ ~\vJ., ~ A-1 ) 1I'f/ ~ ~ ~.~ "6((+

o

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

o Lic.#C20115

4/23/01

~ .~. ;-~.... F:- r) ! " ~

" f!.,~. +, . ,

Return Receipt Fax Memo . :: ' ~

l. I.; j

For:Charlie Ice


/FUlly signed well construction permit for Koali-Sullivan well No. 4100-01

./ Notice of intention to start well construction.

/Notice to utilize delaratory ruling DEC-ADM98-G5

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

From: Mike Robertson

Thank you: {Y\J....tO ~~ Mike Robertson

1W-- w cf ffink-f uh vrVJ(- 'tv1 on;i~ \t«- ~\rtD\ 4"rU- "3 ( fL b~vv-e-~?

o ailani Drilling Inc. Lic.#C57-20115 ~c-~~'~ ··t'~ ':

ike Robertson 655 Kulike Road Haiku, Maui, Hawaii 96708 h.808572-2673 Fax 572-0925 Cellular 283-8481 D 1 i~rR 26

0: Charlie Ice or: Water Resource Commission

. c.

Dear Charlie: ~ ~ koq \'1 S ~ w ~ f~

O~~r..,~~~ ~d' Owner also wants to take advantage ofthe declaratory ruling # DEC-ADM98-G5 because proposed pumps are rated less than 70 g.p.m.

Thank You;

Mike Robertson ~ ~

dba Wailani Drilling Inc .

Certified By The National Groundwater Association

/ /

,-------------;::;;;;iiiill'-------------Q-. ----------, Tl >: Y/

ailani Drilling Inc. Lic.#C57-20115

ike Robertson 655 Kulike Road Haiku, Maui, Hawaii 96708 h.808572-2673 Fax 572-0925 Cellular 283-8481

3114/01 0: Charlie Ice or: Water Resource Commission

Dear Charlie:

his is to provide written notice for starting work on the following wells:

Ho'olawa Well. Well No. 5514-04 Koali-Sullivan Well, Well No. 4100-01

Owners also want to take advantage of the declaratory ruling # DEC-ADM98-G5 because proposed pump is rated less than 70 g.p.m. Enclosed are the signed well construction Permits.

Please fax a response to me to confirm.

Thank You; ~~

Mike Robertson

dba Wailani Drilling Inc.


.. ,. I 't ',/ '_ i,

' . ....


Mr. Terrence Sullivan P.O.Box 717 Ha'iku, Maui, HI 96708

Dear Mr. Sullivan: .

o o




March 5, 2001

Well Construction Permit Koali-Sullivan Well (Well No. 4100-01)

GILBERT S. COLOMA-AGARAN CHAIRPERSON

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

DAVID A. NOBRIGA HERBERT M. RICHARDS. JR.


41 00-01 wCP

Enclosed are two (2) copies of your approved Well Construction Permit for the captioned well(s) that authorize well construction activities but excludes installation work for 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.

This permit does not authorize work for your permanent pump installation. Approval and issuance of your pump installation permit is contingent upon completed application and information provided to and accepted by Commission staff as required in the Well Construction & Pump Installation Standards (1/23/97) and any special conditions performed under this permit. However, a permanent pump may be installed prior to the permanent pump installation permit issuance in accordance with the Commission's April 15, 1998 Declaratory Ruling No. DEC-ADM98-G5, which states that:

·Permanent pump installation for capacities between 0-70 gpm and where the proposed use is for private individual needs in non-ground-water management areas may be allowed 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 .•

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 retum one for our files. Also, copies of the aquifer pump test worksheet and the well co.mpletion report form are enclosed for your use.

IMPORTANT - Drilling work shall not commence until a fully signed permit Is returned to the Commission. Please provide all the information In this packet to your well drilling contractor. The permittee, well operator, and/or well owner are responsible for all conditions of the permit. This Includes ensuring that the well construction contractor, or other party who constructs the well(s), submits a completed Part I of the Well Completion Report form (enclosed) within sixty (60) days after the well construction work Is completed. Be advised that you may be subject to fines of up to $1000 per day for any violations of your permit conditions starting from the permit approval date.

If you have any questions, please call Charley Ice of the Commission staff at 587-70251 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai) extension 770251.

Aloha, ~.

IL"E S"CO~~~t Chairperson .

Enclosures c. Wailani Drilling Company

I

" j - o WELL CONSTRUCTION PERMITO

~oali-Sullivan Well, Well No. 4100-m"

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 KoaliSullivan Well (Well No. 4100-01) at Hana Highway, Ahuakei (Koali), Hana, Maui, TMK 1-5-5:21, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

The Chairperson of the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be 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, fo accurately record water levels. The permittee, well operator, and/or well owner shall coordina e 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 deared 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 Departmenfs Historic Preservation immediately.

The proposed well construction shall not adversely affect existing or future legal uses of water in the area, induding any surface water or established instream flow standards. This permit or the authorization to construct 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 drawin~ 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 pe~ittee.L~1I o~rator, and/or well owner shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of UlIS permit.

The well construction ~rmit application is incorporated into this permit by reference and is subject to the Hawaii Well Construction & Pump Installation Standards (January 23, 1997; HWCPIS). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result. .

The permit may be revoked by the Commission if work is not started within six (6) months after the date of aperoval or if work is suspended or abandoned for six (6) months, unless otherwise specified. The work pr0p0se9 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, daim, 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.

