j: i~,~~- · rfl"j_11 ~*~,;;:::;. ... motor type, h.p., voltage, rpm: . fay! 1 £tv......

$: J~~:~~ I~,~~- · rfl"J_11 ~*~,;;:::;. ... Motor Type, H.P., Voltage, rpm: . FaY! 1 £tv... ' ?{:) , I Z 30 V I '34'ro { ... ~ Submersible o Centrifugal 6$
o

[~~};J~~:~~ I~,~~-

, - ~,. -105

D ..... tt-... - -,.." .... r.,. -~ Ar,h'_ -,. .. , I'_I"""~ -'07

C~ -# •• # ~~"~f"I -108 .. ., .... -... ...........

• o.~ .. _r. ~,. ., ~-<.. • ... ,:--""' ~

~ ,.,.,,.,lffI e. , •.• "~~~I".~ . ...." 110 ~-"'h>"" ,. _ _TI', ~"''I'''O -;;;;, ""Ok~¥~"-~ ~J. .........

...".# •• ~

~ £,;J __ '.,.,..1 ......... ~ _, G.,. .... "",

--.1/1' -liZ

11,.- c· -!. {!!J II .. 0., '- . .J/r

51

C4..,.1 •• If. ~ 1/1,.-_" 4!'~ ........ 80 •• 11y L. ·JIr

= C"""I •• y ~ 6-,....,. C· -I- ~

796 .. ,,., L . • J/r

~.,.,.H '" -I_I, i¥~'/I '''i" -1a-'~- -J/'r

~,.,.

17Fr-''';

-, ... ---M,.Jdr .' ,., h::.. ,.", .... ., ...........

~ ":~,.p ~, ...... ;:;;-. .., N,,Jp . r.., _ ~ rfl"J_11 ~*~,;;:::;. # --, G.,.,.· ...........

-. -J/,. 1~

r'7~ A:1; ......... - , "..,~. -64 «

I .Y-I"~ 0.'---. M-,IIrt' n ........ "/,!:.:J ~.~ ,

OI~';1I, s· 65 ,.,,~ .; "',;. _ , A.,

~Ik~~ /. ...-.... J.f,~ #,"') ~ 66 N,

c_.# M. -,.,'. ~;-... -g -.......-..- 0.*'.. '1'" 4 -r <:..".1 ........ '-'

~ -J".

~ a,.I •• ,~ --rC"~""'. (... .......... ~ . ..;,.

43 =r

0....,.,.... loA. ",.v---~2

...,.,.1.",. '-!!

F'r."II..1 Jr.

/!!t:JI""" 6. x,. .. Jt

M) , ...... ,. " S ... " t..f &>.~" £ ~ ·n

~, -, 't"'" ..:!1!

.,....... " .. ---.. r •• , -

'1Ir'~'" .... ....--... £., .......... ..",. -... CMTll.1. .. '7 !:.;: ~"r-/""""" " ... , 70 M ,.." :.-/, 38 ... _,. ... ,,"' .. .... ~.,

'I""'~* AJ -:;;; ;:;""'.1 4 ........ ,. C'~IIIX 4: -r _..q:..... ,.,,.,,,-!.!:J 1',H~ '" K. • 7« 37 ~A> L. - 77.

LIl.., ... ·•• ,.. ............ = = , "", .. "o.clt' ,." .,., .1 .-. .. ~ ~""~c"I""" "".' ~ .,f-f A"w-M L-77r,

Co .... j: v,-";'''''~ -r- ---- • , ",..,. -~-.,. -?1. L. - "I'. SI

a

;:, .. ~: ~ ..:- G ~,.,;,. A. ............ '.' •• 6'...,t ~.

28 - .. ,,;,. - a S"~I"". A. =- J/r _ -7;t

:.':;. #:":;"'M'r r,;; LJIIIIt"'. Aw ...-.... - -6'r ....... JIII,r.1 c.' '7:~.

~! 7StJJ~"" A. _ -'7.c

... "..,.,.1. ,."""' .. .,..... J.,.. •• &. G r-' .:~,;:-:.r ~ ""clt~.k. ............ lQ', .......... (, .. ~r ) .. "1010 ,,--71eo ". ~~...,...,~ ("i~tI-." :..:= ,.r* /til. -.,k, ".~ = ... ...,.t>_.,." C. ~.A/. ~.,//~,. A. IV#";;;-' 1-<'.1/,.,... ......-.

"61 - ~ .. '-'.~ ......, ~ ! ~,.,~ • ..... .,..,J.,~ --. 11~""r#. ""-:"'" /t ... ",~' ~ ~M'_

= ..•. ..., ... e U·'."" ;--" ,,- ---.

"'1 s.- J :-: r--.... ..!!.! ~......",._r. -3J 3- .... ·'l'*

= • ~C':r .,;';:"~;S *

--. llro -

3~ i. -- # ; - '/.A .. ,£ IIW .. ,..,",-....

"#' _ ..",. t,u - "'.'. '/ .... -);11;:' I

U j I =

..... ~ .... Q.

JJ£2 .{7 J/;, 5

Jih . ~

II TYPICAL ",cO';'

NOTI: All ,1,,,.1 • ..... ~. p.,1t e.,.,... ';.1 •••

--

r'

PLAT

~NO~" Fo, "'~"".s .. r .. [, H"TO 'r: 1L 1UJ:.

~I

,

SUBJECT TO CH,A..NGE .. .- u

1tfJ>f (i7o~ .. t -< I >

IllY: tJ DQv ;5;0 A,

-=z (Jrvr s,c pl"l (11;-.,

! 5 ~ ) <, ...

-..,

LINDA LINGLE GOVERNOR OF HAW""

Mr. Robert Watson HCR 1 Box 5382 Keeau, HI 96749

Dear Mr. Watson:

o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

October 15,2003

Well Completion Report for Well No. 3688-04

PETER T. YOUNG CHAIRPeRSON

MEREDITH J. CHING CLAYTON W. OELA CRUZ

JAMES A. FRAZIER CHIYOME L. FUKINO, M.D.

STEPHANIE A. WHALEN

ERNEST Y.w. LAU DEPUTY DIRECTOR

3688-04.let

We have received your Well Completion Report Part II for the Watson Well (Well No. 3688-04). However, matters which must be addressed before we accept your report as complete are as follows:

1. Please inform us of the date the pump was installed. 2. Please explain why your contractor does not have the required license (C-57/C-

57a/A) type to install a pump. The licensing requirement is shown on your Pump Installation Permit signature line, as well as the Well Completion Report and the Hawaii Well Construction and Pump Installation Standards Section 1.6.

Please respond to the above item(s) within thirty (30) days of this letter's date. Failure to do so may result in fines of up to $1000 per day.

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

RI:ss

Sincerely,

~rrtJ~ ERNEST Y.W. LAU Deputy Director

./

\

( ) :} , ()

-:::f.- ,/;;J_&(/_ e>4 .~j(£J :A ..

COMMISSION ON WATER RESOURCE MANAGEMENT (03/03)

FROM: ERNIE ~ SEP _5 2001 SUSPENSE DATE:

TO: INIT. TO: INIT: FOR: PLEASE:

__ ._ ANAKALEA'P~ LAU, E. _ Approval See Me . BAUER, G. MATHIAS, T. Signature Review & Comment

CHING, F. __ NAKAMA, L. Information Take Action DANBARA, S. NAKANO, D. bc:A:, , Type Draft

OHYE, M. I, "

Type Final FUJII, N. ~OODING,K. SAKODA, E. File

HARDY, R. =en SUBIA, S. flY Xerox __ copies "

HIGA, D. SWANSON, S. ICE, C. UYENO, D. 1

, ;

IMATA, R. Ih4,/' YODA, K. <".-' •.

, <., .'j r.J KUNIMURA, I. __ __ YOSHINAGA, M.

~j G lv. ... ""\( 'J . ....

~1~

o

STATE OF HAWAII COMMISSION ON WATER RESOURCE MANAGEMENT

DEPARTMENT OF LAND AND NATURAL RESOURCES

o

MONTHLY GROUND WATER USE REPORT

Robert Watson HeR 1 Box 5382 Keeau, HI 96749

Report Month 'mi9,! )003 Year

INSTRUCTIONS: Please TYPE OR PRINT CLEARLY. Complete this form to report total monthly ground water use, and, if required, other information from ,~achJ of our well sources. Mail to: Commission on Water Resource Mana ement, P.O. Box 621, Honolulu HI 96809. For assistance, lease call (808) 587-0264. ,

Period Period Quantity State Well Begin Date End Date Pumped No. Well Name (mm/dd/yy) (mm/dd/yy) (gallons)

3688-04 "

Watson Well 5!i /pJ 5'/3/103 '71) "1-0

3~'j~'I tV #- /? .. ~ 1'/;/ (/ :/;/05 ~/J~/(JJ {1 yO

lx~-()q II. ,19-4 II/~ 1/ 7IIfr3 17/1i/CJ~ 7/ t'tJ

)(j,/-"I.f Lv/.)·J/~ JY~ // 19~fr3 'l 3/ / OJ fJl}()/J

j

. Flow meter, electrical consumption, weir of flume, not metered (estimated) .

. Measurement should be taken while pump is NOT running just prior to a pumping cycle; if measurement is taken while pump is running, please indicate so.

Non-Method' Pumping

of Chloride Temp. Water Level Measurement (mg/l) (OF) (ft. abov'j

msl)'* --

f/pv (lft~1 " I 'It) '1/ 5:1( ._

" b"" IT' t' I ~/ 3"1 70 .. 5, I~f --

IF/iJw»u/-if , f

31 '7/ 5./f({ .-, I

If' ft~H" ('Il k/ 4(J 71 5./~ --

.. -

-----

._---

. __ ._.-

.-

Other comments or additional information (e.g .. date and method of chloride measurement; how pumpage amounts are estimated; etc ... ):

Title t2 /,v n- .I I' Date 1/!( .I t1 j Telephone No. ~, "" __ 2.1:LiL

Form Document3.doc P99)

State of HawQ 0 For Official Use Only:

COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources

WELL COMPLETION REPORT - PART II Pump Installation ~ p 2: 0 8

Instructions: Please print in ink or type and send completed report (with attachments, if appli 0 e) to e 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 ass.istance, please consult the Hawaii Well ~onstruction ~~d P~mp Ins~allation Stan.d~rds 0tOO~tSS1: ,~~ rH: Wf\TL;:~_ Regulation Branch at 587-0225. For updates to this form or additional information, please VISit our ~it~ ~t(' ': , . ;':. ~.:: :.:.~.!,Ei': i http://www.state.hl.us/dlnr/cwrm/ l'\c >, ,., .. '

1. State Well No.: 3688-04 Well Name: Watson Well Island: Hawaii

2. Address: 15-1230 Kaloli Dr. Tax Map Key: 1-5-52: 73

3. Pump Installation Company: Rl!>d D/f'NtI\CMA. c'lMSWe.tJ"", 4. Date Pump Installed:

month;day/year

5. PERMANENT PUMP INFORMATION

Pump Type, Make, Serial No.:

Rated Capacity: /2 gpm at head of: ------------~~--------

_--I-I....,bO",,--' ____ ft. Motor Type, H.P., Voltage, rpm: FaY! 1 £tv... ' ?{:) I Z 30 V I '34'ro . , {

Type of flow meter: PJ'lJ.o.z,f--rYJree It: / which measures in -,C.~o'-'~CLL=o_/_' -'-5 ________ _

Model Number lftY>2 b 7<;;" Serial Number -=~:p.O£........j5,",,'J.....,C""-!.7...::.5 ____ _

Pump type (check one):

o Deep Well Turbine

~ Submersible

o Centrifugal

6. Method of flow measurement:

o Rotary o Propeller

o Rotary-Displacement o Reciprocating

o Rotary-Gear o Impulse

K Flowmeter Manufacturer ft'r1J)Jt:y pt~k,Make D~ o Weir 0 Open Pipe 0 Orifice* 0 Other*, explain below

sizeJ§ X 1At *attach schematic

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

8. Attach photograph of weli and concrete pad clearly showing benchmark on concrete pad.

9. Other remarks/comments:

Pump Installation Contractor (print) Ro d, D!~ M MJ

Signature ~~ a<~;- ./ / ,;;

C-57/C-57a/A Lic. No. ,at '23371

Date Lj 122 J 0> I J

Permittee (print) R.,J,uJ /Jv'k~

Signature ~~ Date ~ij/~/_).~O...k.!_O_~ __ _

WCR2 Form 11112102 Page 10'2

/

9. AS-BUlL T p~ SECTION (Please attach as-built if different fOiagram provided below)

...........

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

Elevation of top of chase tube AlA- ft. mean sea level

.. ll-..----:--~ Pump intake depth =ltJ!> (referenced to bencl1 mark)

ft.

Chase tube depth f.. (referenced to bench mark)

If airline installed, b~f airline elevation =

ft. mean sea level

WCR2 Form 11112102 Page 2 of2

COMMISSION ON WATER RESOURCE MANAGEMENT (3/01) . FROM: ________ ~+_r_--------

(l DATE: sb.tt Ie' I

SUSPENSE DATE: ____________ _

_BAUER, G. _CHING, F. _ DANBARA, S.

FUJII, N.iO'O

3 -- HARDY, R·'ftft' ~ _HIGA,D. Jl _HIRANO, E. _'CE,C. ~IMATA,R. _JINNAI, R.

_ KUNIMURA, I. ___ Approval ~AKAMA, L. ___ Signature .y- NAKANO, D. Information - NISHIOKA, l. \JJ.) l/ ,," -' OHVE, M. ..~, ':':U\ f'r;/ ~ - SAKODA, E. J _SUBIA, S. _ SWANSON, S. _UYENO, D. _YODA, K.

PLEASE:

See Me Review & Comment Take Action

___ Type Draft __ Type Final

File __ Xerox __ copies _ Last person - trash

LINDA LINGLE GOVERNOR OF HAWAII

Ref:3688-04.pip.doc


Dear Mr. Watson:

o o




Pump Installation Permit Watson Well (Well No. 3688-04)

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ CHIYOME L. FUKINO, M.D.

BRIAN C. NISHIDA HERBERT M. RICHARDS, JR

DEAN A NAKANO ACTING DEPUTY DIRECTOR

March 3, 2003

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. 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.

Please sign and have the contractor sign both permit originals and return one for our files. A copy of your water use report form is enclosed for your use.

Except for the monthly water use report form, please provide copies of all the information in this packet to your pump installation contractor.

