prope~ (1/; - university of hawaii · march 1, 2010 diamond construction and water well drilling...

CORSION ON WATER RESOURCE MANAGEMENT 0 ROUTE SLIP FOR PERMIT ISSUANCE 1/22110

FROM: RYAN DATE: 2/24/10

4 KAWAHARA, K. KIMURA, J. KUNIMURA, I. OHYE,L.

CHENG, C. CHONG,R. DANBARA, S. ENGLAND, D. FUJII, N. -- -3-0SHIRO, K.

-1-HARDY, R. --UYENO, D. -2-HOAGBIN, S. --YODA,K.

ICE, C. --YOSHINAGA, M. 5 IMATA, R.

WELL NUMBER 3687-73 WELL NAME

application type BOT;¢ 1 WCP COVER LETTER 2 WCP 3 WELL CHECK PRINTOUT

proposed well section issu~

4 PIP COVER LETTER 5 PIP

COMMENTS: 6 SDWB 7 WWB 8 CWB 9 HEER

10 LD 11 HP 12 LUC ~ 13 OCCL ~ 14 SMA in SMA 15 BWS (Oahu)

NOTES: DRILLER Rod Diamond

SUSPENSE DATE:

Chanel1

issues?

3

Approval Signature Information

Diamond Construction and Water Well Drilling 23379

TMK

phone fax cell

HCR#3 Box 14073 Keeau 966-4129 966-4129 987-8100

1-5-061:013 16

HI 96749

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft

-2-Type Final

File Xerox copies

if checked, send to applicant

PUMP CAPACITY WELL OWNER LANDOWNER COMMENT DEADLINE

Lausanne Properties Corp _ _)..

Lausanne Prope~ \ 'l/ (1/; , O"' ~ ~

--i ..

LINDA LINGLE GOVERNOR OF HAWAII

Mr. Rod Diamond

0 0

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX621

HONOLULU, HAWAII 96809

March 1, 2010

Diamond Construction and Water Well Drilling HCR#3 Box 14073 Keeau, Ill 96749

Dear Mr. Diamond:

Pump Installation Permit Chanell Well (Well No. 3687-73)

LAURA H. THIELEN CHAIRPERSON

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

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

Ref: 3687-73.pip

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 14:

Special Conditions

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

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. Also, please contact the Noise Radiation and Indoor Air Quality Branch at 586-4700 to check compliance with construction noise permit requirements for this project.

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 copy to the Commission office for our files.

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

Finally, we accept your application as complete as of January 26, 2010.

Ifyou have any questions, please call Ryan lmata ofthe Commission staff at 587-0255 or toll-free at 974-4000 (Hawaii), extension 70255.

c: Lausanne Properties Corp. (with applicable comments- DOH SDWB, WWB) USGS HawaiiDWS

- ftJMP INSTALLATION PERMIT 0 ~hanell Well, Well No. 3687-73 .

Note: This permit shall be prominently displaved at tire site until tile 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 Chanel I Well (Well No. 3687-73) at TMK 1-5-061:013, Hawaii, 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 (HAR).

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

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

4. The pump installation permit shall be for installation of a 16 gpm rated capacity, or less, pump in the well. This permanent capacity may be reduced in the event that the pump test data does not support the capacity.

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

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

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

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

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

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

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

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

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

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

Date of Approval: Expiration Date:

January 26, 2010 January 26,2012

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

Installer's Signature:

Printed Name: Rod Diamond

C-57, C-57a, or A License#: BC-23379 Date: ------

Diamond Construction and Firm or Title: Water Well Drilling

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

Attachments

f


Mr. Rod Diamond

0 0




March 1, 2010

Diamond Construction and Water Well Drilling HCR#3 Box 14073 Keeau, HI 96749

Dear Mr. Diamond:

Well Construction Permit Chanell (Well No. 3687-73)



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

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


Ref: 3687-73.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 a permanent pump. As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 17:

Special Conditions

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

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

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

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

Finally, we accept your application as complete as of January 26, 2010.

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.

c: Lausanne Properties Corp. (with applicable comments- DOH SDWB, WWB) USGS HawaiiDWS

0 0 WELL CONSTRUCTION PERMIT

Chanell, Well No. 3687-73 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 Chanel1 (Well No. 3687-73) at TMK 1-5-061:013, Hawaii, 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.

16.

17.

The Chail£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 staff shall be allowed to inspect installation activities in accordance with §13-168-15, Hawaii Administrative Rules (HAR).

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

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

In basal ground water, the depth of the well may not exceed one-fourth (1/4) of the theoretical thickness (41 times initial head) of the basal ground water unless otherwise authorized by the Chairperson. If it can be shown that the well does not tap basal ground water then this condition may be waived after consultation with and acceptance by Commission staff. However, in no instance can the well be drilled deeper than one-half (112) of the theoretical thickness without Commission approval.

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

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

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

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

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

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

If the HWCP1S 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 proferly 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(f), HAR, prior to any well sealing or plugging work.

