'V~ - HIGP

71
I I I 't4'ukaihins .'/" . . " , " f I j "'r· /l- ' -r '. __ \ ( \ (., ( -4 -/ '-\ -,- , ."_, .... [' __ . ... ; , ! " Walohuli- 1 i Rixey Well .' . . /. ' 'I I.' \ , 4527-19) '. ' ',' / .. '. \ ' .. ', >' ! ", ., ctUIUs :::: 1,..., ;1 " ," , " " ,', I ."..' "Iite , , I ". .' . " I I I- I I I h -- t «0 . j, / '\, '" EXHIBIT 1 -

Transcript of 'V~ - HIGP

Page 1: 'V~ - HIGP

I I I

't4'ukaihins

~

~

.'/" . . " , " f

• •

I j

"'r· /l- ' -r '. t~ __ \

( \ ~. (.,

( -4 -/ '-\ -,- ~.,~\ , ).~ .':F~·>.~L ."_, f~~} .... [' __ . ~- ... ; ,

! "

Walohuli- 1 i Rixey Well .' . . /.

' 'I I.' \ , 4527-19) 'V~ '. ' ',' / .. ~ '. \ ' .. ', >' !

", ., ctUIUs :::: 1,..., ;1 " ," , " " ,', I ."..' "Iite , , I ". .' . "

I I I­I I I h

!~ --

t ~--f «0 -;~-:..(

. j, /

'\,

'" ~"I

EXHIBIT 1 -

Page 2: 'V~ - HIGP

o

Page 3: 'V~ - HIGP

NEIL ABERCROMBIE GOVERNOR OF HAWAII

Mr. George Rixey

Dear Mr. Rixey:

o Q

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

June 13,2011

WILLIAM J. AI LA, JR. CHAIRPERSON

WILLIAM D. BALFOUR, JR. SUMNER ERDMAN

LORETTA J. FUDDY, A.C.S.W., M.P.H. NEAL S. FUJIWARA

DONNA FAY K. KIYOSAKI, P.E. LAWRENCE H. MilKE, MD. J.D.

WILLIAM M. TAM DEPUTY DIRECTOR

4527-19.ccwcpi

Combined Certificate of Well Construction and Pump Installation Completion for Well No. 4527-19 (TMK (2) 3-9-007:002)

We are pleased to inform you that the Well Construction and Pump Installation work permitted for the Rixey Well (Well No. 4527-19) is complete and acceptable and welcome you as a new member to the community of well owners and ground water users in Hawaii. This combined certificate 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(t), HAR, 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 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. The Well Elevation portion of the Well Completion Report Part I can be obtained by contacting Commission staff or at our website at www.hawaii.gov/dlnr/cwrm/resources.J)ermits.htm.

5. Your approved pump has a capacity of 40 gpm at a head of 100 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.

Page 4: 'V~ - HIGP

o o Mr. George Rixey Page 2 June 13,2011

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 an 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/cwrmJresources~ermits.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 ground water 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 per day. The Commission needs your help and asks that you to do your part in utilizing this shared resource. We prefer to work with you in meeting the goal of protecting our ground water resources together.

If you have any questions, please contact Charley Ice of the Commission staff at 587-0218 or toll­free at 984-2400 (Maui), extension 70255.

CI:ss

c: Wai1ani Drilling, Inc.

Sincerely,

WILLIAM M. TAM Deputy Director

--____ iI' ..... ~~""'IH~II'1MIt"1llflll __ "n_, ____________________ _

Page 5: 'V~ - HIGP

o o MEMO and ROUTE SLIP (ver. 5/11/10)

WCR 1 Check for Well No. 4527-19 (GW regulation route)

1. From Roy ~

NEIL ABERCROMBIE GOVERNOR OF HAWAII

Mr. Michael Robertson Wailani Drilling, Inc. 110 West Uahi Way Wailuku, HI 96793

Dear Mr. Robertson:

\ (initial)

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

June 13,2011

Well Completion Report Parts I & II for Well No. 4527-19

01/04/11

WILLIAM J. AI LA, JR. CHAIRPERSON

WILLIAM D. BALFOUR, JR. SUMNER ERDMAN

LOREnA J. FUDDY, A.C.SW, M.P.H. NEAL S. FUJIWARA

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

WILLIAM M. TAM DEPUTY DIRECTOR

4527-19.wcrl&2.acc

We received the final information for your Well Completion Report Parts I & II for the Rixey Well (Well No. 4527-19) on June 2, 2011 and acknowledge that they are complete.

This completes your obligation under the well construction and pump installation permits. Certificates of well construction and pump installation completion will be issued to the well operator/landowner and you will receive a copy. These certificates transfer responsibility of specific aspects of well usage and maintenance from you to the well operator/landowner.

If you have any questions, please contact Charley Ice of the Commission staff at 587-0218 or toll-free at 984-2400 (Maui), extension 70218.

CI:ss

c: George Rixey

Sincerely,

WILLIAM M. TAM Deputy Director

Page 6: 'V~ - HIGP

o

Page 7: 'V~ - HIGP

...-­\ o

Wailani Drilling Services <wailanidrilling @gmail.com>

06/02/2011 05:45 PM

here you go

Q

To [email protected]

cc

bcc

Subject Re: Rixey signed PIP (4527-19)

On Tue, May 31, 2011 at 10:51 AM, <[email protected]> wrote:

Do you have a copy of this? We didn't receive it. We can clear the book on this.

Wailani Drilling Services Inc. 808.249.0149 wk 808.244.4791 fx

Water-~rop of Life

~ signed PIPOOOlpdf

Page 8: 'V~ - HIGP

o PUMP INSTALLATION PERMIT J) "-" Rixey WelL Well No. 4527-19 .

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

In accordance with Department of Land arid 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 Rixey Well (Well No. 4527-19) at TMK (2) 3-9-007:002, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

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

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

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

4. The pump installation permit shall be for installation of a SO 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 wate"T. 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 sixty (60) days after completion of work (please contact staff or visit www.bawaii.gov/dlnr/cwrmlresources ....Permits.htm for current form).

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, irrelevant, any related staffsubmitta\ approved by the Commission are incorporated into this permit by reference.

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

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

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

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

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

Date of Approval: Expiration Date:

September 11, 2009 September 11, 2011

.,aA/LAU ~\¥- Com

u#L

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

InstaIler's Signature: ~'L~C-57' C-57a, or A License #: C-20115 Date:

Printed Name: Michael Robertson Firm or Title: Wailani Drilling Services, Inc.

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

Attachments

Page 9: 'V~ - HIGP
Page 10: 'V~ - HIGP
Page 11: 'V~ - HIGP

State of Ha'aii 0 COMMISSION ON WATER RESOURCE MANAGEMENT Deparbnent of Land and Natural Resources

WELL COMPLETION REPORT - PART I Well Construction

Instructions: Please print in ink or type and send completed report (with attact.rnents, if app/icab/e) to the Convnission on water Resouroe Management, P.O. Box 621, Honolulu, Hawaii 96809. The Commission may not aocepf incomplete reports. This form shall be submitted within 60 days of the completion of woeX. For assistance, please consult the Hawaii Wen Construction and Pump InstaHation Standards or call the Regulation Branch at 587-0225. For updates to this form or additional information, please visit our website at http://www.state.hi.usldlnrlcwrmI

For Official U$e ,O)tly;. "U

f: " ".: ... 'i', "J l!lt\~' .R ·~::·~::.:l~~.;~~;-'C.-: >'~ !.. ::~:. ~ . NT

2010 DEC 29 PH I: 5

1. State Well No.: 4 S~1'-\9 Well Name: W9~O~V\;- ~~}(~y Island: M~,,~ 2. Address: \\12 U \0 h" v RJ ~ )<·,bt.~ ":t jfo7S3> Tax Map Key: ~- 'l - 00' 'f OQ~ 3. Drilling Company: W 9.~ l4 ~. ~ (ll\ \ 1 SJc...:r "'C

4. Drilling method used during construction: D R~ ry D Percussion I1t"Other (describe) duO \V. land< ~\le 5. Date Well Construction (drilled,cased,grouted) completed: IJJJ2vUa9 Attach Completad Driller's Log

6. Was the subject well cored? DYes

7. Step-Drawdown Test completed?

8. Constant Rate Test r.nrnnl'~~t·,

11. After casing installation (this information should be before any pump tests are pertonned with casing installed)

Chloride: I C::o ppm, Temperature: J ~ OF

note: to mean sea take the subtract the depth to the water level. /

12. As-built section filled in completely Ilf

DYes

DYes

Attach Stap..Orawdown Test form (12117/97 SDPTD FonD)

13. Photograph of well and concrete pad showing benchmark on concrete pad attached wi' 14. GPS coordinates provided in degrees, minutes, seconds ~ 15. If a pump is not planned to be installed, please describe (below in the remarks section) how well is secured to prevent unauthorized access (example: lockable cover, threaded coupling, etc.) . 16. Remarks:

Licensed Driller (print) AJ\; c. ~ '\ S. \ (Ko be If" ~1 Signature '\f\A i 0 \?J~ 4;:;:

C-57 Lie. No. _()},~O..:..\:...;I ("~ _____ _

Date , d.JID{IO WCR1 FOIm 6112107 Page 1 of 5

Page 12: 'V~ - HIGP

o o . ,

Page 13: 'V~ - HIGP

o Q 12. AS-BUIL T WELL SECTION (Please attach as-built if different from diagram provided below)

Q Hole Diameter: :3 0 in Elevation at top of casing -L fl, msr \ r (to nearest 0.01 fl) ---Lr--_......--Hl~-I Minimum of 2' Radius & 4" Thick Concrete Pad

r.Be=-n-.ch-ma--rk:----,...----------.... T..-:. .. :.:SI.?H r Ground Elevation: ~ ft., msI 0 Surveyed ~timated elevation: II,*,' ~:::~: 1(1m' II""'"

Please refer to the ~ ft., msI* Cement Grout: (0 ft. ~ .. ; o (SUrveyed to (min. 70% of distance from .~:.: nearest 0.01 ft.) ground efevation to top of .: t>"

I){Estimated) water surface or 500 ft., :~:~:.

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

Grouting method: o Positive

displacement (if annular space is less than two inches, attach 16:: of tremie)

whichever is less.) i-' :.';.:. ;,".: :. ~

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

~\a.~~i~n·====::::!~~r-1~5 Rock or Gravel Packing:

.3 ft.

Material: ,,~iO o 9rushed Basalt IIt"Rounded Gravel

~====~I ~ lor Water Level Elevation: ")'

, ft. msI* ,_L.... (item 11 from page 1)

"msI = mean sea level

with applicable standards.

¥---; Solid casing: (~ 90% x (Ground EIev.-Water Level Elev»

Length: 9 ft.

Nominal Diameter: (; in.

Wall Thickness: • ".J --:> in.

Bottom Elevation: 0 ft., msl

Open casing: 6Perforated o 5<reen

Length: ___ -..3~r~_.----ft. Nominal Diameter: __ ""'==,....,. ... -=--____ in.

WaH Thickness: __ --LI ;:;::::t'-'-:z:~ _____ in. -5 Bottom Elevation: ft., msl

Open Hole: N It Length:__ , ________ ft.

Diameter: N A-r-:: _______ in.

Bottom Elevation:_N A ____ ft.,msl

Solid Casing Material: Carbon Steel: compOant with (ch8Ck one or more): 0 ANSI/AWNA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A139

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

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

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

PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): ~edule 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 AWNA 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 ANSI/AWNA 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): [J"'Schedule 40 0 Schedule 80 0 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 AWNA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

WCR1 Fonn 6112107 Page 2 of 5

Page 14: 'V~ - HIGP

o

Page 15: 'V~ - HIGP

o DRILLER"S LOG

VVELL NUMBER: L..\ S -;).1 - ,<j In addition to the driller's log, if a geologic log was pl9pamd, please submit with this form

DepIhs(ft.) Rock Descr¥ltioo water Level Q. Dales , --'LtoJA t\ __ to _________ _

__ to _________ _ __ to _________ _

__ to _________ _ __to _________ _

__ to _________ _ __to _________ _

__ to _________ _ __to _________ _

_ to _________ _ __to ________ _

__ to _________ _ __to _________ _

__ to _________ _ __to _________ _

__ to _________ _ __to _________ _

__ to _________ _ __to _________ _

__ to _________ _ __to _________ _

__ to _________ _ __to _________ _

__ to _________ _ __to _________ _

__ to _________ _ __to _________ _

__ to _________ _ __to _________ _

__ to _________ _ __to _________ _

__ to _________ _ __to _________ _

__ to _________ _ __to _________ _

Remarks:

WCR1 Form 6112107 Page 3 of 5

Page 16: 'V~ - HIGP

( )

" " ,s~ '. 20D 4£.' . O~& (of ~o) g;{p0 2.7' u.Stt··(j)r:~c)

Page 17: 'V~ - HIGP

Attach photos of completed well and concrete pad

1-.... -.--------+.'1 --------------_/ D ?-_u..J_0\......:..1------~J

NAD83: 5."'-Latitude: ;).0 degrees ~ min~ sec I.~ Longitude: J 5""'" degrees Z2 min.5) J sec5 .

