kllpuk!amoi - higp · 2011. 6. 22. · linda lingle governor of hawaii mr. michael lluellen kauai...

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Search Results o Page 1 of 1

Search criteria: TMK Taxkey 4-5-3-4-14

PUBLIC RECORD DATA Taxkey Subdiv/CondoTnrAddress Owner/Lessee Bds Bths Land area Liv area Last Sale Instr Price

re4-5-3-4-14Anini F 3573-R FISCHER, GARY 0 0 6,970 sqft 0 9/5/2000 QD $23,000 Anini Rd R/ETAL

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

Copyright ©11/10/2010 by Hawaii Information Service

http://web09.hawaiiinfonnation.comlREsearchiHIS/Searchisearch ]UB.asp?NOCACHE= 1289427924281 11110/2010

o WELL CONSTRUCTION PERMI'?

Kalihiwai-Fischer Well, Well No. 1326-04 I

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 Kalihiwai-Fischer Well (Well No. 1326-04) at TMK (4)5-3-004:014, Kauai, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

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15.

16.

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 a pumping 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/resourcesJlermits.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 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) 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 tie drilled deeper than one-half (1/2) 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 sto)J work and immediately contact the Department of Land and Natural Resources' State Historic Preservation DiVision. Work may recommence only after written concurrence by the State Histonc Preservation Division.

The proposed well construction shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. This 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/cwrmlresources_permits.htm for current form).

The permittee shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation ofthis 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 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 properly 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 §13-168-12(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, ~ ageIifii;~er this permit or relating to or connected with the granting of this permit. c:::I 111 ....:.

- 1;..1)= ..... "~7

Thi;s.ermit shall apply to the location shown on the ~ation only. If the well is to be relocated, the permittee shall apply for a new onstJ;U"6tiQR!pump inst ation permit In accordance with §J3-168-12(f), . '-< ;":;~":~,

17. Special conditions in the attached cover transmittal letter are incorporated herein by referencc.~. 1-' ..

Date of Approval: December 20, 2010 12...... WILLIAM J. AILA, JR., ChairD!rson: ':i L; Expiration Date: December 20, 2012 ('- Commission on Water Resourc~ana'~~ent

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I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as ~rere~rsfte 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: uv C-57 License #: C-29578 Date: 9---L 9- / / Printed Name: Firm or Title:

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

Attachment

LINDA LINGLE GOVERNOR OF HAWAII

Mr. Michael Lluellen Kauai Water Well P.O. Box431 Anahola, HI 96703

Dear Mr. Lluellen:

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STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

April 28, 2011

Pump Installation Permit Transfer Kalihiwai-Fischer Well (Well No. 1326-04)

WILLIAM J. AILA, JR. CHAIRPERSON

WILLIAM D. BALFOUR, JR. SUMNER ERDMAN

LOREnA J. FUDDY, AC.S.W., M.P.H. NEAL S. FUJIWARA

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

WILLIAM M. TAM DEPUTY DIRECTOR

1326-04.pip2

Enclosed are two (2) originals of your approved Pump Installation Permit for the captioned welles) that authorize permanent pump installation work for your welles), as part of transferring this permit from contractor license C-24947 to C-29578. 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.

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.

If you have any questions, please call Charley Ice ofthe Commission staff at 587-0218 or toll-free at 274-3141 (Kauai), extension 70218.

Sincerely,

W~ ~ WILLIAM J. AILA, JR. [V Chairperson

Enclosure

c: Gary Fischer (with applicable comments - DOH WWB, CWB)

~PUMP INSTALLATION PERMI~ Talihiwai-Fischer Well, Well No. 1326T4

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 Kalihiwai-Fischer Well (Well No. 1326-04) at TMK (4) 5-3-004:014, Kauai, 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 40 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.

II. 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 herein by reference.

Date of Approval: Expiration Date:

December 20, 2010 December 20, 2012

hairperson 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: C-57, C-57a, or A License #: C-29578 Date: ______ _

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

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

Attachments

NEIL ABERCROMBIE GOVERNOR OF HAWAII

Mr. Michael Lluellen Kauai Water Well P,O. Box431 Anahola, HI 96703

Dear Mr. Lluellen:

o o




April 28, 2011

Well Construction Permit Transfer Kalihiwai-Fischer Well (Well No. 1326-04)

WILLIAM J. AILA, JR. CHAIRPERSON

WILLIAM D. BALFOUR, JR. SUMNER ERDMAN

LORETTA J. FUDDY, A.C.S.W., M.P.H. NEAL S. FUJIWARA

DONNA FAY K. KIYOSAKI, P.E. LAWRENCE H. MilKE, MD, J.D.

WILLIAM M. TAM ACTING DEPUTY DIRECTOR

1326-04.wcp2

Enclosed are two (2) copies of your approved Well Construction Permit for the captioned welles) that authorize well construction activities but excludes installation work for a permanent pump, as part of transferring this permit from contractor license C-24947 to C-29578. 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

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 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 nntil a fully signed permit is returned to the Commission. The permit shall be prominently displayed or made available at the construction site during construction. Be advised that you may be subject to fines of up to $5,000 per day for any violations of your permit conditions starting from the permit approval date.

If you have any questions, please call Charley Ice of the Commission staff at 587-0218 or toll-free at 274-3141 (Kauai), extension 70218.

Sincerely,

~~ ~

c:.o-WILLIAM J. AILA, JR. Chairperson

Enclosures


o 0 WELL CONSTRUCTION PERMIT

Kalihiwai-Fischer Well, Well No. 1326-04 Note: This permit shall be prominently displayed at the construction site until the work is completed


1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

II.

12.

13.

14.

15.

16.

17.

The Chairperson ofthe 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- I 68-15, Hawaii Administrative Rules (HAR).


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 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 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) 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 (1/2) of the theoretical thickness without Commission approval.


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 DiVIsion. Work may recommence only after written concurrence by the State Histonc Preservation Division.


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/resources _permits.htm for current form).

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





If the well is not to be used it must be properly 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 § 13-I 68-12(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 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 I construction/pump installation permit In accordance with §13-168-12(f), BAR.

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

LdJ . Date of Approval: December 20, 2010 Expiration Date: December 20, 2012

IL WILLIAM J. AILA, JR., Chairperson t:~ 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:

Printed Name: Tracie Sober

C-57 License #: C-29578 ---'----'c...::....c--=-___ _ Date:

Valley Well Drilling, Firm or Title: LLC --------------------------


Attachment

,. Well Background Check

Well Construction Pump Installation Approved Well No. Well Name Applicant Driller Pump Inst. Type Issued Signed WCR1 Accept Issued Signed WCR2 Accept

1120-58 Garcia Mark & Sue Garcia C-29578 C-29578 BOTH

1224-01 Gina Bill Mowry C-29578 PUMP

1222-14 Olson Paul Olson C-29578 C-29578 BOTH

4/14/2005 1225-05 Kai Halalu 1 Miller Family Trust C-24947 C-29578 BOTH 4/27/2005 5/112006 8/10/2006 12/19/2006 412712005 2/512009 2/18/2009 2/18/2009

10/17/2007 1122-02 Waiakalua-Hunt V. Stephen Hunt C-29578 C-29578 BOTH 2/3/2009 2/11/2009 3/16/2009 3/16/2009 2/312009 5/5/2009 6/15/2009 6/15/2009