The permittee, its successors, and assigns shall indemnify, defend, and hold the State of Hawaii harmless from and against any loss, liability, claim, or demand for property damage, personal injury, or death arising out of any act or omission of the applicant, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the granting oithis 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 §13-168-12(f), HAR.

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

Date of Approval: January 26, 2010 Expiration Date: January 26,2012

EN, Chairperson ater 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:

Printed Name: Rod Diamond

C-57 License #: BC-23379 Date:

Diamond Construction Firm or Title: and Water Well Drilling

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

Attachment

12/11/2009• 13:50 t l .

808-9618742

101 Peuahl Street, Suite 3 I-IIIo, 1-lawall 967204224 (BOB) 961-8288 (808) 961-8742

Fax To: Ryan lmata, OLNR

Fax: (808) 587-0219

Phone:

Re: Well Permit Comments

D Urgi!nt xForRevil!w

PLANNING

0

From=

Pages:

Date:

cc:

0 Please Comment

0

County of Hawaii Planning Dept

Bethany MorriSon

3

12/11/09

0 Please Reply 0 Ple!ast! Recycle!

SMA Use Permit Requirements for Well Construction/ Pump Installation Pennit Applications:

TMK: (3) 1-5-061 :013 Well Name: Chanel #1

PAGE 01/03

12/11/2009• 13:50 808-9518742 PLANNING PAGE 02/03

c PL/Hif!WJG Df!PARn!t;NT

COW~T";' r.,''.r u .• 11Ar;.·1'~·,' LI\URAHTHIELEN LIND/\ LINGI.E QOV~NOI'r Or ~lAWAII ~ n r' I. r. ; ,, j. I CH~1f11"t,.:I!JON

STATE OF HAWAII DEPARTMENT OF LAND ANO NAiURAL RESOURCES . .

COMMISSION ON WATER RESOURCE MANAGEMENT. PO. BOX621


November 23, 2009

Ms. Bobby Jean Lcithead Todd! Director Planning Department County of Hawaii I 0 I Aupuni Street, Suite 3 Hilo, HI 96720

Dear Ms. Todd:

Special Management Area Use Permit Requirements for Well Construction/Pump Installation Permit Application

Chanel 1 Welt (Well No. 3687· 73)

WILLI/1M D. BIILFOUR, JR. SUIANEI'l El'lDMAN

l'l NE.O.L S. FUJIWARA "t: 3? CHIVOMF.I., FUKINO, M.D.

"tJDNNA FAY 1<. KIYOSAKI, P E. LA\1\/flF.NCI; H, MilK&:, M,D ... J.D.

KEN C. KIIWI\MIIRI\, P.E. DFpuTY DIRIH~TOf!

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

We would appreciate your comments on the captioned application with regard to the SMA permitting requirements specific to your division. Please resJ!ond by retnrning this cover memo form by Decemb.er 23, 2009. lfwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this penn it application, request additional info1mation, or request additional review time, please contact Ryan Imata of the Commission staff at 587-0255.

RJ:ss

RESPONSE:

SCANNED Nft&g4fl~3 !I

By: ____ ~

bQ 'rhis well project I. J 1·equires [)q docs not require a SMA. If a SMA is re()uitcd it ( 1 has [ J has not been approved and l ] is [ J is not currently fi.Ciivc.

[ J Other l'elevant rules/regulations. information, or recommendations arc attached.

[ 1 No objections

W Other comments:

W""'\.\ \~ (.p"S'1of.v-ul. Or"'\ CUL~SX}f"~ +.o "\\...L. ~~1\"j s~k--/r;;.,. .. : t..., d~M.Ll~n:J. G3v\\J..~."-) ?~i~ ;;k.- ~"OooS-J~jj.\1- w~ 'isYI't.J ~-- .tt....._ 9-t-:J.~ ~~~\'-{~~·.Hi!;) Q" 1.9\t.~los .

Contact Person: ~~rn.-s:vo -·-· Phone: _ .. ,!.~..!...:1...:...1~-=~'-"----

Signe~···---

1~/11/2009 13:50 808-'3518742 PLAt--itHNG PAGE 03/03

c 0 STATE OF HAWAII For Official Use Onl1: DEPARTMENT OF LAND AND NATURAl RESOURCES RECElVtO COMMISSION ON WATER RESOURCE MANAGEMENT COM· ISSI(IN QM WATER APPLICATION FOR A WELL CONSTRUCTION ~ESO IRCE ~~#~11GEMENT PUMP INSTALLATION PERMIT

Instructions: i"lt!eae prtm In Ink or type and send completed 8flplioatl011 with attachments to the Commlsllifln on water Re601.1rce tllanage~t P.O. Booc 621, HonolUlU, HEIWIIii 95e09. Appbttoo mu!lt M accompanied ~y1 o eopiet! and a nonI'Ofundabl.,. lll/ng Hie cf $2&.00 pa)l3/:lle 1ll t~ Dept. ot l,.ancl and Na~ Rei!OUI'O!IIS. The CQrr1mlsslon may not IIICO!!pt /lleOmpl~te applications. For e~J~te. cal the Relll>iallen BraM~ BlliR7.0225. For !Urthe< lnforrm!111on ana !lpdetea to tl11a applieationlcrm, visit hflp:/1Www.1111W8ll,gcvll:llnr/cwrtn.

