ken c. kawahara. p.e. meredith j. ching … m.d. donna fay k. kiyosaki, p.e. lawrence h. milke,...

LINDA LINGLE GOVERNOR OF HAWAII

Ms. Tracie Sober 91-458 Komohana Street Kapolei, HI 96707

Dear Ms. Sober:

'. '

Q

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU. HAWAII 96809

August 7, 2008

Well Completion Report Part I for Well No. 3307-25

LAURA H. THIELEN CHAIRPERSON

KEN C. KAWAHARA. P.E. OEPUTY DIRECTOR

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

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

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

3307-25 wcrl.acc

We received YOly"Well Completion Report Part I for Well NSLF-002 (Well No. 3307-25) on February 29, 2008 and acknowledge that it is complete.

This completes your obligation under the well construction permit. A certificate of well construction completion will be issued to the well operator/landowner and you will receive a copy. This certificate transfers responsibility of specific aspects of well usage and maintenance from you to the well operator/landowner.

If you have any questions, please contact Denise Mills of the Commission staff at 587-0251.

Sincerely,

;S:~~wt::,~ Deputy Director

DM:ss

c: Sean Ginella, North Shore Land & Farming, LLC

/


o o LAURA H. THIELEN CHAIRPERSON



HONOLULU, HAWAII 96809

August 7, 2008 /


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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

3307-25.cwcc

Mr. Sean Ginella North Shore Land & Farming, LLC 95-1064 Kowa Street Mililani, ill 96789

Dear Mr. Ginella:

Certificate of Well Construction Completion for Well No. 3307-25

We are pleased to inform you that the Well Construction work permitted for Well NSLF-023 (Well No. 3307-25), located within TMK (1) 6-6-028:002, is complete and acceptable.

To protect Hawaii's natural ground water resources for the benefit of all, the following requirements apply to the use of your well:

I. Before this well can be pumped on a regular basis, a certificate of pump installation completion must be obtained. Note: Your contractor's pump installation permit expired on March 13,2008.

2. If the well is not in use it must be properly capped.

3. If the well is to be abandoned then the landowner must cause a licensed contractor to apply for a well abandonment permit in accordance with § 13-168-12( t) prior to any well sealing or plugging work.

4. In the event that the well operator and/or landowner changes, the Commission shall be notified prior to the change.

5. In the event the benchmark in the concrete base of the well is altered in any way, an updated version of the Well Elevation page of the Well Completion Report Part I shall be submItted to the Commission. If a licensed surveyor had estImated the original benchmark elevation then a licensed surveyor must establish the new benchmark elevation. The Well Elevation portion of the Well Completion Report Part I can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwnnlforms.htm.

Because ground water in Hawaii is a public trust, and adverse effects at one well may affect other water resources, any violation of the above conditions, or any other provision of the Hawaii Administrative Rules, may be subject to fmes of up to $5,000/day. The CommiSSIOn needs your help and asks that you to do your part in utilizing this shared resource. We prefer to work with you in meeting the goal of protecting our ground water resources together.

If you have any questions, please contact Denise Mills of the Commission staff at 587-0251.

DM:ss

c: Honolulu Board of Water Supply Valley Well Drilling, LLC

Sincerely,

1(~~w11'~ ;;*~Direc[F

/


Ms. Tracie Sober

o o




August 7, 2008

Valley Well Drilling, LLC 91-458 Komohana Street Kapolei, HI 96707

Dear Ms. Sober:

Expiration of Pump Installation Permit, Well No. 3307-25

LAURA H. THIELEN CHAIRPERSON


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

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

3307-25 pip.exp

This is notice that the Pump Installation Permit for Well NSLF-002 (Well No. 3307-25), located in TMK (1) 6-6-028-002, expired on March 13,2008. We received your Well Completion Report Part I for this well on February 29, 2008 and issued a certificate of well construction completion to Sean Ginella of North Shore Land & Farming, LLC, on August 7, 2008.

Based on our records, we conclude that pump installation was not completed within the allowable period. No further work should be done on this well without a valid signed permit. Please remember that this well cannot be pumped for any purpose other than well and aquifer testing without a pump installation completion certificate issued by the Commission. This certificate transfers responsibility of all aspects of well use, water withdrawals, and well maintenance from the contractor to the well operator/landowner.

Any well work without a valid permit, failure to adhere to permit conditions, and use of water from this well (for any purpose other than testing) without a certificate of pump installation completion are violations of the State Water Code (Chapter 174C, HRS) and subject to fines of up to $5,000 per day.

If you have any questions, please contact Denise Mills ofthe Commission staff at 587-0251.

Sincerely,

;t!.~wt~ Deputy Director

DM:ss


--------- ._-_._ ...

......... , . , -- 0

MEMO and ROUTE SLIP (ver. 03/04/2008) 03/12/08

I WCR 1 Check for Well No. 3307 -25 (survey to regulation memo)

1. Pump Tests Check Diane England;];2 ~initial) Yes No

Step-Drawdown Test: followed WCPI Stds analysis attached

~'D o ~ ~o gpm no test required

Constant Rate Test: followed WCPI Stds analysis attached proposed pump cap o.k.

Potential Well Interference:

Potential Stream Impacts:

Additional Testing or Data Required:

Pump Test Comments Attached:

g::: g ~ gpm no .... required

o

o

o

o

if ~

~ 2. Well Log Check Geology Code forwellindex;---~:::I.L. Fm Nam.tOo 1"'-lA- ~gland~l)

\ 3. Construction Check Mitch Ohye -_\100/--- (initial)

Yes No If no. describe deficiency

data complete CJ' 0 followed Special Cond & elevations ~ / 0 well database updated IjI 0

' ..

Latitude Longitude

NAD27 2 I 3""" I "1 I·", (- '- ~ 1 /'\ -, ',./ '-,

NADa3 '2- I ~~ f\ ( t' , ( S3:> ---- C() " '-/P ,,,,,;'

4.ChareRY? ---" ___ (initial) take action based on above analysis ?I p ~ 'J( I'J( O~ .. a

ATIACHMENTS FOR PUMP INSTALLATION PERMIT (2x): 1 COVER LETTER 2COUNTY COMMENTS (DWS/SMA)

3DOH COMMENTS

4DLNR COMMENTS (LD/OCCUDHP)

5WCR 1 Accept

SWELL COMPLETION CERTIFICATE

d<- not necessary - only WCP or BOTH.

} To be sent to driller/pump installer

<------ To Landowner VaM.~ ~N Pvc ~

}. '! 2t7v ,1 t- aAIA ~ ~ Ju1.u

Staff Internal checks - \ (T·~ ··v HI 1A7V~ -

5. Roy ~ (initial) check (Entered WCR 1IWCCC accept date into database) 6. SUS~ (initial) finalize 7. Ken (initial) signature 8. Mitch (initial) signature (Entered PIP issue date if attached/required)

9. Char~~~ile NOTE: I l COMPLETING WCR IS NOT PERMITTED DRILLERl "

~~ (~LM~~ V.ttt~ Wd( Or\~ii~. l1t~.!i:: C:2-f3tJg' i4 ~~\/~ vtp llLtMl ~ (;~-¥-~ [-2-4141, ~~ ?/1of' ./ I

P.rQfessional and Vocational Licensing (PVL) - powered by eHawaii.gov o 0 Page 1 of 1

Professional and Vocational Licensing (PVL) Search - General Licensee

GENERAL LICENSEE

L1C ID: .-.358' Active/Inactive:~"

NAME:,>i,~_8t.l,;.\"U..tU

TRADE NAME:

STATUS: VALID THRU EXPIRATION DATE, RENEWAL NOTICE SENT

ENTITY: PARTNERSHIP BUSINESS CODE:

ORIG L1C DATE: 03/16/1998 EXPIRE DATE: 09/30/2008

CLASS PREFIX: C SPECIAL PRIVILEGE:

RESTRICTION: EDUCATION CODE:

CONDITIONS AND LIMITATIONS:

BUSINESS ADDR:

MAILING ADDR: 91-235 OIHANA ST #A KAPOLEI HI 96707

Click here to enter search criteria for prior complaints history -> For prior complaints and disciplinary history, contact licensing and business information center at (808)

587-3295.