1/29/2009 1122-03 Friedman Melinda Friedman C-29578 C-29578 BOTH 2/3/2009 2/11/2009 5/28/2009 7/13/2009 2/312009 8/12/2009 8/16/2010 9/22/2010

./ 3/212009 0323-01 Wailua-Smith Gregory Kent Smith C-29578 PUMP 3/5/2009 3/19/2009 ~:&

3/512009 1222-08 Moorhead Aimee Moorhead C-29578 C-29578 BOTH 3/6/2009 3/19/2009 6/15/2009 8/812009 3/6/2009 8/31/2009 i~~v;r:.4 4n-, -I A-pt 1(

3/512009 1222-09 Kilden Terje Haakonsen C-29578 C-29578 BOTH 3/5/2009 3/20/2009 7/14/2009 8/112009 3/6/2009 8/12/2009 8/16/2010 8/16/2010

3/512009 0919-12 Barnes James Barnes C-29578 C-29578 BOTH 3/6/2009 3/20/2009 5/28/2009 6/29/2009 3/612009 8/3/2009

3/25/2009 1122-04 Betsy Sonja Geiger C-29578 C-29578 BOTH 3/30/2009 5/22/2009 3/30/2009 5/22/2009

4/812009 1221-12 Miranda Brandon Miranda C-29578 C-29578 BOTH 4/16/2009 t4p1#t!Ad> ~ 4/16/2009 E;/cPl/l.l!IIt ,~

6/512009 1122-05 Kane David & Sandy Lear C-29578 C-29578 BOTH 6/17/2009 6/22/2009 10/2/2009 10/2/2009 6117/2009

10/30/2009 1120-53 Willy Wilfredo Estenzo C-29578 C-29578 BOTH 11/13/2009 11/10/2010 11/13/2009

10/30/2009 1120-52 Tony Aldo Abondio Albertoni, Jr. C-29578 C-29578 BOTH 11/13/2009 12/112009 1120/2010 2/16/2010 11/13/2009 212512010 3/18/2010 3/31/2010

11/6/2009 1223-05 Northcutt Stephen Northcutt C-29578 C-29578 BOTH 11/13/2009 11/10/2010 11/13/2009

11/20/2009 1120-54 Green Valley Green Valley Investments C-29578 C-29578 BOTH 11/30/2009 11/30/2009

11/29/2009 1224-04 Gerow David Gerow C-29578 C-29578 BOTH 11/29/2009 11/29/2009

419/2010 1222-10 Davies Philip Davies C-29578 C-29578 BOTH 4/22/2010 4/22/2010 ()

5/25/2010 1222-11 Billy William Kreutzmann C-29578 C-29578 BOTH 5/27/2010 5/27/2010

7/712010 1120-55 High House Patricia Hanwright C-29578 C-29578 BOTH 7/12/2010 8/612010 9/20/2010 9/20/2010 7/12/2010

8/20/2010 1120-56 Jack Jack Gardner C-29578 C-29578 BOTH 9/3/2010 10115/2010 11/16/2010 913/2010

1/10/2011 1222-13 Kingston David Kingston C-29578 C-29578 BOTH ~l~ ~fo.t- ~ ~ : tr~ w~ ru.- ,;r.';cl- (~~.ltr) .fw1~~

-4 0... rWN d::..L~( '" ~ ,Js;.n:C7,' It-JeU· sik V9"1sf·.:ih + w/ 1N'r; CO VT'Zl bo yo. Q,"" ,.p e4..Kft.. I'~'e. IoCQ.+,~""" (6i>G ot::)

Tuesday, April 12, 2011 Page 1 of1

STATE OF~WAII DEPARTIENT OF LAND AND NATURAL RIIOURCIS COIIMI8SION ON WATER RESOURCE MANAGEMENT APPUCATION FOR A WELL CONSTRUCTION I PUMP INSTALLATION PERMIT

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PROPOSED WELL SEC110N (PfeIIIe",." et:MnI8IJc, dIIIIIIwIt 6QII1fagr8III ptrJ/II/d8d".,)

Helle 0iII'nIa: ~In.

