PlMN>-~d;an~ · Mr. Clifford Schommer Page 2 o o February 23,2009 5 . Your approved pump has a...

MEMO and ROUTEc:gUP (ver. 07/03/2008) 0 07/09/08

I WCR 1 Check for Well No. ··3281-02 (surVey to regulation memo)

1. Pump Tests Check Diane England S(;-'ZAnitial)

Yes t2~'M- t Step-Drawdown Test:

Constant Rate Test:

followed WCPI Stds analysis attached

followed WCPI Stds analysis attached

Potential Well Interference:

Potential Stream Impacts:

Additional Testing or Data Required:

Pump Test Comments Attached:

o o

o o

o

o

o

o

g ~o gpm no test required r II. fIv '4 ~ { o 7V" {uJ' ~u , . o n&o gpm no test required ~ ( S ~ ~/ --- ( f\1r1' 'I

d / /

Proposed Pump Capacity is OK.: ./ 0

2. Well Log Check Geology Code for Well Inde.G e L Fm Name, PlMN>-~d;an~ 3. Construction Check Mitch Ohye ____ (initial)

Yes No

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

R. Torres __ (initial) If no. describe deficiency

Latitude Longitude

NAD27

NAD83

c:J'IVI (initial) take action based on above analysis

ATTACHMENTS FOR PUMP INSTALLATION PERMIT (2x):

1 COVER LETTER

2COUNTY COMMENTS (DWS/SMA) t 3DOH COMMENTS i--4DLNR COMMENTS (LD/OCCUDHP) "f-5WCR 1 Accept

6WELL CONST. COMPLETION CERTIFICATE

~not necessary - only WCP or BOTH.

} To be sent to driller/pump installer

<------ To Landowner

} Staff internal checks

5. ROY~ ~i heck (Entered WCR 1IWCCC accept date into database) 6. Susan Sagbin (initial) finalize 7. Ken (in ial) signature 8. Mitch initial) signature (Entered PIP issue date if attached/required) 9. Charley/Deni yan 'Ie

LINDA LINGLE GOVERNOR OF HAWAII

Mr. Clifford Schommer HCR #2 Box 9557 Keeau, HI 96749

Dear Mr. Schommer:

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

February 23,2009 /

Certificate of Pump Installation Completion for Kai Puka Well Well No. 3281-02 (TMK 1-4-028:010)

LAURA H. THIELEN CHAIRPERSON

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

CHIYDME L. FUKINO, M.D. DDNNA FAY K. KIYOSAKI, P.E.

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

3281-02.cpi

We are pleased to inform you that the Pump Installation work permitted for the Kai Puka Well (Well No. 3281-02) 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 prior to the change.

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

Mr. Clifford Schommer Page 2

o o February 23,2009

5 . Your approved pump has a capacity of 16 gpm at a head of 163 ft. In the future, pump replacements of equal or lesser capacity will not require an additional permit from the Commission, but will require the submission of a Well Completion Report Part II by the licensed pump installer. If the pump replacement is greater than the existing pump, you will need to apply for a new pump installation permit.

6. The landowner shall cause the well operator to maintain the installed meter or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate devices or means for measuring chlorides and temperature. These data shall be measured monthly and reported to the Commission on a annual basis, on forms provided by the Chairperson (attached), in accordance with §13-168-7, HAR. Blank water use report forms are also available at www. hawaii.gov/dlnr/cwrm/resources---'permits.htm

7. The proposed use shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. The authorization to drill a well and/or install a pump shall not constitute a determination of correlative water rights. The landowner and well operator are notified that the quantity of water taken from the well and/or the pump capacity could be reduced by the Commission in the future.

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 Ryan Imata of the Commission staff at 587-0255 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai).

Sincerely,

RI:ss Encl: Water Use Report Forms

c: Hawaii Department of Water Supply Diamond Construction and Water Well Drilling

o o LINDA LINGLE LAURA H. THIELEN

GOVERNOR OF HAWAII CHAIRPERSON


COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX621


February 23, 2009 /


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



3281-02,cwc

Mr. Clifford Schommer HCR #2 Box 9557 Keeau, HI 96749

Dear Mr. Schommer:

Certificate of Well Construction Completion for Well No. 3281-02 (TMK 1-4-028:010)

We are pleased to inform you that the Well Construction work permitted for the Kai Puka Well (Well No. 3281-02) 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. Ifthe 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 prior to the change.

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

6. If your well produces 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 Ryan Imata of the Commission staff at 587-0255.

RA,P.E.

RI:ss

c: Hawaii Department of Water Supply Diamond Construction and Water Well Drilling

/


Mr. Rod Diamond

o o




February 23, 2009

Diamond Construction and Water Well Drilling HCR #3 Box 14073 Keeau, HI 96749

Dear Mr. Diamond:

Well Completion Report Parts I & II for Well No. 3281-02


KEN C. KAWAHARA, P.E. OEPUTY DIRECTOR


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

LAWRENCE H. MilKE, MD, J.D.

We received your Well Cq'mpletion Report Parts I & II for the Kai Puka Well (Well No. 3281-02) on December 23, 2008 ~d acknowledge that they are complete.

This completes your obligation under the well construction permit. A certificate of well construction completion will be issued to the well operator/landowner and you will receive a copy. This certificate transfers responsibility of specific aspects of well usage and maintenance from you to the well operator/landowner.

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

RI:ss

c: Clifford Schommer

/

------~-~ .. ~<>~.A~--_________________ ... W _____ ""._"''*k~""""

o o

--------_." .... _._._---------------------

State of Hawi. 0 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) th 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 5,87-0225. For updates to this form or additional information, please visit our website at httP: .. www.state.hi.uS/dlnr/cwrm~.!

State Well No.: 3281-02 Well Name: Kai Puka Address: He 2 Box 9557, Keaau, HI 96749 Tax Map Key:

Drilling Company: Diamond Drillin Drilling method used during construction:

For Official Use Only:

6 p2: 58

._,' I

Island: Hawaii 1-4-028-010

1.

2.

3.

4.

5. Date Well Construction (drilled, cased, grouted) completed: __ ..,..1,....1.".-."..1_-".,.0_7__ Fill out attached Driller's Log Month/DaylYear

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

6. Was the subject well cored? DYes. No

7. Step-Drawdown Test completed? • No DYes Attach Step-Drawdown Test Form (12/17/97 SDPTD Form)

Attach Constant Rate Aquifer Test Form (12/17/97 CRPTD Form) 8. Constant Rate Aquifer Test completed? • No DYes

Water Level Data:

9. 10.

Initial encountered during drilling (this should also be filled in on the driller's log)

Just prior to casing installation After casing installation (this information should be before any pump tests are performed with casing installed)

Chloride: 354 ppm. Temperature: 69 *F

As-built section filled in completely

Reference Point Elevation

Ground= 45,8 ft,msl

Ground= 45,8 ft,msl

If this reference point is not the benchmark,

the di fferen ce between the benchmark and this point is: ft.

Depth to Water Level Date /Time of Water (ft.) ft, above msl Measurement

43.8 = 2 10-31-07 AM 43.8 2 10-31-07 AM

43.8 2 10-31-07 AM 11. 12. 13. 14.

Attach photograph of well and concrete pad showing benchmark on concrete pad.

15. 16.

GPS coordinates provided in degrees, minutes, seconds 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.) Remarks:

Licensed Driller Rod Diamond C-57 Lic. No. Be 23379 ------------------------------------------- ----------------------

Signature ___ ----'~"----_~ ___ iL_~ __ ' _____ _ 11-2-07 Date: ==================== WCR1 Form 6112107 Page 1 of 5

e o 13. AS-BUIL T WELL SECTION (Please attach u-built if different froin diagram provided below)

"~" - 12 in. Elevation at top of casi • ft., ms/* (to nearest '0.01 ft.), MinilTlJm of Z Radius & 4" Thick Conaete Pad

I.r::---",~ ft., msl* nearest

0.01 ft.)

Grouting method: o Positive

displacement

X Other

Total Depth

48.6 ft.

Solid Casing Material:

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

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

3 in.

Rock or Gravel Packing:

15 ~--:-~ft. Material:

N Crushed Basalt

o Rounded Gravel

Water Level Elevation:

_.2 ___ ft. msI*

*msl = mean sea level

Ground Elevation: 43.8 ft., msl

PleaSe refer to the HAWAII WELL CQN§TRUCll0N AND PUMP INSTAbLADONSTANDARDS to ensure that your &&-built is in compliance

with applicable standards.