Ucense information on this site reflects information in the Professional and Vocational Ucensing Division as of August 5, 2008; however, applicatio and forms are subject to standard processing time, and the information here does not reflect pending changes which are being reviewed. The site updated daily, Monday through Friday, except holidays. The State of Hawaii makes no guarantees as to the accuracy of the information accessed, the timeliness of the delivery of transactions, delivery the correct party, preservation of the privacy and security of users and makes no warranties, Including warranty of merchantability and fitness fOi particular purpose. User Is advised that if the Information obtained herein is to be reasonably relied upon, user should confirm the accuracy of su information with the provider thereof.

http://pvl.ehawaii.gov/pvlsearch/app?_a=d&_f=n&lictp=CT&licno=21358&off=&nm=V A... 8/5/2008

- Rrcfessional and Vocational Lic_ing (PVL) - powered by eHawaiLgov

W 0 Page 1 of 1

Professional and Vocational Licensing (PVL) Search - General Licensee

GENERAL LICENSEE

LIC ID:~,,;24941 Active/lnactive:~e 'i NAME: ktEr\;y:eu:;~NG d.ct TRADE NAME:

STATUS: VALID THRU EXPIRATION DATE, RENEWAL NOTICE SENT

ENTITY: ORGANIZATION (LIMITED LIABILIlY COMPANY) BUSINESS CODE:

ORIG LIC DATE: 02/12/2004 EXPIRE DATE: 09/30/2008

CLASS PREFIX: C SPECIAL PRIVILEGE:

RESTRICTION: EDUCATION CODE:

CONDITIONS AND LIMITATIONS:

BUSINESS ADDR: 91-458 KOMOHANA ST KAPOLEI HI 96707

MAILING ADDR:

Click here to enter search criteria for prior complaints history -> For prior complaints and disciplinary history, contact licensing and business information center at (808)

587-3295.

License information on this site reflects information in the ProfeSSional and Vocational Licensing Division as of August 5, 2008; however, applicatio and forms are subject to standard processing time, and the Information here does not reflect pending changes which are being reviewed. The site updated daily, Monday through Friday, except holidays. The State of Hawaii makes no guarantees as to the accuracy of the Information accessed, the timeliness of the delivery of transactions, delivery the correct party, preservation of the privacy and security of users and makes no warranties, Including warranty of merchantability and fitness fOI particular purpose. User Is advised that if the information obtained herein is to be reasonably relied upon, user should confirm the accuracy of su information with the provider thereof.

http://pv1.ehawaii.gov/pvlsearch/app?_a=d&_ f=n&lictp=CT &licno=2494 7 &off=&nm=V A... 8/5/2008

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

For Offi~I~r.: ~~7 E 0

WELL COMPLETION REPORT - PART I 08 FEB 29 A 9' 0 4 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 60 days of the completion of work. For assistance, please consult the Hawaii Well Construction and Pump Installation Standards or call the Regulation Branch at 587-0225. For updates to this form or additional information, please visit our website at http://www.state.hi.usldlnr/cwrm/

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1. State Well No.: 3301-L5 Well Name: NSlf - 01 Island: ~O'1.;...:.h_Vl.!....-__ 2. Address: ke'IIA \(ID~ b \/1"1 t 0 \~ nO\!'t K01 q Tax Map Key: ~ -Itt· 010 : 001 3. Drilling Company: ~~\\t1 \;!tll Wi \\ibJ I LLC 4. Drilling method used during construction: I8l. Rotary D Percussion D Other (describe)

5 Date Well Construction (drilled,cased,grouted) completed: 1.1 15/ O~ Attach Completed Driller's Log . monthfday/year

6. Was the subject well cored? D Yes ~ No

7.

8.

Step-Drawdown Test completed? ~ No DYes

I8J No DYes

Attach Step-Drawdown Test form (12117197 SDPTD Fonn)

Constant Rate Test f'nrnnll .. t".r1·, Attach Constant Rate

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

Chloride: 1~3.l ppm, Temperature: OF

. for all elevations referenced to mean sea subtract the depth to the water level.

12. As-built section filled in completely ~

Reference point

13. Photograph of well and concrete pad showing benchmark on concrete pad attached ~

14. GPS coordinates provided in degrees, minutes, seconds [l!I

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: Icc.k\ 11 j C~¥

Licensed Driller (print) ---lir...;...Q._C.:...;.\_t --'-SQ:.....b...;...tJ2-______ _ C-57 Lic. No. _~.::;..4..;....~...;...4..;....t"_ _____ _

Signature ·ht1m ~- Date l·Z.~·Q~

WCR1 Form 6112107 Page 1 of 5

\

Bench mark elevation:

~~.1q ft., msl*

o (Surveyed to nearest 0.01 ft.)

[tI (Estimated)

Grouting method:

~ Positive displacement (if annular space is less than two inches, attach photo oftremie)

o Other

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

Elevation at top of casing <& i .(JI\ ft., msl* (to nearest 0.01 ft.)

1/;'/t0.\

Cement Grout: Z~) (min. 70% of distance fr

_ft,. om

of ft.,

ground elevation to top water surface or 500 whichever is less.)

Annular space between hole and casing (1.5" fo r

3" positive displacement, for other methods):

Z.~ in. ---

Rock or Gravel Packing

140 ft .. Material:

00 Crushed Basalt

o Rounded Gravel

Water Level Elevation

.. ' .. ~ ..

Hole Diameter: 10 in.

f: I ,.. LU

Minimum of 2' Radius & 4" Thick Concrete Pad

Ground Elevation: ~ 5 ft., msl 0 Surveyed 15 Estimated

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

with applicable standards.

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

Length: \ ~ 0 ft.

Nominal Diameter: lj in.

Wall Thickness: ~.15~ in.

Bottom Elevation: ~~5 ft., msl

Open Casing: [81 Perforated o Screen

Length: ___ 4...!....!..~ ________ ft.

Nominal Diameter:_--.l./5~ _______ in.

Wall Thickness: 0 .Z5~ in.

Bottom Elevation: -/35 ft., msl Total Depth

1.? .11 ft. msl*

110 ft. (item 11 from page 1)

I Open Hole:

Length: NA ft. Diameter: _____________ in.

Bottom Elevation: ft., msl *msl = mean sea level

Solid Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSI/AWWA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A 139

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

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

ABS Plastic conforming to ASTM F480 and ASTM D1527: (check one) 0 Schedule 40 dule 80

PVC Plastic conforming to ASTM F480 and (ASTM D1785 or ASTM D2241): (check one): 0 Schedule 80 0 Schedule 120

Thermoset Plastic: (check one)

Open Casing Material:

o Filament Wound Resin Pipe conforming to ASTM 0129!~---

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 D3296

o FEP Fluorocarbon Tubing conforming to ASTM D3296

\I UN I'M!\. ce.~~uL 1(ll(Olt

~ ~I li{tf< _.