V -6 AM g: lt7

Cli7/C.5701A Ut:o'l>o No.

11-2-0!i!

dEC-07-~09 10:48 From:OOH/SAFE WATER~ANH 8085864351

~

To:808 587 0219

"'"· v RECEIVED

LINDA uNCLE SAFE DR.IN'glff ~~if£lf'A11G~:;J)J. ... "

(&;IV!,il:i!N~ Ql" M,.Wp.tl

TO:

STATE OF HAWAII DEPARTMI;NIOI' LANOAND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P O.I!OX,:21

HONOLULU. HAWAII 96009

November 23, 2009

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

Jstuart Yamada, Chief, Safe Drinking Water Branch Alec Wong, Chief, Clean Water Branch Dr. Keith Kawaoka, Office of Hazard :valuation an

(. ti WILLIAM D. BALFOUR, JR. -<1 SUMNER eRDMAN V~- NEAL S. I'UJIWARA "I I Cfiii'OMI:;LFUI<INO,M.O

1 ~?) lJoOl DONI'IA FAY K KIYOSAKI, I' E. LAWil~NCi;; ~- Milk!;, M.O, .J.tl

FROM: W Laura H. Thielen, Chairperson \.-- Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Ap ication Chanell Well (Well No. 3687~73) IV11k(!/) l·?·"-l ~ ~~


We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives spct;ific to your department. Please respond by returning this cover memo form by D«ember 23,2009. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional infonnation, or request additional review time, please contact Ryan Imata of the Commiss10n staff at 587-0255.

RI:ss Attachment(s)

RESPONSE: f}\(_ ~/'I'Vv'tc~ : (~)v.:J1t1.c -~( 2.;MJJ Lf ~ (2-{tf-fo1 ~H ~ 1 1 Th1s well qualifies ~iii a sow:eo which will s•J:VO iS~ :sour~~ ofpot1ble water to a public ~~>au::r syslem (defined as SCli'Ving 25 or mor• p~ople s.t least 60

days JlCI' year or hu 15 1>1" mor• ~~oe COM""Mos) 81\d O!VSt rece1ve Director of Health approvill m.is.!; to iCS = to comply witlJ Hawati Admilll~tt:Mwo R.ule; (H.AA), !itlo II. Ch•ptcr 20. R\11.::3 Rebti~g to J'ot>blc Wator Sy•tcm<, §11·20·29

r l

r 1

( J

r 1

t,() I J

[ .1

This w .. ll does not qualify ·~ a ~ul.ln'e 5"JVin~:' pubh~ water system (suves leu tho11115 pc.oplc or JJ>fjre !l<'O!>Ie ~~ t .. ut 60 <by. per y- or IS ssrvtet Gonnedion~) OJJd 1f the well water is 1.130d for drinlcing, the private OWitet dlould 1~ for b~K>Icriological at1d chom<c;al PI'!!S"TJ~~ ~fore 1nitiat1ng ~uth Ul'O

;and r1J11bnely monito{ tho water quah(y lherftfter However, tf f11ture p!.,r.n<XIIISe &om this OOill'llo incn...;.~ tJ:J 1111'01 th~ pubhc w1ter system dd1mtion th¢1) Dit•oto• (>f Htultl, approv:>l ;, n:quirnd pri<>r to imploml!lll~tion

lftlle well •s used to supply both potable and non-pot11blc pwpo<e; m • siosl• syst<ttt. thv US<Or >h:>ll •limirulto oro15-Conneeuoas and baGidlow eonnectlons by phy!1cally se~tirt8 ~btl! m.d ll<m•potablc systems by an air gap or "" "pprov.,d baoldlow prevmter, 3M by dearly la~ling all liOnpotable spigou with wamiiiJ!: •if!n•to prownt inalh-wtent ~ODSillhpli<m ofn<;m-pobble Wit•r Baoldlow prevention deVIce.< ~ho~!i ~ rolltmc:ly in~l"'"tod :md lcstod

It d-oes 001 ~ppear thai this well Will bt used for COII$umpt(w purpose11 and 11 not subject to Safe Driftlull.!l Water Rcgulalio!l$

For the ~ppheant'~ information, a source ofp<Y.-l'iblc Wi1St¢watcr eontamin:ation J)i~ l I j~ O!lt loootcd neliT th0 propo~ed w~ll s•t; (information atlllcled)

All NPDES pmnll IS requucd.