./1----1 Solid Casing: (~ 90% x (Ground Elev.-Water Level Elev»

Length: 43.8 ft.

Nominal Diameter: 6 inches in.

WaH Thickness: Schedule 40 in.

Bottom Elevation: -0- ft., msl

Open Casing: o Perforated o Screen

Length: 4.8 ft.

Nominal Diameter. 6incbes in.

Wall Thickness: Schedule 40 in.

Bottom Elevation: -4.8 ft., msl

Open Hole:

Length: _____ .L:Nul..c.Al--___ ft. Diameter. ____________ in.

Bottom Elevation: ft., msl

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

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

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

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

PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): _ Schedule 40 0 Schedule 80 0 Schedule 120 Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996

o Centrifu9ally Cast Resin Pipe conforming to ASTM D2997

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM D3517 o Glass Fiber Reinforced Resin Pressure Pipe conforming to AVlJVlJA 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 ANSIIAVlJVlJA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A 139

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

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

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

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

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

o Centrifugally Cast Resin Pipe conforming to ASTM 02997

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517

o Glass Fiber Reinforced Resin Pressure Pipe conforming to AVlJVlJA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

WCR1 Form 10118104 Page 2 of 5

o DRILLER'S LOG o WELL NUMBER: 3281-02

Depths (ft.) s Rock Description, Water Level, Chlorides PPM

D8 II·l~I" 6 ~ /-~j ~

0 to 48.6 0-10 ft. Red Ash,10-43' Basalt, 43-48.6' Red Ash,

to Water @43.8', 354 PPM f\

to

to

to

to

to

to

to

to

to

to

to

to

to

to

to

Remarks: Tide affects this well by approx. 14 in. plus or minus.

Dates

p2: 58 10-31-07

< d i

weR1 Form 10118104 Page 3 of 5

-

Latitude: N 19 degrees 32 min. 50 sec

Longitude: W 154 degrees 51 min. 56 sec.

House

45'

I Old Government Rd.

15'

o +-Well

SKETCH OF WELL LOCATION (Referenced to permanent landmark, i.e. building, road, fence, etc.)


Well Elevation Site Photo

'..,.: .! j ~;

, .. :\

Benchmark Elevation est. 44

I certify that the elevation shown above: 1) Was done in accordance with acceptable surveying practices 2) Is accurate to the nearest 0.01 ft. 3) Is referenced to mean sea level

Surveyor License No. Date


MEMO and ROUTE "LIP (ver. 813112007) Q 11/13/07

I WCR 1 Check for Well No. 3281-02 (survey to regulation memo)

1. Pump Tests Check Diane England:f7i ".....-f41itial)

Yes No pro po sed LC:CPOLCff:j -::.. I~p", Step-Drawdown Test: followed WCPI Stds 0 0

~ gpm no test required analysis attached 0 0

Constant Rate Test: followed WCPI Stds 0 0 ~ gpm no test required analysis attached 0 0

proposed pump cap o.k. 0 0

Potential Well Interference: 0 ~ \ .. \. ' '·l •. , "

~. \

Potential Stream Impacts: 0

Additional Testing or Data Required: ~ 0 E fC(Jlc\'f I<'l TOC I brD~ f. le", 7D~1 ~We 1/ f';).eflh I -f- WL Gtel/. Dj~a«(

Pump Test Comments Attached: o - ::T s 'It( --\-hickl'1e' ~ yu,le oh~el"ved? u

2. Well Log Check Geology Code for welllndex:Q PL Fm Name: PI A..¥\D" (!:p.J4. Englan~(initial) \ . ·~v

3. Construction Check Mitch Ohye . j (initial) . Yes No If no, describe deficiency

data complete t· 0 followed Special Cond & elevations ~/ 0 well database updated T 0

Latitude Longitude

NAD27 1 /

"',,-::i ':-, '" i : ':;.--!,. \ -, NAD83 \ "1 ?/i:- "-' ." 1'=:74 -r-

I Sf '- ~-:-J --- : .... / 'C

~~ __ (initial) take action based on above analysis

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

2COUNTY COMMENTS (OWS/SMA)

300H COMMENTS

4DLNR COMMENTS (LO/OCCUOHP)

5WCR 1 Accept

__ not necessary - only WCP or BOTH.

} To be sent to driller/pump installer

<------ To Landowner ~ ELL CONST. COMPLETION


5. Roy ~ (~") eck (Entered WCR 1IWCCC accept date into database) 6. Sus~ (initial) finalize 7. Mitch (mitia ) signature (Entered PIP issue date if required) 8. Char~y~ile


Mr. Rod Diamond

o o




December 20, 2007


Dear Mr. Diamond:

Well Completion Report Part I for Well No. 3281-02


KEN C. KAWAHARA, P.E. DepUTY DIRECTOR



LAWRENCE H. MilKE, MD., J.D.

We have received your Well Completion Report Part I for the Kai Puka Well (Well No. 3281-02). However, matters which must be addressed before we can accept your report as complete are as follows:

I. Please clarify the top of casing, bench mark, total depth, and initial water level elevations. There appears to be discrepancies between the elevations provided.

2. Please sign the well construction and pump installation permits.

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 I) 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 Ryan Imata of the Commission staff at 587-0255 or tollfree at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai), extension 70255.

RI:ss

Sincerely,

Wf7n 1't

KEN C. KAWAHARA, P.E. Deputy Director

rl 0 State of HaWiii ' COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources WELL COMPLETION REPORT .. PART I

For Official Use Only: /

RECE1VED

Well Construction B \ ~~~--~~--~~--~~~~~~~~~nl NOV 7 A : Instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the U

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 587-0226. For updates to this form or additional information, please visit our website at http:/twww·state·hi.usldlnr/cwrmJ

• \ ~_ OJ ' .•

1. State Well No.: 3281-02 Well Name: Kai Puka Island: Hawaii 2. Address: He 2 Box 9557, Keaau, ill 96749 Tax Map Key: 1-4-028-010 3. Drilling Company: Diamond Drilling and Pum 4. Drilling method used during construction: ~ Rotary 5. Date Well Construction (drilled, cased, grouted) completed: 11-1-07 Fill out attached Driller's Log

MonthIDayIYear

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

6. Was the subject well cored? DYes. No

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

8. Constant Rate Aquifer Test completed? Water Level Data:

Initial encountered during drilling

• No 0 Yes Attach Constant Rate Aquifer Test Form (12117197 CRPTD Form)

Reference Point Depth to Water Level Date /Time of Elevation Water (ft.) ft. above rnsI Measurement

/

9. 10.

(this should also be filled in on the driller's log) Ground= 43.8 ft.ms1 43.8 43.8

= 43.8 10-31-07 AM --------~~~~~~~~

43.8 10-31-07 AM

11. 12. 13. 14.

15. 16.

Just prior to casing installation After casing installation (this information should be before any pump tests are performed with casing installed)

Chloride: 354 ppm. Temperature: 69 *F

As-built section filled in completely

Ground= 43.8 ft.msl

If this reference point is not the bendunark, the difference between the benchmarlc and this point is: ft. 43.8

Attach photograph of well and concrete pad showing benchmark on concrete pad. GPS coordinates provided in degrees, minutes, seconds

43.8 10-31-07 AM

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.) Remarks:

Licensed Driller Rod Diamond C-57 Lie. No. Be 23379 -------------------------------------- -------------------

Signature ___ ----'~"---_~ ___ IL_~ __ ' _____ _ Date: ======1.;...1-==2==-0==7====

WCR1 Form 6112107 Page 1 of 5

o 13. As-BUIL T WELL SECTION (Please affac:It..".,diNetent from dIagtem ptOVided bN:Iw)

@#HoIeDiameter: 12 in.

Elevation at lop of - 8 U' . of'" D ...... _ & 4" ...... , .... ~----- Pad (to nearest 0.01 fl). _ _ II1IIt1Um '"'"""'_ I , ....... ""'ow .....

r:--:--:--I------=~---..._::t:~ Ground Elevation: 43.8 ft., msI


displacement J{0lher


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

3 in.

Rock or Gravel Packing:

15 ft. UateIIaI: K Crushed Basalt o Rounded Gravel

Please refer to the HAWAHP' J COdIJRUCIIOftANP PUMP INSTALLAllOtJSIANDARDS to ensure that your iIIIHM.riIt is in c:orripIianQe

with applicable standards.