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

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

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

ABS Plastic conforming to ASTM F480 and ASTM D1527: (check one) 0 Schedule 40

PVC Plastic conforming to ASTM F480 and (ASTM D1785 or ASTM D2241): (check one): 0 Schedule 120

Thermoset Plastic: (check one) o Centrifugally Cast Resin Pipe conforming to ASTM D2997

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM D3517

o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950

o PTFE Fluorocarbon Tubing conforming to ASTM D3296

o FEP Fluorocarbon Tubing conforming to ASTM D3296

WCR1 Form 6112107 Page 2 of 5

WELL NUMBER: ,50{ -1..1f)

Depths (ft.) Rock Description

_0_ to J!KL --"C-,-,-Iq T+---~to I~~ sr'q vecl

~to 1.1Q &rcq YOCt

__ to ______ _

__ to ______ _

__ to ______ _

__ to ______ _

__ to ______ _

__ to ______ _

__ to ______ _

__ to ______ _

__ to ______ _

__ to ______ _

__ to ______ _

__ to ______ _

__ to ______ _

__ to ______ _

__ to ______ _

Remarks:

o o DRILLER'S LOG

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

Water Level CI- Dates Depths (ft.) Rock Description Water Level CI- Dates

-- ~~ to -- -- -- --

\~G bj~ @1~30 SI~\G~ --to -- -- --~3.5b3~\Q) O~OO~O~ --to -- -- --

to -- -- -- -- -- --

to -- -- -- -- -- --to -- -- -- -- -- --to -- -- -- -- -- --to -- -- -- -- -- --to -- -- -- -- -- --to -- -- -- -- -- --to -- -- -- -- -- --

to -- -- -- -- -- --to -- -- -- -- -- --to -- -- -- -- -- --to -- -- -- -- -- --to -- -- -- -- -- --

to -- -- -- -- -- --to -- -- -- -- -- --

weR1 Form 6112107 Page 3 of 5

•

o

Attach photos of completed well and concrete pad

o

NAD83: Latitude: lL degrees ~ min M sec Longitude: l.5L degrees Jl..!L min 51. .k, sec

EXAMPLE

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

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

weR1 Form 6112107 Page 4 of 5

___________________________ 11 ___ _


o



HONOLULU. HAWAII 96809

July 11, 2006

PETER T. YOUNG CIWAPERSON


CHIYOME L. FUKlNO. M.D. LAWRENCE H. MilKE. M.D .• J.D.

STEPHANIE A. WHALEN

DEAN A. NAKANO ACT1NO DEPUTY DIRECTOR

Ref: 3307-22 & 24.variance

Mr. Mike Sober Valley Well Drilling, LLC 91-235A Oihana St. Kapolei, HI 96707

Dear Mr. Sober:

Thank you for providing additional infonnatio.n to support your request for a variance to install greater than 200 feet of PVC casing in Well Nos. 3307-22 & 25. From your letter, we understand that you will be setting the cement-bentonite grout in lifts of 40 to 50 feet with a minimum of 48 hours between pours.

LYN:ss

Your request for a variance is hereby approved, subject to the above grouting process.

Ifyo~ have any questions, please contact Lenore Nakama at 587-0218.

Sincerely,

~~.t.2/1<~ DEAN A. NAKANO Acting Deputy Director

__________________________________________ .~~,9<Il

D W~MJ ~NlO:OI W~£S:80 9002-22-Nn£

Valley Well Drilling , LLC

To: Roy Hardy From: Mike Sober

587-0219 Pages: 1

Com~DLNR~RM Date: 612112006

DUrgant o For Review 0 Please Comment 0 Please Reply 0 Please Recycle

• Comments;

Mr. Hardy,

We would like to propose using pvc in the two wells listed above. In order to help reduce the temperature while curing we 'NOuld like to set the grout for the wells in lifts of 40 to 50 feet and anticipate a minimum of 48 hours per pour.

Thanks for your consideration.

Mike Sober

91-235A Oihana Street Kapolei, HI 96707 Phone: (808)682-1767 Fax: (808)682-1768

Ul/10 39'iid IH aMt\ 89LIC;898138

o o LINDA LINGLE

GOVERNOR OF HAWAII



Mr. Mike Sober Valley Well Drilling, LLC P.O. Box 91-235A Oihana St. Kapolei, HI 96707

Dear Mr. Sober:


June 14, 2006

PETER T. YOUNG CHAIRPERSON


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

STEPHANIE A WHALEN

DEAN A. NAKANO ACTING DEPUTY DIRECTOR

Ref: 3307-22 & 25,variance

This is in response to your May 17, 2006 facsimile, requesting to install greater than 200 feet of PVC casing in Well Nos. 3307-22 & 3307-25. From your letter, we understand that you encountered competent formation deeper than anticipated. Please expand on your proposal to set the seal in timed staged lifts: 1) how much time between lifts and 2) how many feet per lift?

If you have any questions, please contact Roy Hardy at 587-0274.

LYN:ss

Sincerely,

W.f'l'f1 1'z.

DEAN A. NAKANO Acting Deputy Director

/

----------------------------________________ .,.,.~,;!>OOI

o o

Results

05/17/2005 15:35 8085821 ~,8,

"""I

Valley Well Drilling I LLC

To: Kevin Gooding

Fu: 587·0219

Company: DLNR-CWRM NSLF -02&03

Rea We11t;3307-25 & 3307-22

VWD HI PAGE 01/01

From: Mike Sober

Pagas: 1

Date: 5117/06

cc;

o Urgent X For Review o "iease Comment CI Please Reply 0 Please Recycle

• Comments:

Kevin,

After drilling our test boring for the two above wells, we have encountered competent water deeper than anticipated. We would like to request a variance in the construction material. The total depth of the wells are estimated at 220' below ground surface. We would like to continue to use pvc.

We propose that the seal consist of cement with 5% bentonite which will help reduce the temperature while curing. We would also set the seal in timed staged lifts.

Mike Sober

L (1'\.0f' t./ ri\lS d'l ~ ().,.J., '\f~ S .

1<#

91-235A Oihana Street Kapolei, HI 96707 Phone: (808)682-1767 Fax: (808)682-1768

MAY-17-2006 04:31PM FAX: 8086821768 ID:DLNR CWRM PAGE: 001 R=9S%

LINDA LINGLE GOVERNOR OF HAWAII o o

p q: Z 2 STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

- I

STATE HISTORIC PRESERVATION DIVISION , , '1", ~, \ isOJ. KAMOKILA BOULEVARD, ROOM 555

- KAPOLEI, HAW All 96707 ..... ,,--_.,

i\I'

March 23, 2006

Mr. Dean Nakano Commission on Water Resource Management DLNR-State of Hawai'i P.O. Box 621 Honolulu, Hawai'i, 96809

Dear Mr. Nakano:

SUBJECT: Chapter 6E-42 Historic Preservation Review [Private] -


BOARD OF LAND AND NA11JRAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

ROBERT K. MASUDA DEPUTY DIREcmR - LAND

DEAN NAKANO ACTING DEPUTY DIRECTOR - WATER

AQUATIC RESOURCES BOATING AND OCEAN RECREATION

BUREAU OF CONVEYANCES COMMISSION ON WATER RESOURCE MANAGEMENT

CONSERV AllON AND COASTAL LANDS CONSERVATION AND RESOURCES ENFORCEMENT

ENGINEERING FORESTRY AND WILDLIFE HISTORIC PRESERVATION

KAHOOLAWE ISLAND RESERVE COMMISSION LAND

STATE PARKS

LOG NO: 2006.0821 DOC NO: 0603CM76 Archaeology

Well ConstructionIPump Installation-NSLF-02 Well (Well No. 3307-25) Kamananui Ahupua'a, Waialua District, Island of O'ahu TMK: (1) 6-6-028:002 (portion)

Thank you for the opportunity to review the aforementioned project, which we received on February 17, 2006. We apologize for the delay in responding. The proposed undertaking involves the construction of a new well and pumping system.

We believe that no historic properties will be affected by this undertaking because: o a) intensive cultivation has altered the land Db) residential development/urbanization has altered the land o c) previous grubbing/grading has altered the land o d) an acceptable archaeological assessment or inventory survey found no historic properties De) this project has gone through the historic review process, and mitigation has been completed ~ f) other: The small size of the area of potential effect (12" dia. well hole with an approximately 2'

by 2' concrete slab cap).

If historic resources, including human skeletal remains, are identified during the construction activities, all work needs to cease in the immediate vicinity of the find, the find needs to be protected from additional disturbance, and the State Historic Preservation Division, Oahu Section, needs to be contacted immediately at (808) 692-8015.