SaId ~ ~ 111)%)1 (OnIund a.v.-lNIIIr ~ EIev) Talli i..qer ,5 II.

~~~~~W~ _______ ,~ WM~~~a~.l~i~C~ ______ ,n 8aIIam EIIMIIan: ___ ... " ...... l ____ II. ......

Opeft~ ~ .......... CSaMn

ToIiI~: It! II.

NaIMIII 0IIIMIIr. o .tfn· in.

w.a~ n 8atacimEllMllan: <1:3: 11.,I11III"

L epellHoIe:

1MIgIh: ____ -;":'"~------_1I., ~ __ ...E~~b:::L...-___ in. &110m EINIIion: __________ 1l. I11III"

• n. ~.....eon nut be IIIInnaed tD __ IIMII (mil)

... time ~ appIIaIIIan -. .............. ~ ... CCift\pOI ... 1hiII III IUIImIIIId In III ..... COInpIIIIar.WIII .AbiliCIoIi"R "'*" IIId ........... tD. ~ wlllCillhIe ... eetIIIIIIIhed by. ~ ...... by .......

For 11OII-MI"-BIIIII Willa - baIIDm eIevIIIIan afwellftlUl not III dieper1lWl114 af8qulflr ~ or, &oIDm a-lanafWIILhlt-(w.aElelllllan- 41' ....... '-*1.... ) e-.- _+2ft.WoIor ........ - ....... EIMIIat.nlllliiJmlt.(a. ~, & -, .....

Solid Calop MIt!riaIi CwIIon .... : CDqlllnlWIII (CIIIIck _ or_): c NfSIIA1NNA C2IIO C NO! Spec. 5L C ASTMA53 C ASTM A130

And CDqlllnlWIII (CIIIIck_orlllCi'll: OASTMA242(cirA808) C1)pe1! C Tp S C GradeB COllIer ........ II1II: (CIIIIck_): CASTM ...... (pnIduc:IIan ... ) CA8l1otA312(mon1or .... > AII8 ...... canIiImIInOtDASrMf.480_A8l1otD1S27:(dledlone) C ~4O . C 8c:h1d1a1O PVCPIIIIIc~tDASTU f.48O_ (ASrM 017111 orASTUDzM1): (chlCtcDi>: ~ Sc:hecIu'-4O I] sc:tllltil1O I] SchecIde 120 ~ PIIda: (CIIIIck _> C ~WIII.iIII AIIII PllNtcanfcinlllni tD ASTU 021188

I] .CenWugilrc.t RiIIIn PIpe I:IIIIIIaIIiqtD NriU D2I87 C·RIIInfaIcId PIIIIiC MorIIr PiWtIn PIpe ~ tD ASTM 03517 I] '*-...... ~RIIiIn~PIpe~tDAVMAC8IIO C PI'FE ~ TIMIg Illlllli'lMWtD ASTMDlI2II8 C FEP~Tubing conbminotoASTM DS288

Open CIting ...... ';. . CwIIon .... CDqlllnlwIIi (CIIIIck_ 01'_): I] AN$llAIIWIaC2llO I] NO! Spec. 5L C ASTM AD a A8'N AtIlD

And~wIII(CIIIIck_or_): I] ASTMAa42(orMDB) 0 TpE C TJIIIIS I] GImeS 0 oa.r .......... (CIIIIck-l: I] ASTM ..... ~ .... )I] ASTMA312(man11ar""'" M8 PIIIk conbmino to ASTM f.48O _ ASTM 01S27: (CIIIIck 11M) D Sc:i.duIit4O 0 ~ 10 PVC ....... canIiImIInO to ASTM f.48O ... (ASTM 017111 orAS'N DZl41): (c:hII* _): ." 8c:hIdIa 40 0 Sc:hedI* 10 I] Sc:hedI* 120 """""1'IIIIdI:: (1MCk 11M) 0 FIIInMl WIund RIIIn PIpe carformIng tDASTM 029118

o ~CMlReIIn PlpecilnlJmql!lASnl D2e97 I] AIIiIforaId Pii.Ic .......... PIpe~ tDASTM 03517 C ~ FlillrMlroftlld RIIIn ....... fIIjIe~ tDAWWAC8IIO I] PTFE ~'NIIna~ID'ASTM0328I I] FEP RICIIDcIIIIan TIIbing CIIIII'amIq Ii) ASTM DS2IIe

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PROPOSED IWI

L.C. AW.9129

O.16ACRU (4) 5-3-4: 1 4

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

PROPOSED RESIDENCE

SITE PLAN

I.W.S tor Fischer ANINI, KAUAI, H .... WAII

T.M.K. (4) 5-3-4:14

Lox Hawaii ~LC PO sox 1 45B KIL.AUEA HI 96754.

[email protected] 808'652-'7979

5E~'TEMeE.:R :;1:3 2010. __ ; "_""_2_(]_' __ ,

.TE OF HAWAII

NO AND NATURAL RESOURCES

'R PESO! 'ReE MANAGEMENT

2000 ..

~ANJ\U \ Qv\k~R~~t<1llt;

=42)w

I"

HANALEI QUADRANGLE - HAW AIi ISLAND AND COUNifv OF 1

7.f) MINUTE SERIES (TOPOQRA.PH

___ ._-----i-_ ..... ___ . __ .l-._ .... __ .-+J. ___ '"" __ ~27?:.'~30~n:-.~-.-.=:.===::::=t----J..------..j.:::::.-::::::::::..:...:::.::::l----1~----~----;,;10;_--162

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Charley F Ice/DLNRIStateHiUS

03/24/2011 11 :41 AM

To "TIKI" <[email protected]>

cc

bcc

Subject RE: Fischer well no. 1326-04t¥l

~ Please let me know you receive this: 1326·04.wcpia.pdf 1326·04.plotmap.pdf

"TIKI" <[email protected]>

''TIKI" <gsc@hawaiian .net>

03/23/2011 07:36 AM To <[email protected]>

cc <[email protected]>, "'Tracie Sober'" <[email protected]>

Subject RE: Fischer well no. 1326-04

Hi Charley, I am having Shook luellen dba kauai Water well PO Box 431 Anahola, Hi 96703 808-651-9165 C-29578, drill the well on this permit. I have the permits. I do not have the origin application that was sent in by Tracie sober of valley well drilling. If you have a copy you can supply me to have shook sign that will be very much appreciated.

Thank you Gary Fischer

Aloha Charley, because of mechanical failure Valley well drilling is unable to drill my well. I would like to have shock, Kauai water well drill it for me. can you tell me what I need to do to change contractors? Thank you very much Gary Fischer 808-639-0521

From: [email protected] [mailto:[email protected]] Sent: Wednesday, January 05, 2011 9:58 AM To: TIKI Cc: 'Tracie Sober' Subject: Re: Fischer well no. 1326-04 -letter to state from county 11-29-2010

Yes, the permits have been sent for finalizing, should go out this week Friday, maybe Monday. People have been on vacation, so we're doing a liUle catch-up.


01/05/2011 08:27 AM

TO<[email protected]>

cc"'Tracie Sober'" <[email protected]> SubjectFischer well no. 1326-04 -letter to state from county 11-29-2010

Aloha, Have you received what you need from planning department to complete this permit?

Thanks Gary Fischer

From: [email protected] [mailto:[email protected]] Sent: Tuesday, December 21, 2010 3:37 PM To: Lisa Ellen Smith Cc: Dale Cua; TIKI; Ian Costa Subject: RE: FW: FW: Fischer well no. 1326-04 -letter to state from county 11-29-2010

Right! The map image sent by TIKI <gsc> also shows the same relation of parcel to SMA boundary. I think we're clear (I've asked for a map citation for future purposes). Now I guess we need your re-transmitted comment ("[ 1 does not require an SMA"). Thanks very much -- and sorry for a bit of a run-around. Sometimes things get tripped up by such details!

I'm prepared to send the permits ASA. ..

Lisa Ellen Smith <[email protected]>

12/21/201003:21 PM

Dear Charley/Mr. Fischer,

TO"[email protected]" <Charley.F.lce@hawaiLgov> ccTIKI <[email protected]>, Ian Costa <icosta@kauaLgov>, Dale Cua

<dcua@kauaLgov> SubjecRE: FW: FW: Fischer well no. 1326-04 -letter to state from county 11-29-2010

t

I went back to the legally adopted SMA maps of record (photocopies attached) and drawn an arrow to Mr.

Fischer's TMK - based on this map - the parcel (4) 5-3-004:014 is NOT within the SMA.

The TMK given by Mr. Fischer, originally, 4-5-004-014 did not contain the correct numbers identifying Section as 3.

LE

From: [email protected] [mailto:[email protected]] Sent: Tuesday, December 21, 2010 1:28 PM To: Lisa Ellen Smith

nTIKI" <gsc@hawaiian .net>

03/16/201107:31 PM

To <[email protected]>

cc <[email protected]>, '''Tracie Sober'" <[email protected]>

bcc

Subject RE: Fischer well no. 1326-04

Hi Charley, I am having Shook luellen dba kauai Water well PO Box 431 Anahola, Hi 96703 808-651-9165 C-29578, drill the well on this permit. I have the permits. I do not have the origin application that was sent in by Tracie sober of valley well drilling. If you have a copy you can supply me to have shook sign that will be very much appreciated.

Thank you Gary Fischer

Aloha Charley, because of mechanical failure Valley well drilling is unable to drill my well. I would like to have shock, Kauai water well drill it for me. can you tell me what I need to do to change contractors? Thank you very much Gary Fischer 808-639-0521

From: [email protected] [mailto:[email protected]] Sent: Wednesday, January 05, 2011 9:58 AM To: TIKI Cc: 'Tracie Sober' Subject: Re: Fischer well no. 1326-04 -letter to state from county 11-29-2010

Yes, the permits have been sent for finalizing, should go out this week Friday, maybe Monday. People have been on vacation, so we're doing a little catch-up.


01/05/2011 08:27 AM

TO<[email protected]>