Finally, this letter is notice that we have accepted your Well Completion Report - Part I as complete,

If you have any questions, please call Ryan Imata of the Commission staff at 587-0255 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai), extension 70255,

Sincerely,

~~~ ~ Peter T. Young II 'Chairperson

Enclosure

C PUMP INSTALLATION PERMIlQ Watson Well. Well No. 3688-04

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 Watson Well (Well No. 3688-04) at 15-1230 Kaloli Dr., Hawaii, TMK 1-5-52: 73, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) 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 20 gpm rated 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, a!1d/or well owner shall complete and submit as-built drawings and Part " - (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 (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.

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.

Date of Approval: TER T. YOUNG, Chairperson Expiration Date:

May 20,2002 May 20,2004 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 $1000 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 Hawaii Department of Water Supply

/

~~Y-~-2002 12:06 PM TURNER DRILLING & PUMP 530 257 6250 P.02 o -0 -----_e - ."'."j,,' 'II' ·Pi";'· - liN!'- J[:r-

TURNER DRILLING" PUMP 471,.205 JOHNSTONVIIJ..H KOAD, SUSANVIlLE. C\ 96130

Phone 530-257.6250 Pes 530-257-6250 California ~ .!220l1 Nl!Wda l.btue 141661 Hawaii l.Jcense 1'22597

MllyIS,2002

Mr. Robert Watson HCR 1 Box 4382 Kaau. m 96749

,

RB: WELL COMPLETION REPORT FOR WELL #3688-04

H_ IDe the answers to the questions that CWRM hav~ asked:

: ., , '- ..,)

The correet Water Lew! EJevatimJ is 5.18. The way I came up wlh 6.9 is as follows:

Ground Elevation Minus Static

MinDs ilDpmpc:r measurement

102.9 ~

6.9 ..L12

p 3: I 9

S.18 Corrected Water Level EJevation

• 1 ~cft1y measured &om the top of tile cains, DOt FOund 1ewL This would increase Static LevaI by 1.72. Takiug this into consideration, tile correct Water Le'Ve1 Elevation should be 5.18. /

The Initial Water Lewl eaoountend is 103'. WIIcft driIJiDs, I drilled thtough blue basalt, tbm broke tbroup iDlo the water level Due to water ~ from below, it causes the water level to:rile. The drilliDg process is 90 &st, it. is impollib1e to determine exactly where the water level iL

I bope this -.was tin' questioJIL Please Jet me know.

v ...... :III&:.A.'- DRILLING & PUMP

FPT:1ab

.. .,-

• BENJAMIN J. CAYETANO GOVERNOR OF HAWAII

Mr. Robert Watson HeR 1 Box 5382 Keeau, HI 96749

Dear Mr. Watson:

o o




April 25, 2002

Well Completion Report for Well No_ 3688-04

GILBERT S. COLOMA-AGARAN

BRUCE S. ANDERSON MEREDITH J. CHING

CLAYTON W. DELA CRUZ BRIAN C. NISHIDA

HERBERT M. RICHARDS. JR.

LINNEL T. NISHIOKA DEPUTY MECTOR

3688-04.ack

We have received your Well Completion Report Part I for the Watson Well (Well No. 3688-04). However, matters which must be addressed before we accept your report as complete are as follows: I

0.\ 1. Please explain why the initial wAter level encountered was 103 ft. below

ground (which would indicate@mean sea level), but the water level was 5.18' above mean sea level (shown in item 10 on the Well Completion Report Part I), and the as-built shows 6.9' mean sea level.

Please respond to the above item(s) within thirty (30) days of this letter's date. Failure to do so may result in fines of up to $1000 per day.

If you have any questions, please contact Ryan Imata of the Commission staff at 587-0255 or toll-free at 974-4000 (Hawaii), 274-314i (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai), extension 70255.

RI:ss

Sincer~ly,

Cfor8J~ LINNEL T. NISHIOKA DeputY-Director

qUMP INSTALLATION PERMIT 0 Watson Well. Well No. 3688-04

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 Watson Well (Well No. 3688-04) at 15-1230 Kaloli Dr., Hawaii, TMK 1-5-52: 73, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) 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 20 gpm rated 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 (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.

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.

Date of Approval:

Expiration Date:

May 20,2002 May 20,2004

TER 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 $1000 per day starting from the permit date of approval.

Permittee's Signature:'-:~~~" Date:1f,4:/D3 Printed Name: t k>6!' / ,/- ~~ Is'#I'f1" Firm or Title: _______________ _

Installer's Signature: #alQlll~ .. i£:,6 ... Z-=:::::....a~ ............ 1 L~- C-57, C-57a, or A License #: ,&Z3379 Date: 'I ~ t)O? Printed Name:

/' ~~ d,.4 .... J.. Firm or Title: J1'1t P./P .. IlI'It\J e.DI\~


Attachments c: USGS

Department of Health! Safe Drinking Water & Wastewater Branch Hawaii Department of Water Supply

Malillf3(;tufer of Pumps ana Supplies Reddiii9. CA 96002 USA ..... " • _ ..... _f. __ ~ • n

o 60 CYCLE

COMPOSITE SEL.ECTJON CHART UUILHI," I

I I •• __ _ .. , .... _-,--_ ...... 7 ·12 - GPM SERIES • 411 SUBMERSIBLE _

~-~(P~'b,04 1/2 THRU 3 HORSE POVVER

'L1A"\:'O~ METERS

30(}~

2

200-·---·-····--- .. ·~~

15 1--.---------.=: .. ==--=-.·..;

1

Effective March 1998 (91998.-tays Pumps, Inc.

; -.

CAPACITY IN GALLONS PER MINUTE (LITERS)

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

BENJAMIN J. CAYETANO GOVERNOR OF HAWAII


Dear Mr. Watson:


COMMISSION ON WATER RESOURCE MANAGEMENT P.O,BOX621


April 25, 2002

Well Completion Report for Well No. 3688-04

GILBERT S. COLOMA-AGARAN CHAIRPERSON

BRUCE S. ANDERSON MEREDITH J. CHING

CLAYTON W. DELA CRUZ BRIAN C. NISHIDA

HERBERT M. RICHARDS, JR.

LlNNEL T. NISHIOKA DEPUTY DeRECTOR

3688-04.ack

We have received your Well Completion Report Part I for the Watson Well (Well No. 3688-04). However, matters which must be addressed before we accept your report as complete are as follows:

1. Please explain why the initial water level encountered was 103 ft. below ground (which would indicate -.1' mean sea level), but the water level was 5.18' above mean sea level (shown in item 10 on the Well Completion.Report Part I), and the as-built shows 6.9' mean sea level.

Please respond to the above item(s) within thirty (30) days ofthis letter's date. Failure to do so may result in fines of up to $1000 per day.

If you have any questions, please contact Ryan Imata of the Commission staff at 587-0255 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai), extension 70255.

RI:ss

Sincerely,

Cfo{eJ O~ LINNEL T. NISHIOKA Deputy Director

MEMO and R9uTE SLIP o

I WCR 1 Check for Well· No. 3688-04 (survey to regulation memo)

1. Pump Tests Check Glenn Bauer ~ (initial) Yes No If no, describe deficiency

Step-Drawdown Test:

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

Aquifer Pump Test:

followed WCPI Stds 0 T & S analysis attached 0

Well Interference: estimated Steady-State drawdown at 1-mile radius is ____ ft.

analysis attached

Stream Surface Water Impacted:

o

o

o o o

o o

o

o .- If yes, identify most probable stream

2. Construction Check Mitch Ohye _-'--= ___ (initial) ~l r ; <" () V Y ~ ~.\ .. , .r-

Yes No If no, describe deficiency

data complete ~/ . followed WCPI Stds ~ well database updated ):i/

o o o

03125102

3. CharleY/LenOr~ !vv: (initial) take action based on above analysis

ATTACHMENTS FOR PUMP INSTALLATION PERMIT: 1 COVER LETTER

2PERMIT (2x)

3 DOH COMMENTS

4LAND DIV. COMMENTS

5WCR2FORM

6WURFORM

~. y (initial) check

5. ubia -I-.u.tFo-- (initial) finalize Linnel initial) signature

7. Charley/Lenore ya File

__ not necessary - only WCP.

To be sent to applicant

State of HRaii o COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources

WELL COMPLETION REPORT - PART I Well Construction

Instructions: Please print in ink or type and send completed report (with attachments, if applicable) 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 6Q 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.state.hLusJdlnr/cwrm/

1. State Well No.: 3688-04 Well Name: Watson Well

For Official Use Only:

. - r ."

r;n f"O'''\ "I ,/( hi,;' (.. A g: 53

Island: Hawaii

2. Address: 15-1230 Kaloli Drive Tax Map Key: 1-5-52: 73 ---------------------3. Drilling Company: Turner Drilling & Pump

4. Drilling method used during contruction: Qg: Rotary 0 Percussion 0 Other (describe)

S. Date Well Construction (drilled,cased,grouted) completed: 1-8-02 Attach Driller's Log (712/V99 DL Form) month/day/year

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

6. Was the subject well cored? 0 Yes .tJ No ,."..----,~

Initial water-level encountered Qg~)' ft. below ground 7. Date and time of measurement: 1-10-02 lOa .ID. month/day/year time

8. Step-Drawdown Test completed? ~ No 0 Yes Attach Step-Drawdown Test form (12117/97 SDPTD Form)

9. Constant Rate Aquifer Test completed? ~ No 0 Yes Attach Constant Rate Aquifer Test form (12117197 CRPTD Form)

Parameters prior to pump test: \~ \f{_I,"' .... \, () ,

10. Water-level: 5.18 ft. above msl Date and time of measurement: 1-12-02 11 : 40 a. ID.

11. Chloride: ___ --=4~0 ____ ppm

71 12. Temperature: OF -----------------

month/day/year time

Date and time of sampling: 1-12-02 11:45 a.ID. month/dal/year time

Date and time of measurement: 1-12-0:':: 11 : 45 a. ID. month/day/year time

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

14. Attach plot plan and surveyor's stamped elevation 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. Remarks:

Licensed Driller (Pri."~I!:.'illlI ~

Signature ~~ .. C-S7 Lic. No. ---=2=2=5-",-9.:...7 ______ _

Date March 10, 2002

L.P.L.S. Lic. No. _5_9_85 _______ _ Surveyor (print) ROBERT T. SHIRAI

,-..ltachstamped~ f- n _ Signature ~ Date 02/11/02

Permittee (print) ICQ h",f Y /(J.I$~

Signature ~~~ Dat~/11/02

weR1 Form 9129100

--------------------------_. __ ........... _._------------------

/

Bench mark elevation:

13. AS-BUILT wO SECTION

Elevation at top of casing 1 04 • 6 k, msl* (to nearest 0.01 ft.)

(Please attach as-built if different frcOgram provided below)

Hole Oiameter:l2 1 /4 in.

Minimum of 2' Radius & 4" Thick Concrete Pad

Ground Elevation: 102.9 ft., msl

Please refer to the 103 .1~., msl*

(Survey to nearest 0.01 ft.)

Cement Grout: 83 ft. (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.

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

Annular space between hole and casing (min.3"):

Len~h: 104.72 1.72 above ~

Nominal Oiameter: ___ 6 _______ in.

Wall Thickness:_-:--:-_.-::1:-8_8 ______ in.

Bottom Elevation: 0.1 above _:::..3_in.

TotalOepth

108 ft.

Rock or Gravel Packing:

25 ft. Material:

ft., msl

Open Casing: ~ Perforated o Screen

o Crushed Basalt 5 Length: _____________ ft.

o Rounded Gravel Nominal Oiameter: --=.6..-rrn-______ in.

Wall Thickness: __ ·_I_8_8 _______ in.

msl* Bottom Elevation: _.....t..5 ..... ..=1 ____ _ ft., msl

:,.., i rt Open Hole:

Length: _____________ ft.

Oiameter: ____________ in.

Bottom Elevation: _______ _

*msl = mean sea level 4 Solid Casing Material: <t I' 'IJ 1I ~ Cb "'ol( Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L

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

~ASTMA53 &Grade B

o ASTMA139

o 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

ft., msl

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

Open Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L XI ASTM A53' 0 ASTM A 139

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

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


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 WATER ANALYSIS REPORT

Client: Tumer Drill'n, & Pump Project: Watson Period: ~ .. _ry 2002

Analysis

Total Dissolved Solids

Total Hardne ..

Calcium Hardness

Total Chlorides

Sodium Chlorides

Results

107 ppm

HAm,,1

34.2mg/l

40mSJII

64m",

Analysed By - AmeI1t::IIn Will.,. Purlflcatlon SuIImIttIId By - Hope NtII"tlutgy

o

. . ...

o o ISLAND SURVEY, INC.

SURVEYORS

P.O. BOX 4215 HILO, HAWAII 96720

TELEPHONE 935-9105

February 11, 2002

TO WHOM IT MAY CONCERN

RE: TMK:I-5-052:073 (Watson Well) ~0,v ~. t" J;lott~oA-

This is to certify that a benchmark (BM) was established with an elevation of 103.15 feet msl on the concrete base of the well head.

Also, the elevation at top of casing is 104.62 feet msl.

If you have any questions, please call.

Sincerely yours

ROBERT T. SHIRAI, PLS Licensed Professional Land Surveyor 5985

LOT 2010

LOT 2052

""0 o o

'" o o .!: o

0-

" o o

'" '"

w

>

I CI

LOT 2011 C) LOT 2012 LOT 2013

LOT 2051 LOT 2050 LOT 2049

7 T H AVENUE (H I N A H I N A)

LOT 2167

PLAN SHOWING

PLOT PLAN ON LOT 2051, BLOCK 7

LOT 2168

AS SHOWN ON LAND COURT APPLICATION 1053 MAP 58

Survey and Plan by Island Survey, Inc. P.O. Box 4215, Hilo, Hawaii 96720

February 11, 2002 Tax Map Key: (3)1-5-052: 073

LOT 2169 LOT 2170

ROBERT T. SHIRAI, PLS State of Hawaii Cert. No. LS-5985

I BENJAMIN J. CAYETANO

GOVERNOR OF HAWAII


Dear Mr. Watson:

o Q




SEP 2 0 2001

Well Construction Permit Watson Well (Well No. 3688-04)

GILBERT S. COLOMA·AGARAN CtwRPERSON

BRUCE S. ANDERSON ROBERT G. GIRALD BRIAN C. NISHIDA DAVID A. NOBRIGA


LlNNEL T. NISHIOKA DePt.JTY DIRECTOR

3688-04.wcp

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.

2. Please be aware that your proposed driller is currently the subject of an investigation for violations by the Water Commission, and the matter may have to be resolved before we can accept his signature on a permit, and no work shall commence unless a copy of the permit has been fully signed. by both permittee and driller.

3. It is apparent that the person that filled out the application is not familiar with the geology of the region. Estimates for initial head were significantly different from established water levels in the area. As a result, the proposed as-built well section might not be in compliance with the Hawaii Well Construction and Pump Installation Standards (HWCPIS), If the well is not constructed in accordance with the HWCPIS, you may be ordered to seal the well.

This permit does not authorize work for your permanent pump installation. Approval and issuance of your pump installation permit is contingent upon completed application and information provided to and accepted by Commission staff as required in the Well Construction & Pump Installation Standards (1/23/97) and any special conditions performed under this permit. However, a permanent pump may be installed prior to the permanent pump Installation permit issuance in accordance with the Commission's April 15, 1998 Declaratory Ruling No. DEC-ADM98-G5, which states that:

·Pennanent pump installation for capacities between 0-70 gpm and where the proposed use is for private individual needs in non-ground-water management areas may be allowed pnor to the final pump installation pennit issuance. When required as a condition of the well construction pennit, subsequent pumping tests shall validate the acceptability of the pennanent pump. The pennanent pump installed prior to final pump installation pennit issuance is subject to removal if the testing shows that a smaller pump is required to reduce the potential of affecting neighboring wells and localized upconing at the applicant's well .•

If you qualify and wish to take advantage of this ruling, please include a written request to install the permanent pump prior to final pump installation permit issuance when you return to us your signed well construction permit.

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.

If you have any questions, please call Ryan Imata of the Commission staff at 587-0255 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai) extension 70255.

Enclosures

AlOha,/! 6X-' * . '!J /\ '~-J' " ~ S. COLOMA-AGARMV

Chairperson

/

, .. o WELL CONSTRUCTION PERMIQ

Watson Well. Well No. 3688-04

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 Watson Well (Well No. 3688-04) at 15-1230 Kaloli Drive, Hawaii, TMK 1-5-52: 73, 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 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 sha" 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). 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 determinalion 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-licensed 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 per:mitteEl.L)VE!1I 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 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 by the Commission 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 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.

12. 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.

13. S,..;" "",,"oos '0 the ,Ita_ ""'"' """m""_"'" '000""",'" hero'""' ""''''?~. ~ f Date of Approval: September 11, 2001 GILBERT S. COLOMA-AGARAN, Chairperson

Expiration Date: September 11, 2003 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-S7 License #: _____ Date: ______ _

Printed Name: Firm or Title: _______________ _


Attachment c: usGS

Department of Health! Safe Drinking Water, Wastewater, and Clean Water Branches Hawaii Department of Water Supply

OWEll CONSTRUCTION PERM ITO Watson Well, Well No. 3688-04

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 Watson Well (Well No. 3688-04) at 15-1230 Kaloli Drive, Hawaii, TMK 1-5-52: 73, 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 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 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 durino 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 rig~ts.

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-licensed 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 per:mitte~LlNell op~rator, and/or well owner shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of ullS 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 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 by the Commission 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 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-f~ith p~rformance. A request to extend th.e permit shall be subm.itt~d to the Chairperson no I~ter 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.

12. The permittee, its successors, and assigns shall. irydemnify, defen<:l,. and hold the State of l-:Ia"YCIii harmless trom and .against any loss, liability, claim or demand for property damage, personal inJury, or death anslng 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.

13. Sped" =,iti"", i, the ,tta<hOd ~ tra",mittall,Ite,.", i'''''POrn''''' h"'" by ""''''''LOOJ. ~ t Date of Approval: September 11, 2001 GILBERT S. COLOMA-AGARAN, Chairperson Expiration Date: September 11, 2003 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 Signatu ~--- : ,-"-Printed Name: ~~ Finn orliHe:

Driller's Signature: C-S7 License #: 'cl '(iS9 J Date:

Printed Name: ·f R 'AV\.~. -\-,) q.X\EQ Firm or Title: _Ov.-:\0~...:..~~E:!lo.<-....lQI:>,,-__ f'..:) __ ----, __


Attachment c: usGS

Department of Health! Safe Drinking Water, Wastewater. and Clean Water Branches Hawaii Department of Water Supply

o WELL CONSTRUCTION PE~~T~ Watson Well. Well No. 3688-04'"

~.-.---In accordance with Department of Land and Natural Resources, CommiSsion on Water Resource Managemenfs Administrative Rules, Se<.iion 13-168, entitled 'Water Use, Welis. and Stream Diversion Wolks" , this document permits the construction and testing of Watson Well (Well No. 3688-04) at 15-1230 Kaloli Drive, Hawaii, TMK 1-5-52: 73, subject to the Hawaii Well Construction & Pump Installation Standards (1/23197) which include but are not limited to the following conditions:

2.

3.

4.

5

6

7

8.

9

11

Th~ Chairperson of the Commission on Water ~ MaEj98ment (Commjss!Qn), P,O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weaks 6efOie any work a~ by thiS permit commences and staff sha~ be allowed to inspect installation activities in Qccordance with §13--168-15, Hawaii Administrative Rules.

The well construction permit shall be for construction and testing of the well only. A minimum 1114-lnch diameter monitor tube Shall be permanently installed, in a manner acceptable to the Chairperson, to accurately record water levels. The permittee, well opE!rator, and/or well owner shal coordinate with the Chairperson and conduct a pump!ng test. in accordance witl'1 the Standards (a pump testing worksheet is attached). The permittee, well operator. and/or lNell owner shail submit to the ChSIrp8I'SOn the test results as a basis fui" supporting an applicatlon to install a permanent pump and withdraw water for use. No permaneni pump may be instalied until a pump installatlOi! permit is approved and issued by the Chairperson.

In basal ground water, the depth of the weil 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 oper"t!tor, andlor wei! owner shall incorporate mitigation measures to prevent construction debris from entenng the aquatic environment. to schedule work to avoid periods of high rainfall, and to revegetate any cJeared areas as soon as possibie.

In the event that subsurface cuiturdl remains such as artifacts, burials or concentrations of shells or dlarooal are encountered during construction. the permittee, well operator, andlor well O'NI'Ier shall stop WO!1< and contact the Departmenfs HIstoric Preservation immediately,

The proposed wei! construction shall not adversely affect existing or future legal uses of water In the area. including any surface water or established instream !low standards. This permit or the authorizatiOn 10 construcrthe well shall n01 constitute a determinallon Of correlative water rights.

The following shall be submitted to the Chairperson Ylithin sixty (60) days after completion of work: a. Well completion report, (attached - Part I, Well Conatructlon ReDOt1). b. Elevation (referenCed to mean sea level, msl) survey by a Hawaii-llcerised surveyor. c. As-built sectional drawing of the well. d. Plot plan and map shoMng the exact location of the well. B. Complete pumping test records, including lime, pumping rate. drawdown, chloride conle.,t, and other data.

The per:mittee well ~rator, and/or well owner shall comply with aU applicable laws, rules, and ordinances; non-compbane& may be grounds for levotatlOO Of thiS permit.

'he well construction permit application is inc,;Ql"P9l'ated into this permit by reference and is subject to the Hawaii Well Construction & Pump installation Standards (January 23, 1997; HWCPIS). If the HWCPIS are not followed and as a consequence water Is W"dSteci or contaminated, a lien on the property may result.

The permit may be revoked by the CommisSion if work is not started Ylithin six (6) months after the date of approval or if WO/1( Is suspended or abandoned for six (6\ months unless otherWiSe specifled. The work ~ in the well oonstruction permit application shall be completed within two (2) years from the 'date ~f ~it approval, unless otherwise specifled. The permit J'!lay be extend~ by the Chairperson upon a showing of gOOd cause and good-faith perforrrujnce. A request to extend the permit shall be subrrutted 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, ancIJor 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 cappecI. If the well Is to be abandoned then the permittee, weH operator, ancIJor well owner must apply for a weil abandonment pemlit in accordan<:e with §13-166-12(1) prior to any well sealing or plugging wor1<.

';2. The permittee, its successors, and assigns Shall indemnify, defend, and hold the State of HawaII harmless from and against any toss. liability. claim, or demand for property damage, personal injury. or i:iealh arising out of any' act or omission of the applicant, assigns, officers, employees, contractors, and agenls under this permit or relating to or connected with the grannng of this permit. /!

'3. S,."" """ .... '" !he"''''''' ""'" .. """"""-... ,.-h,.,,, by ~ej. (X t Date of Approval: September 11, 2001 GILBERT S. COLOMA-AGARAN. Chairpe n Expiration Date: September 11, 2003 Commission on Water Resource Management

I have read the condltlons and tenns 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, elated, and returned the permit to the Commission, I also under$tand that nono(X)IDpilance 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 Slgnature:~~~~~-'

Printed Name: £/~ Fi'm or TiUe:

Driller's Signature: ~.~ C-57 Ucense # :

Pr~nted Name: ~,- 1---

f '=a t;Cn K. \ u ~"" Go iL __ Firm or Title: _-,O~W:a.:;..;;.~.£..:t2=--...;../a.' ____ -==g~ ______ _

Please .s/gn both copies of this permit, ,.."'m one to the Chairperson, and ,..,.In the other for your record •.

/\ttachrnaol

USGS Department of Healthl Safe Drinking Weier. Wastewater, ano Clean Waler BraOOlll1 H8wl'Jii Department of Watei Supply

., c...) .,

1r .AUG-29-01 06:08 PM HACD&DOH-WWB 8085864300 • a.I ~ g",c:I ~D , IUIIIIII ;~'f!/';I,

i1rm /

.... _ ..... - ._., ~~\,.,.~YV"''''''''~ 1'.\01"

R d d ,

X"iort kHltw..ra

SIA:EOF HAWAII OIIPAA'l\tlNTO' LANDAHD NATURAL IUitOU'Cy

COMMISIION ON WATER RESOURCE MANAGFMFNT ,.0 BOxc!

tICINOW\.U. HAWAIi 'aD8

FACSIMILE TRANSMITI' AL

~Ry.nlm.ta

C"..ompany- DOH WasblWallr Bl'lnch )i

Oate: "&111"_ 2i. 2001

F~ Numt.r'_ $tI3OO rages Il'\Cludlng Header. J;-

PhOIlp. Number. 5GI4 Subject: Pennlt a.ppllc.tIGna

NoteelCommentl:

3

GlL.Pr!i e()LoOW.llc;:.tM'4 -U!Lr.e' •. AMIP..eN ~o{;tT .. ~ alllI'JI/ C. NlltIO' ~v.lA~.

HCJIIIIi'tT IA. RI¢IWIIl5.'"

U-'T.NlI_ --_ ....

Hiii' Loril ralluwing up by aenoing yOu the (.1)f\'Imsl'lt JIIleeta. You am 1ax them back to me (I.t 70210.

Thenklli!

Ryan

• P.O. eo.x 821, HONOUJLU. ~&WJAII .809

P.01 II 't.

.AUG-29-01 06:08 PM HACD&DOH-WWB

~J. CAt'IT~·) _ ... -

1'1",,,, 81385864300

'UIt!lOt:I~fl7f11~

e"" PAGE

p.e2 214

IRlJC( S. oll'ClfllSOtol fI!ONtII;C ~O IUIIAN I'! N!WI\. D&~ .. NOIWI~

o(fI ...... '"IoIII~.JA

TO'.

FF«:'M:

SUW~CI:

STATr: or HAWAII DEP"RTIV'INT O'!.AND AND fllATVI'W. ~SOI.I~es

C~MIGSION ON WATI!R RI'OURCi MANAGEMENT I'0.101t.1

HgtCUllII. HAWAII .all

July 18. 2001

Honoraoi. Bruce S. Andetrson. Ohtdor C>epartmlmt of Health

LlINtl 1. 1II$4"0I0iA ............

At1enbgn: Dennis T\,jl .... ". Wa-I.watCtr Br •. '1CI'I WilliCIlTl Wong, S.fw Drinking Water Brol'\¢l'1 Of. Keitl'l t(ewlKlhli. HfiZlilrdou:i Eve~erion end Emergencv Rospon&o

Gilbert S. Coloma-AQtren, Chairperson ,.. ./~: . i\ ~ Y" ... r· ~ \'""'9 . Cumnl,"ion on W8~r RltiiOUlCit Mllnillijement ( ,~~ i\:A..I .• ) : k Well Consuuctlon Permit Applicabon ~ .. ' ~·l1Ipn Well (Will NQ.3588::04)

Tranomitted for your re,,;ew and C()mmen: is a oopy of the OtIl)tio:'lcd well 4'pplleatlon.

W .. wr.lUld apPreGle.te your corrimeots on lhe captioned application fo~ any c:onflicra or ~neon~istenc:le$ with the progreml, plel'll, .nd obif'eti".' S;;l,~fic to your da[lartrmml Ple;"i' nnjuond ~~'urnlnA th's coyer m.mg form by AUPult '0. 20g1.

Plea •• find til. e!t4achl\d map, to IQc;attlhe t:)I'CPOlt(l well. If you hev. eny que.tiona .bOlA lI'1. )erml~ application, r:e<l,ue't .editione1 informetion, or rOQI,le5l ec!ditional re"iew tirr.e, please eontact Ryan Imam 01 the COnimilllOl" staff .,1 587·0255.

~I.ky ~Chrne"t(s)

RESPONS~:

ThiI_n QII ... t.eU8, 804.1. wMn \/fI,! MM.' IIOUIQI ~ DQi\Qlt Mllarto G ~ubliG WlIIfI' ly!1e/II i~~ ••• n.~ ~ or,... pe<IPI" lit....., II(J l1IIyI ~r \481 01II1II16 rllIICd 811Y~ CiDIlI*I,~I.ruI mmt recer. 8 ;:)nClOr ~ 1111111/'1 aC1IIVWI1 mar u __ l'oJ Wft'.l/I'i wen ~u ..... Ir.latir.ett. !tulia (KAP.). TIlle',. ell.",:-O. RvIn ReI ...... lO ~M \..,.r !lyntlr5·1,,·1Icr-w:-

.AUG-29-01 06:09 PM HACD&DOH-WWB P.03 ... --....... -.~ .. ~!,""-~ """"- ... • 'IU.., 8085864300

• OJ , alU~~t;t· "''''~ t"AUt: :UI&

10:

t ,_I

STArE OF HAWAII OIPNl~~IiI..,. 01' 4.AHO ANO ...... 'r1olAAl. ~a~UftCls

COMMII8ION ON WATER RfSOURCE MAIIIACiEM6NT ,..G._lItt

wc."Ot.UlIJ. HAW"," ..,..,.

July 16, 2001

Hon':)r.f)le Bruce S. AAde~on, Director Oepartment Of Health

f'.a .. 1IT I C"~,nM4-H~Ah ~rf •

.. ucs:,~ ~1IIiP,f'G.OM.b IIIIII\N r: NI~ ~A.NOIIWIA

tlF~r II G".ttMDII. .Ill

!~11 NlllliIOlIIo ..... """ ..........

Attention: Dennis Tulen;, Wactawatar Branch Wlllien'l wong. S.fo Drinking water Branch Dr. Keith Keweoke. Heurdoi.l$ Evaluation and Er"'~e!'ley Ra.ponoo

0~,"'''-\J '''1- . ~Jlb~d S. ColOM~-AQaret'l. Chai(~r'$on .. ' T!'( 1\..,/ J . -.i.jl' Commission otI Wet$" Resouree M,;o,~n'lel'lt U·· " ~' '/ \

I.: SuBJECT' Well COT15tr\.lCtiOt'1 Permit Appiic;&Ition

!.~lIis Wgn (Won No, 36HW

TrallsmlUI:!d f\X ywr rc'ViOw ,!'Id ';ommeot i.I e cOQ~ of tho ~eptioned wlitll nppliaatiOn.

We WOldt. 3(lprp.clatp. your commltnt!'l on thf! captioned IIp~IClItlOn tOt any alnOIt.:1S 01 incon$15t~r;le$ With the programs, plans, and o~ect""Qs speclfle 10 your dl!lpt:lrtl!''''''t. Pit, .. r~"uond by returning tl'l •• CCWtc memp form by AIlAY~ 10. 2QO'l.