CM

o 0 WELL CONSTRUCTION PERMIT

NSLF-02 Well, Well No. 3307-25 Note: This permit shall be prominently displayed at the construction site until the work is completed

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the construction and testing of NSLF-02 Well (Well No. 3307-25) at TMK 6-6-028:002, Oahu, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

IS.

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

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

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

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

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

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

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

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

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

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

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

If the well is not to be used it must be prorerly capped. If the well is to be abandoned during the course of the project then the permittee must apply for a well abandonment permit in accordance with § 3-168-12(t) prior to any well sealing or plugging work.

The permittee, its successors, ~~ assigns shall indemnify, defend, and hold the State ofH~waii h~less from and against any loss, 1.~.~I!I!~i ility, claim, or deman.d for property damage, personal mJury, or death ansmg out of any act or omIssIon ofthe appitcant, asSIgnS, officers, employees, contra~ and agents under thIS permit or relating to or connected with the granting of this permit. (..\ ,:\

This permit shall. apply to the locat!on sho~ on th.e appli~ation only. If the well is to be relocated, the permittee shailitPJ,iyfor a new~l construdl\'nlpump mstallatton permIt m accordance with Hawan Admlntstrattve Rules §13-168-12(t). ~.::i ·.l

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

'\

Date of Approval: March 13, 2006

Expiration Date: March 13, 2008 PETER T. YOUNG, Chalrp~son :: Commission on Water Resource Management

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

Driller's Signature: tfzivy)., ~ Date: 3-ZA--o~ C-57 License #: 21358 ----------------

Printed Name: Tracie Sober Firm or Title: Valley Well Drilling, LLC

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

Attachment

o PUMP INSTALLATION PERMI~ NSLF-02 Well, Well No. 3307-25

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 NSLF-02 Well (Well No. 3307-25) at TMK 6-6-028:002, Oahu, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

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

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

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

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

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

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

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

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

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

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

11. The permittee, its successors, and assigns shall indemnify, defend, and hold the State of Hawaii harmless fro~d against any loss, liability, claim, or demand for property damage, personal injury, or death arising out of any act or omi~on of the ~plicant, assigns, officers, employees, contractors, and agents under this permit or relating to or connected Witlr~e gran~ ofthispevnit.

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

Date of Approval: Expiration Date:

March 13, 2006 March 13, 2008

PETER T. YOUNG, Chairperson Commission on Water Resource Management

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

Installer's Signature: tJ:pvm ~ C-57, C-57a, or A License #: 21358 Date: 3 .l4.(J~



Attachments

--'i ,I ., LINDA LINGLE

GOVERNOR OF HAWAII

Ref:3307-25.wcp

Ms. Tracie Sober Valley Well Drilling, LLC 91-235A Oihana St. Kapolei, HI 96707

Dear Ms. Sober:

o o




Well Construction Permit NSLF-02 Well (Well No. 3307-25)


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

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

STEPHANIE A. WHALEN


March 22, 2006

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

Special Conditions

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

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

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

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

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

If you have any questions, please call Lenore Y. Nakama of the Commission staff at 587-0218.

Sincerely,

W.fiH 1't

Peter T. Young Chairperson

Enclosures

c: Sean Ginella (with applicable comments - DOH SDWB, CWB) USGS Honolulu BWS

!

o 0 WELL CONSTRUCTION PERMIT

NSLF-02 Well. Well No. 3307-25 Note: This permit shall be prominently displayed at the construction site until the work is completed

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the construction and testing of NSLF-02 Well (Well No. 3307-25) at TMK 6-6-028:002, Oahu, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

I.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

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

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

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

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

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

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

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

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

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

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

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

If the well is not to be used it must be prorerly caf:,ped. If the well is to be abandoned during the course of the project then the permittee must apply for a well abandonment permit in accordance with § 3-168- 2(f) prior to any well sealing or plugging work.

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

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

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

Date of Approval: March 13, 2006 Expiration Date: March 13, 2008


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

Driller's Signature: C-57 License #: 21358 ------------------ Date:

Printed Name: Tracie Sober Finn or Title: Valley Well Drilling, LLC


Attachment

----------------------------------------------------------"""""""",,,,,,


Ref:3307-25.pip

Ms. Tracie Sober Valley Well Drilling, LLC 91-235A Oihana St. Kapolei, III 96707

Dear Ms. Sober:

o o




Pump Installation Permit NSLF-02 Well (Well No. 3307:..25)




STEPHANIE A. WHALEN


March 22, 2006

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

Special Conditions

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

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

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

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

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

If you have any questions, please call Lenore Y. Nakama of the Commission staffat 587-0218.

Sincerely,

WfiH 1't

Peter T. Young Chairperson

Enclosure

c: Sean Ginella (with applicable comments - DOH SDWB, CWB) USGS Honolulu BWS

/

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

•

o PUMP INSTALLATION PERMI'O NSLF-02 Well, Well No. 3307-25

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 NSLF-02 Well (Well No. 3307-25) at TMK 6-6-028:002, Oahu, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

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

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

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

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

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

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

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

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

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

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

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

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

Date of Approval: Expiration Date:

March 13, 2006 March 13, 2008


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

Installer's Signature: C-57, C-57a, or A License #: 21358 Date:



Attachments

o o

Results

09:46am

TO;

FROM:

From-DOH/Saf~ D~~ini Wat~r Branch \,.,'"

STATE OF HAWAII DEPARTMENT OF lAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOU~E MANAGEMENT P.O.BOX~1

HONOLl,1lU. HAWAII 96BQ9

February 13, 2006

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

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

PeterT. Young. Chairperson ~ Commission Oil Water Resource Management

H69 ./- .,...-...; V I-£.-

PETeR T. YOUNG ~1R'I"I!JlGoN

MEREDITH J. CH ING JAMES A. I'RAZIEf'{ NliiAt S. FUJIWARA

CHn'OME L. FUKINO. M.D. LAWRENCE H. MilKE. MD .. J.O.

STEPHANIE A WHALEN

DeAN A NAKANO "'t:TlNG.~~mIO!CTOR

SUBJECT: Well ConstructionfPump Jnstallation Permit Application NSLF-02 Well (Well No. 3307-2~

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

We would appreciate your comments on the captioned applications for any conflicts Or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning thi§ ~ov~r meDlo form hy March 13.2006. Jfwe do not receive comments or a request for additional Teview time by this date, we will assume that you have no comments.

Please find the attached maps to locate the proposed wells. If you have any questions about these pennit applications, request additional infonnation, OT request additional review time, please contact Lenore Y. Nakama of the Commission staff at 587·0218.

LYN:ss Attachment( s)

RESPONSE: [ J

[ 1

( 1

[ 1

I J

l1rl' [ J

[ 1

Thi. well '1.",lific. as a SOIll'CC whicll will servo i1S' :soW-CC ofp<>o.blo Wi!t~r toa publicW81cr S)'Slt:m (d;tincd as serving 2:i or mol'; people atlil3S1 60 ,b,ys per year or has 15 or 1lI0tli! ."",ic. con~ions) alld .nust I'ec"i~ Dire4ltor ofH~I), approval w:im:tO il!l tI!IC 1U cumply with Hawaii Adm,n'oIrntive Rules (HAR). Title II, CI!;IPleT 20. RIIIc:s Relating to P01.3bl" W~r Systcms, §1I-20-19.

n.is wdl de •• "". QllllljJY as a source sC"vill~ .. ~I~ wa .. r system (SClVl!$IIO$~ than 25 people or mOTe Il<'"pl~ at Icast60 days J'l'ry ... ,r or 15 service COlllleClions);m1l iftl1; .,.,;11 wat~r is used tor drinkmrH the privale owul!r ,,1"'1I1d tC:SI for bactcriologit,'l <lnd chemical pregell~e heron: ilritiatingsuch lI.~e s .. d ruu',nely monitor tile WaIer 'l.ua.lily Ib ... l5d\",r. H()we~r. if fULure pliJr.""d ll1e from thi3 sour ... j",;r;<tscs 10 IDCCI the public Wilto:f system dcfilli,itln Ii .... Dt"'~t()f ofHcal1h appro~aI IS tequir.,,, l!!i!!l: 10 implcmc.tllation.