~-------I Solid Casing: (~ 90% x (Ground EIev.-Water level EIev»

length: 4 3 . 8 fl

Nominal DIameter: 6 inches in.

WBM Thickness: Schedule 40 in.

Bottom Elevation: -0- ft., mel

Open Casing: 0 perforated DSaeen

Length: ____ ...:.4.:;;.8:.--____ ft.

Nominal DIameter: wan Thickness:

Bottom Elevation:

Open Hole:

length:

6 inches in.

Schedule 40 in.

-48ft., mal

NI A It.

Diameter:~--__ -_-_--in. -Bottom EIeYation:,_-,-_____ fl, msI

Carbon Steel: compliant with (check one ormore): 0 ANSIIAWWA C2QO 0 API Spec. 5L 0 ASTM A53 0 ASTMA139 And compliant with (check one ormore): 0 ASTM A242 or A606 0 Type E 0 Type S 0 Grade B 0 Other

Stainless Steel: (check one): 0 ASTM A409 (production wells) 0 ASTM A312 (monitor wells) ASS Plastic conforming to ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 0 Schedule 80 PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): _ Schedule 40 0 Schedule 80 0 Schedule 120 Thennoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996

o Centrifugally cast Resin Pipe conforming to ASTM 02997 o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517 o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950 o PTFE Fluorocarbon Tubing conforming to ASTM 03296 o FEP Fluorocarbon Tubing conforming to ASTM 03296

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

And compliant with (check one or more): 0 ASTM A242 or A606 0 Type E 0 Type S 0 Grade B 0 other Stainless Steel: (check one): 0 ASTM A409 (production wells) 0 ASTM A312 (monitor wells) ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 0 Schedule 80 PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): _ Schedule 40 0 Schedule 80 0 Schedule 120 Thennoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996

o Centrifugally cast Resin Pipe conforming to ASTM 02997 o Reinforced PlaStic Mortar Pressure Pipe conforming to ASTM 03517 o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950 o PTFE Fluorocarbon Tubing conforming to ASTM 03296 o FEP Fluorocarbon Tubing conforming to ASTM 03296


DRILLER'S LOG o WELL NUMBER: 3281-02

Depths (ft.) s Rock Description, Water Level, Chlorides PPM Dates

0 to 48.6 0-10 ft. Red Ash, 10-43' Basalt, 43-48.6' Red Ash, 10-31-07

to Water @ 43.8',354 PPM

to

to

to

to

to

to

to

to

to

to

to

to

to

to

to

Remarks: Tide affects this well byapprox. 14 in. plus or minus.


·0·

Latitude: N 19 d~gr~~s .n min. 50 ~c

Longitude: W 15 .. d~gr~~s 51 min. 56 so:c.

House

I Old Government Rd.

15'

0"'Well

SKETCH OF WELL LOCATION (Referenced to permanent landmark, i.e. building, road, fence, etc.)


Well Elevation Site Photo

Benchmark Elevation est. 47.8

I cert~· that the eleyation shown aboye: 1) Was done in accordance with acceptable sUlTeying practices 2) Is accurate to the nearest 0.01 ft. 3 ) Is referenced to mean sea leyel

Surveyor license No. Date


MEMO and ROUTHLIP (ver 8131/07) o

11/13/07

WCR 2 Check for Well No. 3281-02 (survey to regulation memo)

1. Pump Tests Check( special condition of PIP? Yes/No) D. England DC£- (initial if yes) Yes No If no, describe deficiency

Step-Drawdown Test:

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

Aquifer Pump Test:

followed WCPI Stds 0 T & S analysis attached 0

Potential Well Interference: 0

Potential Stream Impacts: 0

Additional Testing or Data Required: 6 Pump Test Comments Attached: 0

o o o

0 0

~ ~ 0

I2f""

~ gpm no test required

~o gpm no test required

stream names:

~ SeC' wctZ 1--

2. Pump Installation Check Mitch Ohye (initial)

data complete followed Special Cond & Elev.

well database updated

\ ~ No If no, describe deficiency

if g \\'j 3. Charl€an) ____ (initial) take action based on above analysis

ATTACHMENTS FOR ACCEPTANCE: 1WCR2 ACCEPTANCE LETTER

2PUMP INST. COMPLETION CERTIFICATE

3METER INSTALL. REPORT (IF NECCESSSRY) __ _

4WUR

1" To be sent to driller

J To be sent to landowner/operator


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

5. Susan Hoagbin (initial) finalize

6. Faith Ching (initial) enter into WUR database

6. ChareRY?ile

State of Ha~i' o For Official Use Only:

COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources R C'::1VED WELL COMPLETION REPORT - PART II Pump Installation

Instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the 7 A 8: 18 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

H~waii Well C~ion anc:t Pump 1~1ation Sta~rds or. call the Reg~1ation Branch at 587-0225. For u'4:!",~~ SSi~N O~ W'" TSR thiS form or addibonallnformation, please visit our website at http://www.state.hi.usldlnr/cwrm! Dr ,', {';:- "~I t ,! ' ~r:MFl)T

l.

2.

State Well No.: 3281-02 Well Name: Kai Puka Island: Hawaii ==========================-------===========~ Address: HC 2 Box 9557, Keaau, ill 96749 Tax Map Key: 1-4-028-010

3. Pump Installation Company: Diamond Drillin ~~======~==~------------------------j

4. Date Pump Installed: 11-1-07 -----~~~~/~~~--r-------

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

Pump Type, Make, Serial No.: SUB I GRUNDFOS I 16S07-S

Rated Capacity: 16 gpm at head of: 163 ft.

M~MT~e,H.P.,~~~,~: ________ ~ ___ m_/_3_~_~ __ /_n_0_V_/_3_4_5_0_D_M _____ __ Pump type (check one):

o Deep Well Turbine

X Submersible

o Centrifugal

o Rotary o Propeller

o Rotary-Displacement o Reciprocating

o Rotary-Gear o Impulse

6. Method of flow measurement: X Flowmeter Manufacturer MASTER Model no. PT92194 Size

------.,.-----! %m.

o Weir o Open Pipe DOrifice* 0 Other*, explain below

7.

8.

9.

10.

*attaCh schematic

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

Attach the rating curve for the installed pump.

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

Well Owner: Same

11. Land Owner: Clifford & Diana Schommer HC 2 Box 9557, Keaau, ill 96749 982-3666

Pump Installation Contractor (print) Rod Diamond C-57/C-57a/A Lie. No. Be 23379

Date 11-2-07 WCR2 Fonn 2123f05 Page 1 of 2

7. AS-BUILT puC.EcnON (Please attach as-built if different from Qm provided below)

Bench mark elevation surv~ed to nearest 0.01 ft. = 47.8 ft. mean sea level

~JIII = tilL 1111 UII ~-~ ..... -

8evation of top of chase tube NI A ft. mean sea level

.. -... -...... - ,-

_ .. _"" _____ .. _ ... _ .. ____ .... __ .. _. __ ...... _ .. 1.

Pump intake depth = 46 ft. (referenced to bench mark)

Chase tube depth = NI A ft. (referenced to bench mark)

If airline installed, bottom of airline elevation =

NI A ft. mean sea level

WCR2 Fonn 2123m5 PBtge 2 of 2

.""""'" , ~ERFORMANCE CURVES ,0 '16GPM

~, ~1$\-O'2. ~\ =,LOW RANGE: 10 -20 GPM

18S100-75DS (10 HP) 2200 , ..

,. f"""l~"- r .-~ '--=".

{~ ~;:,

of j l

2100

2000

1900

1800 !=i -r:t! To ; : ; ~~-:-~

,::.

1700 816S75-56DS t7 ~ Ii P1

1600 I ; t ~ I 1 I ~ '-.4"! '< ! ! ~

1500 1--0;---, f;~-;S; tu: :. ~

1400 i !

>.. 1300 , ; ,

~;~m 1200 916850-38 ~ ~~ . ,

0j~ 1100 ,~<. .. ~ ~!!~UJ t t

, t.: ~ •. '''1 ~ i..,:'-I ; 1

?ii3: 1000 1-1-, ' • :. ... ,

: ,, __ ~ :-' i

, 900 r \-' • !