Pleuo find tho atwched ~Ii to locafO the prOr;lo.ec waU. It you have ,r" queitions a~ul tnl. permit IIpD/ication. re(4uest eddlti01l.1 inform'lion, or (~OU()lt aodition~ roview time, r-Je •• eootac:t Ry*n (mets of the Comrn~lon Itef(1It 587·0255.

RI:k,il ~~achm.m(s'j

.--------------------~-----RE8PONSE~

! I

~ I

( i

r I

! :

II ,.. _~ ra uNCI 10 ~ IIgIh ;oaIilbllI ;ond ""'~"'" ~~"i In ii .. "Ilk iyil .. m. 1M uMr ~..".I.~"'''''1t ~'I/I~ .. v.. """ b~ ~,r*-liCll'l' lily P'I"'"~ 1!IP'r,ti1lQ~ • .na ~·.:>O,.tI~ 5Y'\ema :Jt IllllIir gap or .... ~ ....... ow ~n", ..... II)' ..... , IIIDeInI! .. I ,.,..,...6Iit tpI~ ""'" wtMI~ 810"'" _ •• , ,~~~, ....... I _mpIIOr. 01 non.:X>I"l1Iew:ll"'" !itW'.l<_ p_nl_ CM",,* .~It,l b$ rCU1l/lllOy ~,)tIIJ~,

I: w. ng\ _, \:'IIIIINI .... wiu " IIeed 101' OOtIWlII/IIII"IM~u Inc3 j, nQ\ ~ to 51t. ~:tnKiIIO W(lIC/ _UlttiCons

"f)l1IIC 6~"'" ~(lI\ •• ~ ill jIIOMlbte ...... 11.' e"IllMIlltJllan C 1 .. r lra _ IOCR><!,.." !he ~ weIl.~ (iN'l)llft8ti; .. .KI*I),

! I OII'II!f ............ COl" ruIe"'le~ ett0n5. informst",". ", II!OlOmInlnfl..tionB B ... ~.

>( Il1O ~\:p"Ob;t~

~ PotIon; W_li N ta ji Waitt -t.X'" f"fi'.!:b!ti. s;,nodffi:, , \1:;'- Ill~ omofi2:.7 )I'(.1

(

I D, BIZIBbt::l'r"';0: 1::1

8€l>UAMiN J. CA I'£r AIoIO ~O!'I1t.W'"

TO:

FROM:

STATE OF HAWAII DEPARTMeNT OF LAN!) AND NA"I'UAAL F\eSOuFr...es

COMMISSION ON WAlCR RESOURCE MANAGEMENT P.O.aoXI21

HONOlULU. HAWAII ~

July 18, 2001

Honorable Bruce S. Anderson, Director Depsrtment of Health Attention: Denni$ Tulang, Wastewater 6raneh

!IRIJCE S. ~I!SON F>.OGClI'lT G. GlRAlo BRlANC.NlSWlDA 0,;,\110 II.. NOIWIGt.

HS'!B6cT M. RICHARDS. JFI.

Lltl-lEl T. NISH\OKA """""~""

Williem Wong. Safe Drinking Watet Branch . Dr. Keith Kawaoke. Hazardous Evaluation and Emergency Response

Gilbctrt S. Coloma-Agaran, Chairperson ;~ .. O > Ii t~ L Commission on Water Resource Mana~ement Cf' i '-:::...<.J, 0../ r- 1,,\

SUSJECT: Well ConstructIon Permit Application ' i..' Watson Well (\/'Jell No. 3688-04)

Transmitted for your review and comment is a copy of the captioned well application.

We would appreciate your comments on tlJe captioned application for any conflict& at inconsistencies with the programs, plans, end objectives specific to your department. Please respond by returning this cover memo form by August 10. 2001.

Please find thE> attached maps to locate the proposed well. If you have any questions about thiS permit application. request additional information, 01' request additional review time, please contact Ryan (mats of the CommissiOl'l steff et 587-0255.

R1:ky Attadlment(s )

RESPONSE:

: ]

[ 1

[ J

Thi! ~ quali,oes 6$ G ~ ~ wi;! sel\le aG e GOUroe of poUibie water 10 a ~ubic vr.I.O! $y$~ (~as ~ 2S or more people at least I!O days W year or nas 16 IX more seMce connec:ionS) ant.! must receiYe Director OJf i'1Nlth aa0r0v311!!:il:!!: 1Q .1$1.ISe \0 (OQII'.QI'I WIth ~ii Ai:lmir.iatzative RuIM (l'iAR). Tille 11. Cltaprsr 20. Rules RelatitlO !\) Pclatlle W..- Sys1em$. §11-2c:2!r.

This _0 does not aO'3lity8s I source setllino a pi./blic II>'8W sysIeffl <_siess than 25 people or mete ~ 31 ~~ iljY$ perye.ar or ,S Hl'\'ic:$ (;O,",,',t<;lic."sl_ it ~ well .... ~0I01' it "'* to. cttil'l~~ !he~"'" owner 5hould teat lOr ~..-.o ~ Il'"enoa b.l!fore initiating 1IueI'I lIM and 1'OUIiNIIr. tnOI'IitOI' fie w:tBt guaity 1I'IeI'WItW. HOWever. it tuulre !'Ianned u&8 frOm thIS SCUtal dlQ'C_ to meet 1M publil; water $}'Stem ~l'Iition \hen 0inIc::t0J d Hseilb 11I»'0Il31 ~ 't<luirad prior to mpl_ntztion..

If the wall is used to sup(.ll)ll>Oll\ tJ()tallIe all!! tIOrooootable ~ in a sinole sysISn". the ussr ihaJI Climinate ~ &nr.i bitd<ftoN ~a by physically H~ poIIIbIB i!IIId """"POtabl .. a)1i1totnS by en lilt ~ or an apprOl.'Olli backtlcw pr-avenleI. aI'IIS by clMI'Iy _beling a.1I nor.potsIjIe t;pIgot& IMth ~mmg StgI'IS to ~ tnIId...artant con&UI1'IpIiOI'I 01 non~ WI181. Badabv prevendon cIevicN ahOuid be l'OWnely inspe~ed ;nO tesle<I.

11 doe& nOt appeal \tI3I thi$ wtII will be u~ fQr c;onwmptNc ~~ and Ls OOllSlbject to Sate Otitllcing WeU:r ~tion~

~ Au&-27-Dl D8:53am F r ORl-S OF H DEPT OF HHL TH HlLO +180893301100

(

~ T-Z41 P OUC] F-834 o o llNoIAMlYI ~. "" .... "!'AIIO to\IIM~ CI ~~_"

Date:

STATE OF HAWAII DEPARTMENT Of HEAL TH

HOt/CllJlU. ""WAll .. ,

Facsimile Request and Cover Sheet wastewater Branch

919 Ala Moena Blvd. Room 309 Honolulu, HawaII 96814-4920

(S08) 586-4294 Fax (B08) 586-4300

Total Pages J.Qe-.... 2. ____ _ .Jerry Nunogaw , Laverne Hayam~awa!l Olstrlc:t Health Office (Hilo) Phone (808)93 ' 8)933·0400

Lori Kajiwara, PlannIng/Design Section Email: IkajlwaraOeha.healtt1.state.hl-us

Subject; Request for Information hlloto1lll.wpd sam

Please check one of the following and fill out aU that applv:

L ) sewered ( J no record [ v1' cesspool ( J septic tank [ ] aerobic unit

File, Jf applltable: _____ _ .# or Bedrooms __ _

Record Date: Submit Date:

Plan Approval Date: InspectIon Cate: System "'Approval for Use" Cate:

--

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

(

,/ ~ul.-z7-01 08:54am From-S OF H ::JEPT OF HEALTH filLO

~ DEP;~~;"~~T ~;v~~LTH 0 +180893304CO T-241 P. ()3/G3 '-834

ENVIROOTAL-PROTECTI()NAN.D H~LTH -. . SERViCeS DIVISION .

CESSPOOL SURVEY .' .

Property Owner __ ~~~::JtL....!...f-..),,(?-dft::..::-_I..Lr.A...:::I-:LH~ ___ _ ThXMaPKey __ ~J~-~5,-'_;~~~'~:~7~~ __________ ~ Island_-t;lH~t\u'f!A:~\..;..' ______ City t±re Builder or Contractor 1,\ '1" ~o) ~-(J),~ , Pri.mary -"Ir--________ Secondary ________ _

Distance From Buil~ing r':> Boundary "2 ~ " __ Stream. Well. Body of Water. Etc. _. _____ ...... _

Diameter (Clear) Ft. ,,' b" Depth-F.t_..:.I=c.);...· __ · ---___ Capacity· (Gal.)·_~...:.-.-_____ _

No. Ft. Down to Water Table ---______ Ground Slope _L..f..::'-=,;..;;l.( ___________ _

Soil Profile (Starting trom Surface) _...:e.:.:I-~--:::.::. .. ~~!::::::L.=__ ____________ . ________ _

Type of Wall or Curb_..J.l ...... ~~_.:.( __________ Reinforced Concrete Cover:_Y""f:L;iii_dot--______ ~

I I Distance from Finished Ground to Top 01 Cover (Ft.) _--" ____________________ _

. Date Certificate ISSued_ .. 5~).!..;/'Z,~/.;..;..~~ __________________________ _

Date Approved 21. tk I tt.-f 19 ---~D==:.:='-'---_"i>..-~-..:.It!?-•. I!;.~--.Il::ar=:r::;.--2..t:...z.=':J;....... __ ...... -.. . .. ~_ .. ,Sanitarian .•. ~. ___ .... __ ._

,," "; t. . ... ~

.. ; "M,UP j ! I

I

, I I 1 ! I

T I i

UN. F __

Well No.

Well Name

Applicant

o 3688-04 Watson Well

o

SECTION 1: WELL LOCATION INFORMATION

Island

Aquifer System

Aquifer Sector

HAWAII

#####

#####

data

Date of Review

Reviewer

Proposed Use

Proposed Withdrawal

System Sustainable Yield

.. .......... .. )jj{jj)jil!;;;

RRI

#VALUEI

o 17

SECTION 2: WELL SECTION DATA (enter data in grey cells only)

Elevation at top of casing ft., m.s.l. Solid Casing

Ground Elevation ft., m.s.l. Material

Cement Grout ft. Designation

Rock Packing ft. Length

Hole Diameter in. Diameter

Total Depth ft. Wall Thickness

Casing

Estimated Head _ft.,m.s.1. Material

Calculated Aquifer Thickness 3690 ft. Designation

Length

County Water Supply (YIN ?) - Diameter

Wall Thickness

Openings

Open Hole

Length ft.

Diameter 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

3690 ft.

922.5 ft.

4 ft.

non-county

#N/A in.

0.188 in.

9 ft.

95 ft. ASTMA53

7 ft. --------8~0 ft.

3 in.

okay (refer to HWCPIS Section 2.2) (disregard if the well is not basal)

#NlA (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

Date:

To:

Attention:

From:

Attention:

STATE MESSENGER

f)\ACA ?-1 ( qA)OI

Commission on Water Resource Management Department of Land and Natural Resources' State of Hawaii

Commission Staff Member

Ryan Imata

Wastewater Branch Department of Health State of Hawaii

CJ)WD ~Ot1 UI . to/VI hf)o~u lAJCi/ 4f~.

1\ACUr\ t:-i ou .

Lori Kajiwara, Planner, Planning Design Section Phone(808)586-4294 Fax (808) 586-4300 Email: [email protected]

STATE MESSENGER


o o ~: \~, _ • ' •• 1" .' r'" ~":

STATE OF HAWAII DEPARTMENT OF HEALTH

P.O. BOX 3378

HONOLULU. HAWAII 96801

., "

·1 ..... ,1, ..

f",r -

\', L.,

Facsimile Request and Cover Sheet Wastewater Branch

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

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

p\2: 06

BRUCE S. ANDERSON, Ph.D., M.P.H. DIRECTOR OF HEALTH

In reply, please refer to: EMD/WB

Date: AlA Et 24. 1-00 , , Total Pages l Of 'L. To: Hawaii District Health Office (Hilo)

~..I...-_--LJ~ov8)933-0400

From: Lori Kajiwara, Planning/Design Section Email: [email protected]

Subject: Request for Information

Do you have any IWS files or records for the following:

(3)_(_-~- 51-: 10

Please check one of the following and fill out all that apply:

hilofax.wpd sam

[ ] sewered [ ] no record ~cessPool [ ] septic tank [ ] aerobic unit

File # if applicable: ____ _ # of Bedrooms __ _

Record Date:

Submit Date:

Plan Approval Date:

Inspection Date:

System "Approval for Use" Date:

Other: ~1ff------=-~~~I-=-~ -----:..q---+-p~(ot_· -F-)2 ~la---=-h .,...-1, r~LeA~~---=-'SC-_}')_~_' __

A<ttRetLtd IS Wp~ ~ pM ptan

\ .

---.---.~.

Aug-27-01 08:54am From-S OF H )~OF HEALTH i1LD ~J"'I ~ ,-.IT· I,I"'\¥',",.

DEPARTMENT OF HEALTH

+180893304CO T-241 P 03!C3 ~-834

ENVIROATAL'PROTeCTIONAND Hf;:ALTH . SERVICES DIVISION

CESSPOOL SURVEY

Property Owner _~~t--::;..L..t....:.f--,(?-df~_l J...f".A-"-"-t-1....:.-___ _ Address otrH off ~ I..c.,-,

ThXMaPKey __ ~/~-_5~-~;~~_'_:_7_~ __________ __ Lot No.

Island_--<.H..,;.f1.".:f'9'r.>....:Z.:...;.,_· _______ City H-r~ District Pl)l"'-/J...

Intended For (l-@'

Primary _'lr __________ Secondary _________ _ Other

Distance From Building I">

-, ~ " Bounaary _4~ ____ ~Stream. Well. Body of Water. Etc. _______ '--_

Diameter (Clear) Ft. '=-' ~,' Depth-F.t. I..:>' Capacity (Gal.) ________ _

No. Ft. Down to Water Table _-_________ Ground Slope _L..f-..;;;'-.;;..;~~( ___ . ________ _

Soil Profile (Starting from Surface) __ e;;.;,..:.. ..... ~ .. _~,st.;.;..>(..~-=L.'-____________ • ________ _

Type of Wall or Curb_..!I'--,-~_( __________ Rejnforced Concrete Cover .... X' .... ,c. .... i_#"--_______ _

I I

Distance from Finished Ground to Top 01 Cover (Ft.) _ Date Certificate Issued_ ... 5:..!..)~/2~/~.:..4-______________ . ______ . ________ _

Data Approved !2/ t'k I &f-r 19 ___ ~D~-::----.l,~----..,;j4=L-·.:~:...-..Il::ar=c..--2"'-'Z.;;..'J~--~. .- ,Sanitarian " .~" __ ... ," _ ..

.' i 'WAllS

I 1 I

I I

j

I J '

-' OEP r.fTOF VND #C) ~TUtAl RESOl.RC~. ( -

DOCLMENT ~" ~ VAC OR ATIACI-EO \oK)RKSt£ET 0 . DATE: 8/4/00 I

'F YR" N'P

S Q1 32.6.

- -- ---- -- ---- -- ---

REJ¥.RKS:

SRCI COST 0 OBJ CTR PR()JECT PH ACT ~ .. .... , ... -tON· ,IV"';')~"., (WN¥; INPUT)

C. t02fi. 07.52. (1) 25.00 ~~bert ~atsoE.._~ _________ ----- -- --- ---(2) 25 00 ChandlVuke Heffner - ---- ---- ----- -- --- --------------------

- --- ---- ----- -- --- (3) --------------------- ---- ---- -----.. -- --- (4) --------------------

TOTAL 50.00

LINE (1) 'fl:a It i .... II'" ~ ~ C"-'J (A I _ i\ /'; ,I.) (1\ / '-' \! ( C'~A/("J " .. It .. ,. f.r-i .,.

" ,-~!. ,.... (' -(.,0(' ....... " ..... LINE (2) Well No. 6752-01 (PIPA) /' "~', ' ~. C I:' ( \ I

LINE 0) I 'Nf: (la'

o

CHANDI DUKE HEFFNER P. O. BOX 6773

KAMUELA, HI 96743

AOfSt:RT D. WATSON MICHELLE K. WATSON HeR 1, BOX 5382 PH,808-966-7411 KEAAU, HI 96749

DATE

59-7070/3213 03445277

Date 7, r3- ~rQ

--

210

$ 2.r .. v'V

-~~~jr~~~~~£~.?~MJ~~~~========--11 rr" i "I S . Dollars Hila Branch ;ana aVlngs Walakea Center 315 MakaalaSt.,Ste. 102 ~r

iliA Hila, Hawa~~o r;- '/ ~ MemorrlAr1"l\,--xl~LJ..! f 1¢4.1~ ~ ~

I: 3 2 • 3 ? 0 Ii'(]' ? I: 0 2 • 0 0 3 III 1. ~ ? ? III

,

I I

.. Ju1-Z4-01 02:26pm 808-586-4370 T-750 P.OI/02 F-237

Faxh

TO:

FROM:

P\1D1'1elf

STATE OF HAWAII D!::PARTMENT OF LAND AND NATUFW- R~OURCES

COMMISSION ON WAT~R R~SOURCE MANAGEMENT P.O. BOx 1;21

HONOLULU, H ... W ... II 1l68D9

GILJlERT $. COI.O~GARAN ---. DRUCE S .... NOEA$ON

ROBER1 G. GIRALO DR/IIN C. NIStilDA

OIIV1D .... N08RIGA HEIUIIORT 14. RICHARDS. JR.

RECeIVED

UNNEl Y. NISHIOi<A __ l'<~

July 18,2001 S~'FE DR'INK'ING WATER ~

Honorable Bruce S. Anderson, Director Department of Health

JUL 23 2[11)1

Attention; Dennis Tulang, Wastewater Branch William Wong, Safe Drinking Water Branch Dr. Keith Kawaoka, Hazardous Evaluation and Emergency Response

SUBJECT:

Gilbert S. Coloma-Agaran, Chairperson ~i'/l 1 x-f( .. {.. Commission on Water Resource Management (j/f , ~. (),./ r- D Well Construction Permit Application Watson Well (Well No. 3688-04)

Transmitted for your review and comment is a copy of the captioned well 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 respgnd by returning this cover memo form by August 10, 2001.

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

RI:ky Attachment(s}

RESPONSE;

( 1

[ I

[ J

[ I

[1 [ I

Tnili _II qualifill& illi a source wnlcn wlUli8f\le a6 a liOurce of pOlabk: waler to a puble<: WIlier oy&lam (defined illi serving 25 or more people at 1II1I6I 80 Clays ~r year or hall 15 or more &arvica ctlnl'll!ctlOl'\S) and must receive Director of Haaltn aplJl1)Val ~ 10 lUi UBB to comply witn HIJWBii Ailnvni$ltalive Rulea (HAR), Ti1le 1', Chilp1tlr 20. Rules Relalil'lg to Potable Waler SY618m&. §11-2(J::"29",

appear to Thi .. ..,.0 does noLaualify as a source s8I"ing a public waler 6ysierTl (SeMIS less tnan 25 ~opla Dr mora people allOast UO Clays. par yaar Dr 15 &arvi.,.. j;Qn~on~) ana If lno w,,11 waf .... i& u....cl for arinking, lno privlite owne, ahould 18&1 for bacteriOlogical and Cham,cal presenca before illitiating 6um uSe anc:lroullnely moniUll' Ina waler qualltv thereafter. HDWe\nlr If fuMe plBnnllll uK It'Om tills sololree Increase'lo mlHll tile public water Sy$lom dQfimliofl tIlen Diroolor of Hearth approval is required prl .... m Irnplamel\tallon.

I, the well is used 10 supPI~ bOlh potllbie and nOn-JlOlalll6 purposes In a single syStem, Iha llliBr &hallllliminate c:~neclion6 and backflow r;;onnectiOnli by pnyllicall), HPIlrllling polebla and non-potable systems by an air gap or PII approved backIIow p_lBr, and by ctearl)' labelingI'll IIOn-potabIQ SpIgiOtS wItn warning liign6 to prevent inadvanant consumption of non-potllllle waUl(. BackflOw pre.tBlllion devices sno"ld be rQUlinaly in&p.tded and tllSted.

