Well Construction Permit Application (Attachment) Kula 1-2 ...Section 13-168, entitled "Water Use,...

Well Construction Permit Application (Attachment) Kula 1-2 6112107

Waimea Water Services, Inc. 67-1161 Mamalahoa Hwy., Suite 5

Kamuela, HI 96743

, IS

EXHIBIT 1 u

FROM: ROY

TO:

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

--+-- ICE, C. _ IMATA,R.

KAWAHARA, K.

COISSION ON WATER RESOURCE MANAAENT

DATE: JAN 22 2008

INIT. TO:

KIMURA, J. KUNIMURA.I. LEROUX, E. NAKAMA, L. OHYE, M. OSHIRO, K. SAKODA, E. SWANSON, S.

__ UYENO, D. YODA, K. YOSHINAGA, M.

INIT:

SUSPENSE DATE:

FOR:

__ Approval Signature Information

(10/07)

PLEASE:

See Me Review & Comment Take Action Type Draft Type Final File Xerox _ copies

>

>

... BEYLIK DRILLING & PUMP S~E, INC.

91-259A OLAI STREi!III' KAPOLEI, HAWAII 96707

PH: (808) 682-5554 FAX: (808) 682·5866 DATE I JOB NO. 1-18-08 ATTENTION

CHARLEY ICE TO STATE OF HAWAII - DLNR

RE:

KULA 56 WELLS (NOS. 4820-1&2)

COMMISSION ON WATER RESOURCE MGMT.

P.O. BOX 621

HONOLULU, HI 96809

WE ARE SENDING YOU iXI Attached o Under separate cover via __________ the following items:

o Shop drawings o Prints o Plans o Samples o Specifications

o Copy of letter o Change order o _____________________ ___

COPIES DATE NO. DESCRIPTION

1 WELL CONSTRUCTION PERMIT

1 PUMP INSTALLATION PERMIT

c::::::> ~

/

. -"'1 .J

:~ .... ,.:.. --7 1 \ ... ~-r0 . )

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THESE ARE TRANSMITIED as checked below: o o For approval o Approved as submitted o Resubmit ---~~'--" ~Gopies ~pproval o For your use o Approved as noted o Submit ____ copies for distribution

IXI As requested o Returned for corrections o Return ___ corrected prints

o For review and comment 0 _________________________ _

o FOR BIDS DUE _______________ _ o PRINTS RETURNED AFTER LOAN TO US

REMARKS ________________________________________ ___

COpy TO ____ 9_4_1_1H_I_C __ F_IL_E ______________________ _

If enclosures are not as noted, kindly notify us at once.

SIGNED: -------------::::c=-==--==,-,:;-WILLIAM GODWIN, VICE PRES.

e e WELL CONSTRUCTION PERMIT

Kula 56 Wells, Well Nos. 4820-1&2

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

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the construction and testing of Kula 56 Wells (Well No. 4820-1&2) at TMK 2-3-008:003, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

I.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

IS.

The ChaiJEerson 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 pennit commences and staff shall be allowed to inspect installation activities in accordance with § 13-168-15, Hawaii Administrative Rules.

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

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

In basal ground water, the depth of the well may not exceed one-fourth (114) of the theoretical thickness (41 times initial head) of the basal ground water unless otherwise authorized by the Chairperson.

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

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

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

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

The pennittee shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of this peI'f!!!b

The well construction pennit application and any related staff submittal approved by the Commission are incorporated info this pennit '6? reference. This pennit is also subject to the HWCPIS. If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the propel1Jl.~ay result. Any variances from the HWCPIS shall be approved by the Chairperson prior to invoking the variance. R $"

~-,,, I ' \ The work proposed in the well construction pennit application shall be completed within two (2) years from the date of P,ennit aJlllrOval, unl~~therwise specified. The pennit may be extended by the Chairperson upon a showing of good cause and goOd-faith perfonnance. A request to eft'lild the p~ shall be submitted to the Chairperson no later than the date the pennit expires. r-:>

.;'

If the well is not to be used it must be prorerly capped. If the well is to be abandoned during the course of the project then the pennittt:e;:!pust appIffur a well abandonment pennit in accordance with § 3-168-12(f) prior to any well sealing or plugging work. _ :11

0_ The pennittee, its successors, and assigns shall indenmify, defend, and hold the State of Hawaii hannless from and against any loss, liability, claim, br'demand for property damage, personal injury, or death arising out of any act or omission of the applicant, assigns, officers, employees, contrnctors, 3!ld agents under this pennit or relating to or connected with the granting of this pennit. c..n

.. ,.-"'\ r-:> This pennit shall apply to the location shown on the application only. If the well is to be relocated, the pennittee shall apply for a new well construction/pump installation pennit m accordance with Hawaii Administrntive Rules § 13-168-12(f).

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

Date of Approval: December 11, 2007 Expiration Date: December 11, 2009

LAURA H. THIELEN, Chairperson Commission on Water Resource Management

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

Driller's Signature: C-S7 License #:

Printed Name: William R. Godwin

Date: I;" ;.l..() 1 Beylik Drilling and Pump

Firm or Title: Service ~~~~---------------

21896

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

Attac1nnent

.. .. PUMP INSTALLATION PERMI_ ~ula 56 Wells. Well No. 4820-01 & •

Note: This permit shall be prominentlv 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 Kula 56 Wells (Well No. 4820-01 & 02) at TMK 2-3-008:003, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

I.

2.

3.

4.

5.

6.

7.

8.

9.

10.

II.

12.

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

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

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

The pump installation permit shall be for installation of a 250 each gpm rated capacity, or less, pump in the well. This permanent capacity may be reduced in the event that the pump test data does not support the capacity.

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

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

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

The permittee, well operat~r, and/o~ well ~wner shall comply with all applicable laws, rules, and or4,inances, ~on-compliance may be grounds for revocatIOn of thIS permIt. .

The pump installation permit application and any related staff submittal approved by the Commission are incorpora~nto thi~'~it by reference. This permit is also subject to the HWCPIS. If the HWCPIS are not followed and as a consequence waler is w~ or contaminated, a lien on the property may result. Any variances from the HWCPIS shall be approved by the Ch~erson pr!yr to invoking the variance. . .,,;.

<s'''*' :J;::t ....

The work proposed in the pump installation permit application shall be completed within two (2) years· from tii51ate ofpetmit approval, unless otherwise specified. The permit may be extended by the Chairperson upon a showing of good 'Cause and~odfaith performance. A request to extend the permit shall be submitted to the Chairperson no later than the date the Pmit expires.

:~ --' I"':)

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.

Wf-rH 1't

Date of Approval: December 11, 2007 December 11, 2009

LAURA H. THIELEN, Chairperson Commission on Water Resource Management Expiration Date:

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

Installer's Signature:

Printed Name:

~~~~Ie-.,CJ.,L..J.~ru.<~- 7, C-57a, or A License #: 21896

William R. Godwin - . --Beylik Drilling and Pump

Firm or Title: Service ~~~~---------------


Attachments

• LINDA LINGLE GOVERNOR OF HAWAII

Ref: 4820-1&2.wcp

Mr. Dwight Ho

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

Beylik Drilling and Pump Service 91-259A Olai Street Kapolei, HI 96707

Dear Mr. Ho:

Well Construction Permit Kula 56 Wells (Well Nos. 4820-1&2)

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.

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

December 19,2007

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

Special Conditions

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

2. Attached for your information is a copy of the State Department of Land and Natural Resources Land Division's comments related to water lease requirements.

3. Attached for your information is a copy of your county's Department of Water Supply comments related to their concerns.

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

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

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

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

If you have any questions, please call Charley Ice ofthe Commission staff at 587-0251.

Sincerelv.

W.frl-7 1'L

LAURA H. THIELEN Chairperson

Enclosures

c: Kula 56, LLC (with applicable comments - DOH SDWB, WWB, CWB; Land Division; DHP, MDWS) USGS MauiDWS

/

• -•

e e WELL CONSTRUCTION PERMIT

Kula 56 Wells, Well Nos. 4820-1&2

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

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the construction and testing of Kula 56 Wells (Well No. 4820-1&2) at TMK 2-3-008:003, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

I.

2.

3.

4.

5.

6.

7.

8.

9.

10.

II.

12.

13.

14.

IS.

The ChaiI"Qerson 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 pennit commences and staff shall be allowed to inspect installation activities in accordance with § 13-168-15, Hawaii Administrntive Rules.

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

The well construction pennit shall be for construction and testing of the well only. The pennittee shall coordinate with the Chairperson and conduct a pumping test in accordance with the HWCPIS (the latest rump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrmlforms.htm). The pennittee shal suomit to the Chairperson the test results as a basis for suP.JXll1ing an application to insta11 a pennanent pump. No pennanent pump may be mstalled until a pump installation pennit is approved and issued by the Chairperson. No withdrnwal of water shall be made for purposes other than testing without a Certificate of Pump Installation Completion. The pennitted pump capacity described on the pump installation pennit may be reduced in the event that the pump test does not support the capacity.

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

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

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

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

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

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

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

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

If the well is not to be used it must be proferly capped. If the well is to be abandoned during the cou~ of the project then the pennittee must apply for a well abandonment pennit in accordance with § 3-168-12(f) prior to any well sealing or plugging work.

The pennittee, its successors, and assigns shall indenmify, defend, and hold the State of Hawaii hann1ess from and against any loss, liability, claim, or demand for property damage, personal injul)', or death arising out of any act or omission of the applicant, assigns, officers, employees, contrnctors, and agents under this pennit or relating to or connected with the grnnting of this pennit.

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

Special conditions in the attached cover trnnsmittalletter are incorpornted herein by reference.

Date of Approval: December 11, 2007 Expiration Date: December 11, 2009


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

Driller's Signature:

Printed Name: DwightHo

C-57 License #: 21896 ~=-:'-"------

Date:

Beylik Drilling and Pump Finn or Title: Service

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


Attachment

I

I

.~ • LINDA LINGLE GOVERNOR OF HAWAII

Ref: 4820-1&2.pip

Mr. Dwight Ho




Beylik Drilling and Pump Service 91-259A Olai Street Kapolei, HI 96707

Dear Mr. Ho:

Pump Installation Permit Kula 56 Wells <Well No. 4820-01 & 02)


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



December 19,2007

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

Special Conditions

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

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

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

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

If you have any questions, please call Charley Ice of the Commission staffat 587-0251.

Sincerely,

W.f7n 1't

LAURA H. THIELEN Chairperson

Enclosure

c: Kula 45, LLC (with applicable comments - DOH SDWB, WWB, CWB, Land Division, MDWS) USGS MauiDWS

- • PUMP INSTALLATION PERMI. ~ula 56 Wells. Well No. 4820-01 & ~

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

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the pump installation for Kula 56 Wells (Well No. 4820-01 & 02) at TMK 2-3-008:003, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

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

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

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

4. The pump installation permit shall be for installation of a 250 each gpm rated capacity, or less, pump in the well. This permanent capacity may be reduced in the event that the pump test data does not support the capacity.

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

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

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

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

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

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

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

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

Date of Approval: Expiration Date:

December 11, 2007 December 11, 2009

WFrl-1 1't


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

Installer's Signature:

Printed Name: DwightHo

C-57, C-57a, or A License #: 21896 Date:

Beylik Drilling and Pump Firm or Title: Service

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


Attachments

C.ISSION ON WATER RESOURCE MANAGEMEN~ ROUTE SLIP FOR PERMIT ISSUANCE 5119105

FROM: CHARLEY DATE: ~f? 1- SUSPENSE DATE:

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

-1-HAROY,R. ~ HIGA,D. -1L ICE,C. IMATA, R.

KUNIMURA, I. NAKAMA, L.

:=E NAKANO, O. =t=OHYE,M.

SAKOOA, E. -2-SUBIA, S.

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

WELL NUMBER 4820-01 & 02

JX( WELL CONSTRUCTION

ATTACHMENTS FOR WELL CONSTRU<;TION PERMIT: 1 COVER LETTER -4-2 PERMIT (2x) ~

COMMENTS: 3 SOWB 4 WWB

Approval --Signature -3-lnformation

Kalialinui-Kula 56 Wells

5 CWB TO BE SENT TO APPLICANT

6 HEER 7 LO 8 HP 9 OCCL

10 SMA FOR OFFICE USE ONLY

~ PUMP INSTALLATION

ATTACHMENTS FOR PUMP INSTALLAliON PERMIT: 1 COVER LETTER -4 2 PERMIT (2x) .."

COMMENTS: --3 SOWB 4 WWB 5 CWB TO BE SENT TO APPLICANT

6 HEER 7 LO 8 HP 9 OCCL

10 SMA FOR OFFICE USE ONLY

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft

-2-Type Final -4-File

Xerox copies

Results

yes no

steel stainless steel

Ii:

LINDA LINGLE • GOVERNOR OF i\o,. WAll

LAURA H. TIIIELEN CHAlRPERSON

