State of Hawaii For Official Use Only: COMMISSION ON WATER ... · Re: Piwai Pump No.2 (No. 5629-01)...
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Transcript of State of Hawaii For Official Use Only: COMMISSION ON WATER ... · Re: Piwai Pump No.2 (No. 5629-01)...
o 0 State of Hawaii COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources
For Official Use Only:
RECEIVED
WELL COMPLETION REPORT - PART II Pump Installation .... nl? n .. g., "'J'9 O· H !H.· , /.\
V i1k(\, • -
Instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. The Commission may not accept incomplete reports. This form shall be submitted within 60 days of the completion of work. For assistance, please consult the Hawaii Well Construction and Pump Installation Standards or call the Regulation Branch at 587-0225. For updates to this form or additional information, please visit our website at http://www.hawaii.gov/dlnr/cwrm/
t_~ltJI1\('~ ;~~! r'i \l,J/ '~;~.;-{
1. State Well No.:
2. Address:
5629-02
Upper Omao
Well Name: Piwai Well #3
Tax Map Key: 3. Pump Installation Company: Beylik Drilling & Pump Services, Inc.
4. Date Pump Installed: _N_o_v-::-e-;-;m_b-,-e_r_19_,_2_0_07 ____ _ month/day/year
5. PERMANENT PUMP INFORMATION
2-5-01:02
, , 1\1.
Island: Kauai
Pump Type, Make, Serial No.: Lineshaft Vertical Turbine, Goulds, 12CMC, SN 515815-1
1050 Rated Capacity: --------------------------- gpm at head of: Motor Type, H.P., Voltage, rpm:
Pump type (check one):
~ Deep Well Turbine
o Submersible
o Centrifugal
VHS, US Motors, 250 HP, 460V, 1785 RPM
o Rotary
o Rotary-Displacement
o Rotary-Gear
660 ---------------------
o Propeller
o Reciprocating
o Impulse
6. Method of flow measurement:
ii Flowmeter Manufacturer Wyatt/Badger Model no. BVT-F Size 8"
't.._', r
ft.
-------------o Other, explain and attach schematic
7. Fill in the as-built section on the other side of this sheet.
S. 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
11. Land Owner
12. Remarks
Company Kauai Department of Water Supply Contact Bruce Inouye
Address 4398 Pua Loke Street, Lihue, HI 96766
Phone 808 245-5415 Fax 808 245-5813
Company Kauai Department of Water Supply Contact Bruce Inouye --------~----------------
Address 4398 Pua Loke Street, Lihue, HI 96766
Phone 808 245-5415 Fax 808245-5813
Pump Installation Con~nt) ._B_ey~l:::;:ik_D~ri.,..II.i,.....I)9 ______ C-57 /C-57a/A Lic. No. ;....;A..;;,.C..,;;-2;.,;.1.;;;.,89;;.,.;6'---____ _
Signature (//A..:- -r::J /J Date 3·(v·of;> ., /
I WCR2 Form 3/17106 Page 10'2
/
o 0
7. AS-BUILT PUMP SECTION (Please attach as-built if different from diagram provided below)
Bench mark elevation surveyed to nearest 0.01 ft. = __ ft. mean sea level n L-------I
pending I
El (pending - 624') ft MSL
Elevation of top of chase tube pending ft. mean sea level
j
I <l;--i ! !
I I I j
1
I ~
Pump intake depth = 661 . 1 ft. (referenced to bench mark)
Chase tube depth = 650 . 5 ft. (referenced to bench mark)
If airline installed, bottom of airline elevation = N/A ft. mean sea level
WCR2 Form 3/17/06 Page 2 of 2
~.N .l-OU7 t~v l ,/2CXl2
; .
Goulds Pumps
~"I~'IYl\.lII\""" lU ....
~-~E. OF t\\Lrcw'" ..,:'" "\~ .. '."." .... ~~~"
• ITT Industries
ITT - Goulds Pumps Turbine Operations
.~.:.: .... * '.-~.,. ; .~~ , ~ 'ttl -' •• 1, ,............ \ . ., I BR ... t ••••••••••••••• .:. •• ~
~ .. .,.!~.f.'J: .. ~:. STEPHENS 1 It''''O ~ ••• _ ........... , ••• .,
1000 _ '-?bo., (. ~~u:;) . 4t;: _ 100 - . TDH ··t~··r.c~ I~ "'~ •• ~~W -~ '. ~~/;f1f).~ :.::.iG!r' -
900 r-.... Eff ~'''''A.t!~ ~ ,= 90 = . . " . /l:I}Ip(~ :_ 800 = ....... ~~.:. ~:'. = 80
700 ~ ': /,:-...~, "i'... ~ 70 * 600 § .;A : DeSi;'X .• ~ 60
500 § / . '. .~~ , ~ 50
~·I .... ..~.: .: 400= ",.'" (.. .'. ~ .:
_ . . ., ,,: = 40
300 E.·/' ": ···~30 ~:·I"·· .... ,. , ...... . -' .'
'100 - .' HP
--
: -: -
20
:00 § I • ..' o 1, i.l 1 1 111 I
o 200 400
so: 515815-1 Model: 12CMCIIO
.: "
i I I IIi
i -: -.-: - 10 . -. -
.. -\ .. I ill I l Ii - 0
600 800 1000 1200 1400 1600
Flow - GPM Certified Test Results
By:b~ ~
Title: Engineer Date: Oct. 16,2006
( 'l,. S('" t't -0 z. ?",JIn 1f.: 3>
Imp Dia: 8.69 in Speed: 1770 RPM
. .
o
o
>
>
BEYLIK DRILLING & PUMP SER~, INC. , 91-259A OLAI STREET'-'
KAPOLEI, HAWAII 96707 PH: (808) 682·5554 FAX: (808) 682-5866
DATE I JOB NO. 1418H 3/10/08 ATTENTION
CHARLEY ICE RE:
PIWAI WELLS NO. 2 & 3 TO COMMISSION ON WATER RESOURCE MGMT
PO BOX 621
HONOLULU, HI 96809
r--. ~-".; , ... ~., ''':~ <::0 :
WE ARE SENDING YOU ~ Attached D Under separate cover via __________ the following items: .<:~ ~
COPIES
1
1
D Shop drawings
D Copy of letter
DATE NO.
D Prints D Plans
D Change order D
WELL COMPLETION REPORT PART
WELL COMPLETION REPORT PART
THESE ARE TRANSMITIED as checked below:
D Samples D S;pecifi~ons
, .. :J:::> ....... DESCRIPTION CO .. II (WELL NO. 56t9l-o:a) c..~
II (WELL NO. 5629-0) c.o
-.. ,-: PI 1:.J
D For approval D Approved as submitted
D Approved as noted
D Resubmit ____ copies for approval
D For your use D Submit ____ copies for distribution
~ As requested D Returned for corrections D Return ___ corrected prints
D For review and comment D __________________________ _
D FOR BIDS DUE _______________ _ D PRINTS RETURNED AFTER LOAN TO US
REMARKS _______________________________________________ _
COPYTO __ 1_4_1_8_H~/_C_F_I_LE ___________ _
SIGNED: rll}~: If enclosures are not as noted, kindly notify us at once. FOR: FRED G. CAMERO, JR.
il."
COMMISSION ON WATER RESOURCE MANAGEMENT (10107)
FROM: ROY DATE: ---------------- SUSPENSE DATE: -+FE~Br+2rl~~w.-- ----------------
TO: INIT. TO:
CHENG, C. KIMURA, J. CHING, F. KUNIMURA. I. CHONG,R. LEROUX,E. DANBARA, S. NAKAMA, L. ENGLAND, D. OHYE, M. FUJII, N. __ OSHIRO, K.
-;c- HARDY, R. ~ SAKODA, E. '? HOAGBIN, S. ~.-- SWANSON, S.
-I- ICE, C. __ UYENO, D. IMATA, R. YODA, K. I KAWAHARA, K. - -- YOSHINAGA, M.
INIT: \ FOR:
Approval ~ Signature
Information
PLEASE:
See Me Review & Comment
~ Take Action __ Type Draft
~ Type Final File Xerox _ copies
~/'fW...o 0 rfu ~~~ - M ~r'~ J~~+t~'7
LINDA LINGLE GOVERNOR OF HAWAII
Mr. Kurtis Jones
o
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
March 19, 2008
Kukuiula Development Company, (Hawaii), LLC P.O. Box 280 Koloa, HI 96756
Dear Mr. Jones:
Request of Extension of Pump Installation Permit Piwai Well 3 (Well No. 5629-02)
LAURA H. THIELEN CHAIRPERSON
MEREDITH J. CHING JAMES A. FRAZIER NEAL S. FUJIWARA
CHIYOME L. FUKINO, M.D. DONNA FAY K. KIYOSAKI, PE LAWRENCE H. MilKE, M.D., J.D.
KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR
We received your letter dated February 25,2008, requesting an extension of the caption permit for an additional three months. We understand that the shaft was out of alignment and needed replacement.
/ By this letter, your request is approved. Your new expiration date is May 30, 2008. All
other conditions of your permit remain the same. Please file this letter with your permit.
If you have any questions, please contact Charley Ice of our staff at 587-0251 or toll-free from Kauai at 274-3141, extension 70251.
Sincerely,
f~~ Deputy Director
CI:ss
/
c "Fred Camero" <[email protected]>
02/28/2008 01 :05 PM
o To <Charley.F.lce@hawaiLgov>, <Roy.Hardy@hawaiLgov>
cc <Ryan.R.lmata@hawaiLgov>
bcc
Subject RE: Pump Installation Permit Question, State Well number 5269-02 and 02
r~~'"Hi~tor}H~"';:::i-":':' ~:T~iS im~~~g~:ifu;b~~ri;:;~ii;d1~: ..•• ~ ?:r'" .. ~:;~~~~. tM'" " ~~: ~ ~~,,,J,,~~~, ,('m~':~~~ ~;,_" "~~_'W~~
Hi Charley, 6 months is fine. Thank you so much for the quick response. Aloha.
vIr, Fred G. Camero, Jr.
From: [email protected] [mailto:[email protected]] Sent: Thursday, February 28,2008 11:48 AM To: [email protected] Cc: Fred Camero; [email protected] Subject: RE: Pump Installation Permit Question
Will do. Is 6 months adequate?
Roy HardylDLNRIStateHiUS
02/28/2008 11 :44 AM
Fred,
To "Fred Camero" <[email protected]>
cc Charley.F.lce@hawaiLgov, Ryan.R.lmata@hawaiLgov
Subject RE: Pump Installation Permit QuestionLink
Given motor wasn't hooked up until the startup, you couldn't fill out the first WCR2 I mentioned in the email crossover I just sent. Therefore, this follow-up work can't be deemed maintenance but is really a continuation of the original work. In that case, Charley can issue the short extension you requested but keep in mind for the future that the installation permits require these extensions prior to the expiration of the permit so there's no actual permit break in authorized work.
"Fred Camero" <[email protected]>
02/28/2008 11 :32 AM
To <Ryan.R.lmata@hawaiLgov>
cc <Charley.F.lce@hawaiLgov>, <Roy.Hardy@hawaiLgov>
Subject RE: Pump Installation Permit Question
Thanks Ryan. I'll await Charley's response.
I just re-read my email to you. I wanted to clarify that I did not submit a WCR part II after the first install because there were still some unfinished items at the time. We did not install the motor until right before the startup. The GC did not (and still hasn't) hook up the flowmeter and set the benchmarks ...
Thanks again.
Fred G. Camero, Jr.
From: Ryan.R.Imata@hawaiLgov [mailto:[email protected]] Sent: Thursday, February 28,2008 11:10 AM To: Fred Camero Cc: [email protected]; [email protected] Subject: Re: Pump Installation Permit Question
Hey Fred,
I'll let Charley answer this question since Kauai is his jurisdiction. Charley's direct line is 587-0251.
Ryan
"Fred Camero" <[email protected]>
02/28/2008 10:59 AM
Hi Ryan,
To <Ryan.R.lmata@hawaiLgov>
cc Subject Pump Installation Permit Question
We installed a pump on Kauai before the permit expiration date (new construction). However, upon subsequent startup 6 months later, the pump had to be pulled due to lineshaft misalignment issues. We expect to re-install in about 2 - 3 weeks from now, and then file the WCR part II.
Question. Would I need an extension to the permit as it had recently expired (2/1/08)? Please advise. Thank you.
vIr, Fred G. Camero, Jr.
_ ... _ ..... diiiHflif h.lIj1""'filfjiil .. 'liiM.il PijijiiMM.iliiflbMiym"iiPr""'ihllii· Miii.Mii_ IM1iiii •• iiiMAiihMi:iiHi ...... waCUWli .... 14NA""un;lGihq.U'KiP;; UA". ' •• iI*I' ,; '.4:1.11.4 .... ,
1
KAUA'I'S LIVING GARDEN
February 25,2008
State of Hawaii Department of Land and Natural Resources Commission of Water Resource Management P.O. Box 621 Honolulu, Hawaii 96809
Attn: Mr. Ken Kawahara
DB fEB 27 A 9: I 5
Re: Piwai Pump No.2 (No. 5629-01) and Paiwai Wells No.3 (No 5629-02) Pump Installation Permit Extension Request
Dear Mr. Ken Kawahara:
Kukui'ula Development Company (Hawaii), LLC, (KDCH) respectfully requests an extension ofthree (~ months to the Piwai Well No.3 Pump Installation Permit. The Piwai Pump No.2 Pump Installation Permit does not need to be extended, as this installation is complete.
The Piwai Pump No.3 pumps, motor, and discharge system was previously installed until it was determined that the pump shaft in Well No.3 was out of alignment. Unfortunately, this shaft had to be removed, reorderd, and shipped. The installation of this new shaft will take place the end of February.
Currently the Piwai Pump No.3 (No. 5629-02) Pump Installation Permit expired on February 1,2008; therefore KDCH hereby requests extension of this permit until May 1,2008.
Your consideration of the pump installation permit extension is greatly appreciated. Should you have an: questions please give me a call at 742-4918.
Sincerely,
~~J~ Kurtis Jones Kukui'ula Development Project Manager
Attachments
CC: Tom Nance wlattach Tom Shigemoto wi attach
KUKUI'ULA DEVELOPMENT COMPANY, (HAWAII), LLC A DMB and A&B Community P.O. Bux 280, KC1Iua, Kaua'i, HI 96756 • Ph 808.742.6304 www.kukuiuIa.cnl1l
__ A
LINDA LINGlE GOVERnOR OF tt.\W"'1I
RECEIVED
NOV 1 3 2007
KUKUl'uLA DEVELOPMENT CO,
Mr. Sean Perkins
o o
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
November 8, 2007
Kukuiula Development Company (Hawaii), LLC P.O. Box 280 Koloa, HI 96756
Dear Mr. Perkins:
Request for Pump Installation Pelmit Extension Piwai Wells 2 & 3 (Well Nos. 5629-01 & 02)
LAURA H. THIELEN CtWRPERSON
MEREDITH J. CHING JAMES A FRAZIER NEAl S. FUJIWARA
CHIYOME L. FUKINO. M.D. OONNAFAYK. KIYOSAKI, P.E.
LAWRENCE H. MilKE, M.D., J.D.
KEN C. KAWAHARA, P.E. DEPUTY OJtECTOR
5629-2&3.pip.ext
Thank you for your letter dated October 1,2007, requesting an extension to the captioned permits. We understand that the pump has been installed but that permanent power and discharge pipe for efficiency testing have not yet been installed, and that these are the well owner's responsibility.
We have been in contact with the permittee, your licensed contractor, and he concurs with this request. By tlus letter, the request is approved. The new expiration date for the permit is February 1,2008. All other conditions remain the same. This letter should be filed with other cOl1"espondence and your copy of the permits for reference.
If you have any questions, please contact Charley lee of our staff at (808) 587-0251, or toll free from Maui at 984-2400, extension 70251.
CI:ss
c: Beylik Drilling and Pump Service, Inc.
Sincerely,
W.hH 1't.
KEN C. KAWAHARA, P.E. Deputy Director
LINDA LINGLE GOVERNOR Of HAWAII
Mr. Sean Perkins
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
November 8, 2007
\'"'6"Ll;.(e ~\F VUl~& ~ 5&2..-t:r~o1
Kukuiula Development Company (Hawaii), LLC P.O. Box 280
(p~~Z 2-) Koloa, HI 96756
Dear Mr. Perkins:
Request for Pump Installation Permit Extension Piwai Wells 2 & 3 (Well Nos. 5629-01 & 02)
LAURA H. THIELEN CHAIRPERSON
MEREDITH J. CHING JAMES A. FRAZIER NEAl. S. FUJIWARA
CHIYOME L. FUKINO. M.D. DONNA FAY K. KIYOSAKI, P.E.
LAWRENCE H. MilKE, M.D., J.D.
KENC. KAWAHARA, P.E. DEPUTY DIRECTOR
5629-2&3. pip.ext
Thank you for your letter dated October 1, 2007, requesting an extension to the captioned permits. We understand that the pump has been installed but that permanent power and discharge pipe for efficiency testing have not yet been installed, and that these are the well owner's responsibility.
We have been in contact with the permittee, your licensed contractor, and he concurs with this request. By this letter, the request is approved. The new expiration date for the pennit is February 1, 2008. I All other conditions remain the same. This letter should be filed with other correspondence and your copy of the permits for reference.
If you have any questions, please contact Charley Ice of our staff at (808) 587-0251, or toll free from Maui at 984-2400, extension 70251.
CI:ss
c: Beylik Drilling and Pump Service, Inc.
