ROUtE SLIP FOR PERMIT ISSUANCE ~PiAA SUSPENSE DATE: …1 cover letter _l 2 permit (2x) ~ comments: 3...

RMISSION ON WATER RESOURCE MANAGEME.

FROM: ~PiAA TO: I NIT.

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

-1-HARDY, R. ~ ICE, C. -4- IMATA, R.

KUNIMURA, I.

ROUtE SLIP FOR PERMIT ISSUANCE 2/9/0~

DATE: '-1 l "1 SUSPENSE DATE:

TO: I NIT. FOR:

~~L __ Approval KANO, D. .. Signature YE,M. -3- Information

SAKODA, E. -2-SUBIA, S.

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

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft

-2-Type Final -4-File

Xerox copies

WELL NUMBER ->sY CJ r \ "2.-- WELL NAME t:_.Vl ~ Q'V""\ ------------~---------------------------

~ WELL CONSTRUCTION

ATTACHMENTS FOR WELL CONSTRUCTION PERMIT: 1 COVER LETTER _L 2 PERMIT (2x) ~

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

6 HEER 7 LD 8 HP 9 OCCL

10 SMA FOR OFFICE USE ONLY

PUMP INSTALLATION

ATTACHMENTS FOR PUMP INSTALLATION PERMIT: 1 COVER LETTER ./ 2 PERMIT (2x) -;7""

COMMENTS: --3 SDWB 4 WWB 5 CWB TO ~E SENT TO APPLICANT

6 HEER 7 LD 8 HP 9 OCCL

10 SMA

:,:'f;jtf~~--~Nf([Vt~lU{~-.,.1; FOR OFFICE USE ONLY

Jj \c.., VI t;:V7 &V ~

, ... s·~t- ~

LINDA LINGLE GOVERNOR OF HAWAII

Ref: 3586-12.wcp

Mr. Rod Diamond

0 0

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX621

HONOLULU, HAWAII 96809

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

Dear Mr. Diamond:

Well Construction Permit Erickson Well (Well No. 3586-12)

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING JAMES A FRAZIER NEAL S. FUJIWARA

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

STEPHANIE A. WHALEN

DEAN A NAKANO ACTING DEPUTY DIRECTOR

April 6, 2006

Enclosed are two (2) copies of your approved Well Construction Permit for the captioned well(s) that authorize well construction activities but excludes installation work for a permanent pump. As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 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 staff at 587-0255 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai), extension 70255.

Sincerely,

W.fih 1't

Peter T. Young Chairperson

Enclosures

c: John Erickson (with applicable comments- DOH SDWB, WWB, CWB) USGS HawaiiDWS

/

, 0 0

WELL CONSTRUCTION PERMIT

Erickson Well, Well No. 3586-12 Note: This permit shall be prominently displayed at the construction site until the work is completed

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the construction and testing of Erickson Well (Well No. 3586-12) at TMK 1-5-031: 006, Hawaii, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS- February 2004) which include but are not limited to the following conditions:

I.

2.

3.

4.

5.

6.

7.

8.

9.

10.

II.

12.

13.

14.

15.

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

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

The well construction permit shall be for construction and testing of the well only. The permittee shall coordinate with the Chairperson and conduct apumping test in accordance with the HWCPIS (the latest rump test worksheet can be obtained by contacting Commission staff· or at www.hawaii.gov/dlnr/cwrrnlforms.htm). The pern)ittee shal submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump. No permanent pump may be mstalled until a pumiJ 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 (114) of the theoretical thickness (41 times initial head) of the basal ground water unless otherwise authorized by the Chairperson.

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

In the event that subsurface cultural remains such as artifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee shall stop work and immediately contact the Department of Land and Natural Resources' Division of Historic Preservation.

The proposed 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/cwrrnlforms.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 fullowed 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 capped. If the well is to be abandoned during the course of the project then the permittee must apply for a well abandonment permit in accordance with § 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 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 w1th the granting of this permit.

This permit shall apply to the location shown on the application only. If the well is to be relocated, the permittee shall apply for a new well construction/pump installation permit m accordance with Hawaii Administrative Rules §l3-168-12(f).

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

Date of Approval: March 30, 2006 Expiration Date: March 30, 2008

PETER T. YOUNG, Chairperson Commission on Water Resource Management

I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I have signed, dated, and returned the permit to the Commission. I understand that this permit is not to be transferred to any other entity. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $5,000 per day starting from the permit date of approval.

Driller's Signature:

Printed Name: Rod Diamond

C-57 License #: C-23379 __;:-=::...,:_...;._ ___ _ Date:

Diamond Construction Firm or Title: and Water Well Drilling

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

Attachment

(


Ref: 3586-12.pip

Mr. Rod Diamond

0 0





Dear Mr. Diamond:

Pump Installation Permit Erickson Well (Well No. 3586-12)


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


STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING DEPUTY DIRECTOR

April 6, 2006

Enclosed are two (2) originals of your approved Pump Installation Permit for the captioned well(s) that authorize permanent pump installation work for your well(s). As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 11 :

Special Conditions

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

2. Attached for your information are oopies 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 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai), extension 70255.