BOARD OF LAND AND NATIJRAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

RECEIVED D~<;;=~ AQUATIC RESOURCES

BOATING AND OCEAN RECREATION BUREAU OF CONVEYANCES

07 DEC 17 A 7M¥IS~)I~WATERRESOURCEMANAGEMENf b~~~<Ii~~~~~~~~ENT ENGINEERING

FORBS1RY AND wnDLIFE HISTORIC PRESERVATION

STATE OF HAWAII KAllOOLAWEJSLAND~ERVECOMMISSION

DEPARTMENTOFLANDANDNATURALREsotJRm'f~ ON W~..Tt:~ STATEPARKS

DJ:<:i: :: F-4I~' ~ ~C::l'AE~T STA1E HISTORIC PRESERVATION DIVISION'" v ,1\;",_ 11",,(1'1'.'(., 1-••

601 KAMOIill.A BOULEVARD, ROOM 555 KAPOLEI, HAWAII 96707

December 6, 2007

Mr. Ken Kawahara Commission on Water Resource Management Department of Land and Natural Resources P.O. Box 621 Honolulu, Hawai'i 96809

Dear Mr. Kawahara:

SUBJECT: Chapter 6E-8 Historic Preservation Review -Well Construction/Pump Installation Permit Application (Well Number 4820-01 & 02) for the Proposed Installation of the Kalialinui-Kula 56 Wells 1 & 2 Kalialinui Ahupua'a, Makawao District, Island of Maui TMK: (2) 2-3-008:003 (portion)

LOG NO: 2007.2872 DOC NO: 071lJP17 Archaeology

Thank you for the opportunity to review and comment on the well and pump application for the proposed installation of the Kalialinui-Kula 56 wells and pumps, which was received by our staff on August 31, 2007. Our review is based on reports, maps, and aerial photographs maintained at the State Historic Preservation Division (SHPD). An archaeological field inspection was conducted on the subject property.

Based on the submitted documents, the subject action for the proposed undertaking consists of the construction of two wells and the installation of associated pumps. The proposed undertaking is located along the leeward slopes of Mount Haleakala in Kula.

A search of our records indicates that Cultural Surveys Hawaii (CSH) conducted an archaeological field inspection of the proposed area of potential effect (letter report on file dated November 12, 2007). The scope of work was limited to the proposed well sites and access road(s). The results of the field inspection included a full pedestrian survey and examination of the general soil profiles within the existing road cuts; as well as noted exposed surface bedrock within the subject area.

There were no historic properties identified within the area of potential effect. There were two undocumented historic properties identified and noted some distance away from the proposed well sites. A large rectangular enclosure is located approximately 51 meters and another enclosure is located approximately 38 meters from the western corner of proposed Well Site 2. The undocumented features are located on a rise to the south and southeast of the proposed work area on land owned by Haleakala Ranch. We wish to approach Haleakala Ranch in order to recommend full inventory survey level documentation of the sites that were noted during the field inspection.

Mr. Ken Kawahara Page.2

As a precautionary measure, CSH suggested the erection of high visibility orange construction fencing delineating the western boundary of Well Site 2 in order to ensure that the equipment and/or staging area remains within the previously established work area. We concur with the recommendation for the placement of orange construction fencing in order to protect the sites from being inadvertently disturbed.

Based on the field inspection conducted by the qualified archaeological firm, we believe it is unlikely that any historic properties will be affected by the proposed undertaking. In the event that historic resources including charcoal, subsurface cultural deposits, midden, and/or skeletal remains are identified during construction activities, all work needs to cease in the immediate vicinity of the find; the find needs to be protected from additional disturbance, and the State Historic Preservation Division, Maui Section, needs to be contacted immediately at (808) 243-4641 or (808) 243-1285. Please direct any questions or concerns to the Maui SHPD office.

Aloha,

10 hl'"h..?- A-Melanie Chinen, Administrator State Historic Preservation Division

JP:

c: Maui Cultural Resources Commission, Dept. of Planning, 250 S. High Street, Wailuku, HI 96793 CSH Tanya Leigh-Grieg FAX (808) 244-1994

" " O.fARMAINE TAVARES Mayor

• JEFFREY K. ENG Director

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

September 17, 2007

DEPARTMENT OF WATER SUPPLY COUNTY OF MAUl

200 SOUTH HIGH STREET

WAILUKU, MAUl, HAWAII 96793-2155

www.mauiwater.org

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

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RE: Well Construction/Pump Installation Permit Review and Application for Kalianui-Kula 56 Wells 1 & 2 (Well No. 4820-01 & 02), TMK: (2)2-003-008:003

Dear Ms. Thielen:

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

The proposed wells will overlie the Makawao aquifer which has a sustainable yield of approximately 7 MGD. The Department of Water Supply (DWS) has concerns about the increasing number of private system wells, their permitted pumping, and their effects on the sustainable yield of the aquifer.

In order to protect the ground water resources, DWS encourages the applicant to adopt best management practices (BMPs) for well construction/installation to prevent contamination during construction and maintenance. These practices include:

1. Inspect exposed parts of the well periodically for problems such as cracked or corroded well casing, broken or missing well cap, damaged protective casing and settling or cracking of surface seals.

2. Slope the area around the well so that surface runoff drains away from the well. 3. Provide a well cap or sanitary seal to prevent unauthorized use or entry into the well. 4. Provide for sediment removal or well cleaning as necessary. 5. Have the well tested once a year for fecal coliform or other constituents that may be of con

cern. 6. A void mixing or using pesticides, fertilizers, herbicides, degreasers, fuels or other pollutants

near the well.

''lJ1J Ukter Jill JhinCjJ :lind clt~ "

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'n < ;TJ l.:J

The Department of Water Supply is an Equal Opportunity provider and employer. To file a complaint of discrimination, write: USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 14th and Independence Avenue, SW, Washington DC 20250-9410. Or call (202) 720-5964 (voice and TDD)

Printed on recycled paper @

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--Ms. Laura H. Thielen Page 2 September 17, 2007

• 7. Do not locate any type of potentially polluting activity up slope from the well. 8. Keep accurate records of any well maintenance, such as disinfection or sediment removal that

may require the use of chemicals in the well.

Should you have any questions, please contact our Water Resources & Planning Division at 244-8550.

Sincerely,

(;M"C Y Jeffrey K. Eng, Director ayi c: Engineering Division

LINDA LINGLE GOVERNOR OF HAWAII

RECEIV~O

07 SEP 20 p3: ,7

C()!!HIS~,i~-'N ri~ wt\J~~~ STATE OF HAWAII

F ~(: I ,("r.: H • P , (.:!2~ENT OF LAND AND NATURAL RESOURCES

R. ",,1-1 ,>,- 'COMIIIlt$SfOI'.I ON WATER RESOURCE MANAGEMENT

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

Dear Mr. Hunt

P.O. BOX 621 HONOLULU, HAWAII 96809

August 29, 2007

, .~ On '::) ""'":) .:; --;

Special Management Area Use Permit Requirements for Well Construction/Pump Installation Permit Application Kalianui-Kula 56 Wells I & 2 (Well No. 4820-01 & 02)

--"

LAURA H. THIELEN INTERIM CHAIRPERSON


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


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

We would appreciate your comments on the captioned application with regard to the SMA permitting requirements specific to your division. Please respond by returning this cover memo form by September 29, 2007. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