Special conditions in the attached cover transmittal letter are incorporated herein by referen~.--- 1 i(J ,

Date of Approval: February 9, 2001 February 9, 2003

GILBERT S. COLOMA-AGARAN, Chairpers Commission on Water Resource Management Expiration Date:

I have read the conditions and tenns of this penn It and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the driller have signed, dated, and returned the pennit to the Commission. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $1000 per day starting from the permit date of approval.

Permittee's Signature: _____________ _ Date: ______ _

Printed Name: Firm or Title: _______________ _

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

Printed Name: Firm or Title: ______________ _

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

Attachment c: usGS .

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

/

i , I

I

t"J WELL CONSTRUCTION PERMI'Ji-\

~oali-Sullivan Well. Well No. 4100~

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 KoaliSullivan Well (Well No. 4100-01) at Hana Highway, Ahuakei (Koali), Hana, Maui, TMK 1-5-5:21, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

The Chairperson of the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be 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 11/4-inch diameter monitor tube shall be permanently installed1Jn a manner acceptable to the Chairperson, to accurately record water levels. The permittee, well operator, and/or well owner shalT 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.


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.


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

The following shall be submitted to the Chairperson within sixty (60) days after completion of work: a. Well completion report, (attached - Part I, Well Construction RePOrt). b. Elevation (referenCed to mean sea level, msl) survey by a Hawaii-licensed surveyor. c. As-built sectional drawin9 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 P9lJllitteeihlN911 o~rator, and/or well owner shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of IS permit.

The well construction permit application is in~ted into this permit by reference and is subject to the Hawaii Well Construction & Pump Installation Standards (January 23, 1997; HWCPIS). If the HWCPIS are not followed and as a consequenca 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 app'roval or if work is suspended or abandoned for six (6) months, unless otherwise specified. The work proposeg 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 revoRe 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, personal injury, or Cleath 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 referen ....... - .....


OLOMA-AGARAN, Chairpers Commission on Water Resource Management Expiration Date:

I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the driller have signed, dated, and returned the permit to the Commission. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $1000 per day startin om the permit date of approval •

.... Permittee's Signature:.-I.~~~~.,..-~~f:4~==_ Date: ~ 1 -01 Printed Name: :::=,....~=.."cL-..::-e~nL..c..=-:::~==----.,;:S~L(i>-l( ...... {.L..(·JA::.....~...;.· ""--=-_ Firm or Title: D W,J e..ji' ;; /' ~ ~ ----~------~------~~~.----~T!-----J Of/~

_v.!...k.L:·::...!:L==4~::£.oM~IIIo:>..L:I·_·->:""';· ._---C-57 License #: :d,D \1 ~ .. Date: ;g"k 3/C'If -? Driller's Signature:

Printed Name: All; t.fr Hw~r'rt-SOh Firm or Title: U)~,....,i ~~ ./

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

Attachment c: usGS

Department of Healthl Safe Drinking Water. Wastewater. and Clean Water Branches Maui Department of Water Supply Wailani Drilling Company

~ WELL CONSTRUCTION PERMI"F-\

~oali-Sullivan Well, Well No. 4100~

In accordance with Department of Land and Natural Resources, Commission on Water Resource Managemenfs Administrative Rules, Section 13-168, entitled 'Water Use, Wells, and Stream Diversion Works", this document permits the construction and testing of KoaliSullivan Well (Well No. 4100-01) at Hana Highway, Ahuakei (Koali), Hana, Maui, TMK 1-5-5:21, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

The Chairperson of the Commission on Water Resource Management (Commission). P.O. Box 621, Honolulu, HI 96809, shall be 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 11/4-inch diameter monitor tube shall be permanently installedl!n 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.


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.


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 construcfthe 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 drawinj;l 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:mitteeih'fl911 o~rator, and/or well owner shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of IS permit.

The well construction P.8rmit application is incorporated into this permit by reference and is subject to the Hawaii Well Construction & Pump Installation Standards (January 23, 1997; HWCPIS). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

The permit may be revoked by the Commission if work is not started within six (6) months after the date of app'roval or if work is suspended or abandoned for six (6) months, unless otherwise specified. The work pro~ 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 revol<e 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, personal injury, or i:leath 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 referen ____ ""'--'


OLOMA-AGARAN, Chairpers Commission on Water Resource Management Expiration Date:

I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the driller have signed, dated, and returned the permit to the Commission. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $1000 per day starting from the permit date of approval.

Permittee's Signature~,5~ Date: 3-r -0 I Printed Name: ~11 c:..e. Sf.( l h't/q '" Firm or Title: _-=tJ;....w---'-ji.J_~"-r---+~:.::.~~~~? _--.~=-____ _

Driller's Signature: fV\\A..Q& -':'" C-57 License #: ;l, C) t ,~;,~ Date: .e>I L i 0 11 . '111_<. ~i1 ~ L"O/ Printed Name: /'1 ( I1e ""Oberh l!::l Firm or TWe: lJ,) c..:Q ""-i ~ J + Please sign both copies of this permit, retum one to the Chairperson, and retain the other for your records. . ~ ~ . :-'i

Attachment c: usGS

Department of Healthl Safe Drinking Water, Wastewater, and Clean Water Branches Maui Department of Water Supply Wailani Drilling Company

J

/

\f' "',."./

./ ,. . . "" ,-

() .. "'"

OMISSION ON WATER RESOURCE MANAGEMEO ROUTE SLIP FOR PERMIT ISSUANCE

FROM: CHARLEY

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

DATE: ~2{e!v D{

LUM,A. NAKAMA, L NAKANO, D.