11'\11. w!:'11 i6 used to supply boLh pDI~blr: aDd lIon-potabk pW'P"""~ in a single 9ygtclll, 01. user shilll eliminatc crO!ls-tunn~~tiollS IIDII bacldJo .... oonncctioJl3 by physicnUy sepmting potable a..u .. on-""t:lble SYStems by "" ..... Il"JI or "" npprovcd bacl.Jluw pT"""nter. and by cl=ly 1ab.!lmg.U nonpc>lilblc spigots wiliL warning ~iJll1li 19 pl'Qvcm inad-.cl'l"nt consumption of IIOIl-pOlobho wOlt .... Bookf)ow prCVetl1lQD devi= should be routirl"ly inspected ;mel t.$t~.

It do;,~ n~1 alJl)e<,r tll2l this well will b.! ... ",d jor amsumptivc PI!rpO"'~ .~d is 1101 subject 10 $afe Ormking Water Rcsulillillll1i.

Fot lh~ allpli,ant's information, a iiOw'a! of possible wastewater Cl)nl;lmination [ lis [ lis Olot 10«,I,.d ncar the pro~ w .. U $it~ (intbnnaliO'l atl3clHld).

All NPDES pOr11lit is ICqllired.

OthCf relevant DOH ("Ie!lln:l!\lhlti~ns. infOIDIstion, or rI!COmmelldations arc attacll..,J.

In Ih ~nr thai the locat.ijln of I •• wen ..nmacs bUi iii !.!.ill within dlC I»IfI;CI dC9<:rib..d "" thi. >ppl~{ion. Oui dive.lon co",;id"", ~ ~rnln~III.I" .~11 be 3pplitablo. ;mel we an n<:>r ~1l'1;~ to review the Dew loc.atiou.

No ~ommentgfobjecli~ ...

Contact Person: Stuart Yamada Phone: _5_8_6-4_2_58 __

Date: __ c::.~)_~....:..·a~A--='(!)::..lG.::Io Signcd:_-,~,,---~. ,....~-r---=----~----~--27

MAR-01-2006 09:45AM FAX: 8085864351 ID:DLNR CWRM PAGE:003 R=96%

03-01-1)\: 09:46am From-DOH/Safe Dr..i-"\',i nil Water Branch 9085964351 T-OZ3 P.004/00T F-Z69

" .-3-3307-25 Oahu

The Department of Health, Safe Drinking Water Branch has the following additional comments for the Well Construction I Pump Installation Permit Application for the NSLF-02 Well (Well No. 3-3307~25 Oahu):

Underground Injection Control (UIC) Comments:

. In general., a shallow well, or a well that recharges quickly from local rainfall, should not be used as a potable water source because such a well increases the risk of having unsatisfactory groundwater quality that when consumed may compromise health. Factors that directly influence a well's groundwater quality include wastewater disposal systems (cesspools, septic systems, drainage wells), lawnlgardenlcrop-growing activities, and even the pr0ximJty to the ocean where salt water intrusion may occur.

2/28/06

MAR-01-2006 09:46AM FAX: 8085864351 ID:DLNR CWRM PAGE:004 R=96%


TO:

FROM:

SUBJECT:

o o

STATE OF HA~ fEB' '"' A I) '0 DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WAT;~ B~~~~URtr~~f~~~T& co HONOLULU, HAWAII ~T I,W. i{ I. ,) G UR C '_ S

February 13, 2006

Russell Tsuji, Administrator Land Division

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

SOl ,,\:: Cl'. if WAll t''\" !,~ \ ,., •• , lo

Well Construction/Pump Installation Permit Application NSLF-02 Well (Well No. 3307-25)




STEPHANIE A. WHALEN


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

We would appreciate your comments on the captioned applications with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by March 13, 2006. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please find the attached maps to locate the proposed wells. If you have any questions about these permit applications, request additional information, or request additional review time, please contact Lenore Y. Nakama of the Commission staff at 587-0218.

LYN:ss Attachment(s)

RESPONSE:

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

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

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

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

[ ] No objections c.:x

~ Other comments: Original source of private title is Grant 164"~ iss~Ekl prie,r to s ta teh60d . '; ( J ~

Contact Person: ____ G.::..a=r::...yL.....:,Ma:..::=r=-t.::..l=· n'-'--_______ _ Phone: 587-0421

::.::.

Signed:_~L_~_c:.. __ L~_7+--~ ___ ---=:::.........!I!""""""'_}J.-_

C:3 Date: FEB: 2 1 2008'·

-----------~c~>

C'>

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

o o LINDA LINGLE PETER T. YOUNG

CHAIRPERSON GOVERNOR OF HAWAII

TO:

FROM:




February 13, 2006


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

Peter T. Young, Chairperson 11 Commission on Water Resource Management



STEPHANIE A. WHALEN

- \ , 1

--


t1 n

SUBJECT: Well Construction/Pump Installation Permit Application NSLF-02 Well (Well No. 3307-25) .,r •• -Transmitted for your review and comment is a copy of the captioned Well Construction/Pump

Installation permit application.

We would appreciate your comments on the captioned applications for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by March 13,2006. Ifwe do not receive comments or a request for additional review time by this date, we will assume that you have no comments.



RESPONSE:

[ 1

[ 1

[ 1

[ 1

[ 1

[ 1

[ 1 [ 1

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

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

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

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

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

An NPDES permit is required.

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

In the event that the location of the well changes but is still within the parcel described on this application, our division considers the comments to still be applicable, and we do not need to review the new location. >' No comments/objections NO Pi. CAJJ-t7lJ ,

Contact Person: Lo vj I-'WYJ' I<ctrnl Phone:

Signed:~~' Date: --------------------

.. Fe' ,

.r

04:06pm From-DEPT OF HEA,~ENVIRONMENTAL MNGMT 8085864352 T-602 P.002/00Z F-283 V

PETER T. YOUNCl CHA.IK"e.ktSO~

MEFlEOlTH J. CHING JAM5S A. FRAZIER I '1' r l NEAL 5. FUJIWARAL4<'t1 V

CI'IIYOMI!' L FUj(INO M.D. LAWRENCE H. MilKE, M,D" JO.

STEPHANIE A WHALEN

STATE OF HAWAII oeAN A. NAKANO Atj'I'UIIQ OE.Pu'(y OIA:'CTOR

TO;

FROM:

OEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

P.O.80X621 HONO~ULU. HAW~I 00809

February] 3,2006


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


SUBJECT: Well Construction/Pump Installation Permit Application NSLF-02 Well (Well No. 3307-25)

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

. We would appreciate your comments on the captioned applications for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Plea~e respond hy returniD~ this cover;, mell!o form by March 13, 2006. If we do not receive comments or a request for adaitiona review time by this date, we will assume that you have no commems.

Please find the attached maps to locate the proposed wells. If you have any questions about these permit applications, request additional information, or request additional review time, please contact Lenore y, Nakama of the Commission staff at 587-0218.