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

CI:ss

RESPONSE:

Sincerely,

WFrh "'-

LAURA H. THIELEN Interim Chairperson

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

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

[ ] No objections t' ItJr:XJI)f- -Jh.e, !fhil'ff [ei" Othercomments:1l1e. PIA-II"~'\~ De"t>r. ~'A Cf:~~~.J ~ 'devrlS

-/p fJ..rtNt~VJ~/e. WI'TfCP IV LP""".7 J I

Contact Person: ~E:.. PflVrcH == Phone: 270 -7SIZ-

S;11',d cf. ~ Da" Cf I \ \ ID 1

S,p-10-20~ 09:54am From-DEPT OF HEA4iIIINV1RONUENTAL UNG~T 8085864352 T-ZI4 P.004/004 F-812 / :-

TO:

FROM:

STATE OF HAWAII DEPARTMENT Oil' \.AND ANO NATURAL ~E$OuI\CES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O BOx S21

HONOLULU. HAWAII 96809

August 29, 2007

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

Harold Vee, Wastewater Branch Stuart Yarnada, Safe Drinking Water Branch ~Iec Wong, Clean Water Branch

Laura H. Thielen, Interim Chairperson 11 Commission on Water Resource Management

LAURA H. 'l'Hllil.6N ~YE ... ~RtON

MEREDlll-I J. CI1I~ ~h j JAMES A. F~IER O ..... w. tiEAI. $. Fl,IJMlAI!A

CHIYOME L. f'UKINO. M.O, r' DONNA FAY K. IQ,(05AKI ~.E, (' 1, LAlll.RENCE H. MIlKE, M.D .• J.I:I. ../'"

!<EN C. 1< ...... ~ .. Hp.RA P.E. DGPII1"YPtR1;CTOA

2GB? S[P 4 S;'311~NI

I

SUBJECT: Well Construction/Pump Installation Permit Application Kalianui-Kula 56 Well~ 1 & 2 (Well No. 4820-0] & 02)

Transmitted for your review and comment is a copy of the captioned Well ConstTuction/Pump InStaJlatiOJ'J pennit application.

We would appreciate your comments on the captioned application for any conflicts Or incoJ'Jsistencies with the programs. pJans. and o~ieclives specific to ),Ollf deparnnent_ Plea~c respond by retumiDt! this cover memo form hy September 29. 200...7. Ifwe do not receive comments Or a request for addniOnal review time by tl11s date, we wiffassume tfiat you have nO comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-0251.

Cl:ss Attachment(s)

RESPONSE: [ I

[ I

r 1

II

II

[ I

~ I I

[ I

l\is well quahfjcn~ illio/\II'U;> which will !<lI'Ve au lo~rcc ofpolabl~ \\'alCr 10 a public wilier 6~:xem (do:fin~d <IS I'#lVin~ ~~ Or Tl1()IoI r>e091$ ~I lea~ 60 day> ~r ~ .. r or M,; I:; 0< ,IKU ..... YJ<e .(lJ,,,,,.,iOM) and m .... rccciw Dirco,or ofH""lIh oppro,sl ~ '" il> u ... '0 ~~'mplr wilh H.w;lii A~"';ni"""liv. R~lca (HAR). Thl~ II, ChllJlleT 20, Rijle:. R~~li"S III I'olabla Walcr SY!!Icms. * 11-2(1-29.

Tbi~ well dod nOi \l~lify.5 'I "",ree ...... 1l1; D publiC W~lcr ~)'~I~m (_VI#OO 1~ .. lh~1! ~~ "",'pl_ 10' ""Irt """pl~ allea!1 60 dtlys pet. 'year 0,' IS servicc COIIlICCTions) Dnd if lite ~ll wale>" is ~ ro< drmking. ,he privo,< owner should tCli' lOr bIt~tcl'io!ot;li~ill md cherni",1 f>t""",¢~ befote illil;alillS ~Llch qSl! l/Id routinely monilor thr wnl.:r qI~~liIY III.t~flJ!(. )-iowevcf. ifful1lre planned lllie trom Ihis IKlI"'CC incr~_lo III<:l)/ the publill Will" ~r~lem do:finili()n llien Pitel:lor of HClIlI11 approval is required mi.I!.I; I() implell'l~rllali(\n.

If rile Win is !lsed 10 s~ply boIh pClIabl~ aTid tIQtl-po!~1>le p"rposo!~ in A smgle sySlem,lhe IIscr $0011 ~Iiminalc =s-cOmectiO/l~ alld backfiow i.!OtlR«1iol'l~ by physicl!lIy sepal8ting porablc nnd Ilon-pulilblc .)~letTI~ by an ail' ~p III ;10' awt,,,,,d b8(kf)cw p,-cvtmer, and by clcDrl~ I~bcling all non· potablc! splgol~ "'lIh wiII'lIi,)!! ~iS'li 10 pic,enl inadY~~TlI COIlSlIIllp,ioll of lI(!n-pol~blc Will",,', II/II,;k(lov. pr~~"II'()n £le,lCcs !lllould be toJIIDICI)/ illSpeclcd 4Jlo:1IClltii.

II dQes tlOl appear ,hal ,his well will be 1I61:d jQr ~(l"""mPliv" p~(ihl;le. ~ll£I •• ,,01 .ubjecllo SarI: Orillk"l~ Waltr Rt~ulam)llli_

An liIPD[S Jl"I'lIIil i~ reqlli/ed.

0100 rdc;-;ml DOli J'\llelltc!~ulariO!IS. info"natioIJ. or rccomtTI<flIMtion.; u. ~1I~cb"".

1" Ih~ hetll 111811110 iOC81ioo ofthe well ehlllJij<:6 btu i~ Slill w'lhi"lh~ pare~l 4eiCri11O(i Oil rhi. ~~p1ica"o,1, <)uf di';stOIi oonsiders dlt .:ommcOl& 10 &lill be opph<:;.blo:o. iIlld wm "" DOl "a.ld 10 tt\l,tw Iht Il<:W :o<:ooioll.

No canlll¢msiobjeQlion'

Contact Person: _~~IJ!L.-=:.=~t-:....:. . ...looI~=-':;"""-_____ _ Phone; ~ ~ • 4 WJ <:>

Dale; q · LO· 01 Signed;_~{?r'-'~JM1I!)=--,' ~::.......pc::. =-=--__ ~

SEP-10-2007 09:41AM FAX: 8085864352 ID:DLNR CWRM PAGE:004 R=96%

--~ ....

Ssp-IO-2007 10:07am From-DEPT OF HEA1iIIiNVIRONUENTAL ~GMT e T-216 P.OOI/004 F-814

FAX TRANSMITTAL State of Hawaii Department of Health Environmental Management Division

Clean Water Branch - Engineering Section Phone No.: (808) 586-4309

Fax No.: (808) 586-4352

8085864352 ...

Fax to: Mr. Ryan Imata / Ms. Lenore Nakama.d:i Char~ Date: ~ lOJLaOl Company: Commission On Water Resource Management Fax from: Joanna L. Seta

Depamnent of land and Natural Resources Fax No.: 587-0219 Total Pages, indo COver~ ~ Subject: WeD ConstruetionlPump Installation Permit Application(s)

Well No(s). ..51.P~ I - 004 ~ 06 a...vtoi. 11(4,~z - O.L +0 0:3, \U'Z - 0 t-, 4e 'l-O-O I ~ 0 Z.

The Department ofHealth~ Clean Water Branch (eWB) has the following comments:

1. For Well-Drilling Activities

Any discharge to State waters of treated process wastewater effluent associated with well drilling activities is regulated by Hawaii Administrative Rules, Title 11, Chapter 55, Appendix I, effective November 7, 2002. Treated process wastewater effluent CCtvered by this general pennit includes well drilling slurries, lubricating fluids wastewater, and well purge wastewater. This general permit does not cover well pump testing. The applicable Notice afIntent (NOl) 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 919 Ala Moana Boulevard, Room 301 Honolulu, Hawaii 96814-4920

The CWB-NOI Forms are available online at http://www .hawaii.~ov/health(environ mental/water/ c leanwater/fom1si genl- index .hlml. Inquiries may be directed to the CWB at (808) 586-4309 Or by fax (808) 586-4352.

2. For Well Pump Testing

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


SEP-07,-2007 @9:57 From:DOWSRFE wIER SRANH 8085854351 To:808 587 0219

e P.l,A

RECEIVED SAFE DRrNKING WATER BRANCH

L INOA LINGlE SEP w\UR.A~. THIELEN MliQMCI4"v:tt'E1ttI(.W GoOw::FtWORCI' .. ~

TO:

FROM:

SUBJECT:

STATE OF HAWAII DEPARTlllENT OF LANO ANO NATUFW. ReSOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT PO.80X621

"ONOlIJLU. 4}'WI>I' ~og

August 29, 2007

Honorable Chiyorne L. FukillO, M.D., Director Department of Healtll Attention: Director's Office

]J'8rold Vee, WaS1ewater Branch ~tuart Yamada, Safe Drinking Water Branch Alec Wong! Clean Water Branch


Well Construction/Pump Installation Permit Application Kaiianui-Kliia 56 Wells 1 & 2 (Well No. 4820-01 & 02}

M@REOITH J CHING »ME5 A. FR.4\ZIER NEAL $. FUJIWARA

CI'IIYOME l. FUKINO. M·P. DONNA FA'i K. KIYO$AKI. P.E LA~ENCE H. MIlKIl. MI:I .. J.D

I<I!N C. KAWAf.I,l.RA. PE. MPUl'I' Dmtctc/l:

C-+I.9:f 1/ v} 07

UIG: NO (el'l'~'\f~~.

~ ~:l

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

We would llppr<;;ciatc your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returnh.g thjs cover memo form by Sepfember 29. 2007 _ If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments_

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additiolllli information, or request additional review time, please contact Charley lee of the Commission staff at 587-0251_

CI:ss Attachmenl(S)

RESPONSE;

~

11

I J

II

II

II I)

II

Thi. well q".1i,"" ~. '"""""" ,,!lit" wi'l.erve". "''''cc (If potable "":I'Ef 10 • publk " .. ,"'. ,~~,cm (d~r."C(!,~ IOTVin, ~~ or "Io(C ~op'" "t I ... t ~ d<l)'5 "'"" yea'l1r hD! 15 01' ll)(lCe ~rvic~ CO!HUlCI'O"~) and m~'t receive D,reclor of He.ahll aOOl\)val willi; 10 its usc 10 colllpl~ ",jlh H~"'i Ad",inistral,vo R.llies (HAR). T,tle ) I. (!IHpte< ~O. R,,'los ReI:rtlng 10 POlable Water 5yIWll~. ~ 11.20-29

Tbj, ",oil do .. no' qll:alify ... '"""'" ,ervi,,~ • pill/he wfll", systml (08f'-eg ltis lhan 2S p'oplf> ,'It IJlI)I'j) people "t ""';t 6() d.~s pc. year or 1 S ""rvKC