II dDB& not appear Nt tills .veil will ba u&ed for cOl'ISumptive purposes ana I~ rial ."bjact to Sara Drinkil'lO WalBr Regulatiof16.

For tne IIpplicanrs inlormaliOl'l, 3 source of po66ible Wilstewater contaminalion [lis [II, nat IOCBIIill near ttl .. pro~od ..011 aile (illformalion altacl'ICCI).

Other teleu3(11 POH rtJlalilregulalion$, inlOnTI31l0n. Of recommamls,ioru; ilrB iJllached,

No comrmlnllVobjetClion6

Contact Person: ___ ...;S:;.;t;;.;u;:,::a:..:!'...::t:-......Y..:...ama--'-d;,;.,a_~~ ___ _ Phone: 586-4258

Signed:~ ___ --=:......:...~.=...;...;;.;..o;;.;....; ........... _______ _ Date: __ 7_1_24 ..... I_O_l --

.-- ~ Ju\-24-01 02:26pm From-HI DEPT OF~ALTH 808-586-4370 T-750 P.02/02 F-237

3688-04 Hawaii

The Department of Health, Safe Drinking Water Branch has the following additional continents for the Well Construction I Pump Installation Pezmit App1ication for the Watson Well (Well No. 3688-04 Hawaii):

Please be advised that the Department of Health has experienced drinldng water and groundwater contamination by submersible pumps containing mercury. SpeCifically. the failure of the seals of the pumps allowed mercury to leak out into the well shaft resulting in contamination of the wen and me water served by the well. Please review your pllmp specifications to be sure that the submersible pump(s) you are proposing to use do not contain materials which could result in either groundwarer contamination or drinking water contamination.

The Department of Health, Clean Water Branch 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 Rule!!.. Title 11, Chapter 55, Appendix I, effective September 1997. Treated process wastewater effluent covered by this general permit incilldes well drilling slurries, lubricating fluids wastewaters, and well purge wastewaters. This general penuit does not cover well pump testing. The applicable Notice of Intent Fonns and filing fee shall be submitted at least thirty (30) days before the start of discharge to the Department of Health, Clean Water Branch at 919 Ala Moana Boulevard, Room 301. Honolulu, Hawaii 968144290 or P.O. Box 3378. Honolulu, Hawaii 96801-3378. Inquiries may be directed to the Clean Water Branch at (808) 586-4309 or by fax at (808) 586-4352.

2. For Well Pump Testing:

The discharger shall take all meaSLlres necessary to prevent the mscharge of pollutants from entering State waters. Such measures shall include, if necessary, containment of the initial discharge until the discharge is essentialJy free of pollutants. If the dischurge is entering a Sll'Cam or river bed, best management practices shall be implemented to prevent the discharge from disturbing me clarity of the receiving water. If me discharge is entering a stann drain, the discharger must obtain written pennission from me owner of that storm drain prior to discharge. Furthennore, best management practices shall be implemented to prevent the discharge from collecting sediments and other pollutants prior to entering the storm. drain.

, \

,


GILBERT S. COLOMA·AGARAN

TO:

FROM:

SUBJECT:

ZOu"/ 1:'1 A .J0L L 0 D '1. ')2

j ~ .. ..J

STATE OF HAWAII

/IJI lja1

, . DEPARTMENT OF LAND AND NATURAL RESOURCES



July 18, 2001

Harry Yada, Acting Administrator ~ Land Division ~ Linnel T. Nishioka, Deputy Director ' ' j

Commission on Water Resource Man eme·

Well Construction Permit Application Watson Well (Well No. 3688-04)

CHAIRPERSON



LlNNEL T. NISHIOKA OEPUTY DIRECTOR

Transmitted for your review and comment is a copy of the captioned well application which includes a request for a pump installation permit.

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by August 10, 2001.


RI:ky Attachment( s)

RESPONSE:

[ 1 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.

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

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

No objections

Other comments: Subject property was added toLand Court ApfTl'ication 1053, Block 7 on April 10, 1959. c_

c: .. ) r--t"o,,;) Contact Person: Ga ry Ma rt i n Phone: Sa7 0421 -oJ

Signed: ~ ~._ Date: 7/26/01

• State of HaOU 0 For Official Use Only:

COMMISSION ON WATER RESOURCE MANAGEMENT Deparbnent of Land and Natural Resources APPLICATION FOR PERMIT o Well Construction andlor o Pump Installation

Instructions: Please print in ink or type and send completed application with attachments to the Commission 'n! 'I I" 1 L! '0 0 9 on Water Resource Management. P.O. Box 621, Honolulu, Hawaii 96809. Application must be accompanied by i:jj U,;, ~ I P'l': 3 copies and a non-l'efundable filing fee of $25.00 payable to the Dept of Land and Natural Resources. The Commilision 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.hi.usldlnr/cwrm.. " "

APPLICANT INFORMATlqN: (Fill out all th"'t, if applicable, and place a check next to the primary contactl' '. ; :

1. (a) 0 WELL OWNER: g, .b~ l' ~ ~ lA... Contact Person: £0 b~?'1 ~A... Phone: 76'6' - 7 t./II Mailing Address: Ii C Il I dJorx 23 8'.)- j{'., alJ.tL- IIi 1t'lB? IReJt r '27H CS 2P Fax:

&h~;-~~/~ E-mail: ___________________ _

(b) IiYLAND OWNER: Contact Person: 4)J.d",!le ~4'1c

K<lldJ.l«!/1 '7'1'11 Phone: ?/fC - 7lftl

Mailing Address: ~<!1 if .5S go,?. Fax: E-mllil: ____________________ _

(0) 0 CONT .. ",:.;-.. -E.;J:~M\eI' -:D!:!II:1"'.- "", .... , _~....L., ....,.~~~\ __ _

Mailing Address: ~ 80b 0 qt./[ Ii /0 It <iZ...22J2. Fax: SJ.1/'1-7tf E-mail: ________ _

WELL & PUMP INFORMATION: (Please fill ~ the diagram on the back of this form.) \

2. WELL NAME: fo h + W h-i-=¢ V\ Isl~nd: -+~..J.::W::=,,~\....J.,,------__ Address f? - U 3D ;(.0 /0 I; #2 ( Tax Map Key: (3 ) I 5'. SJ: 7.1

~ Zone Sec Plat Parcel Attach the relevant portion of (a) a 7.5-Minute Series USGS topographic map (scale 1 :24.000) and include the name of the quad map, and (b) a property tax map. showing well location referenced to established property boundaries.

3. PROPOSED WORK: 1( Construct New Well

(check sJI that apply) 0 Modify existing w,r

o Abandon/Sear

J( Install New Pump·

o Modify Pump·

·State Well No.: ________ (if unknown. please call Commission at 587.0225)

4. CONSTRUCTION: J Drilled o Dug 0 Shaft 0 Tunnel

Is this well part of a battery of wells? DYes LNo (Please describe)

5. PROPOSED PUMP INFORMATION: Rated Pump Capacity: __ .....:Q~o~· ____ gallons per minute

Pump Tvoe (Check one):

o Deep Wen Turbine

ri Submersible

o Centrifugal

o Rotary

o Rotary-Oisplacement

o Rotary-Gear

6. PROPOSED USE: (check all that apply)

o Municipal (including hotels. stores. etc.)

a' Domestic (individual, noncommercial water system)

o Propeller

o Reciprocating

o Impulse

o Industrial

o No. of Dwelling Units: _ • ..,;1 __ _

o Irrigation (crop) ____ ---''--____ _ o No. of Acres: _ ...... l_@""" ._ "'-~L...=-__ o Military o Other (explain):

7. (a) PROPOSED AMOUNT OF WITHDRAWAL: _ $0:0 gallons per day

(b) METHOD OF FLOW MEASUREMENT: • Flowmeter .8~Ui~r.ip8 0 Weir 0 Orifice 0 Other(explain)

OTHER IMPORTANT INFORMATION:

8. LEGAL REQUIREMENTS: 0 COUP o SMAP o EIS oEA '~None o Other (explain)

9. REMA.RKS, F.xPLANATIONS: ---_._-----------.'

(if more space is needed. please attach additional sheet)

I understand that approval of this application attaches the following standard conditions: 1) the proposed woft( is to be completed within two (2) years of the approval date; 2) the contractor shall submit to the Commission a weD completion/abandonment report within 60 days after the completion date of the permitted woft(; 3) monthly water use data shalttMt submitted to the Commission; 4) such approval shall not constitute a determination of correlative water rights and shall not ~uarantee the pump capacity or ~ure use up to the permitted pump capacity.

For official use only Latitude _______ Aquifer System No. Longitude State Well No. __ ') (~ f)911.:,-·...;.('.:,..· _"+-\ ___ . __ _

WCPIPA Form 5/2100

1 V. ,... Kl.Ir l.I~c.J WC~\)t:~ liON (P!ess.3 iHliK.ll scr.emslIC I; alffe/em Ireagram prolltOeO DfHOW)

......., Hole Diameter: -,;;J-- in.

Elevation at top of casing -L.tJ~ .. mSI"l2.= ' Minimum of 2· Radius & •• Thid< Concrete ~ (to contain ben<::I"VNi't( surveyed to nearest 0.01 ft.) .

:~:"; '. . - Ground Elevation: _I J2a...ft. .• msl"

Please refer 10 the

Cement Grout: 8:J_ft. (min. 70% of distance from ground elevation to top of water surface or 500 ft.. .

......

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

HAWAII WELL CONSTRUCTION AND PUMP INSTALLATION STANDARDS to ensure thafyour aHluil is in compliance

::.:1 •. w with applicable standards .

wh ichever is less.) ----r I

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

Annular space between hole and casing (min.3j:

Total Length: 9tZ- fl

Nominal Diameter: tf/ in.

~in. Wall Thid<ness: , M in.

Bottom Elevation: t 5 fl. msr Rock or Gravel Pad<ing:

IJ Screen I Total Depth

I_~'t_ft. /0 ft..

Material: o Crushed Basait

JI!!If Rounded Gravel

'J '"'-'~

I_b Open Casing: Plferforated

I Total Length: / t5l.~ ______ fl

Nominal Diameter: ~~.,-_____ IIi.

/ Wan Thickness: ____ .tot..;/r...-ffllt...L-_____ in. .--------.-1, y

Estimated Water Level Bottom Elevation: ___ ":"" -_W fl. msr Elevation: I .

-.L . qo ft.. msl" -+ note: Neither bentonite nor mud should be used in

saturated zone during ctiIin9

Open Hole: Length: ____________ fl

Diameter: ____________ in. L ______________________ _ __ -L

• The approximate elevation must be referenced to mean sea level (ms!) at the time of application filing. Final elevations of wetl components shaI be submitted in the Well CompletlonlNeil Abandonment repot1s and referenced to a benchmai't( which has been establiShed by a surveyor licensed by the State.


For non-saft 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 ~ Elevation)

Example: Estimated + 2 n. Water Level EIIIY. -. Bottom E!ev8!ion at Wellimil a ( 2· ~) • -18.5 n.

Solid Casing Material: Carbon StHl: compliant with (check one 01' more):O ANSVAWNA C200 0 API Spec. 5L • ASTM A53 0 ASTM A 139

And compliant with (check one or more): 0 ASTM A242 0 Type E 0 Type S ,.. Grade S Q Other

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


fl. msr

PVC Plastic conforming toASTM F.80 and (ASTM 01785 or ASTM 02241): (check one): o Schedule 40 0 Schedule 80 Q Schedule 120 Thermoset Plastic: (check one)

p»,en Casing Mderlal:

o Filament Wound Resin Pipe conforming to ASTM 02996

o Centrifugally Cast Resin Pipe conforming to AS.TM 02997 Cl Reinforced Plastic Mortar Pressi.lre Pipe conforming to ASTM 03517

o Gla~ F1bor Reinforced Ra:.i:'l Pressure ?ip$ confOrrT,ing to "W'I."IA e95e' o PTFE Fluorocarbon Tubing conforming to ASTM 03296 Cl FEP Fluorocarbon Tubing conforming to ASTM 03296

Carbon Steel: compliant with (check one 01' more):O ANSVAWNA C200 0 API Spec. 5L If ASTM A53 0 ASTM A 139 And compliant with (check one or more): 0 ASTM A242 0 Type E 0 Type S 0 Grade SOOther

Stalnles. Steel: (check one): 0 ASTM M09 (production well~) 0 ASTM A312 (monitor wells) \ ASS Plastic conforming to ASTM F480 and ASTM 01527: (checK one) 0 Schedule 40 0 Schedule 80

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

Thennoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996 Q Centrifugally Cast Resin Pipe conforming to ASTM 02997

o ReinforCed Plastic Mortar Pressure Pipe conforming to ASTM 03517

Q Glass Fiber Reinforced Resin Pressure Pipe conforming to AWNA C950



--. , o o

..",.

..,cNJAMIN J. CAYETANO GOVERNOR OF HAWAII

o o TIMOTHY E. JOHNS

CHAIRPERSON



Mr. Robert Watson HCR Box 5382 Keeau, HI 96749

Dear Mr. Watson:


COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOX 621


Well Construction/Pump Installation Permit Application for Watson Well

LlNNEL T. NISHIOKA DEPUTY DIRECTOR

We have received your well construction / pump installation permit application and filing fee for this proposed source. However, your application is incomplete. Matters which must be addressed before we accept your application as complete are as follows:

1. Please provide your contractor's license number. If you do not have a license number, you must acquire a licensed contractor to perform the work.

2. Please complete the proposed well section on the back of the application form (returned for your use.

3. Please provide the quad map requested in item 2 of the application form.

4. Please submit 3 copies of the application and maps.

Upon receipt of the above information, we will accept your application as complete and you can then expect your application to be processed within ninety (90) days.

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

RI:ss Enclosure

Sincerely,

EL T. NISHIOKA Deputy Director

State of HaGii n COMMISSION dFf WATER RESOURCE MANAGMEPW Department of Land and Natural Resources APPLICATION FOR PERMIT DWell Construction or g-pump Installation


Instructions: Please Jlrinfin ink or type and send completed application with attachments to the Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. Application must be accompanied by': ~ JCL 14 3 copies and a non-refundable filing fee of $25.00 payable to the Dept. of Land and Natural Resources. The Commission may not accept Incomplete applications. For assistance, call the Regulation Branch at 587-0225. (Also, please check our website at - http://www.hawaii.gov/dlnr/dwrmldwrm.html)

APPLICANT INFORMATION: (Fill out all three, if applicable, and place a check next to the primary cont~Ct);

1. (a) Id""" WELL OWNER: Rill ~~/ J I 'i!?; (" f/ ~ 1t!Ahrv Contact Person: t( rf) krrw ,p/~~ , Mailing Address: He It. 1 11f) f 539.2-Fax: E-mail: ('Q h at ..... (Ie$' e miM, lm

.,

Phone: 24'l- 71(11 """d( - ., '1.y - ~,7t/

(b) lid'" LAND OWNER: Rllk,,. i t m/dll/lt WI-I SPy Contact Person: II. '""hn?Jz;eh{1!r li41?r Phone: '"' - 1# II Mailing Address: II CIl. J " C2 X 5';s2 Fax: E-mail: /"''210 .. ,.;. _ "t?~e OtSltld:Ohl

(c) Iia" CONTRACTOR: 8ol,-el' t.)- ?n i e/u /I, /1t1! 'HI/.; Contact Person: RJ,,,.i' tv#. 15t1'k

Mailing Address: tr~ I &1 5YQ~

<t~,- 711 1/

Phone: ,7"1 -~t:j 7()

Fax: ____________ E-mail: "/,,,1' _ ,',,5(£t1'I5.N.d?rr? Lic#: ________ _ (circle one: C-57, C-57a, or A)