Othor r~l11vant OOH rule;/regulalloru;. informauon. or recolllll\endatjcl\0 are •!Ulched

ln the c-.cnt lhl the location oftbe Wl'll changes bUllS Still with•n tho pliii"D<!l descri"tN:d on thiS appltca!lo!l, cur dlv<&lon wnsi®rs the c~;~mmonts to ~II be opplicobl.o, and we do not need to review the l\CW la<:Mi<m

No commenti/objc.:tions

Contact Person: -.t-tM4i/lLo4t-J· w=~·~.-...,j_"f-41l-.l.l4\,/P-A/d.~~~f:.4~. ~Signed: -~-::::;7,..L~;:..s::~=t~ .... --..o::-4~;;:::==::::----

Phone:

Date:

DEC-07-~009 10:48 From:DOH/SAFE WATER BRANH 8085864351 To:808 587 0219 c 0

CWRM Application Source: Chanel 1 Well (State Well No. 3687-73)

Safe Drinking Water Eransh En~inee~ing Section

See attached private water wells information sheet.

Underground Injection Control (UIC)

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), lawn/garden/crop-growing activities, and even the proximity to the ocean where salt water intrusion may occur.

Well water quality should be initially and periodically tested for its acceptable and intended use, especially if for human consumption. Water quality should not be presumed acceptable and unchanging. Land-based activities around the well and within the well's recharge area may, over time, have an unacceptable effect on the well's water quality. Well construction materials and related equipment could also affect water quality.

CWRM Well APplication Standard Comments (SDWB) Vers. 6/1107

DEC-07-~009 10:48 From:DOH/SAFE WATER BRANH 8085864351 . ,.... "-"

To:808 587 0219 I""', I.J

P.Y9

WARNING! As the owner of a privately-owned well, you should NOT assume that water

from your well is safe for consumption. It is your responsibility to make sure that your well water is safe to drink. The only way to do this is to have your well regularly tested for bacteriological and chemical cor:taminants.

There are no regulations controlling water quality in private wells serving individual residences as there are for public water systems (public or privately owned utilities supplying water to 25 or m re people ·or-.. 15 service conn'Fctjons). In other words, there are no enf9~ceable limits for c ~minants-a.nd\nO requiremefltsJ for regular testing. Private wells an{o_~en found in rural ar a , where m~n~ a tivitjes-S.I,.I h s pnsite waste\1\!"ater (jisposal can 1Contaminate the-ground

w te_ .............. / / '~.· .. / ·\, '\ . / /:.: ···· ··.'\ \\ 1

[ // • \. ',

u. . NVIRONMENTAL R · recr1 GEN~v\ EP~ Reco MENtiit o ;s i I r_ ·•· · • ··· :, :1 \ • r . . I .· · .. . · . ; : '· ':·-· . \ .,, / ! ; ) I ' ' \ \

T e PA recommend t at priv te well ow_n~rs: test th.eirwe,ll_w~~en each >~ear ta_r suq~. / / co. t minants as Total C liform a teria, Nitrates, as well as .. any,other ~ontaminants_that-may be of concern in your area. More frequent testing may be appropriate if you suspect a problem. EPA also suggests that you consider testing for pesticides, organic chemicals, and heavy metals before using it for the first time. Please refer to the EPA website on Private Drinking Water Wells at http://www.epa.gov/safewater/grivatewells/fag.btml

0THERtO~TAMINMJrS \ / / ... ,

:O~:O~A~~tacdi~~~~rdt:~~.Im~::~n;~:,t . 0~;~~:!!~1i~:~~~;=~g Water Wells \at tt :1/www\e . ov/safe ater/ tiv tewell IWh ouoando:html 1 1 for more h~lp~u i~forma ·o~. ~e aw~re of-whal)a how ou ~;~se;·amhiispo"Se e>r~ household and garden che/iniVal$. Also ~e~~r,rYline t~e (ocatiorYof nea~bY.,sepdp tanks or . .te;};sp~ol~, and agricult~ral_ <\'"_~~dustriat a~!~Vi~i~s in th~ .. ~rea·::·'G~n'~rat in~?r':';lati'onon k~~wn _ch~~ical contamination of ground water m Hawau· c~ln also be found at the DOH webs1te www.hawaii.goylbealth/environmentallwater/sdwb/conmaps/pdf/conmaps05.pdf

LABORATORIES

Local com~e~ciatlabOfatories can be found in the yellow pa es onhe telephone book under "Laboratories,;Analyti¢a~~~ Wheneye?possible, utilize a lab ato at is certified or approved for the specific ~rihking w~te{ t~sts a~d parefuUy·foUow_their ins rue io s for_c;;otlecting, storing, and transporting thE:1, sa~1pl~s. \Ju

1st b¢. ~.ure t9' a~k··tne lab\ to ~se EP · ppr6v~d ·met_,h¥s for drinking

water analysi . \f\ list pf tab,s cef1!f1~d or /apf?roye~ b,y tpe pe art nt df Heat~~ can be found at www.hawaii. v e'al h/env·ro ental at r/sdwb/sdWb/ df es ·n %20babs.··at-. As lab Certification statuSjc~anges co(ist ntly, Confirm theiJ-S~atu~ he y U COI'\Itacfth!11cip, Please note that the lis' i~ l~mited to ~Jtr~ntly re~ulated c.ont9fninan s in p blid.w~te_r ~yst(ffns.