~o"ne<:lio'~}""d ,(the well w~lef j, \~ (or dfi.,ldnl!, Ihe pOvace ownEf ,.ould ,esl fot· bac"~l'i<)logic~I •• n~ <;k.~i<;.) presetl¢C bef ....... inlt;'lins ,uoh """ ~nd routinely m".nitor jhc w.ot". Q,II81ity .heren(lcr, HOwever. if furure plm'l-.ed u~ fn')m ,I'u$ $C."lJT~C im:reUl:5 to m~t the public water :!sySoteJII defil:litior, ')!e" Director Ilf Health 'IlP'O"III~ re4l1l,r.d ill:!!! 10 lnlplelllelll.ntoll.

If'tbe well is> used te ,.upply hoth potnblc .ftnc.t IlQ'l-pot:Jble purpos8i In a single Ryf.'tm~ II~ \l..~T sl1011 dllninilll(! cros~onnc~(iOflS 3..d bad.:AInV l:(lIl""ction~ hv pbv~iCllIJy separ.llllll! POtable ood nOD-polable ,yS!em~ by jill alt ~p Or an ilppro\,cd ba~ldlow prcvCfller,"'" by cle"ly ~~~Ii"l! 8)111011-!"'I.ble 5Jl1~01'5 .... ih w~rnlll!l S\~U '" prove", Ulad""I1¢1I1 Con$lllItplioll Qf nl'll"pt.'lilblc waler. Bac~now prtvCIlIit)D d"",co~ loo\.ld to: rOl/t;ncly in~led and leste<!.

t·or Ihe apphcant's mfcrm3lion, ~ ~ource cf 1>1!l~ihle .... as\¢\"~~¢r ~l>nlumlllallOll I lis II is oetl(>G\llcd Ilea' th. vrow;sed well $ite (in(\lrmali()ll atlacbed).

An Nl'llES pt:nnil is required

Olh., ~I.v~ni DOH ruI.':rll!ul.hcm,. informnli(lq. or r~IlO'lllllen~IIO'\S at!! a"""htd.

Itlllh: e\enlll~. 110: 1(I(;~Jon \Ir Ih~ well chanllC& b\~ i~ 61i11 wtlbili Ih. pan;ol d.~ribcd QI! ,hI, oppli""liQI\ Ot,,. oi.i,ion com,deB tile OOtt\tll~nl& 10 still ~ ilpph~ilblc. !IfId we do ACIIl;cd to r~vi~w Ihe new 10':;"'1":

( I No ~ommelllsfob.I«Iion, J . r Contact Person: t VI Y\I r-.eN Phone: ~ ~~-4-j;~~

Signed: ______ ~~~r'-T--------- Date:_---.:S:...:;E"-P _7---,-2~.....;;J] __


SEP-07-2007 09:57 From:DOH/SAFE WATER BRANH 8085864351 , , ~ e To:808 587 0219

e

CWRM Application Source: Kalianui-Kula 56 Wells 1 & 2 (Well No. 4820-01 , 4820-02)

Safe Drinking Water Branch Engineering Section

This well qualifies as a source that serves a regulated public water system. Federal and state regulations define a public water system as a system that serves 25 or more individuals at least 60 days per year or has at least 15

P.2/4

service connections. All public water system owners and operators are required to comply with Hawaii Administrative Rules, Title 11, Chapter 20, Rules Relating to Potable Water Systems.

All new public water systems are required to demonstrate and meet minimum capacity requirements prior to their establishment. This requirement involves demonstration that the system will have satisfactory technical, managerial and financial capacity to enable the system to comply with safe drinking water standards and requirements.

Projects that propose development of new sources of potable water serving or proposed to serve a public water system must comply with the terms of HAR 11-20-29. This section requires that all new public water system sources be approved by the Director of Health prior to its use. Such approval is based primarily upon the submission of a satisfactory engineering report which addresses the requirements set in Section 11-20-29.

The engineering report must identify all potential sources of contamination and evaluate alternative control measures; which could be implemented to reduce or eliminate the potential for contamination, including treatment of the water source. In addition, water quality analyses for all regulated contaminants, performed by a laboratory certified by the State Laboratories Division of the state of Hawaii, must be submitted as part of the report to demonstrate compliance with all drinking water standards. Additional parameters may be required by the Director for this submittal or additional tests required upon his or her review of the information submitted.

All public water system sources must undergo a source water assessment, which will delineate a source water protection area. This process i8 preliminary to the creation of a


.SEP-0~-2~07~9:57 From:DOH/SRFE 4liER BRANH 8085854351 To:808 587 0219 e

source water protection plan for that source and activities which will take place to protect the drinking water source. Projects proposing to develop new public water systems or proposing substantial modifications to existing public water systems must receive approval by the Director of Health prior to construction of the proposed system Or modification. These projects include treatment, storage and distribution systems of public water systems. The approval authority for projects owned and operated by a County Board or Department of Water or Water Supply has been delegated to them.

All public water systems must be operated by certified distribution system and water treatment plant operators as defined by Hawaii Administrative Rules, Title 11, Chapter 11-25 titledj Rules pertaining to Certification of Public Water System Operators.

All projects which propose the use of dual water systems or the use of a non-potable water system in proximity to an existing potable water system to meet irrigation or other needs must be carefully design and operate these systems to prevent the cross-connection of these systems and prevent the possibility of backflow of water from the non-potable system to the potable system. The two systems must be clearly labeled and physically separated by air gaps or reduced pressure principle backflow prevention devices to avoid contaminating the potable water supply. In addition backflow devices must be tested periodically to assure their proper operation. Further, all non-potable spigots and irrigated areas should be clearly labeled with warning signs to prevent the inadvertent consumption on non-potable water. compliance with Hawaii Administrative Rules, Title 11, Chapter ll-21 titled; Cross-Connection and Backflow Control is also required.

All projects which propose the establishment of a potentially contaminating activity (as identified in the Hawai-i Source Water Assessment Plan) within the source water protection area of an existing source of water for a public water supply should address this potential and activities that will be implemented to prevent or reduce the potential for contamination of the drinking water source.

SEP-07-2007 10:07AM FAX: 8085864351 IO:OLNR CWRM PAGE:003 R=94%

--.S~P-0~-2~~( ~9:57 FrOm:DOH/SAFE~ER BRANH 8085854351 TO:.5870219

For further information concerning the application of capacity, new source approval, operator ce~tification, source water assessment, backflow!cro6s-connection prevention or other regulated public water system programs r please contact the Safe Drinking Water Branch Engineering Section at 586-4258.

Underground Injection Control (UIC)

No comments on this application.


~ 4 ,"7 LINDA LINGLE

GOVERNOR OF HAWAII LAURA H. THIELEN

INTERIM CHAIRPERSON

TO:

FROM:

STATE OF HAW ... ~~t~N Oli w~ it~ DEPARTMENT OF LAND AND NATU • s, "C~ .. 1iL1Gj;ME.HT

COMMISSION ON WATER RESOU ANAGENla:N'f P.O. BOX 621


August 29, 2007

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

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




KEN C. KAWAHARA, P.E.

~~R;R~

SUBJECT: Well Construction/Pump Installation Permit Application Kalianui-Kula 56 Wells] & 2 (Well No. 4820-01 & 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 29, 2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commiss'ion staff at 587-025].

CI:ss Attachment(s)

RESPONSE:

[ 1

[ 1

[ 1

[ 1

[ 1

[ 1

This we" qualifies as a source which will serve as a source of potable water to a public water system (defined as serving 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of Health approval prior to its use to comply with Hawaii Administrative Rules (HAR), Title 11, Chapter 20, Rules Relating to Potable Water Systems, §11-20-29.