cC"'Tracie Sober'" <[email protected]> SubjectFischer well no. 1326-04 -letter to state from county 11-29-2010

Aloha, Have you received what you need from planning department to complete this permit?

Thanks Gary Fischer

From: [email protected] [mailto:[email protected]] Sent: Tuesday, December 21, 2010 3:37 PM To: Lisa Ellen Smith Cc: Dale Cua; TIKI; Ian Costa Subject: RE: FW: FW: Fischer well no. 1326-04 -letter to state from county 11-29-2010

Right! The map image sent by TIKI <gsc> also shows the same relation of parcel to SMA boundary. I think we're clear (I've asked for a map citation for future purposes). Now I guess we need your re-transmitted comment ("[ ] does not require an SMA"). Thanks very much -- and sorry for a bit of a run-around. Sometimes things get tripped up by such details!

I'm prepared to send the permits ASA. ..


12/21/201003:21 PM


TO"[email protected]" <[email protected]> ccTIKI <[email protected]>, Ian Costa <[email protected]>, Dale Cua

<[email protected]> SubjecRE: FW: FW: Fischer well no. 1326-04 -letter to state from county 11-29-2010

t

I went back to the legally adopted SMA maps of record (photocopies attached) and drawn an arrow to Mr.

Fischer's TMK - based on this map - the parcel (4) 5-3-004:014 is NOT within the SMA.

The TMK given by Mr. Fischer, originally, 4-5-004-014 did not contain the correct numbers identifying Section as 3.

LE

From: [email protected] [mailto:[email protected]] Sent: Tuesday, December 21, 2010 1:28 PM To: Lisa Ellen Smith Cc: TIKI; Ian Costa Subject: RE: FW: FW: Fischer well no. 1326-04 -letter to state from county 11-29-2010

All references to TMK in our records (including the attachment) make it out to be (4) 5-3-004:014. Please note that the first (4) isn't always in parentheses, and stands for the island. Somebody may be starting there, thinking that it's "Zone 4", whereas the Zone number is the first unparenthesized number (in this case "Zone 5") -- "Section 3", "Plat 4", "ParceI14".

Lisa Ellen Smith <lsmith@kauaLgov>

12/21/2010 11:20AM

• Charley F IcelDLNRIStateHiUS

03/0412011 02:47 PM

o To [email protected]

cc Roy Hardy/OLNRIStateHiUS@StateHiUS

bcc

Subject Fischer, Gina Wells

We received two pieces of paper, a signed WCP for 1326-04 (Fischer), which we think means you're taking over for Valley Well Drilling; and one page of a PIP application for the 1224-01 (Gina), which had been approved, but expired and cancelled back in 2003.

1) 1326-04 Kalihiwai-Fischer: the way to assume responsibility for this work is to have the well owner send us a notice that they have selected a new contractor (you), and for you to sign the original application (not permit), to indicate you know what specs were approved. If they cannot find a copy of the original application, we can provide it.

2) 1224-01 Gina Well: this was completed by Steve Goldberg back in 2001, but no pump was ever installed, and no pump tests conducted. Pump installation will require a full application and review. A new PIP would normally carry the special condition that you conduct the required pump tests, but in this case, at 44 gpm, no pump tests would be required.

We have transferred the well ownership to Gina Zapara. Where does Bill MOwry fit in?

o o WELL CONSTRUCTION PERMIT

K •"hiw "F" h W U W UN 132604 Cm'1i<i ~ 81 81- ISC er e, e O. - :Jr.C:ci' F<!'.~ Note: This permit shall be prominently displayed at the construction site until the work is completed'- "'d' - -- - .

In accordance with Department of Land and Natural Resources, Commission on Water Resource Management's AruW1Nielblle~H Section 13-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the construction and testing of Kalibiwai-Fiscber Well (Well No. 1326-04) at TMK (4)5-3-004:014, Kauai, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

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The Chai~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).


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/cwrmlresourcesjJermits.htm) .. The permittee shall submit to.the ChailJlCfSOfl the test res~ts as a basis for supporting an application to Install a permanent pump. No permanent pump may be Installed until a pump mstallatlon permIt IS approved and ISSued by the Chairperson. No wilhdrawaJ of water shall be made for purposes other t1ian 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 Ch,!irJ?tfSon. 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. m no Instance can the well lie 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 DiVIsion. Work may recommence only after written concurrence by the State Histonc Preservation Division.


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.bawaii.gov/dlnr/cwrmlresourcesjJermits.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 HWCPIS are not followed and as a consequence water is wasted or contaminated. a lien on the property may result.



If the well is not to be used it must be properly 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 § 13-168-I 2(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 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 instanation permit In accordance with § 13-1 68-12(f), AAR.


"'-.. Date of Approval: December 20, 2010 Expiration Date: December 20, 2012

V WILLIAM J. AILA, JR., In rim Chairperson Commission on Water Resource Management

I have read the conditions and terms of this permit and undentand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and undentand that I shall not commence work until I have signed, dated, and returned tbe permit to the Commission. I undentand tbat tbis permit is not to be tnnsferred to any otber entity. I also understand that non-compliance witb an~~~unds for revocation and fines of up to 55,000 per day starting from tbe permit date of approval.

,~If)

Driller's Signature: ----:l~'I'-t-'-~~ __ ;;;;:;;;t------- C-57 License #: Date: ;! - 27-//

Printed Name: J ;tl(~dk8j Please sign both copies of this permit, retum one copy to the Commission office, and retain the other for your records.

Attachment

9. c . ~

,~ 0 "'" ' WELL CONSTRUCTION PERMIT

Kalihiwai-Fischer Well, Well No. 1326-04 i

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


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7.

8.

9.

10.

11.

12.

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15.

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17.

The ChaifP-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).


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 pump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrmlresourcespermits.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 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 (114) 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 (1/2) of the theoretical thickness without Commission approval.


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 DiVIsion. Work may recommence only after written concurrence by the State Histonc Preservation Division.


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/cwrmlresources_permits.htm for current form).





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(f), HAR, prior to any well sealing or plugging work. : .'