EXAMPLE

Lat: 19"36'45" ~~ng: 154°57'18"

L _~o·

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

Provide Latitude and Longitude of well referenced to NAD83 to nearest second

weR1 Fonn 6112107 Page 4 of 5

Page 18: 'V~ - HIGP

MEMO and ROUTE SLIP (ver4/29/10/10)

I WCR 2 Check for Well No. 4527-19 (GW regulation route)

1. From Roy ~ (initial)

Pum Tests Check s ecial condition of PIP? Yesh 0

Step-Drawdown Test:

followed WCPI Stds analysis attached

Aquifer Pump Test:

o o

followed WCPI Stds 0 T & S analysis attached 0

Potential Well Interference: 0 Potential Stream Impacts: 0

Additional Testing or Data Required: o

Pump Test Comments Attached: o

Proposed Pump Capacity is OK.: o

2. Pump Installation Check

o o

o o

o o

o

o

o

If no. describe deficiency

0<70 gpm no test required

0<50 gpm no test required

If yes, stream names:

(initial)

01/04/11

Yes No NA If no. describe deficiency

data complete followed Special Cond & Elevations

well database updated

ATTACHMENTS FOR ACCEPTANCE:

1WCR2 ACCEPTANCE LETTER 2PUMP INST. COMPLETION CERTIFICATE

0 0 0 0 0 0

3METER INSTALL. REPORT (IF NECCESSSRy) __ _

4WUR FORM(if necessary) < 5 "P':UPI)A't!tf'"

0 0 0

f To be sent to driller

J To be sent to landowner/operator

} Staff internal checks

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

4. Susan H. ____ (initial) finalize

5. Bill (initial) signature

6. €Iarl~yan File

Page 19: 'V~ - HIGP

State of Ha~aii 0 COMMISSION ON WATER RESOURCE MANAGEMENT Deparbnent of Land and Natural Resources

WELL COMPLETION REPORT - PART II Installation 2018 DEC 29 PH I: I

instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the Convnission 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 wort. For assistance, please consult the Hawaii WeB Construction and PLnnp Installation Standards or caH the Regulation Branch at 587-0225. For updates to this form or additional information, please visit our website at http://www.hawaii.govIdlnr/cwnn/

1. State Well No.: LISa 1-\ q Well Name: \"'g', Qbv \ ; - R')(f 'I Island: Mo \! \

2. Address: "1 8 U \ IJ h'." RJ \<.'\"s:\ \tt Tax Map Key: :3 -9, ---c01 ' QO;2, \.\~n -t\. 9e::."~ 3. Pump Installation Company: -=\}.j~~:!:O!a5lal!l\'ch,-.... u~S::.:1:=-.-__________________ _

4. Date Pump Installed: -~+-4~~tvL-¥='rO~-----5. PERMANENT PUMP INFORMATION

Pump Type, Make, Serial No.: 5 -t-"'" ('"', t-~ L..e It\ t /. -f -cCc<- ,

Rated Capacity: 4D gpm at head of: __ ----L-"'/oPc.-____ ft.

Motor Type, H.P., Voltage, rpm: ---l-I=-, ;5:::..!--..I.h...J.4-p~.-----------_-___ _ Pump type (check one):

o Deep Well Turbine

o Submersible

~entrifugal

o Rotary

o Rotary-Displacement

o Rotary-Gear

o Propeller

o Reciprocating

o Impulse

6. Method of flow measurement:

~ Flowmeter wI totalizer Manufacturer

o Other, explain and attach .schematic ...!!B=" =~~~1""-- Model no. dOl Size ~

c('

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

8. Attach the rating curve for the installed pump.

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

10. Well Owner Company C?eo'-Ut: " ~)( g~ Contact ---"C_:J..."e_o!.lJl,,--:r J=t->..C------Address

Phone _______ -:-__ ~ Fax __________ _

Company 61')1\N1 0 Q..l) Cl!.b, e -) Contact __________ _ 11. Land Owner Address __________________________________________ ___

Phone ___ -,--______ Fax ____________ _

12. Remarks ----!!W~e.-=--...!.(..!:::e.=_'..1.:\ V\!.l..;;lS-r.~et\J..3\~t~~_.::::o....::\O=__.!V\c.=e..:.:..v...:!s~o~t..l::~~e~)4_h~ >>-±.l... • .L:!\ fI.~'Q'\-_____ _ c..e,,,,tc: fj Co \ fv""'t,

57a1A Lic. No. -=~"':"":"L--_____ -II

Signature Date_.a..:::+L~f--Ll~ _____ tI

WCR2 Form 02126/07 Page 1 of 2

Page 20: 'V~ - HIGP

e o

Page 21: 'V~ - HIGP

--. o o 7. AS-BUILT PUMP SECTION (Please attach as-built if different from diagrem provided below)

Bench mark elevation surveyed to nearest 0.01 ft. = .3-ft. mean sea level

+ ...

Elevation of top of chase tube ~ I ft. mean sea level

t I

I I

I I Pump intake depth = I , to. (referenced to bench mark)

I

I I 1.---.. I Chase tube depth = ,\ ft. , t-·-- (referenced to bench mark)

I i

I I I

If airline installed,

I .... ____ -----~---·-t-

bolm-of airline elevation = ft. mean sea level

Foot­\/,\ve

W\"'c-~ <:..~

ft.

WCR2 Form 02/26107 Page 2 of 2

Page 22: 'V~ - HIGP
Page 23: 'V~ - HIGP

Hereya go

o Wailani Drilling Services <wailanidrilling @gmail.com>

04/08/201112:13PM

o To Charley.F.lce@hawaiLgov

cc

bcc

Subject Re: Rixey Well PIP

On Thu, Apr 7,2011 at 3:49 PM, <[email protected]> wrote:

We haven't received this PIP signed copy -- only the WCP signed copy.

Wailani Drilling Services Inc. 808.249.0149 wk 808.244.4791 fx

Water- The Drop of Life

~ ~ signed PI P0001. pdf

Page 24: 'V~ - HIGP

o nicole carbonell <[email protected] >

11/04/200910:12 AM

Aloha Charley,

To Charley Ice <[email protected]>

cc Mike Robertson <[email protected]>

bcc

Subject Well Construction Permit for George Rixey Well

Attached is the Well Consruction Permit for Well #4527-19 Please give me a call if you have any questions.

Nicole Carbonell Wail ani Drilling Services 808.249.0149

IMG.jpg

~---~~~----~ ._--------------

Page 25: 'V~ - HIGP

'. o o WEU. (~OSSl'Itt:CnON .'f:RMIT

WajolndtRiu)' ""db We-It No • .a:;l7.J9 ,,",.-.le {far r,rrtllt ,It.ill "t' jJr,'m~r~",lrlh J"'~l'htn'J •• '1 JII.". ,.'n.lf'hcn.·,'/! <.'1.' wrulllw 1 .. ",rN i.~ ~·Oftf/>!etl·.i

1m nr;,o~e .... ith Departmemt <leI' t.Ad1d lLfld Narum; RMOtJl'«,S, COrnml~"iMIf1 nm Water R!;j'~"lm:e M;ma;f:L'mcn!'" Adrtl;IhlSwau~e- RlAles. S«tioo 0·168, clltitkd "Water t:~. Wtlh,. and Strt.am [)h'\"~inn W()fl~". lhh (./(I(I$I1"11;'ml penni's. fnc CUI':!\lrtJi.'lltM'1 liIlld lCHing oi \\'aKthulj.Ri14.')- \\,,,11 (Wdt No, ~5n-JiQJ ~ TMK (ll 1·9-(lD7;OO2 .. 1\fa,,'. "lj~i«1 ~ro Ihr 1111",.,11 WI11~1 ('tltl'i.1f1:u:LilJll & '~Jmp fn"'~lfalil)ll SlaluiMl.h (ItWn'fS - Fell(tli!It1 ';:-{I<I4) whleh indllde hili Jiff: I1Ilt limj~)n the ffllkt""l1l,!: cfifld.lI11W1"

J

II

l.h< Clli!1I"jX'".-n ;.1" Ibc ('.-mw'~l"5" ,'f! \10 air! :>!';_JH' '\h.l"~ ;1, 'fmnll'·<·"or,' F " 1;:' .• \ ":1 f&:.",,1I1I1I II; (;(,I'JrI,-I ,hall rt.r !!t;o:N·,(.J II! ",.,ImV. 1II Itw , .... " 11 ..... ~ •. , t«r':H M-) ""f\ "",rhc'w,£".$"~ 11", i""lf"" " <milf;n,ff> md rutl ,toMIIK- .. 11;. .. ,,-.1 ." ilhf>tl.1 lII:-,.:!llilJ-.., "":linl!t~ .. 3fi.w4;m;.; "nth ~ I I" f,.',·1 ~ Utwm .'\~<Vi1tfl\" ji.ulr, rH ,,0 I"'" pc:!l!1l1 .half h.: p!4<!!'f .. !'Ii11lI~ dM-rt4~<Nl '11' ~ ., ... &.hi\:, iJ It .. ".1.'" " .,4hU\&.]",,, ¥tdl ~oi .. , .. k " ,'AflpmcJl

fhe ... ,,11 t"0'_1I,,f1 pc:!tnll "JM;jj h.: 1,,,, .,~It1& m4 !Pl~ ,"11Ii; ..... ·11 ,oM'. (lot-~ .fl4l1 ,"~_ ,,!!It !hi: t,l'iUl~'" md ..:.li!'>hlll ~11 IN ... """"",Ja,...,,flh Ibc B",n'l~ ilhc 1111(':<1 f>1mp t.;J ... ",h'l'",,,'1 ,~ ... 01l4l.""tI '" {"a..;1'flt C.li'lI1Hl"'",!fI 'III1t .. or l!I! ..... 1t.Jino~ 'd!U{no,'.'UWlIftltlo ,p!'I1IUb.hla' rh.:I"'IfIl,Un· 'J'wit ",rt.zutl '" the O .. n~"I'l!hl: Wi1 ft"mh ..... flilL"l1. " .. ~wnll Jill ~ltilll.;ifll'" ,mt..dl. fldl._11 ~ ~'~1I!~' I'fi4!' ~ ~I~ .pmlJ '1""""1' IiltW!;tl", ... ","T.II! "-wn""''''tI .... J ",,, .. d ft-. lhe (1Wlfj'",;1"·'" }..:,; .... 'dt.JrJ"iIJ "f .. iIIId ~ h: ~ $-,., t'Uff'!l%<\ ,'fttlf llw! '~"'i>I1!I1I 'A-..'It\ 01 {.nld'."" "r l'uuq' m..w1M",lifl ('.~-'I."", n .. 1f"i;111l.m.41 pHlllj'! (~II\ oht •. ,'*"'.;j .'V,l\.: 1'-.' IfhlwltlllFft ~ fII,H N rll'dlK"d ,n 11w- ':'TIlI ,hili ,I.., P"nw I\."'old,..--, iIi·l '"1'[-''' lilt _41",,:;1 f

I .. h .. Ml p!,,,.Jd "~'"l, 1m tkl'ffi.;4 (t'1l "',I\"II*" .... <I"<i ,_·I.~ .. I ~ j ·,4 It.< fIK" ... 1 .. ;;aI I/"d,,,"-,,,, ,,~ I hn..:. 1Ii,II;aI t.:lld) of ~ t'~ ;r.;"iIPIJ .. Ill$!! 1.11'1""'" ,tru:t'''''fi 4\J111'b" ...... .j b\ 1m (hW'lJ"v'4& If" fill'\ 'hc .... "llui lh; ,~a Jr."" 1M tql ifr.:nal P!,UId "iIIId tltr11tb.\ ",.""hlliotl oW .. , ~ "'iri~"0.1 ""~! (wif,"' •. d1id" .... ",Ib W ..... 'q!ll.k.· Ih t "",,'ffth"""" ., .. if 1&.'''''''\''''' '" n,;, 1Ii~'" .... , il,.· ",," ko .!lflt .. .J .k~rf''' u..." i .k.l\;;$I , 1'::-1 ,·f Ibc 11.","t1J<;.;!I 'llI>I:lA"~ • ... 11»')$ (\'i!lIm,,>,'i! iIf'1l\lil~ 41

1'1", r"ll!1d~ .'IAII It"'!IJ"oI:llIC~;n m.;Ji}llin:' ''''I''''' ,.nl "4Nl.r",1",,, Jcl"" h,"" ","",,';""'% 11». "'1_" u" r""_ ,,, ,~Iw.tuk' .... '0110. ", ilM'M! po'lt...t ... ,f 11,,%1. film!..!!. md Ii. "HlUlllI:!.' ,jj'f, .kam:f iriV~ -1' ""WI 4.' ptl'.;th,k

h, ~ "'<>iii 1!liIi III'''''''.~?; ,j~'I"'Ii..T'$ n:nwm <." • .,-1'; 4' .gh~I', truruh " •• '''M'fI1'A!"." ,f ... lh ," .1'Mt"".j "'" """,}U11h'1.-..!I !.Nlln!! •• ",'''lI'u;;i",''1 it.: f' ... ntl!n .hall '''11 ,,.,lIIL. w ll1ltr~l> .. JfItk'. lIlt I ~ "j I ~ ~ 1'.;;#,.-;11 "'$: n,,'1d":. ,,, • .,M.Jl,,". Do,Kfl!fl rn&I­_""lIim ... , .. 'it. ",l'Ict "I!ll~'1' (',(KllmY ..... P} Ito: "Ill< I !N.",," l'r,,,,,,,,,.o(u,1 fi»,.""" 11>: 1"''1''.'''''' ""II ,,'(j'lfmU"il .,iW! fVf .jjJI.ffk'h iil1;:" 11 ..... _AIII"h fk. ,"'1111<"" Ihi .mlb"iUIU'IIl~' •.• <"dN ... ,

krM "'''N .·1 uJl{"!! '" ffw " ........ ,.,.&nIm$ '*' I .... 'f 4·,,-'n~hhtk· 1 iL ... b~1n!-md~i=!f1 ~ ,-19o"-,4"u;t411\1: 'h idn

n.,. ·,\.ft ( .... iipkJ ... 1! REI""! P','>'1 J ·,.Iull N "IIM,'!II<4i .11( I 11 .. "",,.,,·,,, ".Ib", '.1'" .IJI, ',~f" .. II" ''''''~'1'' •• "r ,,,,dk Il'k~ (c'i1Uo.~ ,;)11 .04 'IHI ..... "", .... ¥o~ 'di'hlf't¥lfm'r_offl , f\4'rmlf%lHm " .. ,:"lfi1'fl

v n ... " r<fJntfln,' "'ttl! , • ...-qh .... '1 .. oil "'1" ...... k (w"''' !ul'" .;hi ."dltWh:-i> lUI'" f!'fIhllli.t 11M .. ht jU",.".m£t rq h"\{'i:i!l"WI .'.j .111' f'i'mnl