WELL & PUMP INFORMATION: (Please fill in the diagram on the back of this form.)

2. WELL LOCATION/NAME: _______________ _ Island: /lp"",,; ;' Address If- JJ..3D K~IoI; pr. Tax Map Key: (1) 1- s-s.J. - '13

Attach the relevant portion of (a) a 7.5-Minute Series USGS topographic map (scale 1"=24,000'), and (b) a property tax map, showing well location referenced to established property boundaries.

3. PROPOSED WORK: (Check all that apply)

4. CONSTRUCTION:

a Drill New Well D Deepen D Install New Pump

D Modify Existing Well D Redrill D Modify Pump

D Abandon/Seal· D Replace Pump

• Well No.: _____ Be sure to complete and submit well abandonment report upon completion of wo/1(.

DOug D Bored D Dnven· Dq Drilled D Radial

1& this well a part of a battery of wells? D Yes ~o (Please describe.)

5. PROPOSED PUMP INFORMATION: Rated Pump Capacity: _____ --E~A...Iotf; ..... '---g,allons per minute

Pump Type (Check one):

D Deep Well Turbine

12 Submersible

D Centrifugal

6. PROPOSED USE: (Check all that apply)

D Rotary

D Rotary-Displacement

D Rotary-Gear

D Propeller

D Reciprocating

D Impulse

D Municipal (including hotels, stores, etc.)

.£! Domestic (individual, noncommercial water system)

• Irrigation (crop) (. {VIle.. J Fru ;Iil'u> D Military

Powered by:

D Diesel

D Gas

D Electric, rated horsepower: _____ _

D Industrial

No. of Dwelling Units: ____ 11------_ No. of Acres: __ /w,fJEIJ,.!::(!,::.EtA:.::!r;e~ _____ _

D Other (explain): ____ ---,~---) .. ......

7. (a) PROPOSED AMOUN.,T OF WITHDRAWAL: __ -/f'.-IL-_5(~C7Q~_ gallons per day ,-(b) METHOD OF FLOW MEASUREMENT: D Flowmeter !aOpen-pipe D Weir DOrifice D Other(explain)


8. PENDING ACTIONS: DCDUA DSMA DEIS DEA g'NONE DOther(explain)

9. If a pump installation permit request is part of this application, please answer the following: THE LANDOWNER 'CERTIFIES THAT THE SUBJECT PROPERTY, OR A PORTION THEREOF, WAS 0 OR WAS NOT ~ A STATE OF HAWAII LAND PATENT GRANT ISSUED AFTER 1960. (Please check with your title search company or the Land Division, Department of Land and Natural Resources at 587-0421 for help.)

10. REMARKS, EXPLANATIONS:, ' ... ~(rnlf~m~o~re~s~pa~ce~~~n~~~e~a,~p~le~as~e~a~ft~aoo~a~aa~lt~lo~na~l~sh~e~e~ij---------------

I 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 contractor shall submit to the Commission a well completiOn/abandonment report within 30 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.

Field Checked By _______ _ Longitude ______ _ Aquifer System Name _______ _

Date Latitude State Well No.

WCPIFORM (511419~)

,

11. PROPOSED WELL SECTION o - Hole Diameter. ___ in. ,

Elevation at top of casing ft .• msl*"""\ I.. I .. 1 (Survey to nearest 0.01 ft.-) -- + ; -- Minimum of 2' Radius & 4" Thick Concrete Pad

./?-\\ :..>t:;~.. ,Ii: G~::.~ Elevation: ~ ft., msl*

i i !

Cement Grout: ft. -1: (min. 70% of distance from, ground elevation to top of i water surface or 500 ft., ! whichever is less.) !

I:·":. :: ... . ' . " . w·' ~.

.~ •• 0

~ .. ~ .

4 -: ..... ! . ,. ;:; '1 '0 '6" i :; :.j :'.:: "1 ~ ... i

•• ! :. ~.! • "1 '.0., 0'

.' "I

Please refer to the HA WAIl W.ELL CONSTRUCTION,AND PUMP INSTALLATION STANDARDS

Solid Casing: (<! 90% x (Ground Elev.-Water Level Elev» Material: _____________ _ Material Standard: _________ _

Total Depth'

I

.: to', .;.; '! .. •. ! Length: - ___________ ft .

" ,. _, __ ft,

I!<:::· :'>:'I! Diameter: _____________ in.

, Wall Thickness: ---________ in. eo','" to' ,4

. ·~··i . '!

BoHom Elevation: ft., msl*

f

:· ~. .. ' '~'.< r.: po,

'4 '.

'0: ....

Rock or Gravel Packing: ___ _

Material: 0 Crushed Basalt o Rounded Gravel o Screen

.. " Water Level Elevation: ___ _ _ __________ ft.

____________ in. __________ in.

_-:--________ sq. in.IL.F. ________ ft., msl" -+-

Open Hole: Length: _____________ ft.

Diameter. in. BoHom Elevation: ft., msl"

, ---'-

For non-salt water Basal Wells - boHom elevation of well should not be deeper than 1/4 of aquifer thickness or, BoHom Elevation of Well Limit = (Water Elevation _ 41 x Water L~el Elevation)

Example: Estimated + 2 ft. Water Level Elev. -+ Bottom Elevation of Well limit = (2 -~) = -18.5 ft.

" The approximate elevation must be referenced to mean sea level (msl) at the time of application filing. Final elevations of well components shall be submitted in the Well CompletionlWell Abandonment reports and referenced to a benchmar1< which has been established by a surveyor licensed by the State.

compliant with (check one or more): o ANSIIAWWA C200 o API Spec. 5L 0 ASTM A53 o ASTMA139

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

Stainless Steel: (check one): 0 ASTM A409 o ASTMA312

ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) o 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

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

o Centrifugally Cast ReSin Pipe conforming to ASTM 02997





Open Casing Materlai: Steel: compliant with (check one or more): o ANSIJAWWA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A 139

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


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

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







c o TIMOTHY E. JOHNS

CHAIRPERSON

BRUCE S. ANDERSON ROBERT G. GIRALD BRIAN C. NISHIDA

DAVID A. NOBRIGA HERBERT M. RICHARDS. JR.

Mr. Robert Watson HCR Box 5382 Keeau, HI 96749

Dear Mr. Watson:




IJUL 20 2000

Well Construction/Pump Installation Permit Application for Watson Well


We have received your well construction / pump installation permit application and filing fee for this proposed source. However, your application is incomplete. Matters which must be addressed before we accept your application as complete are as follows:

1. Please provide your contractor's license number. If you do not have a license number, you must acquire a licensed contractor to perform the work.

2. Please complete the proposed well section on the back of the application form (returned for your use.

3. Please provide the quad map requested in item 2 of the application form.

4. Please submit 3 copies of the application and maps.

Upon receipt of the above information, we will accept your application as complete and you can then expect your application to be processed within ninety (90) days.

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

RI:ss Enclosure

Sincerely,

~.d~ ~~~EL T. NISHIOKA

Deputy Director

.MISSION ON WATER RESOURCE MANAGEMEN' ROUTE SLIP FOR NEW APPLICATIONS

FROM: RYAN DATE: SUSPENSE DATE:

FOR: PLEASE:

BAUER, G. CHING, F. FUJII, N.

~ HARDY, R. 1Z HIGA, D. """T\"" HIRANO, E. ICE,C.

-S-IMATA, R.

JINNAI, R. KUNIMURA, 1.-

WELL NUMBER

~'A.

-- . KAMA,L. -- AKANO,D.

NISHIOKA, L. OHYE, M.

===::SAKODA,E. ~ 2 SUBIA, S.

--SWANSON, S. --UYENO, D. --

YODA, K.

WELL NAME

3 Approval -3-Signature -4-lnformation

K:I WELL CONSTRUCTION Ot PUMP INSTALLATION

ATTACHMENTS FOR APPLICATION 1 TRANS. LETTER 2 CWRMMAP 3 APPL. FORM (3X) 4 USGS MAPS (3X) 5 TAX MAPS (3X) 6 PARCEL OWNER VERIF.-- MLS PRINTOUT 7 CONTRACTOR VERIF. 8 ALL INFO FILLED IN 9 BACKGOUND CHECK

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

INCOMPLETE ACTION DATES:

DATE ACTION

See Me -1-Review & Comment --Take Action -S-Type Draft acknow letter -2-Type Final, label new file folder -S-File --Xerox copies

DOClJ-IENT N).

SRCI COST F YR N'P o OBJ eTR PROJECT

S_ Ol ~2§_ C1. !Q~- 0752 ----- -- --- - ---- --- ----

- -- --- - --- --- -----

- -- --- - ---- ---- ------

REW\RKS: LINE (1) Wat.cc;on wpn LINE (2) LINE (3)

LINE (4)

~;>. ~C OR ATIAO£O \r()RKSt£ET .A. D.A.TE: .T111v lq ?rrn

PH ACT N-nNT

(1) 25.00 -- ---(2) -- ---(3) -- --

-- -- (4)

TOTAL ~IW

• ROBERT D. WATSON MICHELLE K. WATSON HeR 1, BOX 5382 PH. 808·966·7411 KEAAU, HI 96749~

....,. WtME/DESCR I PTiON . (W.AH; It-Plir)

. Roret1. p. Wat.9W -..-.--------------------------------------~----------------------------.-

59-7070/3213 034452n

Date 7. ,-3.~

I

I

209

Pa6'r~~l~~ ~ <4s ·~V~ ~~ $ 2..J~ 0

~_--f.-Ll!~'-1J~~~~' -=-""" -=-"/,-4--/--,,-~------- Dollars

~ ~rlal SavIngs 315 Makaala St., Sre. 102 Hile, HaWaii~6720

Memo MtcitA.i..E 1t;6f{P:~ lrev:.. •

BENJAMIN J. CAYETANO GOVERNOR Of HAWAII


Dear Mr. Watson:

Q




July 18, 2001

Well Construction Permit Application for Well No. 3688-04

GILBERT S. COLOMA·AGARAN CHAIRPERSON


DAVID A. NOBRIGA HERBERT M. RICHARDS. JR.

LINNEL T. NISHIOKA DEPUTY DIRECTOR

3688-04.ack

We acknowledge receipt, on July 10, 2001, of your completed Well Construction permit application and filing fee for the Watson Well (Well No. 3688-04). 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 Ryan Imata of the Commission staff at 587-0255 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai),984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai) extension 70255.

RI:ky

Sincerely,

~,JJ. ~ () ~'i ,cU, U(f--

LIN EL T. NISHIOKA Deputy Director

•

o o BENJAMIN J. CAYETANO

GOVERNOR OF HAWAII GILBERT S. COLOMA·AGARAN

CHAIRPERSON

TO:

FROM:




July 18, 200'1

Honorable Bruce S, Anderson, Director Department of Health Attention: Dennis Tulang, Wastewater Branch


DAVID A. NOBRIGA HERBERT M. RICHARDS, JR.

lINNEL T. NISHIOKA DEPUTY DIRECTOR

William Wong, Safe Drinking Water Branch .

Gilbert S. COlom::~:::n~::::::~::zardOUS ~anA~ E~n~Ytsponse Commission on Water Resource ManagementUj' )~' 0./1- I')

SUBJECT: Well Construction Permit Application '-'

Watson Well (Well No, 3688-04)

Transmitted for your review and comment is a copy of the captioned well application,

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by August 10, 2001.

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

RI:ky Attachment(s)

RESPONSE:

[ I

[ I

[ I

[ I

[ I

[ I [ I

This well qualifies as a source which will serve as a source of potable water to a public water system (defined as servinQ 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director oftiealth 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 well does not qualify as a source servin9 a public water system (serves less than 25 people or more people at least 60 days rr year or 15 service connections) and if the well water is used for drinking, the private owner should test for bacteriological and chemica 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 definotion 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-(:onnections and backflow connections by physically separating potable and non-potable systems by an air 9ap or an approved backflow preventer, and by clearly labeling all non-potable spigots with waming signs to prevent inadvertent consumpbon 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 [ 1 is not located near the proposed well site (informabon attached). .

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

No comments/objections

Contact Person: _________________ _ Phone: ____________ _

Signed: ___________________ _ Date: _______ _


TO:

FROM:

SUBJECT:

o o




July 18, 2001

Harry Yada, Acting Administrator f\ n Land Division ~. / -n~ 0.\1\ Linnel T. Nishioka, Deputy Director (/-. ~,I /,/ Commission on Water Resource Man eme·

Well Construction Permit Application Watson Well (Well No. 3688-04)

GILBERT S. COLOMA-AGARAN CHAIRPERSON


DAVID A. NOBRIGA HERBERT M. RICHARDS, JR.


Transmitted for your review and comment is a copy of the captioned well application which includes a request for a pump installation permit.

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by August 10, 2001.


RI:ky Attachment( s)

RESPONSE:

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

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

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

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

[ 1 No objections

[ 1 Other comments:

Contact Person: _________________ _ Phone: ____________ _

Signed: ___________________________________ _ Date: --------

Search Results o o Page 1 of 1

Copyright 7/17/2001 by Hawaii Information Service

Taxkey Subdiv/Condo 3-1-5-52-73 Hawaiian Paradise

Park

• PUBLIC RECORD DATA Property

TnrAddress Owner/Lessee F 15-1230 KALOLI WATSON,ROBERT

DR D/MICHELLE K

Land Beds Baths area 5 4 1.00 ac

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

Living area 2304

http://webresearch.hawaiiinformation.comIREsearchi AsplFunctions/Property ISearch TMK.asp 7/17/2001

+ For Official Use Only:

or g-pump Installation

Instructions: Please print In ink or type and send c:ompleted application with attachments to the Commission .1 \ \ 2 4 on Water Resource Management. P.O. Box 621, Honolulu, Hawaii 96809. Application must be ac:c:ompanied b{J j JL1J.. 1... A :

»

3 copies and a non-refundable filing fee of 525.00 payable to the Dept. of Land and Natural Resources. The Commission may not ac:cept incomplete applk:ations. For assistance, call the Regulation Branch at 587-0225. (Also, please check our website at - http://www.hawali.gov/dlnr/dwrri.1ldwrm.html) ." '. " \.! .- \,\ \ :.J " i" t, r,

APPLICANT INFORMATION: (Fill out all three, If applicable, and place a check next t? the primary cont~<:tt:: ~:. ";: '\" . . .. :FT~

1. (a)id"WELLOWNER: R,,~.,;,J ,t '}n;(l, (I~1!. Contact Person: r?r!7krJ-W.(lI$';" .. Phone: 2{1/- 7ftl Mailing Address: He It I 13 /) I 5)9:2- Wild, - -)"1 it - ~ ,7tJ

Fax: E-mail: ('D h «tog: (Ie$' e mSII. em (b) ~ LAND OWNER: R.I"" i t m/",,1It Wf.' .h'y

Mailing Address: H CIl. J !J Q " 5"3$2 Contac:t Person: {I. k"t",41fll;eMIIt ~~ Phone: .:zq - 7.1{ 1/

Fax: E-mail: plD"I_ ""~eIh5k1,eOhl (c) fa" CONTRACTOR: H'ke;, t J- ?Itid,//' MIH.c.- Conlac:t Person: R.bur w.ttIStI'k

Mailing Address: fk'it. I &i 531.2.... Fax: ____________ E-mail: Y.I..I' f _ ,1175 e ASH. "'11 lie #:

WELL & PUMP INFORMATION: (Please fill in the diagram on the back of this form.)

'1&&- 111 H

Phone: '71.{ -~tJ 7()

(circle one: C-57, C-57a, or A)

2. WELL LOCATION/NAME: _______________ _ Island: UNit/I! i i Address I {-- J).. jD U#IoI; Pl'. K~ lUI tc 1-1 ; Tax Map Key: (;]) 1- S'-~~ - 13

Attach the relevant portion of (a) a 7.5-Minute Series USGS topographic map (scale 10 =24,000'), and (b) a property tax map. showing well location referenced to established property boundaries.

3. PROPOSED WORK: a Drill New Well (Check al/ that apply) D Modify Existing Well

D Abandon/Seal 0

D Deepen

D Redrill

D Install New Pump

D D

Modify Pump