;: r

800 ;~~ ~-~~) 700

, , , 600 :(16520-18 2 HP

-

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500

400 R16S15-14 (1 112 HP'I ;

300

200

100

o

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=-=- - - -; =l16S1D-10 1 HP1F -~

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~16S05-5 {1f2 HPJI+--i: . .:-'

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CAPACITY (GPM)

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MODE-L 16S

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F'ertormm:e COIIbms to ISO 9906. 18118 (E) Amac A MnInun ..... 1)11 .. is 2 feel

OO!(.---------------------------------------------------l ... a,,;;.~.:~::i

4-17

\ j , .

FROM: RYAN

TO: INIT.

CHING, F.

CQISSION ON WATER RESOURCE MANAGEMENTO ROUTE SLIP FOR PERMIT ISSUANCE 4/17/07

DATE: 8/15/07 SUSPENSE DATE:

TO: INIT. FOR: PLE'ASE:

Approval See Me CHONG,R.

~UNIMURA' I. NAKAMA, l. g Signature -1-Review & Comment

DANBARA, S. __ OHYE,M. ENGLAND, D. SAKODA, E. FUJII, N. SWANSON, S.

-1-HARDY, R. fi UYENO, D. -2-HOAGBIN, S. YODA, K.

ICE, C. --YOSHINAGA, M. 4 IMATA, R.

KIMURA, J.

WELL NUMBER 3281-02 WELL NAME

application type BOTH 1 WCP COVER lETTER ....J.2. 2 WCP --J..L..... 3 WEll CHECK PRINTOUT V

4 PIP COVER lETTER 5 PIP

COMMENTS: 6 SDWB 7 WWB

~/

+ B CWB ""2:. 9 lD

-3- Information

KaiPuka

10 HP 11 lUC 12 OCCl

~ + in conservation district Z. t- ~ c '0 ~!n conservation district f ~ \ .", -

13 SMA

NOTES: DRILLER TMK PUMP CAPACITY WELL OWNER LANDOWNER COMMENT DEADLINE

~In sma ..-........ wQrvvu~

Rod Diamond 1-4-028:010

12 Clifford Schommer Clifford Schommer

8/20107

Take Action --Type Draft -2-Type Final -4-File

Xerox copies

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

lWell Number 3281-02 lWell Name KaiPuka Ground Elevation 50 Cement Grout 40 GroutinQ Method other Hole Diameter 12 Total Depth 50 Depth to Water 49 calculated head 1 Public Water Supply Well? no Solid CasinQ Material pvc plastic plastic Solid Casing Specification Schedule 40 Solid Casing Length 45 Solid Casing Diameter 6 Solid Casing Wall Thickness 0.3125 Open Casing Length 5

Results


Ref: 3281-02.wcp

Mr. Rod Diamond

o o




Diamond Construction and Water Well Drilling HCR #3 Box 14073 Keeau, ill 96749

Dear Mr. Diamond:

Well Construction Permit Kai Puka Well (Well No. 3281-02)

LAURA H. THIELEN INTERIM CHAIRPERSON


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


September 7, 2007

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

Special Conditions

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

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

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

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

IMPORTANT - Drilling work shall not commence until a fully signed permit is returned to the Commission. The permit shall be prominently displayed or made available at the construction site during construction. Be advised that you may be subject to fines of up to $5,000 per day for any violations of your permit conditions starting from the permit approval date.

If you have any questions, please call Ryan Imata of the Commission staffat 587-0255.

Sincerely,

W.f7f1 1't

LAURA H. THIELEN Interim Chairperson

Enclosures

c: Clifford Schommer (with applicable comments - DOH SDWB, WWB, CWB) USGS Hawaii DWS

/

• -- o 0 WELL CONSTRUCTION PERMIT

Kai Puka Well. Well No. 3281-02 Note: This permit shall be prominently displayed at the construction site until the work is completed

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the construction and testing ofKai Puka Well (Well No. 3281-02) at TMK 1-4-028:010, Hawaii, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

II.

12.

13.

14.

15.

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

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

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

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

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

In the event that historically significant remains such as artifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee shall stop work and immediately contact the Department of Land and Natural Resources' State Historic Preservation DiVision. Work may recommence only after written concurrence by the State Histonc Preservation Division.

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

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

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

The well construction permit application and any related staff submittal approved by the Commission are incorporated into this permit by reference. This permit is also subject to the HWCPIS. If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result. Any variances from the HWCPIS shall be approved by the Chairperson prior to invoking the variance.

The work proposed in the well construction permit application shall be completed within two (2) years from the date of permit approval, unless otherwise specified. The permit may be extended by the Chairperson upon a showing of good cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later than the date the permit expires.

If the well is not to be used it must be properly caf:,ped. If the well is to be abandoned during the course of the project then the permittee must apply for a well abandonment permit in accordance with §13-168- 2(f) prior to any well sealing or plugging work.

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

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

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

Date of Approval: August 20, 2007 Expiration Date: August 20, 2009

LAURA H. THIELEN, Interim 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 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 tines of up to $5,000 per day starting from the permit date of approval.

Driller's Signature:

Printed Name: Rod Diamond

C-S7 License #: C-23379 ---=::.....=.::..:::...:....::....---- Date:

Diamond Construction and Firm or Title: Water Well Drilling

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

Attachment

/


Ref: 328I-02.pip

Mr. Rod Diamond

o o





Dear Mr. Diamond:

Pump Installation Permit Kai Puka Well (Well No. 3281-02)

LAURA H. THIELEN INTERIM CHAIRPERSON



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


September 7, 2007

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

l. If the elevation benchmark needs to be altered, the permittee, well operator, and/or well owner shall ensure that the benchmark is transferred (or the well resurveyed) and documentation of the new benchmark shall be submitted to the Commission within sixty (60) days after the pump is installed.

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

The permittee is responsible for all conditions of the permit. This includes ensuring the submission of a completed Well Completion Report Part II form within sixty (60) days after the pump installation work is completed. Be advised that you may be subject to fines of up to $5,000 per day for any violations of your permit conditions starting from the permit approval date.

Please sign both permit originals and return one for our files.

IMPORTANT - Pump installation shall not commence until a fully signed permit is returned to the Commission.

If you have any questions, please call Ryan Imata of the Commission staff at 587-0255.

Sincerely,

Wf7H ~

LAURA H. THIELEN Interim Chairperson

Enclosure

c: Clifford Schommer (with applicable comments - DOH SDWB, WWB, CWB) USGS HawaiiDWS

(

, •

O PUMP INSTALLATION PERMITO Kai Puka Well, Well No. 3281-02

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

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the pump installation for Kai Puka Well (Well No. 3281-02) at TMK 1-4-028:010, Hawaii, 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 ofa 12 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 ofthis 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.

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

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

Date of Approval: Expiration Date:

August 20,2007 August 20, 2009

Wf7H 1't

LAURA H. TIDELEN, Interim 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:

Printed Name: Rod Diamond

C-S7, C-S7a, or A License #: C-23379 Date:

Diamond Construction and Firm or Title: Water Well Drilling

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

Attachments

/

o "

•

'Hi!! '1 l' " 1 (", L Uti !LlN!)~! llNq~.EU

GOVERNOR OF HAWAn

i ' -'

Mr. Chris Yuen, Director Planning Department County of Hawaii 101 Pauahi Street Hilo. HI 96720

Dear Mr. Yuenl:

o o fill:' r 1"- :,\... ALLAN A. SMITH

.• t...... ',... i~. J ./ E etERIM CHAIRPERSON

MEREDITH J. CHING JAMES A. FRAZIER

07 NEAL S. FUJIWARA

AUG 6 A !YOi~UKINO, M.D. IIIN . KIYOSAKI

LA I!NC liKE, M.D., J.D.

KEN C. KAWAHARA, P.E. STATE OF HAWAII ,~.ua.: .". DEPUTYD/RECTOR

DEPARTMENT OF LAND AND NATURAL RESOURCES -»~:~~SSftW rm W." ~ ff:<~ COMMISSION ON WATER RESOURCE MANAGEMENIJi';J:tCJE ~'1;~,HAQE1;.Jf~T

P.o. BOX 621 ' ··1"~"1 HONOLULU, HAWAII 96809

July 16, 2007

Special Management Area Use Permit Requirements for Well ConstructionlPump Installation Permit Application

Kai Puka Well (Well No. 3281-02)

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

We would appreciate your comments on the captioned application with regard to the SMA permitting requirements specific to your division. Please respond by returning this cover memo form by August 20, 2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Ryan Imata of the Commission staff at 587-025~.