This we" does not qualiry 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 we" water is used for drinking, the private owner should test for bacteriological and chemical presence before initiating such use and routinely monitor the water quality thereafter. However, if future planned use from this source increases to meet the public water system definition then Director of Health approval is required prior to implementation.

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

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

For the applicant's information, a source of possible wastewater contamination [ [is [ 1 is not located near the proposed we" site (information attached).

An NPDES permit is required.

[ 1 Other relevant DOH niles/regulations, information, or recommendations are attached.

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

• Contact ;;~~lJr{!f ~ ()() f'rY1U1 Signed:~ ~ rm oo1Ju

qrof:B232 Date:_(fJ-+--o-=---'Yf---~O-+-7 _

Phone:

... -, ..

LINDA LINGLE GOVERNOR OF HAWMI




KEN C. KAWAHARA, P.E.

STATE OF HAWAII DEPUTY DIRECTOR

DEPARTMENT OF LAND AND NATURAL RESOURCES



, 1"

August 29,2007 (

>:.,~o TO: Russell Tsuji, Administrator

Land Division t -(;")

""-,,;'~ ) ,,,;

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

,'. _ .....

. "'"" "

SUBJECT: Well Construction/Pump Installation Permit Application :<: i::":,') Kalianui-Kula 56 Wells 1 & 2 (Well No. 4820-01 & 02) TMK 2-3-008:0(}$

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

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by September 29,2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-0251 .

CI:ss Attachment( s)

RESPONSE:

•

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

Xx] A water lease/pennit is not required of this applicant.

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

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

[ ] No objections

; ..... ,

.L..1 Other comments: AR Original soucre of private title is Land Commission Award 7124

issued between 1845 and 1855.

Contact Person: ------IG ... a;i,JI"-=')>/-' --IM!1iIa;i,JI"~tb,l.l,l· n+---------- Phone: --:;5~8+7~-Od'_/+'012s-:11:---

'4-== ~-. r-:r-' Signed:_~~,----,-__ +-_'_ ,_ ~ __ ---,=,VL--______ _ Date: --------

OCT 1 7 2007

FROM: Charley

TO: _IMATA, R.

UYENO, D. -CHONG, R. -KIMURA.J.

_OHYE,M. FUJII, N. = YOSHINAGA, M.

_ SWANSON, S. KUNIMURA, I. = ENGLAND, D.

CWISSION ON WATER RESOURCE MANWMENT

DATE: 41 0 ct 01-TO: INIT.

KAWAHARA, K.

~ARDY.R. ~ SAKODA, E. _'_

_ AKAMA, L. __

_ DANBARRA, S .MJ L HOAGBIN, S. -==t'8 _YODA, K. _CHING, F.

FOR: ~Approval =:1; Signature

Information

26Jun07

PLEASE: Review & Comment

_Type Draft k Type Final

File _ Xerox _ copies

Take Action:

Please See Me


Mr. Baldev Singh Kula 56, LLC 147 Loha Place Pukalani, HI 96768

Dear Mr. Singh:




October 23, 2007

Letter of Assurance for Well Nos. 4820-01 & 02



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

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

KEN C. KAWAHARA, P.E. OEPUTY DIRECTOR

4820-1&2.1oa

We have completed the review process for your well ConstructionIPump Installation Permit application(s) and the permit(s) are ready to be issued. However, in accordance with the State Water Code, § 174C-84(a), the permit can only be issued to a licensed contractor and to date one has not been identified for your welles).

Once you have selected a licensed contractor, please have the contractor sign and return to the Commission a copy of the original application, upon which a permit will be immediately issued provided that the following conditions are met:

1. The contractor has no outstanding issues with the Commission. 2. There are no significant changes to the application. 3. There have been no significant changes to applicable laws, rules or regulations since

the application date. 4. There have been no significant changes to hydrogeologic conditions since the

application date.

Also, attached for your information are copies of comments from reviewing agencies.

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

CI:ss Enclosures

Sincerely,

WfrM 1't

KEN C. KAWAHARA, P.E. Deputy Director

/


Mr. Baldev Singh Kula 56, LLC 147 Loha Place Pukalani, HI 96768

Dear Mr. Singh:




August 29, 2007



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



4820-1 &2. wcpia.acc

Well Construction/Pump Installation Permit Application for Well No. 4820-01 & 02

We have received your Well ConstructionlPump Installation permit application and filing fee for the Kalianui-Kula 56 Wells 1 & 2 (Well No. 4820-01 & 02). However, applications for permits arerequired to be made by a contractor with a valid and active C-57, C-57a, or A license and who will perform the work, in accordance with the State Water Code, § 1 74C-84(a). Because you have not identified a qualifying contractor, your application will not be accepted as complete until a qualifying contractor signs and completes sections 24 & 25 on the application form. However, we will process your incomplete application for review, and if the review warrants the issuance of a permit, a letter of assurance will be issued in lieu of the permit. The letter of assurance will indicate that a permit will be issued when the contractor signs the application, and the following conditions are met: a) the contractor has no outstanding issues with the Commission; b) there have been no significant changes to the application; c) there have been no significant changes to applicable laws, rules, regulations; d) there have been no significant changes to hydrologic conditions.

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

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

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

CI:ss Attachment

c: Haleakala Ranch Steve Bowles

Sincerely,

W.f7n ~

KEN c. KAWAHARA, P.E. Deputy Director

LINDA LINGLE LAURA H. THIELEN GOVERNOR OF HAWAII INTERIM CHAIRPERSON

TO:

FROM:




August 29, 2007

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

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





SUBJECT: Well ConstructionlPump Installation Permit Application Kalianui-Kula 56 Wells 1 & 2 (Well No. 4820-01 & 02)


We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by Septem ber 29, 2007. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.


CI:ss Attachment(s)

RESPONSE:

[ I

[ I

[ I

[ I

[ I

[ I

[ I

[ I

[ I

This well qualifies as a source which will serve as a source of potable water to a public water system (defined as serving 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of Health approval prior to its use to comply with Hawaii Administrative Rules (HAR), Title II, Chapter 20, Rules Relating to Potable Water Systems, § 11-20-29.

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

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

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

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

An NPDES permit is required.

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

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

No comments/objections

Contact Person: Phone: -------------------------------------Signed: _________________ - Date: __________ _


TO:

FROM:

SUBJECT:


COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOX 621

Russell Tsuji, Administrator Land Division


August 29, 2007

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

Well ConstructionlPump Installation Permit Application Kalianui-Kula 56 Wells 1 & 2 (Well No. 4820-01 & 02) TMK 2-3-008:003


MEREDITH J. CHING JAME~ A. FRAZIER NEAL S. FUJIWARA

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




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 29, 2007. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.


CI:ss Attachment(s)

RESPONSE:

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

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

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

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

[ ] No objections