ro.:. . ,-' ."' . The permittee, its successors, and assigns shall indemnifY, defend, and hold the State of Hawaii harmless from and against any loss, Iiabilialaim;·~t@nand for property damage, personal injury, or death arising out of any act or omission of the applicant, assigns, officers, employees, contractors, arrd'agen~'Vl!'~r this permit or relating to or connected with the granting of this permit. C- :~~ .. -> --'-, ..... 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 weifltimstnictionlpuinp installation permit In accordance with §13-168-12(t), BAR. J, : ',:. " SpeCIal conditIOns In the attached cover transmIttal letter are Incorporated herem by reference

~ :J:IIt" ::z: ',' L;

Date of Approval: December 20, 2010 Expiration Date: December 20, 2012

(1 k.. 0" Q.... \,Q _.); ,!.

Y WILLIAM J. AILA, JR., II!eriw:.ch~son Commission on Water Resource"'Mana:geIhent




C-57 License #: C-24947 --=:...=..::..::.....::....:...----- Date: I·'· II Valley Well Drilling,

Firm or Title: LLC -=~~----------------


Attachment

t""l PUMP INSTALLATION PERMI'r\ 'Yalihiwai-Fischer Well, Well No. 132~4



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).












13. The permittee, its successors, and assigns shall indemnify, defend, and hold the State of Hawaii harmless from and agJ,liast ~~s, liability, claim, or demand for property damage, personal injury, or death arising out of any act or omission of= app~t, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the granting of~ pe@i?5

;po ::") .~"

:z :~: ~~ t~; ~ ~~ I," ;·:.~c

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



f'_ k k D~ ~,,_~; ~ WILLIAM J. AILA, JR., hlterim Chairpersol\.o ":;i.:;

Commission on Water Resource Management.:: ~;;i -.I z::;o

_ •• j


Installer's Signature: C-57, C-57a, or A License #: C-24947 Date: \?>. \\



Attachments




Ms. Tracie Sober V alley Well Drilling, LLC 91-458 Komohana Street Kapolei, HI 96707

Dear Ms. Sober:


December 28, 2010

Pump Installation Permit Kalihiwai-Fischer Well (Well No. 1326-04)

WILLIAM J. AILA, JR. INTERIM CHAIRPERSON

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

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

LENORE N. OHYE ACTING OEPUTY DIRECTOR

1326-04.pip

Enclosed are two (2) originals of your approved Pump Installation Permit for the captioned welles) that authorize permanent pump installation work for your welles). 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.

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. .


Sincerely,

~k~t/~ ~WILLIAM J. AILA, JR.

Interim Chairperson

Enclosure


U PUMP INSTALLATION PERMIC ~alihiwai-Fischer Well, Well No. 132fi-04



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).












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 herein by reference.



~ WILLIAM J. AILA, JR., :rilierim Chairperson Commission on Water Resource Management


Installer's Signature: C-57, C-57a, or A License #: C-24947 Date: -------



Attachments


Ms. Tracie Sober Valley Well Drilling, LLC 91-458 Komohana Street Kapolei, HI 96707

Dear Ms. Sober:




December 28, 2010

Well Construction Permit Kalihiwai-Fischer Well <Well No. 1326-04)

WILLIAM J. AILA, JR. !INTERIM CHAIRPERSON


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

LENORE N. OHYE ACTING DEPUTY DIRECTOR

1326-04.wcp

Enclosed are two (2) copies of your approved Well Construction Permit for the captioned welles) 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/cwrmlforms.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.


Sincerely,

~~.~ yWILLIAM J. AILA, JR.

Interim Chairperson

Enclosures


"""" '¥' WELL CONSTRUCTION PERMIT

Kalihiwai-Fischer Well, Well No. 1326-04 Note: This permit shall be prominently displayed at the construction site until the work is completed


1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

II.

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).


The well construction permit shall be for construction and testing ofthe 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/cwrmlresources-IJermits.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 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) 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 (1/2) of the theoretical thickness without Commission approval.


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 DiVision. Work may recommence only after written concurrence by the State Histonc Preservation Division.


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/resources_permits.htm for current form).






If the well is not to be used it must be proyerly 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), 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 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 § 13-168-12(f), HAR.


Date of Approval: December 20, 2010 Expiration Date: December 20, 2012

(1 ~ k.o",,-Q..,. Y WILLIAM J. AILA, JR., II!erim Chairperson

Commission on Water Resource Management




C-57 License #: C-24947 --='-=-.:::....."-'-----

Date:

V alley Well Drilling, Firm or Title: LLC ----------------------


Attachment

FROM: CHARLEY

ANAKAlEA, P. --BAUER,G.

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

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

WEll NUMBER 1326-04

'Iiij WEll CONSTRUCTION

~MMISSION ON WATER RESOURCE MANAGEMg ROUTE SLIP FOR PERMIT ISSUANCE 5/19/05

DATE: liJ;~}O SUSPENSE DATE:

KUNIMURA, I. NAKAMA, L. NAKANO, O.

-3-0HYE,M.

SAKOOA, E. -2-SUBIA, S.

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

Approval --Signature -3-lnformation

Kalihiwai-Fischer Well

ATTACHMENTS FOR WEll CONSTRUCTION PERMIT: 1 COVER lETTER ~ 2 PERMIT (2x) v'

COMMENTS: 3 SOWB 4 WWB 5 6 7 8 9

10

CWB HEER lO HP OCCl SMA

T

ag PUMP INSTALLATION

TO BE SENT TO APPLICANT

FOR OFFICE USE ONLY

ATTACHMENTS FOR PUMP INSTAliDN PERMIT: 1 COVER lETTER 2 PERMIT (2x)

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

6 HEER 7 lO 8 HP 9 OCCl

10 SMA •• I 1111111_1 • i; FOR OFFICE USE ONLY

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft

-2-Type Final -4-File

Xerox copies

c

Results

Well Depth Theoretical Thickness of Aquifer 1/4 Aquifer Thickness DeDth Of Well below Sea Level

Well Casing Minimum Wall Thickness

Material Minimum Thickness per standards Wall T1Ilckness Provld6d

Minimum Length of Solid Casing 90% of ground to top of aquifer Length of solid casing Provided

C8singMaferial (for DVC only -ch6ck for 200' limit)

!Annular Space Depth of Grouting

Calculated Depth of Grouting D6pth of Grouting provided

Minimum Annular Space required Thickness of Annular Space

yes no

steel stainless steel

205 . 51.25 l.ovth~

~77 toj)'d"eep ~~j" .",':on2.2 r I

pvc plastic no requirement

0.28 no standard Section 2.4(b)

2.7 75 okay S6Ction 2.4 c

Schedule4D in compliance S6Ction 2.4 d okay S6Ction 2.4 d

2.1

60 okay Section 2.6(c) 1.5

2 okay Section 2.6(d)

pvc plastic abs plastic thermoset plastic other

pvc plastic Schedule 40 Schedule 80 other

positive displacement other

steel public steel non public

steel ANSI/AWNA C200 API Spec. 5L ASTM A53 ASTM A139 ASTM A606 other

#N/A

0.28

stainless steel ASTM A409 other

pvc plastic Schedule 40 Schedule 80 other

o Lisa Ellen Smith <[email protected]>

12/21/201003:21 PM


To "Charley.F [email protected]" <Charley. F [email protected]>

cc TIKI <[email protected]>, Ian Costa <[email protected]>, Dale Cua <[email protected]>

bcc

Subject RE: FW: FW: Fischer well no. 1326-04 -letter to state from county 11-29-2010

I went back to the legally adopted SMA maps of record (photocopies attached) and drawn an arrow to Mr. Fischer's TMK - based on this map - the parcel (4) 5-3-004:014 is NOT within the SMA.

The TMK given by Mr. Fischer, originally, 4-5-004-014 did not contain the correct numbers identifying

Section as 3.

LE