Replace Pump

* Well No.: _____ Be sure to complete and submit well abandonment report upon completion of work. :

4. CONSTRUCTION: DOug D Bored D Dnven' DO Drilled D Radial

Is this well a part of a battery of wells? DYes 'tNo (Please describe.)

5. PROPOSED PUMP INFORMATION: Rated Pump Capacity: _____ --4S,;.~tf:.L!;.--galions per minute

Pump Type (Check one):

D Deep Well Turbine

Ii' Submersible

D Centrifugal

6. PROPOSED USE: (Check al/ that apply)

D Rotary

D Rotary-Displacement

D Rotary-Gear

D Propeller

D Reciprocating

D Impulse

D Municipal (including hotels, stores, etc.)

Rt Domestic (Individual, noncommercial water system)

Powered by:

D Diesel

D Gas D Elec:trlc, rated horsepower: _____ _

D Industrial

No. of Dwelling Units: __ 1'--____ _ D Irrigation (crop) __________ _ No. of Acres: -/r....qlJu(!,""~;.;;:~==_ _____ _ D Military D Other (explain): ____ ---,~---

) .... ...... 7. (a) PROPOSED AMOUN.T OF WITHDRAWAL: __ ~._,"--_5(=eQ..s.-_ ~allons per day ,-

(b) METHOD OF FLOW MEASUREMENT: D Flowmeter HOpen-plpe D Weir DOrlfice D Other(explaln)


8. PENDING ACTIONS: DCDUA DSMA DEIS DEA @NONE DOther(explain)

9. If a pump installation permit request is part of this application, please answer the following: THE LANDOWNER 'CERTIFIES THAT THE SUBJECT PROPERTY, OR A PORTION THEREOF, WAS 0 OR WAS NOT ~ A STATE OF HAWAII LAND PATENT GRANT ISSUED AFTER 1960. (Please check with your title search company or the

. Land Division, Department of Land and Natural Resources at 587-0421 for help.)

10. REMARKS, EXPLANATIONS:. '" ~(m"~m~0=re~s=pa~ce~~~n=e~~e7d,~p~le=as~e~a~fta~~~a7.dd~H~lo=na~l~sh~e=et~)-------------

I under$tand that approval of this appllc:ation attaches the following standard conditions: 1) the proposed work Is to be completed within two (2) y,aars of the approval date; 2) the contrac:tor shall submit to the Commission a well completion/abandonment report within 30 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 coiTelatlve water rights and shall not guarantee the pump capacity or future use up to the permitted pump capacity.

Field Checked By _______ _ Longitude ____ _ Aquifer System Name _______ _

Date Latitude State Well No.

WCPIFORM (511419,)

11. PROPOSED WELL SECTION - Hole ~iameter. ___ in.

Elevation at top of casing __ ft., msl·"\ I... I a I (Survey to nearest 0.01 ft.) -'-t-= : ,-' Minimum of 2' Radius & 4" Thick Concrete Pad

:.:~:E~~. >~'.:.~: I ",r, Gr/o".,u,~:.~ Elevation: -- ft., msl· ,'..'ffiI\\ I •. 'T";' • .-r, "-'-'----". --n,.k::r...rr----r:"""'"',,,-,

'tlo .0 .~ .0

:'.:: '0 :',:", '0

I

! Cement Grout: ft. --.!, (min. 70% of distance from I ground elevation to top of i water surface or 500 ft., I

~ ' . . .. '0 4. .. .. ' '~' .. : '0: to' .; .!. .:. >:. 't- o'

I ~ -.:::.

'0: r;.'

~ '. :. f·

.: ~····I ;:{'I :. :4:.! '". "1 : ' •• : "1 ~ .: i . . , ' ... , .. ~ -: ·····1 .: f:o'l

"> II)

;

iii "ii > II)

-' ... ,!,

Please refer to the HA WAil WELL CONSTRUCTION. AND PUMP INSTALLATION S1' ANDARDS to assure that your construction plans are in

compliance with all existing regulations.

~~ .----- Solid Casing: (C!: 90% x (Ground Elev.-Water level Elev» Material: ......... _"'--_"'--________ _

:> Total Depth .

__ -,-_ft.

whloh ... ", , .... ) I II;~:\' .;.~ . '0': °0

.:/ :. .;.; ., II)

. :.:.:., iii :}:I '0

Material Standard: __________ _ length: ", ft . Diameter. in. C

, Minimum annular space' -1.'/ .>. be ... ", ho~ .od ca,'" > 3" t ......

o.lJ ••

~ .:A ::J e Wall Thickness: In.

e- Bottom Elevation: ft., msl* :. ~. x , .. , , '4 '. ";ft ., . g "0: f:o'

!oJ

Rock or Gravel Packlng: ____ ft. -4 Material: 0 Crushed Basalt

o Rounded Gravel o Screen ... ( t /',/ Open Casing: Q,Perforated /' Materlal:~-_.::::_-------------/' Material Standa?a': __________ _

Water level Elevation: ____ ft. msl· - ;-~. n..':aIt--h7"n3t- ~/ length: _______________ ft. Diameter: ____________ in. Wall Thlckness: ___________ in.

Openings: sq. in.IL.F. Bottom Elevation: ft., msl·

,,;J---- Open Hole: length: _____________ ft.

~iameter: in. Bottom Elevation: ft., msl·

, j

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'Z'el EleVatiOn)

Example: Estimated + 2 ft. Water Level Elev. --. BoHom Elevation of Well limit = (2-~) = -18.5 ft .

• The approximate elevation must be referenced to mean sea level (msl) at the time of application filing. Final elevations of well components shall be submitted In the Well CompletlonJWeli Abandonment reports and referenced to a benchmarl< which has been established by a surveyor licensed by the State.

compliant with (check one or more): o ANSIIAWNA C200 o API Spec. 5l 0 ASTM A53 o ASTMA139

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



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

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



o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWNA C950



Open Casing Material: Steel: compliant with (check one or more): 0 ANSIIAWNA C200 0 API Spec. 5l 0 ASTM A53 0 ASTM A 139

And compliant with (check one or more): 0 ASTM A242 0 Type E [j Type S 0 ,Grade B 0 Other _______ _

Stainless Steel: (check one): 0 ASTM M09 0 ASTM A312


'PVC Plastic conforming to ASTM F480 and (ASTM 01185 or ASTM 02241): (check one): 0 Scheduie 40 0 Schedule 80

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



o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWNA C950



c

IYW JrYI ..... I,,-al

.-~'""' . ., .... ~---.....

• '.1 .... ..." .... ,. olD' "fI~/.M~

; Ii ,;;,,~':t.:;~ -.,.,.-~

n Ii ,-m. m "3I1f,~

... : .•.• I'i n ~~.:: '!;!. .. st.· ::::.!.:.~

IS-.J. ;:;Jj ,.. "HA-'7

== • ~;.. ..... ~L ::::r ... .,-",~

~ ..• "t.::..1Ii ~~~~!

", ...... ..,j S"';i·.~~

IOi 6 ,,--., -"

181 1& .-, ..,,~.,'"

I3i 6 ---.........

Cill S ~""'J.

~:-4!~ .. iT~ if. 011 ,:,. iii e..=;::. .. ...::::s Ii:; rr::. _..-,,-' e Z;~~ ~I!.":::~!i Iii _ ..... " ._! -...." ...... fjl

~.'::':"::;~'::;-::;-<::.-"'-'::~::.;"':X'4-::.::;"' ___ -I !!!: ~-.~::..~ 5"-:''='~~~: _ •• .e;.i:,ifi ffi .::: ""';:::;.~:;';: e .... w _r

.... -...&.,W OSI S .to; ~:.:;:~ ;;;; -.. .. ..

• .. .

LL -----

, .

08£ £

.-, <II ...•..

:,' . ,"

o

'W:

.. ~ :~ c. ,., ....

;' .. ~ -: ..•• .-a

1~ " •• .. ____ . ___ . _________ .• .-...... _ ... ~ __ ......... ____ ......... __ ...... ______________________________________________ .. ______________________ -J~~~.~ .. ;

.. ·~ .

-95 STATF. OF HAWAI~ L OFl!'ICE OF ASSISTANT REGI.STRA.R

RECORDED

pgC 06, 1.999 OA:Ol AM

Doc No(s) 2592969

on cert(s) l43,753

Issuance of Cert(s} 544,214

lsi CARL T. WATANABs( ASSIS'l'.ANT R.EGIS'l'}tAR.

CONVF.Y.ANCE 'fAX: $l.lfi. 00

LAND C T SYSTEM Return by Mail (x) Pickup ( ) TO:

ROBERT DEAN WATSON MICHELLE KUNIYO WATSON 348 D. Lanikukia . Place

RE

o

ARSYSTEM TO: 398156 b TOE: 993011331

Yvonne Santos ® t-f~

Hilo, ill 96720 Total Number of Pages: ~6_

TITLE OF DOCUMENT: WARRANTY DEED

PARTIES TO DOCUMENT:

SELLER: ALLYN TROY ALBRECHTSON, husband of Fern Hanako Albrechtson, whose mailing address is P. O. Box 611, Naalehu, m 96772

BUYER ROBERT DEAN WATSON and MICHELLE KUNIYO WATSON, husband and wife, whose mailing address is 348 D Lanikukia Place, Hilo, m 96720

PROPERTY DESCRIPTION: LOT 2051, BLOCK 7, as shown on Map 58 filed in the Office of the Assistant Registrar of the Land Court with Land Court Application No. 1053 (amended) ofW. H. Shi man Limited AFFECTS TAX MAP KEY (3) 1-5-052:073

Prepared by the Law Offices of James C. Clay, 75-5870 WAIUft n-

LffiERlPAOE: DOCUMENT NO.: TRANSFER CERTIFICATE OF TITLE NO(S).:

.•

SELLER:

BUYER:

o

WARRANTY DEED

ALLYN TROY ALBRECHTSON, husband of Fern Hanako Albrechtson, whose mailing address is P. O. Box 611, Naalehu, m 96772

ROBERT DEAN WATSON and MICHELLE KUNIYO WATSON, husband and wife, whose mailing address is 348 D Lanikukia Place, Hilo, m 96720

DESCRIPTION OF PROPERTY:

The property covered by this Warranty Deed is described in Exhibit "A", attached to this document.

SALE AND TRANSFER OF PROPERTY:

In return for the Buyer's payment of the purchase price as agreed between Seller and Buyer, the Seller sells and transfers the property described in Exhibit "A" to the Buyer.

SALE AND TRANSFER OF OTHER RIGHTS:

Seller also sells and transfers to the Buyer the following:

(A) All improvements located on the property;

(B) All rights the Seller has in other property because ofthe Seller's ownership ofthe property being sold (these rights are known as."easements and appurtenances");

(C) All rents or royalties from the property;

(0) Any mineral and metallic rights owned by the Seller in the property; and

(E) All other rights or privileges that the Seller owns because ofthe Seller's ownership of the property.

BUYER'S TENANCY:

The Buyer will take and own the property as TENANTS BY THE ENTIRETY. The Buyer will also own the other rights described above in the same tenancy.

SELLER'S WARRANTIES:

By signing this Warranty Deed, Seller gives Buyer a general warranty of title. This means that Seller guarantees:

2

'.'/

o o (A) That the Seller lawfully owns the property and other rights being sold to Buyer;

(B) That the Seller has the right to sell and transfer the property and other rights described in Exhibit "A" and this Deed;

(C) That there are no other claims by any person against the property or the other rights being sold and"no"other person has any rights in the property unless those claims or rights are described in Exhibit "A" under the title "SUBJECT TO"; and

(D) That if any other person makes arty lawful claim against the property or the other rights being sold, or has any rights in the property, and those claims or rights are not described in Exhibit" A" under the title "SUBJECT TO", then the Seller will defend the Buyer's ownership against those lawful claims and rights. The Seller does not have any obligation to defend the Buyer's ownership against any claims or rights described in Exhibit" A".

DEFINITIONS:

The word "person" includes natural persons, business organizations and any other entity the law allows to own property or conduct business;

The words" Seller" and "Buyer" include the persons named in this Deed and those who take over or succeed to that person's rights or interests, whether by purchase, inheritance, operation oflaw or otherwise.

DATE:

This Deed is being signed by the Seller on the6 f) 2y of N'O 1/ €",b" y , 1999.

"SELLER" ~ ~C1----=

APPROVED AS TO FORM:

3

I \ CO~I _~SION ON WATER RESOURCE MANAu . .4ENT (10/99)

FROM:_----IIL..uIN.1l.NuE ..... L'--____ DATE: __ Jll __ 1 4_2_000 ___ SUSPENSE DATE _______ _

TO:

_BAUER,G. _CHING, F.

~DANBARA' S. FUJII, N.

- HARDY, R. f\'-_ _HIGA,D. _HIRANO,E. _ICE,C. _IMATA, R. _JINNAI, R. _ KUNIMURA, I.

TO:

_LUM,A _NAKAMA, L. _NAKANO,D. _ NISHIOKA, L. _OHYE,M. _SAKODA,E. _SUBIA,S. _ SWANSON, S. _UYENO,D. _YODA,K.

_Approval _Signature

Information

PLEASE:

See Me Review & Comment Take Action

_Type Draft _Type Final

File Xerox _ copies

-0

c

State of HaOi ft COMMISSION ON WATER RESOURCE MANAGEMElT Department of Land and Natural Resources


APPLICATION FOR PERMIT o Well Construction andlor o Pump Installation

Instructions: Please print in ink or type and send completed application with attachments to the Commission ",,', JI'I\, I ILl '10 0 9 on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. Application must be accompanied by '\1'1 iJl ~ A: 3 copies and a non-refundable filing fee of 525.00 payable to the Dept of Land and Natural Resources. The Comm~sion may not accept incomplete applications. For assistance. call the Regulation Branch at 587-0225. For further information and updates to this application form, visit htlp:Jlwww.state.hi.usldlnr/cwrm. \ "

APPLICANT INFORMATlqN: (Fill out all threy, if applicable. and place a check next to the primary contadr> . '

1. (a) 0 WELL OWNER: j?p h~"t ~ ~ lA.. Contad Person: £ be?'l ~A- Phone: 2'{ - 7t./11

Mailing Address: flcll I 42o/X 53 8'.,1- K"4f)u- IIi 1C7!t? Ivett' 9'P'I-Cj70 Fax: E~ail: ---------------------------------------

(b) ~LANO OWNER: & be,.,;-~ ~ Contad Person: 4/J.d,,& ~U""k Phone: 7('t'- 7/./1/ Mailing Addresa: iJ t!11 ! !3po<$"3 (2: K<41J. 1L<1/1 'z{1't1 Fax: E~lIil: ____ ---: ________________________ '--___ _

Ie) 0 CONTRAC;';., ~i:-=-"&r"I\d' J:lr!U:".. ..... "., ... ,,, _~...L..L..:I~"""'~~\. __ Mailing Address: .l!..a.- 84?C.. 09'1T t-A /0 /I, ~ Fax: SIfIMG E~ail: _________ _

WELL & PUMP INFORMATION: (Please fill ~ the diagram on the back of this form.) \ I

2. WELL NAME: fDb+- Wft-i-e£) !A. Island: -+~.........,==:;.&....:....l.\'-"--------Address rt; - J~;3'O ;(.11 /171; .11, Tax Map Key: (3 ) I 5'. SJ:: '7.1

~ Zone Sec Plat Parcel Attach the relevant portion of (a) a 7.5-Minute Series USGS topographic map (scale 1:24,000) and include the name of the quad map, and (b) a property tax map, showing we" location referenced to established property boundarieS.

3. PROPOSED WORK: 1( Construd New Well

(check 811 that apply) 0 Modify Existing Wer

o AbandonlSea"

J( Install New Pump

o Modify Pump-

·State Well No.: _________ (if unknown, please call Commission at 587-0225)

4. CONSTRUCTION: J Drilled DOug o Shaft o Tunnel

Is this well part of a battery otwells? DYes LNo (Please describe)

5. PROPOSED PUMP INFORMATION: Rated Pump Capacity: ____ R_o'-· ____ gallons per minute

Pump Tvoe (Check one):

o Deep We" Turbine

rJ Submersible

o Centrifugal

o Rotary

o Rotary-Oisplacement

o Rotary-Gear

6. PROPOSED USE: (check a/l that apply)

o Municipal (including hotels, stores, etc.)

~ Domestic (individual, noncommercial water system)

o Irrigation (crop) _____ ---"-________ _

o Military

o Propeller

o Reciprocating

o Impulse

o Industrial

o No. of Dwelling Units: _ • _, __ _

o No. of Acres: ~~L...=-__ o Other (explain):

7. (~) PROPOSED AMOUNT OF WITHDRAWAL: _ ~ gallons per day

(b) METHOD OF FLOW MEASUREMENT: It Flowmeter Itspu 1'if'8 0 Weir 0 Oriftce 0 Other(explain)

OTHER IMPORTANT INFORMATION: ..-,/1"0\ 8. LEGAL REQUIREMENTS: 0 COUP o SMAP o EIS oEA lQ. None 0 Other (explain)

9. REMA.RKS, F.xPLANATIONS: ---._-------------

(if more space ie needed, please attach additional sheet)

I understand that approval of this application attaches the followirtg andarel conditions: 1) the proposed work is to be completed within two (2) years of the approval date; 2) the contrador shal submit to the 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.