\ .. ·---' ....... ·- ..

RESULTS

Once the lab provides you with the test results, you will be in a better position to determine if your well water is safe to drinK or what contaminant you need to treat for. Generally, you should compare the results with Federal (www.epa.gov/safewater/mcl.html) and State (WMN.hawaii.qov/health/environmentallwater/sdwb/sdwb/gdf/State%20MCL.pdf) drinking water stanoards. Where your test results are greater than the State or Federal maximum contaminant levels, your well water should be considered as unsafe for consumption.


TO:

FROM:

SUBJECT:

RECEIVED LAND DIVISION

STATE OF HAWAII

0

NATURAL NON WATER RESOURCE MANAGEMENT DEPT. Of-ARTMENT OF LAND AND NATURAL RESOURCES

STAr P.O. BOX621 '" E oF HAN n HONOLULU. HAWAII 96809

November 23, 2009

Morris Atta, Administrator Land Division

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

Well Construction/Pump Installation Permit App ication Chanell Well (Well No. 3687-73) TMK 1-5-061:013


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



KEN C. KAWAHARA, P E. DEPUTY DIRECTOR


We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by December 23,2009. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

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

Rl:ss Attachment(s)

RESPONSE:

[ ]

[ ]

[ ]

[ ]

f(}g

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

A water lease/permit is not required of this applicant. M ;o f"'lc-) (1)0 03: $:! ("")(/)~

- ftl(l),.., -c-;, A water lease/permit has been obtained by the applicant through lease no. _________ Q_----:;;-.~~~

:.. :;r:o< Other relevant Land Division rules/regulations, information, or recommendations are attached. ;: l};!f:i

~ ,..,~ No objections ut ;:r_,

"' """" to sta5food. Othercomments: Original source of private title was issued prior

Contact Person: Gary Martin ----L---~----------

Phone: 587-0421

od: -:a: 0 ..

. '. . f\,) 1'0

0 03Vl3:l3ft

M012tVlO OHAJ

Dec. 1. 2009 1:15PM DOH-HEER OFFISE 808-586-7537 No. 4163 P. 4 ,.., ..... v

.... ···;.,, .. LAURA H. Tlill<.lEN CIIWII:~N

RECUV£0 WIWAM D. BALFOUR, JR.

lHENT OF HEALTH SUMN£R. ERDMAN NEAL S. FUJIWARA

CtiiYOME L FlJKINO, MD.

ZOO~ NOV 2~ A H·~ Oll. DONNA FAY K KIYOSAKI, P.E. lAWRENCE H. MilKE, M.D., J.D,

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

CU'U'r'V DtReoTOR

DEPARTME!NT OF lAND AND NATUAA'iJ il.SSJ!(ij!f I c F COMMISSION ON WATER RESOURCE MANAGEMEAT

P.O.BDX~1

HONOLULU, HAWAU 96609

November 23, 2009

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

Stuart Yamada, Chief, Safe Drinking Water Branch Alec Wong, Chief, Clean Water Branch

.1lr. Kel1h Kawaoka. Office of Hazard ••luation : •• :•rcncy Response

FROM: W Laura H. Thielen, Chairperson u,.vvuv -r · Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Petmit Ap Chanel l Well (Welt N11. 3687-73)

Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installation pennit 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 December 23. 2009. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

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

RJ:ss Attachment(s)

RESPONSE: [ l

r l

[ l

I I

I I

[ 1

[ l

l I

Thi5 well qualifies as a BOU(Ce whicl1 will serve as A souroc of potable Wallli loa public W:!ller syslcm (defined as serving 25 or moroo poople atltJisl 60 day~; pet year 01 hz$ IS or more> service eonntclions) and mul re~ivc DiroctorofHcallh approval prior ro i1s liSe to comply with Hawaii Adminislralive Rvlea (}{AR). Title II, Chapter 20, Rule$ Rel~ling to Potable Watef Systems, §11·20.29.

This well does not qualify a1 a $ource &erving a pnblic water sy!leltl (,;en'et les1 lhan 25 people or more ptople at least 60 cbys per year or 15 seNice coonecliOD$) Jnd if the well water i3 used fat drinkin& the printe owner should teal fof bacteriologio•l ~nd ohemioal prcsellU beforE> iniliatlni &lll>h ~&c and routinely monitor the wa1er qu~Jity tl!ere~ftcr. How~vut, iffulute planned us• ITom lhia source i~~erease~; to mee11he p~bliQ wllt« syetcm dwnition then DireQior of Health approval is required .e@! to iiJ!plomonlation.

ff Ute well ia used to supply bolh porable and Mn•po(able P1B11Mea i11 a single system, the \l$COI &h•ll eliminate ctO!HoMectioos an.; blQkflow oonneclicms by physloally separating potable and non-potllble systom& by an air gap or an appraved bacl.:no\v p<evenl~. 11Dd by clearly labeling all nOn• polablc spigot a wilh warning tiglll; to pt&verJI i~J<Ivertcnl consumptioo of non-potable wator, Baokllow prevention devices sh(luld be roulinely inspected and tcmea.