LYN:ss Auachment(s)

RESPONSE:

[ I

[ I

[ 1

[ I

r 1

[ 1

>< [ 1

Tlu~ w~11 qu~lili~ a, ~ >l,)Ilr¢(o whieh ",ill ~f,e ~s a ~~LlfC~ of pO!able w:uef~':' a ~Llbli~ 'wattf ~y6l/;J'll (dcfi ... ~d as sc .... illi; 25 Of .1\00'B lJOOplB a.IIBa.~t 6() :lays per )I~nr or tm~ 15 Dr lTlor~ ~~r'iQ~ CI,'nn~lk>n') :md Ill"" r<>c",jv", piracl':" of J1eallll _ppr£),aIIJrior 10 jL-l ij~~ \0 tlJlllflly "ill. ~waji ACimilli>lrllliv>: RijJos (HAR). Title 11. Chap<cr 20. Rul", R~I.tiD!1to Potilbl~ Wator '$~t~lno. ~11·20.l9,

This w~1I doe~ n('1 qllitlif) a, a ~\lTt~ ~rvins a 'pLlblit wilt.r 3y~le,Y\ (SIlrv&S I~ss Inal11S people or more people allcasl60 days per' yea.!' or IS ~rviCB connections) and 'flhe w~1I water I. m~d for dnnl,in8. tll~ priv~t~ own"r ~hollid ~ fOr biioleriOl(>lljl,l/\l "n4 ~IJlilmie~1 plW<'n9'" bQfQr.: iniliillinK !;tIQI'I'~t: ~1I4 I'OLl~illQl)' Jl\o~iror rhe war~' qualiry thereafter. However, if future planned uu from thi~ ,;(IlITce incr~D~=~ (0 meet the public WIlIer sYSlem definition then Dir~~1")1 or Hgallh a)ll)teval i~ reqllirll41lriorlo iJllpl~mell18lioll.

Iflh~....,1\ iSIIgj!d to StIPply boil! potable aJJd nOli-potable pmpose. in 11 single ~)':srem, th~ lI~r ~bl1lJ eiimillill( cro.;,;-wnncclions ond backtlow connections b)' p~sicillly "'f'ilr~,ing potablo: ;md nllrl"f",e;II!>le '~Melll~ b) an ;ii' g,ap or a" approved b~ckno .. pt'llwnlet, aJId b} clearly ~bcli"g 1111 nonporable spillOIS ",irll WArning &igM I" pr~\I\;lIlt in;I<'''~!T'''n1 cQ~~Qmprio" <>r"",,·p013llle "~Ier. Saeknow prev."lioli (jeV\(:~ ~OLLI<I Ix> fUIJIinely in,p"'IlIed :mc!I .... I.,q.

II dO~$ nOI ilppo;tr th .. t Ihi. well will b~ LJ~ ... <lI"r ~ClII~tnJlPli,e pu ... "~~s •• ,,1 i~ tICll subj<Ct 10 Sati: Drill\:i'lll Warcr RcSUlltiOL1S.

FOI' th" ~rpli"~nt" i"COrmatiol~ a sOurce "fp"s~ibl. waSIBwarCtCo.lt&tni.lation I lid I J is 1101 localed ncar the propo6Cd well sile (i'lformalioa attached).

An NPDES pml1it is r~quite<:l,

Other relevant DOH nclc.lrel!l'I'llIoll~> infonn<ltion, or =~mm~",I~tion$ ;II'OIIIIIIIlII"d,

In Ihe o:v<lnt lhilllb", "".~tion or II ... _II ch."l;"S bijl is. .till .. ilbi" HIe pa""~l aolSCl~bcd 011 IbiB applicarioll, QLL~ divisioll coosidel'S III<: Ciltl\ul~lIlS 10 glill be ap~ll_ablt:, ,lnd we do DOl n~~ IQ r"vi~w IIII;' nJ:'w IQ~ili • .Jn.

[ I No commelllsiobjeClion~

Phone: ~f"6-..cg Z) ~ Date: ?Ie ~(~ fa

Contact Person: ~~ Signed: ~.

06A!l}2, FEB-16-2006 03:51PM FAX: 8085864352 ID:DLNR CWRM PAGE:008 R=97%

Fe ,6 04:06pm From-DEPT OF HEAI--'\ ENVI RONIAENTAL UNGMT 8085864352 T-602 P,001/002 F-283

1e Department of Health, Clean Water Branch has the following comments:

For Well-Drilling Activities

.ny discharge to State waters of treated process wClstewater effluent associated with well drilling activities 'is 3gulated by Hawaii Administrative Rules, Title 11, Chapter 55, Appendix I, effective September 22\ 1997. reated process wastewater effluent covered by this general permit includes well drilling slurries, lubricating uids wastewaters, and well purge wastewaters. This general·permit doe~ r,lot cover well pump testing. The ,pplicabJe Notice of Intent Forms and filing fee shall be submitted at least thirty (30) days before the start of lischarge to the'Department of Health, Clean Water Branch at 919 Ala Moana Boulevard, Room 301, ionolu,lu, Hawaii 96814-4920 or P.O. Box 3378, Honolulu, Hawaii 96801-3378. Inquiries may be directed to he Clean Water Branch at (808) 586-4309 or by fax at (808) 586-4352.

!. For Well Pump Testing

rhe discharger shall take all measures necessary to prevent the discharge of pollutants from entering State Na1~us. Such measures shall include, if necessary, containment .9f the initial discharge until the discharge s essentially free of pollutants. If the discharge is entering a stream or river bed, best management practices shall be implemented to prevent the discharge from disturbing the clarity of the receiving watar. If the discharge is entering a storm drain. the discharger must obtain written permission from the owner of that storm drain prior to discharge. Furthermore, best management practices shall be implemented to pr~vent the discharge from collecting sediments and other pollutsnts prior to entering the stol'Tf' drain.

JS/cr

..

~-...... -----

FEB-16-2006 03:51PM FAX: 8085864352 ID:DLNR CWRM PAGE:007 R=96%

o o LINDA LINGLE

GOVERNOR OF HAWAII



Ms. Tracie Sober Valley Well Drilling, LLC 91-235A Oihana St. Kapolei, HI 96707

Dear Ms. Sober:


February 13, 2006




STEPHANIE A. WHALEN


3307-25.rev

Well ConstructionlPump Installation Permit Application for Well No. 3307-25

We acknowledge receipt, on February 6, 2006, of your Well ConstructionlPump Installation permit application and filing fee for the NSLF-02 Well (Well No. 3307-25). You can expect your application to be processed within ninety (90) days from this date.

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

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

If you have any questions about your permit application, please contact Lenore Y. Nakama of the Commission staff at 587-0218.

LYN:ss Attachment

Sincerely,

w.f7h 1't



o o LINDA LINGLE

GOVERNOR OF HAWAII PETt:R T. YOUNG

CHAIRPERSON

TO:

FROM:




February 13, 2006


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




STEPHANIE A. WHALEN


SUBJECT: Well ConstructionlPump Installation Permit Application NSLF-02 Well (Well No. 3307-25)


We would appreciate your comments on the captioned applications for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by March 13,2006. Ifwe do not receive comments or a request for additional review time by this date, we will assume that you have no comments.



RESPONSE:

[ 1

[ 1

[ J

[ J

[ 1

[ J

[ J

[ 1

[ J

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

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

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

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

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

An NPDES permit is required.

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

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

No comments/objections

Contact Person: Phone: --------------------------------------------Signed: __________________ _ Date: --------

o o LINDA LINGLE

GOVERNOR OF HAWAII PETER T. YOUNG

CHAIRPERSON



TO:

FROM:

SUBJECT:


COMMISSION ON WATER RESOURCE MANAGEMENT po. BOX 621


February 13, 2006

Russell Tsuji, Administrator Land Division


Well ConstructionlPump Installation Permit Application NSLF-02 Well (Well No. 3307-25)

STEPHANIE A. WHALEN






RESPONSE:

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

[ ] A water lease/permit is!!.2! required of this applicant.

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

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

[ ] No objections

[ ] Other comments:

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

Signed: __________________ _ Date: _______ _

. _______________________________________________ ' __ ,111~"*""


o o PETER T. YOUNG

CHAIRPERSON

MEREDITH J. CHING JAMES A FRAZIER NEAL S. FUJIWARA


TO:

FROM:

SUBJECT:




February 13, 2006

Melanie Chinen, Administrator Historic Preservation


Well ConstructionlPump Installation Permit Application NSLF-02 Well (Well No. 3307-25)

STEPHANIE A WHALEN

DEAN A NAKANO ACTING DEPUTY DIRECTOR



Please find the attached maps to locate the proposed wells. If you have any questions about these permit applications or request additional review time, please contact Lenore Y. Nakama of the Commission staff at 587-0218. If you require additional information regarding specific information that can be provided by the applicant, please contact the applicant directly at the contact information provided on the application form.