SUSPENSE DATE:

3 Approval -3-Signature -4-lnformation

-1-HARDY, R. HIGA,D. HIRANO,E.

-3-NISHIOKA, L.

4 OHYE,M. ~ '7-\1-01 SAKODA,E.

-S-ICE,C. IMATA, R. JINNAI, R. KUNIMURA, 1:---

-2-SUBIA, s. lZ2i-== SWANSON, S. ~ \ UYENO, D. v

--YODA,K. --

WELL NUMBER 4ttto --- 0 1 ~ WELL CONSTRUCTION

WELL NAME

ATTACHMENTS FOR WELL CONSTR,UCTION PERMIT: 1 COVER LETTER v' 2 PERMIT (2x) ---:r- TO BE SENT TO APPLICANT 3 PUMP TEST 7"-4 DOH COMMENTS ~ 5 LAND DIV. COMMENTS e; 6 WCRFORM

FOR OFFICE USE ONLY

o PUMP INSTALLATION

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

TO BE SENT TO APPLICANT

} FOR OFFICE USE ONLY

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft

-2-Type Final -S-File --Xerox copies

Well No.

Well Name

Applicant

o 4100-01

Koali-Sullivan

Terrence Sullivan

SECTION 1: WELL LOCATION INFORMATION

Island

Aquifer System

Aquifer Sector

MAUl

HANA

#####

data

Date of Review

Reviewer

Proposed Use

o

Proposed Withdrawal

System Sustainable Yield

2122/01 RRI

Domestic

1500

96

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

Elevation at top of casing

Ground Elevation

Cement Grout

Rock Packing

Hole Diameter

Total Depth

Estimated Head

Calculated Aquifer Thickness

County Water Supply (YIN ?)

, m.s.1.

,m.s.1.

_ft.,m.s.1.

123 ft.

-

Solid Casing

Material

Designation

Length

Diameter

Wall Thickness

Casing

Material

Designation

Length

Diameter

Wall Thickness

Openings

Open Hole

Length

Diameter

ft.

in.

in.

ft.

in.

in.

sq.in.!l.f.

ft.

in.

SECTION 3: CHECKLIST (values to check are shaded)

Well Depth

Theoretical Thickness of Aquifer

1/4 Aquifer Thickness

Depth of Well below Sea Level

Well Casing

Minimum Wall Thickness

Material

County or Non-County Minimum Thickness per standards

Wall Thickness Provided Minimum Length of Solid Casing

90% of ground to top of aquifer

Length of solid casing Provided

Casing Material

Annular Space

Depth of Grouting

Calculated Depth of Grouting

Depth of Grouting provided

Thickness of Annulaf Space

PVC

123 ft.

30.75 ft.

25 fl.

non-county 0.237 in.

0.250 in.

222.3 ft.

255 fl. Sch40

172.9 ft.

180 fl. 3.25/n.

okay (refer to HWCPIS Section 2.2)

okay (refer to HWCPIS Section 2.4 c)

okay (refer to HWCPIS Section 2.4 d)

okay (refer to HWCPIS Section 2.4 e)

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

okay (refer to HWCPIS Section 2.6 c)

okay (refer to HWCPIS Section 2.6 d)

Page 1

Search Results Page 1 of 1

Subdiv / CondoTaxkey Apt 2-1-5-5-21

o o Copyright 2/22/2001 by Hawaii Information Service

• PUBLIC RECORD DATA Property

TnrAddress F

Land Owner/Lessee Beds Baths area SULUVAN,TERRENCE JAMIE 3.51 ac M

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

Living area

http://webresearch.hawaiiinformation.com/REsearchiAsplFunctions/Propecty/SearchTMK.asp.?A2/22/01

o o JAN 31 2001




DAVID A. NOBRIGA HERBERT M. RICHARDS, JR.

STATE OF HAWAII LlNNEL T. NISHIOKA

OEPUTY DIRECTOR

TO:

FROM:

DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

P.O. BOX 621 HONOLULU, HAWAII 96809

JAN 29 2001

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

William Wong, Safe Drinking a.ter Bra_nc~

Gilbert S. Coloma-Agaran, Chairperson - U ~ Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Application Koali-Sullivan Well (Well No. 4100-01)

Transmitted for your review and comment is a copy of the captioned well application.

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by February 9, 2001.

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:ky Attachment( s)

RESPONSE: [ 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 Pgar to Its use to comply with Hawaii Administrative Rules (HAR), Title 11, Chapter 20, Rules Relating to Potable Water Systems, §11-20- .

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 p'rivate 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 clel!rly labeling all non~pota~le spigots with waming signs to prevent inadvertent consumption of non-potable 'NfI!er.:. Backflo~vention deVices should be routinely Inspected and tested. ':"', C. > .