Sincerely,

W.f7h 1't

Peter T. Young Chairperson

Enclosure

c: John Erickson (with applicable comments- DOH SDWB, WWB, CWB) USGS HawaiiDWS

(

1

0 PUMP INSTALLATION PERMI~ Erickson Well, Well No. 3586-12

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 Erickson Well (Well No. 3586-12) at TMK 1-5-031: 006, 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 of a 10 gpm rated capacity, or less, pump in the well. This permanent capacity may be reduced in the event that the pump test data does not support the capacity.

5. A water-level measurement access shall be permanently installed, in a manner acceptable to the Chairperson, to· accurately record water levels.

6. The permittee shall install an approved meter or other appropriate means for measuring and reporting withdrawals and appropriate devices or means for measuring chlorides and temperature at the well head.

7. Well Completion Report Part II shall be submitted to the Chairperson within 60 days after completion of work. This form can be obtained by contacting staff or on the internet at www.hawaii.gov/dlnr/cwrm.

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

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

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

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

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

Date of Approval: Expiration Date:

March 30, 2006 March 30, 2008

PETER T. YOUNG, Chairperson Commission on Water Resource Management

I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the pump installer have signed, dated, and returned the permit to the Commission. I understand that this permit is not to be transferred to any other entity. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $5,000 per day starting from the permit date of approval.

Installer's Signature:

Printed Name: Rod Diamond

C-57, C-57a, 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

I

0 0

Results

y From-DOH/Sah Dr~na Water Branch v 8085864351

' 0 T-092 P.009/014 F-406

........ -c..H NU-

LINDA LINGLE Pe1'ER T. YOUNG

ct'IAlftfltl;>:;;CH GOVI:.~HO~ Or I lAWAII

TO:

FROM:

STATE OF HAWAII DEPARTMENT OF LAND ANO NAlURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. 90XE12i

H01110lULU, HAWAU !168(J9

March 2, 2006

Honorable Ch1yome L. Fukino, M.D., Director Department ofHealth Attention; Djrector' s Office

Harold Vee, Wastewater Branch William Wong, Safe Drinking Water Branch Alec Wong, Clean Water Branch

Peter T. Young, Chairperson ~ Commission on Wa1er Resource Management

MEREDITH J. CHING JAMES A. FRAZIER NEAL5. FUJIWARA

CHIYOME L FUI<INO, M.D. LAWI<ENCS 1-1. MilKE, M.D., J.D.

STEPHANIE A. WHALEN

DEAN A. NAIIANO ~INOOEPUNOII'II:CTOO

SUBJECT: Well Consnuction/Pump Installation Pennit Application £rickson Well (Well No. 3586-12)

'fransmitted for your review and comment is a copy of the captioned Well Construction/Ptunp 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 March 30, 2006. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this penn it application. request additional infonnation, or request additional review time, please contact Ryan Tmata ofthe CommisstOl'l staff at 587-0255.

Rl:ss Attachment(s)

RESPONSE:

ll

[ 1

[ 1

l1

[I

ty( [ l

l I

Thi• w~ll qualifies as a ~<ltlro~ wbich "Will •e"" 8!1 a StJurce of ~ablo:o wolet to a ptibtic wa!Cf system (<kfmed as •=ing 25 or m= J!t!!6plc at least 1>0 d"Y~ P""l'""r or b..s 15 or mor~ !ICCVice <onnections) and ntUSI rccciv~ l)irect!lr ofi"l<:;dtll approwl JU!ru: to il:s 1l:>e tu comply "Wilh Hawaii Al:lmini•lr"lltive R.nl~ (liAR), Till~ 11. Ch;tpt<r 20. Rule.< RdaLit~g 10 P~bbl.: Wa1er Sy$1en•~. ~ 11-20·29.

Thi:; wdl does 11<>t qualif)l as a .ourcc servln~ a public w:ul!r syswn (~rvo.~ lc!ls thari lS p.!Oplc or T!lOI'l! people at least 60 days T"'' yc:ar or 15 ~rvire ~om•octiOt15) and ,t'd.:- well w.,tat is wed t(lr drinking. 1he pri~tc own~ $hDuld test for b;lelCiiologiQ and cbcmi<;•l prcscocc b;ii>r• ulitiatin~ such us~ and routinely monilor t.hewatcr<luality thereafur.. Howevor, iffulliiCplaon~d usc from thi:; sollfcc increa.'lts tom::o:lth<o pt~.blic wow >)P.I\<!111 definition then Oin:ctor of Health 11pproval is "'quircd w:ilz!: to implcmcnt<~tio.t.