~ellowne.~ Signature

Date k/Z/ " I

For official use only

Landowner ~ Signature

Date I/~/t? I ,

Latitude _______ Aquifer System No.

~;=~'D9 Date ;7 ~-II-C?1

Longitude State Well No. ~v~~L-~~~·_c~I------.------- -> (

WCPIPA Form 512100

/

IV. "'Kv ... v;:,~..J W"f~LL ;:,t:.l,; liON (P!eaSd ililauJ scr.e;na!lc ,; c;;ftelent from diagram proViQ8(J oetoIt)

"" Hole Diameter: --,;;J.- in. 0 Elevation at top of casing -.hf~ft.. msl-~ , - Minimum of 2' Radius & .- Thick Concrete Pad (to contain benchmartt

surveyed to nearest 0.01 ft.) _ Ground Elevation: _1.J2a..ft., msr

" .

:~ ',:: Please refer to the

Cement Grout: 8J_ft. (min. 70% of distance from ground elevation to top of water surface or 500 It., whichever is less.)

',!-. HAWAII WELL CONSTRUCTION AND PUMP INSTALLA noN STANDARDS to ensure thaf your as-buiR is in compliance

with applicak*! standards.

",1. ~ Solid Casing: (~ 90% x (Ground EIeY.-Water Level Elev))

Annular space between hole and casing (min.3j:

Total Length: %- ft. Nominal Diameter: tf;' in.

~in. Wall Thickness: , /if' in.

Bottom Elevation: t 5" It.. msI"

Rock or Gravel Packing:

/0 It. I Total Depth

I_~I{-'t. I I I I

Material: CJ Crushed Basait

.JIf Rounded Gravel

'j

Open Casing: ~Perforated I Total Length: I fl!-_____ It.

Nominal Diameter: ~~r------ IIi. I //' Wall Thickness: __ JL,,L.;..SIWu.. ______ in.

Estimated Water Level

Elevation:

.. I' Bottom Elevation: ___ -:- -}I It., msr

I' .90 ft. msl-

....L -+ note: Neither bentonite nor mud should be used in

saturated zone during drilling

Open Hole: Length: ___________ It

Diameter: ____________ in. 1-_______________________ _

--~

- The approximate elevation must be referenced to·mean sea level (msI) at the time of application filing. Final elevations of well components shaI be submitted in the Well CompletionNlei Abandonment reports and referenced to a benchmark which has been established by a surveyor licensed by the State.


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 ~ Elevation)

Example: Estimated + 21t Water level Elev. -+ Bottom Elevation of WeI Limit" (2 - ~) a ·11,51t

Solid Casing Material: Carbon Steel: compliant with (check one or mora):CJ ANSIJAWNA C200 CJ API Spec, 5L • ASTM A53 CJ ASTM A 139

And compliant with (check one or mora): a ASTM A242 CJ Type E CJ Type S till Grade B CJ Other

Stalnl ... Steel: (check one): a ASTM A409 (production wells) CJ ASTM A312 (monitor wells)

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

It..msr

PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): CJ Schedule 40 CJ Schedule 80 !J Schedule 120

Thermoset Plastic: (checlc one) CJ Filament Wound Resin Pipe conforming to ASTM 02996

CJ Centrifugally Cast Resin Pipe conforming to ASTM 02997

9'pen Caslng M2:terial=

a Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517

a GIt1~'! F1bor Reinforced Re;:in Pressure Pi~ conforming to hWWA C95(.'

a PTFE Fluorocarbon Tubing conforming to ASTM 03296

CJ FEP Fluorocarbon Tubing conforming to ASTM 03296

Carbon Steel: compliant with (check one or mora):CJ ANSIIAWNA C200 CJ API Spec. 5L If ASTM A53 CJ ASTM A 139

And compliant with (check one or mora): CJ ASTM A242 a Type E a Type S a Grade B CJ Other

Stalnles. Steel: (check one): a ASTM A409 (production welle) a Asm A312 (monitor wells)

ABS Plastic conforming to ASTM F480 and ASTM 01527: (checK one) a Schedule 40 Q Schedule 80

PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): a Schedule 40 CJ Schedule 80 CJSchedule 120

Thennoset Plastic: (check one) CJ Filament Wound Resin Pipe conforming to ASTM 02996

CJ Centrifugally Cast Resin Pipe conforming to ASTM 02997

CJ Reinforced Plastic Mortar Pressure Pipe conforming to ASTM D3517

a Glass Fiber Reinforced Resin Pressure Pipe conforming to AWNA C950

CJ PTFE Fluorocarbon Tubing conforming to ASTM 03296

CJ FEP Fluorocarbon Tubing conforming to ASTM 03296

-." ,1,.-~.#~ t"15/P lOS

" ...... ,""' .. 'till.. ,.,,' .... !Q§

,-;r,""_ /-",...~

1'07

C~ .e~,,",""'81'1

lOB

--,~ .. -,.,., -~ ..• -

.. "1.......... .......... So_~ __ r. ~ ", .. ~-t:', • •. -/. 109

......... "",.,.....,1* e. " .• e~~'~I". s" . .........., 110 ,-r ''''''1 ~_ _r/#

..... '.''0 -;;:, ,...~.t'OC,oI-:"6 ~.r. ..........

"""" ... ~ U! £,.,1 __ '.~_J""'" ~ _, G._ . .,. .. "'~'

"""" ... .1/1" '-"" liZ

C4..,.1 •• ~ ..-.... .,. __ " e -,£ '.". 80*·#~ ,. -,,;;-= ~1f".1....... ....-..-. .,.,..." C·.,f. ' ''' !!*.nV L. - .II";"

~....,...H AI :;-; ",,~'JI,-r -' 1tJo"- C ''''I'r

Ar+I-w"~ 17Fr_t..i

/'f,ldr.d /IttIf;r"t"

!!

-,_., -H, ....

"--

,:~,.. .!ir.; ...... • ;::-. "'f'oII" ..... -r.ar _

~ L';I .t __ ~ •• ",.r::;;, ~-, G • ...., ..............

-. -J/r

M MIl-L~""··. ,.. "",.,,,beck

!.@

,.,,~ hI'..' ~f. -_l1' }if'fii2

_ ......... .,.,. ~

u "'6 -

4"~.I"~ ..1' ,.,,,- .T/'....J N{~~ 65 ,.,,_;~~ I ...... J. = , A .•

~'k""'71 A ..-.... "16; f"'~' ",.,) !.::.1 66 N,

- ~~j

~!--- Mo' .".-...1 F·~ ~,..

~ , -1 ~""""'.M ,..aJ-..r- 81 .2 I

Co -,...~ "';Y,;,~.!.!.!:

Z7 ~ -,.". w.,...,J. .......... ""' ... " •• -<'~ ZtJ - .. ,/,;.,. A4 =- J/p'

:'-;:'.~:~-~ 1U; -~ '-'

~~

-,.......:N'e"'" '''t' -.---~ -e :01

~~i,. A.

"."'.- 6' -.,I ", ... a $.,,, .. ,,,,. A.-- -~ 4~iJ. A. ;;;:. '.r.1 ... .."r. ......... 1: S~JI""'~ ~7'z

C M ~ ...-..... .. ,"'.I'.,'J.,.,.",. .............. J ........ _.; .. '''J ArI"wr ~ ''!71 r-' .--"'p' ~,,.. -.- L ,.,. :;..,;-.... .......... rr.""ar..Jr. '- ~ "" .J/,~'''' ............ IWcK"""",Jr. .......... 67 .,' . :~'~~""'-........ e~::;!.!:::';;.,.A.-Tfc. = = . :..= 5i#r~,.". -.II' •. ~ = )_4'''_.'''' c" ) ... ,~

4 -r c..,./~. "'--"' x,...... '--'" ......, ~ •. ,."..Jr'4 .....",. ,.,............ ~.. ~ 1!17.·"" 6. r,:--.r Li' '/,;,,, ....c. Af.I.I'/;;;;.. ~.II,.,.... ;;;,

~ -J". 40' ~ ! ~a.I •• I~ -rt:'~ ..... ,. -......,.,

~ .. .:,,.

'II',.,·C" A, ............. C., // I" 6".,..( !:.:J ?O

M .. ", 111: _ .r/,

_ ... .,,, l§ S .... "

t";' ~"S £ ~ -n

;-:;-, -~., ........ ..,." , . r,:,.., t!~,../ , ...... ~/l 38 ... _"J ',>,. ", - .,

... .I .. ,'c!r "'J ~ Ch",I., S "'I (;,~IIIX £'-r - .-;:..~ ... ,,.,.~....:J 11.H1 " K. - "",,, 37 .,~J. L • • ",,,,

= = ~ . .,.M • .$.. ;:;;;..1

Subject 'A!.~1~",r 3

~ J,.. A. ..... /-c. J :;;. Is;",t#. "-:"'

JZ . .. ,.. .. ~ ~ ...... -..

r. 5" I ~ r.rv.-.... ~ lZ·

.. ~,-~r ... ~'!~;'r,:, -H # ~

35 -"" -l

-",. /t ... ~.-."'-=

c_ a-...."". ....,r. 3 _ ..... -'XI :: .,

Ii

2 =

....... "" ---. " .... -

'/.A .. £ ".., .. _~,--... " .... ,. "6.1 ,.~.,. '/ ...... );1:;'

I I JJf). .('7 1/.5 5 •

JiE - .I<

II 7Y(5. AL .:Ie I,.

NOTI: All .J''''I':_I • .... -. p.,j, e .'r. ';_1 •••

P I PLAT

~ .I. S r./I( I-S-4,-r:'~~ ,~

,/lW

~r ", ...... --.. ," .. ~' ( "lL ./ ,

SU!JEcr TO CHANGE

11t,;~ Oe ,,:')i(?~ u /Sx(Y}f)P

-::z. o~

I 5t'c

~

f/e-r.5.2-.

105

.. .,..,~" .. ,.".-. !.Q§

,;:~,,,,,

/_I""-t!. 107

C~ ~~,.,,.,.,,

PLAT

"""-----"

Sf

@

r"1~ - ., r''1t '-- c. -"...t: V;'7';".~

t.. - r/& 27

-r-~-' , ... " -.---.,. -t

w."., J. ........... Ac ...... • ..r~ Zt!J _.,J.;.. -:::or J/r

::c~.~~.~ ~,. -~ '-"

ZSl

... ,.." J. , ...... ., .......... r-' b.,.""". "'N ""··.1/""1 ........... JO'~~ ...... ~:~-tf :.= ""r;l WI. ".liT •• ~

L-·///IH....c. ~/;;;; -~~~ ..... _/~J;;;' II;~~. ~

32 • ".,., ... ~ L.a ..... .-......

. Y J .." --.... ,,,, , -- r -~.

~c,:r .,;::'!~;'r,;, -#

,. ~,..,;,. A. ~ '."'. 6"..,t , J __ •

eS.,~."". A.-_ -r.6:

1.;;:~~ . ...,t~. 1: s"J~""" ~7.£ ~ •• L. ;;;. ""c IC~, J,.. '-"" • <'.1 JwJ.H.. A.-rf& 2,r""I1#.-." - J_",,._.,,,. C. ~A,'" ~~/I.~ --..

"" ~ •• ~" • .h'c "'-'

! --.. "1' /l1ft-.

<4 M ,_

:0

c_ ~-.,<.~r. 3 -. ..... -..,. ,.. ..

!.

--.. 'III ---.. ,,~ -

~ -'1" -I

j.A .. I. ., .. _.,...-....

" .. ". "£1 ,~.,. ~~. --.. );1;:'

!. , .:

" 'fir

I j ,))£l.t7 1/..)5

Jib • Jf?

I' TYPICAL .3~e I,~

Nor.: All ,.,e.l. e .. ~. p.,/t e err_ ';.1 •••

I-S-4'-T S )

( """"

r ,

SU!lECT TO CHANGE

.. ~t;lO~v is;''\' 0 -fI:J -j f't7id 17

-::2 c>1t.--{

I -> t'(

5 PI n-r ~.).

12 ESt, _,~)'I

2<; I <; I ..... "YW XYI

.......... 10 IJYJI

nYJlnt u-nr HOUYTf'I -=, QO YY.l ..., "" _ .. "".-.

",/001 •• , I : .... ~ • .L07 70':J/dA.L

-,------,I L 0,,0d!

_-lI'>... __ ...... " ..... O ... 0L-..,_-l i .... ",,& F

./ .... ~ .• li - ...... -. J-~ ~ ... , .......... ...

o

_I!...~ ..... ,. J-. ~ .-..... '"I'

-.~"--1- ;-:;;"~ flO,

, .. , 1<I .. .,~a", ''::': IV ,.,...,....--; ...-."

#,.. '7 Jo."."ii. WI

~3 I-A- :::;::~~ I •• " ,."..,.",-/

·"'V·1e>'

.tI, . ., I.",.. Oil §OI @ ~~;;:;;;~ •.. " _1'"' "' .... , .... "

oJl,. .., A.,/.,ii so, ....... r;:;; r' _OO.i, ~ IIJII'# """1. -' ... • "" • ."j

II,. 7 ~,,.,,S toQ'

S ~-",:,:;;~ ~ .. -="/#-"'''; """ $#..-,/

£i ~/r:7...!.:~tO' er.::·;:"f;;:' :::r-r7.:7.,,~

_' •• 0. _ ._._. __ Ji_. ____ _

... ...

"I If)

'"

o

I I _ .

I

!' "'" I

"

I,

I ,§'

I

.! )'

I --~",-T-

to

92

170

69

1 i ---

:'~ < ~~. '~~'. --•••• ---

'~ I' I /.' "'" '.' • . '<. • 0"

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

" .

_ ~nlVK.

_.< ___ "L SURVEY

93 94 __ 5_7_' ~O __ " _____ '9_5 ___ . ______ _

25

U.S. DEPi-\ l\ATIONAL IMA ..

'96

Kaloli Point

o

o

« « 0 0 0.. .:E .S UJ -Cl .....J cl: <C C/) Z "" ~ 0 ~ :::J -l- <D

<r. !'!'

Z '" CI'O "'. c, ..

cc: ! :>

~ f'J! ,. m' - I ~

:>-UJ > ex:: ::J \I)

..J t )

~i

\ "f

' .• 1/ ~ \ i I"' r /

.L

= •• ...,. ---

4YW XY' ........ JjWlI __ OOOU"""

..cD."I.'-&. _ .....

. ,.I .... ..,"., •• ColO" '''~,;A.t

""" . .1.;& IOi 6 "--,, e 111"'-'. _:>

r.£';..~J m ;:; .,,-, o ... .,-",~ -"¥<#I'

.,. ..• ~ •• II I8i 6 -.

a~~~=~ .-.... ~ . .., At,.} Cil\

S~··.::.~ S ~.ItWJ

~. it; ~A-~ .... : ... ,.11 ;"I

:.j!;:-:: !;!. .. Itm'"- ::;-~r.:.

,:,. III

~ -...- .. ~ IS ~~:.

..,. P; HI e';'=::-~':' e~~,.!:

AI .. _ ·~CJI S .. -="v r-..=:"'~~

591 """,_ "I e~~~c;.~"'''~

r":~. I; ., 1/" iii ~iot~ .. t.:ti:! ~.s .l:"!.1E::

til JW fii GL_~t1r::; &r.;:.,~";~.:.;

... .. .. .. • ..

LL -----

\ .

08£ £

"f

0.; •

'." ;-'.''''!'.

, : .; ~;

~:' . :.' ..

,"

o

" . .... ; ..... ~

.a

..... -.:~

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

~ t

pgC 06, 1.999

Doc No(~) 2592969

on cert(S) 343,753

Issuance of Cert(s) 544,214

lsi CAR~ T. WAT~AB~ ASSIS'l'ANT REGIS'l'lt.AR.

CONVEYJlNC~ 'TAX: $1.15.00

LAND CO T SY TEM Return by Mail (x) Pickup ( ) TO:

ROBERT DEAN WATSON MICHELLE KUNIYO WATSON 348 D. Lanikukia . Place Hilo, In 96720

RE ARSYSTEM TG: 398156 17 TGE: 993011331

Yvonne Santos

Total Number of Pages:

TITLE OF DOCUMENT: WARRANTY DEED

PARTIES TO DOCUMENT:

SELLER: ALLYN TROY ALBRECHTSON, husband of Fern Hanako Albrechtson, whose mailing address is P. O. Box 611, Naalehu, m 96772

BUYER ROBERT DEAN WATSON and MICHELLE KUNIYO WATSON, husband and wife, whose mailing address is 348 D Lanikukia Place, Hilo, m 96720

PROPERTY DESCRIPTION: LOT 2051, BLOCK 7, as shown on Map 58 filed in the Office of the Assistant Registrar of the Land Court with Land Court Application No. 1053 (amended) ofW. H. Shi man Limited AFFECTS TAX MAP KEY (3) 1-5-052:073

LffiERIPAGE: DOCUMENT NO.: TRANSFER CERTIFICATE OF TITLE NO(S).:

Prepared by the Law Offices of James C. Clay, 75-5870 Walua Road, Suite ?(l1 v-" --

~ J

f r f

SELLER:

BUYER:

o

WARRANTY DEED

ALLYN TROY ALBRECHTSON, husban4 of Fern Hanako A1brechtson, whose mailing address is P. O. Box 611, Naalehu, m 96772

ROBERT DEAN WATSON and MICHELLE KUNIYO WATSON, husband and wife, whose mailing address is 348 D Lanikukia Place, Hilo, m 96720

DESCRIPTION OF PROPERTY:

The property covered by this Warranty Deed is described in Exhibit "A", attached to this document.

SALE AND TRANSFER OF PROPERTY:

In return for the Buyer's payment of the purchase price as agreed between Seller and Buyer, the Seller sells and transfers the property described in Exhibit "A" to .the Buyer.

SALE AND TRANSFER OF OTHER RIGHTS:

Seller also sells and transfers to the Buyer the following:

(A) All improvements located on the property;

(B) All rights the Seller has in other property because ofthe Seller's ownership ofthe property being sold (these rights are known asUeasements and appurtenances");

(C) All rents or royalties from the property;

(0) Any mineral and metallic rights owned by the Seller in the property; and

(E) All other rights or privileges that the Seller owns because ofthe Seller's ownership of the property.

BUYER'S TENANCY:

The Buyer will take and own the property as TENANTS BY THE ENTIRETY. The Buyer will also own the other rights described above in the same tenancy.

SELLER'S WARRANTIES:

By signing this Warranty Deed, Seller gives Buyer a general warranty of title. This means that Seller guarantees:

2

," o o

(A) That the Seller lawfully owns the property and other rights being sold to Buyer;

(B) That the Seller has the right to sell and transfer the property and other rights described in Exhibit "A" and this Deed;

(C) That there are no other claims by any person against the property or the other rights being sold and' no -other person has any rights in the property unless those claims or rights are described in Exhibit "A" under the title "SUBJECT TO"; and

(D) That if any other person makes ariy lawful claim against the property or the other rights being sold, or has any rights in the property, and those claims or rights are not described in Exhibit" A" under the title "SUBJECT TO", then the Seller will defend the Buyers ownership against those lawful claims and rights. The Seller does not have any obligation to defend the Buyers ownership against any claims or rights described in Exhibit "A".

DEFINITIONS:

The word "person" includes natural persons, business organizations and any other entity the law allows to own property or conduct business;

The words "Seller" and "Buyer" include the persons named in this Deed and those who take over or succeed to that person's rights or interests, whether by purchase, inheritance, operation of law or otherwise.

DATE:

~ This Deed is being signed by the Seller on the~ day of N'G \J ~\It be yo , 1999.

"SELLER" ~~Ck--~

APPROVED AS TO FORM:

3

j~~:~~ i~,~~- · rfl"j_11 ~*~,;;:::;. ... motor type, h.p., voltage, rpm: . fay! 1 £tv......

Documents

j: i~,~~- · rfl"j_11 ~*~,;;:::;. ... motor type, h.p., voltage, rpm: . fay! 1 £tv......