[ I

[ I

It does not appear that this well will be used for consumptive purposes and is not subject to Safe Drinking Wate;Regulations. M7~ . ~~ (.:)1

[ I

K

For the applicant's information, a source of possible wastewater contamination []is [] Is not located near the !)rOpo'sed well site (information attached). . :, :t;:

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

No comments/objections • NO /U-lOnJ s on Fife. j ."~

Phone: 6B~42q4

Date: ~-q -ZOO/

.-'

,

MAR-01-01 04:40 PM HACD&DOH-WWB

. .-. 8085864300 P_03

)

)

TO:

'-"

STATE OF HAWAII DEPARTMENT OF lAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAOEMENT P.o. IIOX 121

HONOLUI.U, HAWAII ..,1

JAN 29 2001


JAN 31 GILBERT •. COI.OMAoA -8RuQ S. ANDE~

ROBERT Q. QIIIAl.D "'WI C;. NIlHlI)A ""VIDA. N08IUGA

HENlER'f M. fIlCHAIWa, R.

LINNEL T. NISHIOIIA __ MIl

FROM:

William Wong, Safe Drlnk~n a.te Bran~

Gilbert S. Coloma-Agaran, Chairperson ~ U ~. Commission on Water Resource Management


Transmitted for your review and comment is a copy of the 'captioned well application.

We would appreciate your comments on the captioned application for any conflicts or Inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returnlna this cover memo form W February 8. 2001.

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 c=ontact Charley Ice of the Commission staff at 587-0251.

CI:ky Attachment(s)

RESPONSE: ( J

II

II

rI

[ I

[ I

K

lhll .n qUII111IR II • -.rce whIeh will MMI I' I IOUtW or potabll "lei' 10 • public: Wltar mtem '""nlld II HNIna 211 or more Jlll9p1e .1 .... 1 ICJ aa~ _lINr or hli 16 or more IIrvIc:e c:annec:llone) and mull IWAM DlnH:tDr of HNttt .~I atJfl[ II» TIl UN fa GIIriIpIy '/11th H __ II Ailml",.1i1I1ive Aul .. (MAR), ThIll 11, ehll.,-. :10, f'ulee RBI.Un" 10 Potable W.-r S~tarne, ,t t.2G=IIr.

Thle _a d.,.. not q-.I'V II • IOUI'CII IINIna I DUblIc Wllllr IYIIem (MIV8I •• thin 2& ~gla or mura pw.- elllBllt 10 dave par,.ar "' UI -woe 00ft1lMlklnil) lind If the MIl wafe, iii ulld for dlinldna,=rtv ... own., Ihauler tIIlt for baclarkilaalc* IfI(I chlmlell " .. lance bel'ul'lllnillellng .uc:h U18 Ind routtnal( rnonllar thl WIIIIr II 1hereItIer. tiuwaver. If fut,~,. DlaMlCl UII fIwrl tQ lIOul'CI IraN ... to m'" .. public W8ter ~ MniIIO/IlJIen D'*'or afH .. h IpplllVlllI Alqulred t.rJgr.1O lmplemenllUori.

If !he -.II It ulld IQ IUn=both 1M Ind nolHlOllblillUrpcIIIIt In I IInQ11 lyallm. Ihi ular IhIII eliminate ~nnectlClnlllld b.cldlow GOfIneeIIonlliY Y ..... ,.11l1li pc;Ifabla Ind non-pel.bllI I~la,"* by a" .r tap or In appftlWd ,**1Iow ~~tar. Ind by G_liy Ilbell'!II'_ non Ie IpIgOII with _mlng I18nl 10 prav.nlll1ldYllrtllnl GGn .... mpllon Of non-potabll weier. SICIdIow .,,-nllO/\ davlcal IhDuld be rauUnIIIy In~ Inc! tetlad.

n 11_ nat 1pp"8t thee tN. MIl witt be uead tor COIIIUmpUVt purpoall and It notlUbjtet 10 SI" DrI"kllI'II Water R41gulRlionc.

F:H'!he IPPIlcllnt't InfOrmltlotl, 810ulCl or polllble .ll8wllIr contllmlnaUOo ('11 I J Ie nDllocalld Mar tho pnIPCIMd well ilia (Wormallcin aItachIId).

ether nlllvl!nl DOH NlHlragullllonl. Information. or 1WC01t1tn8ndellonl II,. llIadIacI.

Pltooamrnenllfoblecllonl • ND (l.tCDnll' on pit.

Contact Person: La ri N, klfj fWeu--a Phone: 6"(P~2'1

Date: ,. -'1 .. 200t ~i/J.~~ Signed; __ ~~--.;.--r-'rfF------------

i o o BENJAMIN J. CAYETANO

GOVERNOR OF HAWAII GILBERT S. COLOMA-AGARAN

CHAIRPERSON



LlNNEL T. NISHIOKA

STATE OF HAWAII DEPUTY DIRECTOR

TO:

FROM:

SUBJECT:

DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

P.O. BOX 621 HONOLULU. HAWAII 96809

JAN 29 2001

Dean Y. Uchida, Administrator ~

Land Division ~ 0 I\-Linnel T. Nishioka, Deputy Director j . Commission on Water Resource Ma age ent

Well Construction/Pump Installation Permit Application Koali-Sullivan Well (Well No. 4100-01)

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

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by February 9, 2001.