RESPONSE:

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

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

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

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

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

----------------------------------------------------------, ..


o o




February 13,2006

Mr. Clifford Lum, Manager and Chief Engineer Board of Water Supply City and County of Honolulu 630 South Beretania Street Honolulu, HI 96843

Dear Mr. Lum:

Well ConstructioniPump Installation Permit Application NSLF-02 Well (Well No. 3307-25)




STEPHANIE A. WHALEN


Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installation permit application. If you have any comments on this application, please submit them by March 13,2006. Ifwe do not receive comments we will assume you have no comments.

If you have any questions about this permit application, please contact Lenore Y. Nakama of the Commission staff at 587-0218.

LYN:ss

Sincerely,

W.f7H 1't


Well Background Check

Approved Well No. Well Name Applicant Well Construction

Driller Pump Inst. Type Issued Signed WCR1 Accept

o

o

"'9W·~t' A. "i"':)y~'(:>\,,'.,'

NSLF-02

NSLF-09

NSLF-08

NSLF-03

Tuesday, February 07,2006

North Shore Land & Farming, 21358




21358

21358

21358

21358

BOTH

BOTH

BOTH

BOTH

Pump Installation Issued Signed WCR2 Accept

'" ;1YfmJ;h,~, $i',1,~~ ,,,,

Page 1 of1

Department of Commerce & c(5umer Affairs - State of Hawaii - PVL ~Ch Results Page 1 of 1

Department of Commerce and Consumer Affairs Prof{,\".londf <If Hi Vo<:atlQna' ll((<!HlrHJ D,vlllon

I'rofessional and Vocation~" IJcensing Search

LICENSE SCREEN

[ Look up License Type Codes->] Please click a link listed below to display the other screen.

***** GENERAL LICENSEE *****

LIC 10: CT-21358 Activellnactive: ACTIVE NAME: VALLEY WELL DRILLING TRADE NAME: STATUS: CURRENT, VALID & IN GOOD STANDING ENTITY: PARTNERSHIP BUSINESS CODE: ORIG LlC DATE: 3/16/98 EXPIRE DATE: 9/30106 CLASS PREFIX: C SPECIAL PRIVILEGE: RESTRICTION: EDUCATION CODE: BUSINESS ADDR: 91-235 OIHANA ST #A KAPOLEI HI 96707 MAILING ADDR:

Click here to enter search criteria for prior complaints history -> For prior complaints and disciplinary history, contact licensing and business information center at

(808)587 -3295.

<-Back New Search->

EMPLOYEES LIST II EMPLOYERS LIST II INSURANCE/BOND II LICENSE CLASS

License information on this site reflects information in the Professional and Vocational Licensing Division as of February 6. 2006; however. applications and forms are subject to standard processing time, and the information here does not reflect pending changes which are being reviewed. The site is updated daily, Monday through Friday, except holidays. The State of Hawaii makes no guarantees as to the accuracy of the information accessed, the timeliness of the delivery of transactions, delivery to the correct party, preservation of the privacy and security of users and makes no warranties, including warranty of merchantability and fitness for a particular purpose. User is advised that if the information obtained herein is to be reasonably relied upon, user should confirm the accuracy of such information with the provider thereof.

Copyright © 2002 Professional and Vocational licenSing Division

Hawaii State homepage II DCCA II Professional and Vocational Licensing Division

http://pahoehoe.ehawaii.gov/pvVapp?_a=d&_ f=n&lictp=CT &licno=21358&off=&nm=V A... 2/6/2006

o o MEMORANDUM FOR THE RECORD

From: Lenore Nakama Subject: WCPIA for 3307-22 to 24

2/6/06 Called Tracie Sober of Valley Well Drilling to let her know that their C-57 license 24947 is inactive and so we would not be able to accept the applications as complete but would start the review process. Tracie said to amend the applications and use their 21358 license instead.

Department of Commerce & ~sumer Affairs - State of Hawaii - PVL (jarCh Results Page 1 of 1

Department of Commerce and Consumer Affairs Proit'ssiQna! and VocatloncflllH'flSlng D~Vl~IQn

Professional and Vocational Licensing Search

LICENSE SCREEN

[ Look up License Type Codes-> ] Please click a link listed below to display the other screen.

***** GENERAL LICENSEE *****

LIC 10: CT-24947 Active/Inactive: NAME: VALLEY WELL DRILLING LLC

TRADE NAME: STATUS: AUTOMATICALLY FORFEITED DUE TO INSURANCE LOSS (60 DAYS TO RESTORE)

ENTITY: ORGANIZATION (LIMITED LIABILITY BUSINESS CODE: COMPANY) ORIG LIC DATE: 2/12/04 CLASS PREFIX: C RESTRICTION: BUSINESS ADDR: 91-235 A OIHANA ST

MAILING ADDR:

EXPIRE DATE: 9/30/06 SPECIAL PRIVILEGE: EDUCATION CODE:

KAPOLEI HI 96707

Click here to enter search criteria for prior complaints history -> For prior complaints and disciplinary history. contact licensing and business information center at

(808)587-3295.

<-Back New Search->

EMPLOYEES LIST II EMPLOYERS LIST II INSURANCE/BOND II LICENSE CLASS

License information on this site reflects information in the Professional and Vocational Licensing Division as of February 2, 2006; however, applications and forms are subject to standard processing time, and the information here does not reflect pending changes which are being reviewed. The site is updated daily, Monday through Friday, except holidays. The State of Hawaii makes no guarantees as to the accuracy of the information accessed, the timeliness of the delivery of transactions, delivery to the correct party, preservation of the privacy and security of users and makes no warranties, including warranty of merchantability and fitness for a particular purpose. User is advised that if the information obtained herein is to be reasonably relied upon, user should confirm the accuracy of such information with the provider thereof.

Copyright © 2002 Professional and Vocational Licensing Division

Hawaii State homepage II DCCA II Professional and Vocational licensing Division

http://pahoehoe.ehawaii.gov/pvl/app?_a=d& _f=n&lictp=CT &licno=2494 7 &off=&nm=V A... 2/2/2006

Search Results o o Page 1 of 1

Copyright (9217/2006 by Hawaii Information Service

Assessed Values reflect tax year 2005.

Search criteria: TMK Taxkey 1-6-6-28-2

• PUBLIC RECORD DATA Taxkey Subdiv/CondoTnrAddress Owner/Lessee BdsBths Land areaLiv area Last Salelnstr J

r .1-6-6-28-2 F FARRINGTON N SHORE LAND 5.80 ac 0 7/1/2005 QD $43f HWY & FARMING CO

LLC

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

http://webrel.hawaiiinformation.comlREsearchIHIS/Searchlsearch _PUB.asp?NOCACHE=... 21712006

DOCUMENT NO ARTMENT OF LAND AND NATURAL RESOlQS

UAC OR ATTACHED WORKSHEET .. DATE J : anuary 17 2006 ,

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

S 06 326 C 1026 0752 (1 ) $25.00 Valley Well Drilling LLC

(2)

(3)

(4)

(5)

(6)

(7) -.

(8)

(9)

(10)

TOTAL $ 25.00

REMARKS: LINE (1) NSLF-02 Well LINE (2) LINE (3 LINE (4) LINE (5) LINE (6) LINE (7) LINE (8) LINE (9) LINE (10)

STATE OF HA~ 0 DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT APPLICATION FOR A WELL CONSTRUCTION I PUMP INSTALLATION PERMIT

Instructions: Please print in ink or type and send completed application with attachments to the Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. Application must be accompanied by 10 copies and a 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. For further information and updates to this application form, visit http://www.hawaii.gov/dlnr/cwrm.