1: ,'\11' 1 "'lilithi.'>, ,'$,,,,,, Ibc U'A( f'f', ,.h~i .... · ;;;pffd. ('OJ'" th; .. 'l+dI"f"""otI I"~i ,,, ..... ·.,"'''4 II,,· '''''_If I! [11''1'';''''''-'''' III 11.: .. ,II """IrIK!k'l'. pomll "",*"')11,,,,, -.lull h: .... 'rl.'.,l ".lIull .... ,. I: I 'i;''''' In. ... d .... JAr., .·f (l'tflml

n .. f""fllIl Iliit. N ''It'fltkd .. , iflt " hillfIXTv!II I~'fl ! '>'i". ·'d 1#,,,,,j ..... or 'iF..! p",,,,.fa.l!. ","1",,_.. A ltiJlk'ol I" ~ .: 1 ..... 1("'1'.-'" IIi' t..ltrf .hm ,h¢ ':!Wi' 1fu;'I'fI"''' \"1"""

It It", "dl " ... 1 h. to.: 1I'¢4 11 trfj;~f I:>t pI'1'CfI: .. (''nX~J dI, .. l6..".,1dll fUll .. , III a.. .. 1..tm.. •• " rj, ~ I L 11,.''1·' b"

"{II,, 111 r", .tI....:L.....J a,,,., ,..-"< k· Ill" '111,,11 .""IN'¥'. rJIJ~,¥

rt .. i'tmltU;~ ,t> ,Ih .. ",,<!. l¥..J ifl"~0h 4m1_~",,,,.,, Jr~ £luI ,.~" Iltt h" pI''f'''N' ~~ ","'I.\fu!l ihffi6'o ,'I tltll'A <If i1il'!~ It;'i ,Q '"*,,,,'tim, P--'"lUld .'fI It.-'';;..glr~t If' f ... ~lk:\~:J \" 01'. fit< ~"f11nt

1"" ... '11."," hi'll' IIIJd "!1 ...... 1 JIj\ "M,' hdllin\ ..:ldilll. ,<r dtmillY 4''''1:'''\ .• IIS.."" .mpk ... "" ... w;,Ir~I"h.IIt'" ~ ... ~'! i.mb if!"

W:~'liI"'" •.• .:. IllIu '''1'il '" f.' ht ,.:t .... lnJ t!w l'1'thmt< "It ... i ~h 11M a ..... 'iJ, 'Mfl! ,'Ifl<!rU,.II .... V'l'Jiij" 1!\iI

Dace- of i\pprO\iid: Mplcmbcr 11. 1009 F'pif3tiofL I)ate: Mplfmbcr U. 2011

1 II.,., f'lM .ht filndifklluo ... d man tiC thn pt'fmi4 ud 1II!W1,m#4l'tJ QItm!. • ,,«t,. a!WI aat« ,,,. fa« •• ~ rft'kfIdlrJom ., .. pnrt<qllilli1, .. tid IIInd~rI,'itta co>ndiliu. tit m~ Illillt) hI fK'K'M «nil VIIIJ..,ntlllll4 tll,d I ,WI IUIt nlltIlDWllff IIltWIi. 1Iltt1l1illnt "iIRd. tb~, .nd rdwr'M4 lb, pt'fllli4 4it till' (' __ 0;,.. I IllI1iikNf .. nd .hat tillS pt'flllil Ui IIIOt to be- 'nufnTrd lit .It~· 11th« rDid,.. l.um ullftnhlild '"11 IIII)~JI"'"ft -it •• ~. prr.ie r",ndftwlt ,jU,". bt lI.iI',l"a.d" 1M f'KmJilw..n ,uld fin.,,, of IIIII' '$ S!I.OOO prr daJ tt,lr1ml fl'1ll11 Ihif pt'fmi4 tJlh' q, "1""f'oUL

Bate:

\\,.j]ilani t~ilJin~ S("f' ;.;<(!!'.,

Firn\ Of htlc: In..:.

Page 26: 'V~ - HIGP

...... o Q +

LINDA LINGLE LAURA H. THIELEN GOVERNOR OF HAWAII CHAIRPERSON

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT

Mr. Michael Robertson Wailani Drilling Services, Inc. 110 West Uahi Way Wailuku, HI 96793

Dear Mr. Robertson:

P.O. BOX 621 HONOLULU, HAWAII 96809

September 21, 2009 /

Pump Installation Permit Rixey Well (Well No. 4527-19)

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

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

Ref: 4527-19.pip

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

Special Conditions

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

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

Please sign both permit originals and return one copy to the Commission office for our files.

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

If you have any questions, please call Charley Ice of the Commission staff at 587-0218 or toll-free at 984-2400 (Maui), extension 70218.

Sincerely,

Enclosure

c; George Rixey (with applicable comments - DOH SDWB, WWB, CWB, DLNR DHP, Maui DP, DWS) USGS MauiDWS

/

Page 27: 'V~ - HIGP

• o PUMP INSTALLATION PERMO Rixey WelL Well No. 4527-19

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 Rixey Well (Well No. 4527-19) at TMK (2) 3-9-007:002, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

1. The Chairperson to the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any work covered by this permit commences and staff shall be allowed to inspect installation activities in accordance with §13-I68-I5, Hawaii Administrative Rules (HAR).

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

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

4. The pump installation permit shall be for installation of a 50 gpm rated capacity, or less, pump in the well. This permanent capacity may be reduced in the event that the pump test data does not support the capacity.

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

6. The 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 sixty (60) days after completion of work (please contact staff or visit www.hawaii.gov/dlnr/cwrm/resources "permits.htm for current form).

8. The permittee, well 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, if relevant, any related staff submittal approved by the Commission are incorporated into this permit by reference.

1 O. If the HWCPIS are not followed and as a con'sequence water is wasted or contaminated, a lien on the property may result.

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

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

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

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

Date of Approval: Expiration Date:

September 11, 2009 September 11, 2011

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

Installer's Signature: C-S7, C-S7a, or A License #: C-20115 Date: ------

Printed Name: Michael Robertson Firm or Title: Wailani Drilling Services, Inc.

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

Attachments

/

Page 28: 'V~ - HIGP

LINDA LINGLE GOVERNOR OF HAWAII

Mr. Michael Robertson Wailani Drilling Services, Inc. 110 WestUahiWay Wailuku,HI 96793

Dear Mr. Robertson:

o Q

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT . P.O. BOX 621

HONOLULU, HAWAII 96809

September 21, 2009

Well Construction Permit WaiohuIi-Rixey Well (Well No. 4527-19)

LAURA H. THIELEN CHAIRPERSON

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

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

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

Ref: 4527-19.wcp

Enclosed are two (2) co{>ies 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 17:

Special Conditions

1. Attached for your information are copies of the Department of Health's (DOH) review comments. Please note DOH's requirements related to discharge of effluent from well drilling and testing activities. Also, please contact the Noise Radiation and Indoor Air Quality Branch at 586-4700 to check compliance with construction noise permit requirements for this project.

2. Attached for your information is a copy of the State Department of Land and Natural Resources Historic Preservation Division's comments related to histOriC sites.

3. The well shall be cased to at least 90% of the depth from the ground to the top ofthe aquifer.

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

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

Please sign both permit originals and return one copy to the Commission office for our files. For copies of the aquifer pump test worksheet, please call staff or visit www.state.hi.us/dlnr/cwnnlforms.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 Charley Ice of the Commission staff at 587-0218 or toll-free at 984-2400 (Maui), extensIOn 70218.

Sin~erelY, ~~L

RAH. T LEN airperson

Enclosures

c: George Rixey (with applicable comments - DOH SDWB, WWB, CWB, DLNR DHP, Maui DP, DWS) USGS MauiDWS

I

Page 29: 'V~ - HIGP

, o o WELL CONSTRUCTION PERMIT

Waiohuli-Rixey Well, Well No. 4527-19 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, WeIls, and Stream Diversion Works", this document permits the construction and testing of Waiohuli-Rixey Well (Well No. 4527-19) at TMK (2) 3-9-007:002, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditio~s:

I.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

The Chai'Eerson of the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two l2) weeks before any work authorized by this permit commences and staff shall be allowed to inspect installation activities in accordance with §13-168-15, Hawaii Administrative Rules (HAR).

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

The well construction permit shall be for construction and testing of the well only. The permittee shall coordinate with the Chairperson and conduct a pumping test in accordance with the HWCPIS (the latest pump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrmlresources-permits.htm). The permittee shall submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump. No permanent pump may be installed until a pump installation permit is approved and issued by the Chairperson. No wIthdrawal of water shall be made for purposes other 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) of the theoretical thickness (41 times initial head) of the basal ground water unless otherwise authorized by the Chairperson. If it can be shown that the well does not tap basal ground water then this condition may be waived after consultation with and acceptance by Commission staff. However, in no instance can the well lie drilled deeper than one-half (112) of the theoretical thickness without Commission approval.

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

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

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

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

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

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

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

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

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

If the well is not to be used it must be prorerlY capped. If the well is to be abandoned during the course of the project theIi the permittee must apply for a well abandonment permit in accordance with § 3-I 68-12(t), HAR, prior to any well sealing or plugging work.

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

This pennit 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 §I3-168-12(f), HAR.

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

Date of Approval: September 11,2009 Expiration Date: September 11,2011 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: Michael Robertson

C-57 License #: C-20115 Date: -------------------Wailani Drilling Services,

Firm or Title: Inc. ~~------------------

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

Attachment

Page 30: 'V~ - HIGP

CAISSION ON WATER RESOURCE MANAGEMEN'o ROUTE SLIP FOR PERMIT ISSUANCE 5/19/05

FROM: CHARLEY DATE: 1l/i:£;;;~~ SUSPENSE DATE:

ANAKALEA, P. BAUER, G.

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

-1-HARDY, R. HIGA,D. ICE,C. IMATA, R.

WELJNUMBER 4527-19

~ WELL CONSTRUCTION

KUNIMURA, I. NAKAMA, L. NAKANO, D.

-3-OHYE,M. SAKODA, E.

-2-SUBIA, S. SWANSON, S. UYENO, D.

--YODA,K. YOSHINAGA, M.

ATTACHMENTS FOR WELL CONSTRU~TION PERMIT: 1 COVER LETTER ../ 2 PERMIT (2x) -r-

COMMENTS: --3 SDWB 4 WWB

Rixey

Approval Signature

-3-lnformation

5 CWB TO BE SENT TO APPLICANT

6 HEER 7 LD 8 HP 9 OCCL

10 SMA

PUMP INSTALLATION

FOR OFFICE USE ONLY

ATTACHMENTS FOR PUMP INSTALLAytON PERMIT: 1 COVER LETTER ~ 2 PERMIT (2x) -L

COMMENTS: 3 sowe 4 WWB 5 cwe TO BE SENT TO APPLICANT

6 HEER 7 LO 8 HP 9 OCCL

10 SMA FOR OFFICE USE ONLY

--------PLEASE:

See Me -1-Review & Comment

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

Xerox copies

-D~ ~ ~uvt'

tto1o ~ ~, "<I+~ l~.u.... ~)

io%. i be. 7-,2 ~

---------------..

Page 31: 'V~ - HIGP

Results

yes no

steel stainless steel

Page 32: 'V~ - HIGP

pvc plastic abs plastic thermoset plastic other

pvc plastic Schedule 40 Schedule 80 other

positive displacement other

steel public steel non public

steel ANSIIAWWA C200 API Spec. 5L ASTMA53 ASTMA139 ASTM A606 other

#N/A

0.28

stainless steel ASTMA409 other

pvc plastic Schedule 40 Schedule 80 other

Page 33: 'V~ - HIGP

FROM: ROY

TO:

CHENG, C. CHING, F. CHONG,R. DANBARA, S. ENGLAND, D. FUJII, N. HARDY, R. HOAGBIN, S. -+- ICE, C.

_'_ IMATA, R. KAWAHARA, K.

COM~SION ON WATER RESOURCE MANAG~ENT (07/09)

DATE: SEP 2. 1 2009 SUSPENSE DATE:

INIT. TO:

KIMURA,J. KUNIMURA. I. OHYE,L. OHYE, M. OSHIRO, K. SAKODA, E. SWANSON, S. TORRES, R. UYENO, D. YODA, K.