If the well is us~ t\1 otq)ply both potable m~d nOc-po~ablo puiJ)OS<!S in a &ingle sysu:m. t~ u.~cr shall eli~tiftatc cros..Cotlacctions;"'d baclcflow connc:o:tinn:. by pbysiOilll} scpar.tlins po18ble Pnd non-potabl~ sy!<lClllS by an air sap or an illlJ'I'OW<i backllow prevenler, and by ck.1rly labE:Iillg all non· potable <plj.\O!S with w.rlling Sil!fl< to ptcwm inadv .. ,tcnt C;Jnst•mption ofnonoputablcwntcr. Saclcflowpn!Yrotion devices would be routine!~ ins~~od and te•toil.

It docs 110( appear that 1hill well wiil!,e tl!!cd for ct>Numptivc p~l"))O!ICS and il; nat subject t<:> Safe Drinking WaJ.cr Reg~~lations.

Fqr 1b~ appiX:.;mt's inform;uian, a soun;e of possible wot\lewatcr rolll;"ttinat:ion II"' [ I i.!l not lo..,Lttd •lall" tb~ proposed well $ite (illformario11 auachcd).

An >IPOES pc:rTilil is r~quircd.

Othcrr~lev"'" DOH rul~!!/.:egulation•, illfonmttion, or rccomm;ncl.aLions are atlaehcd.

In th~ ~·~ntth:lt t.lx; loeation of tile well chiJnl)es but i5 still willlin lh~ p;m:l!l described on this applialion. our division consid;r,; !h" comments IQ still be ~ppl;ocbl~. ond w<: do nol need t(lreview the new loca~ion.

No commcntsl~>bjcctions

Contact Person: Ann T. Zane ~~~~~~-----------------------

Phone: 586-4258

s. d ~ ;:;r. fZ-~ tgne : _______________ c;~ __ p-·------------------------ Date: ajitz-{c/G

t1RR-23-2006 07: 59RI1 FRX:8085864351 ID:DLNR CWRM PRGE:OOB R=96%

03-23-!!6 ~I:59am From-DOH/Sa fa Dr)--''oi n11 \Vater Branch

\-.. '

BOB5B64351

0 T-092 P.Ol0/014 F-406

8-3586-12 Hawaii

The Department of Health, Safe Drinking Water Branch has the following additional comments for the Well Construction I Pump Installation Pennit Application for the Erickson Well (Well No. 8-3586-12 Hawaii):

Underground Injection Control (UIC) Comments

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

3/22/06

MAR-23-2006 07:59AM FAX:8085864351 ID:DLNR CWRM PAGE:009 R=96%

.... ,. 0 0 LINDA LINGLE

GOVERNOR OF HAWAII PETER T. YOUNG

CHAIRPERSON


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

STEPHANIE A. WHALEN

STATE OF HAWAII DEAN A. NAKANO

ACTING DEPUTY DIRECTOR

TO:

FROM:

SUBJECT:

DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

P.O. BOX621 HONOLULU, HAWAII 96809

March 2, 2006

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

Harold Y ee, Wastewater Branch William Wong, Safe Drinking Water Branch Alec Wong, Clean Water Branch

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

Well Construction/Pump Installation Permit Application Erickson Well (Well No. 3586-12)

•" ..... '...,.·

-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 March 30, 2006. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

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

RI:ss Attachment( s)

RESPONSE:

[ 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 orior to its use to comply with Hawaii Administrative Rules (HAR), Title II, Chapter 20, Rules Relating to Potable Water Systems, §11-20-29.

[ I 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 plarmed use from this source increases to meet the public water system definition then Director of Health approval is required prior to implementation.

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

[ I 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 contaminatio.Xs II is not located near the proposed well site (information attached).

I I An NPDES permit is required.

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

In the event that the location ofthe 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 locaznA 'f -+f r:::Y· r {

)t No comments/objections S.ep/1CJ!anl"--fftfe D"'IO

Contact Person: lg0 MOVJ (:::.Q../Yif n(} ~""'~ 'Y'Vl ~.._ • /_ I

Signed: __,ll:;........;:;..l/Y_VJ __ o_ 1_ YU_~---------

Phone:

Date:

)

I UNDAUNGLE

GOVERNOR OF HAWAII

0

STATE OF HAWAII DEPARTMENT OF HEALTH

P.O. BOX 3378 HONOLULU, HAWAII96801-3378

Wastewater Branch

0 CHIYOME LEINAALA FUKINO, M.D.

DIRECTOR OF HEALTH

In reply, please refer to: File:

919 Ala Moan a Blvd. Room 309 Honolulu, Hawaii 96814-4920

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

A septic tank file has been found and the following information is provided. In general, the Department of Health has reviewed and approved of the plans based on the information submitted as verification that a treatment individual wastewater system (IWS) such as a septic tank was constructed and authorized to be used for wastewater disposal from a building/dwelling.