WELL LOCATION INFORMATION 1. STATE WEll NO. (if already assigned) 12. WELL NAME

~ bo'l-~ NM F -02-f 4. TMK 3. ISLAND

~hll1 The following must be attached before this application is accepted as complete:

For Official Use Only:

"H' 'jQ f ~'f 17

'-11 " ,

(' " '-,

• Portion of 7.S-Minute Series USGS topographic map (scale 1 :24,000) With well location labeled and inc/ude the name of the quad map • Property tax map, showing well location referenced to established property boundaries • Photograph of the proposed well site • A schematic diagram showing the well site, access road and prOposed well infrastructure

Well Operator's Mailing Address J Landowner's Mailing Address

q6 iO~4 KG~q Street

I Landowner's Contact

Mili lGtni HI q~T&q Well Operator's PhOne 1 Well Operator's Fax I Well O~~~s E-mail Landowner's Phone T Landowner's Fax

ZQ3 'Th32. Z.Q3 -1~3to hJf~ @rnNqjj ·rr. Com r LandoNner's E-mail

PROPOSED WELL CONSTRUCTION'v PROPOSED PUMP INSTALLATION

/

7. Proposed Work 8. Construction Type )fJ Construct New Well

10. Proposed Work ~ Install New Pump o Replace Pump

11. Proposed Pumping Rate, gpm 13. Method of flow measurement ~ Drilled

o Modify Existing Well o Dug o Abandon/Seal Well o Shaft

o Tunnel

9. Is this well part of a battery of wells? 0 Yes 0 No

(gallons per minute) ...1M Flowmeter

60 0 Open Pipe i--12-.-P-ro-po-sed-A-m-o-un-t-o-f -----I g ~:~

Withdrawal, gpd (gal/ons per day) 500 0 Other (explain)

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

DEF[;RRED PROPOSED USE

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

~ 16. DomestiC Number of units to be served: I o 17. Industrial (describe)

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

o 19. Military (describe)

o 20. Other (describe)

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

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

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

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

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

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

from the HPD. I m I have not consulted with the HPD regarding potential impacts of well construction activities on histOric sites. I understand that checking with the HPD i. prior to making this application will expedite my review. I further understand that issues raised by this agency may ~~lay.~~. resrl'!i i!l.~enial of th~" ., h-

I oermit issuance, or revocation of the permit after it is issued. Additionallv. the historv of past land use is attached. [.llI) lJI--t.' "I"'I~ r71?lf; nE-k1J Additional remarks, explanations, etc. (attach additional sheet if more space is needed) I , I

NOTE: Signing below indicates that the signatories understand and swear that the information provided is accurate and true to the best of their knowledge. Further, the signatOries understand that upon permit approval: 1) the proposed work is to be completed within two (2) years ofthe approval date; 2) the contractor shall submit to the CommiSSion a well completion/abandonment report within 60 days after the completion date of the permitted work; 3) in the event that the application is not completed correctly, any permit may be suspended until the item is brought in to compliance, and any work done while the permit is in suspension may result in fines of up to SSOOO/day. 24. WELL DRILLER (Must be filled out if application is for Well Construction) 25. PUMP INSTALLER (Must be filled out if appliCation is for Pump Installation)

Valley Well Drilling, u.c 2494'7 2-l P <) <61(:> Valley Well Drilling, u.c ~7 2DS<g Licensee business name C-57 License No.

Tracie Sober [l.W -(}5 Signature Print Date

91-235A Oihana st. Kapolei, HI 96707

Address

682-1767 682-1768 [email protected]

Phone Fax E-mail

Licensee business name C-S7/C-57aiA License No.

~~ Tracie Sober rI.· ZO·o? Signature Print Date

91-235A Oihana st. Kapolei, HI 96707 Address

682-1767 682-1768 [email protected] --------Phone Fax E-mail

WCPI Application Form 05112/2005

/

o

PROPOSED WELL SECTION

o

t· if different from diagram provided below) (Please attach schema IC

\" Hole Diameter: ..... in.

\0 L f-!." Minimum of 2' Radius & 4" Thick Concrete Pad (to contain benchmark Elevation at top of casing _ ft., rnsl~ '_')" __ - /""'- to 01 ft)

-'- __ l-b+! surveyed to neares . . . \00. * ~)t~; '~:." '-. .- Ground ElevatIon: ft., msl

.. --'1'<1!) ~r~·~ HA WAn WE~.:" ~:UCTION AND

(\ :: ~':\ I pUMJ» INSTALLATION STANDARDS

. -' - - --- -- --- ..

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

~I"'" :::.; to ensure that your as-built is in compliance with .; .:. ~ :\ I applicable standards.

\hr ::1 eN j'~1

whichever is less.) J Annular space between hole 1 1--

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

Total Length: \10 ft. Grouting method: and casing (1.5" for positive rJPositive displacement, 3" for other

displacement methods): Nominal Diameter: ~_.,C?J ,r ___ in.

QI'Z:?~ ~.~::: o Other ....

J in. Wall Thickness: B:Ua!6-(} in.

Bottom Elevation: -to ft., msl*

-Rock or Gravel Packing:

Total Depth ~.~ ft. '-.

U~O ft. Material:

o Crushed Basalt

Open Casing: u(Perforated o Screen

Total Length: 40 ft.

---I Nominal Diameter: ~ ~ in. i o Rounded Gravel ~/~ Wall Thickness: ~ Q.2..'7f in.

Estimated Water Level Bottom Elevation: -too ft., msl*

Elevation: note: Neither bentonite nor mud should be used in

2"Q ft. msl* -----c - saturated zone during drilling

I

Open Hole:

bl~ Length: ft.

Diameter: in.

1. __ ._ -. --- -- - . J_ Bottom Elevation: ft., msl*

* 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 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 114 of aquifer thickness or, . ., ( . 41 x Water Level Elevation )

Bottom Elevation of Well LImit = Water ElevatIon - 4

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

Solid Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSI/AWNA C200 0 API Spec. 5L o ASTM A53 0 ASTM A 139

And compliant with (check one or more): 0 ASTM A242 (or A606) 0 Type E o Type 5 0 Grade B o Other

Stainless Steel: (check one): 0 ASTM M09 (production wells) 0 ASTM A312 (monitor wells)

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

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

Thermoset Plastic: (check one) o Filament Wound Resin Pipe conforming to ASTM 02996



o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWNA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

Open Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWNA C200

And compliant with (check one or more): 0 ASTM A242 (or AS06)

o API Spec. 5L

o TypeE

o ASTM A53 0 ASTM A 139

o Type 5 0 Grade B o Other

Stainless Steel: (check one): 0 ASTM M09 (production wells) 0 ASTM A312 (monitor wells)

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

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

Thermoset Plastic: (check one) o Filament Wound Resin Pipe conforming to ASTM 02996



o Glass Fiber Reinforced Resin Pressure Pipe conforming to A'I-MIA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

WCPI ApP. Form 05/12/0~

Dec.19. 2005 11 :16AM

" t~

",

:"" • :::

Sean Ginella o

MAP SHOWING LOTI

o

LAND COlftT APPL.ICATION 1193 (MAP 1) AT ICAMANANJI, W~ OAKI, HAWAI

,',

:;;

":! DA TE~ APRIL S. 2005 i FJELD BOOJ( NO. 2585/12

TJ.4.K.: 6-6-28e) PClrE~.l~~ d:Ia PARK I.NUIII&ERlNG

PAaFlC ... "'-AlA sn: 1500

NO. I U I I

.. '.

'noIIS V«)RK WAS PREPARED BY ~E Ott UNDER NY SUPERVISION

Par En. Inc. elba "AIII( INGINaIIING

~ ______________ ~?1.!-!.11 /(Afj~w. HAWAI'.. •• ________ ."

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34

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ken c. kawahara. p.e. meredith j. ching … m.d. donna fay k. kiyosaki, p.e. lawrence h. milke,...

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