INIT: FOR:

__ Approval Signature Information

PLEASE:

See Me Review & Comment Take Action Type Draft

__ Type Final

-1-- File __ Xerox _ copies

YOSHINAGA, M. t-• "".J.,e.i s 1 ~ 1 v; ~ Jw..t '7i bPI' ,,.,t / ~ ",-. ~ ~ l-ww M ~ ~ ~tt1;~~

Page 34: 'V~ - HIGP
Page 35: 'V~ - HIGP

CHARMAINE TAVARES Mayor

o o JEFFREY K. ENG

Director

ERIC H. YAMASHIGE, P.E., L.S.

DEPARTMENT OF WATER SUPPLY COUNTY OF MAUl

200 SOUTH HIGH STREET

WAILUKU, MAUl, HAWAII 96793-2155

www.mauiwater.org

Deputy Director

:I -.. (I) ca N

::'0(,,) ~o 0:3': C::J: :::0-(")(.1):;:0

fTl~~ ::t:~f":I ;p -zo<

!E >ZrrJ

iJ i::>-;:er::J ~~ September 10, 2009

Ms. Laura H. Thielen, Chairperson State of Hawaii Department of Land and Natural Resources Commission on Water Resource Management P.O. Box 621 Honolulu, Hawaii 96809

Re: Well Construction/Pump Installation Permit Application Waiohuli-RixeyWell (Well No. 4527-19) TMK: 3-9-007:002

Dear Ms. Thielen:

0 ..,..m Z::::O .....

Thank you for the opportunity to comment on this well construction/pump installation permit application.

We understand the application is for a 50 gpm pump to and a proposed withdrawal of 5,000 gpd from the Kamole aquifer. Based on system standards, consumption for single family use including irrigation of the 0.3 acre subject property would be 900 gpd. The proposed irrigation amount is excessive for the project site. The proposed pump size with a capacity of72,000 gpd is excessive for this property and not proportionate to the proposed amount of withdrawal. Should the subject application be granted, we recommend that a pump size be proportionate to the intended use and site.

The property is served by a DWS meter. Small private water systems pose a risk of cross connections and potential contamination of the DWS water system. A backflow preventor must be installed for irrigation system. A mixed system connecting to DWS would be denied in any future permit or subdivision application.

Issued pump installation permits in Kamole aquifer exceed the aquifer'S determined sustainable yield. The proposed well would not have an immediate effect on existing DWS wells, but the overall aquifer could be impacted from the already approved number of wells.

In general, DWS has concerns about the growing number of private wells in the county for several

''Blj. 1Akter ~tt 'JhinCjJ :And JJfi " The Department of Water Supply is an Equal Opportunity provider and employer. To file a complaint of discrimination, write: USDA, Director, Office of Civil

Rights, Room 326-W, Whitten Building, 14th and Independence Avenue, SW, Washington DC 20250·9410. Or call (202) 720·5964 (voice and TDD)

Printed on recycled paper ~

Page 36: 'V~ - HIGP

< ::c S ..

i-q 0 ~:.,.

;

o o

Page 37: 'V~ - HIGP

Laura H.Thielen Page 2

reasons: 1. Each well is a potential conduit for contamination of the aquifer. Over time, wear, damage, improper maintenance or inadequate wellhead protection can lead to the potential for non-desirable substances to enter the aquifer through well bores, flawed or damaged casings, or abandoned wells that have not been properly sealed. There are already many wells on the island that can no longer be located. Each one of these represents a potential risk of such contamination to the aquifer. The more wells that are approved, the more this risk is multiplied. 2. Private interests or their successors may lack the funds over the long term or technical understanding to insure proper well maintenance, rehabilitation, abandonment and sealing. To avoid contamination and degradation of water quality, and to ensure reliable supply over the long term, wells must be properly operated and maintained, and eventually, properly sealed. 3. A majority of wells in the State either do not report pump age at all or report infrequently. Though the individual impacts from such wells are generally minor, their cumulative impacts may not be. This makes it difficult for the agencies tasked with resource monitoring to accurately gage aquifer status. Increasing the number of small private wells may exacerbate the problem.

Should the subject application be granted, we recommend that Best Management Practices (BMPs) designed to prevent contamination through and to the proposed well be adopted. Sample BMPs are as enumerated below.

1. Inspect exposed parts of the well periodically for problems such as: cracked or corroded well casing, broken or missing well cap, damage to protective casing, settling and cracking of surface seals 2. Slope the area around the well so that surface runoff drains away from the well 3. Provide a well cap or sanitary seal to prevent unauthorized use of or entry into the well 4. Provide for sediment removal or well cleaning as necessary 5. Have the well tested once a year for fecal coliform or other constituents that may be of concern 6. Keep accurate records of any well maintenance, such as disinfection or sediment removal, that might require use of chemicals in the well. 7. Avoid mixing or using pesticides, fertilizers, herbicides, degreasers, fuels, or other pollutants near the well 8. Do not locate any type of potentially polluting activity up slope from the well

Should you have any questions, please contact our Water Resources and Planning Division at (808)244-8550.

Sincerely, ~.1

Jeffrey K. Eng, Director emb

c: engineering division

Page 38: 'V~ - HIGP

.. o "Venus Bolosan" <[email protected]. us>

To <Charley.F.lce@hawaiLgov>

cc

09/14/2009 02:40 PM bcc

Subject Waiohuli-Rixey Well (Well No. 4527-19)

Aloha Charley!

Please see attached.

Mahalo,

Venus P. Bolosan Office Operations Assistant County of Maui-Dept. of Planning; Current Division phone (808)270-8063 or (808)270-8205 (general line) [email protected]

County of Maui.

IT Security measures will reject attachments

larger than 12 MB, and will block or quarantine

high-risk file types in attachments.

-m CommentsCWRM.pdf

Page 39: 'V~ - HIGP

LINDA LINGLE QOYfJlNOR. OF HAWAII

Mr. Jeffrey Hunt, Director Planning Department County of Maui 250 South High Street Wailuku, HI 96793

Dear Mr. Hunt:

o c

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX621

HONOLULU. HAWAII 96809

August 11, 2009

"09 AUG 13 Pl2 :25

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

Waiohuli-Rixey Well (Well No. 4527-19)

LAURA H. THIELEN CHAlftPEMON

SUMNER ERDMAN NEAL S. FUJIWARA

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

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

KEN C. KAWAHARA. P.E. DEPUTY DII.CTa"

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 tbis cover memo form by Se~tember 11.2009. Ifwe do not receive comments or a request for additional review time by this date, we wit assume you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-0218.

Sincerely,

CI:ss

RESPONSE: ~

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

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

[ ] No objections

( ] Other comments:

Signed:---",L~:::;;~~~~~:::~,--____ _

Phone: 170 -fo~7/

Date: ----L.J9}"---I/f A'---+'f-

Page 40: 'V~ - HIGP

LINDA LINGLE GOVERNOR OF HAWAII

TO:

FROM:

SUBJECT:

o r: r:: -,.-

• J \ ,- (, t- vE 0 ' ~; I'" ,~,~ f , ~

.' "S!GN

t fifjrl I! fA

UUi i;~b I 3 I 4. ,0: 0 I

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT

Morris Atta, Administrator Land Division

PO. BOX 621 HONOLULU, HAWAII 96809

August 11, 2009

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

Well ConstructionlPump Installation Permit App ication Waiohuli-Rixey Well (Well No. 4527-19) TMK (2) 3-9-007:002

CHAIRPERSON

SUMNER ERDMAN NEAL S. FUJIWARA

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

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 September 11. 2009. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-0218.

CI:ss Attachment(s)

RESPONSE: ~

[ ] A water lease/permit is required ofthis applicant and an application for such will be requested by om:' ili~~~ ~

A water lease/permit is not required of this applicant. -0 :x X)Q

[ ]

[ ]

ft ;;,ji; A water lease/permit has been obtained by the applicant through lease no. ----------:":r=----l:%:;a

r ~:ID Other relevant Land Division rules/regulations, information, or recommendations are attached. C) -t

[ ] No objections

K~ Other comments: Original source of private title is Grant 11071 issued prior to statehood.

Contact Person: __ G""'a .... rL,Y1--'.1.M.J.!a...,r'-'t .... iunL-. ________ _ Phone: 587-0421

Signed:_7'-xtJc __ ~-+--~---.. -----L---==--'"--.. ---(:~ :

Date: '-'_. --------

Page 41: 'V~ - HIGP
Page 42: 'V~ - HIGP

FROM: ROY

TO:

CHENG, C. CHING, F. CHONG,R. DANBARA, S. ENGLAND, D. FUJII, N. HARDY, R. HOAGBIN, S. ICE,C. IMATA, R. KAWAHARA, K. KIMURA, J.

COMQSION ON WATER RESOURCE MANAG~NT DATE:

INIT. TO:

KUNIMURA. I. MILLS, D. OHYE, L. OHYE, M. OSHIRO, K. SAKODA, E. SWANSON, S. TORRES, R. UYENO, D. YODA, K. YOSHINAGA, M.

INIT:

SUSPENSE DATE:

FOR:

__ Approval Signature Information

(11/08)

PLEASE:

See Me Review & Comment Take Action Type Draft

__ Type Final File Xerox _ copies

Page 43: 'V~ - HIGP
Page 44: 'V~ - HIGP

, . ...-. o o LINDA LINGLE

GOVERNOR OF HAWAII LAURA H. THIELEN CHAIRPERSON

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

STATE HISTORIC PRESERVATION DIVISION 601 KAMOKILA BOULEVARD, ROOM 555

KAPOLEI, HAWAII 96707

BOARD OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOVRCE MANAGEMENT

RUSSELL Y. TSUJI FIRST DEPUTY

KEN C. KAWAHARA DEPUlY DIRECTOR - WATER

AQUATIC RESOURCES BOATING AND OCEAN RECREATION

BUREAU OF CONVEYANCES COMMISSION ON WATER RESOURCE MANAGEMENT

CONSERVATION AND COASTAl LANDS CONSERVA nON AND RESOURCES ENFORCEMENT

ENGINEERING FORESTRY AND WILDLIFE HISTORIC PRESERVATION

KAHOOLA WE ISLAND RESERVE COMMISSION LAND

STATE PARKS

August 31, 2009

MEMORANDUM

TO:

Log No: 2009.3446 Doc No: 0908PC88

Mr. Ken C. Kawahara, Deputy Director Commission on Water Resource Management

I ::D(") 1'1'10

FROM: Nancy A. McMahon, Historic Preservation Manager ~:I:

SUBJECT:

State Historic Preservation Division ~ t? ~~ Chapter 6E-42 Historic Preservation Review - Waiohuli-Rixey Well Construction/Pump Installation Permit Application (Well No. 4527-19) Waiohuli Ahupua'a, Makawao District, Island of Maui TMK: (2) 3-9-007:002

~ -0 I

N

iI r:I -CD

Thank you for the opportunity to reVIew the aforementioned project, correspondence for which we received on August 14 of2009.

The application proposes the construction of a new well (Waiohuli-Rixey) and installation of a well pump within the .298 acre subject parcel situated at 1178 Ulunui Road in Kihei.

A search of our records indicates that an archaeological inventory survey has not been conducted of the subject property. The area of potential effect is located near the coast amidst sand deposits which are known to contain both clustered and isolated human burials.

We have previously recommended archaeological monitoring as an acceptable form of mitigation in similar situations where we believe it is possible that archaeological sites from the pre- and/or post­Contact periods may be present in subsurface deposits which will be exposed during the proposed work. Therefore, we recommend the following condition be attached to the subject permit:

A qualified archaeological monitor shall be present during those portions of the project which involve ground altering disturbance in order to document any historic properties which may be encountered and to provide mitigation measures as necessary. Please note that ground altering disturbance includes previously disturbed stratigraphy, as culturally significant subsurface deposits are often found in these contexts.

<::::J: ;:0--(iC,J;)~ t"'I1r.nM!f

-(") :3:01"'1 ,;;.oz-xo< j>zM C)~rD "'):II! :1: .... rre'" %::0 -t

! ,

Page 45: 'V~ - HIGP

...

State/DLNRJCWRMlKen C. Kawahara TMK: (2) 3-9-007:002 Waiohuli-Rixey Well ConstructionIPump Installation Page 2 of2

As per Hawai'i Administrative Rules (HAR) §13-279, this means that prior to the commencement of ground altering disturbance associated with the proposed project, the project developer or developer's agent must submit an appropriately prepared monitoring plan to this office for review and acceptance. The plan must contain the following provisions:

1) Specify the kinds of historically or culturally significant sites or remains of sites anticipated and where in the construction area they are likely to be found;

2) Specify how such sites or remains of sites will be documented; 3) Specify how such sites or remains of sites will be treated; 4) Specify that the archaeologist (s) conducting the monitoring has (have) the authority to halt

construction in the immediate area of the find in order to carry out the plan; 5) Specify that coordination between the archaeologist and construction crew has been

scheduled so that all involved parties are aware of the plan and what it means; 6) Specify what laboratory work will be performed on any cultural sites or remains of sites that

might be found in the project area; 7) Specify details concerning the archiving of any collections that are made; 8) Specify a schedule of report preparation and that the report will be submitted within the

required 180 days after completion of the proposed undertaking.

'. fthose meeting the requirements to perform such work can be obtained on the SHPD's website at htt awaii. ov/dlnrlh dl Jdfs/2009-Permittee. df or by contacting our main office at (808) 692-8015.

N rrl

If ~u have any questions or comments regarding this letter, please contact the SHPD's Lead Maui Ar~eologist, Ms. Patty Conte ([email protected]).