Sincerely,

Wf7H '" ALLAN A. SMITH

Interim Chairperson

RI:ss

RESPONSE:

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

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

[ ]

[ ]

No objections

Other comments:

Contact Person: Esther Imamura

Sjgned: __ ~_~~~-L ... ~~k~::::::-::::=====~=-___ _

Phone: 808 961-8288

Date: __ 8-'..1_3-'..-I_O_7 __ _

031138

JUL~6-2007 08:22 From:DOWSAFE WATER BRANH 8085854351 To:808 587 0219 P.1/2 .:.,..." ... "M',

..... ",'

RECEIVED

ltNDAUNGLE SAFE DRInKING WATER B~N1R'tMITH

GO~"",,,,"'''''''''''II INTt=II!M C. ...... NIUION

TO:

FROM:

JUt, 9 2007


COMMISSION ON WATER RESOURCE MANAGEMENT p.o. BOX621

IoIONOlULU. IoIAw.o.n ~

July 16, 2007

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

j HaroJd Vee. Wastewater Branch Stuart Yamada, Safe Drinking Water Branch Alec Wong, Clean Water Branoh

S ·th . h' 1 Allan A. ml • ]ntenm C awperson Commission on Water Resource Management

MEREDITH J. CHING JAMES A. FRA%lEFI NEAl S. FUJIWARA

CHIYOME L F'UKINO. M O. DONNA FAV K KIYOSAKI

LAVVRENOE H MilKE, M.D. J.O

SUBJECT: Well Construction/Pump lnstal1atiOll Permit Application Kai Puka Well (Well No. 3281·02)

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

We would appreciate your comments 01'1 the captioned application fOr ally conflicts Or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returnln this (over memo form b Au ust 20 2007. Ifwe dQ not receive comments or a request tor additional review time . this date, we will assume that you have no comments .

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

RI:ss Attachment( s)

RESPONSE: ..fY~ Ute..: J:t- 'l-) ~.f I J

I)

I J

I J

1 J ,-, ... (j

11

11

Thl. w.1I qualifi •• a;" solltCC which wIn seNe ~ a !WUfC( Qf1X'>Cablc walCt 10 a Pdblic "'~Iet SySlCrn (.:kfltlc<! ~~ S¢l'villl! 25 or more: J)OOple 01 ~ 60 days per year 0( hili 15 or more 5e1VK;¢ connc"ioltS) and nI~il rc«iw Dirl1"OJ of H~'llh ~pprovaJ mill1 \0 113 U5C 10 .omply wuh HDwall AII111111i5lrallVC Rule!; (BAR), Tille II, Chlp1cr 20. R.ldes Rel"tin .. to Pomble W.1cr S)ISt<:ms, §I I ·20·29,

Tl115 well does 110\ qu.,li/y a$ a $OU~ $c .... ,rlj! a pt;,l>lic ...-alel' !YSlcm (serve$ 1e$S Ihan ~5 peQ~k Qr ~t~ !)eo"'" 21 .I~I 6() d;lY$ per ye,lT or J S service connecllons) and lithe wt:1I waler IS lISod fOT dri~k'rl'" Ihe 1lO'11r:UC OW1lcr $ho.1d leSl lilt blC' .... oioll1C<\1 and ch<:mlc"i prt$C:no<: before lniloatin~ s"c;h us< and rooliftcly monitor Ibe waler qua~ty thereoft.r However. if futllfll plinn;d Uie from Ihis &Oln~c in~caslli 10 ml:Cllhc J)Iililc waler &)IilCm dcfinitioll I~"" DirCCIOl or Hoairh approval I. required iW!tI: ro impicIDllJltaliOJl,

If the well is usOO to sllpply both potabl. QJ)d """.potable 1'\l1'))I)~ in ~ $ingle 5Y$Ie",. Ih. USOT $h~II.lImin;J\. <rt)$soCon"""h()~s >JJXI b~kflow COIII1CCtiQl1$ by phy~ic:illy >cp![atin~ poIabJc and non·potable systems b) .an air l!'iJP or an approved backflow prc,,"nlCr. and by cloarly labc:lil1~ all nonp"labl. "",~.to w;tl. ",,,,,,inl! $;,"$10 ptev •• t i.ladY.l1cnt oonsilillplion of nOll-potable WI1Cf. Ba.::know ptcvel1lion de\1eC$ sh(oldd be rOuhncl) inlF"ed II.nd Ic~\"",

It rloe~ 001 ~~r 11"'1 this weI) will be USCG for con.umptivc pu~o;co ~1Id is not $IlOjcClto S$fc Drinking Water RCSll~liI)I1S

An NPI)F.S pennil i$ required

Other relevanl DOH rtlle$lrel!"1a1ions. inforrna1ion. OII'1!«,'non~nd9li"" ... arc eunchcd.

I. lhe cYef1Ilhallhc IOCllioll cflhc well changes bU1 is still WIthin 1hc parocl Gc:scribcd Oil rhis appliealioll. cur divisicll ""n,ida', Ihe ~nll11CIIIIIO 61ill be opplic~ble. and we do nOlneed 10 tev1CW tile lie\> 1000~lion

No OOmlflClltsiobjcctiol1!l

Contact Person: ___ ~_~~~_~ ___ ~~ __ PhOI~e: ______ _

Signed: ----~----:;>"~""T__----""---------V

Date:

JUL-26-200708:18AM FAX: 8085864351 ID:DLNR CWRM PAGE: 001 R=94%

/'JULJ.2,,--2007 08:22 From:DOWSAFE,I¢IATER BRANH 8085854351 To:8Li18 587 0219

· ... "",i

CWRM Application Source: Kai Puka Well (no. 3281-02)

Safe Drinking Water Branch Underground Injection Control (Ule)

1_ In general, a shallow well, or a well that recharges quickly from a local rainfall, should not be used as a potable water source because such a well increases the risk of having unsatisfactory ground water quality that when consumed may compromise health. Factors that directly influence a well's groundwatar quality include wastewater disposal systems (cesspools, septic systems, drainage wells), lawn/garden/crop growing activities, and even the proximity to the ocean where salt water intrusion may occur.

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

JUL-26-200708:19AM FAX: 8085864351 ID:OLNR CWRM PAGE:002R=94%

LINDA LINGLE GOVERNOR

TO:

FROM:

SUBJECT:

o o ANTHONY J.H. CHING

EXECUTIVE OFFICER

·-··("rn't:".D '. _ 1"

STATE OF HAWAII 07 v'UL 28 pl' I 8 DEPARTMENT OF BUSINESS, ECONOMIC DEVELOPMENT & TOURISM

LAND USE COMMISSION p,o, Box 2359

Honolulu, Hawaii 96804-2359 Telephone: 808-587-3822

Fax: 808-587-3827

July 24, 2007

Allan A. Smith, Interim Chairperson Commission on Water Resource Management Department of Land and Natural Resources

Well Construction Permit Application Well No. 3281-02, Waawaa, Hawaii TMK: 1-4-28: 10

We are in receipt of the subject application forwarded by your transmittal dated July 16, 2007. For your information, the State Land Use Agricultural/Conservation District boundary on the subject parcel parallels the shoreline at a distance averaging approximately 300 feet. Subject to the provision of a valid shoreline certified by the chairperson of the Board of Land and Natural Resources, it appears that the proposed well is located within the Agricultural District based on its depiction of being 20 feet makai of the Government Beach Road.

Thank you for the opportunity to comment on the subject application. As requested, we are returning the cover memo for the subject application.

Please feel free to contact Bert Saruwatari of my office at 587-3822 should you require clarification or any further assistance.

Enclosure


Dl

o -"rl\'r=-n

p \ • \ 8

.~ STATE OF HAWAII

o

.. -,", .. ,i," ; ~ ..

ALlJIIJItA. SMITH tNTERlr -IA.IRPERSON

: :i, .~:.:, I C f~ MERE~ •• H J. CHING , " .. , I' JAMES A. FRAZIER

l .. r .': .', i I NEAL S. FUJIWARA CHIYOME l. FUKINO, M.D. DONNA FAY K. KIYOSAKI

I (' A S' ~ENCE H. MilKE, MO, J.D.


DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

TO:

FROM:

P.O. BOX 621 HONOLULU, HAWAII 96809

July 16, 2007

Mr. Anthony Ching, Executive Officer Land Use Commission

Allan A. Smith, Interim Chairperson 1 Commission on Water Resource Management

SUBJECT: WELL CONSTRUCTION PERMIT APPLICATION Well No. 3281-02, Big Island

We would appreciate your review of the proposed well that is described in the attached application that appears to be in the conservation district. Specifically, we request that you confirm inform us of the current state land use designation for the location of the well in the TMK parcel, or portion thereof. Please respond by returning this cover memo along with your review comments by August 20, 20007, which is the legal deadline for objections.

If you have any questions, require additional information, or would like to request an extension of the review period for this application, please contact Ryan Imata at 587-0255.

RI:ss Attacbment(s)

Response:

( ) Is in the conservation district ~ ) Is not in the conservation district vI Only comments attached

Contact person: 6£/Z f 0ARl.itVA-rt4t<?./

Signed: ~tt4~0--. . Phone: 581- -38-z.- z....

Date: 00,1..j" .:<3) cJ.60Z I)

Jui-23-2007 11:23am From-DEPT OF HEAL~NViRONMENTAL ~GMT 8085864352 T-963 P.001/005 F-430 ...., FAX TRANSMITTAL

State of Hawaii Departmellt or Health Ellvironmental Management Division

Clean Water Brauch ~ EDgiDeeriDg Section Phone No.: (808) 586·4309

Fax No.: (808) 586·4352

Fax to: ~yan I~! Ms. Lenore Nakama / Mr. Charley Ice Date: "1 (1.;'1 101 Company: Commission On Water Resource Management Fax from: Joanna L. Seta

Department of Land and Natural Resources Fax No.: 587-0219 Total Pa~es, inci. cover: Subject: Well CODstruetionJPump Installation Permit A'pplication(s)

WeUNo(s). jtSJ-OZ, j5S(o-Z."j 3 (j;I(71-50l '$C00<P-Ie,

The Department of Health, Clean Water Branch (CWB) 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 1, effective November 7, 2002. Treated process wastewater effluent covered by this general pennit includes well drilling slunies, lubricating fluids wastewater, nlld well purge wastewater. This general permit does not cover well pwup testing. The applicable Notice of Intent (NOI) Fonns and filing fee shall be submitted at least thirty (30) days before the start of discharge to the:

Department of Health Clean Water Branch 919 Ala Moana Boulevard, Room 301 Honolulu, Hawaii 96814-4920

The CWB-NOI Fonns are available online at hJtp;//www.hawaii.govlhealthienvironmentallwater/cleanwater/fonnsigenl-index.html. Inquiries may be directed to the CWB at (808) 586-4309 or by fax (808) 586-4352.

2. For Well Pump Testing

The discharger shall take all measures necessary to prevent the discharge of pollutants from entering State waters. Such measures shall include, if necessary, containment of 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 inlplemented to prevent the discharge from disturbing the clarity of The receiving water. If the discharge is entering a storm drain, the discharger must obtain written permission from the owner of the storm drain prior to discharge. Furthermore) best management practices shall be implemented to prevent the discharge from collecting sediments and other pollutants prior to entering the storm drain.

JUL-23-2007 10:59AM FAX: 8085864352 ID:OLNR CWRM PAGE: 001 R=97%

Jul-23-200T 11 :23am

LINDA LINGLE iO\I6~NO~ Of MW"'''

F ran-DEPT OF HEALJ,IJ,ENV I RON~ENTAL ~G~T 8085864352 T-963 P.002/005 F-430

~REOITH J. CHlr-IG JAM!;!> A. FRAZIER NEAL S. FUJIWAAA

&.rC

ct\IYOMI' L. FIJICINO, M.P. DONNA FAY K. KIYOSAKI

LAWRENCE H. MIlICI', M.D .• J.P.

TO:

FROM:

STATE OF HAWAII OEPAFrrMENT OF LANO ANO NA'rUftAl RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOXG21


July] 6, 2007

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

Harold Yee, Wastewater Branch ~tuart Yamada, Safe Drinking Water Branch

IAlec Wong, Clean Water Branch

Allan A. Smith,interim Chairperson 1 Commission on Water Resource Management

KEN C. KAWAHARA P.E. 0fT0u'I'Y DllCt.C'rOW

SUBJECT: Well Construction/Pump Installation Permit Application Kai Puka Well (Well No. 3281·02)

Transmitted for your review and comment is a copy of tile captioned Well ConstructioolPump Installation penn it application.

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

RJ:ss Attachment(s~

RESPONSE: ( I

[ 1

[ )

[ ]

I 1

11 1...( 11

I'n, ... '\ well q .... hfll~s a$i ~ S!M.II'£:e wl)jch will5e1"vi! is!ti ~ SO\n'C::* ()f~T~b,e W"tlla:T ~() il J"~l"}li(,; w~l~r :;Y·"4t::111 (defined Elti serving 25 or m~.pcople:.-: least 60 lilly. poll" ye.t 0" I~ IS £" ,I,On! 9O,'1..ica CDlIllB<:liollS) Inld mu.' rOl;ei"", Pir~~I(>r of 11~ilhh ilpprovill prin" 10 iT' USC: 10 comply with Hawaii Admillisltalive Rul.:,; \ HAR), Tille 11. Chilp<CT ;)0, Rill ... R.liKlnll 10 Potnblc W.,<r Syotc_. ~I 1-20-29.

This ~II Q~ nOI 'lualify as a source ~l'IIinl; 3 Jklblic WBIt!" syslcm (SCl'\<1!li lltSS 1118" ~5 poopl" <It ",On: pe()pl~ iIIlea,t 60 days per)'tar or 1 5 ~ice CQltnOOlions) aTtil if die wall walor is "sad for dl'lllkill!;, lile pti.ala OWIl .... $Ililuid le.1 l'or l~wt.:n(lI()81C<11 iIIld cbcmical presence before initialing S\jch !ISO ~nd rQutirwly monilQf I~ W.I"T "l""hl) Il>or ... 1I«. I-IQW~'"' ,rflrtnr< p~mn<:d u.s.: from thi •• o •• re" incrcas.:s to IIlCCt rho: pliblic waI,U S)'SI6IJI dbfi~i~on then DlI1:~or of HC.lkh nppro-.al iI; I"<'qllm:d JI!:iw: to implementation.

Ifill/) well ;~"90(] to SLlpply boIh potabk Q"d fIO .... polable purposos i., • ';'I!!IO .~£""~, n.B ,,_ .lqll <:limm;Ji1: wosti_nD«llions 8IId bookflo .... Connolc;l1l.ln. b) l'hysic.lIy !ICp .... lilig IlOlable ~l1d nlln-pOlflbl<: ~.m5 tl)' an ~ir IliIP or i1n ilpprnv(d bncldlo ..... preYmTrr. and by clearJi lahclislg all lIOnpolabl\: ~iSQt~ with w~ming ~il\l1~ 10 pr<:ycm In.ldv;r1;m ~Q"~lImpliOll of DOn-pDTilblo: WlUc:r. n .. ckflow )lfcvcntioo dcvicc! should 00 1'O~;"ely m~l~tl ~nd te.;ted,

11 do.:. not appear Ilwl thi. wdl will Ix IIbed for oontiumptivc purpoliQ; and is nO! su~ccr to Safe Drinking WaleI' Ra!;lIlaTiOlls.

For tl!.: appliCIIIII'& intannalion, B ,ourcc OfpoOliible W8S1CWBtCr cOlllamin8lioll I lit II is nOliocBI04 neat Ih~ IlI'ql0$e4 ",~II sit.: (infol1J1i1tion altnchcd).

An NPPt'1S Plnllil is l"eq'li ... ,<I.

Otln:r rcl.vam DOH rulwr"IJUI~li()ll~. inforIT1'lIillll. or recomml#nditions ar~ atI8cl\ed.

In ~.c C"l:I~ 11IiI11h~ li)Q1Illl>U ofn .... "'ell ~h.III!!~~ l'Ul i. ~lill wilhin Ih( plTo<:l d~~Tlbed ()lIlhis ap)llication, om division oonsiden the ~ommcills 10 slill be apph"llblos, ""Ij w. <lo ""\ JUOC! I" rovi.w ,h. ""W 100000ioo.

I 1 No comtrlemSlobj~ri()1I&

Contact Person: db/.UAMJJ..J L.-• .)~ Phone: ,e<o -.!f30~ Signed: fJ~ ~ Date: -, • t. ;"0 J

JUL-23-2007 11:00AM FAX: 8085864352 IO:DLNR CWRM PAGE:002 R=97%

o o JUL

LINDA LINGLE ALLAN A SMITH INTERIM CHAIRPERSON GOVERNOR OF HAWAII

TO:

FROM:

07 JUL 20

STATE OF HAWAII.' DEPARTMENT OF LAND AND NATURAL FieSOURCES ..