RESPONSE:

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

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

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

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

[ 1

[ 1

No objections

Other comments: Original source of private title is Roya;tJ,Patent5!rant 1878 issued September 1855. (-q

Contact Person: ____ G::::,a""'r:::...V.L...-OM""'a::>.:r""'t""'i ... n.:..-______ _ Phone: 587-0'42]

Signed: __ .."e.,~--->oL-7'1--_~--"----"·-------

rr1 ::0

c..n 00

:J 1

~ ., ,

Jan-31-01 04:17pm From-HI DEPT OF HEALTH ... '." 808-586-4370 T-744 P.Ol/02 F-788 ---- ',,~,.r. _ .. -- --

RECEIVED SAFE DRINKING WATER IJM~~t(

TO:

JAN 3 f 2001


COMMISSION ON WATER RESOURCE MANAGEMENT P.O.BOXSl1

H()IIIOI.ULU. HAWAD !16809

JAN 29 2001


BRUCe 6. "MDERSON ROIIERT G. GlRALD BRIAN C. NISHIDA CAVOA. NOIIAIGI>.

kERIIERT M. RICHARDS. JR.

FROM:

William Wong, Safe Drin~k'ng a.ter Bran~

Gilbert S. Coloma-Agaran, Chairperson • U /"\--Commission on Water Resource Management .

SUBJECT: Well Construction/Pump Installation Permit Application Koali·Sullivan Well !Well No. 4100-01)

Transmitted for your review and comment is a copy of the captioned weli 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 February 9, 2001.

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 contad Charley Ice of the Commission staff at 587-0251.

CI:ky Attachment(s )

RESPONSE:

[ I

[ ]

II

[ I

Tti& weU quatilias as 8 5QlJI'Ce wIIIcft wililillM: as a #QUIW of potable water 10 , p\lblic watet ~m (defined il5l541tW1Q 2S Of' more people at least UO day& ~ ~r or liaS 15 01 monr HtlliCe c:onneclions) Rnd must receive Dil1lClOr at l1e8III1 approval ~ 10 lie UIi8 ID jiOI'II.JI/V . 'J. with Hi2waii Admi1iS6'Idve Rules (HAR). Tide 11. Chapter ZO, Rule6 Relating to Potable WiIW S~ §11~ I(-ZJ:) - fJ'fS,(JAIl) 1/ - ~a - 'd

~I; wall does not qualify ... a &()UI'CO setVing a public water sy,1eIn (AQM1S If:$S man 2S D8DOIe or mpru peopla at leaat 00 daY" per yur or 15 HMce connaaiORSl and if me weII_er iii UHd lOt OMklne. the ~riYate owner !lhoula\est for btc;:IIIr1QIogical and CI1emal ~nca before Initiatirlt such ...... and ro~ monitor the water Clllal !hereaft.... I'fowevar. if future pIInnecI UIIII from IIIiS SO\II'CO It1CteB&85 tG meet ilia public; WIItIIr ,;yStem (JOfimlion !han Director of Hoe Ih approval is reqllirad m:iIIt to ,mplement8lion.

If Ihf: weIlla UHd 10 suPPly bCG'I pobJble and non-pogble PUIp0685 in a Single 'Y!I1em. !he user sI1lIII e~miniltw ~ ilnC! badCfIooov connectiOftS by ~ sepalBting potable aIId non-polilbla systems by an air gap or 'I' .~ backIIo'N prevanlar. ana D)' claal1y labeling iIII ncn-pD1iIbI.,!:= with wan'ling SigtIs 10 prevent inBdWt\ont QOnBumPbDII of non-poIBbIe WilIBr_ BeddIow pravantion devices shoUlit ba mutIiwIy . 'I'd te&fad.

It dOll& not appear that V1b _II will be \I$ed for consumptive pul1X'MS and is not subled ID Safe Drinking Wallll' Ragutaaons.

For INI appliciltlCs informatiOn. II GOUI'C8 01 possible WB6IBW8ter l;ontamin81ion []15 [I is not IocsIed ne« Itle propo&ad well Site (infonnalion attac:hed).

[ ] 0Ihet relevant DOH rulaslteg\118tiDn5. intonnadon. or lIIClJrTInWICIalions are attached.

[ I No comrnantslotljedlQn&

-i( 5G6 ~ «;/h~fW7.T

Contact Person: &41141 tf/C ~D

Sjgned; ___ ,"=~:::"';;::;;.=.4i:::·~~~""'~""""'=~~=---~ Phone:

Date:

5:Y,"~4Z6r

O(/U~/

c o

Attached Comments for Well Drilling and Pump Installation Permit Applications.

The Department of Health, Safe Drinking Water Branch has the following general comment for Well Drilling/Pump Installation Permit Applications Proposing Use of Submersible Pumps

Please be advised that the Department of Health has experienced drinking water and groundwater contamination by submersible pumps containing mercury. Specifically, the failure of the seals of the pumps allowed mercury to leak out into the well shaft resulting in contamination of the well and the water served by the well. Please review your pump specifications to be sure that the submersible pump(s) you are proposing to use do not contain materials which could result in either groundwater contamination or drinking water contamination.

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

1. For Well-Drilling Activities

Any discharge to State waters of treated process wastewater effluent associated with well drilling activities is regulated by Hawaii Administrative Rules, Title 11, Chapter 55, Appendix I, effective September 1997. Treated process wastewater effluent covered by this general permit includes well drilling slurries, lubricating fluids wastewaters, and well purge wastewaters. This general 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 start of discharge to the Department of Health, Clean Water Branch at-919 Ala Moana Boulevard, Room 301, Honolulu, Hawaii 96814-4920 o~ P.O. Box 3378, Honolulu, Hawaii 96801-3378. Inquiries may be directed to the Clean Water Branch at (808) 586-4309 or by fax at (808) 586-4352.