0-:lC: VI

c: ,ThffHunt, Director, Dept. of Planning, FAX (808) 270-7634 CO

Page 46: 'V~ - HIGP

S e p. 1. 20 0 9 11: 10 AM DOH-HEER OFFICE 208-536-7537 o ~o. 3403 P. 2 ,""

'wII

LINDA LINGLE (KlVflu«:JlOf'fY,W.uI REC£lVEO

OEPAAl MENT OF HEALTH

LAUR4H. THIEl£:N CAA'APE't8:0N

TO;

200Q AUG III P I: I r

STATE OF HAWAII HEER OFFICE OEPARTMENTOF lAND AND NAiURAl RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT p.O.80XS21

HONOLUlU,l-IAWAB 96609

August 11. 2009

Honorable Chiyome L. Fukino, M.D., Director Department" of Health Attention: Tomas See, Chief, Wastewater Eranch

Stuart Yamada, Chief, Safe Drinking Watel· Btanch Alec Wong, Chief, Clean Water Branch

SUMNER EROIMH NEAL S FwrWAAA

CHIVOME L I'UKINO. MD. DONNA FAY K KIYOSAKI, P.E,

tlAWAENCE H. M.I<E. M,D. J,D,

KeN c, KAWAIIARA, P.E, Of.rUT'(~IA~CR:

~ ~fo;

..pr. Keith Kllwaoka, Office of Hazard EV2JuatiOllfn Eme~ency Response

FROM: ~aura H.1'hielen, Chairperson 1t~. ~ r\. Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Appl cation Waiohuli-Rixey" Well (Well No. 4527~19)

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

We would appreciate your com.ments on the captioned application for any conflicts Or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning tbis cover memo Corm by September 11, 2009. Ifwe do not receive comments or a request for additionaT review time by this date, we will assume fuat you have nO comments.

Please fmd the attached maps to locate the proposed well. If you have any questions about this permit application, tequest additional information. or reqtlest additional review time, please contact Charley Ice of tile Commission staff at 587-0218.

Cl:ss Attachment~

RESPONSE: [ J

II

11

I J

U ( 1

[ 1

tl

this well qualifies 84. ""oro, whjoh will '.IV • .os a 60 .. '" o(p""bI. wotocto a public water system (d~/lned 8i 6CM'1I2S ~r rnor~ l'cople at le'$t 60 day, pe. yoar or Las 15 or mole atJVicc coll_tio ... ) iUld rou&! rcociv~ Di,ecror <>f» •• Uh approval J!!!gr 10 il. us\, 10 comply with H.twaii o\~miniBtraliYt ll."il •• ()IAl\.). Title J I. Chapl .. 20, Rull'~ Relilling t~ Potable W~ro' Syslems. ~11-20-19. .

This well does not qijalify .$ a IOlllge leIVin.g a public Milll ... y.!om ( .. ~ less lbon 25 peQplo or more people at least 60 d1)'S per year ill" IS ,ervice coon""li" •• ) 0"0;\ iflhe wen wam, h us~d for drinking, III. privalc OWl)6r iballlcl lest for bscle,jolosic&l."d ""emicil pre9U':' bet_ iniliatin, &ucIi ~s. and roulinel)' monitor rho ",.t.r q.~lity Iherean .... Howev .. , i(i\illll't' pl4lllled la. fi"1lI1'l this ,ouro.lncrease. to .neel 11.. jll>blicwalcr sysrOln d.r..irion then Diri>tlDr of flelJlh approval H 'SQ'uited l!!iu to implementalion.

It th ..... 11 i. used ID .upply borh potable aRd m.tI-potable pu..-pos .. ill • &inele syslem, Ihe lis... ... all .. liminale ao .. -cOOA""ti(ln$ .nd bao/dlow • oonnetlions by ph)o\io.I/y • ."aroting potable and noo-pollbl. system! by an air SOP '" on "pjlro\'Cd btckflolv ~cder. ud by cleuly rab.liBg ill non­po'.hl~ spi'OIB "jib wi.ffiing sign> 10 p,evenl inodvcl11lnl consumplio'l ofuoo·polable Waler. ll;l(l):f)ow prevcnlion devices $l)Quld beroUlin~ly in!lpoO(d and tell.a.

II does "or 1PP!;U Ih.t Ihis well will ~ used fot «wumptivc purposes and i. I1i)t .~bj~ot to saC" DOl'lliiDS Wder Regulalion!.

For lhe app6tanl's inforlll.alion. i source of pOiSibJe IVJ.lewaLcr contami.alion (lis (I i$ 1'01 IOC~led lieU the prDPosed well Jile (inrollll'lif)n 9rtscbooi).

Ail NPDE$ pmnil is required.

Olh~ r.ley,"I OOH rule9lregul.liOllI, i.fllm\lrlon.. or rccommeadatiQJIS "'" ,ttAched.

In Ihe e_e.llhalllie 'ocalion oflhc weU cluA(!tl but illlill ,yjlhin the plliccl d.~ibed Dn Ihi3 application, our diviri.n oonsiden 1M roalll'lf!~tllo Ilill bo .appJic.bl ... ,nd we dQ nOI need I~ review I~nc\lllooalion.

PI No CDmlll~nt8~li~RS

Contact Person: '-~l'l..r(i\ e1.knu Phone: sgro --09S{=

signed:~~ Date: -~ d .¥l!J7 h () hI'). C)

)-01-2009 11:09RM FRX:808 585 7537 ID:OLNR CWRM PRGE:002 R=95%

Page 47: 'V~ - HIGP

o LINDA LINGLE LAURA H. THIELEN

GOVERNOR OF HAWAII CHAIRPERSON

SUMNER ERDMAN NEAL s. FUJIWARA

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

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

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

DEPUTY DIRECTOR

TO:

FROM:

DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

August 11, 2009

Honorable Chiyome L. Fukino, M.D., Director Department qf Health Attention: Jomas See, Chief, Wastewater Branch

Stuart Yamada, Chief, Safe Drinking Water Branch Alec Wong, Chief, Clean Water Branch Dr. Keith Kawaoka, Office of Hazard Evaluation an

~aura H. Thielen, Chairperson 1t~. ~\ Commission on Water Resource Management

SUBJECT: Well ConstructionlPump Installation Permit Appl cation Waiohuli-Rixey Well (Well No. 4527-19)

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

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by September 11,2009. Ifwe do not receive comments or a request for additional review time by this date, we will assume that you have no comments. i

Please find the attached maps to locate the proposed well. If you have any questions about tbii permit application, request additional information, or request additional review time, please contact ~ Charley Ice of the Commission staff at 587-0218. _ ...,

:;;0 1T1(") ",0 o::r c-". -J";:,.. o(i):::o r"l(1)/""'"l -n ~~~ au ~~< :2 .. ::. .... ("'1

~A~tt~a~ch~m~en~t~(s~) ____________________________________________________________ ~ .. ~~~4:C1 _ C')~

RESPONSE: .. ~~ N "",..,

[ 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 lelAO . Z::u 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-4 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 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 [ lis [ I is Dot 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: Roland Tejano, Eng. on Maui .?

984-8232

Signed: ~~' I\~ tin rfrLhtL Bate:

Page 48: 'V~ - HIGP

i •

~. -­., (.

CAJ

o

SJ, 8 £IIJ J, r 9ny _

HJ~~~~~u;o &;;;~it;:;~a~ __________ _

Page 49: 'V~ - HIGP

AUG-17-2009 07:18 From:DOH/SRFE WA~~R BRANH 8085854351

\.;

To:808 587 0219 '-."

""' .. "",,' . RECEIVED

SAFE DIJ~K'~~ ~~1§R BRANCH LtNDA LINGIJi LAURA H THIELEN

C""'-AP~t:ON I;CYEQNOft~ WAWAII

STATE OF HAWAII Or;:PARTMENT OF lANe A,NO NATUAAl RESOURCE'S

COMMISSION ON WATER RESOURCE MANAGEMENT 1"0 IlOX621

HONOLUlu HAWAII 98809

August 11,2009

SUMNER ERDMAN NEIU. S. FUJIWAAA

ef-llYQME l FUI(INO. M 0 OONNA f'/4Y k. KIYOSAKI. P E LA'IIoRENCIii H MIlKe,". D , J 0

KEN C KAWAHARA. P E. lfPUTf'OIf;~OfII:

TO: Honorable Chiyome L. Fukino, M,D" Director Department of Health Attention: lomas See, Chief~ Wastewater Branch

Wart Yamada, Cbief. Safe Drinking Water Branch Alec Wong, Chief, Clean Water Branch Dr. Keith Kawaoka, Office of Hazard Evaluation an

FROM: f1.tr:aura H. Thielen, Chairperson 1i:'t!,-"\ Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Appl catIon WaiQhuli-Rixey Well (Well No. 4527-19)

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

We would appreciate youI' comments on the captioned application for any conflich or inconsistenci~s with the progra.ms, plans, and objectins specific to your department. Please respond by returning this cover memo (gnu by September 11, Z009. 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 penn it application, request additional information. or request additional review time, please contact Charley lee of the Commission staffat 587-0218.

CI:ss Artachment(s)

RESPONSE: ( J

[ J

[ J

I J

, 1

, 1

[ 1

ThIS well qualifie. as IIOIlI'CO whith w,lI $<:l'I'C lIS a 50111"" of potiIbJ.. .... 1 ... to • l',,\>lie w",er "YotMl (deflncd .. ....-ving 2~ or tIIo,.. p"""le at Ie .. , 60 days por year 0' bat ISo' ..,.," .. rvi.., ~OIlll~OhS) ... d m .. t re<>eiv. Di"'otor of HtaJt~ approvlll2!i2J: tQ its USC to ~y with li~w;1I Admmistr.tive R.t •• (HAR). TIll" I J, C1iaptcr lO. Rlllos R.1ll~I,"g 10 PoIabl. Wat ... S)'ttem" §11-20-251

Thi! well dou IIOt qualify ;>$ • S<>IIIQ: •• rving a public ".10' .:;,lI!m ($""'" loss than 25 people or motl! peopl. " I_I 60 ~Y' per y .... .,. I 5 ~"""~ C(oIlfttctiollS) 3lId ,fllo. "'0'1 \VoItw iii usQd for dritlkillg, the prj ... !. ow~er .hoult' lUI fer llaCt¢1'ioIe>pcal iIIld <bcmi.:.aI jlI"OS""". befqr. ;l1it'9tfflJ ~uch use _ ro.tir1el~ r1101U'QI" Ille water quality tIlcreafter. H~r, if future p1anmd use li"om thi~ ~ ..... e in=i1SC5 to mc..t lhe p"bI;e waler system &1"11\'''01\ the. o"eetOl of Halt. appro""l I. I'<>q","',f I!!i!t!: to ;mpl ....... 'o.\."".

If'ht \~" 1$ \I.cd to .lIIlI1ly both potable and IICn-wt.blo P~lPOSO$ i~ a sll\l!le !!)!Stem. ~ IUI!r $Loll.hm.iMt. ot()t!konnoct.,,"" and b.ckflow CQIl1l~ionl by pIJ:ys~aIJ)i. separali~s pat..\,l • .uuI non-polllble systems by an air a. Ot aD ~vcd baokflow P'"""Ilter, Wid by oI~1I"1)' labeling aU lIOn­potable SPlttOU With WAttIIIl8"~ to p","'o' ooadvertel'1 con.umphon OrllOft1lO1~blc water B/Ijlkflow ""'~tooo (jev,oe. should be rOlln.dy inspcctcd ..,dt.ned

..". Nl'OB8 p"nnl~ IS rcquiIed.

Otbtr relev~l DOH r\llwrej!1ll.tiIlll5. infOfIlU~(II), 0,- recorn",.nd.t'OI!~ are alTaebtd.

In t' •• """1 "otlh. 1()OIlion of 11>0 _II """"go. out I, ,till Wlthm \1\; piKel dc9Ctl~ (>II thi~ 'pplmtion, our diViSion COfthdcrSlhc ..omm~1I1s to ~dJ be opplioabl<>. and wo do:> 'Jot "¢O.:J to reYi~ Ih. new loc>otiQu

, I No comtnenlsln\>j •• !iQI)$

Contact Person: Att'(:M(JfL 1l11t.6&~ea

Signed: ;>~ ~ Phone: .Q!6. -4'ZfB

Date: e/;+/u?

;-17-2009 07:21RM FRX:8085864351 ID:OLNR CWRM PRGE:002 R=94%

Page 50: 'V~ - HIGP

08-14-2009 04:04pm

LINDA ~INGU, QO",~ot" .. A1IIAII

TO:

From-DEPT OF HEALT,~~~VIRONMENTAL MNGMT l..

8085864352

STATE OF HAWAII

'," T-469

~

OEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

PO 80)($21 HONOLULU, I1AWAII 96809

August II, 2009

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

Smart Yamada, Chief, Safe Drinking Water Branch "Alec Wong, Chief, Clean Water Branch

P.004/004 F-536

~ 0' )IJ -I,J-'IV

!-AURA H T>iIELEN C*1fiP~~

SlWNER EROMAN NEAl. S. FUJIWARA

CHI'YONE L FUKlNO, M.O, DONNA FAY K K1'1'OSAr<I, p.e. LAWRENCE H. UIIKE, M-D .. J.p.

KEN C:.I<AWAI1ARA, P.E. ~Pu'fVDlttt.CTDrr

~88SAUG 14

Dr. Keith Kawaoka, Office OfHazarfdEvaluationrEme~ency Response

FROM: ~ura H. Thielen, Chairperson 1 'C. ~ -\ Commission On Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Appl cation Waiohuli-Rixey Well (WeU No. 4527~19)

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 Se2tember 11,1009. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comment.~,

Please fmd the attached maps to locate the proposed well, lfyou have any questions about this permit application, request additional infonnation, Or request additional review time, please contact Charley Ice of the Commission staffat 587-0218.