[ ] Other comments:

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

Signed: ___________________ _ Date: --------


TO:

FROM:

SUBJECT:




August 29, 2007

Melanie Chinen, Administrator Historic Preservation

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

Well ConstructionlPump Installation Permit Application Kalianui-Kula 56 WeIls I & 2 (Well No. 4820-01 & 02) TMK 2-3-008:003



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


KEN C. KAWAHARA, P.E. 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 29,2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application or request additional review time, please contact Charley Ice of the Commission staff at 587-0251. If you require additional information regarding specific information that can be provided by the applicant, please contact the applicant directly at the contact information provided on the application form.

CI:ss Attachment(s)

RESPONSE:

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

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

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

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

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


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

Dear Mr. Hunt




August 29,2007

Special Management Area Use Permit Requirements for Well ConstructionlPump Installation Permit Application Kalianui-Kula 56 Wells 1 & 2 (Well No. 4820-01 & 02)


MEREDITH J. CHING JAMES A FRAZIER NEAL S. FUJIWARA

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




We would appreciate your comments on the captioned application with regard to the SMA permitting requirements specific to your division. Please respond by returning this cover memo form by September 29,2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.


CI:ss

RESPONSE:

Sincerely,

Wf7H 1'<


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

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

[ ] No objections

[ ] Other comments:

ContactPe~on: ____________________________________ ___ Phone: ______________ _

Signed: _____________________ _ Date: ________________ _


Mr. Jeffrey Eng




August 29, 2007

Department of Water Supply County of Maui 200 South High Street Wailuku, HI 96793

Dear Mr. Eng:

Well ConstructionlPump Installation Permit Review Well ConstructionlPump Installation Permit Application Kalianui-Kula 56 Wells 1 & 2 (Well No. 4820-01 & 02)


MEREDITH J. CHING JAMES A FRAZIER NEAL $. FUJIWARA

CHIYOME L. FUKINO, M.D. DONNAFAYK. KIYOSAKI, P.E.



Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installation permit application. If you have any comments on this application, please submit them by September 29,2007. Ifwe do not receive comments we will assume you have no comments.

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

CI:ss

Sincerely,

W.f7n 1't


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

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

-1-HARDY, R. i4 --HIGA,D.

2 HOAGBIN, S. 4 ICE, C.

--IMATA,R. --KUNIMURA, 1.-

CO.SION ON WATER RESOURCE MANAGEMENT e ROUTE SLIP FOR NEW APPLICATIONS

DATE: 22-Aug-07

TO:

~NAKAMA'L. r---J !L:

NAKANO, D. OHYE, M.

--SAKODA, E. +-SWANSON, S.

UYENO, D. --YODA,K.

YOSHINAGA, M.-

SUSPENSE DATE:

1 Approval -1-Signature -3-lnformation

29-Aug-07

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft acknow letter

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

Xerox copies

jt',.1)..~ - ~ ~ wdli WELLNUMBER~ ~O{ -t02 WELL NAME Kula 1 & 2

------------------------~-------------J;&. BOTH D WELL CONSTRUCTION D PUMP INSTALLATION

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

2 PERMIT PROCESS TABLE

3 CWRMMAP

4 APPL. FORM (11 COPIES)

5 USGS MAPS (11 COPIES)

6 TAX MAPS (11 COPIES)

7 PARCEL OWNER VERIF.

8 CONTRACTOR VERIF.

9 ALL INFO FILLED IN

10 BACKGROUND CHECK

11 $25 FEE DEPOSIT SLIP

12 DHP/CDUP/SMA pre·screen

FOLDER:

~ =;; ~MLS PRINTOUT ~ DCCA LICENSE SCREEN PRINTOUT TE r,:>

-T ~ (SMA map printout http://gis.hicentral.com/website/parcelzoning/viewer.htm.,or INGRID'S SMA/CD MAP)

(LUC map printout http://luc.state.hLus/luc_maps.htm .• or INGRID'S SMA/CD MAP)

D MADE NEW FILE FOLDER, ATTACHED D FILE FOLDER ALREADY MADE, IN FILE CABINET

INCOMPLETE ACTION DATES:

DATE ACTION

need to check aquifer system ~ (~~) steve bowles project - no contractor - loa

Search Results Page 1 of 1

Copyright ©8/27/2007 by Hawaii Information Service

Assessed Values reflect tax year 2007.

Search criteria: TMK Taxkey 2-2-3-8-3

• PUBLIC RECORD DATA Taxkey Subdiv /Condo Tnr Address Owner [Lessee Bds Bths Land area Liv area Last Sale Instr Price

0.2-2-3-8-3 Kula F KULA HALEAKALA RANCH 0 0 408.21 ac 0 HWY COMPANY fETAL

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

http://webre2.hawaiiinformation.comlREsearchIHIS/Searchlsearch _PUB.asp?NOCACHE... 8/27/2007

DOCUMENT NO .. DE&MENT OF LAND AND NATURAL RESOURe

UAC OR ATTACHED WORKSHEET DATE A : ugust 9,2 00 7

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

S 08 326 C 1026 0752 (1 ) $25.00 Waimea Water Services

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $ 25.00

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

~ STATE O~WAII

•

DEPARTM~FLANDANDNATURALRESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT APPLICATION FOR A WELL CONSTRUCTION I PUMP INSTALLATION PERMIT

Instructions: Please print in ink or type and send cO"1'leted application with atlachments to the Commission on Water Resource Managemen~ P.O. Box 621, Honolulu, Hawaii 96809. Application must be accorrpanied by 10 copies and a non-refundable filing fee of $25.00 payable to the Dept of land and Natural Resources. The Cornnission 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://wMv.hawaii.gov/dlnr/cwrm.

Otlicial Use Only:

01 AUG 9

WELL LOCATION INFORMATION A"uHl'1~lf~ll F.U lli t -"' 1.STATEW8..lNO.(rfalreadyassilJlod) 12.WEllNAME 3. ISlAND 14.™K 2 -!arn;~~!"l~\~.& ~J/~ A,~~iT.

Kula 1 - 2 Maui, --;;;;;e ..., ~~ I"l~D 1m The following must be attached _ this application is accepted as ccmplele: r 2.-., ., '7

o Pation 0I7.5-Mnut. Series USGS t_aphlc map (scale 1:24,000) with well location labeleel Bllel inckllie the nllme-0I1he quael IfIIp" Z> 8 3 • Property tax map, showing Well location referenced to established prq>erty bounclaries • Photograph a/ tho proposecIWelI slto oA schematic <Ia!l'lll11 sh ...... the wei slte, accass roacI onel DfOD<>Sed well ilfrastructure

5. W8..l OPERATOR'S NAMEICOMPANY I Well Operator's Contad 6. lANDOWNER'S NAMEICOMPANY

Kula 56, LLC Baldev Singh Haleakala Ranch Well Oporalor's Meilng_55

147 Loha Place Pukalani, HI 96768

lonela.mer's MaJlng AcIcIress

529 Kealoha Avenue Makawao, HI 96768

I Lancl<Mner's Contad

J. Scott Meidell

Well OporalOf's Phone I Well Operator's Fax (808) 280-5862 .L

I Well OperaIor's E-mail lan_er's Phone llan_er's Fax [email protected] (808) 572-1500

I lonelowner's E-mail

[email protected]

PROPOSED WELL CONSTRUCTION PROPOSED PUMP INSTALLATION 7. Proposed V\brk

• Construct New Well o Modify Existing \Nell

8. Construction Type • Drilled DOug

10. Proposed Work • Inslatl New PU"1' o Replace Pump

11 . Proposed Pumping Rate, gpm 13. Method of flow measurement (gallons per minute) • Flowneter

250 I Well (2 ea.) 0 Open Pipe 1-:-::-:::---:-7---:--,:-----1 0 lM>ir

12. Proposed Amount 0/ 0 Orifice IMthdr8\MI~. I ~Ions per day)

Up tc(405,OOO g~ 0 Other (explain)

o AbandoniSeallM>1I o Shaft o Tunnet

9. Is this weD part of a battery of weNs? • Yes 0 No

14. Proposed Surwyor name and license number (a surveyor Is required for all Well Consmn:aon Permits and may be reqUired for some Pump Installation Permits) To be selected

PROPOSED USE

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

o 16. Domestic Number of units to be served:

o 17. Industrial (describe)

o 18. Irrigation (describe crop and no. of acres)