From: [email protected] [mailto:[email protected]] Sent: Tuesday, December 21, 2010 1:28 PM To: Lisa Ellen Smith Cc: TIKI; Ian Costa Subject: RE: FW: FW: Fischer well no. 1326-04 -letter to state from county 11-29-2010

All references to TMK in our records (including the attachment) make it out to be (4) 5-3-004:014. Please note that the first (4) isn't always in parentheses, and stands for the island. Somebody may be starting there, thinking that it's "Zone 4", whereas the Zone number is the first unparenthesized number (in this case "Zone 5") -- "Section 3", "Plat 4", "Parcel 14".


12/21/2010 11:20AM

TO"[email protected]" <[email protected]>

ccrlKI <[email protected]>, Ian Costa <icosta@kauaLgov> SubjectRE: FW: FW: Fischer well no. 1326-04 -letter to state from county 11-29-2010

Mr. Fischer provide the following information - bottom of email - the TMK he provided 4-5-004:014 is not located within the SMA. I called to confirm that the well No. 1326-04 was affiliated with the TMK that Mr. Fischer provide,

he provided the wrong TMK for the associated well No.

LE

Hi Lisa, can you tell me why an SMA permit is required for this water well when the lot (tmk 4-5-004-014) is NOT in

the SMA area?

Thanks Gary Fischer[attachment "1326-04.KP.SMAreq.pdf" deleted by Charley F Ice/DLNR/StateHiUS)

c The

LE From: Charley.F [email protected] [mailto :Charley.F [email protected]] Sent: Tuesday, December 21, 2010 11:09 AM To: Lisa Ellen Smith Cc: TIKI; Ian Costa

o

Subject: Re: FW: FW: Fischer well no. 1326-04 -letter to state from county 11-29-2010

I don't understand how "the TMK I provided" is different from "the TMK listed with the State".


12/21/201010:58 AM TOTIKI <[email protected]> cc"[email protected]" <[email protected]>, Ian Costa

<icosta@kauaLgov> SubjecFW: FW: Fischer well no. 1326-04 -letter to state from county 11-29-2010

t

It appears that the TMK you provided is not in the SMA however the TMK listed with the State for this well No.

1326-04 is within the SMA and will require SMA permit

LE Frclm: [email protected] [mailto:[email protected]] Sel1t: Tuesday, December 21, 2010 10:51 AM To: Lisa Ellen Smith Subject: Re: FW: Fischer well no. 1326-04 -letter to state from county 11-29-2010

The TMK for this well is (4) 5-3-004:014, which by our maps, is definitely Kalihiwai and looks to be in the SMA. Is there an inaccuracy here? Should I send some maps?

Ch,arler Iec H ~:lrol ogi st

HalfltliiWater Commission 1151 P unchboVll 227 Kalanim oku P.O .Box621 , Honolulu 96809 (808) 587-0218


Ii •• r m rMHf'Mft

c

12/21/2010 10:44 AM

241-4499

LE From: TIKI [mailto:[email protected]]

TO"[email protected]" <[email protected]> cc

SubjectFW: Fischer well no. 1326-04 -letter to state from county 11-29-2010

Sent: Tuesday, December 21, 2010 10:28 AM To: Lisa Ellen Smith Subject: RE: Fischer well no. 1326-04 -letter to state from county 11-29-2010

I attached a copy of the letter you sent to the state on 11/29/2010 saying the lot DOES REQUIRE SMA permit. Can

you fix this for me?

Gary

From: Lisa Ellen Smith [mailto:lsmith@kauaLgov] Sent: Tuesday, December 21,201010:11 AM To: TIKI Subject: RE: Fischer well no. 1326-04

Mr. Fischer,

An SMA permit is not required, however, the state does require a letter from the county stating that it is not

located within the SMA.

LE From: TIKI [mailto:[email protected]] Sent: Tuesday, December 21, 2010 8:54 AM To: Lisa Ellen Smith Subject: Fischer well no. 1326-04

Hi Lisa, can you tell me why an SMA permit is required for this water well when the lot (tmk 4-5-004-014) is NOT in

the SMA area?

c Thanks Gary Fischer[attachment 11326-04.KP.SMAreq.pdf" deleted by Charley F Ice/DLNR/StateHiUS]

~ ~ l~! I~! --= '-= 20101221145825698_0001.pdf 20101221145833680_0001.pdf

c

----

".

o

.. lAND USE DISTRICTS DISTRICT

DISTRICT DISTRICT DISTRICT

AL ~MAi'1AGEMENT AREA ;.".~jApol::l.Pj;JrE 0 BY COUNTY OF KAUAI

. Approved ·11 - 29 - 75

£4.Ae.~ . ,. ~or

AMENDMENTS·

Accordance· W;lh .ACI 200 ;Session

~e~'f}:if 112-17-79 , . oy r I Dote

"Lb To carif~.r;'l ~~.F~d?';j: !='i(,.'O.d··lri~uronce Rete. Map Am6'ndme~t s a $ Acbpted

. /1~ kdt'?<#,U'l.<Z-- f-:lI'i'~ .' ;'. ~·hclir%an~<.p!atming C,C?mrtfisslpn/ Date ... -. "

THE PREPA.RATION OF ·THIS··W\P ·WAS FINANCED IN PAin BY THE COASTAL ZONE. ·MANAG~MENT ACT

.OF 1972,· AS' AMENDEIl;; APJ.'lIiIlST·ERED BY' THE C>FFICt OF CO.~STAL ZONE MAN·AGEi\.1E.NT, NATIONAL

OCEANIC AND .. ATMOSPHERIC ADMINISTRATION. UNITEO STATES DEPARTMENT OF .COMMERCE.

SMA. B9~ngary is the Seaward Edge of the Line

~6~ . Area of Amendment .. -." ... ;~ ... :

' .... . : .... : Area of' Federal lands Exclusion

'.

"TIKI" <gsc@hawaiian .net>

12/21/201001:56 PM

o To <[email protected]>

cc

bcc

Subject SMA MAP 4-5-3-4-014

f •


Mr. Ian Costa, Director Planning Department County of Kauai

o o


COMMISSION ON WATER RESOURCE MANAGEMENT po. BOX 621


November 12,2010 . . c KAU ~\ MONTY Or \ t

-'0 NU~ 15 P2 :05 4444 Rice Street, Ste. A473 Lihue, Hawaii 96766

r;"" ~1-":-

P-lAttNlHG ;};.r :.

Dear Mr. Costa:

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

Kalihiwai-Fischer Well (Well No. 1326-04)

LAURA H. THIELEN CHAIRPERSON

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

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


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 respond by returning this cover memo form by December 20,2010. Ifwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please find the attached maps tl' locate the proposed well. If you have any questions about this permit application, request additional infofF " or request additional review time, please contact Charley Ice of the Commission staff at 587-0218.

CI:ss

RESPONSE:

[ ]

This well ~ect M requires [ ] d. and [ ] is lj'-I.s lot ~urrently active,

Other relevant rules/regulations, int

[ ] No objections

[ ] Other comments:

Sincerely,

fAJ ,117_ .L. 1... LAU~~LEN

hed.

Contact Person: --7'q.~+-~'---'~'90""""'~---ft-----':....L ...... - Phohe: 1k1-~

Signed: ___ -""~~~ __ ...... -=....o\o;;::::;;~--".,..~~----- Date: ------,,'..:....p::' '"k1'--1-1~t&-


o


STATE HISTORIC PRESERVA nON DIVISION 601 KAMOKILA BOULEVARD, ROOM 555

KAPOLEI, HAWAII 96707

December 2,2010

MEMORANDUM

TO:

FROM:

SUBJECT:

Lenore N. Ohye Acting Deputy Director Commission on Water Resource Management P.O. Box 621 Honolulu, HI 96809

Theresa Donham, Archaeology Branch Chief 1111-·---

I

Chapter 6E-42 Historic Preservation Review -Well Construction/Pump Installation Permit Application Kalihiwai-Fischer Well (Well No. 1326-04) Kalihikai Ahupua'a, Hanalei District, Island of Kaua'i TMK (4) 5-3-004:014


BOARD OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

PAUL J. CONRY ACTING FIRST DEPUTY

LENORE N. OHYE ACTING DEPUTY DIRECTOR - WATER

AQUATIC RESOURCES BOATING AND OCEAN RECREA nON

BUREAU OF CONVEYANCES COMMISSION ON WATER RESOURCE MANAGEMENT

CONSERVATION AND COASTAL LANDS CONSERVATION AND RESOURCES ENFORCEMENT

ENGINEERING FORESTRY AND WILDUFE HISTORIC PRESERVATION

KAHOOLAWE ISLAND RESERVE COMMISSION LAND

STATE PARKS

Log No. 2010.3719 Doc No. 101lMV34

-..

~:,; ,,-. Uls:, C?~;:_,.

'~<::,;;;::y tl ~ " .

~ ._, _".0 ;:

~,~...i:·-d