Sincerely,
Wf7n 1't
KEN C. KAWAHARA, P.E. Deputy Director
J
October 1, 2007
State of Hawaii Department of Land and Natural Resources Commission on Water Resource Management P.O. Box 621 Honolulu, Hawaii 96809
Attn: Mr. Ken Kawahara
KAVA'I'S LIVING GARDEN
Re: Piwai Wells No.2 (No. 5629-01) and Piwai Wells No.3 (No. 5629-02) Pump Installation Permit Extension Request
Dear Mr. Ken Kawahara:
o RECr::::1VED
01 OCT 5 AJO: OS
Kukui'ula Development Company (Hawaii), LLC, (KDCH) respectfully requests an extension of three (3) months to the Piwai Wells No.2 and No.3 Pump Installation Permits. Both current installation permits are set to expire on November 1, 2007.
Progress continues to be made on the construction of the Piwai Water System that has been underway since March 2006. As stated previously, the water transmission lines and access road to the well sites are complete. At the present time, pump bowls and pump column assemblies have been installed in both wells. However, the motors and discharge systems are awaiting the availability of permanent electric power before they are installed. Power is expected to be available in six weeks, unfortunately, a short time after the pump installation permits will have expired.
Therefore, KDCH hereby request extensions of the Pump Installation Permits for Wells 2 (No. 5629-01) and No. 3 (No. 5629-02) until February 1,2008.
Your consideration of the pump installation permit extensions is greatly appreciated. Should you have any questions or concerns, please feel free to contact me at 742-6233.
Very truly yours, Kukui'ula Development Company (Hawaii), LLC
~ Sean Perkins Project Manager
Attachments
CC: Tom Nance wi attach Tom Shigemoto wi attach
Page 1 of 1 KUKLil'LLA l~E\ELC,rHE),;T CClHf'.-\l"Y, (HA\VAIJ), LLC
,A D)\.16 ,mel ,.1.,&B Cllmmunin PC. R.~: =.'~~', kl-,l",\, l(clu~l';, Hl 967'56· rh '-.CS.~4=.Al:'~ \·,"\\"\\.hllkllIUi".UH,1
LINDA LINGLE GOVERNOR OF HAWAU
RECENED FEB 2 6 2007
KUKUI'ULA PEVELOPMENT co.
Mr. Sean Perkins
o o
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
February 23, 2007
Kukuiula Development Company, (Hawaii), LLC P.O. Box 280 Koloa, HI 96756
Dear Mr. Perkins:
PETER T. YOUNG ctWRPERSON
MEREDITH J. CHING JAMES A FRAZIER NEAlS. FUJIWARA
CHIYOMEL FUKINO, M.D. LAWRENCE H. MilKE, M.D., J.D.
STEPHANIE A. WHALEN
Ref: 5629-01 & 02.ext
This is in response to your January 21,2007 letter, requesting a six (6) month extension of the pump installation permits for the Piwai Wells Nos. 2 & 3 (Well Nos. 5629-01 & 02). Our records show that this is the third extension request for these permits, which are currently set to expire on May 1, 2007.
Thank yOU for documenting the considerable progress made on the Piwai Water System construction. We understand that an extension is needed to complete tlle remaining work which includes site work and well and pump testing.
Your request is hereby approved. The pump installation permits have been extended to November 1, 2007.
LN:ss
If you have any questions, please contact Lenore Nakama at 587-0218.
Sincerely,
wrN W.ROYHARDY Hydrologic Program Manager
c: Tom Shigemoto, Alexander & Baldwin, Inc.lMcBryde Sugar Co., Ltd. Dwight Ho, Beylik Drilling & Pump Service, Inc.
o· pUfv!P INSTALLAT!ON PERMO Piwai Vle[[ No.2, WeI! No. 5629-01
Note: Th7s oermit shaff be orominentfv dfsofa:ved at the site untii the work Is comofeieci
In accordance with Depa.Jtnent. of Land and Natural Resources, Commission on WaTer ResouiCe Management's Administrative Rules, SecTIon 13-168, entitled 'Water Use, Wens, and Stream Di'lefsion Works", Dlis document permits the pump instaJiation for Piwai Well No.2 ('Nef! No. 5629-01) at Upper Omao, Kauai, TMK 2-5-01:02; subject to the Hawaii Weil Constl.1ction & Pump Installation Standards (1i'23/97) which include but are not iimited to the 'following .cond~ons:
i. TIe Chairperson to the Commission on Water Resource Management (Commission), P.O. Box 52!, Honolulu, HI 96809, shall be notified, in writing, at least iYvo (2) weeks before any work.covered by this permit commences and staff shall be anowed to inspect installaiion activities in accordance with § 13-168-15, Hawafr Administrative Rules. '
2. Tne pump installation permit shall be for installation of a 1250 gpm capacity, or leSs, pump in the Well.
3. The permit.tee, weiloperator, and/or well owner shaH provide and maintain an approved meter or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate devices or means fur measuring chlorides and temperature. These data sball be measured monthly and reported to the Commission on a monthly basis, on forms provided by the Chairperson (attached). .
4. the pr.oposed use shaH not qdversely affect existing or future legal uses of water in the area, including' any surface water or established instream flow standards. This permit or the authorization to pump water from a well shall not constitute a determination of correlative water rights .. The permittee, well operator, and/or ~ell owner are notified and by this provision understands that the quantity of water taken from the well could be reduced by the Commission in the future. This permit is not' a commitment that the pump capacirype:mitted here or even some lesser' amount is guarariteed in the future.
S. The permittee, well operator, and/or well owner shall complete and stlbmit as-built drawings and Part II - (Pecmanent) Pump In'staflation Report of the Well Completion Report (attached) to the Chairperson within sixty (60) days after completion of work. . .
6. The permittee, weIl operator, and/or well owner shall comply with all applicable laws, rule's, and ordinances, and non-compliance may be grounds for revocation of this permit
. 7. The pump installation permit application and any related staff submittal approved by the Commission are incorporated into this permit by reference. This permit is also subject to fhe Hawaii Well Construction & Pump lnstaflation Standards (1/23/97). If the. HWCPIS are not followed and as a c0f1sequence water is wasted or contaminated, a lien on the property may result.
8. The permit may be revoked if work is not started within six (6) months after the date of approvaJ or if work is suspended or abandoned for six (6) months, unless otherWise specified. The work proposed in the pump installation permit application shall be completed within two (2) years 1jom the date of Permit approval, unless otherwise specified. The permit may be extended by the Ch?irperson upon a showi ng of- good cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later than three (3) months prior to the date the permit expires. If the cOmmencement date is not me~ the Commlssion may revoke the permit after giving the permrttee, well operator, and/or well owner notice of th.e proposed action and an opportunity to be heard.
9. If the weH is not tq be u?ed it must be properly capped. 'If the well is to be abandoned then the permittee, well operator, and/or well owner must apply for a welf abandonment ~ermit in ac;cordance wiih §i3-i 58-12(f) prior to any well sealing or plugging work.
10.
11.
Th.e permittee, its successors, and assigns shari ind.emnify, defend, arid hold ihe State Qf Hayvaii harmless f~om and against any loss, liabiiity, claim, or' demand for property damage, personal injurY, or: death arising ou} of any act or omission of the ~cant, assigns, officers, employees, contractors, and agents under this permit or rerating to or connected with the gran~ ~~is pe~ .
. '. .',.. 1('"""
SpeeJal conditions in the attached cover transmittal letter are In~.?rporated hereiA bY'referenGe.· ~.~ .of; g AI
. . ~ '. . / Z~~ ~ -i ~~
Date of Approval:
~s"::=:O~i ~ '.~ '~.:;;, en \11 Jury i 7, 2003 C;IO/7 PETER, T. YOUNrG, Ch~ E':£ ::1:* <
Expiration Date: July 17, 200"5 Cormnission on Water Resource ~~~emee rrl . . .", . ~f,~ .. 0
I have read the conditions and terms of this permit and understand them. I accept and agree to rrll!etttjese cGitions as a prerequisite and underlying condition of my ability to proceed and unBerstand that I shall not commencS::wdi* until .ic:J:i)d the pwmp installec. have signed, dated, and returned the permit to the Commission. I also understand that non-compliance with any perrryit condition .may be grounds for revocation' and fines ~f up to $1000 per day starting from the pei-mit date of approval.
Permitlee'sSignature: ~~ Date: 13/2'5:"/03 7 ' fJ J. I ( I I. ---r;;.to lJ d ~unDJ'V Firm or TitIe: _-2V:..!..II.=::~=--fhL:..-c:.-=J:.LIJ::J...-eYJ--..!....;...[ _. _____ ~
} . \ Printed Name:
lnstal1er's Signature: ~~~ . -'1:1 ~----C-57, C-57a, or A License #: AC-21896 Date: 12/7/05
Printed Name: DwIGHT EO Firm or Title: BEY1JK DRILLING & PUMP SERVICE, INC.
Pfs2.se sign both copTe.s of 6~rs p=TrIJ1~ rsturn ons to tile ChaIrperson: o.nd rSIain the otier for yo ur records.
Atrachme.nts USGS' DepzIT:"TIerrt of :1s'2Jthl Safa Drinking V/ater 8: V\i=:sieviars: 3iailch Kau2i ~epartm5:rt crV'i2.te; Seppiy
LINDA LINGLE GOVERNOR OF HAWAII
Mr. Sean Perkins
o o
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
February 23, 2007
Kukuiula Development Company, (Hawaii), LLC P.O. Box 280 Koloa, HI 96756
Dear Mr. Perkins:
PETER T. YOUNG CHAIRPERSON
MEREDITH J. CHING JAMES A. FRAZIER NEAL S. FUJIWARA
CHIYOME L. FUKINO, M.D. LAWRENCE H. MilKE, M.D., J.D.
STEPHANIE A WHALEN
Ref: 5629-0 I & 02.ext
This is in response to your January 21, 2007 letter, requesting a six (6) month extension of the pump installation permits for the Piwai Wells Nos. 2 & 3 (Well Nos. 5629-01 & 02). Our records show that this is the third extension request for these permits, which are currently set to expire on May 1,2007.
Thank you for documenting the considerable progress made on the Piwai Water System construction. We understand that an extension is needed to complete the remaining work which includes site work and well and pump testing.
Your request is hereby approved. The pump installation permits have been extended to November 1,2007.
LN:ss
If you have any questions, please contact Lenore Nakama at 587-0218.
Sincerely,
wrH W.ROYHARDY Hydrologic Program Manager
c: Tom Shigemoto, Alexander & Baldwin, Inc.lMcBryde Sugar Co., Ltd. Dwight Ho, Beylik Drilling & Pump Service, Inc.
KAVA'I'S LIVING GARDEN
January 21,2007
State of Hawaii Department of Land and Natural Resources Commission on Water Resource Management P.O. Box 621 Honolulu, Hawaii 96809
Attn: Mr. Dean Nakano, Acting Deputy Director
Re: Piwai Wells No.2 (No. 5629-01) and Piwai Wells No.3 (No. 5629-02) Pump Installation Permit Extension Request
Dear Mr. Dean Nakano:
RfC;':lVEO
07 fEB 2 A 8: 2 3
Kukui' ula Development Company (Hawaii), LLC, (KDCH) respectfully requests an extension of six (6) months to the Piwai Wells No.2 and No.3 Pump Installation Permits. Both current installation permits are set to expire on May 1, 2007, Pursuant to Standard Condition 8 of the permit, KDCH is submitting this request three (3) months in advance of the permit expirationfor your consideration
Progress continues to be made on the construction of the Piwai Water System that has been underway since March 2006. As stated previously, the water transmission lines and access road to the well sites are complete. Additionally, the 0.1 Mgconcrete storage tank and site driveway are anticipated to be complete in the next two months. The two well site control buildings and pump works are under construction with the pump installations anticipated within the next three months. Unfortunately, the current schedule does not indicate that all of the work for the two well sites will be completed by the May 1, 2007, deadline. There will be site work, well testing, pump testing, and final inspections that will run past the deadline.
Therefore, KDCH hereby request extensions of the Pump Installation Permits for Wells 2 (No. 5629-01) and No. 3 (No. 5629-02) until November 1,2007.
Your consideration of the pump installation permit extensions is greatly appreciated. Should you have any questions or concerns, please feel free to contact me at 7.f-6304.
Very truly yours, Kukui'ula Development Company (Hawaii), LLC
Sean Perkins Project Manager
Attachments
CC: Tom Nance wi attach Tom Shigemoto wi attach
Page 1 of 1 KUKUI'ULA DEVELOPMENT COMPANY, (HAWAII), LLC
A DMB and A&B Community P.O. Box 280, Koloa, Kaua'i, HI 96756 • Ph 808.742.6304 www.kukuiula.com
LINDA LINGLE GOVERNOR OF HAWAII
Mr. Thomas Hoen
o
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
September 21, 2006
Kukui'ula Development Co., (Hawaii), LLC P.O. Box 280 Koloa, HI 96756
Dear Mr. Hoen:
PETER T. YOUNG CHAIRPERSON
MEREDITH J. CHING JAMES A. FRAZIER NEAL S. FUJIWARA
CHIYOME L. FUKINO, M.D. LAWRENCE H. MilKE, M.D., J.D.
STEPHANIE A. WHALEN
DEAN A. NAKANO ACTING DEPUTY DIRECTOR
Ref: 5629-01 & 02.ext
This is in response to your August 29, 2006 letter, requesting an extension of the pump installation permits for the Piwai Wells Nos. 2 and 3 (Well Nos. 5629-01 & 02). Our records show that the permit for Piwai Well No.2 expired on July 15,2006, and the permit for Piwai Well No.3 is set to expire on September 14,2006. According to your letter, permitting delays and inclement weather have resulted in an extension of the construction completion.
Although Standard Condition 8 of the permit requires that a request to extend the permit must be submitted no later than three (3) months prior to the permit expiration date, we will allow an extension at this time. In the future, please adhere to the terms and conditions of the permits.
Your request is hereby approved. The pump installation permits have been extended to May 1,2007.
If you have any questions, please contact Lenore Nakama at 587-0218 or toll-free at 274-3141, extension 70218.
LN:ss
Sincerely,
Wf'l'H 1't
DEAN A. NAKANO Acting Deputy Director
c: Tom Shigemoto, Kukui'ula Development Co., (Hawaii), LLC Dwight Ho, Beylik Drilling
/' /
,/
----------l'----------------------------------------------------------------------------c
August 24, 2006
Mr. Dean Nakano Acting Deputy Director
~ Kukui~la KAVA'I'S LIVING GARDEN
Commission on Water Resource Management P.O. Box 621 Honolulu, Hi 96809
o
Re: Piwai Wells No.2 (No. 5629-01) and No.3 (No. 5629-02) Pump Installation Expiration Extensions
Dear Mr. Nakano:
RECE1VED
05 AUG 29 AIO: 43
We respectfully request another extension to the Piwai Well No.2 Pump Installation Permit, and an extension to the Piwai Well No. 3 Permit. Due to the longer than anticipated permitting phase and a very wet spring season, the construction completion of the project has been extended.
Significant progress has been made as the construction of the Piwai Wells and Waterline Project has been underway since March 2006. The water transmission lines and access road to the Well Sites are complete and construction of the well complex sitework is currently underway with pump installation scheduled for April 2007.
Therefore, we here by request extensions of the Pump Installation Permits for Wells 2&3 (5629-01 and 5629-02) until May 1,2007.
If you have any questions regarding this matter please call me at (808) 742-6304. For your convenience attached, please find copies of the Pump Installation Permits referenced above along with the letter granting extension of the Piwai well No.2 Permit.
We appreciate your consideration in this matter.
Yours Truly,
Thomas Hoen Project Manager
THJlac
attachments
cc: Tom Nance wlattach Bob Diffley wi attach Tom Shigemoto wi attach
KUKUI'ULA DEVELOPMENT COMPANY, (HAWAII), LLC A DMB and A&B Community P.O. Box 280, Koloa, Kaua'i, HI 96756 • Ph 808.742.6304 www.kukuiula.com
o PUMP INSTALLATION PERM'O Piwai No.3. WeIl No. 5629"02
Note: This Dermit shalf be prominentlv displayed at the site untif 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 insta:llation for Piwai No. 3 (Well No. 5629-02) at Upper Omao, Kauai, TMK 2-5-01 :02, subject to the Hawaii Well Construction & Pump Installation Standards (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 notilied, in writing, at least two (2) weeks before any work covered by this permit commences and staff shall be allowed to inspect installation activities in accordance with §13-168-15, Hawaii Administrative Rules.
2. The pump installation permit shall be for installation of a 1,250 gpm capacity, or less, pump in the well.
3. The permittee, well operator, and/or well owner shall provide and maintain an approved meter or other appropriate means for measuring and reporting with9rawals and water levels, and appropriate devices or means for measuring chlorides and temperature. These data shall be measured monthly and reported to the Commission on a monthly basis, on forms provided by the Chairperson (attached). '
4. The proposed use shall not adversely affect existing or future legal uses of water in the area, including any suJiace water or established instream fiow standards. This permit or the authorization to pump water from a well shall not constitute a determination of correlative water rights: The permittee, well operator, and/or well owner are notified and by this provision understands that the quaritity of water, taken from the well could be reduced by the Commission in the future. This permit is not a commitment that the pump capacity permitted here or even some lesser amount is guaranteed in the future. '
5. The permittee, well operator, and/or well owner shall complete and submit as-built drawings and Part II - (Permanent) Pump Installation Report of the Well Completion Report (attached) to the Chairperson within sixty (60) days after completion of work.