Cl:ss Attachment(s}

RESPONSE: ( )

11

[ 1

[ J

U

[ J

~ [ I

( 1

Tlti. waIl4oa1ilio ..... ""' .... c. which WIll """"""." ,,,lITO .. ofP<>lilbl~ water to. ptlblio wore. 6)1stcm (ddi .... d as ""1"v.llg2S Of m<>r;'J'C'Oplc ill 1C84!t 60 Q~Y~ par YI';\I' Dr ~ 15 or lIIQ1'C ~Crvil'" ~'lIlIJCIQtjon&) and IDu5tTtCciveDirlA:lt()( C)fHcahh apprtlvl!.l priurlo 11; I"C 10 Q(lmplywlthHlwaii Ad..w';~IJ'l1f.iv. Rule. (HAR). Tille J J. ChlJllCr20, RulOl! Relating to PoIable Watct SySlC1llS, §11-26.i9.

This .wll dMS dC)t qualify as a 8Oute& sm'vins a publi<> w~ 'Y'1Io1'n (~S I",,;trum 25 ~opl. or mort people ar ICti! 60 day. P"'I :ye;q' Of 1 S •• rvice c.olll11'clion~) ~ iflh. wbil W~IM i. 11""<1 f"" dm1l<;in!!.lhc pnv,m' owner ibould t§t for bact~(iol()gical and Ch"DUOlI.I pro:«!ll<le bofore initiating stlch u&e ;wi fol1tjll~ly ",ollilor tho w_ '1l1l\lilY m.r •• r. Howev«, if fittUl' planned U!IC; fi:oln this .uw't".l> mer ...... to "l""IIII- ptlbliQ water .y.f~.n dtfinilian tMn DirOQfw <;>1" H~ld! ~pprovO\I 1$ rllq~ired l!tieE to implem.lllatiQl~.

It the well i. used to .supy\}' both ""table and non-potable pllt)lOSl1S i" " .inal .. ~~~telD, thc w;~r srurll eliminare ClOBIrCOll11ettillllS and barldlQW . tOI\f,ecIlO~ by phYSically seW~ulg potablbIll10'lC'fl"I'QIM>le .y,lI>m& by iIll ~11" BaJl Ql" IlII approved baddiow ptev_, .an4 by cJl1;Vly labeling all 001'1-pol;lbl. ""i801~ ",il\l """"'in!! .isn; 10 Pfl'VCjnl inil~v.rt.nt OllnilllllptiO. Ilf oon-potablc \\'&I:~t BaddJow prt>v"Illion '*""1_ &ho~ld be rootincly imp1lC~d IUIdlcil:cd.

II dolU no! ~ppow Ikl1f.lhi~ won will bc llioC fOT COIIJUmptM putpOtleB and is IIOt &\object to s"r. Prillitlll& Will« RCguJDtiOns.

For the applic&IIt'8 information. a 8O\I(CC uf po83iblo waSl&w&tbl' e;atl\;.mmlilioD IIi> II is .... t l~oC ncar the proposed well siIa (ml"onn;otioll ~1tiIdlcd).

An NPDES pamit is r~uircd.

Omllf f .. l.v~n! pOli rul'$Ir.!!1I'~iQ"", mt"arm;mon. or rc«>mlMDdations arc altached.

In th~ ~cnt that th"IQQiltiOl1 of ehe _II chnp but is still within the patccl described (><1 tn .. ,pplicO\I;Qn, QIIf divisiQIl Wllliidcn die eommellt~ to slllI be applicable. aDd wc= do IlQf nel:d to rcvi~ me new Jocatioa.

No commClltsiobjections

Contact Person: _~ch~!.::~~=---==--..;L_.-...:~::::-...:;~ ______ _ Phone: 5' 8cp- i30~

Signed: ___ ~.y;..-..~ ___ ~,"""-,,,-~ ___ _ Date: e'I4'O~

IUG-14-2009 04:02PM FRX:8085864352 ID:OLNR CWRM PRGE:004 R=97%

Page 51: 'V~ - HIGP

08-~4-2009 04:03pm From-DEPT OF HeENVIR~MENTAL W1GtlT

..... ~::.::..::~~

8085864352 ~ T-469 P.001/004 F-536

FAX TRAN$MITTAL State of Hawaii Department or Health Environmental Management Division

Clean Water Branch· Engineeril1g Sectioa Phone No.: (S08) 586-4309

Fax No.: (808) 586-4352

Fax to: Company:

Fax No.:

Mr. Ryan hnata / Mr. Charley Ice I Ms. Denise Mills Commission On. Water Resource Management Department of Land and Natural Resources 587-0219

Date: e· l 04 ·o~ Fax from: JoannaL. Seto (j

Total Pages, incl. cover: 2+ z...

Subject: Well Construetio.illPu.mp Installation Permit Application(s) WeUNo(s). 5"3l1- OJ} 45z7-1:;' .

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 Admini~trative Rules (lIAR). Title 11, Chapter 55, Appendix 1, effective October 22, 2007, and compiled June 15,2009. Treated process wastewater efflueut covered by this general permit includes well drilling slUrries, lubricating fluids wastewater, and well purge wastewater. This general permit does not cover well pump testing. The applicable Notice of Intent (NOl) Forms and filing fee shall be submitted at least 30 calendar days before the start of discharge to the:

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

The CWB-NOI FoIID.s are available online at http://www .haw:aii.go\l'lhealtbJenvironmentaIlwater/cleanwater/forms/gen l-index.html. Inquiries may be directed to the eWB at (808) 586-4309 or by fax (80S) 586-4352.

2. For Well Pump Testing

The discharger shan take all measures necessary to prevep.t 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 implemented to prevent the discharge from disturbing the clarity of the receiving water. lithe discharge is entering a storm drain, the discharger must obtain written-permission from the owner of the stonn drain prior to discharge.. Furthermores best managelIlentpractices shall be implemented to prevent the discharge from collecting sediroents and other pollutants prior to entering the storm drain.

AUG-14-2009 04:01PM FAX: 8085864352 ID:OLNR CWRM PAGE: 001 R=96%

Page 52: 'V~ - HIGP

08-14-2009 04:03pm From-DEPT OF HEALTH ENVIRONMENTAL MNGMT

Mr. Ryan!mata / Mr. cSy Ice / Ms. Denise Mills Commission On Water Resource Management

8085864352 o T-469 P.002/004 F-536

FAX TRANSMITTAL Page 2

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

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

AUG-14-2009 04:02PM FAX: 8085864352 ID:OLNR CWRM PAGE:002 R=97%

Page 53: 'V~ - HIGP

LINDA LINGLE GOVERNOR OF HAWAII

Mr, Michael Robertson Wailani Drilling, Inc, 110 West Uahi Way Wailuku, HI 96793

Dear Mr. Robertson:

o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

August 11, 2009

LAURA H. THIELEN CHAIRPERSON

SUMNER ERDMAN NEAL S. FUJIWARA

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

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

KEN C. KAWAHARA, P.E. DEPUTY' DIRECTOR

4527-.wcpia.acc

Well Construction/Pump Installation Permit Application for Well No. 4527-19

We acknowledge receipt, on August 3,2009, of your completed Well ConstructionlPump Installation permit application and filing fee for the Waiohuli-Rixey Well (Well No. 4527-19). 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 Charley Ice of the Commission staff at 587-0218 or toll-free at 984-2400 (Maui), extension 70218.

CI:ss Attachment

c: George Rixey

Sincerely,

Page 54: 'V~ - HIGP

o LINDA LINGLE

GOVERNOR OF HAWAII LAURA H. THIELEN

CHAIRPERSON

TO:

FROM:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

August 11, 2009

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

Stuart Yamada, Chief, Safe Drinking Water Branch Alec Wong, Chief, Clean Water Branch Dr. Keith Kawaoka, Office of Hazard Evaluation an

'\ Commission on Water Resource Management

SUMNER ERDMAN NEAL S. FUJIWARA

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

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

~aura H. Thielen, Chairperson 1tr!.,. SUBJECT: Well ConstructionlPump Installation Permit Appl cation

Waiohuli-Rixey Well (Well No. 4527-19)

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

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by September 11.2009. 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 Charley Ice of the Commission staff at 587-0218.

CI:ss Attachment(s)

RESPONSE:

[ I

[ 1

[ 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 IS 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 IS 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 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 ( lis [ I 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:

Page 55: 'V~ - HIGP

LINDA LINGLE GOVERNOR OF HAWAII

o o LAURA H. THIELEN

CHAIRPERSON

SUMNER ERDMAN NEAL S. FUJIWARA

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

TO:

FROM:

SUBJECT:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

Morris Atta, Administrator Land Division

HONOLULU, HAWAII 96809

August 11, 2009

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

Well ConstructionlPump Installation Permit App ication Waiohuli~Rixey Well (Well No. 4527-19) TMK (2) 3-9-007:002

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

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

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by September 11, 2009. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-0218.

CI:ss Attachment( s)

RESPONSE:

[ ] A water lease/permit is required ofthis 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: --------

Page 56: 'V~ - HIGP

LINDA LINGLE GOVERNOR OF HAWAII

TO:

FROM:

SUBJECT:

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT ' P.O. BOX 621

HONOLULU, HAWAII 96809

August 11, 2009

Dr. Puaalaokalani Aiu, Administrator Historic Preservation

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

Well ConstructionlPump Installation Permit Ap ication Waiohuli-Rixey Well (Well No. 4527-19) TMK: (2) 3-9-007:002

LAURA H. THIELEN CHAIRPERSON

SUMNER ERDMAN NEAL S. FUJIWARA

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

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

KEN C. KAWAHARA, P.E. OEPUTY OtRECTOR

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

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returnine; this cover memo form by September 11,2009. 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 Charley Ice of the Commission staff at 587-0218. 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.

Cl: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: ---------------

Page 57: 'V~ - HIGP

LINDA LINGLE GOVERNOR OF HAWAII

Mr. Jeffrey Hunt, Director Planning Department County of Maui 250 South High Street Wailuku,HI 96793

Dear Mr. Hunt:

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

August 11, 2009

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

Waiohuli-Rixey Well (Well No. 4527-19)

LAURA H. THIELEN CHAIRPERSON

SUMNER ERDMAN NEAL S. FUJIWARA

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

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

Transmitted for your review and comment is a copy of the captioned Well ConstructionJPump 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 September 11,2009. 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 Charley Ice of the Commission staff at 587-0218.

Sincerely,

CI:ss

RESPONSE:

[ ] 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 ruleslregulations, information, or recommendations are attached.

[ ] No objections

[ ] Other comments:

ContactPerson: ______________________________________ __ Phone: ---------

Signed: ______________________ _ Date: ________ _

Page 58: 'V~ - HIGP

LINDA LINGLE GOVERNOR OF HAWAII

o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

August 11, 2009

Mr. Jeffrey K. Eng, Director Department of Water Supply County of Maui 200 South High Street Wailuku, HI 96793

Dear Mr. Eng:

Well Construction/Pump Installation Permit Review Well Construction/Pump Installation Permit Application

Waiohuli-Rixey Well (Well No. 4527-19)

LAURA H. THIELEN CHAIRPERSON

SUMNER ERDMAN NEAL S. FUJIWARA

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

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

Transmitted for your review and comment is a copy of the captioned Well ConstructionlPump Installation permit application. If you have any comments on this application, please submit them by September 11, 2009. Ifwe do not receive comments we will assume you have no comments.

If you have any questions about this permit application, please contact Charley Ice of the Commission staff at 587-0251.

CI:ss Attachment

Sincerely,

Page 59: 'V~ - HIGP

C ... QSSION ON WATER RESOURCE MANAGEMENT 0 ROUTE SLIP FOR NEW APPLICATIONS

FROM: CHARLEY -----------------

CHING, F. FUJII, N. GOODING, K.

-1-HARDY,R. i HIGA,D.

-2-HOAGBIN, S. -S-'CE,C.

I MATA , R. -3-KAWAHARA,K.==

4~-l-?

DATE: 5-Aug-09

KUNIMURA, I. NAKAMA,L.

-4-0HYE,M. SAKODA, E. SWANSON, S. UYENO, D. YODA, K. YOSHINAGA, M.-

SUSPENSE DATE:

Approval -3-Signature

4 Information

12-Aug-09

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft acknow letter

-2-Type Final, label file folder, update People.db -S-File --Xerox copies

WUP Number na WELL NUMBER 45 ~ 1: -{~ WELL NAME Rixey ------~-------------

':g( WELL CONSTRUCTION l8( PUMP INSTALLATION

ATTACHMENTS FOR APPLICATION P'30CESSING - Both applicant & staff generated 1 TRANS. LETTER ./ i

2 PERMIT PROCESS TABLE -y-3CWRMMAP -r 4 APPL. FORM (11 COPIES) j 5 USGS MAPS (11 COPIES) ---:!...t-6 TAX MAPS (11 COPIES) ../ .'