Tax Map Key number

Address

Septic Tank ~ile #

Applicant Name

Submit Plan Date

Plan Approval Date

Inspection Date

System Approved for Use Date

BPA Date

System I Disposal Via

Use For

Designed By

Percolation Rate I Capacity

(_G_) _L-~- 03) 00~

~f .. CJohn £.nol<~on

_....:......:.ll_.t----r-1 "J...wr------.t--=-do~O,--L/ __ -~1/_t __ IB~.t-~_~y __ ______ / ____ ~1--~~-~-----_......._0.L..-1 ....,....-·; &lf t_Jo-=--o----~~~-_________ .t ______ t ______________ __

7 min/in I I 000 gallons

For further information, you may call the Wastewater Branch engineer as listed:

For Oahu & Kauai: contact Johnny Ong at the Wastewater Branch office on Oahu at (808) 586-4294

] For Kona: Dane Hiromasa at the Kealakekua Health Center at (808)322-1507

· [)f' For Hilo: Jerry Nunogawa at the Hawaii District Health Office at (808)933-0401

[ ] For Maui: Roland Tejano at the Maui District Health Office at (808)984-8232

< ot.J:esspooiJIIlCethwpd sam revised January 10, 2006

.. 0 0 (-~-51:~

-· -

·1-GLES PM 1 lf3 GOVERNOR OF HAWAII

PLANNING DEPARTMENT COUNTY OF HAWAII

Mr. Chris Yuen, Director Planning Department County of Hawaii I 0 I Pauahi Street Hilo, HI 96720

Dear Mr. Yuen:




March 2, 2006

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

Erickson Well (Well No. 3586-I2)




STEPHANIE A. WHALEN


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 SMA permitting requirements specific to your division. Please respond by returning this cover memo form by March 30, 2006. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

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

RI:ss

RESPONSE:

Sincerely,

w.f7f1 i'r.

DEAN A. NAKANO Acting Deputy Director

01.1679

[)( This well project [)(requires [ ] does not require a SMA. If a SMA is required it P(has (. ] has not beeitRproved and [ ] is [ ] is not currently active.

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

[ ] Other comments:

Contact Person: L tl-t- v'/ ~- V\.

Signed: C/~-(/

Phone: 9~1- ~2.8!3

Date:_3.;_0 __ 3-~--/_o....:;;c"=-:c.___

fiOI,'Ti: SUP - DATE Cl 0111!;GYOR -·--0 OcPlJ1'1' ---·--~-·--~-'-J,_ __ ~¥-0 PVT. l*CRE:'Af\'1 ---~·-fo.(!:,-,f"k

LONG AA!fGC: hNiS'I' 0 PLANNtn _, 0

SHorn R"'~-"~'~ c • 0 PLJV>JN'CR 0

C1 [•

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c~ r ~Li: 0 SF~·' 0 (!I·L.Oi 0 DR.t\F:" iif3,:

REMARKS--~- ....

• rr .....,..:c.a _ ...

0 0 ..

,... - ';'1 ; ... .

0 0 LINDA LINGLE PETER T. YOUNG

GOVERNOR OF HAWAII

RECEIVED lAND DIVISION

CHAIRPERSON

TO:

FROM:

' 'MERE"ITH J. CHING JAMES A. FRAZIER NEAL S. FUJIWARA


• MAR .• b A fO: 3 b . STEPHANIE A. WHALEN

STATE OF HAWAII .~~~~u~~~~~. DEPARTMENT OF LAND AND NATURAL RE:ROURCEl) .. . , , ..

COMMISSION ON WATER RESOURCE _MAN~f1Eiyl~~ '. J 8,,

Russell Tsuji, Administrator Land Division

P.o.soxs21 RiUL "'' ·f···. ~~~··c ... s· HONOLULU HAWAII 96809 $ ... '. ... · ,: ... .'." 1" • 1\ /:'.

• '._ ., ·I W/d I

March 2, 2006

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

SUBJECT: Well Construction/Pump Installation Permit Application Erickson Well (Well No. 3586-12)


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 March 30, 2006. If we 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. C::""):

[XK

[ ]

[ ]

[ ]

[x}{

.,- "4"1

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

C1"•

.. --.. ' J i~

A water lease/permit has been obtained by the applicant through lease no. -----,--'----'--__:_;:.:,;,; __ _

Other relevant Land Division rules/regulations, information, or recommendations are att&ched. -o

No objections

Other comments: Original source of private title was issued :p1;ior ~Statehood.