6. The permittee, well operator, and/or well owner shall comply with all applicable laws, rules, and ordinances, and non-compliance may be grounds for revocation of this permit. '
7. The pump installation permit application and any related staff submittal approved by the Commission are incorporated into this permit by reference. This permit is also subject tothElHClwaiiY'L~[IC_QnstruC!ion&P-1Jmp InstallatioflStamiaFG&fFeOruary 18, 2004): if the HWCPIS are noffollowecf and as a consequence water is wasted or contaminated, a lien on the property may result
8. The permit may be revoked if work is not started within six (6) months after the date of approval or if work is suspended or abandoned for six (6) months, unless otherwise specified. The work proposed in the pump installation permit application shall be completed within two (2) years from the date of permit approval, unless otherwise specified. The permit may be extended by the Chairperson upon a showing of good cause and good-faith performanCe. A request to extend the permit shall be submitted to the Chairpersbn no later than three (3) months prior to the date the permit expires. If the commencement date is not met, the Commission may revoke the permit after giving the permittee, well operator, and/or well owner' notice of the proposed action and an opportunity to be heard.
9. If the well is not to be used it must be properly capped. If the well is to be abandoned then the permittee, well operator, and/or well owner must apply for a well abandonment permit in accordance with §13-168-12(f) prior to any well sealing or plugging work.
10.
11.
The permittee, its successors, and assigns shall indemnify, defend, and hold the State of Hawaii harmless from and against any loss, liability, claim, or demand for property damage, personal injury, or death arising out of any act or omission of the ~cant, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the gran~ of this peniiP.
n;C'"' Special conditions in the attached cover transmittal letter are incorporated herein by reference.
Wf7f7 ;k
'~1 § ~ ~U; r ...... C) 'l'J f'3' ~ I-n~ CD r11 Z;Z ':;2
crate-Oar App-iuval: Septemb"er'14, 2004 September 14, 2006
PETER T. YoUNG, Chairperson '~~~' a \11 Commission on Water Resource M€iA~ment.. d Expiration Date: , :c.~ . ,~m ~
I have read the conditions and terms of this permit and understand them. I accept and agree to me~~se corfQi1ons 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. r also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $5000 per day starting from the permit date of approval.
Permittee's Signature~ , . Date: ~cf Printed Name: • &, Firm or Title: Vr~ fh::..sld........,-t- .
Installer's Signature: C-57, C-57a, or A License #: AC-21896 Date: 12/7/05
Printed Name: DWIGHT HO Firm or Title: BEYLIK DRILLING & PUMP SERVICE, INC.
Please sign ,both copies of this permit, return one to the Chairperson, and retain the other for your records.
Attachments c: USGS
Department of Health! Safe Drinking Water & Wastewater Branch Kauai Department of WaterS up ply Tom Shigemoto, Alexander & Baldwin Inc.lMcBryde Sugar Co.
• •
, . c PUNjP INSTALLATION PERO
Piwai Well No.2, Well No. 5629-01
Note; This permit shall be prominentlv displaved at the site untrl 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 Piwai Well No.2 (Well No. 5629-01) at Upper Omao, Kauai, TMK 2-5-01:02; subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
The Chairperson to the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any work covered by this permit commences and staff shall be allowed to inspect installation activities in accordance with § 13-168-15, Hawaii Administrative Rules. .
The pump installation permit shall be for installation of a 1250 gpm capacity, or less, pump in the well.
'The permittee, well operator, and/or well owner shaH provide and maintain an approved meter or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate deVices or means for measuring chlorides and temperature. These data shall be measured monthly and reported to the Commission on a monthly basis, on forms provided by the Chairperson (attached).
the pr.oposed use shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. This permit or the authorization to pump water from a well shall not constitute a determination of correlative water rights. The permittee, well operator, and/or well owner are notified and by this provision understands that the quantity of water taken from the well could be reduced by the Commission in the future. This permit is not'a commitment that the pump capacity permitted here or even some lesser amount is guaranteed in the future.
The permittee, well operator, and/or well owner shall complete and submit as-built drawings and Part II - (Permanent) Pump InstallatiOn Report of the Well Completion Report (attached) to the Chairperson within sixty (60) days after completion of work.
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.
The pumpjnstallation permit application af"ldany related -s-taff-submittal approved by the -Commission are incorporated intothis permit by reference. This permit is also subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.
The permit may be revoked if work is not started within six (6) months after the date of approval or if work is suspended or abandoned for six (6) moriths, unless otherWise specified. The work proposed in the pump installation permit application shall be completed within two (2) years from the date of permit approval, unless otherwise specified. The permit may be extended by the Chpirperson upon a showin~ of- good cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later than three (3) months prior to the date the permit expires. If the commencement date is not met, the Commission may revoke the permit after giving the permittee, well operator, and/or well owner notice of the proposed action and an opportunity to be heard.
If the well is not to be used it must be properly capped. If the well is to be abandoned then the permittee, well operator, and/or well owner must apply for a well abandonment permit in accordance with §13-168-12(f) prior to any well sealing or plugging work.
The permittee, its successors, and assigns shall indemnify, defend, and hold the State of Hawaii harmless from and against any loss, liability, claim, or demand for property damage, personal injurY, or. death arising out of any act or omission of th~'plicant, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the granting of this p~t.
?JC" ~~ 'c;~ O~
Special conditions in the attached cover transmittal letter are h;c.orporated herein hy 'refere~ce.
Date of Approval: July 17, 2003 July 17, 2005
~fi PETER T. YOUN ,Ch Irperson ~~. Co~ission on Water Resource '~igeme~ Expiration Date:
. '. . - G)'~
I have read the conditions and terms of this permit and understand them. I accept and agree to ~tiese C~~itions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence~until 1Ji..14l the pump installer.. have signed, dated, and returned the permit to the Commission_ I also understand that non-compliance wlfli any permit conditiD11.may be ground~' for reYo~tio, Md fi,~ ~ pei d,y s"rtl'g rrom 'he pe=tt d,'e of ,pproY". .
Permittee's Signature:. Date: 13 fo5:fD"3 Printed Name: . ~unD;;; Firm or Title: 0~ ft:-~/J-eY]t
. Installer's Signature: ~~...:.--.... - C-57, C-57a, or A License #: AC-21896 Date: 12/7/05
Printed Name: DWIGHT HO Firm or Title: BEYLIK DRILLING & PUMP SERVICE, INC.
Please sign both copies of this permit, return one to the Chairperson, and retain the other for your records_
Attachments c: USGS
Department of Health/ Safe Drinking Water & Wastewater Branch Kauai Department of Water Supply
- c o , JUL~07-200S 14:31 FROM:DLNR CWRM 808 587 0219 TO: 808 538 7757 P.1/1
UNDA.lINGLE OtJoVERNOfI OF·~
STATE OF HAWAI'I DEPARTMENT OF lAND ANC'NATURALRESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT 1'0 BOX~1
HONOLULU, HAWAII geeoa
May 24. 2005
Mr. TomShlgemoto. Vice President A&B Properties, me. P.O. :aox4J@ Koloa,m 96756
Dear Mr. Shigemoto-:
Request for Extension of Time Pump Installation .Permit for Piwai 'Well No.2 (Well No; 5629-01)
PETER:r YQlJNC --.MEREClnj J CHING CtA'tTON w; OELii.pIU/Z
JAMES A. F~U;R CliIYOMe:L. FUKINO, M.O
LAI,NRSNC.IOH MIlKE. MD. J D 6l"EFHIINIEA WHAlEN
DEAN A. NAKANO AC1UCDlrVrT CIIR:CTCA
Ref.5629-0 1 ; ext
Ibis is in resp.onse to yoUr May 13, 2005 letter, requesting a.onc..;year extension of time to complete work authorized by the subject permit. According to your letter, a time extension is needed because design phms andspecificaiions. have been revised and are awaiting approval fTom the DeparlrnentofWater. '
By this, 'letter your request is approved. The new expiration date for the subJect Pump Installation. Pennit is July' 15, 2006, Please do not forg~ to return" fuliyexec.utei;i permit prior to the start of any work. Thank you for your attention to the tenns and conditions of your permit.
!f you have any questions, please contact Lenore Nakama.. at 587-021&.
LYN:ss
c: Kukuiula Development Corp.
9610- w • 011--0
CONTRACT --CORRESPONDENCE
SCHEDULES --ESTIMATES
REPORT --- a ~ , I er.11 Iff 'T' ---
S:iJ'lcerely, .
WhM ~
DEAN A. NAKANO Acting Deputy Director
Post-it- Fax Note 767;
TO'1b~ IJkfVa:. Co./Depl
Phone It
Fax/! ~~ ~ "''1:15 ..
Date
From
Co.
Phone H
Fax It
hHot ~ pages
/
PUMP INSTALLATION PERMlb o Piwai No.3, Well No. 5629-02 Note: This permit shall be prominently displayed at the site until the work is completed
In accordance with Department of Land and Natural Re~ources, 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 Piwai No. 3 (Well No. 5629-02) at Upper Omao, Kauai, TMK 2-5-01 :02, subject to the Hawaii Well Construction & Pump Installation Standards (February 2004) which include but are not limited to the following conditions:
1. The Chairperson to the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any work covered by this permit commences and staff shall be allowed to inspect installation activities in accordance with §13-168-15, Hawaii Administrative Rules.
2. The pump installation permit shall be for installation of a 1,250 gpm capacity, or less, pump in the well.
3. The permittee, well operator, and/or well owner shall provide and maintain an approved meter or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate devices or means for measuring chlorides and temperature. These data shall be measured monthly and reported to the Commission on a monthly basis, on forms provided by the Chairperson (attached).
4. The proposed use shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. This permit or the authorization to pump water from a well shall not constitute a determination of correlative water rights. The permittee, well operator, and/or well owner are notified and by this provision understands that the quantity of water taken from the well could be reduced by the Commission in the future. This permit is not a commitment that the pump capacity permitted here or even some lesser amount is guaranteed in the future.
5. The permittee, well operator, and/or well owner shall compiete and submit as-built drawings and Part II - (Permanent) Pump Installation Report of the Well Completion Report (attached) to the Chairperson within sixty (60) days after completion of work.
6. The permittee, well operator, and/or well owner shall comply with all applicable laws, rules, and ordinances, and non-compliance may be grounds for revocation of this permit.
7. The pump installation permit application and any related staff submittal approved by the Commission are incorporated into this permit by reference. This permit is also subject to the Hawaii Well Construction & Pump Installation Standards (February 18, 2004). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.
8. The permit may be revoked if work is not started within six (6) months after the date of approval or if work is suspended or abandoned for six (6) months, unless otherwise specified. The work proposed in the pump installation permit application shall be completed within two (2) years from the date of permit approval, unless otherwise specified. The permit may be extended by the Chairperson upon a showing of good cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later than three (3) months prior to the date the permit expires. If the commencement date is not met, the Commission may revoke the permit after giving the permittee, well operator, and/or well owner notice of the proposed action and an opportunity to be heard.
9. If the well is not to be used it must be properly capped. If the well is to be abandoned then the permittee, well operator, and/or well owner must apply for a well abandonment permit in accordance with §13-168-12(f) prior to any well sealing or plugging work.
10. The permittee, its successors, and assigns shall indemnify, defend, and hold the State of Hawaii harmless from and against any loss, liability, claim, or demand for property damage, personal injury, or death arising out of any act or omission of the applicant, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the granting of this permit.
11. Special conditions in the attached cover transmitlalletter are incorporated herein by reference.
Date of Approval:
Expiration Date:
September 14, 2004 September 14, 2006
Wf7H ;ffl.
PETER T. YOUNG, Chairperson
Commission on Water Resource Management
I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the pump installer have signed, dated, and returned the permit to the Commission. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $5000 per day starting from the permit date of approval.
Permittee's Signature~' D~r)!O f 7>jocf Printed Name: • &. Firm or Title: V!CL..- ~'S.lJe.,...,+ \. \ . 1.
,/ 0"
Installer's Signature: C-57, C-57a, or A License #: AC-21896 Date: 12!J /05 ;:;;: Printed Name: DWIGHT HO Firm or Title: BEYLIK DRILLING & PUMP SERVi~, INC.
Please sign both copies of this permit, return one to the Chairperson, and retain the other for your records.
Attachments c: USGS
Department of Healthl Safe Drinking Water & Wastewater Branch Kauai Department of Water Supply Tom Shigemoto, Alexander & Baldwin Inc.lMcBryde Sugar Co.
c.f', ./
/ LINDA LINGLE
GOVERNOR OF HAWAII PETER T. YOUNG
CHAIRPERSON
MEREDITH J. CHING CLAYTON W. DELA CRUZ
JAMES A. FRAZIER CHIYOME L. FUKINO, M.D
LAWRENCE H. MilKE, M.D., J.D. STEPHANIE A. WHALEN
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
YVONNE Y. IZU DEPUTY DIRECTOR
September 17, 2004
Ref:5629-02.pip
Mr. Michael J. Roberts Kukui'Ula Development Co. (Hawaii) LLC P.O. Box 280 Koloa, HI 96756
Dear Mr. Roberts:
Pump Installation Permit Piwai No.3 (Well No. 5629-02)
Enclosed are two (2) originals of your approved Pump Installation Permit for the captioned well(s) that authorize permanent pump installation work for your well(s). As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 11:
Special Conditions
1. If the elevation benchmark needs to be altered, the permittee, well operator, and/or well owner shall ensure that the benchmark is transferred (or the well resurveyed) and documentation of the new benchmark shall be submitted to the Commission within sixty (60) days after the pump is installed.
2. Please enclose the pump specification and rating curve for the installed pump with the Well Completion Report.
The permittee, well operator, and/or well owner are responsible for all conditions of the permit. This includes ensuring that the pump installation contractor submits a completed Part II of the Well Completion Report form (enclosed) within sixty (60) days after the pump installation work is completed. Be advised that you may be subject to fines of up to $5000 per day for any violations of your permit conditions starting from the permit approval date.
Please sign and have the contractor sign both permit originals and return one for our files. A copy of the Well Completion Report (Part II) and a copy of your water use report form are enclosed for your use.
IMPORTANT - Pump installation shall not commence until a fully signed permit is returned to the Commission. Except for the monthly water use report form, please provide copies of all the information in this packet to your pump installation contractor.
Mr. Michael J. Roberts Page 2 September 17, 2004
Finally, this letter is notice that we have accepted your Well Completion Report - Part I as complete as of September 14, 2004.
If you have any questions, please call Lenore Y. Nakama of the Commission staff at 587-0218 or toll-free at 274-3141 (Kauai), extension 70218.
Sincerely,
Peter T. Young Chairperson
Enclosure
c: Tom Shigemoto, Alexander & Baldwin Inc'/McBryde Sugar Co.
.""""" PUMP INSTALLATION PERMIT.~ 'wi Piwai No.3. Well No. 5629-02 "wi
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 Piwai No. 3 (Well No. 5629-02) at Upper Omao, Kauai, TMK 2-5-01 :02, subject to the Hawaii Well Construction & Pump Installation Standards (February 2004) which include but are not limited to the following conditions:
1. The Chairperson to the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any work covered by this permit commences and staff shall be allowed to inspect installation activities in accordance with §13-168-15, Hawaii Administrative Rules.
2. The pump installation permit shall be for installation of a 1,250 gpm capacity, or less, pump in the well.
3. The permittee, well operator, and/or well owner shall provide and maintain an approved meter or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate devices or means for measuring chlorides and temperature. These data shall be measured monthly and reported to the Commission on a monthly basis, on forms provided by the Chairperson (attached).
4. The proposed use shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. This permit or the authorization to pump water from a well shall not constitute a determination of correlative water rights. The permittee, well operator, and/or well owner are notified and by this provision understands that the quantity of water taken from the well could be reduced by the Commission in the future. This permit is not a commitment that the pump capacity permitted here or even some lesser amount is guaranteed in the future.
5. The permittee, well operator, and/or well owner shall complete and submit as-built drawings and Part II - (Permanent) Pump Installation Report of the Well Completion Report (attached) to the Chairperson within sixty (60) days after completion of work.
6. The permittee, well operator, and/or well owner shall comply with all applicable laws, rules, and ordinances, and non-compliance may be grounds for revocation of this permit.
7. The pump installation permit application and any related staff submittal approved by the Commission are incorporated into this permit by reference. This permit is also subject to the Hawaii Well Construction & Pump Installation Standards (February 18, 2004). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.
8. The permit may be revoked if work is not started within six (6) months after the date of approval or if work is suspended or abandoned for six (6) months, unless otherwise specified. The work proposed in the pump installation permit application shall be completed within two (2) years from the date of permit approval, unless otherwise specified. The permit may be extended by the Chairperson upon a showing of good cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later than three (3) months prior to the date the permit expires. If the commencement date is not met, the Commission may revoke the permit after giving the permittee, well operator, and/or well owner notice of the proposed action and an opportunity to be heard.
9. If the well is not to be used it must be properly capped. If the well is to be abandoned then the permittee, well operator, and/or well owner must apply for a well abandonment permit in accordance with §13-168-12(f) prior to any well sealing or plugging work.
10. The permittee, its successors, and assigns shall indemnify, defend, and hold the State of Hawaii harmless from and against any loss, liability, claim, or demand for property damage, personal injury, or death arising out of any act or omission of the applicant, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the granting of this permit.
11. Special conditions in the attached cover transmittal letter are incorporated herein by reference.
Wf7n 7't
Date of Approval: PETER T. YOUNG, Chairperson
Expiration Date:
September 14, 2004 September 14, 2006 Commission on Water Resource Management
I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the pump installer have Signed, dated, and returned the permit to the Commission. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $5000 per day starting from the permit date of approval.
Permittee's Signature: Date: ____ _
Printed Name: Firm or Title: ________________ _
Installer's Signature: C-57, C-57a, or A License #: Date: ____ _
Printed Name: Firm or Title: ________________ _
Please sign both copies of this permit, return one to the Chairperson, and retain the other for your records.