II doe~ n!lt appeu that this well will be wed fot consumpliV~ purposes 8lld is not aubjcct to Safe Orinkin& Wal~r lteguletions.

For !he applicant'$ infcrrn,tion, a source ofpos!ible 1\oatle~ter t<:onlamination I lis(} Is not lac.a~d near rho proposod well aile (informatiC>n atrael1ed).

An NPDES ponoit is required.

Othr ~l~v~n~ bOH n1leslregulations, infonnalion, or rooommendllions a:re attached.

In the event tl~al die Jocari011 of lhc well changes bul is still within the p•r~el de~t:ribcd on this applitation, our divisit~n considers the commenl~ to still bo ~pplioabl~. il!d we do not nead to ceview 1he now lr.><~lion.

P4 No Qommcnts/objcc"

Contact Person: KL c_J'\a...rd fdl/ 1v-. e.t"· Phone: 5i' -o.zs? Signed: ~:Jlr;.uf-li/Ji~ Date: !d.), /J...oc:Fj I li"' ..... /)_

0 0 LINDA LINGLE

GOVERNOR OF HAWAII LAURA H. THIELEN

CHAIRPERSON

TO:




November 23,2009

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





Stuart Yamada, Chief, Safe Drinking Water Branch 'S Alec Wong, Chief, Clean Water Branch _ Dr. Keith Kawaoka, Office of Hazard Yaluation an Emercncy Respons~

FROM: Laura H. Thielen, Chairperson ~ Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Ap Chanell Well (Well No. 3687-73)


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 December 23,2009. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

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

RI:ss Attachment(s)

RESPONSE: [ l

[ l

[ l

[ l

[ l

[ l

[ l

[ l

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

This well does not 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 J!!:ill!: 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 []is []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 s\ill w,ilhin the parqd cljlscri~e,<l on this applic;~tion, our division considers the comments to still be apphcable, and we do not need to reVIew the new locattclu:. I ':i · . ;1 r; f I, 1 . ·

No comments/objections ~ Contact Perso~ Jerry ~unogaw~,Eng. in Hila

Signed: _ ~ ML fhftu.. ~~~:9401 vt -,-,_ --+---0 Q

Date: 1_

•::::: ~ --..

th s WY h 2 noN BIZ HONVH8 ti31Vh\3iSVM

Hl1\'3H ~0 lN3~HiVd30

0 .. ~ .

C.ISSION ON WATER RESOURCE MANAGEMENTROUTE SLIP FOR NEW APPLICATIONS

FROM: RYAN

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

-1-HARDY, R. !b HIGA,D.

-2-HOAGBIN, S. ICE, C.

-5-IMATA, R. -3-KAWAHARA,K.==

DATE: 9-Nov-09

KUNIMURA, I.

==NAKAMA, L. 1\..-...,L._ 4 OHYE, M. \.u__

--SAKODA, E. \ --SWANSON, S. -

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

SUSPENSE DATE:

3 4

Approval Signature Information

WELL NUMBER 3 (, S J· '1 7 0 WELL CONSTRUCTION

WELL NAME Chanel 1

0 PUMP INSTALLATION

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

2 PERMIT PROCESS TABLE

3 CWRMMAP

4 APPL. FORM (11 COPIES)

5 USGS MAPS (11 COPIES)

6 TAX MAPS (11 COPIES)

7 PARCEL OWNER VERIF.

8 CONTRACTOR VERIF.

9 ALL INFO FILLED IN

MLS PRINTOUT DCCA LICENSE SCREEN PRINTOUT

.

16-Nov-09

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft acknow letter

-2-Type Final, label file folder, update People.db -5-File

Xerox copies

WUP Number na

D WUPA

10 BACKGROUND CHECK

11 $25 FEE DEPOSIT SLIP

12 DHP/CDUP/SMA pre-screen \ V\ <) M I\ \ r\-0+ ' r:.. ~ 0

(SMA map printout http://gis.hlcentral.com/website/parcelzoning/viewer.htm.,or INGRID'S SMA/CD MAP)

FOLDER:

D D

(LUC map printout http://luc.state.hi.uslluc_maps.htm., or INGRID'S SMA/CD MAP)

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

INCOMPLETE ACTION DATES:

DATE ACTION

(.-} ,----, )

I"'V~


Mr. Rod Diamond

0 0




November 23,2009

Diamond Construction and Water Well Drilling HCR #3 Box 14073 Keeau, HI 96749

Dear Mr. Diamond:



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


3687-73.ack

Well Construction/Pump Installation Permit Application for Well No. 3687-73

We have received your Well Construction/Pump Installation permit application and filing fee for the Chanell Well (Well No. 3687-73). However, we will not be able to accept your application as complete until the Special Management Area (SMA) issues are resolved with respect to your other unresolved completion reports.