July 16, 2007

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

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


MEREDITH J. CHING JAMES A FRAZIER

P 2' 2 2 NEAL S. FUJIWARA CHIYOME L FUKINO, M.D. DONNA FAY K. KIYOSAKI



SUBJECT: Well Construction/Pump Installation Permit Application Kai Puka Well (Well No. 3281-02)

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 August 20, 2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

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

RI:ss Attachment(s)

RESPONSE:

[ I

[ I

[ 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 serving 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of Health approval prior to its use to comply with Hawaii Administrative Rules (HAR), Title II, 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 used to supply both potable and non-potable purposes in a single system, the user shall eliminate cross-connections and backflow connections by physically separating potable and non-potable systems by an air gap or an approved back flow preventer, and by clearly labeling all nonpotable spigots with warning signs to prevent inadvertent consumption of non-potable water. Backflow prevention devices should be routinely inspected and tested.

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

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

An NPDES permit is required.

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

[ I In the event that the locatIOn of the well changes but IS stIll WIthIn the parcel deSCrIbed on thIS applIcatIOn, our dIVISIOn consIders the comments to stIll be \,/ applIcable, and we do not need to revIew ~:~e~~on

~ No comments/objectIons N () RiWf7l(JJ "'_~ , I (}. ,f I "... Contac'!7r0~: ~ ~ /fIm /0 Phone: L~31Jtty/ Signed~ ()f1 O0..0u Date: 01 '21J-07

COMQION ON WATER RESOURCE MANAGEMENT Q ROUTE SLIP FOR NEW APPLICATIONS

FROM: RYAN DATE: 30-Apr-07 SUSPENSE DATE: ----------------

CHING, F. _ ?aAKAMA' L. FUJII, N. NAKANO, D. l..-.....,.:; GOODING, K.-- OHYE, M. i \ ;-

-1-HARDY,R. ~--SAKODA'E. ~ --HIGA, D. --SWANSON, S. --

2 HOAGBIN, S. == UYENO, D. == ICE, C. YODA, K.

1 Approval -1-Signature -3-lnformation

--IMATA,R. -- --YOSHINAGA,M.--KUNIMURA, 1.- --

WELL NUMBER 3 l.-e I - (j 2.

o WELL CONSTRUCTION

WELL NAME Kai Puka

o PUMP INSTALLATION

ATTACHMENTS FOR APPLICATION PROCESSING - Both applicant & staff generated 1 TRANS. LETTER

2 PERMIT PROCESS TABLE

3 CWRMMAP

4 APPL. FORM (11 COPIES)

5 USGS MAPS (11 COPIES)

6 TAX MAPS (11 COPIES)

7 PARCEL OWNER VERIF.

8 CONTRACTOR VERIF.

=z ~ -:;;-----:;-~ MLS PRINTOUT --;;:;r- DCCA LICENSE SCREEN PRINTOUT

7-May-07

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft acknow letter

-2-Type Final, label file folder, update People.db -4-File

Xerox copies

~OTH

9 ALL INFO FILLED IN

10 BACKGROUND CHECK

11 $25 FEE DEPOSIT SLIP

:g.~, y;t../ ~J, ~ ~ S I~;. _.~ \ '" ';'vH\J ~ ;a~+ k I" CD

12 DHP/CDUP/SMApre·scr •• n ~MA map printout http://gls.hice'I1tral.com/website/parcelzoning/viewer.htm.,or INGRID'S SMA/CD MAP) --(LUC map printout http://luc.state.hLuslluc_maps.htm., or INGRID'S SMA/CD MAP)

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

INCOMPLETE ACTION DATES:

DATE ACTION

.... _"'""",_'<'."'".~,"""~,... ...... .,,_,..._~ ... _.to! .. ____________________ _


Mr. Rod Diamond

c o




July 16, 2007


Dear Mr. Diamond:

ALLAN A SMITH INTERIM CHAIRPERSON

MEREDITH J. CHING JAMES A FRAZIER NEAL S. FUJIWARA

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


KEN C. KAWAHARA, P.E. DEPUTV DIRECTOR

3281-02.ack

Well Construction/Pump Installation Permit Application for Well No. 3281-02

We acknowledge receipt, on May 23, 2007, of your completed Well ConstructionlPump Installation permit application and filing fee for the Kai Puka Well (Well No. 3281-02). You can expect your application to be processed within ninety (90) days from this date.

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

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

If you have any questions about your permit application, please contact Ryan Imata of the Commission staff at 587-0255 or toll-free at 974-4000 (Hawaii), extension 70255.

RI:ss Attachment

c: Clifford Schommer

Sincerely,

Wf7M 1't

KEN C. KAWAHARA, P.E. Deputy Director'

o o LINDA LINGLE ALLAN A. SMITH

GOVERNOR OF HAWAII INTERIM CHAIRPERSON

TO:

FROM:




July 16, 2007

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

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



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



SUBJECT: Well ConstructionlPump Installation Permit Application Kai Puka Well (Well No. 3281-02)


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 August 20, 2007. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.


RI:ss Attachment( s)

RESPONSE: [ I

[ I

[ I

[ I

[ 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 serving 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of Health approval prior to its use to comply with Hawaii Administrative Rules (HAR), Title II, Chapter 20, Rules Relating to Potable Water Systems, §11-20-29.

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

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

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

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

An NPDES permit is required.

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

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

No comments/objections

Contact Person: Phone: --------------------------------------------Signed: ________________________________ __ Date:


TO:

FROM:

SUBJECT:

o o



Russell Tsuji, Administrator Land Division


July 16, 2007

Ken C. Kawahara, P .E., Deputy Director 11 Commission on Water Resource Management

Well ConstructionlPump Installation Permit Application Kai Puka Well (Well No. 3281-02) TMK 1-4-028:010

ALLAN A. SMITH INTERIM CHAIRPERSON






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 August 20, 2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.


RI:ss Attachment(s)

RESPONSE:

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

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

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

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

[ ] No objections

[ ] Other comments:

Contact Person: Phone: -------------------- -------

S.igned: ___________________ _ Date: --------


TO:

FROM:

SUBJECT:

o o


COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOX 621


July 16, 2007

Melanie Chinen, Administrator Historic Preservation

Ken C. Kawahara, P.E., Deputy Director 1 Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Kai Puka Well (Well No. 3281-02) TMK: 1-4-028:010






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

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by August 20, 2007. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application or request additional review time, please contact Ryan Imata of the Commission staff at 587~0255. If you require additional information regarding specific information that can be provided by the applicant, please contact the applicant directly at the contact information provided on the application form.

RI:ss Attachment(s)

RESPONSE:

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

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

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

Contact Person: Phone: ------------------------------------ --------------

Signed: ____________________ __ Date: ---------------


TO:

FROM:

SUBJECT:

o o




July 16, 2007

Samuel 1. Lemmo, Administrator Office of Conservation and Coastal Lands

Ken C. Kawahara, P.E., Deputy Director 11 Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Kai Puka Well (Well No. 3281-02)



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




It appears that the subject well project is in conservation land. 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 August 20, 2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.

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

RI:ss Attachment(s)

RESPONSE:

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

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

[ ] No objections

[ ] Other comments:

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

Signed: ___________________ _ Date:


TO:

FROM:

SUBJECT:

o o


COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOX 621


July 16,2007

Mr. Anthony Ching, Executive Officer Land Use Commission

Allan A. Smith, Interim Chairperson ~ Commission on Water Resource Management

WELL CONSTRUCTION PERMIT APPLICATION Well No. 3281-02, Big Island






We would appreciate your review of the proposed well that is described in the attached application that appears to be in the conservation district. Specifically, we request that you confirm inform us of the current state land use designation for the location of the well in the TMK parcel, or portion thereof. Please respond by returning this cover memo along with your review comments by August 20, 20007, which is the legal deadline for objections.

If you have any questions, require additional information, or would like to request an extension of the review period for this application, please contact Ryan Imata at 587-0255.