Attachments c: USGS
Department of Health! Safe Drinking Water & Wastewater Branch Kauai Department of Water Supply Tom Shigemoto, Alexander & Baldwin Inc.lMcBryde Sugar Co.
o o Well Check Program 4/1/04 - Revised for update to Well Standards (February 2004)
Data Input
Well Number 5629-02 Well Name piwai 3 Ground Elevation 654.22 Cement Grout 449 Grouting Method other Hole Diameter 24 Total Depth 770 Estimated Head 47.93 Public Water Supply Well? yes Solid Casing Material steel not plastic Solid Casing Specification ASTMA53 Solid Casing Length 595 Solid Casing Diameter 16 Solid Casing Wall Thickness 0.375 Open Casing Length 120
Results
-/- -.
Well Name: Piwai Well No. 5629-02 Oai) Date of Test: January 16, 2004 Date of Analysis: 10-Sep-04
Alternative way for determing T from step-drawdown data (Mink, per. comm) Q =ftA3/d Q1 (gpm) = 1362 = 262185 ftl\3/d s = ft. Q2 (gpm) = 500 = 96250 ftl\3/d Set up two equations:
s1 = jQ1 + nQ11\2 s2 = jQ2 + nQ21\2
Q2 = 96250 s2 = Q1 = 262185 s1 =
1.42 5.03 116 Well Depth below sea level =
Radius of well (ft) = 0.667 = r
n = s1 - (Q1/Q2)s2/Q1(Q1-Q2) = j = s/Q - nQ =
Laminar flow equation:
2.67E-11 1.22E-05
green = input red = calculated blue = equations
s=jQ= 3.194112 63.50% Head loss due to laminar flow
Thiem Eq.
T = 1 /2pij(ln{re/r})
re = Well Depth BSL * 1.6 = Therefore: T = 1 /2pij(ln{re/r}) =
185.6
73532 ftl\2/d /
o
,.Ii ----. ..,
'(HEIS DRAWDOWN CALCULATION ""....,
Piwai Well 5629-02 '-' Step-Drawdown Test January 16, 2004
by Glenn Bauer & Roy Hardy with numerical approximations by Huntoon (1980) ~
FILE NAME = TEST NAME = DATE =
INPUT PARAMETERS GREEN VALUES
Transmissivity T= 73,532 fU'2/day Storage Coeff. S= 0.200 dimensionless Time t= 200000 days Pumping Rate Q= 231,016.04 cubic ft.lday
Radial distance Drawdown s from well r ft. u W(u) ft.
1 0.000000 25.830 6.458 10 0.000000 21.225 5.306 50 0.000000 18.006 4.502
100 0.000000 16.620 4.155 250 0.000000 14.787 3.697 500 0.000001 13.401 3.350
1000 0.000003 12.015 3.004 1500 0.000008 11.204 2.801 2000 0.000014 10.628 2.657 2500 0.000021 10.182 2.546 3000 0.000031 9.817 2.454 5000 0.000085 8.796 2.199
10000 0.000340 7.410 1.852
OBSERVATION WELL Radial distance r from puming well 5280 ft.
Drawdown s Time, t (days, years u W(u) ft.
0.1 0.00 ************* 0.000 0.000 1 0.00 18.956645 0.000 0.000 2 0.01 9.478322 0.000 0.000 3 0.01 6.318882 0.000 0.000 4 0.01 4.739161 0.002 0.000 5 0.01 3.791329 0.005 0.001 6 0.02 3.159441 0.011 0.003 7 0.02 2.708092 0.019 0.005 8 0.02 2.369581 0.030 0.007
10 0.03 1.895664 0.057 0.014 36 0.10 0.526573 0.529 0.132
200 0.55 0.094783 1.872 0.468 500 1.37 0.037913 2.733 0.683
1,000 2.74 0.018957 3.407 0.852 2,000 5.48 0.009478 4.091 1.023 5,000 13.70 0.003791 5.002 1.250
10,000 27.40 0.001896 5.693 1.423 20,000 54.79 0.000948 6.385 1.596 50,000 136.99 0.000379 7.301 1.825
100,000 273.97 0.000190 7.994 1.999 BIIII'! .... 1 111 •• 1 1BIf,r11
Aquifer thickness Hydraulic Conductivi~ Pumping rate
...,.""
b= K= Q=
234 ft. 314.2 ft.lday 1,200 gpm 1.728 mgd 2.674 cfs
50 250 1000 2000 3000 10000 distance r (ft.)
3·
2.8-
2.8-
2.4-
2.2-~
S 2-
m 1.8-
c 1.6-
~1.4-j 1.2-
e! 1-"t:I
0.8-
0.6-
0.4-
0.2-
0- , 0.1 3 6 10 500 5,000 50,000
time t (days)
Theoretical drawdown a mile (5,280 ft) from the pumping well when u-< 0.01
T= Sp. yield =
t= s=
73532 ft/"2/d 0.2
365 days 0.60 ft.
1. Scenerio uses calculated transmissivity from step-drawdown test
Tom Nance Water Resource Engineering
Ms. Yvonne Izu Deputy Director Commission on Water Resource Management Department of Land and Natural Resources State of Hawaii P. O. Box 621 Honolulu, Hawaii 96809
Dear Ms. Izu:
o
\::?"- \, (" \,;', -! ;, I ~: ,
,J
Well Completion Report - Part I for Piwai Well No. 3 (State No. 5629-02) on Kauai, Hawaii
September 8, 2004 04/387 (04-13)
Attached is the Well Completion Report - Part I for Piwai Well No. 3 (State No. 5629-02) on Kauai, If you need additional information, please feel free to call.
Sincerely,
Tom Nance
Attachment
680 Ala Moana Boulevard, Suite 406 • Honolulu, Hawaii 96813-5411 • Phone: (808) 537-1141 • Fax: (808) 538-7757· E-mail: office@tnwre,com
, .... o o State of Hawaii For Official Use Only:
COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources
WELL COMPLETION REPORT - PART I Well Construction SEP 9 p2' 22
Instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. The Commission may not accept incomplete reports. This form shall be submitted within 60 days of the completion of work. For assistance, please consult the Hawaii Well Construction and Pump Installation Standards or call the Regulation Branch at 587-0225. For updates to this form or additional information, please visit our website at http://www.hawaii.gov/dlnr/cwrm/
" •• j, :
1. State Well No.: ~'4q-02. Well Name: ~I'~ 1.J-e.U "'-3 Island: Ka..c... ~ i 2. Address: "'f't <.Jr- O"""tA.. '0 Tax Map Key: <"+) 'L.- S ~O I ~ ..,. t-
3. Drilling Company: ~"C.Ij lj Ie.. ~v-.-l U~ , \.,.,c
4. Drilling method used during contruction: lliYRotary 0 Percussion 0 Other (describe)
5. Date Well Construction (drilled,cased,grouted) completed: tl~o I c+ Fill out attached Driller's Log month/day/year
In addition to the drillers log, if a geologic log was prepared, please submit with this form.
6. Was the subject well cored? 0 Yes rzrN"'0 7. Initial water-level encountered b~".!r ft. below ground Date and time of measurement: \ '/'2:1. / 0:3 ~: ~r
month/~ay/year time
8. Step-Drawdown Test completed? 0 No ld"'Yes Attach Step-Drawdown Test form (12117/97 SDPTD Form)
9. Constant Rate Aquifer Test completed? 0 No ~es Attach Constant Rate Aquifer Test form (12117/97 CRPTD Form)
Parameters prior to pump test:
10. Water-level: _....L+--'~'-','--"-""3'--___ _ ft. above msl Date and time of measurement:
11. Chloride: ppm Date and time of sampling: month/di ear time
E:> III Co.-: 15)+ /I: 00 month/day/year time
12. Temperature: __ 7~~...:.'''''::'Z.=-____ _ Date and time of measurement: J/ :00 month/day/year time
13. Fill in the as-built section on the other side of this sheet.
14. Fill in attached surveyor's report.
15. If a pump is not planned to be installed, please describe (below in the remarks section) how well is secured to prevent unauthorized access (example: lockable cover, threaded coupling, etc.)
16. The proposed manufacturer's rated pump capacity is gpm at a head of ft.
17. Remarks:
Licensed Driller (print) ~{;~ 1) ..... " i~ ~ \l!1.e, C-57 Lic. No. A C - 'Z. L Itt ~
Signature Date s:./o 7 lof.-, ,
Permittee (print)
Signature Date
WCR1 Form 4129103 PagE
/ /
o o 13. AS-BUILT WELL SECTION (Please attach as-built if different from diagram provided below)
{Hole Oiame er: 24 In.
Elevation at top of casing 656.32 ft., mSI.~1 (to nearest 0.01 ft.) ___ -#.-1 Minimum of 2' Radius & 4" Thick Concrete Pad
r-e-B~-e~-~-~-iom-.na-: rk------. y,*,\ :.:J ..... ~: ... :.. 1o'~.~-.:.~~.~;,":.·N'-')c.L-..-_,7nIIMk-r"_G-,,,ro/I"'mu~\nd Elevation: .§~ft., msl
o 0 Please refer to the 6 . 7 ft msl" :.'~. :':;" HAWAII WELL CONSTRUCTION AND
(S rv to nearest Cement Grout: ~_ft. '~.:.:. . PUMP INSTALLATION STANDARDS 0.01 ft.) (min. d70%1 Oft~istatnCet from
f :;/ !./-.' ~ to ensure that youl.r absl-built is in compliance
groun e eva Ion 0 op 0 ::. :.:. 0 iIi with app lea e standards.
TotalOepth
770 ft.
water surface or 500 ft., whichever is less.) r-
" " ... ~. :
Annular space between hole and casing (min.3"):
3.625 in.
:. ~
~ V:·;···· ~ ~ .. ~:
'------------' ; .. :. Rock or Gravel Packing:
7.8 ft. Material: Wi Crushed Basalt o Rounded Gravel
f-f;;:
h I ~~ ~~ r---------~-.I
Water Level Elevation: ' e81 48.28 _ft. msl. 8%
'----__ ---' _C- ~
-
·msl = mean sea level
..•.. ~ ~.: '"
..J :.!'. ~ i'-- Solid Casing: (~ 90% x (Ground Elev.-Water Level Elev»)
~ Length: 595 ____________ ft.
NominalOiameter: 16-3/4JQ!.~0L.) ________ in.
Wall Thickness: 3/8 in.
Bottom Elevation: .§9.2_2________ ft., msl
Open Casing: Wi Perforated o Screen
Length: "'1c=2""0. ____ ._. ________ . __ ft.
v Nominal Oiameter: -=1~6-=-5::./8::...>.:(O::.:0=.,)'__ ______ in.
Wall Thickness: -=5:!.../1~o6, _____________ in. 18
Bottom Elevation: -60.78 ft., msl
Open Hole:
Length: ~ ____________ ft.
Oiameter: 24 in.
Bottom Elevation: -=.!15J~ ______ ft., msl
Solid Casing Material: *Copper Bearing Steel rz / 0 Lp l.q -02. Carbon Steel: compliant with (check one or more): 0 ANSI/AWWA C200 0 API Spec. 5L J(ASTM A53 0 ASTM A139
And compliant with (check one or more): 0 ASTM A242 0 Type E 0 Type S ~rade 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): 0 Schedule 40 0 Schedule 80 0 Schedule 120
Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996 o Centri~:Jgally Cast Resin Pipe conforming to ASTM D2997
o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517
o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950
o PTFE Fluorocarbon Tubing conforming to ASTM 03296
o FEP Fluorocarbon Tubing conforming to ASTM 03296
Open Casing Material: *Copper Bearing Steel Carbon Steel: compliant with (check one or more): OANSI/AWWAC200 OAPI Spec. 5L ~STM A53 o ASTM A139
And compliant with (check one or more): 0 ASTM A242 0 Type E 0 Type S }'I: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): 0 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 AWWA C950
o PTFE Fluorocarbon Tubing conforming to ASTM 03296
o FEP Fluorocarbon Tubing conforming to ASTM 03296
t\ I \ ~ I ,j --\ \JL\ ~~ C.O~~, vJ/ \.. tJ;-')\-1 <..a "
/, /
.. ~
. -" o o
WELL NUMBER: 5629-02
DRILLER'S LOG (7126199 DL Form)
Depths (ft.) Rock Desaiption, Water Level,etc. Dates Depths (ft.) Rock Description, Water Level, etc. Dates
_~ to~ ________ _
~toE~
E~ to 240 _Hand Drilling
~40 to 270_ Blue Rock Basalt
Blue Rock ~~ to 330_ with Red Cinder
Blue Rock l]O_to1.?~ with Red Cinder
Gray with Blue 1.?~ to ]20 _ Rock, Red Cinder
Gray with Blue 390 to~ Rock, Red Cinder
iJ 7 _ to i~ Gray & Red Cinder
~~to£9_ Gray & Red Cinder
~!~ to 541 Gray & Red Cinder
~41 to~74_ Gray & Red Cinder
574_ to 605 Gray & Red Cinder
11/12/03 750 to 770 Gray & Red Cinder 11/23/03
11/13/03 __ to ___ ~oun~_Water @ ~O~_ 11/23{.93
11/14/03 __ to __ Sound Water @ 606.4 11/24/03
11/17/03 ___ to ____ ~Bo~tomJt 770' !!l25/03
11/17/03
!.!/18/03
11/18/03
11/19/03
11/19/03
11/20/03
11/20/03
11/21/03
11/21/03
11/21/03
Sound Water @ 606.4 11/2S/03
___ to ______ . __ _
__ to _____________ _
___ to __
__ to __
____ to ____________ _
___ to ______ _
____ to ______________ _
___ to _______________ _
605 to 690 ____________ !!.L 22/03 ___ to __ _
690 to~20 _ Gray & Red Cinder 11/23/03 __ to __ _
11/23/03 __ to __ _
Remarks:
I~" DIA. PIPE
ELEV.=~5~.32
ELEV.=~54.22
EXIST. GROUND
E:L.E:VATION
THIS WORK WAS PREPARED BY ME OR UNDER MY SUPERVISION
Signature ESAKI SURVEYING & MAPPING, INC.
BENCH MARK USED: 112- PIPE -TRIO-B(ELEV.-'3J.27 )
~ ~ l "2., 0L?" .. l\ r 01.-
FI~AI ~eL.L. #9 state 0' Ha~a i i ~ater Commission ~ell #S6~q-O~
O~ner: A 4 6 Fropertles, Inc. Dote oP SlJrve~: JlJne 1, :2004
PLOT PLAN (Provide Latitude and Longitude of well referenced to NAD27 to nearest second)
Well Elevation
Benchmark Elevation ---(0.01 ft. above msl)
Concrete Pad
Benchmark reference control point
Surveyor's stamp and signature
This work was prepared by me or under my supervision
~~~ -. ... _ .. _ ............. _--- .. - .. _-- .... ---- -_ .... _- ........ -
Signature Esaki Surveying &
Mapping, Inc.
weR1 Form 9112101 Page 4 of 4
J
()
o
• f
'Lt42 S1tf
c o STEP-DRAWDOWN PUMP TEST DATA
(not required for wells producing < 100,000 gpd or70 gpm)
SDPTD Fonn 5/8/03
Pumped Well No._----=-S...:...b_l2.9_-_0_'2. __ Observation Well No. NDt bt(k("..J.:k. Pumped Well Name f(W~l r-JQ. D Target Q l'Ul>± gpm
Distance between Obs. & Pumped Well ft. ~t>r""i
Reference pt. for depth to water '?~,~G ft. msl 'f1t.I&E
Static Water Level @ start of test 4 ~ , ~; ft. msl Water level measurements by: • electrical sounder • pressure transducer 0 airline
~ft:m(-'P
START TEST Date: Ol-I~- 2OV4 Time of day: (O:(S" (~r2f ~ ~£.Cfl~) Flow Meter Reading Start: '1., ?ll.1, 1 Of) gallons
-30 -~O 0
-15 - Ilj 0
0 0 "~-O,?> Start pump
1 ( ~lI·43 2 .. 40 1.5 2 G, \0 ·4\
2 ? 2.5 4
3 5 4 4tb'l. 5 r·~OJ
6 , -40 7 ~ I'~' c;,o2. 8 1O J·4'V
10 \S \.4-0
15 'to ,.41 soo 217
Sao '2,0.6 1'.~ Slt-M-ft.6
~~~ &'111 a hlli .. =7
.' c o SDPTD Fonn 518103
~~; '::iACtual " .;, '(~~"
;;Dra' l/:
. :)) u '/ :'
.";' "',. Depth" u t fo,' ,7
'iElapsed to:'?/'icf' :: "
" ;~; .j~P~;. )?PJ" "Y ;
Time water' r" (Un'
EC ea, ' ';r 1;, . t' ·"t " t (rleaf~a~~~ ;0fJ~!at I ,,',
d~ '" 70( ,<A);~,~,~·, :!3f~ ,~" .>y."" . ;,';~;~b
'filmin) /c'C
(p.mMs)···· Remarl<~ni{t! :::A \'
. (mlnl :'0;:1.1) ,v c'
)" '. " ;J/,;,
,~~~;"",7;,;,,,
~5 '1I·11 'l -"8 ,c, '1\14 i·1(
11 (;lI·14 '2·11
;~ G(l'1! ?Jl'J..