Contact Person: ----~oGiJEElHt:i4)r-' -l'M'M!IElwt:~t...dibfn-l------------ Phone: ~s~s~7-~o~-~~2d1----

Signed:_-1~~---+-~::.__:_~--=---=--'-· -=------ Date: --------MAR 1 5 2006

0 0

,.. ' ,

~ar-09-2006 !0:50am From-DEPT OF HEAL}"'•.ENV I RONMENTAL MNGMT

'-' 9085864352 T-805 P.002/002 F-713 ... \

LINOAUNGLE OO!JER .. QR OF HA'YI.tu\11

TO:

FROM:

STATE OF HAWAII DEPARTMENT OF l.ANO AND NATURAL RESOURCES


HOIIIOI.U~u. HAWAII 86&19

March 2, 2006

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

Harold Yee, Wastewater Bmnch William Wong, Safe Drinking Water Branch Alec Wong, Clean Water Branch

Peter T. Young, Chairperson 1t Co1nmission on Water Resource Management

PETER T. YOUNG CnAiff,lei'I&ON

MEREDITH J. CI-IING ~ l JAMES A. FRAZIER 1 NEAL S. PUJIWARA

CHIYOME L. FIJI<INQ, M.D. LAWRENCe H MilKe, M.O., J.O.

STEPHANIE A. \MiALEN

OEAN A NAKANO ACTJNG OIEPUTY lliRfCTOR

SUBJECT: Well Construction/Pump Installation Pennit Application Erickson Well (Well No. 3586-12)

Transmitted for your review and comment Js a copy ofthe captioned Well Construction/Pump Installation perm it application.

We would appreciate your conm1ents on the captioned application for any conflicts or inconsistencies witl1 the programs, plans, and objectives specific to your department, Please respond by ret~~nin& thi~ .. ~p,v~r memo. form by M~rch 30, ::Z006. lfwe do not receive comments or a req1.11est for adCht1onal revtew t1me by th1s date, we Wtll 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 lmata oftlte CommissiOn staff at 587-0255.

Rl:ss Attachment(s)

RESPONSE:

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[ l

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[ 1

[ 1

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~

Thi~ well qunlifi~~ a. ;1 ~o~rQe whicll ... il! serve a.~~ ~OL1rte of pO!ab!B wa1cr 10 a p~blic wuo· sysJcJu (dcfin~d as serving 2S or more loCO~Ic .9.1 lcllB!60 . days p~t year or has 15 or moo: .;crvioe ~onn~<tion;) on<! mw-1 ~e,..., Oir..:\Of of Health approv~IJ)ri<lriO 1U use to co.npb w11h Ha"a" him1mStnlll•• R.ul~s (1-lAR}, 'Ii1l~ II, Chapter 20, Rules ~lming to Pomble Witl~r System:>, *11-20-29.

Tnis well doe~ not qualify~· a ;1()\lJ'tB ~1vins a .P<~blic wale•· gyste•n (sefvcs less titan 25 peopk or mo1c peop~ at lcaat 60 days per )II:DI or 15 ~=ice colln<clions) and i!. ttl~ w~ll wut~r 10 ~'"'d for tlnnkmg, tbe t>tiv:U" ()wil~l' il1oold lo!St f<l1' bactBtullolljc~l a11d ellCDlical ptcsMe~ bcfotu iai11a1 i11" sue.h. ,,gc ~od 1'01\~rlely LliDilL!O£ the water quality thereafter. How~v~r. it fut11n: plann.xl D.>( fromtb1~ ~1mrce amr(i\~ts to rnectth~ publiC ware. System <1ef1m110n th<:Ti Pin:olr.>r uf 11Ullh ~pi'Ov&l is teq,Ptc<l Q!l!!r. to implementation

lf 1h~ w61l is. ,,so4 10 Suf>ply both potable and 11011-putable purpose~ in a sintd~ l>)'.;~em. th~ u~.:r shall.:liminat~ ~ro~;;;-conneotion' iiiKI t>i~Q!~flt>w ~t~nnc~'tion~ by ph]1.1CIIlly $1lpllnllins J'Ol-ll!B ar1.:! non-porablc S)iSICltiS by an air ll8P or !Lll approved backtlow prevcnter, and by clcnrly labdng all nonpomble spig015 with Wilfnln!! siun:s ttl pr(vt::m Ulid...:n.:m C•)U3Ulllillion of non-polib!c W&ICf. Sackllow prcvcmion devices shoald br t<l<~tindy i11Spcacd and t(md.

It doc~ nor appear rhat rlli> w<:>ll will be ulr:><l i<.lr tOnsumplivol putpo.cs and is 1101 lubjcc! 10 Safe O,·inking WaJcr Regulations.

For 111~ applicant'~ information. a &Ottto~ ,,fpos>il,le wi\Slll!wllter CO•lrt.minarion Ills II is not loca~ed near t11a propoSBd well sira (informatio•l •nached).

A11 NPDES pe.-,nir is required.

Otllur ~'CI~•.anr DOH niles/regulations, infonnation, or JLlCotnm~nd<llioni ill"~ alt<o~h~.