Thank you for the opportunity to review and comment on the Kalihiwai-Fiscer well application that we received on November 17,2010. According to the application a 10 inch diameter hole will be drilled to a depth of approximately 85 feet below the surface. A review of our records indicates that there are no known historic sites in the vicinity of this project. In addition, archival aerial photographs of this region indicate the proposed location for the well was previously subjected to intensive sugarcane cultivation. The previous disturbance of this area during sugarcane cultivation likely removed any archaeological surface features. This area is also unlikely to contain any subsurface archeological deposits, as the USGS soil survey (Foote et. al. 1972) indicates that the project area is underlain with Hanalei Silty Clay (HnA). Therefore, we have detennined that no historic properties will be affected by this project.

In the event that historic resources, including human skeletal remains, sand deposits, lava tubes, and lava blisterslbubbles are identified during construction activities, please cease all work in the immediate vicinity of the find, protect the find from additional disturbance, and contact the State Historic Preservation Division at (808) 692-8015.

Please contact Mike Vitousek at (808) 692-8029 or Michae1.Vitollsek(?4hawaii.gov if you have any questions or concerns regarding this letter.

l-tz. 1 m


c o LAURA H. THIELEN

CHAIRPERSON RECEIVED LAND D/IIiS/ON WILLIAM D BALFOUR, JR

SUMNER ERDMAN NEAL S. FUJIWARA

CHIYOME L. FUKINO, M.D.

ZOIO NOV 12 P 2: 4~ DONNA FAY K. KIYOSAKI, P.E.

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

TO:

FROM:

SUBJECT:

STATE OF HAWAII o Ef.:·.r.' .' .! ~.I." ~.i ~ARTMENTOF LAND AND NATURAL RESOURCES

NATU''' !.I !,<C. ON ON WATER RESOURCE MANAGEMENT :, .• """,' .~' .... ':' .'/ - P.O. BOX 621 S 1;, ., i i ;~,/A /I HONOLULU, HAWAII 96809

November 12,2010

Russell Tsuji, Administrator Land Division

Lenore N. Ohye, Acting Deputy Director1\ ¥ Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Kalihiwai-Fischer Well (Well No. 1326-04) TMK (4) 5-3-004:014



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 20, 2010. Ifwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please find the attached maps to locate the proposed welL If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staffat 587-0218.

CI:ss Attachment(s)

RESPONSE:

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

!XX 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. "c:::t -c:::t

".J'"

i"c"':> u)o

~ ('") . ;.

3:: T No objections

Original source d6 private title is land Corrmission AwaW No:'~:i!~:{ 11215, Apana 3 issued between 1845 and 1855. ~

~] Other comments:

Contact Person: --~GraaFI'¥y-MMlaaI'I'tt111' nEl--------- Phone: ----3158~7I--Jd.04'1r.2Hl:----

Signed:_~~---=--_'--~7-+-'_?)_1~_~~_+------- Date: 11/30/10 I

3: (.-) "

Q ....,

"Seto. Joanna L n

<joanna [email protected] v>

12/03/201012:51 PM

o To <[email protected]>

cc

bcc

Subject RE: Review for Comments [Well No. 1326-04]

Subject: National Pollutant Discharge Elimination System Regulations for the Well Construction/Pump Installation Permit Application(s) for the Subject Well(s)

Dear Mr. Ice:

The Department of Health, Clean Water Branch (CWB) has the following comments for the subject well:

1. For Well-Drilling Activities

Any discharge to State waters of treated process wastewater effluent associated with well drilling activities is regulated by Hawaii Administrative Rules (HAR), Title 11, Chapter 55, Appendix I, effective October 22, 2007, and compiled June 15,2009. Treated process wastewater effluent covered by this general permit includes well drilling slurries, lubricating fluids wastewater, and well purge wastewater. This general permit does not cover well pump testing. The applicable Notice of Intent (NOI) Forms and filing fee shall be submitted at least 30 calendar days before the start of discharge to the:

Department of Health

Clean Water Branch

919 Ala Moana Boulevard, Room 301

Honolulu, Hawaii 96814-4920

The CWB-NOI Forms are available online at http:Llwww.hawaii.gov/health/environmental/water/cieanwater/forms/genl-index.html. Inquiries may be directed to the CWB at (808) 586-4309 or by fax (808) 586-4352.

2. For Well Pump Testing

The discharger shall take all measures necessary to prevent the discharge of pollutants from entering State waters. Such measures shall include, if necessary, containment of initial discharge until the discharge is essentially free of pollutants. If the discharge is entering a stream or river bed, best management practices shall be implemented to prevent the discharge from disturbing the clarity of the receiving water. If the discharge is entering a storm drain, the

discharger must obtain written permission from the owner of the storm drain prior to discharge. Furthermore, best management practices shall be implemented to prevent the discharge from collecting sediments and other pollutants prior to entering the storm drain.

3. For Construction Activities Disturbing One (1) or More Acres of Total Land Area

By HAR, Title 11, Chapter 55, Appendix C, effective October 22, 2007, and compiled June 15, 2009, an NPDES permit or Notice of General Permit Coverage is required before the start of the construction activities that result in the disturbance of one (1) or more acres oftotalland area, including clearing, grading, and excavation. The total land area includes a contiguous area where multiple separate and distinct construction activities may be taking place at different times on different schedules under a larger common plan of development or sale. An NOI (see Comment No.1, above) shall be submitted 30 calendar days before the start of construction activities.

Thank you for the opportunity to comment,

Joanna

Joanna l. Seto

Engineering Section Supervisor

Clean Water Branch

State of Hawaii Department of Health

Phone: (808) 586 - 4309

Fax: (808) 586-4352

Notice: This information and attachments are intended only for the use of the individuals) or entity to which it is addressed, and may contain information that is privileged ancVor confidential. If the reader of this message is not the intended recipient any dissemination, distribution, or copying of this communication is strictly prohibited and may be punishable under state and federal law If you have received this communication and/or attachments in error, please notify the sender via e-mail immediately and destroy all electronic and paper copies.

From: Susan S Hoagbin/DLNR/StateHiUS@STATEHIUS@DOHMAIL On Behalf Of Susan S Hoagbin/DLNR/StateHiUS@DOHMAIL Sent: Friday, November 12, 2010 9:42 AM To: Morikami, Lori N; Miyahira, Michael M; Seto, Joanna L; Palmer, Richard Subject: Review for Comments

Please respond to this email request for comments to [email protected].

« File: 1326-04.PDF »

• ........... iliiIIi ... • .. ' __ ... i'" .... , .... " ... '" ....... " ... "" ...... ______ ............................ , ___ ~ .... ...".~_-------

II.


Date:

To:

Attn:

From:

Subject:

•

r: C Of· r '." ; ~:" ; _.: r ,':: IJ CHIYOME LEINAALA FUKINO, M.D.

::E:::C/::-';",' '~:7 Y!:ATER DIRECTOR OF HEALTH

: '·1':, -r-NT

STATE OF HAWAII 2010 NOV 16 AH 9: ;~ I

DEPARTMENT OF HEALTH PO. BOX 3378


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

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

STATE MESSENGER DELIVERY

\ \ - \1- 'lolO

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

ChQv{(~ lev Ph 586-4294 Fax 586-4300

In reply, please refer to: EMD/WB

Lori Morikami, Planner Planning & Design Section Email: [email protected] water commission route.wpd sam as of 06-21-2007

. Well Construction/Pump Installation Permit/Water Use Permit for

[120.- tVf - f4{ i h f vvtt( Well No. _____ VT ______________ _