;~ G, (j ·1h ~'1~ 4D &11·1" 1..1'~ <64?1 4S GlI ·1~ "'1" 9A7 So GlI·ego 'l. '1'7 Z4e, 0S 6,(f·~1 '2-1t 04~ Go C,r(·?>{ 2.,'2. ~t7b 2?6 2O.g 7?J.,7. ~A~~\
@> (,( " 1'l·1~ ~·1 ~ ~ ,2- f,(Z,fI) \ ~. <68 rr4-G
ft,'; "tl.~" ~.,~
64 ~(t~CI) ,;." ((46 ,~ C9(~.ol ~"8 ,r" "l~.04 4.ot (,1 '11"~ 4.o~
lO~ (,,~.ol 4-.0+ f#"'J (,(').0<'6 4-,05
70 'r"J.oq +.o~ "SS 1'3 '(~." 4'01 ( 1!,7
'60 C.,~.''V 4·0~ " S~ ~S GI~ .('2.. 4,0, 1I Sg
'!>o ft,1~.(~ 4.fD I (51r ~ w.g 7~.!>. SAA-Lfu;;. ~
4~ OJ\ "I;.~b 4·~~ ~ 0)2- (,(3 .,,~ 4.~o
O)'? 'l~ ." LJ·~~ ''3~ , 6)4- ('(?J.~ 4·9b O)t? ~14.o1 4'~i "Jb ~r4-.04 ~.of
'?Jl (, r4'·oc, ).0.,
~<6 (',( 4.0(, 5.o~
f • ,-, ~
~~fZ,,1;~,.~.l (min) (min) ::'~; <U11l)·::; 0.1 Ii)
'!)~ I ",4-.01 I 15.04-lObi ~14-.0~ I S.O~
(05 I ~14·o+ 1 ~.Or
, I 0 I ~'4.o(, I 5· O~ fIr; 1 '14.0f£ I 5.oS l '2..0 I ,rl\-.Qh I 5.o~
4
o SDPTD Fonn 5/8/03
"; .. ;t$~@%~h,V';~';;~"i '~;;,: ~.~ . i'i'j.~~ 1~1IfO!1$,t2 ;~, "j ~C . j'Cl:~b\~t~~,',;r;m/;~~ir
t 3 ..; ..'1'.1' .,.jJt,.)!1I1 .. )$,j' ..
'. AQtmhos) ····,j;::.~j~~~4 ":;;'~;,'
I~b'}
I~'~ 1~'2 ,~'} f~6'2,.
o
rSbM.P<£' ~ '2.24 110:1 1 il. "J. I J ~ PtAM.f',..lc.
Max possible duration, water level or quality did not stabilize for any 24 Deriod
Begin recovery data next page Flow meter reading at end 04f pumped..-eeriod: '2, O~, Zoo gals
1 starting pumping rate Q 2 minimum length of step period of constant pumping rate 3 minimum mandatory Chloride (Cr) measurement/sampling at end of every step 4 Use same ending drawdown figure as start for recovery
, " .
'~.IZ 0·0'1 ~O~.'2Pj O·u, 2.5 4- 0
~.~3 O·~O 3 ~ 0
~.'?I 0·21& 4 , 0
b09.'1.~ O· 'J,'J.. 5 7 0
'oq.'ltf O·'U, 6 ~ 0
'O~.~ (),U 7 ~ 0
,~,~ O·U 8 (0 0
~~·n (),'~4-10 , ; 0
15 t?~.2.~ 0.'1.0 o 20 ~o,.l~ 0.1 ~ o 25 ~O~.rg 0.(; o 30 '~.'4 O. I, o 40 (gO <?J. t 'l-- 0,0, o 50 "0 (,O~.(D 0. 07 o 60 70 ~o~ .06) O.oe, o 70 80 (Pet!). 0") o. of" o 80 ~O ~.et o,os o 90 J O'D ~.o7 0.04- o
100 / • H7 (P~.da 0.03 o 150 III Dt] o 200 o 250 o
END TEST Date: 12. .. 1 b- 'Z.D01- Time of day: 1'2.: te;
SDPTD Fonn 5/8/03
.80% recovery achieved 080% recovery not achieved
ADDITIONAL REMARKS: ___________________ _
Person in charge of pump test (pri~ -roM.-~ Signature: ? ~ ~K..._-The signature above indicates that the data reported on this fonn is accurate and true to the best of the person's knowledge who operated this pump test.
o CRPTD Fonn 5/8/03
CONSTANT-RATE PUMP TEST DATA
Pumped Well No. SG t.~- () '- Observation Well No.
Pumped Well Name f(w~ Me.?l Distance between Obs. & Pumped Well __
Target Q 1'2.1ro gpm Reference pt. for depth to water G Sf>. "" Static Water Level @ start of test 4~. "0
Water level measurements by: • electrical sounder 0 pressure transducer 0 airline
START TEST Date: 01-1 CO -'U)04 n ~IV 0... ... Time of day:_·~ __ l_ IVV
Flow Meter Reading Start: '2.,40 2, ~OO gallons
-?Jo ~o,.o~ -. -15 .. IS ~o~.e~
ft.
ft. msl
ft. msl
0 0 GO~.Ob 0.00 Start pump/Cr taken
1 ~'"l.b; 11. 12-'2,2- 'UJ.b '1?J 1.5 t C;12·"61 -;.,
2 '? GI'Z.~4 ~.;~
2.5 "(2. .~I). ~,'L 3 5 ',~.ro ~
4 G "t1'.O~ . "5. 9~ 5 1 (,1?J. o1 4.0 I 6 ?,
"" .00) 4·03
7 GI"?·I1.- ~.Ob 8 10 &1~.I4- 4·o~
10 15 G(~·11 4.11 \W0 15 ?.c '1-;.1 ~ 4. 13
20 25 ~1$·2.?' ~·n 25 ?JO (,1~.'2A 4·1~
30 40 bI3.~ 4·21. 40 SQ ~1~.7..1 4·7.1 50 (00 4·2,'!> 1M 60 ~O 4·'2.t; 70 ,2-0 (, I~:"S 4.1.~
o CRPTD Fonn 5/8/03
,'$ugg~ted . Actual.
~~&~ ~<!! .....
n".;~ :ti :r~: ,:;'ii'.
,J[ela~ el '!\Vi~~~i .,! / y,~ping ;tl'· ,~,;; '"K ,,'
';i;:" ti'" . tl ~i!!·cr·.~ ~! .' . Well.'
. f· i •. ' -$'('{~! . (rieirest u "")! .' ..... p .. !! ,
;;;;~'E~;;A{t 'i\$; .' ~,' P/;,~~ark~ '!/~;4:~~:, .. (min) .......• tic' ;:(min) , O.1m.i ':.: ':'.;".! /. . • .•. lg~rn) '~ijunhOS}s li/( t;Ill/J) ." .. ,.' Y)".'"
80 \~() ~1~.4c 4·"14 \'lo~ 90 '240 "(~·4~ 4:~1 1 'l,f 0
100 '?100 Clt~,47 4·41 \'l..o~
150 21,0 ~r~.4S 4~~ \%1
200 4'2-0 (,\,?S~ 4-.41 \'Lfl 250 480 ~(~S1 4·£;1 l'!()' 300 ~4-o ('(?J.Sg 4·ft- \ -z.,l~ 400 (P6'O "t~.S'i ~,(t. (101 '2.1 , 'lb. 4 7~.7. cr sample taken
500 120 ~1~.S'S 4·4-, l101 600 i40 "1~,40 1'~+ l'lo~ 700 ~"O ~ f~.S'o 4·44 \1.05 800 1440 , t~.4-'l. 4'bb ('2.00 ~(4- 20.1, 1'; .. t?) cr sample taken
900 'l..I{,o lPt~·C;4 4·4-t 1'2.1( 2\4- 1.0.~ 7"J·b. 1000 2.-880 bl~.C;'7 4-4-, \ 'lot? .z.l~ 'lo:b 1~,~. cr sample taken
1500 ';bOO c,{'l·bS ~.I~ l~tb 2\"? 'lo.~ I~". cr sample taken
2000 4~~ "I ~·b4 4·r, ('W, '2..14- 1,0.1, 73.~ cr sample taken
2500 5040 G1l~.1' 4·"S {'lot 2.L ( l~.~ 7$,4 cr sample taken
3000 S1bo ~I~'''' 4·b~ l'U4 2.11 t"~ 7~·8 cr sample taken
4000 b~ ~('·14 4·'~ IUJ" '2.l1.. (,o.d 13.S. cr sample taken
5000 1200 ~(~,b<'6 4-,b'l.. (2,.17 1..''3 'lo.0 13.'. cr sample taken
6000 1'!llo "t ?>.1'l.. 4·" r~ '2.1 , ,~. g l~·S. cr sample taken
7000 g640 ~(3.b~ 4.~~ \214 '2-11 t"~ 1~.1. cr sample taken
8000 ~?>W ~(~.b~ 4·b-v 1'2.( 5 '2..\2. 7.IJ.O l~·b. cr sample taken
9000 IO,OW (PI ~:1~ 4.hl l~ 2.('2. tg.~ 7j·7 cr sample taken
10000 Max possible duration, water level or quality did not stabilize for any 24 period
" Begin recovery data next page
0 Flow meter reading at end of
Pf4dReriOd: ~ 60Vl 4)00 gals r-
1 Chloride sampling required 2 Use same ending drawdown figure as start for recovery
- .' c o CRPTD Form 5/8/03
1 0
1.5 0
2 0
2.5 0
3 0
4 0
5 0
6 0
7 0
8 10 &10·40 0
10 f5 "O·~ 0
15 "lID C;IO.-:rz. 0
20 1,5 '(o.JS6 0
25 -;0 ~IO·2.1 0
30 0 Gro-'Zo 0
40 ~(o.( ~ 0
50 6(0,\1 ( I ( , 0
60 Q.:f2: I. 0
70 O,~( 0
80 o.ge; 0
90 O-go 0
100 0·12- 0
150 0.b8 0
200 0, 0 ~l~j
250 o,bl 0
END TEST Date: Ol-~?- 'Wo4 Time of day: 2.. ... 00 rM ADDITIONAL REMARKS: hw\~ le"~, fy;~J.. Oh reVO\J~ ~ e.""w~ w.&.Q '2-,
kt9-v~ O:J~ fR~ Person in charge of pump test (print): ~ lD"-.L< _ ~h-'C(§' N1!r ier 7-'-~ o\J:.k. Signature: _-...,.._--:----:---,--_-...,.._,...---"'~=....;....;._L..~__=c.."',.......:..:: ~=_______ 0 The signature above indicates that the data reported on this form is accurate and true to the best of the person's knowledge who operated this pump test.
Tom Nance Water Resource Engineering
Mr. Ernest YW Lau Deputy Director
o
Commission on Water Resource Management Department of Land and Natural Resources State of Hawaii P. O. Box 621 Honolulu, Hawaii 96809
Dear Mr. Lau:
o
03 OCT 15 All' 20
'f\;\ ,1~;r;
Executed Well Construction Permit for Piwai Well No.3, State No. 5629-02, in Lawai-Omao, Kauai
October 13, 2003 03/399 (01-72)
The attached executed well construction permit is being submitted on behalf of the Kukui'Ula Development Company (Hawaii), LLC. We expect the well's construction by Beylik Drilling Inc. to start in the next several months and will inform you in advance of the actual start when the schedule is finalized.
Sincerely,
Tom Nance
cc: Tom Hoen - Kukui'Ula Dev. Co.
Attachment
680 Ala Moana Boulevard. Suite 406 • Honolulu. Hawaii 96813-5411 • Phone: (808) 537-1141 • Fax: (808) 538-7757· E-mail: [email protected]
o WELL CONSTRUCTION PERMIO Piwai Well No.3. Well No. 5629-02
Note: This permit shall be prominently displayed at the site until the work is completed
In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the construction and testing of Piwai Well NO.3 (Well No. 5629-02) at Upper Omao, Kauai, TMK 2-5-01 :02, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
The Chairperson of the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any work authorized by this permit commences and staff shall be allowed to inspect installation activities in accordance with §13-168-15, Hawaii Administrative Rules.
The well construction permit shall be for construction and testing of the well only. A minimum 1114-inch diameter monitor tube shall be permanently installed, in a manner acceptable to the Chairperson, to accurately record water levels. The permittee, well operator and/or well owner shal coordinate. with the Chairperson and conduct a pumping test in accordance with the Standards (a pump testing worksheet is attached). T~e permittee, well operator, and/or well owner shall submit to the Chairperson the test results as a basis for supporting an application to Install a permanent pump and withdraw water for use. No permanent pump may be installed until a pump installation permit is approved and issued by the Chairperson.
In basal ground water, the depth of the well may not exceed one-fourth (1/4) of the theoretical thickness (41 times initial head) of the basal ground water unless otherwise authorized by the Chairperson.
The permittee, well operator, and/or well owner shall incorporate mitigation measures to prevent construction debris from entering the aquatic environment, to schedule work to avoid periods of high rainfall, and to revegetate any cleared areas as soon as possible.
In the event that subsurface cultural remains such as artifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee, well operator, and/or well owner shall stop work and contact the Department's Historic Preservation immediately.
The proposed well construction shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. This permit or the authorization to construct the well shall not constitute a determination of correlative water rights. .
The following shall be submitted to the Chairperson within sixty (60) days after completion of work: a. Well completion report, (attached - Part I, Well Construction Report). b. Elevation (referenced to mean sea level, msl) survey by a Hawaii-ncensed surveyor. c. As-built sectional drawing of the well. d. Plot plan and map showing the exact location of the well. e. Complete pumping test records, including time, pumping rate, drawdown, chloride content, and other data.
The pe~mitteehwell opt;lrator, and/or well owner shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of t IS permit.
The well construction permit application is incorporated into this permit by reference and is subject to the Hawaii Well Construction & Pump Installation Standards (January 23, 1997; HWCPIS). If the HWCP1S are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.
The permit may be revoked by the Commission if work is not started within six (6) months after the date of app'roval or if work is suspended or abandoned for six (6) months, unless otherwise specified. The work proposed in the well construction permit application shall be completed within two (2) years from the date of permit approval, unless otherwise specified. The permit may be extended by the Chairperson upon a showing of good cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later than three (3) months prior to the date the permit expires. If the commencement date is not met, the Commission may revoke the permit after giving the permittee, well operator, and/or well owner notice of the proposed action and an opportunity to be heard.
If the well is not to be used it must be properly capped. If the well is to be abandoned then the permittee, well operator, and/or well owner must apply for a well abandonment permit in accordance with §13-168-12(f) prior to any well sealing or plugging work.
The permittee, its successors, and assigns shall indemnify, defend, and hold the State of Hawaii harmless from and against any loss, liability, claim, or demand for property damage, personal injury, or death arising out of any act or omission of the applicant, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the granting of this permit.
Special conditions in the attached cover transmittal letter are incorporated herein by reference.
Date of Approval: September 5, 2003 September 5, 2005
=~~ ~ PETER TOY UNG, Chairperson Expiration Date: Commission on Water Resource Management
I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the driller have signed, dated, and returned the permit to the Commission. 1 also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $1000 per day starting from he permit date of approval. .
Date: lb· 7- ~j
Firm or Title: _ ..... ~L.J/'-=Cc-:..:...-...JtYL..;n:....;1e4:......::::!./..:...d..:........,--'-T.L...-____ _
Permittee's Signature:~,L-t2~~~~~'f1!.'+!-~~::::+
Printed Name:
Driller's Signature: 10-1-03 C-S7 License # : AC-21896 Date: ~-~-~~--------- --------
Printed Name: Firm or Title: __ B_EY_L_I_K_D_R_I_L_L_I_N_G_,_I_N_C_" ___ _
Please sign both copies of this permit, return one to the Chairperson, and retain the other for your records.
Attachment c: USGS
Department of Health! Safe Drinking Water, Wastewater, and Clean Water Branches Kauai Department of Water Supply Dwiaht Ho Bevlik Drillina, Inc.
-+-
LINDA LINGLE GOVERNOR Of HAWAII
September 9,2003
Ref:5629-02.wcp
Mr. Michael J. Roberts
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
Kukui'Ula Development Co. (Hawaii) LLC P.O. Box 280 Koloa, HI 96756
Dear Mr. Roberts:
Well Construction Permit Piwai Well No.3 (Well No. 5629-02)
PETER T. YOUNG CHAIRPERSON
MEREDITH J. CHING CLAYTON W. DELA CRUZ
JAMES A. FRAZIER CHIYOME L. FUKINO, M.D. STEPHANIE A. WHALEN
ERNEST Y.w. LAU DEPUTY DIRECTOR
Enclosed are two (2) copies of your approved Well Construction Permit for the captioned well(s) that authorize well construction activities but excludes installation work for your permanent pump. As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 13:
Special Conditions
1. Attached for your information is a copy of the Department of Health's (DOH) review comments. Please note DOH's requirements related to discharge of effluent from well drilling and testing activities.
Please sign and have the contractor sign both permit originals and return one for our files. Also, copies of the aquifer pump test worksheet and the well completion report form are enclosed for your use.
IMPORTANT - Drilling work shall not commence until a fully signed permit is returned to the Commission. Please provide all the information in this packet to your well drilling contractor. The permittee, well operator, and/or well owner are responsible for all conditions of the permit. This includes ensuring that the well construction contractor, or other party who constructs the well(s), submits a completed Part I of the Well Completion Report form (enclosed) within sixty (60) days after the well construction work is completed. Be advised that you may be subject to fines of up to $1000 per day for any violations of your permit conditions starting from the permit approval date.
Mr. Roberts Page 2
If you have any questions, please call Lenore Y. Nakama of the Commission staff at 587-0218 or toll-free at 274-3141 (Kauai), extension 70218.
Sincerely,
=~~ ~-PeterT. Young ~. Chairperson
Enclosures
c: Dwight Ho, 8eylik Drilling, Inc.
-CwEll CONSTRUCTION PERMIT 0
Piwai Well No.3, Well No. 5629-02 Note: This permit shall be prominently displayed at the site until the work is completed
In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled 'Water Use, Wells, and Stream Diversion Works", this document permits the construction and testing of Piwai Well NO.3 (Well No. 5629-02) at Upper Omao, Kauai, TMK 2-5-01 :02, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
The Chairperson of the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any work authorized by this permit commences and staff shall be allowed to inspect installation activities in accordance with § 13-168-15, Hawaii Administrative Rules.