Upon resolution of the SMA issues, we will accept your application as complete and you can then expect your application to be processed within ninety (90) days. However, this review will significantly cut down on that time.

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), extension 70255.

RI:ss Attachment

c: Lausanne Properties

Sincerely,

l

0 0 LINDA LINGLE LAURA H. THIELEN

GOVERNOR OF HAWAII CHAIRPERSON




November 23,2009


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


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

Stuart Yamada, Chief, Safe Drinking Water Branch Alec Wong, Chief, Clean Water Branch Dr. Keith Kawaoka, Office of Hazard Yaluation: • ~:ercncy Response

FROM: W Laura H. Thielen, Chairperson {,(..(A.Jl1V \. •• Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Ap Chanell Well (Well No. 3687-73)


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 December 23,2009. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

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

RI:ss Attachment(s)

RESPONSE:

I I

I I

I I

[ 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 15 or more service connections) and must receive Director of Health approval prior to its use to comply with Hawaii Administrative Rules (HAR), Title II, Chapter 20, Rules Relating to Potable Water Systems, §11-20-29.

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

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

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

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

An NPDES permit is required.

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

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

No comments/objections

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


TO:

FROM:

SUBJECT:

0 0




November 23, 2009

Morris Atta, Administrator Land Division


Well Construction/Pump Installation Permit App ication Chanell Well (Well No. 3687-73) TMK 1-5-061:013



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




We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by December 23, 2009. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

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

RI:ss Attachment( s)

RESPONSE:

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

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

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

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

[ ] No objections

[ ] Other comments:

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

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


TO:

FROM:

SUBJECT:

0 0

STATE OF HAWAII DEPARTMENT OF LAND AND. NATURAL RESOURCES



November 23, 2009

Dr. Puaalaokalani Aiu, Administrator Historic Preservation

Morgan Davis Historic Preservation


Well Construction/Pump Installation Permit Ap ication Chanel1 Well Well No. 3687-73 TMK: 1-5-0 1:013







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 December 23, 2009. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

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

Rl:ss Attachment( s)

RESPONSE:

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

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

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

Contact Person: ______ __,_ __________ _ Phone: -------

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


0 0




November 23,2009

Ms. Bobby Jean Leithead Todd, Director Planning Department County of Hawaii 101 Aupuni Street, Suite 3 Hilo, HI 96720

Dear Ms. Todd:

Special Management Area Use Permit Requirements for Well Construction/Pump Installation Permit Application

Chanel1 Well (Well No. 3687-73)







We would appreciate your comments on the captioned application with regard to the SMA permitting requirements specific to your division. Please respond by returning this cover memo form by December 23, 2009. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

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

RI:ss

RESPONSE:

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

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

[ ] No objections

[ ] Other comments:

Contact Person: __________________ _ Phone: --------

Signed:. ____________________ _ Date: --------

Search Results 0 0

Page 1 of 1

Search criteria: TMK Taxkey 3-1-5-61-13

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

re3-1-5-61-13[lHawaiian F 15- LAUSANNE 3 2 21,780sqft 1,806 3/22/2005DEED$61 Paradise Park 1581 PROPERTIES

BEACH CORP RD

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

Copyright ©11/13/2009 by Hawaii Information Service

http://web07.hawaiiinformation.com/REsearch!HIS/Search/search_PUB.asp?NOCACHE... 11/13/2009

D.RTMENT OF LAND AND NATURAL RESOU.S DOCUMENT NO · .. UAC OR ATTACHED WORKSHEET DATE·November6 2009

' SRC/ COST

F YR APP D OBJ CTR PROJECT PH ACT AMOUNT NAME/DESCRIPTION r,y.JANG INPUT)

s 10 326 c 1026 0752 (1) $25.00 Lorrie Diamond

" " " " " " (2) $25.00 Lorrie Diamond

" " " " " " (3) $25.00 Lorrie Diamond

" " " " " " (4) $25.00 Lorrie Diamond

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $100.00

REMARKS: LINE (1) Chanel #1 Well LINE (2) Chanel #2 Well LINE (3 Chanel #3 Well LINE (4) Ohana First Well LINE (5) LINE (6) LINE (7) LINE (8) LINE (9) LINE (10)

.. 0 STATE OF HAWAJ1-' 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 by10 copies and a nonrefundable 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 and updates to this application form, visit http://www.hawaii.gov/dlnr/cwrm. .1

PO Box 7386 Hilo, Hl96720

PO Box 7386 Hilo, HI 96720

For Official Use On~ECEI\'£D COMMISSION ON WA

RESOURCE MANAGE, EN

fill NOV -6 AH g: It 7

John Armstrong

13. offtow measurement X Flowmeter

1-------------------1 0 Open Pipe Proposed Amount of Withdrawal, gpd (gaHons per day) 0 Weir

250 0 Orifice 0 Other

(a surveyor is required for all \Nell Construction Permits and may be required for some

and swear that the information is accurate and true to work is to be completed within two (2) years of the approval date; 2) the contractor shall submit to the a well

after the completion date of the permitted work; 3) in the event that the application is not completed correctly, any permit may be in to and work done while the result in fines of

24. WELL (Must be filled out If application is for Well Construction) is for Pump Installation)

Rodney K Diamond BC23379 Rodney K Diamond BC23379

~. /dbus~:-;re /l C.S7/C-57e/A L~ No.