o 19. Military (describe)

o 20. Other (describe)

OTHER LEGAL REQUIREMENTS /frequired, items 21. and 22. fTlJStbeobtained befrxetheComrriMioncan/egal/yissueapermt:

21. Conservation District Use Pernit (COUP) o Required, COUP # dateapproved ___ _ • Not Required (atlach documentation from OCCL) o I have not checked with OCCL about whether or not a COUP is required. I understand that checking with OCCL prior to making this application will

expedite my review. I further understand that issues raised by this agency may delay or resuR in denial of the pemit issuance, or revocation of the permit alter it is issued.

22. Special Management Area Perm~ (SMAP) o Required, SMA # date approved ___ _ • Not Required (attach documentation from applicable County agency) o I have not checked with the county about whether or not an SMA Perm~ is required. I understand that checking with the County prior to making this

application win expedite my review. I further unclersland that issues raised by this agency may delay or result in denial crf the perm~ issuance, or revocation of the perm~ after ~ is issued.

23. Historic Preservation Division (HPO) of the Department of Land and Natural Resources o I have consulted with the HPD regarcling potential impacts crf well construction activities on historic sites. I have attached appticabie documentation

from the HPO. • I have not consulted with the HPD regarcling potential impacls 0/ well construction activities on historic sites. I unde!stand that checking with the HPD

prior to making this application will expedite my review. I further un_nd that issues raised by this agency may delay or result in denial crf the Perrrit issuance or revocation 0/ the Penm alter it is issued. Additionally, the history crf past land use is attached.

Additional remarks, explanations, etc. (attach additional sheet W more space is needed)

NOTE: Signing below indicates that the signatories understand and swear that the information provided is accurate and true to the best of their knowledge. Further, the signatoties unclerstand that upon permit approvat 1) the proposed work is to be completed within two (2) years 0/ the approval date; 2) the contractor shall submit to the Cornnission a well COfll'letioniabandonment report within 60 days after the completion date crf the pemitted....,rk; 3) in the event that the application is not co"1'leted correctly, any permit may be suspended until the item is brought in to compliance, and any \/\IOrk done while the pernit is in suspension may resuR in fines 0/ up to $5OOOIday. 24. WELL DRILLER (Must be fineel out if application is for Well Construction)

~~1~'U'~ 25. PUMP INSf AL~R (Must be filled out if appIicotion is for PIJ"", Insldotion)

~~lreaed r(U~ AeLI8'fr? Licensee business narne C-57 License No. Licensee business narne C-57fC.57a1A License No.

D-,;;:-s' -~:-F---'--'~-- ~pnn' t ,,"'-t tb IQn~ \"

",-?tor Ie sC_' Address

v\cPI Application Form 0511212005

,

I

PROPOSED WELL SECTION (please atfach schematic if different from diagram preNided beIcw)

Hole ~iameter. 16 in.

Elevation at top of casing 1.562 ft.. rnsr Minimlm of 'Z Radius & 4" Thick Cone ...... Pad (to contain benchmark surveyed to nearest 0.01 It)

Grouting method:

o Positive displacement

• Other

Cement Grout 1.547 ft. (min. 70'!1. of distance from ground elevation to lop of water surface or 500 It. whichever is Iess.)

Annular space between hole and casing (1.5" for positive displacement, ',J' fer oIher methods):

__ 3 ___ in.

Rock or Gravel Packing:

None ft. Materiat

o Crushed Basalt

o Rounded Gravel

Estimated Water Level

Elevation:

--...:!:Lft. rnsr

Ground EleYation: 1,560 It. msI"

PI ..... refer to the HAWAll WELL CONSTRUCTION AND PUMP INSTAIMTION STANDARDS to ensure thai your as-buiIt is in .....,Hance with

applicable standards.

Solid Casing: (:>: 90% x (Ground EIev.-WaIer Level EIev»

Total Length: 1,556 ft.

NomnaJ Diameter. _ __'1"'0'--______ in.

WaIlThickness: 0.3125 in.

~mElev~ ____ +4~ _________ ft..rnsr

Open Casing: • Perforated o Saeen

Tolal Length: ____ --'2"'0'--_____ ft.

NomnaJ Dia~ __ 1",0'__ ______ in.

Wall Thickness: ___ -'0"'."'31",,2 .. S<--_______ in.

Bottom EIev.mon: ___ -...:.1""6 _____ ft. rnsr

note: NeiIher bentonite nor mud should be used in saturated zone dlling drilfng

Open Hole: (if needed)

Length: _____ ---'1",,0 ______ ft..

Dia~ ____ __'7 _______ in.

~m Elevation: __ ;:,-2~6!._ ____ ft.. msl*

• The approximate elevation mist be referenced to mean sea level (msI) at the time of application filing. Final elevations of well COf\1lOIl8IIIS shall be subnitted in the WeI ~I Abandonment repa1s and referenced to a benchmark which has been established by a surveyor licensed by the State.

For non-salt _tar Basal \/\/ells - bottom elevation of -'I should not be deeper than 1/4 of aquifer thickness or.

Bottom Elevation oflJ\lell Unit = (Water Elevation _ 41 xw_I£tElmljop, ) ~: Eslimaled+2ft.WalerL ...... Sev. -BdlomSevaIklnofWoIILiriI=( 2- ~) = -18.5t.

Solid Casing Material: caJtlon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5l • ASTM N53 0 ASTM A139

And compliant with (check one or more): 0 ASTM A242(or A606) 0 Type E 0 TypeS 0 GradeS 0 Other

stainless steel: (check one): 0 ASTM MOO (production -'Is) 0 ASTM A312 (monilDr wells)

ASS Plastic conforming to ASTM F480 and ASTM 01527: (checkone) 0 Schedule 40 0 Schedule 80

PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM (2241): (check one): 0 Schedule 40 0 Schedule 80 0 Schedule 120

Thermoset Plastic: (check one) o Filament IM>und Resin Pipe conforming to ASTM D2996 o Centrifugally Cast Resin Pipe conforming to ASTM 02997

o ReinfoR:ed Plastic Mortar Pressure Pipe conforming to ASTM 03517

o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950

o PTFE Auorocarbon Tubing conforming ID ASTM D3296 o FEP Fluorocarbon Tubing confonning to ASTM D3296

Open Casing Material: carbon Steel: compiantwito (chackone or more): 0 ANSIIAWWA C200 0 API Spec.5l • ASTM AS] 0 ASTM A139

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

Stainless steel: (check one): 0 ASTM MOO (production -'Is) 0 ASTM A312 (monoo. _Us)

ASS Plastic conforming 10 ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 0 Schedule 80

PVC Plastic confOIming to ASTM F480 and (ASTM 01785 or ASTM (2241): (check one): 0 Schedule 40 0 Schedule 80 0 Schedule 120

Thermoset Plastic: (check one) 0 Filament IM>und Resin Pipe conforming ID ASTM D2996

o Centrifugally Cast Resin Pipe conforming to ASTM 02997

o Reinfon:ed 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 D3296

o FEP Fluorocarbon Tubing conformng to ASTM D3296

v\cPI AppHcation Form 0511212005

e Well Construction Permit Application (Attachment) Kula 1-2 6112107

USGS Topographic Map

Waimea Water Services, Inc. 67-1161 Mamalahoa Hwy., Suite 5

Kamuela, HI 96743

e Well Construction Permit Application (Attachment) Kula 1-2 6/12107

~ Photo #1 - Kula 1 proposed well location

Photo #2 - Kula 2 proposed well location

Photo #3 - Proposed well field access road

Waimea Water Services, Inc. 67-1161 Mama/ahoa Hwy., Suite 5

Kamuela, HI 96743

e Well Construction Permit Application (Attachment) Kula 1-2 6112107

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TRANSMISSION LINE & ACCESS ROAD

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COMMON TANK

BOOSTER ST A.

KULA WELL #1

SCHEMATIC - PROPOSED WELL SITE PAN

KULA WELL #2

KULA 56 LLC KULA. HAWAII

HALEAKALA RANCH TMK: 2-2-3- 008: 003

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Waimea Wafer Services, Inc. 67-1161 Mamalahoa Hwy., Suite 5

Kamuela, HI 96743

Well Construction Permit Application (Attachment) Kula 1-2 ...Section 13-168, entitled "Water Use,...

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Transcript of Well Construction Permit Application (Attachment) Kula 1-2 ...Section 13-168, entitled "Water Use,...