The well construction permit shall be for construction and testing of the well only. A minimum 11/4-inch diameter monitor tube shall be permanently installed, in a manner acceptable to the Chairperson, to accurately record water levels. The permittee, well operator, and/or well owner shall coordinate with the Chairperson and conduct a pumping test in accordance with the Standards (a pump testing worksheet is attaChed). The permittee, well operator, and/or well owner shall submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump and withdraw water for use. No permanent pump may be installed until a pump installation permit is approved and issued by the Chairperson.
In basal ground water, the depth of the well may not exceed one-fourth (1/4) of the theoretical thickness (41 times initial head) of the basal ground water unless otherwise authorized by the Chairperson.
The permittee, well operator, and/or well owner shall incorporate mitigation measures to prevent construction debris from entering the aquatic environment, to schedule work to avoid periods of high rainfall, and to revegetate any cleared areas as soon as possible.
In the event that subsurface cultural remains such as artifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee, well operator, and/or well owner shall stop work and contact the Department's Historic Preservation immediately.
The proposed well construction shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. This permit or the authorization to construct the well shall not constitute a determination of correlative water rights.
The following shall be submitted to the Chairperson within sixty (60) days after completion of work: a. Well completion report, (attached - Part I, Well Construction Report). b. Elevation (referenced to mean sea level, msl) survey by a Hawaii-ncensed surveyor. c. As-built sectional drawin~ of the well. d. Plot plan and map shOWIng the exact location of the well. e. Complete pumping test records, including time, pumping rate, drawdown, chloride content, and other data.
The pelJ1litteE!.Lwell op~rator, and/or well owner shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of UlIS permit.
The well construction permit application is incorporated into this permit by reference and is subject to the Hawaii Well Construction & Pump Installation Standards (January 23,1997; HWCPIS). If the HWCP1S are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.
The permit may be revoked by the Commission if work is not started within SixJ6) months after the date of app'roval or if work is suspended or abandoned for six (6) months, unless otherwise specified. The work propose in the well construction permit application shall be completed within two (2) years from the date of permit approval, unless otherwise specified. The permit may be extended by the Chairperson upon a showing of goOd cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later than three (3) months prior to the date the permit expires. If the commencement date is not met, the Commission may revoke the permit after giving the permittee, well operator, and/or well owner notice of the proposed action and an opportunity to be heard.
If the well is not to be used it must be properly capped. If the well is to be abandoned then the permittee, well operator, and/or well owner must apply for a well abandonment permit in accordance with §13-168-12(f) prior to any well sealing or plugging work.
The permittee, its successors, and assigns shall indemnify, defend, and hold the State of Hawaii harmless from and against any loss, liability, claim, or demand for property damage, p'ersonal injury, or death arising out of any act or omission of the applicant, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the granting of this permit.
Special conditions in the attached cover transmittal letter are incorporated herein by reference.
Date of Approval: September 5, 2003 September 5, 2005
=~ ~ PETERT:Y UNG, Chairperson Expiration Date: Commission on Water Resource Management
I have read the conditions and terms of this permit and understand them. I accept and agree to meet .these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the driller have signed, dated, and returned the permit to the Commission. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $1000 per day starting from the permit date of approval.
Permittee's Signature: ______________ _ Date: ______ _
Printed Name: Firm or Title: ________________ _
Driller's Signature: ______________ C-57 License #: _____ Date: ______ _
Printed Name: Firm or Title: _______________ _
Please sign both copies of this permit, return one to the Chairperson, and retain the other for your records.
Attachment c: USGs
Department of Healthl Safe Drinking Water, Wastewater, and Clean Water Branches Kauai Department of Water Supply Dwight Ho Bevlik Drilling, Inc.
Well No. Well Name Applicant
5629-02 piwai 3 kukuiula dev. corp
-~----
SECTION 1: WELL LOCATION INFORMATION
Island Aquifer System Aquifer Sector
KAUAI LIHUE KOLOA
data
Date of Review Reviewer
Proposed Use
o
Proposed Withdrawal System Sustainable Yield
8/4/2003 RRI
30
SECTION 2: WELL SECTION DATA (enter data in grey cells only)
Elevation at top of casing Ground Elevation Cement Grout Rock Packing Hole Diameter Total Depth
Estimated Head Calculated Aquifer Thickness
County Water Supply (YIN ?)
__ ~""'-;>"4.60i,5".".2 ft., m.s.1. .y;~'$'O~ ft., m.s.l.
----...,;..~;.;;4
'9Q!l'jft. .;:Clft. 23 in.
____ ...... 770 ft.
__ -,-",~·-,,5..::...0ft., m.s.1. 2050 ft.
---
yes~.~
Solid Casing Material Designation Length Diameter Wall Thickness
Casing Material Designation Length Diameter Wall Thickness Openings
Open Hole Length Diameter
Steel ASTMA53
aDO ft. '}t;>16 in.
0;375 in.
Steel ASTMA53
120, ft. -----.. ~-
;1~;in. 0.3125 in.
._, __ ~ sq.in.ll.f.
5.0 ft. 23 in.
SECTION 3: CHECKLIST (values to check are shaded)
Well Depth Theoretical Thickness of Aquifer 1/4 Aquifer Thickness Depth of Well below Sea Level
Well Casing Minimum Wall Thickness
Material County or Non-County
Minimum Thickness per standards Wall Thickness Provided
Minimum Length of Solid Casing 90% of ground to top of aquifer Length of solid casing Provided
Casing Material Annular Space
Depth of Grouting Calculated Depth of Grouting Depth of Grouting provided
Thickness of Annular Space
Steel county
2050 ft. 512.5 ft.
120 ft.
0.375 in. 0.375 in.
540 ft. 600 ft.
ASTMA53
420 ft. 500 ft. 3.5 in.
okay (refer to HWCPIS Section 2.2) (disregard if the well is not basal, deep monitor or salt water)
okay (refer to HWCPIS Section 2.4 c) (disregard this if this is a non-county well)
okay (refer to HWCPIS Section 2.4 d) okay (refer to HWCPIS Section 2.4 e) If the cell above reads #N/A, reference HWCPIS)
okay (refer to HWCPIS Section 2.6 c) okay (refer to HWCPIS Section 2.6 d)
Page 1
AUG-22-2003 15:45 FROM:OOH HEER OFFICE 8005867537 TO: 8085870219 P.8
~I,INGI.£ PE11!R~ ® --- RfC(JVEO D(PARTMENT OF HEALTH
IoEII&OnH J. (;HaIG CLA'fTON W. CELA CRUZ
,IIIII!.S A. ~ athQE L. FUICINO .... .0. ~I~A. wHIILf.M 100) AUG 12 P 12: 21
HEER Ot' r j C E DEP~c!:A~~':~': AESOURCU COMMISSION ON WATER RESOURCE MANAGEMENT
P.o.8OXG1 HONOUA.U. HAWAII liliiii
August 7, 2003
EIIJIE5T Y.W. uw --
TO: Honorable Chlyome L. Fukino, M.D., Director Department of Health . Attention: Harold Yee, Wastewater Branch
WHliam Wong, Safe Drinking Water Branch .Dr. Keith Kawaoka, HazardOus Evaluation and Eme.gency Response
. Alec Wong, Clean WatN Branch
FROM: .£a,.PeterT. Young, ChBi~rson ~~~ 0- Commission on Watar R~urciiManagement
SUBJECT: Wall ConstructionIPump Installation Pennit Application eiwaj Well NO.3 (Well No. 5629=(2)
Transmitted for your review and comment Is a copy of the captioned Wei Constr:uctionlPump Installation permit application. ;
Plesse find the attached maps to locate the proposed weD. If you have any queStions about this pennit application, request additionallnfonnaUon,. or llKJuest additional review time, please contact Lenore Y. Nakama Of the COmmisSIon staff at 587-0218.
LYN:ss Attaet.ment(8)
RESPONSE: I ]
I J
I J
11
II
I I
II
ti
TIIi&..a ~_ .lOUIWwHdI ... ·""" ....... "'..,.. .... ., • ..-c .... I1IJIIm,~ _~ 25 .......... at .... 110 -e-•• 15. men WNIw 0lIl ..... ,..., III ........ DiI1IIiU "' ..... Ih ..-.-1",10 iIa _ .. CIIIi1IIY willi 11aw.II~"", Ru-CHAR). TIIa 11. CMpIar 20. Rillaa ~ 10 PaIaIIIa WIIIIr ~ ... '11-»a~
TNlwaI ella nut Qlll/lfyaa.1OWa ..... IUIIIc_ QIWII (..w. -- 21111111Die or men=-..... -:.:.c.r-,..r .'I .... ~..." ......... jia ......... ~=_................ : and pnIMI1C» lIIII\Id inIiaIIng_udl .. and nIUIInIIv!llllllllar" -- ........... ':':II ....... _ ... fram ........ ...... ~ mwt .. fdIiC ..... av-n dIIIIIIIan ... Dlnlclarfll .ppnMlla IIlIlID ~=1..
1 .......... uaed~~.IIII~IIIa(lllfllOlMin ....... I~ • .,._ .... .u .... ~ ...... 1IId DllddlawCDI.ledallltij ...... 1Inu pufilbllllIId.....,..,.....,...... ::'=01'. ~ t.ddIaw~. and ~ ~~.. .piDaIa ........... ID ...... irWIhefIInI tJlftIIII peIIa"'_. ~~ ..... hDuIiI be ........ ...,...,.
h do. nQI ~ 1hIt ... ..,. .... uMd for ~ lI'I'PU'Wand " nut ~ III s.r. r;lIinIIinCI w .. Reg.MIIanI.
~,,:~~ ...... 111 ............... OIIIIW11I1111an'Ja (11a .... 1caIId ,.... ... IIIQIIUMd ....
An NPOES ,.... ....... .
DInar ...... 1II DOH MIII~ Ir*InnIIIDrt. ..... I .... IdIIiDI ... aa.d1ad.
No GDnIIIIII'~.
Contact Person: Dr~awaOka
~ .. ~ Phone: 586-4249.
!'**w Fax to: Commission on Water Re50u~ces Mgt. 587-0219
LINDA LINGLE GOVERNOR OF HAWAII C " 'I":':' R t:' r·- . \,.,
L- ,--,.' , --
PETER T. YOUNG r :- ~-. ~ , / ~ D CHAIRPERSON
03 AUG 21 All. . Rl~"""r' \' j\·Trt:.'R BRA"IIIEIlEDITHJ.CHING SAFED i'l1\liH.l i;" OOIrt'JoNW.DELACRUZ
JAMES A. FRAZIER CHIYOME L. FUKINO, M.D.
A' . STEPHANIE A. WHALEN
ERNEST Y.W. LAU DEPUTY DIRECTOR
r .STArT~OF HAWAII
~~;~/.:,m)(Rl.h!.M'i!~T~~~~.,AND NATURAL RESOURCES ... , M~ClNON:WA~ RESOURCE MANAGEMENT 1\ ,.. P.O. BOX 621
HONOLULU, HAWAII 96809
August 7, 2003
TO: Honorable Chiyome L. Fukino, M.D., Director Department of Health Attention: Harold Yee, Wastewater Branch
William Wong, Safe Drinking Water Branch Dr. Keith Kawaoka, Hazardous Evaluation and Emergency Response Alec Wong, Clean Water Branch
FROM: };"r Peter T. Young, Chairperson ~JJr OV' Commission on Water ResourcE1Management
SUBJECT: Well Construction/Pump Installation Permit Application Piwai Well No.3 (Well No. 5629-02)
Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installation permit application.
We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by September 5. 2003. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments;
Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Lenore Y. Nakama of the Commission staff at 587-0218.
LYN:ss Attachment( s)
. RESPONSE:
l' [ 1
[ 1
[ 1
[ 1
[ 1
This well gualifies as a source which will serve as a source of pqtable water to a public water system (defined as serving 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of Health apj:lroval tf.~Nr to Its use to comply with Hawaii Aomlnistrative Rules (HAR), Title 11, Chapter 20, Rules Relating to Potable Water Systems, §11-2 - .
This well does not qualify as a source serving a public water system (serves less than 25 ~ople or more people at least 60 days per year or 15 service connections) and if the well wafer is used for drinking, tne private owner should test for bacteriological and chemical presence before initiating such use and routinely monitor the water guahtv thereafter. Howev~rJ if future planned use from this source Increases to meet the public water system definition then Director of Health approval is requireo prior to Implementation.
If the well is used to supply both potable and non-pgtable 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 non-potable spigots with warning signs to prevent inadvertent consumption of non-potable water. Backflow prevention devices should be routinely inspected and tested.
It does not appear that this well will be used for consumptive purposes and is not subject to Safe Drinking Water Regulations.
For the applicant's information, a source of possible wastewater contamination [lis [lis not located near the proposed well site (information attached).
An NPDES permit is required,
[ 1 Other relevant DOH rules/regulations, information, or recommendations are attached.
[ 1 No comments/ObjectaiO c..' tfrrJ Contact Person: ' tV Phone:!;?> b -- Lj-c2S'S
----~~~------~rr-----------------
S~ned: 'hI) ~ Date: __ ~_)_'1a_7~_O_3 __ _
, o o AUG 1 2 21103
t-LINDA LINGLE
GOVERNOR OF HAWAII PETER T. YOUNG
An · 56
STATE OF HAvy.t\ll.~'j~ f"'c\l \NrTr:! DEPARTMENT OF LAND AND rf&.tu~ia.ll.~ tEsat;JRcE,S0.eli ci:.',
COMMISSION ON WATER RESO~~~I;tMANA.G'EMlEPH'1 P,O. BOX 6t1-~
HONOLULU. HAWAII 96809
August7,2003
CHAIRPERSON
MEREDITH J. CHING CLAYTON W. DELA CRUZ
JAMES A. FRAZIER CHIYOME L. FUKINO. M.D. STEPHANIE A. WHALEN
ERNEST Y.w. LAU OEPUTY DIRECTOR
TO: Honorable Chiyome L. Fukino, M.D., Director Department of Health Attention: Harold Vee, Wastewater Branch
William Wong, Safe Drinking Water Branch Dr. Keith Kawaoka, Hazardous Evaluation and Emergency Response Alec Wong, Clean Water Branch
FROM: J,,(' Peter T. Young, Chairperson ~/J~ OV' Commission on Water Resourc~Management
SUBJECT: Well Construction/Pump Installation Permit Application Piwai Well No.3 (Well No. 5629-02)
Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installation permit application.
We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by September 5, 2003. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments. .
Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Lenore Y. Nakama of the Commission staff at 587-0218.
LYN:ss Attachment( s)
RESPONSE: [ I
[ I
[ I
[ I
[ I
This well qualifies as a source which will serve as a source of potable water to a public water system (defined as serving 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of];ealth aPllrovalgg~r to Its use to comply with Hawaii Administrative Rules (HAR), Title 11, Chapter 20, Rules Relating to Potable Water Systems, §11-2 - .
This well does not qualify as a source serving a public water system (serves less than 25 people or more people at least 60 days per year or 15 service connections) and if the well wafer is used for drinking, the private owner should test for bacteriological and chemical presence before initiating such use and routinely monitor the water guallty 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 ~ap or an approved backflow preventer, and by clearly labeling all non-potable spigots with warning signs to prevent inadvertent consumption of non-potable water. Backflow prevention devices should be routinely inspected and tested.
It does not appear that this well will be used for consumptive purposes and is not subject to Safe Drinking Water Regulations.
For the applicant's information, a source of possible wastewater contamination v.s [ I is not located near the proposed well site (information attached). IX" An NPDES permit is required,
, ENV HEALTH KAUAI
au~ Ie U~ u~:u~p 8082413566
W8~~e.a~er er~ncn - 08/13 ·03 15:29 NO.001 01/02 ovo~o~~~v~ ~.~
Date:
• STATE 01' HAWAII OEPARTMENT OF HEALTH
".<;1. lOX$)" ~. NlllWAII ..,
FaCSimile Request and Cove.- Sheet WasteWater 8ranch
919 Ala Moana 8tvd. Room 309 Honolulu, Hawaii 96814-4920
(80S) 586-4294 Fax (808) 586-4300
a~lJtst IJJ Tota[Pages~2.~ __
"OM: Joe Taeyama, Kauerl Ot~ Health Of'ric:e Ph (808)241,,3323 Fax (808)241-3566
... : Loti Kajiwara, Pfanning/Design Section E~I: [email protected]
Sublett: Request for InfOrmation lcau.r faWOCl Am • Of"", 2DOJ
aN 00 you have any IWS files or fifes ~ the following well site:
(~J)2-' 5 _ 001: 002 £iwai nJ<-t.l NO . ..3 IA. Op<l~' (f) rna a
PI .... CIteck all tftat apply: [ J sewered (1 no recon1 ~J cesspooJ [] septiC tank [] aerobic unit
File" if applicaO!e: ___ _
Record Date:
# of 8ed"","", ~~.. ! o-,eE c /1*'1 1-_ .
SUbmit Date:
Plesn Approval oate: InspectJon Date:
System "Approval fot Use'"' Date:
'lease fax site/plot plan if available. Thank you.
-'
I I , I I I ,
-ENV HEALTH KAUAI 8082413566 08/13 103 15:29 NO.001 02/02
OXlSTJllt~ CESSPOOL INFORMA nON CA~i TMK; (4) 'to- ... < ~ 0 ) : 0 ~ Lot No,
Property Owner:
Project AddNSS: -,""t_,,_q--,' _\ '!7_\_\C.A\.\ __ M_U_~_· __ • i_\lvI----,~_I__-_- District:
-----'--'7I"lrlIfoL---+-~if-- Contractor:
""l...~ & ./n., . .A.' COc. ~tuMJ.~ . .Ku:.r..', 0,.9.. '--..;;....;.~-f-~-?;......;;.&,..- D~tauce from Property ~e: rR"""",,crur~ ___ \-+ __ W_~-.at..~~::.:.-,-r-l..:o i I~~.,,~....I. __
Diamct&r (Clear) p"t: Depth root: ~~~ 't. i::. o~~ = -" .. :7:!