2. For Well Pump Testing

The discharger shall take all measures necessary to prevent the discharge of pollutants from entering State waters. Such measures shall include, if necessary, containment of the initial disCharge until the discharge is essentially free of pollutants. If the discharge is entering a stream or river bed, best management practices shall be implemented to prevent the discharge from disturbing the clarity of the receiving water. If the discharge is entering a storm drain, the discharger must obtain written permiSSion from the owner of that storm drain prior to discharge. Furthermore, best management practices shall be implemented to prevent the discharge from collecting sediments and other pollutants prior to entering the storm drain.

66l-~ ZO/ZO'd ~~l-! Ol£~-98S-808 H!1V3H ~O !d30 IH-WOJ~ wd81:~O IO-I£-uer


Mr. Terrence Sullivan Aloha Water Company P.O.Box 717 Haiku, Maui, HI 96708

Dear Mr. Sullivan:

o o




JAN 29 2001



DAVID A. NOBRIGA HERBERT M. RICHARDS, JR.


4100-01.ack

Well Construction/Pump Installation Permit Application for Well No. 4100-01

We acknowledge receipt, on January 2, 2001, of your completed Well Construction/Pump Installation permit application and filing fee for the Koali-Sullivan Well (Well No. 4100-01). You can expect your application to be processed within ninety (90) days from this date.

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

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 (Maui), extension 70251.

CI:ky c. Wailani Drilling Company

~.~ L1NNEL T. NISHIOKA Deputy Director

./

o o BENJAMIN J. CAYETANO

GOVERNOR OF HAWAII GILBERT S. COLOMA-AGARAN

CHAIRPERSON

TO:

FROM:




JAN 29 2001


William Wong, Safe Drinking a.ter Branch

Gilbert S. Coloma-Agaran, Chairperson , ~ t Commission on Water Resource Management





Transmitted for your review and comment is a copy of the captioned well application.

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by February 9. 2001.



RESPONSE: [ 1

[ 1

[ 1

[ 1

[ 1

[ 1 [ 1

This well qualifies as a source which will serve as a source of potable water to a public water system (defined as servin\} 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). TiUe 11. Chapter 20. Rules Relating to Potable Water Systems. §11-20-29.

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

If the well is us.ed 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. Ba~flow prevention devices should be routinely inspected and tested.

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

For the applicant·s information. a source of possible wastewater contamination [ lis [lis not located near the proposed well site (informatIon attached).

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

No comments/objections

Contact Person: ______________ _ Phone:

Signed: ________________ _ Date: ______ _


TO:

FROM:

SUBJECT:

o o

STATE OF HAWAII DEPARTMENT OF lAND AND NATURAl RESOURCES



JAN 29 2001

Dean Y. Uchida, Administrator v-O Land Division ~ 0 I\-Linnel T. Nishioka, Deputy Director. j . Commission on Water Resource Ma age ent

Well Construction/Pump Installation Permit Application Koali-Sullivan Well <Well No. 4100-01)

GILBERT S. COLOMA·AGARAN




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

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by February 9, 2001.



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 ill!! required of this applicant.

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

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

[ ] No objections

[ ] Other comments:

Contact Person: ______________ _ Phone: _________ _

Signed: _________________ _ Date: ______ _

PAY TO

o

WAILANI DRIWNGINC, PH: (808) 572-2673 655 KULIKE ROAD

HAIKU, MAUl, HI 96708

o

lANK OF HAWAII PAIA BRANCH PAIA, HAWAII sen9

~~EORDER 5+a1:Q.. .\U~ ~

\~ ~~ ~ V\o;:~ -

~5~~

utr--AK 1I"'t.I"1I Ur lJINlJ A"V NA. TlJKAl RE SOLRCES

3534 ~1~/l~13

Date \ ~(~~1t!P" $ "5 0 0

oc.. DOLLARS

/ OOClJ"ENT t-.o. UAC OR ATTACHED WORKS~ET DATE: JAN 25 2001

l F SRC/ COST

YR N>P DOBJ CTR PROJECT PH ACT N--'OlNT NAME/DESCRIPTION·CWANG INPVT)

I G< 01 326 C lQI~ Q'?"~~ (1) $25.00 Water Resource Associates (Ck. #1925) I - ------ -- --- -------------------

(2) $25.00 TNWRE, Inc. (Ck. #2205) \- -- --- - ---- ---- ------ -- --- --------------------I 0) $25.00 Wailani Drilling, Inc. (Ck. #3534) - -- --- - ---- ---- ------ -- --- ----------~---------

(4) $25.00 Wailani Drilling, Inc. (Ck.#3483) - -- --- - ---- ---- ------ -- --- --------------------TOTAL $100.00 I

I

REJlARKS: LINE (1) WCP Appl. for Cogen Salt Water (We111 p. 5751-01) ,

LINE (2) WCP Appl. for Paeahu 1 (Well No. 4124- PI)

LINE (3) WC/PIP Appl. for Koali-Sullivan (Well ~o. 4100-01)

LINE (4) WC/PIP Appl. for Hoolawa-Cookman (WeI] No. 5514-04)

·f

o o Wailani Drilling Inc. Lic.#C57-20115 RF('r;\"~!1 Mike Robertson 655 Kulike Road Haiku, Maui, Hawaii 96708 ph.808572-2673 Fax 572-0925 Cellular 283-8481 or JAN 2 pi: 56

if 0: Charlie Ice 1F0r: Water Resource Commission

Dear Charlie:

Owner also wants to take advantage of the declaratory ruling # DEC-ADM98-G5 because proposed pumps are rated less than 70 g.p.m.