In 1ho ovcllt rhatthc location ofrhe wdl ch;nacs btl! is still within lhc Pilf~l4=n~ on tlu~ iiP~Ii¢ithQTI, our d1vi~ion con~i~r~ tl~ ¢0mm•ml$111>1illlltl appl144ble., o.nd w~ do not need to raview th"' new loc~t'ion.

Phone: ~ ~ ftj Date: 3 ttt c j,

MAR-09-2006 !0:35AM FAX:8085864352 ID:DLNR CWRM PAGE:002 R=97%

Mar-09-2006 !0:50am From-DEPT OF HEALlH~ENVIRON~NTAL ~GMT 8085864352

0 T-805 P.OOl/002 F-713 . ;:··

;· .

- . rhe Oep~rtment of Health, Clean Water Branch has the following comments:

I; · · For Weii~Drilling Ac1ivities

~ny discharge to State waters of treated process wastewater effluent associated with well drilling a<.."tivities is ·egulated by Hawaii Administrative Rules, Title 11, Chapter 55, Appendix I, effective September 22, 1997. rreated process wastewater effluent covered by this general permit includes well drilling slurries, lubricating 11.1ids 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 ::Uscharge·to the· Department of Health, Clean Water Branch at 919Aia Moana Boulevard, Room 301, Honolului Hawaii 96814-4920 or 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 (BOB) 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 js 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 pr~vent the discharge from collecting sediments and other pollutants prior to entering the storrr drain.

JS/cr

'·· ····-· .. ····--------·--------=-- ·---

MAR-09-2006 !0:34AM FAX:8085864352 ID:DLNR CWRM PAGE:001 R=96%

COM.ION ON WATER RESOURCE MANAGEMENT 0 ROUTE SLIP FOR NEW APPLICATIONS

FROM: RYAN DATE: 23-Nov-05 SUSPENSE DATE:

BAUER, G. NAKAMA, L. 1 Approval --CHING, F. -- --NAKANO, D. .. -1-Signature ==FUJII, N. == 3 OHYE, M. ' -3-lnformation

GOODING, K. SAKODA, E. ..,~ I 1 HARDY, R. ~'"' 2 SUBIA, S. fl 'M"'

HIGA, D. i.\- SWANSON, S. --ICE, C. --UYENO, D. ---4-IMATA, R. -- --YODA, K. --

KUNIMURA, 1.- YOSHINAGA, M.-

WELL NUMBER 5<;70 (:; -) o/ WELL NAME Erickson

30-Nov-05

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft acknow letter

-2-Type Final w/elec.signat., label file folder -4-File

Xerox copies

. -----------------------------------------0 WELL CONSTRUCTION 0 PUMP INSTALLATION

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

2 PERMIT PROCESS TABLE

3 CWRM MAP

4 APPL. FORM (11 COPIES)

5 USGS MAPS (11 COPIES)

6 TAX MAPS (11 COPIES)

7 PARCEL OWNER VERIF.

8 CONTRACTOR VERIF.

9 ALL INFO FILLED IN

10 BACKGROUND CHECK

11 $25 FEE DEPOSIT SLIP

MLS PRINTOUT DCCA LICENSE SCREEN PRINTOUT

D BOTH

12 DHP/CDUP/SMA pre·screen (SMA map printout http://gis.hicentral.com/website/parcelzoning/viewer.htm.,or INGRID'S SMA/CD MAP) (LUC map printout http://luc.state.hi.us/luc_maps.htm., or INGRID'S SMA/CD MAP)

FOLDER: 0 MADE NEW FILE FOLDER, ATTACHED 0 FILE FOLDER ALREADY MADE, IN FILE CABINET

INCOMPLETE ACTION DATES:

DATE ACTION

.,. -

aRTMENT OF LAND AND NATURAL REsoAs DOCUMENT NO · .. UAC OR ATTACHED WORKSHEET DATE· November 21 2005

' SRC/ COST

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

s 06 326 c 1026 0752 (1) $25.00 JV & JC Construction

" " " " " " (2) $25.00 Christine Bachman

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $ 50.00

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

Search Results

0 0 Page I o'

Copyright ©1/20/2006 by Hawaii Information Service

Assessed Values reflect tax year 2005.