7 PARCEL OWNER VERIF. -r MLS PRINTOUT 8 CONTRACTOR VERIF. --DCCA LICENSE SCREEN PRINTOUT 9 ALL INFO FILLED IN -r

o WUPA

10 BACKGROUND CHECK -r­fJ 11 $25 FEE DEPOSIT SLIP =z , 12DHP/CDUP/SMApre-screen ....&... (SMA map printout http://gis.hicentral.com/website/parcelzoning/viewer.htm.,or INGRID'S SMA/CD MAP)

(LUC map printout http://Iuc.state.hLuslluc_maps.htm., or INGRID'S SMA/CD MAP) FOLDER: o MADE NEW FILE FOLDER, ATTACHED

~ FILE FOLDER ALREADY MADE, IN FILE CABINET

INCOMPLETE ACTION DATES:

ACTION

Page 60: 'V~ - HIGP

Search Results o o Page 1 of 1

Assessed values reflect tax year 2009 for all islands. Taxes reflect tax year 2009.

Search criteria: TMK Taxkey 2-3-9-7-2

PUBLIC RECORD DATA Taxkey Subdiv/Condo Tn r Address Owner/Lessee Bds Bths Land areaLiv area Last Sale Instr Pr

re2_3_9_7_2[]centraIKihei F 1178 RIXEY,GEORGE3 1 12,981sqft 2,4856/27/1997DEED$575,( ULUNIU ALLEN/ETAL RD

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

Copyright ©8/S/2009 by Hawaii Information Service

http://webrel.hawaiiinfonnation.comlREsearchIHIS/Searchisearch ]UB.asp?NOCACHE= 124952 1479421 8/5/2009

Page 61: 'V~ - HIGP

Approvea Well No. Well Name Applicant

3/17/2004 5514-11 Hoolawa Spell Heather Spell

4/2/2004 5417-04 Kaupakalua IN & IN & RS, LLC.

4/12/2004 5424-11 Spreckelsville-Ro Alice Kathy Ross

4/21/2004 4126-05 Wailea Ike

4/23/2004 2052-01 Maunaoni

5/5/2004 4326-12 Ke Alii 2

5/5/2004 4326-11 Ke Alii 1

Grand Champion Villas

Mauna Loa Land, LLC

KAK II LLC

KAK II LLC

5/5/2004 4527-16 Waiohuli-St. Ther St. Theresa Church

5/19/2004

6/312004

6/10/2004

5731-06

5424-12

4835-04

Waihee Equestria Koolau Cattle Co.

Spreckelsville-Bu Micah Buzianis

Ukumehame 3 Sugar Way, Ltd.

6/18/2004 3824-01 Ulupalakua- Berk Roberto Berkowicz

8/1/2004 5731-07 Waihee Equestria Koolau Cattle Co.

"".:;" '" ulI:::ilrUClIOn Driller Pump Inst. Type Issued Signed WCR1 Accept

tJump Installation Issued Signed WCR2 Accept

C-20115 C-20115 BOTH 3/22/2004 9/10/2005 11/29/2006 911812007 10/11/2006 11/10/2006 11/29/2006 911812007

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115 C-20115

C-20115 C-20115

BOTH 4/12/2004 6/20/2004 2/912007 2/9/2007 2f712008 10/20/2006 10/24/200710/24/2007

BOTH 514/2004 5/30/2004 6/24/2005 6/24/2005 8/412005 1115/2006 12/21/2006 911912007

BOTH 412112004 4/26/2004 11/8/2004 11/8/2004 11/29/2004 112012005 2/312005 2/3/2005

BOTH 5/412004 11129/2006 11/29/2006 2/1212007

BOTH 5/12/2004 10/4/2004 4/8/2008 5/27/2008 6/13/2008 6/20/2008 5/23/2008 6/20/2008

BOTH 5/12/2004 10/4/2004 41812008 5/27/2008 6/13/2008 6/20/2008 5/23/2008 6/23/2008

BOTH 5/12/2004 4/112005 2/8/2008 2/11/2008 7/13/2007 2/812008 2/8/2008 2/11/2008

BOTH 5/21/2004 5/25/2004 6/10/2004 6/15/2004 6/29/2004 10/29/2004 11/112004 11/1/20040

BOTH 6/912004 9/5/2004 12121/2006 911912007 10/29/2007 11/29/2007 912012007 9/20/2007

BOTH 611712004 8/2/2004 3/23/2005 3/30/2005 4/20/2005 C~~ BOTH 6/25/2004 7/12/2004 4/812008 6/5/2008 711/2008 7112/2004 5/1/2008 6/5/2008

BOTH 81212004 8111/2004 11/1/2004 11712005 1/18/2005 1/30/2005 2/312005 2/3/2005

9/15/2004 3725-01 Moomuku 1 Hawaii VIP Country Club, Inc. C-20115 C-20115 BOTH 9116/2004 9/20/2004 2/312005 2/9/2005 2/17/2005 2/24/2005 3/14/2005 3/14/2005

10/6/2004 4225-01 Maui Meadows T State of Hawaii DLNR

10/18/2004 5617-01 Haiku Summit Tr Louis B. Murphey

12/17/2004 4226-19 Kilohana Waena D & I Enterprises, LLC

12/20/2004 5230-03 lao Tank Explorat Maui DWS

C-20115

C-20115

C-20115

C-20115

12/29/2004 4424-01 Keokea Maui Hig Maui Highlands Properties, LL C-20115 C-20115

1/3/2005

1/3/2005

5/4/2005

1652-02

3558-01

5240-09

Opihihale-Rullo Donald Rullo

Keauhou-Roberts Michael Robertson

Kahoma Irrigation Kahoma Development Co.

5/12/2005 5831-01 Kahakuloa-Winn Peter Winn

101712005 4326-13 Kamaole-Aloha V Joseph Sugarman

10/7/2005 5413-14 Huelo-Dosland Mike Robertson

1017/2005 5515-06 Clark Steve Clark

2/23/2006 5318-01 Pauwela Farms 1 Pauwela Farms

4/16/2006 5424-13 Spreckelsville-Ba Barkly Bastian

Wednesday, August OS, 2009

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

WELL 10/13/2004 10/28/2004 2127/2007 6/28/2007

PUMP 1 0/29/2004 1111212004 10/5/2005 1 0/5/2005

BOTH 12/30/2004 211/2005 10/24/2007 2/25/2008 3/6/2008

WELL 12/30/2004 212112005 4/5/2006 1/24/2007

11712005 1/10/2005 5/24/2005 5/24/2005 6/2/2005 6/9/2005 3/20/2006 6/812006 BOTH

BOTH

BOTH

BOTH

11712005 3/25/2005 rLnrv.:.,,!> . ~ ~ r I I.~ ./ o."'\.~ 1I;Y~r;..v..." MI _i-fi~ '.

1/6/2005 1/31/2005 (2128/2008./ ., . 3/512008 i .... _ . ..-" . ..---/

5113/2005 5/20/2005 3/612008 3/6/2008 5/31/2005 5/9/2005 31712008 31712008

BOTH 5/31/2005 11/5/2006 8/13/2008 8/13/2008 5/31/2005 11/5/2006 8113/2008 8/13/2008

BOTH 10/13/2005 10/20/2005 4/18/2008 5/27/2008 6113/2008 6/20/2008 5/23/2008 5/25/2008

BOTH 10/13/2005 10/11/2006 2/27/2008 212712008 4/4/2008 4118/2008 3/4/2008 2/27/2008

BOTH 10113/2005 1/10/2006 2/27/2008 212712008 4/4/2008 4/2212008 3/4/2008 2/27/2008

BOTH 31712006 10/15/2006 7/2/2007 8/14/2007 31712006 10/15/2006 71212007 8/14/2007

BOTH 511 /2006 4112/2006 4/23/2008 4/23/2008 5/6/2006 5/9/2008 4/30/2008 4/30/2008

Page 5 of6

o

Page 62: 'V~ - HIGP

Approved Well No. Well Name Applicant

6/15/2006 5517-07 Ulumalu-Hamilton Laird Hamilton

7/20/2006 5419-04 Kokomo Goings Arthur A. Goings

7/20/2006 5839-04 Kahana-Mailepai Maile Pai LLC

7/26/2006 5513-02 Honokala-Bryce Betty K. Bryce

11/15/2006 4720-01 Omaopio-Siele B John Siele

11/20/2006 4926-02 Hawaiian Cement Hawaiian Cement

2/6/2007 5513-03 Hookala Caro Joe Care

2/12/2007 4719-01 Pulehu Farm Pulehu Farms, LLC.

Well Construction Driller Pump Inst. Type Issued Signed WCR1 Accept

C-20115 BOTH 6/20/2006 6/28/2006 51712009 5/7/2009

C-20115 C-20115 BOTH 8/3/2006

C-20115 C-20115 BOTH 7/26/2006

C-20115 C-20115 BOTH 8/312006 10111/2006 512712009 5/27/2009

C-20115 C-20115 BOTH 12/5/2006 11312007 1116/2007 11/6/2007

Pump Installation Issued Signed WCR2 Accept

6/20/2006 6/28/2006 51712009 5/7/2009

8/3/2006

7/26/2006

8/312006 10111/2006 512712009 5/27/2009

12/5/2006 4123/2009 4/23/2009 4/24/2009

C-20115 C-20115 BOTH 11/21/2006 12/212006 8113/2007 9/612007 11121/2006

C-20115 C-20115 BOTH 2/12/2007 2/15/2007 6/16/2008 7/30/2008 211212007 2/15/2007 6/16/2008 7/30/2008

C-20115 C-20115 BOTH 2/12/2007 2/15/2007 12/3/2007 12/3/2007 1/22/2007 1/25/2008 1/21/2008 1/30/2008

8/8/2007 5631-09 Waihee Deep Mo State of Hawaii DLNR - CWR C-20115 WELL 8122/2007 o 10/17/2007 5631-10 Waihee Equestria Koolau Cattle Co. C-20115 C-20115 BOTH 11/6/2007 11/6/2007 1124/2008 7/31/2008 11/6/2007 11/6/2007 1124/2008 9/11/2008

10/17/2007 5118-04 Piiholo South Piiholo South, LLC C-20115 C-20115 BOTH 11/6/2007 11/6/2007 2117/2009 3/27/2009 11/6/2007 11/5/2008 2117/2009 3/27/2009

10/30/2007 5619-01 Rush 1 Rusha Randle C-20115 C-20115 BOTH 11128/2007 11/10/2007 212012009 2/20/2009 11/28/2007 1111012007 2/20/2009 2/20/2009

1/15/2008 5030-01 Maalaea 4 Waikapu Properties, LLC C-20115 C-20115 BOTH 1/16/2008 2/312008 7/2/2009 7/2/2009 1/16/2008 2/312008 7/2/2009 7/2/2009

1/15/2008 5031-01 Maalaea 5 Waikapu Properties, LLC C-20115 C-20115 BOTH 1/16/2008 2/312008 7/2/2009 1/16/2008 2/312008 7/2/2009

2/25/2008 3807-01 Kumunui Kaupo Ranch Ltd. C-20115 C-20115 BOTH 4/8/2008 4/8/2008

4/30/2008 3807-02 Kaupo Ramey Ramey/Foley/Hyde C-20115 C-20115 BOTH 5/16/2008 5/16/2008

4/3012008 4727-10 Kihei Gateway -G Goodfellow Bros, Inc. C-20115 C-20115 BOTH 5/23/2008 5/15/2008 8/612008 8/6/2008 5/23/2008 5/15/2008 8/21/2008 8/21/2008

5/9/2008 5731-09 Hatchery Melvin Mendes C-20115 C-20115 BOTH 5/23/2008 5/23/2008

6/20/2008 5518-06 Pauwela-Blietz William Blietz C-20115 C-20115 BOTH 7/812008 7/11/2008 11/20/2008 211712009 7/812008 7/11/2008 11/20/2008 2/1712009

6/22/2008 5515-08 Haumana-Pitts Ronald and Jason Pitts C-20115 C-20115 BOTH 7/812008 7/11/2008 1/21/2009 3/912009 7/8/2008 7/11/2008 3/912009 3/9/20090

7/2/2008 4702-02 Hana Plantation Hana Plantation, LLC C-20115 C-20115 BOTH 9/4/2008 9/5/2008 6/1/2009 9/4/2008

9/30/2008 5616-07 Manawai-Felton Frank Felton C-20115 C-20115 PUMP 12122/2008 711312009 7/13/2009

10/27/2008 5515-09 Haumana-Robers Kaleo Roberson C-20115 C-20115 BOTH 1115/2008 11/17/2008 412312009 11/5/2008 11/17/2008 412312009

10/27/2008 4818-01 Kula Koa Kula Koa LLC C-20115 C-20115 BOTH 11/5/2008 11/5/2008

5/19/2009 5424-14 Spreckelsville-Sp Henry Spencer C-20115 C-20115 BOTH 5127/2009 7/24/2009 5127/2009 7/24/2009

Page 63: 'V~ - HIGP

rO.RTMENT OF LAND AND NATURAL REsoAs )OCUMENT NO . .. UAC OR ATIACHED WORKSHEET DATE· August 5 2009 ,

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

S 10 326 C 1026 0752 (1 ) $25.00 TNWRE INC.

" " " " " " (2) $25.00 Wailani Drilling

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $ 50.00

::MARKS: LINE (1) EAKT# 1 Well LINE (2) Rixe~Weli LINE (3 LINE (4) LINE (5) LINE (6) LINE (7) LINE (8) LINE (9) LINE (10)

Page 64: 'V~ - HIGP

~h> STATE OF HA~I 0 ff~ For Official Use Only:

'"' , DEPARTMENT OF NO AND NATURAL RESOURCES RECEIVED V

I COMMISSION ON WATER RESOURCE MANAGEMENT I q ) OMMISSION ON WATER '~ APPLICATION FOR A WELL CONSTRUCTION I R SOURCE r1ANAGEHENT PUMP INSTALLATION PERMIT

AUG-3 APt 9:29 Instructions: Please print in ink or type and send completed application with attachments to the Commission on water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. Application must be accompanied by 10 copies and a oon-refundable filing fee of $25.00 payable to the Dept. of Land and Natural Resources. The Commission may not accept incomplete applications. For assistance, call the Regulation Branch at 587-0225. For further infonnation and updates to this application form, visit http://www.hawaii.gov/dlnr/cwrm.