Thank You; f:\ ~ IL. -~:.lo~

Mike Robertson

dba Wailani Drilling Inc.

Ie·c.


QMISSION ON WATER RESOURCE MANAGEMEO ROUTE SLIP FOR NEW APPLICATIONS

FROM: CHARLEY

\ I.Q;.

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

-1-HARDY, R. :::JZ:::::

5

HIGA, D. :=r::I:: HIRANO, E. ICE,C. IMATA,R. JINNAI, R. KUNIMURA, 1.-

DATE: 4-.lan-01

LUM,A. NAKAMA, L. NAKANO, D.

3 NISHIOKA, L. (\tV 4 OHYE, M.

--SAKODA, E. 2 SUBIA, S.

SWANSON, S. . ' UYENO, D. ----"'\ '.

==YODA,K.

SUSPENSE DATE:

PLEASE'

3 Approval See Me -3-Signature 1 Review & Comment

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

WELL NUMBER 4 (00 ;' 0 \ WELL NAME~.Koali - SuJliYlM. D WELL CONSTRUCTION D PUMP INSTALLATION

ATTACHMENTS FOR APPLICA TIO~. OCESSING - Both applicant & staff generated 1 TRANS. LETTER 2 CWRMMAP 3 APPL. FORM (3X) ~ 4 USGS MAPS (3X) ~ 5 TAX MAPS (3X) ., "

a BOTH

6 PARCEL OWNER VERIF.""TMLS PRINTOUT 7 CONTRACTOR'vERIF. j' ~ 8 ALL INFO FILLED IN ~

9 BACKGOUND CHECK == <tC: ..a.u-~ ~ ~ 'MY

FOLDER: _. ____ .~ D MADE NEW FILE FOLDER, ATTACHED

D FILE FOLDER ALREADY MADE, IN FILE CABINET

INCOMPLETE ACTION DATES:

DATE ACTION

NAte fur "Y'Iw!. ~~~ (1 {yokt TM~) d.1 ~eo eJtr'VI4k IS '(M.Ol~ OJ '"'--~lfiJ

\. : '\

State of Haaii o For Official Use Only:

COMMISSION ON WATER RESOURCE MANAGMENT Department of Land and Natural Resources APPLICATION FOR PERMIT [J{Well Construction or rt Pump Installation

Instructions: Please print in ink or type and send completed application with attachments to the Commission ~ 1 ,JAN 2 on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. Application must be accompanied by 3 copies and a non-refundable filing fee of $25.00 payable to the Dept. of Land and Natural Resources. The Commission may not accept incomplete applications. For assistance, call the Regulation Branch at 587-0225. C'., 0.\ ,,'I" ",',8,'."" :,',' ',' 1

p J • 56

(Also, please check our website at - http://www.hawaii.gov/dlnr/dwrm/dwrm.html) " ~~~~~~~~--~

APPLICANT INFORMATION: (Fill out all three, if applicable, and place a check next to the primary conta 1)- ,'I \ '- ~ i' , I' 'i., i . '

1. (a)~ WELL OWNER: ·~TiYre",c.~ S K (!,'Van Contact Person: Terre!l\!t..t Mailing Address: PO Box. 7/7 H"c'l41 H;· 9G70'jJ

Phone:t8~8 5"73 dl'1§-

Fax: t'eS $7,.5 8 '>" E-mail: __ .;.;NCL/~A-_______ _ (b) D LAND OWNER: 59 W\ ~ Contact Person: __________ Phone: _____ _

Mailing Address: ____________________________________ _

Fax: _____________ E-mail: ______ -:-....,..._--==--....--

(c)D ~~i~:::::::~ ~~i9.1i:\;;~~"0it1:c. "o~t~~~rsonH~ Phone: S'p).;.1Ca13

Fax: S 7 ;l.o, ;l.S E-mail: ___________ Lic #: ~O \ \~

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

2. WELL LOCATION/NAME: 1taPllr-(f<oa./i 1- ~\I'-,"'~ Address HAN 4\ H w \1· i M AV ~, t+ 1.

(circle oneG, C-57a, or A)

(

Island: M a ~ ( Tax Map Key: /-S-oS-z../

Attach the relevant portion of (a) a 7.5-Minute Series USGS topographic map (scale 1"=24,000'), and (b) a property tax map, showing well location referenced to established property boundaries.

3. PROPOSED WORK: ~ Drill New Well D Deepen D Install New Pump

(Check all that apply) D Modify Existing Well D Redrill D Modify Pump

D Abandon/Seal * D Replace Pump

* Well No.: _____ Be sure to complete and submit well abandonment report upon completion of work.

4. CONSTRUCTION: D Dug D Bored D Driven ~ Drilled D Radial

Is this well a part of a battery of wells? D Yes ~ No (Please describe.)

5. PROPOSED PUMP INFORMATION: Rated Pump Capacity: ___ --="3:::...0:::..-____ -'='9allons per minute

Pump Type (Check one):

D Deep Well Turbine

riI Submersible

D Centrifugal

6. PROPOSED USE: (Check all that apply)

D Rotary

D Rotary-Displacement

D Rotary-Gear

D Propeller

D Reciprocating

D Impulse

D Municipal (including hotels, stores, etc.)