IJ'-#1L~ Rodn~ K Diamond 11-2-09 - Date

· nature Print

C.S7/C-57e/A License No.

11-2-09 ~icen /d s~/t /l ~'' ~ Rodney K Diamond

Print

HCR #3 Box 14073 Keaau Hl96749 HCR #3 Box 14073 Keaau Hl96749 Address

966-4129 966-4129 Fex E-mail E-mail

WCPI A!>p. Fonn 10105107

-·~DIY.

~.·.'1'.; .. .. , ..

~, . .,

" "' r· . ...

··' "'

:'". r TlrT .r.•,

0

/'or. BLOCK •1o• KEAAU, 1'1/NA, HAWAII Ld. Cl. A•p. ~· /0/U, MllfJ 811 SUIJft:TTO~

J

--) 0

PROPOSED WELL SECTION (Please attach schematic if different from diagram provided below)

Hole Diameter: 8.5 inches.

Minimum of 2' Radius & 4" Thick Concrete Pad (to contain benchmark surveyed to nearest 0.01 ft.)

r i I i

--~ --~----------- ,,,

Cement Grout: _AQ_ft. (min. 70% of distance from

Ground Elevation: 50_ft, msl*

!'-~ I

I

Please refer to the HA WAil WELL CONSTRUCTION AND PUMP INSTALLATION STANDARDS

to ensure that your as-built is in compliance with applicable standards.

Grouting methodt OPositive '

Displacement

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

I Solid Casing: (= 90% x (Ground Elev.-Water Level Elev)) t--- Total Length: __ _,..,._ ________ ft ..

Annular space between hole and casing (1.5" for

X Other Nominal Diameter: ---~4:...l.5o!__ _____ ,in.

positive displacement, 3" for other methods):

Wall Thickness: ___ ..,S40::uo. ____ i.n.

Bottom Elevation: ft., msl* _2_ in.

Open Casing: • Perforated o Screen Rock or Gravel Packing: r-

Total Depth Total Length: 7 ft.

_11_ ft. __li_feet. : Nominal Diameter: ___ 4....,.""5'-------·in.

i Material: / Wall Thickness: $40 in.

x Crushed Basalt -

i 0 Rounded Gravel

Bottom Elevation: ___ _,-7.._ ____ ft., msl* I

note: Neither bentonite nor mud should be used in saturated zone during drilling

I Estimated Water Level Elevation:

Open Hole:

I _2_ ft. msl* :

Length: --~N.!L~..!_ ______ ft,.

L --- Diameter: ---------------'in.

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

Solid Casing Material: Carbon Steel: compliant with (check one or more): oANSIIAWNA C200 oAPI Spec. 5L oASTM A53 oASTM A139

And compliant with (check one or more): o ASTM A242 (or A606) o Type E o Type S o Grade B o Other Stainless Steel: (check one): oASTM A409 (production wells) oASTM A312 (monitor wells) ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) o Schedule 40 o Schedule 80 PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): • Schedule 40 0 Schedule 80 0 Schedule 120 Thermoset Plastic: (check one) o Filament Wound Resin Pipe conforming to ASTM 02996

0 Centrifugally Cast Resin Pipe conforming to ASTM 02997

Open Casing Material:

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517 o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWNA C950 o PTFE Fluorocarbon Tubing conforming to ASTM 03296 0 FEP Fluorocarbon Tubing conforming to ASTM 03296

Carbon Steel: compliant with (check one or more): 0 ANSI/A WillA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A 139 And compliant with (check one or more): o ASTM A242 (or A606) o Type E o Type S o Grade B o Other

Stainless Steel: (check one): o ASTM A409 (production wells) o ASTM A312 (monitor wells) ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) o Schedule 40 o Schedule 80 PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241 ): (check one): • Schedule 40 0 Schedule 80 0 Schedule 120 Thermoset Plastic: (check one) o Filament Wound Resin Pipe conforming to ASTM 02996

0 Centrifugally Cast Resin Pipe conforming to ASTM 02997 o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517 0 Glass Fiber Reinforced Resin Pressure Pipe conforming to AWNA C950 o PTFE Fluorocarbon Tubing conforming to ASTM 03296 0 FEP Fluorocarbon Tubing conforming to ASTM 03296

WCPI App. Fonn 10/05104

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154'59'00' w

NATIONAL GEOGRAPHIC

TOPO! map printed on 11iU3/09 from "Untitled3.tpo" 154'58'00'W 154'57'00' w WGS84 154'56'00' W

TNrr (0' 11/03/09

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prope~ (1/; - university of hawaii · march 1, 2010 diamond construction and water well drilling...

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