RI:ss Attachment(s)

Response:

( ) Is in the conservation district ( ) Is not in the conservation district ( ) Only comments attached

Contact person: ________________ _

Signed: __________________ _

Phone: ----------

Date: _________ _


Mr. Chris Yuen, Director Planning Department County of Hawaii 10 1 Pauahi Street Hilo, HI 96720

Dear Mr. Yuen/:

o o




July 16, 2007

Special Management Area Use Permit Requirements for Well ConstructionlPump Installation Permit Application

Kai Puka Well (Well No. 3281-02)







We would appreciate your comments on the captioned application with regard to the SMA permitting requirements specific to your division. Please respond by returning this cover memo form bmAugust 20, 2007. If we do not receive comments or a request for additional review time by this date, we wiT assume you have no comments.


RI:ss

RESPONSE:

Sincerely,

WhH 1't

ALLAN A. SMITH Interim Chairperson

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

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

[ ] No objections

[ ] Other comments:

Contact Person: __________________ _ Phone: --------

Signed: ____________________ _ Date: ________ _

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Copyright ©7/2/2007 by Hawaii Information Service

Assessed Values reflect tax year 2007.

Search criteria: TMK Taxkey 3-1-4-28-10

• PUBLIC RECORD DATA Taxkey Subdiv/CondoTnrAddress Owner/Lessee BdsBths Land area Liv area Last Sale Instr

re3-1-4-28-10waaWaa F GOVERNMENTSCHOMMER, 0 0 40,989sqft 0 1/26/2004DEED~ BEACH CLIFFORD

F/ETAL

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.comlREsearchIHIS/Searchlsearch_PUB.asp?NOCACHE=... 7/2/2007

QARTMENT OF LAND AND NATURAL RESOQS DOCUMENT NO .. UAC OR An ACHED WORKSHEET DATE A ·1 20 2007 : \(>1"1 ,

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

S 07 326 C 1026 0752 (1 ) $25.00 R. Echt, Jr.

" " " " " " (2) $25.00 HFS Federal Credit Union (Lori Diamond)

" " " " " " (3) $25.00 Frank Crabtree

" " " " " " (4) $25.00 Clifford Shommer

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $ 100.00

REMARKS: LINE (1) Hale Akala Well. LINE (2) Trita Ganga Well LINE (3 End's Well LINE (4) Kai Puka Well LINE (5) LINE (6) LINE (7) LINE (8) LINE (9) LINE (10)

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

.. STATE OF HAWA9 Q For Official Use Only: DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

APPLICATION FOR A WELL CONSTRUCTION I PUMP INSTALLATION PERMIT

Instructions: Please print in ink or type and send completed application with attachments 10 the Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. Application must be accompanied ."..0 copies and a n0nrefundable filing fee of $25.00 payable 10 the Oepl. of Land and NaIuraI Resoun:es. The Commission may not accept incomplete applications. For assistance, call the Regulation Branch at 587-0225. For further information and updates 10 this application form, visit hIIp:l/Www.hawaii.gov/dlnr/cwrm.

~r::l 20 I-U j i

.. :\'.

A 9: 38

, I"

T

Clifford

Same

Method of flow measurement

X Flow meter

~C-::--"":"7"--,-=:-:-:----:---:---:----:--,--i 0 Open Pipe o Weir o Orifice o Other

number (8 SIJM¥II' is required for all Well ConsIruction Permits and may be required for some

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

X 16 Domestic Number of units to be served:

o Required, SMA # dale approved .

8 Not Required (attach documentation from applicable County agency) I have not checked with the cxmty about whether or not an SMA is required. I understand thai checking with the Counly prior 10 mailing this appiicaljDllwiD expedite my review. I

further thai issues this or result denial of the 23. Historic

B I have consuled with the HPO reglrding potential irnpIK:ts d lIIIllI oonstrtJcIDl a:tMIies on histrt: sites. I '-mtached appicabB documentation from the HPO. , hBY8 not consuled with the HPO regeRing poIenIi8I impects 01 weloonstrtJcIDl a:tMIies on hisIDric sites. ,Imerstand that chec;UJg MIl the HPO . 10 maUJg 1/11$ '!IDDIC:SOOO wilelWeclile my re\iew. , furlher

understand

C-571C-57aJA License No.

Rodney K Diamond Print

966-4129 E-mail

4/13/07 Date

Rodney K Diamond Print

966-4129

for Pump

BC23379 C-571C-57aJA License No.

4/13/07 Date

E-mail

WCPI App. Form 10105104

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


Displacement

x Other

Hole Diameter: 12 inches. Elevation at top of casing 51 ft., msl· "

- - I--~ Minimum of 2' Radius & 4" Thick Concrete Pad (to contain benchmark _L+_ -+'!1- surveyed to nearest 0.01 ft.)

... __ ._._, _ , .. ___ """Plf:; ?r T4,~:d Elevation: .§Q,ft, msl"

I ' ! !:.";.:: ,.;:: Please refer to the

I:'::, :'::, HAW AIl WEll CONSTRUCTION AND :L~; ~,:,:'\ PUMP INSTALLATION STANDARDS

I -> i/! I to ensure that ;:~:!:!~liance with 'I k:.:, .::,:,1

.0 ~ .' • ~ " I -t I:~":::' :';':'" to', to,'

i~fl' " ,ll.: :.'-::1

~ / ~' ... lJ. .;'~:";I' ," ::~'. :: :::

;~.:.: ~ ... :: ~.: .... .: .. '

Cement Grout: 4O_ft. (min. 70% of distance from ground elevation to top of water surface or 500 ft .. whichever is less.)

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

_3_ in.

Solid Casing: (= 90% x (Ground Elev.-Water Level Elev»

Total Length: ____ 45"-"-_______ ft.

Nominal Diameter: ___ ""'6 _____ in.

Wall Thickness: ___ -"'S""40"'--____ i,n.

Bottom Elevation: ___ ~-O!.:..-_____ ft" msl"

, ,~V? i ~(1k} Total Depth

• Perforated 0 Screen Open Casing: :tr':

~feet. Rock or Gravel Packing: ~ ~0

~~~ 1~\

Total Length: ____ ""S'--______ ft.

~ft. Nominal Diameter: __ ...::6~ _____ ,in.

Material: ·1 "'?

!

/ Wall Thickness: ____ S4""""xO _____ ,in.

x Crushed Basalt

'--_D_R_oU_n_d_ed_G_ra_Ve_I_---' .L Bottom Elevation: ____ -.".S ______ ft .. msl*

note: Neither bentonite nor mud should be used in saturated zone during drilling

Estimated Water Level Elevation: Open Hole:

Est. 2" ft. msl* I , I

Length: __ .wN!.!..A-'-______ ft.

L...J . _.1 Diameter: ____________ ,in.

" The approximate elevation must be referenced to mean sea level (rnsl) 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.

Bottom Elevation:

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 = 0/later Elevation - ) Example: Estimated + 2 ft. Water Level Elev. Bottom Elevation of Well Limit = (2 -) = -18.S ft.


ft., msl"

Carbon Steel: compliant with (check one or more): OANSI/AWWA C200 o API Spec. 5L o ASTM A53 o ASTM A139 And compliant with (check one or more): 0 ASTM A242 (or A606) 0 Type E 0 Type S 0 Grade 8 0 Other

Stainless Steel: (check one): 0 ASTM M09 (production wells) 0 ASTM A312 (monitor wells) ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 0 Schedule 80 PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): • Schedule 40 0 Schedule 80 0 Schedule 120 Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996

o Centrifugally Cast Resin Pipe conforming to ASTM 02997 o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517 o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950 o PTFE Fluorocarbon Tubing conforming to ASTM 03296 o FEP Fluorocarbon Tubing conforming to ASTM 03296

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

And compliant with (check one or more): 0 ASTM A242 (or A606) 0 Type E 0 Type S 0 Grade 8 0 Other Stainless Steel: (check one): 0 ASTM A409 (production wells) 0 ASTM A312 (monitor wells) ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 0 Schedule 80 PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): • Schedule 40 0 Schedule 80 0 Schedule 120 Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996

o Centrifugally Cast Resin Pipe conforming to ASTM 02997 o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517 o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950 o PTFE Fluorocarbon Tubing conforming to ASTM 0329 o FEP Fluorocarbon Tubing conforming to ASTM 03296

WCPI App. Form 10/05/04

e o •

~.

U.S. DEPARTMENT OF THE INTERIOR U.S. GEOLOGICAL SURVEY

},

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PlMN>-~d;an~ · Mr. Clifford Schommer Page 2 o o February 23,2009 5 . Your approved pump has a...

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