WELL LOCATION INFORMATION 1. STATE WELL NO. (if already assigned) J 2. WELL NAME 3. ISlAND 14. TMK ~ -~-~'t 0)2-\---\01Aj :

~~ The following must be attached before this appflCation is accepted as complete:

- 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 • Property tax map, showing well location referenced to eslablished property boundaries • Photograph of the proposed well site _A schematic diagram showing the well site, access road and proposed well infrastructure • For cLugwells. allach a grading plan with ClOSS section profiles showing existing and finish grades

5. G~L OPERATOR'S NAME/COMPANY 1 Well Operator's Contact 6. LANDOWNER'S NAMEICOMPANY lland~: a.Y!'\-e F-i ~-eL"i "C)0w\€" G~e ~\~.:eU

Well Operatonl MaHing Address " landowner's MaIling Address "J

\\ 1"Cb ulM...V\i l.L ~ I \L{Vle.1 H1. Qu:t5'? \ \?rt6 \,.lLu.ni lA- '(:lot L \Li h-e.i th Qtg"¥.53 '1.1 Operator's Phone I Well Operator's Fax

q to· qCflft ..--- I Well Ope~-maiI landowner's Phone _lla[ldowner'S.Fax

2qfO·4q~1- ---I Land~-ma~

PROPOSED WELL CONSTRUCTION PROPOSED PUMP INSTALLATION

7~Work 8. Construction Type 10 Proposed Work 11. Proposed Pumping Rate, gpm ~ Method of flow measurement onstruct New Well ~Drilled illnstall New Pump (gallons per minute) Flowmeter

o Modify Existing Well DOug o Replace Pump 60 o Other (explain) o Abandon/Seal Well o Shaft

12. Proposed Amount of:< o Tunnel Withdrawal, gpd (gallons per day)

9. Is this well part of a batte/), of wells? 0 yesj( No '=5,000 . ..,;: 14. Proposed Surveyor name and license number (a surveyor is required for all Well Construction Permits and maY be required for some Pump

Installation Permits) tJ / f+ 11:> rl._ '-.I(1"y r ,

~

PROPOSED USE

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

o 16. Domestic Number of units to be served:

o 17. Industrial (describe)

~18. Irrigation (describe crop and no. of acres) L\ UvV/!I o 19. Milita/)' (describe)

I 0 20. Other (describe)

OTHER LEGAL REQUIREMENTS If required, items 21. and 22. must be obtained before the Commission can legally issue a permit:

21. Conservation District Use Permit (CDUP) o Well is in Conservation District

o Required, COUP # date approved o Not Required (attach documentation from OCCL) o I have not checked with OCCL about whether or not a COUP is reqUired. I understand that checking with OCCL prior to making this

application will expe<flte my review. I further understand that issues raised by this agency may delay or result in denial of the permit ~ issuance, or revocation of the permit after it is issued.

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

review. I further understand that issues raised may delay or result in denial of the permit issuance, or revocation of the permit after it is issued. ~pecial Management Area Permit (SMAP) \J) ~ 0' <t,Wl2 ~ ~ u:~~ &.t \ equired, SMA # ~ It> 00 lP date approved • ,

Not Required (attach documentation from applicable County agency) o I have not checked with the county about whether or not an SMA Permit is reqUired. I understand that checking with the County prior to making this

application may expedite my review. I further understand that issues raised by this agency may delay or result in denial of the permit issuance, or revocation of thepE!rmit after it is issued.

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

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

prior to making this application may expedite my review. I further understand that issues raised by this agency may delay or result in denial of the ~rmit issuance, or revocation ot the permit after it is issued. Additionally, the history of past land use is attached.

I\dditional remarks, explanations, etc. (attach additional sheet if more space is needed)

~OTE: Signing below Indicates that the signatories understand and swear that the information provided is accurale and true to lhe best of their knOWledge. 'urther, the Signatories understand that upon permit approval: 1) the proposed work is to be completed within two (2) years ofthe approval date; 2) the :ontractor shall submit to the Commission a well completion/abandonment report within 60 days after the completion date of the permitted work; 3) in the ,vent that the application is not completed correctly, any permit may be suspended until the item is brought in 10 compliance, and any work done while the ermit is in susjltHlsion may result in fines of up to $5000/day. 4. VVELL DRILLER (Must be filled out if application is for Well Construction) 25. PUMP INSTALLER (Must be filled out if application is for Pump Installation)

_~J~N,?-Vll5 1''Z~'oq

"~~~;~~~~No. . ". . . rJrtcf'.,J 1~16 -Ot!

ignature Pont .p...iJ f:,et1&PL-1 Date Signature Print (lIJ/ur1JCI1 Date

-' • WCPI Application Form 02/2612007

Page 65: 'V~ - HIGP

o o

Page 66: 'V~ - HIGP

c

PROPOSED WELL SECTION (Please attach schematic H diffelent from diagram provided below)

Hole Diameter: It '~n. Elevation at top of casing ft .• msI* l!-r Minimum of'Z Radius & 4" Thick Concrete Pad (to contain benchma

H surveyed to nearest 0.01 ft.)

B r7:~' ~ r Ground Elevation: .•.• msl* • '.~ ':4 '.'~' .

//~, " .. - , ., /1""'" /fIR>'

:-.::4 :.:::. Please refer to the (0 Cement Grout: ft. r.,: ,'. RA WAll WELL CONSTRUCTION AND

(min. 70% of distance from :.'l : .. ~. .;". :: 4, '.: PUMP INSTALLATION STANDARDS ground elevation to top of .:: ;. >:;.

water surface or 500 ft.. '~:!.' ~:~:: to ensure that your as-built is in compliance with

whichever is less.) .... 4: applicable S1Bndards .

- ..... '.::'. .4.

;'-: , '.

Grouting method: Annular space between hole '::~' :. ~.

Solid Casing: (~ 90% x (Ground (ev.-water Level Elev» '~.'.: ~. '.:

o Positive and casing (1.5" for positive -.: ~. :::;. displacement. 3" for other .;.:

~:;:: ~ Total Length: ft .

'4 ~isplacernent methods): Nominal Diameter: it in. /:.~:: .... Other

~ -.. .' . '.~' .

1~ in. • '.1'. ;'.:.0. Wall Thickness: . in . - :. ~. :. f' .. ' Bottom Elevation: ft .• msl* :'.':

Rock or Gravel Packing: - r- ~:

~ r Total Depth l.p It. ----., f ~~I' Open Casing: tj!erforated o Screen \IV ft. Material: ~r " (j-~ Total Length: LP~ ft. o Crushed BasaH ~ ~ ~1~ / Nominal Diameter: {p in. ~OUndedGravel G.)

~,

~~fE .., y Wa" Thickness: in. , /;t(l! Estimated Water Level Bottom Elevation: ft .• msr

~ 1_ Elevation: note: Neither bentonite nor mud should be used in 1 -''-- -ft. msl* saturated zone during drilling

Open Hole:

N/1 Length: ft.

Diameter: in. '----- Bottom Elevation: ft .• msl*

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

For non-saH water Basal Wells - bottom elevation of we" should not be deeper than 1/4 of aquifer thickness or. Bottom Elevation of Well Umit = (Water Bevation _ 41 x Water~el E!evatjon )

Example: Estimated + 2 fl water Level Elev. -+ Bottom Elevation of Well limit = (2 _ 41: (2) = -18.5 fl

Solid 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 A6(6) 0 Type E 0 Type S 0 Grade B 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): t(Scheduie 40 0 Schedule 80 0 Schedule 120 Thennoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM ot99s

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 Auorocarbon 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 A6(6) 0 Type E 0 Type S 0 Grade B 0 Other Stainless Steel: (check one): 0 ASTM MOO (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): 'a Schedule 40 0 Schedule 80 0 Schedule 120 Thennoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM d2\ea

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

rk

WCPI Application Form 02126/2007

Page 67: 'V~ - HIGP

o

Page 68: 'V~ - HIGP

TOPO! map printed on 07/29/09 from "Untitled.tpo" 156°28.000' W 156°27.000' W

o

o

156°28.000' W 156°27.000' W WGS84 156°26.000' W 0 i! I

TNr NATIONAL MllfS IIJl. 0 I!II! ~ ~ ~ :pi 10°

GEOGRAPHIC fEEl I ~ K1wn:AS I

11m 1000 07/29/09

Page 69: 'V~ - HIGP

r

o

8- . ; \ r" <?,.. ••• ·0

J , \® ,~.,a~" ~

~ I • i 8t IT

II·fIA-/-I

~ S~ '.. :~~~::::~:::~~.:':-U::~~;~~~~~::::::::::::::::::::::::::----~::::---:'f--""""''f---'''"'Ir---'''-;Ir--''--' Ii I-~"" -;:'.'''' !a)''"I'/G"1'> '::;;;:tJ,I;.., et"..'¥ ,,.. • .,.., ® nlNn7n (i) Ot'OIi. r

-;y •• ro

~~ ~I !

~

;W~;J!; ..,,--:1.J1~1.~

.... ~~ ..... :~

... .~ ..... , ~5- ~= f;'I,."'" :j -" l\\ l\\ ,...., ~

,,* 8 3 __ cit

II , .. ,.

;'N~ ~ p~~;:C:: 0 3 .~

8 ~; .,,,II'~ ~~;t:. •• t +

ft 0 ;' ,- ..

. ~ , .. ,~, ~

• 3 ...

~ 'N w"" 'I- • _ .... *~ • .a ,.,_

8 ~"·A- ~ .... ~ "" -ft

, .. ,., II-. ,-", 8 ~. 3

~ ._.,.. -..,,.".""" 7'"'· ____ r~

" • ... ,," 0 J.N'I'~&. a. ' .... , ,;t

~~~l~ !L~;'

1!E:H"

'a'l,' s~'/:t4 t~t~l;~!'

!::1T, ~.';,~. ~ _t'. ~ ~

~,,: C f ... ;~£~ cl.n-lie:" (II: ..

"\1' I.~ i1, jjl~ .l..

l1li .. ', '1,. IT I

tflf,~·ft

"'.,. "J. r,',

IHhct 'rl"l"'~ & W.h~~,p.,..., ...... __ I) " 3WUM ..

It ,-., ~

/,4".,

0 I-I"'Jt:::~J ::::,7: 3 IA-., .,'""...,/.....,.,.~

( lit B-It ~

, .. "., ,.01.'" I~ I'" .. ~'!~1

a ..... ,~~'''''

_'Ot ..um

~ 1 8 ~ -.,-Co' •. ...::t

I) N.l ..... ,..;..,.",.~..,,~;

i • ,..,.., '" "04W R • 1

to'~I",

~'.I!hc ~.,.,.

-.. • ~~f";;~ f'J,1fM!W _If', 8 -'-'W_

\; fi. ft.' It If 50

. .... ~

'. ,.ONU ,~".u ,..4.." I'''''' "' .. " , ... ."

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

i~··';; ~.,

" " " .. . r \'.,

~ ......

';i ..

Page 70: 'V~ - HIGP

- CHARMAINE TAVARES f!). Mayor

JEFFREY S. HUNT Director

RECE'\'EO COHHISS\ON ~ti WGE"~t':n

RESOURCE HArH" KATHLEEN ROSSAOKI Deputy Director

Mr. Wayne Arakaki

COUNTY OF MAUl DEPARTMENT OF PLANNING

June 8,2009

Wayne Arakaki Engineering, LLC P.O. Box 884 Wailuku, Hawaii 96793

Dear Mr Arakaki:

SUBJECT:

Project:

SPECIAL MANAGEMENT AREA (SMA) MINOR PERMIT APPROvAL

RixeyWell

.. AUG -3 AM g: 29

Description: Installation of a water well to supply brackish water for irrigation purposes at 1178 Ulunui Road, Kihei, Maui, Hawai'i

1.0. No.: (SMX 200910006) (SM2 200910041) TMK: (2) 3-9-007:002

In response to your application received on January 5,2009, and in accordance with the SMA for the Maui Planning Commission, Sections 12-202-12 and 12-202-14, a detennination has been made relative to the above project that:

1. The project is a development;

2. The project has a valuation not in excess of $125,000.00; (Valuation: $50,000.00)

3. The project has no significant adverse environmental or ecological effect, taking into account potential cumulative effects; and

4. The project is consistent with the objectives, policies, and SMA guidelines set forth in the Hawaii Revised Statutes (HRS), Chapter 205-A. and is consistent with the County General Plan and Zoning.

In consideration of the above detennination. you are hereby granted a SMA Minor Pennit Approval (SM2 200910041). subject to the following conditions:

1. That construction shall be in accordance with the description and plans submitted on January 5, 2009.

2. That the applicant shall obtain a Well Construction and Pump Installation Pennit from the Department of Land and Natural

250 SOUTH HIGH STREET, WAILUKU, MAUl, HAWAII 96793

MAIN LINE (808) 270-7735; FACSIMILE (808) 270-7634 CURRENT DIVISION (808) 270-8205; LONG RANGE DMSION (808) 270-7214; ZONING DMSION (808) 270-7253

Page 71: 'V~ - HIGP

e ".