Search criteria: TMK Taxkey 3-1-5-31-6

• PUBLIC RECORD DATA Taxkey Subdiv/CondoTnrAddressOwner/Lessee BdsBths Land area Liv area Last Saleinstr PricE r. 3-1-5-31-6 Hawaiian F BEACH ERICKSON, 12,632 sqft 0 3/24/2004 DEED $18,00(

Paradise Park RD JOHN W/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.corn!REsearch!HIS/Search/search _PUB .asp?N OCA CHE... 1/20/2006

.. STATE OF HAW~~ 0 \ .• DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT APPLJCAnON FOR A WELL CONSTRUCTION I PUMP INSTALLATION PERMIT

For Official Use Only:

r· :--· , ··- , , ,..~

'l:" o I o 2'jl, dJ ' . PI n . [; n

Instructions: Please print in ink or type and unci c:ompllllad applcalloo wilt llllld•-* to ... ca ... ...,., on WfiiW Resource Management, P.O. Box 621, Honoll*l, Hawaii 968119. Applcalion 1111111 be acc:o111.,_1ied bJ 8 c:apiea ... a nonrefundable filing fee d $21.00 payable to the Dept. d lJnl and Nalunll Resou1:es. The CcxmlialicJI• 11111J not accept Incomplete applications. For 1 sa· I KM, calf the Regulalion Brancli at 187~. For fulflier inbmation and updatas to this application fonn, visit hltp:l~."-i.govldlnrlcwrm.

WELL LOCATION INFORMATION 1 STATE WELL NO (hlready assigned) 1 2. WELL NA1oE

ERICKSON WELL 3 ISlAND

Hawaii ZONE

The following be attached befoll! this application is accepted as complete (check off if attached):

5 SEC

0 Portion of 7 .5-Minute Series USGS topographic map (scale 1 :24,000) with well location labeled and include the name of the quad map . 0 Property tax map, showing wellocallon 1efen!IICed lo est:ablshed property bcu1darle8. 0 Photograph of the poposed wei sile.

A schematic the wei site access road lnl

031 PLAT

5. WELL OPERATOR'S NAME/COMPANY Well Operator's Contact 6. LANDOWNER'S NAME/COMPANY

SAME Landowner's Contact

JOHN& VICKI ERICKSON JOHN

Well Operator's Mailing Address

P.O. BOX 7569 HILO HI 96720 Landowner's Mailing Address

SAME

006 PARC

Wei Operator's Phone Well Operator's Fax Well Operator's E-mail Landowner"& Phone Landowners Fax Landowner's E-mail

808-982-8175 SAME 7. Have you consulted with the Historic Preservation Division of the Department of Land and Natural Resources regarding potential impacts of well construction activities on historic sites?

0 Yes (please attach applicable documentation from Historic Preservation) X No attach a short · · of · of tland use Vacant P

PROPOSED WELL CONSTRUCTION PROPOSED PUMP INSTALLATION 8. Proposed Work . X Construct New Well. 0 Modify Existing Well. 0 Abandon!Seal Well .

9. Construclion Type X Dried. DOug 0 Shaft OTunnel

11. Proposed Work. X Install New Pump. 0 Replace Pump

12. Proposed Pumping Rale, gpm (galons per minute) 14. Melhod of ftow measurement

1 0 x Flow meter 1-=--::-----:-:-----:-::::-:-:---:---:-:--:-----:-:---t 0 Open Pipe

13. Proposed Amount of Withdrawal, gpd (gallons per day) 0 Weir

250 0 Orifice OOiher

15. Proposed Surveyor name and license number (a surveyor is required for all Well Construction Permits and may be required for some

Pump Installation Permits) Deffered PROPOSED USE Site Photo

16. Municipal <-fer systems setving gnllller than 25 individual& or 15 .mce COiai8Ctions)

1

and no. of acres

25. PUMP INSTALLER (Must be filled out if application is for Pump Installation)

Rodney K Diamond BC23379 C-STICSTeiA l.iceMe No.

Rodney K Diamond NOV20, 2005 Print Daile

~nss~ ~kt2-J' Rodney K Diamond . Print

C-STICSTaiA License No.

NOV20,2005 Date

HCR #3 Box 14073 Keaau HI 96749 HCR#3 Box 14073 Keaau Hl96749 Address

987-8100 966-4129 987-8100 966-4129 Phone Fax E-mail Phone E-mail

WCPI App. Form 10/05104

/

0 0

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

Hole Diameter: 12 inches.

Minimum of 'Z Radius & 4• Thick Concrete Pad (to contain benchmark surveyed to nearest 0.01 ft.)

Ground Elevation: ~fl rnsl*

Please refer to the Cement Grout: A_ ft. (min. 70% of distance from ground elevation to top of

HAW AU WELL CONSTRUCTION AND PUMP INSTAlLATION STANPARDS

to eosure 1bat your as-built is in cm'9'liance with

Grouting method: OPositiwt

Displacement

X Other

water surface or 500 fl, whichever is less.)

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

_3_ in.

applicable standards.

t - Solid casing: (= 90% x (Ground Etev.-Water level Elev)) ___ _;!>< ______ ft.

__ _,._ ____ i,n.

---'=------'in.

Rock or Gravel Packing: ----=-----ft., mst•

Total Depth

~feet.

_1L_ ft.

Material:

Open casing: • Perforated 0 Screen

Totallength: 5 ft. x Crushed Basalt 0 Rounded Gravel

Nominal Diameter: ---=6 ______ ,in.