No. Feet to Watt:r Table: Type of Lulin,: _t-\_~_....:...... __ \ ______ _ Distan~ from Finished Ground to Top of (:over (Feet): _l _' 'ii'....;.._,s_X __ '-________________ _
Dislao~ f~~ cover to liquid in CesspOOl:C Auu-Ik: s;- St-6 Ft.::. S ~ Dare Inspt:~ted by, En8~~/~~\ra<;,to~: J\2lol~ \ ~h ~~ '"3.
Date cesspoollast pumped: _~_o..,....... __ , OW~¥\ ..
No. of bedroo1J'J8: Off'lSR: As the ongineer/contractor perfo~mins Ih~ insPection, I submit the above information and the plot plan as drawn on tho batk of t1~s carel., ~ also ~bmjt tliarUlc'ex~ing ceSspool is function in not r' '" within th¢ last twelve mon~, aad t.ioe:? not dISCbJlr1:~ d'r~t1y Into the groundwater table, .
" .,.. . f /} " Engineer's/Contractor's Signanlre and'Li~enSe Number: . V· Date: (' ~ t~ 5
. '. ' c. 14 'f 7. ~::/ .
,
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~,\ ..... ~ t~::'I ~t:l 14111 . I, ~~!oJ" lot .t.
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I .. ' ."1'1, 1'0_ 40
AUI-18-Z003 08:48am From-STATE Hiitoric Prlilrvation 808 S9Z 80Z0
LINDA UfIIOLE lJQVaINDRaF_
STATE OF HAWAII DEPARTMENT Of LAM!) AND NATURAL. RESOURCES
HISTORIC PRESERVAnON DMSION KAKUHIHEWA BUILDING, ROOM 555
6D1 KAMOI<Jl,A BOULEVARD KAPOlEI. HAWAII 88707
HAWArllDSTORIC PRF.SEI<.VATlON DIVISION RRV[SW
T-840 P.OOI/OOI F-09S
DMDA~ III",,", .. ~·IMID
ElUll!Sl'1'.W. IJW t:eI'UfY GllIKftIII·_1m
Log 1#: 2003.1324 Doc: #: 030BNM 1.2.doc
Applicant! Agcnc:y: Ernest Lau. Depty Din;clgr/Cgmmission OIl Wp Rc.!!oun:e Managemcnl
Address:
SUBJECT:
DLNR. P,O. Box 621 Honolulu. Hawaii 96809
Histori~ Preservation a.riew ~ Well Con.l .... cliolllP1ll .. p I ...... latiop Per ... it Applieatioa :.t Piwai WeD No. 3 (Well ao. 56l9--02)
AhupU4' a: Kalaheo District, T.sland: Koloa, Kauai TMK.: (4)2.s.o1: l
l. We beHevc t1:Jen, are no historic properties pnsmt. becau.qe:
_ a) inlemive cuhivation has a.ltered tlut land _ b) residential developmwtlurbaoization hal; al ..... ~ tht: Japd _ c) previous grubbing/grading has altered the land
i. d) an 800Cptablc archaeological asscs.~cnt or ioveutoIY survey tOWld 110 hi)1oric properties _ e) other.
2. This project has already goae through the historic preservatiDn review prOCW5, and mitigation has been c:ompl&lWS._ •
....!:... Thu.~ we believe that "00 historic properties will be affected" by this undertaking
Staff: ffanQ ~;rLJ.r" 0-., _~8l"..18/ ..... 0 ..... 3~_~_ Title: _-=Arch==aco~lo~B;o::i:.::st~fi~",=-:.:K~!Wl=-'..:.j _______ - __
LINDA LINGLE GOVERNOR OF HAWAII
TO:
FROM:
SUBJECT:
o o RECEIVED
AND OIVIS~ON
STATE OF HAWAII DEPARTMENT OF LAND AND NATUEMI~Mt
COMMISSION ON WATER RESOU M ES po, BOX 621 "
HONOLULU, HAWAII 968CSTATE OF HAVIAIl
August 7,2003
Dede Mamiya, Administrator Land Division
Ernest Y.W. Lau, Deputy Director w~ Commission on Water Resource Manigement
Well Construction/Pump Installation Permit Application Piwai Well NO.3 (Well No. 5629-02)
Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installation permit application.
• "I PETER T YOUNG
CHAIRPERSON
MEREDITH J. CHING CLAYTON W DELA CRUZ
JAMES A FRAZIER CHIYOME L FUKINO, M D STEPHANIE A WHALEN
ERNEST Y W LAU DEPUTY DIRECTOR
-.::-!!.. -... -c.J1
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 5, 2003. 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 Lenore Y. Nakama of the Commission staff at 587-0218.
LYN:ss Attachment( s)
RESPONSE:
[ 1 A water lease/permit is required of this applicant and an application for such will be requested by our division.
KK [ 1
kk
[ ]
[ ]
kk
A water lease/permit is not required of this applicant.
A water lease/permit has been obtained by the applicant through lease no, _________ _
This well project [ ] requiresxXdoes not require a COUP, If a COUP is required it [ ] has [ ] has not been approved and [ ] is [ ] is not currently active.
Other relevant Land Division rules/regulations, information, or recommendations are attached.
No objections
Other comments: Original source of private title is Land Commission Award No. 387 issued between 1845 an 1855.
Contact Person: ___ G_a_r_y __ M_a_r_t_l_' n ________ _ Phone: 587-0421
~. ~_/t ~~ Signed:_-L.~.,::"j.... __ +----=-~-=--~-=-~:...LL. ______ _ Date: AUG 1 2 2003
AUI-13-Zoo3 09: 19am i'
From-DEPT OF HEALTH ENVIRONMENTAL MNGMT 8085864352 T-518 P.ooZ/ooZ F-513
UNPAl-lNGLfi _1#_
t fOETERT.~~G
~-
STATE OF HAWAII CEPARTNENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT fO.o.BOxa1
HONOllJLLI, HAWAII 11lIII08
August 7, 2003
~. 0-- Vv MEIlEMH J. CHI .. G O· CLAYTO/IIW. Oeu.~%
.IIIMeS "- FlUZIER cttlYOloE L. FUKINO, M_D. STEPhANIE A. WHlll-Eloi
ERNES'rY.W. LAu IICNIl" DoIIKmR
TO: Honorable Chiyome L. Fukino, M.D., Director Department of Health Attention: Harold Yee, Wastewater Branch
WRliam Wong, Safe Drinking Water Branch Dr. Keith Kawaoka. Hazardous Evaluation and Emergency Response Alec Wong, Clean Water Branch
FROM: 1.rPeterT. Young, Chairperson ¥U;~ (/"" Commission on Water ResourcdManagement
SUBJECT: Well Construction/Pump Installation Permit Application Piwai Well NO.3 (Well No. 5629~02)
Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installation permit application.
We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond b~ retumin~this cover memo form b~ S!'!tember 5, 2003. If we do not receive comments or a reque for additional review time y tlils date, we Win assume that you have no comments.
Please find the attached maps to locate the proposed well. If you have any questions about this pennit application, request additional information, or request additional review time, please contact lenore Y. Nakama of the Commission staff at 587-0218 . . lYN:ss Attachment{s)
. RESPONSE: [ ]
II
( J
( ]
[ J
[ J
TnIs wall auallfles 8S a IGUtca which wi. IBM as a r;ou/al of ~bIa W8\8( to a ~ water svslem (defined 8S SlllVing 25 Cit mont people at lea&! ea days ~r YI'!!f or hila , I> Cit JIlDRIlilllVic:o CClM8CIioIIIi) ana m .. t I1ICIIIva Pireaor Of Haallh aPP..fOVill ~. to lIS u&o 10 QOmpty wttn Hawaii Aifmll'li&tr.tliua RuIe8 (HAR), T4111 11. Chapllt 20, RuItI~ ~"8 ~ Potable Willet Syatama, §11-2a:H:"
This wall doe& nat CP.!'1if)' .. a soun:. _Nino a jIUbIIc: water s~ ,HI"IeS less t/lan ~ III!GpIe ar more peaQIe iii! leall tIQ day,; per)08t Qf 1:i seMc:o connectionS) and if'" well water 15 used for dflrilCltlg, tha prlv,ate ownet &houlcf teat for DacleriOIOAIcaI alld chemlc:al . ~ Defore inillaUng sUCh u&a and IOIIlInelY. moniIDr 1he watet ~Iily lhar&lilfter. ~':J if fuIIIre piar!rtea "*' ftom IhiISIOiII'Ce Increases to meellha pulllic wtJter DYStem definition then DIi'edDi aniealUl approval i& raqui.- edIIt to ImpIIillYlefttMiDfl_
If Iho wei M; UfIeQ to IIIppl~m. and ncn~ purpoeealn a lingle sy&lBm, the usershell.l~ ~1Vi tf1Q baCkIlOw ccnnactiMli DY pll' epatatill9 PIlfIIbltt ana non-pal8ble systems by ;tr) air.9llp Cit In apPfOlllCl DaCktaw PI8VlII'IIer. and DY dearly labOllng .1 non-polil la ISPliIOtJ WIllI warnlno .1 to pcavenl inadvenenl consutnp1lDrl of non-potable WIllet. ItaCkftow p~an devicell shoulCl be I'OUII .... ~ inspac!ad IIIId l8ItecI,
It dae& 1101 appear ltJIn 1hI-. well"" be ulilld for ccn8Umplllle PUIpOl588 and Is not subjacr to Sate Dtinking Wa.r Regulations.
For the appljCant'J; irtfDnnalion. a SGIItC8 of PQ5Iiible wtlSt6Walar I;QOl8mlnallon []I& [] iii naalcx:a1lld neer 1he pftIj)OtAd well site (jnfonnallOn .ttad1ed),
An NPOES pwmlt Is taqulteCl.
0tn8t relevant DOH rula5lRIgUlaIionl.lntonnalion, OJ I'OQOIM\OndaliDnli ill'! ,IUIC;/led,
No GOmmonta/Qbjoctlons ~ Contact person;_",,"A~jkf;&~o::::...-.I(,..;;JJ~oN:...a.oc;Gt+--___ _ g(,-{f~1 :. Phone:
sign8d:_----JlQ....."..,Illl,.;;.;A/\./;;..;;;..~vJ:.....-J~~-+---~---- Date: ____ g"'+-'/l'-~.,.....' 0..-:.3_
.1 AUI-13-2003 09:19am .'
From-DEPT OF HEALTH ENVIRONMENTAL MNGMT 8085864352 T-518 P.00I/002 F-513
The Department of Health. Clean Water Branch has the following comments:
1. For WeI/-Drilling Activities
Any discharge to State waters of treated process wastewater effluent associated with well drilling a~ities is regulated by Hawaii Administrative Rules, Title 11. Chapter 55. Appendix I. effective September 22, 1997. Treated process wastewater effluent covered by this general permit includes well drilling slurries, lubricating fluids wastewaters. and well purge wastewaters. This general· permit does not cover well pump testing. The applicable Notice of Intent Forms and filing fee shall be submitted at least thirty (30) days before the start of discharge to the' Department of Health, Clean Water Branch at 919 Ala Moana Boulevard. Room 301, Honol~lu. Hawaii 96814-4920 or P.O. Box 3378, Honolulu, Hawaii 96801-3376. Inquiries may be direded to the Clean Water Branch at (aOa) 5a6-4309 or by fax at (a08) 586-4352.
2. For Well Pump Testing
The discharger shall take all measures necessary to prevent the discharge of pollutants from entering State waters. Such measures shall include. if necessary, containment of the initial discharge until the discharge is essentially free of pollutants. If the discharge is entering a stream or river bed, best management practices shall be implemented to prevent the discharge from disturbing the Clarity of the receiving water. If the discharge is entering a storm drain, the dis~harger must obtain written permission from ~ owner of that storm drain prior to discharge. Furthermore, best management practices shall be implemented to pr~vent the discharge from collecting sediments and other pollutants prior to entering the sto"!, drain.
JS/cr
Well Background Check Well Construction Pump Installation
Approved Well No. Well Name Applicant Driller Type Issued Signed WCR1 Accept Issued Signed WCR2 Accept
11/19/1997 1848-01 Waahila Monitor Honolulu BWS [01] AC-21896 WELL 11/20/1997 7114/1998 5/25/1999 5/25/1999
10/26/1998 1901-05 Gentry Area 13 Gentry Homes, Ltd. AC-21896 BOTH 111211998 1125/2000 11712000 1/25/2000 213/2000 6123/2000 4/10/2001 5/312001
2/8/1999 2449-02 Windward Oahu State DLNR-Land Division [05] AC-21896 WELL 2/19/1999 3/911999 10/19/2000 10/19/2000
51711999 3858-01 Kalaoa Keopu De State of Hawaii -CWRM AC-21896 WELL 5/13/1999 10/30/2000 10/10/2002C~ ---
7/6/1999 6752-01 Heffner 1 Chandi Heffner AC-21896 WELL 7/13/1999 7/20/1999 10/11/2000 10/11/2000
7/26/1999 5739-03 Lahaina Deep Mo State of Hawaii -CWRM AC-21896 WELL 8/1211999 8/25/2001 8/29/2001 9/19/2001
2/312000 5313-02 Ohanui-Kailua East Maui Irrigation Co., Ltd. [02 AC-21896 BOTH 2123/2000 3/11/2000 1/10/2001 3/19/2001 5/1112001 6/13/2001 12118/200112118/2001
4/512000 1751-08 Kewalo Basin Kewalo Basin Marine Mammal L AC-21896 BOTH 41712000 6/27/2001 8/31/2001 8/31/2001 9/17/2001 9/24/2001 9/25/2001 9/25/20010
10/20/2000 2557-04 Waimano Gulch Honolulu BWS [01] AC-21896 WELL 11/20/2000 1211112000 11/27/2001 415/2002
10125/2000 5129-02 Waikapu Baseyar Consolidated Baseyards LLC AC-21896 BOTH 11/8/2000 1119/2001 7/21/2001 7/21/2001 101112002
10/8/2001 6428-02 Honokaa Explorat State DLNR-Land Division AC-21896 WELL 10/10/2001 10/16/2001
10/17/2001 3405-05 Helemano Deep Honolulu BWS [01] AC-21896 WELL 10/2212001 10/26/2001 1214/2002 1214/2002
10/31/2001 4708-03 Kaieie Mauka Ex Hawaii DWS AC-21896 BOTH 11/23/2001 1215/2001 11121/2002 ..::: -"'.
12/12/2001 7449-02 Hawi 1 Hawaii DWS AC-21896 PUMP 1/31/2002 211812002
9/27/2002 3554-05 Kaluanui 2 Monit Honolulu BWS [01] AC-21896 WELL 11/20/2002 111412003
10/22/2002 5629-01 Piwai2 Kukuila Devlopment Co. LLC AC-21896 BOTH 10/25/2002 112812003 7/17/2003 <-'r vv~ L. ,--,,,,":)
~V\uoJ~
0
Wednesday, July 30, 2003 Page 1 ofl
LINDA LINGLE GOVERNOR OF HAWAII
Mr. Michael J. Roberts
c
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
August7,2003
Kukui Ula Development Co. (Hawaii) LLC P.O. Box 280 Koloa, HI 96756
Dear Mr. Roberts:
PETER T. YOUNG CHAIRPERSON
MEREDITH J. CHING CLAYTON W. DELA CRUZ
JAMES A. FRAZIER CHIYOME L FUKINO, M.D.
STEPHANIE A. WHALEN
ERNEST YW. LAU DEPUTY DIRECTOR
5629-02. rev
Well Construction/Pump Installation Permit Application for Well No. 5629-02
We acknowledge receipt, on July 11, 2003, of your completed Well Construction/Pump Installation permit application and filing fee for the Piwai Well No.3 (Well No. 5629-02). You can expect your application to be processed within ninety (90) days from this date.
For your information, the process of constructing a well is normally regulated and permitted in two (2) steps. First, a well construction permit is issued for drilling and testing purposes only. Based upon information provided by you through a Well Completion Report Part 1 (Well Construction), a pump installation permit (upon completed application) may then be issued to authorize pump work. If a pump is installed then a Well Completion Report Part 2 (Pump Installation) is required.
, If you have any questions about your permit application, please contact Lenore Y. Nakama of the Commission staff at 587-0218 or toll-free at 274-3141 (Kauai), extension 70218.
LYN:ss
Sincerely,
~{l~c/IJ.~ ERNEST Y.W. LAU Deputy Director
c LINDA LINGLE PETER T. YOUNG
CHAIRPERSON QOVERNOR OF HAWAII
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU. HAWAII 96809
August 7, 2003
MEREDITH J. CHING CLAYTON W. DELA CRUZ
JAMES A. FRAZIER CHIYOME L. FUKINO. M.D.
STEPHANIE A. WHALEN
ERNEST Y.w. LAU OEPUTY DIRECTOR
TO: Honorable Chiyome L. Fukino, M.D., Director Department of Health Attention: Harold Yee, Wastewater Branch
William Wong, Safe Drinking Water Branch Dr. Keith Kawaoka, Hazardous Evaluation and Emergency Response Alec Wong, Clean Water Branch
FROM: -Inr Peter T. Young, Chairperson ~dlr {Iv' Commission on Water ResourcElManagement
SUBJECT: Well Construction/Pump Installation Permit Application Piwai Well No.3 (Well No. 5629-02)
Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installation permit application.
We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by Se(>tember 5. 2003. If we do not receive comments or a request for additional review time by thiS date, we will assume that you have no comments.
Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Lenore Y. Nakama of the Commission staff at 587-0218.
LYN:ss Attachment(s)
. RESPONSE:
[ I
[ )
[ )
[ I
[ I
[ I
[ I [ )
This well gualifies 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 {lE:r year or has 15 or more service connections) and must receive Director of Health aPllrOVal!g~r to Its use to comply with Hawaii AClmmistrative Rules (HAR). Title 11. Chapter 20. Rules Relating to Potable Water Systems. §11-2 - .
This well does not qualify as a source serving a public water system (serves less than 25 people or more people at least 60 days per year or 15 service connections) and if the well wafer is used for drinking. the private owner should test for bacteriological and chemical presence before initiating such use and routinely' monitor the water gualltv thereafter. Howevelj if future planned use from this source mcreases to meet the pulllic water system definition then Director of Hea(th approval is requireo prior to Implementation.
If the well is used to supply both potable and non-P9table 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 non-potable spigots with warning signs to prevent inadvertent consumpllon 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 [l is not located near the proposed well site (information attached).
An NPDES permit is required.
Other relevant DOH rules/regulations. information. or recommendations are attached.
No comments/objections
Contact Person: _________________ _ Phone: ________________________ _
Signed: ________________________ _ Date: ________________________________ _
LINDA LINGLE GOVERNOR OF HAWAII
TO:
FROM:
SUBJECT:
c o
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
August 7, 2003
Oede Mamiya, Administrator Land Division
Ernest Y.W. Lau, Deputy Director wtJ/Commission on Water Resource Manlgement
Well Construction/Pump Installation Permit Application Piwai Well No.3 (Well No. 5629-02)
Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installation permit application.
PETER T YOUNG CHAIRPERSON
MEREDITH J. CHING CLAYTON W DELA CRUZ
JAMES A. FRAZIER CHIYOME L FUKINO, MD
STEPHANIE A. WHALEN
ERNEST YW LAU DEPUTY DIRECTOR
We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by September 5, 2003. 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 Lenore Y. Nakama of the Commission staff at 587-0218.
LYN:ss Attachment( s)
RESPONSE: [ ] A water lease/permit is required of this applicant and an application for such will be requested by our
division.
[ ] A water lease/permit is not required of this applicant.
[ ] A water lease/permit has been obtained by the applicant through lease no. _________ _
[ 1 This well project [ 1 requires [ ] does not require a CDUP. If a CDUP is required it [ ] has [ 1 has not been approved and [ ] is [ ] is not currently active.
[ ] Other relevant Land Division rules/regulations, information, or recommendations are attached.
[ ] No objections
[ ] Other comments:
Contact Person: ________________ _ Phone: ______ _
Signed:_-.... ________________ _ Date: ______ _
LINDA LINGLE GOVERNOR OF HAWAII
TO:
FROM:
SUBJECT:
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
August 7,2003
Holly McEldowney, Acting Administrator Historic Preservation
Ernest Y.W. Lau, Deputy Director ~tI~ Commission on Water Resource Matjagement
Well Construction/Pump Installation Permit Application Piwai Well No. 3 (Well No. 5629-02)
Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installation permit application.
PETER T. YOUNG CHAIRPERSON
MEREDITH J. CHING CLAYTON W. DELACRUZ
JAMES A. FRAZIER CHIYOME L. FUKINO. MD STEPHANIE A. WHALEN
ERNEST YW LAU OEPUTY DIRECTOR
We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by September 5, 2003. 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 Lenore Y. Nakama of the Commission staff at 587-0218.
LYN:ss Attechment( s)
RESPONSE:
[ 1 There may be areas in the vicinity of the well site that contain subsurface cultural remains such as artifacts, burials or concentrations of shells or charcoal.
[ 1 Other relevant Historic Preservation rules/regulations, information, or recommendations are attached.
[ 1 No objections
[ 1 Other comments:
Contact Person: ________________ _ Phone: ______ _
Signed: __________________ _ Date: _______ _
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Taxkey Subdiv/Condo 4-2-S-1-2La wai Koloa (Mauka)
c o Page 1 of 1
Copyright @S/4/2003 by Hawaii Information Service
PUBLIC RECORD DATA Tnr Property Address Owner/Lessee Beds Baths Land area Living area F KAUMUALII HWY A&B HAWAII, INC 157.71 ac
This information has been supplied by third parties and has not been independently verified by Hawaii Information Service and is therefore not uaranteed.
http://webrel.hawaiiinformation.comlresearchl Asp/Functions/Property / search. asp 8/4/2003
Department of Commerce & C~sumer Affairs - State of Hawaii - PVL ~CENSE CLAS... Page 1 of 1
'-" '-'
Department of Commek. and Consumer Affairs Professional and "'o¢~t~;";~ "icensing Division
Professional and Voca*ienal Licensing Search
LICENSE CLASS SCREEN
Please click a link listed below to display the other screen.
There were 2 specific license classes on this licensee!
***** LICENSE CLASS FOR THIS LICENSEE ***** LIC: CT -21896 BEYLIK DRILLING INC
CLASS CODE CLASS TYPE EFFECTIVE RESTRICTED STATUS C57 VVELL 03/24/99 A GENERAL ENGINEERING 04116/99
<-Back New Search->
EMPLOYEES LIST I I EMPLOYERS LIST II INSURANCE/BONDI! LICENSE CLASS
Copyright 2002 Professional and Vocational Licensing Division
Hawaii St2.l_te homepage II .QCCAII Profe~sional and VocatIonal LicensingJ;>Ivj~19JJ
http://www.ehawaiigov .org/serv/pvl? _ f=n& _ a=LC&licno=21896&lictp=CT &off=O&nm= B... 8/4/2003
OOC\.J' ENT~.
DEPAATMENT OF LAND #D NATURAL RESOl.RCES
~C OR ATTACHED I.,QRKS EET DATE: 7/17/03
SRC/ COST F YR APP o OBJ CTR PROJECl PH ACT .oJ-OI..NT NAME/DESCRIPTION°(WANG IIIPUT)
S 04 326 C 1026 P.?..s_2_ (1) 25.00 ..PEjj~,!.O~ ________ ,,- ----- -- ---(2) 25.00 TNWRE, INC.
ii -- --- - ---- -,r- ----- -- --- -------------------0) 25.00 William 0 Delaney 11 __ --- - --- ..1L. __ ----- -- --- -------------------(4) 25.00 Hawaiian Shores Corom. Assn. 11 __ --- - ---- ..1L. __ ------ -- --- (5) 25.00 lYaiTaiiilJrlTITng Tnc.--------
TOTAl- 1O~.00
REMAAKS: LINE (1) Well No. 1332-01
LJNE (2) Piwa"i Well NO. 3(TMK: 2-5-01:02
LINE (3) Well No. 3185-02
LINE (4) Kanana ve.laney we.l.l ~Trl1l.: 4°-.j°-1U:.jU)
(5) Kamaole MaU1 H111 Well (TMK: 3-9-04:081
Tom Nance Water Resource Engineering
Mr. Ernest Y.W. Lau Deputy Director
o
Commission on Water Resource Management Department of Land and Natural Resources State of Hawaii P. O. Box 621 Honolulu, Hawaii 96809
Dear Mr. Lau:
o
03 JUl II A 8: 3 J
Well Construction and Pump Installation Permit Application for Piwai Well No. 3 - Omao. Kauai
July 10, 2003 03/283 (01-72)
Attached is the Well Construction and Pump Installation Permit application and filing fee for Piwai Well No. 3 in Lawai-Omao, Kauai. If successful, the well will be outfitted and dedicated to the Kauai Department of Water. Feel free to call me or Tom Hoen (808-742-6304) if you have questions.
Sincerely,
Tom Nance
cc: Tom Hoen
Attachments
680 Ala Moana Boulevard, Suite 406 • Honolulu, Hawaii 96813-5411 • Phone: (808) 537-1141 • Fax: (808) 538-7757· E-mail: [email protected]
State of Hawaii COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources APPLICATION FOR PERMIT 6-23-03 n·~ JUL II
01-72 A 8: 31
• Well Construction and/or ! • Pump Installation
Instructions: Please print in ink or type and send completed a~plication with .att~chments to the Comm.ission r-f\\'l1.~I'C·\"lt?l~il; \i\J \11~ 'ft ~ on Water Resource Management, P.O. Box 621, Honolulu, HawaII 96809. Apphcatlon must be accompamed by f.t.1I1 " .1.).) ." '. r, -) II ' .., i \ 5 copies and a non-refundable filing fee of $25.00 payable to the Dept. of Land and Natural Resources. The f ESC'U:~C:: !.';' [,"1,GE~iENT Commission 'may not accept incomplete applications. For assistance, call the Regulation Branch at 587-0225. For further information and updates to this application form, visit http://www.state.hLus/dlnr/cwrm.
APPLICANT INF.ORMATION; (Fill out ~II turee, if IIP,plicable"jd .pla~ a check next to the primary contact) 'KUkUl Ula Develdpmem: (,;0. ~HaWall LLl" •
1. (a) • WELL OWNER:, Contact Person:M1 chae 1 J. Robert~hone: 808-742-6304
Mailing Address: P.O. Box 280 Ko loa, Kaua i, Hawa if 96756
Fax: 808-742-6378 E-mail: [email protected]
(b) 0 ~ltD~ ~c~~~a~lgag£pcC6. Ltd. Contact Person: Tom Shigemoto Phone: 808-742-2770
Mailing Addtess: P.O. Box 430 Ko loa, Kaua i, Hawa i i 96756
Fax: 808-742-2776 E-mail: tshi gemoto@abprop .com
(c) 0 CONTRACTOR: Beylik Drilling, Inc. Contact Person: Dwight Ho Phone: 682-5554
Mailing Address: 91-259-A Olai Street Kapolei, Hawaii 96707
Fax: 682-5866 E-mail: Lic#: AC-21896 (circle one: C-57, C-57a, or A)
WELL & PUMP INFORMATION: (Please fill in the diagram on the back of this form.)
2. WELL NAME: Pi wa i Well No.3 Island:
Address _______ u-'-p"-pe_r_O_m_a_o _______ Tax Map Key: 2
Kauai
5 01 02
Zone Sec Plat Parcel Attach: (a) portion of a 7.5-Minute Series USGS topographic map (scale 1 :24,000) with well location labeled and include the name of the quad map
(b) a property tax map, showing well location referenced to established property boundaries
3. PROPOSED WORK: • Construct New Well • Install New Pump· (check all tflat apply) o Modify Existing Well· o Modify Pump·
o Abandon/Seal·
·State Well No.:
• Drilled
--' ________ (if lJnknown, please call Commission at 587-0225)
4. CONSTRUCTION: o Dug o Shaft o Tunnel
Is this well part of a battery of wells? (DYes ONo (Please describe)
5. PROPOSED PUMPING RATE: 12~,O gallons per minute
6. PROPOSED USE: • Municipal (including hotels, stores, etc.) o Industrial (check all that apply) o Domestic (individual, noncommercial water system)
Does this well seNe 25 or more people at least 60 days per year or have 15 or more seNice connections? 0 Yes 0 No
o Irrigation (crop) o No. of Acres:
o Military o Other (explain):
7. (a) PROPOSED AMOUNT OF WITHDRAWAL: 600,000 gallons per day
(b) METHOD OF FLOW MEASUREMENT: • Flowmeter 0 Open-pipe 0 Weir 0 Orifice 0 Other(explain)
OTHER IMPORTANT INFORMATION:
8. LEGAL REQ U IREMENTS: If required, these permits must be obtained before the Commission can legally issue a permit.
Conservation District Use Permit (COUP) To find out if a CDUP is necessary, call DLNR Land Division at 587-0414
• Not Required If required, date approved _____ _
Environmental Impact Statement (EIS) or Environmental Assessment (EA) To determine if an EIS or EA is necessary, call OEOC at 586-4185
• Not Required If required, date published in OEOC bulletin _____ _
Special Management Area Permit (SMAP) To determine if an SMAP is necessary: on Oahu, call 527-5374; on Hawaii, call 961-8288; for Maui county, call 270-7235; on Kauai, caJI241-6677.
• Not Required If required, date approved _____ _
9. REMARKS, EXPLANATIONS: If successful, the well will be outfitted and dedicated to
the Kauai Department of Water. (if more spaee is needed, please attach additional sheet)
NOTE: Signing below indicates the signatories understand and swear that the infonnCition provided on this application is accurate and true to the best of their knowledge. Further, the signatories understand that approval of this application attaches the following standard conditions: 1) the proposed work is to be completed within two (2) years of the approval date; 2) the contractcr sha!l !:u~mit to tha Commission a well completion/abandonment report within 60 days after the completion date of the permitted work; 3) monthly water use data shall be submitted to the Commission; 4) such approval shall not constitute a determination of correlative water rights and shall not guarantee the pump capacity or future use up to the permitted pump capacity; 5) in the event that the application is not completed correctly, any permit may be suspended until the item is brought in to compliance, and any work dOily while the permit is in suspension m9y.result in ~I es of up to $1000/day. KlJklUJ Ula Development Co. \Hawaii LLC ~lex d r We'll uwner Lan owner (print legibly) #J;I,INI. ;J.. ~ (print legibly) -*'"" ..... .a.f-'t,.....,....~ ......... ~~...,
Signature Signature ""'I /'.{It r t.-h D~ D~
For official use only Latitude ______ Aquifer System No.
Longitude State Well No.
WCPIPA Form 8121/01
I
10. PROPOSED WELL SECTION (Please attach schematic if different from diagram provided below)
Hole Diameter: 23 in.
Elevation at top of casing 652 ft., msl* Minimum of 2' Radius & 4" Thick Concrete Pad (to contain benchmark surveyed to nearest 0.01 ft.)
Ground Elevation: 650 ft., msl*
Please refer to the
Cement Grout: fl. (min. 70% of distance from ground elevation to top of water surface or 500 ft., whichever is less.)
HAWAII WELL CONSTRUCTION AND PUMP INSTALLATION STANDARDS to ensure that your as-built is in compliance
with applicable standards.
.ji-----j Solid Casing: (;:: 90% x (Ground Elev.-Water Level Elev»
Annular space between hole and casing (min.3"):
Total Length: 600 ft.
'3 in.
16 Nominal Diameter: ____ ""'''''' ..... ___ ,in. 0.375 Wall Thickness: ____ -::-=--_____ in,
Boltom Elevation: ____ +_5.::...:,0 __ _ ft., msl*
Rock or GravSI Packing:
None ft. Open Casing: _ Perforated o Screen Total Depth
770 ft. Material: o Crushed Basalt
Total Length: _____ 1_2_0 _____ ft.
o Rounded Gravel 16 Nominal Diameter: ____ =--=-:=-==-_~in. 0.3125 Wall Thickness: ______ ....------in.
-70 Estimated Water Level
Elevation:
Bottom Elevation: ft., msl*
note: Neither bentonite nor mud should be used in
50 ft. msl* .~AfllrAfAri 70nA rillrinn ririllinn
* The approximate elevation must be referenced to mean sea level (msl) at the time of application filing. Fjnal elevations of well components shall be submitted in the Well CompletionM'eli Abandonment reports and referenced to a benchmark which has been established by a surveyor licensed by the State.
Open Hole:
Length:
Diameter:
Bottom Elevation:
For non-salt water Basal Wells - bottom elevation of well should not be deeper than 1/4 of aquifer thickness or, Bottom Elevation of Well Limit = (Water Elevation _ 41 x Water L~vel Elevation)
Example: Estimated + 2 ft. Water Level Elev. ---+ Boltom Elevation of Well Limit = (2 _ 41 ~ (2») = -18.5 fl.
Solid Casing Material:
50 23
-120
Carbon Steel: compliant with (check one or more): 0 ANSI/AWWA C200 0 API Spec. 5L • ASTM A53 0 ASTM A 139 And compliant with (check one or more): 0 ASTM A242 _ Type E 0 Type S _ Grade B 0 Other
Stainless Steel: (check one): 0 ASTM A409 (production wells) 0 ASTM A312 (monitor wells) ASS Plastic conforming to ASTM F480 and ASTM D1527: (check one) 0 Schedule 40 0 Schedule 80
ft.
in,
ft., msl*
PVC Plastic conforming to ASTM F480 and (ASTM D1785 or ASTM D2241): (checkbne): 0 Schedule 40 0 Schedule 80 tJ Schedule 120 Thermoset Plastic: (check one) o Filament Wound Resin Pipe conforming to ASTM D2996
o Centrifugally Cast Resin Pipe conforming to ASTM D2997
o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM D3517 o Glass Fiber Reir'lforced Resin Pressure Pipe conforming to AWWA C950
o PTFE Fluorocarbon Tubing conforming to ASTM D3296
o FEP Fluorocarbon Tubing conforming to ASTM D3296
Open Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L _ ASTM A53 0 ASTM A 139
And compliant with (check one or more): 0 ASTM A242 • Type E 0 Type S _ Grade B 0 Other
Stainless Steel: (check one): 0 ASTM A409 (production wells) 0 ASTM A312 (monitor wells) ASS Plastic conforming to ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 0 Schedule 80
PVC Plastic conforming to ASTM F480 and (ASTM D1785 or ASTM D2241): (check one): 0 Schedule 40 0 Schedule 80 0 Schedule 120 Thermoset Plastic: (check one) o Filament Wound Resin Pipe conforming to ASTM D2996
o Centrifugally Cast Resin Pipe conforming to ASTM D2997
o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM D3517
o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950
o PTFE Fluorocarbon Tubing conforming to ASTM D3296 o FEP Fluorocarbon Tubing conforming to ASTM D3296
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XATIONMAPS'BUREAU TERRITORY or HAWAII
TAX MAP rOURTH ZONE
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?mKff~n __________ __
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