~ Domestic (individual, noncommercial water system)

Powered by:

D Diesel

D Gas

[t(' Electric, rated horsepower: _...:3:...-__ _

D Industrial

No. of Dwelling Units: _---IIL...-_____ _ D Irrigation (crop) ___________ _ No. of Acres: .3.5'1"2.. D Military D Other (explain): ________ _

7. (a) PROPOSED AMOUNT OF WITHDRAWAL: __ --LlU~;Q-=D~_g,allons per day

(b) METHOD OF FLOW MEASUREMENT: I1tfFlowmeter D Open-pipe D Weir D Orifice D Other(explain)

OTHER IMPORTANT INFORMATION:

8. PENDING ACTIONS: DCDUA DSMA DEIS DEA ~ NONE D Other (explain)

9. If a pump installation permit request is part of this application, please answer the following: THE LANDOWNER CERTIFIES THAT THE SUBJECT PROPERTY, OR A PORTION THEREOF, WAS 0 OR WAS NOT B1 A STATE OF HAWAII LAND PATENT GRANT ISSUED AFTER 1960. (Please check with your title search company or the Land Division, Department of Land and Natural Resources at 587-0421 for help.)

10. REMARKS, EXPLANATIONS: (if more space is needed, please attach additional sheet)

I understand that approval of this application attaches the following standard conditions: 1) the proposed work is to be completed within two (2) years of the approval date; 2) the contractor shall submit to the Commission a well completion/abandonment report within 30 days after the completion date of the permitted work; 3) monthly water use data shall be submitted to the Commission; 4) such approval shall not constitute a determination of correlative water rights and shall not guarantee the pump capacity or future use up to the permitted pump capacity.

Well ownertiLr ~i1 ve... 5~ !tj,QJ1Landowne;r:;,:te .. c -«. Sa /1 ;'If'cZIt

Signature~ 5~ signatur~~ S~ Contractor NA Ro.b~r+.so,", Signature %1 Q ~ \

Date /0 - 17- If) 0 Date 10- I 7 - ~ 0 , Date _ ...... I ..... ;)y/=Ol ..... w<I-JLoo--=-__ _

Field Checked By _______ _

Date, ___________ _

Longitude ______ _

Latitude

Aquifer System Name _______ _

State Well No. 4 { 0 0 - Q 1

WCPIFORM (5/14/99)

o 11. PROPOSED WELL SECTION Hole Diameter: 10.5"" in.

o Elevation at top of casing ..An ft., msl* (Survey to nearest 0.01 ft.) Minimum of 2' Radius & 4" Thick Concrete Pad

Ground Elevation: aSQ.. ft., msl*

Please refer to the

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

% iIi

~ ~

HAWAII WELL CONSTRUCTION AND PUMP INSTALLATION STANDARDS to assure that your constJ;uction plans are in

compliance with all existing regulations.

Solid Casing: (~ 90% x (Ggound Elev.-Water Level Elev» Material: S c-'-~_.Q f tI ~ Material Standard: ~'~9I1L:'i;1:0~ _____ _

jdf----Length: a~~ ft. Diameter: in. Wall Thickness: __ ---JL.JIa..!II.r:l-=.--____ in.

Minimum annular space between hole and casing ~ 3"

Bottom Elevation: - S'" ft., msl*

Rock or Gravel Packing: N ~. ft.

Material: o Crushed Basalt o Rounded Gravel

Water Level Elevation: :3

Open Casing: IDerforated 0 Screen Material: P \It.- . ;) Material Standard: S c. .... '= 'In Length: ~Q ft.

in. Diameter: ~ Wall Thickness: 4S Openings: a. Bottom Elevation: - as-

in. sq. in.lL.F.

ft., msl*

dI--~- Open Hole: Length: Alit. ft. Diameter: _____________ in.

Bottom Elevation: ft., msl*

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

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

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

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

Solid Casing Material:

Steel: compliant with (check one or more): o ANSI/AWlNA C200 o API Spec. 5L 0 ASTM A53 o ASTMA139

And compliant with (check one or more): o ASTM A242 0 Type E o Type S 0 Grade B o Other ----------------Stainless Steel: (check one): 0 ASTM A409 o ASTMA312


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


o Centrifugally Cast Resin Pipe conforming to ASTM 02997


o Glass Fiber Reinforced Resin Pressure Pipe conforming to AVVVVA C950



Open Casing Material: Steel: compliant with (check one or more): 0 ANSI/AVVVVA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A 139

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

Stainless Steel: (check one): 0 ASTM A409 0 ASTM A312

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

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

Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM D2996

o Centrifugally Cast Resin Pipe conforming to ASTM D2997


o Glass Fiber Reinforced Resin Pressure Pipe conforming to AVVVVA C950



•

PhI:x>k.n.o,lo. Pt

Koali-Sullivan Well 4100-01

UlUlptlFMI Rock

Muolea Pt EXHIBIT 1-€¦ · ' '" Monday, April 15, 20023:22 PM Soundworks 808-877-7845 p.01 I...

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Transcript of Muolea Pt EXHIBIT 1-€¦ · ' '" Monday, April 15, 20023:22 PM Soundworks 808-877-7845 p.01 I...