Wall Thickness: ___ _,.S4=0,_ ____ .in.

Estimated Water level Elevation:

Bottom Elevation: -5 ft., mst•

ft. msl* -~

J __ . .._!

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

Open Hole:

' I i

length: _ _..N~~'-'-------ft.

_L_·---···-··-·--· Diameter: ___________ i.n.

• The approximate elevation must be referenced to mean sea lew!! (msl) at the time of application filing. Final elevations of wei c:ompo1lel1ls shal be submitted in the Well Completion/Well Abaudonment 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 ttal1/4 of aquifer thic::kness or, Bottom Elevation of Well Umit = CNeJ.er Elevation - ) Example: Estimated+ 2ft. Water level Elev. Bottom Elevation of Wei Limit= ( 2-) = -18.5 fl

Solid Casing Material:

ft., mst•

Carbon Steel: compliant with (check one or more): oANSIIAWWAC200 oAPI Spec. 5L oASTM A53 oASTM A139 And compliant with (check one or more): o ASTM A242 (or AB06) o Type E o TypeS o Grade B o other

Stainless Steel: (check one): oASTM A409 (production wells) oASTM A312 (monitor wells) ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) o Schedule 40 o Schedule 80 PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241 ): (check one): • Schedule 40 o Schedule 80 o Schedule 120 Thermoset Plastic: (check one) o 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 oAPI Spec. 5L 0 ASTM A53 0 ASTM A139

And compliant With (check one or more): oASTM A242 (or A606) o Type E o Types o Grade B o other Stainless Steel: (check one): o ASTM M09 (production wells) o ASTM A312 (monitor wells) ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) o Schedule 40 o Schedule 80 PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): • Schedule 40 o Schedule 80 o Schedule 120 Thermoset Plastic: (check one) o Filament Wound Resin Pipe conforming to ASTM 02996

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

WCPI App. Form 10/05/04

'-! ...

,wr.•f(~

w.?.' ·~.:~

" •' ' '.~~

l'oe BLOCK "II" KEAAU, PUNA, HAIIIA/1 U ~t Aflll. lf:IID, Mfil 61 IUIJfCf TO C:HAHGE

,AliA __ _

""' ..... fAit MAP

31

0

0

0 0 . -


Mr. Rod Diamond

0 0




March 2, 2006


Dear Mr. Diamond:




STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING DEPUTY DtRECTOR

Well Construction/Pump Installation Permit Application for Well No. 3586-12

We acknowledge receipt, on December 30, 2005, of your completed Well Construction/Pump Installation permit application and filing fee for the Erickson Well (Well No. 3586-12). 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 staffat 587-0255 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai) extension 70255.

RI:ss Attachment

c: John Erickson

Sincerely,

w.r-rl-1 1't


0 0 LINDA LINGLE


CHAIRPERSON

TO:

FROM:




March 2, 2006

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

Harold Yee, Wastewater Branch William Wong, Safe Drinking Water Branch Alec Wong, Clean Water Branch

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



STEPHANIE A. WHALEN


SUBJECT: Well Construction/Pump Installation Permit Application Erickson Well (Well No. 3586-12)


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 March 30, 2006. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.



RESPONSE:

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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 orior 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 mee1 the public water system definition then Director of Health approval is required prior to implementation.

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

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

For the applicant's information, a source of possible wastewater contamination (]is 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:

0 0 LINDA LINGLE


CHAIRPERSON



TO:

FROM:

SUBJECT:



Russell Tsuji, Administrator Land Division


March 2, 2006



STEPHANIE A. WHALEN






RESPONSE:

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

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

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

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

[ ] No objections

[ ] Other comments:

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

Signed: ___________________ _ Date: _______ _

0 0 LINDA LINGLE


CHAIRPERSON



TO:

FROM:

SUBJECT:




March 2, 2006

Melanie Chinen, Administrator Historic Preservation



..

STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING DEPUTY DiRECTOR



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:

ConmctPerson: __________________________________ _ Phone: --------------

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


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

Dear Mr. Yuen:

0 0




March 2, 2006

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

Erickson Well (Well No. 3586-12)


MEREDITH J. CHING JAMES A FRAZIER NEAL S. FUJIWARA


STEPHANIE A WHALEN



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 March 30, 2006. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.


RI:ss

RESPONSE:

Sincerely,

w.FrH 1'L


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

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

[ ] No objections

[ ] Other comments:

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

Signed: ____________________ _ Date: _______ ___

ROUtE SLIP FOR PERMIT ISSUANCE ~PiAA SUSPENSE DATE: …1 cover letter _l 2 permit (2x) ~ comments: 3...

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Transcript of ROUtE SLIP FOR PERMIT ISSUANCE ~PiAA SUSPENSE DATE: …1 cover letter _l 2 permit (2x) ~ comments: 3...