Well No. ___________________ _

Well No. ___________________ _

Well No. ____________________ _

Please find enclosed the application of the above subject project.

STATE MESSENGER DELIVERY

•

· .

Comptroller General of the United States, and any of

their authorized representatives, the committees (and

their staffs) of the Congress and Legislature of the

State of Hawaii, and the Legislative Auditor of the

State of Hawaii, to have the right of access to any

book, document, paper, file, or other record of the

BOARD (and of any of its subcontractors) that is

related to the performance of the provisions under this

Agreement in order to conduct an audit or other

examination or to make excerpts and transcripts for the

purpose of monitoring and evaluating the BOARD's

performance of the provisions and the BOARD's program,

management, and fiscal practices to assure the proper

and effective expenditure of funds under this

Agreement. The right of access shall not be limited to

the required retention period but shall last as long as

the records are retained.

g. The BOARD shall retain all records related

to the BOARD's performance of the provisions under this

Agreement for at least three (3) years after the date

of submission of the BOARD's final expenditure report,

except that if any litigation, claim, negotiation,

investigation, audit, or other action involving the

records has been started before the expiration of the

three-year period, the BOARD shall retain the records

18

LINDA LINGLE OOVlRHOPI OF HAWA.

c o


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

CHIYOME L. FUKINO, M.D. DONNA FAY K KlYOSAKI, P.E. LAWRENCE H MIlKE, M.D., J.O

TO:

FROM:



HONOLULU, HAWAn 96809

November 12,2010

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

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


Dr. Keith Kawaoka, Office of Hazard Evaluation and Emergency Response

Laura H. Thielen, Chairperso~ ..,1 Commission on Water Reso~~U Management

SUBJECT: Well ConstructionlPump Installation Permit Application Kalihiwai-Fischer Well (Well No. 1326-04) TMK (4) 5-3-004:014

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

We would appreciate your comments on the captioned application 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 20, 2010. Ifwe do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staffat 587-0218.

CI:ss Attachment(s )

to .. RESPONSE: -c::a

[ I

[ I

[ I

[ )

~ [ )

~ ( )

::z: This well qualifies as a SOIB'CO which will serve as a source of potable water to a public water system (defined as serving 25 or more people at least 6OC::> days per year or has IS or more service connections) and .. ust receive Director of Health approval.l1!i2l: to its use to comply with Hawaii AdminislraliC 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 0"\ connections) and if the well water is used for drinking, the private owner should test for bacteriological and chemical presence before initiating SUCh~ and routinely monitor the water quality thereafter. However, if fullB'e planned use from tbis source increases to meet the public water system definit' then Director of Health approval is required mil!!: 10 implementation.

If the well is used to supply both potable and non-potable pwposcs in a single system, the user sball eliminate eross-connections and backt10w '-e connections by pbysically separating potable and non·potabl. systems by an air gap or an approved backt10w preventer, and by clearly labeling all n'al potable spigots with warning signs to prevent inadvertent consumption of oon-potable water. Backflow prevention devices should be routinely inspem and tested. .

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

For the applicant's information, a source of possible wastewater oontaminatio~ I J is not located near tbe proposed well site (information al1ached).

An NPDES permit is required.

Other relevant DOH rules/regulations, information, or recommendations are attached. One-Stop database screen info 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 10 review the new location.

No comments/objections K Contact Person: Lori Vetter, Eng. on Kauai 241-3323

Signed: Ofm1r~' &1l ~ Date: //-/2-2010

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Cd Site Info, [IJ IWS System jiJ Compliance a Documents' 'iii SPA G Notes

A lieation Information

Permit ID: 44426

legacy Filellt: N/A

eHawaii 10: N,:-/A __ -.

IVVSType:l~s=e~p=tI=C=T=an=k~==============="~1 Island: I Kauai v,1 Status:IPp=la=n=A=p=p=r=Oy=e=d===============v~1

Assigned To: LI V:.,:ett=e:,cr'c.:L::.:o:::..r,-i ________ ,,-'1

Variance 10:

Pro'ect Information ----------------------,

Engineer:

TMK:

Street Address:

Street Address 2:

Suite! Apt.:

City:

Zip Code:

I Fred A. Reyes vi 1453004014

IWS may be within 1,000 ft. of a potable well

13573 R Anini Road

~IK='I~au=e=a========,_---------~I,HI 196754

Source: WWB Description: '1------------,

Review Information

submit Date:

Reviewed:

PI.a" Approved:

No Final Appro,vaIUr:

Inspection Date:

Final Approval:

Termination Date:

110/1/2010

110!1/201()

110/l/201()

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Pa ment Information -----------------------------------------------,

Payment Type: LI c::::he=ck"-__ --'-~cJl Check Number: 1c::3.::.96=-___________________ -' Amount: c:11c::o::;o.c::o=..o __ --'

Check Date: 19/2712010 Payor: ILOX Hawaii

Approval to Budd Exception Report Inspection DefiCiency Report Save

Added By: Ivetter 10/1/2010 11:07 AM Last Modified: Ivetter 10/1/2010 1:24 PM

• Internet

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• ~ 2003 mar 15 pool room 1 ~ 2003 mar 15 pool room 2 ~ actNe member letter ~ associate member letter @~ Free HotmaU ~ Internet Service $9, 95 ~ renew letter 'lSI rpj bird »

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ii.J IWS System • jij Compliance Q Documents ::W BPA , G Notes ,

Site Information

Dwellin Information

First Name: IGacx lot Size (sq ft_): 16969

last Name: IFisher CPR lot: IT:] Street Address: Ipo Box 837

Street Address 2: Dwelling Type: I New Dwelling

Suitej Apt#: Existing IWS: [CJ City: IHanalei # of Existing IWS: 1 State: IHawaii "'I [CJ Zip Code: 196714 Other Wastewater Bldgs:

Email Address: I Total Bedrooms: 15 Bedroom Use Project [E] Designed Flow Rilte (gpd): 11000 Address:

Building Type: 1 Residential

lCC: [CJ Potable Well within 1,OOOft?: IT:]

Added By: Ivetter 10/1/2010 11:07 AM last Modified: Ivetter 10/1/2010 1:24 PM

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l:J General' G~ Site Info '

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Soil Profile Information

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soil Absor tion Information

Soil Absorption Bed

length:

Width:

3' Soil Replacement: [CJ Totill Bed Area: 630 sq. ft.

.iiJ Compliance ' Q Documents .iii BPA f G Notes:

~ll~so~o~ ___ ,..",J1 gal.

lEJ EJ

Manufacturer: 1 CrenCD Systems, Inc. vi Disposal Type: ",I B:.:ed=-_______ v---'I

Minimum Soil Absorption: 125 sq. ft./bd

Total Min. Soil Absorp. Required: 625 sq. ft.

3' Groundwater Setback: [EJ

Total Soil Absorp. Provided: 6305q. ft.

Soil Absorption Trenches Seepage Pit

length: c====J ft Diameter: c====J ft Depth: c====J ft

Width: [==:J ft lining Type: I v I # of Trenches: c====J Access Opening: c====J inches

3' Soil Replacement: [EJ Cover Diameter: [==:J ft

6" Inspection Port: [CJ

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6 __ P_-+~--10'-10

__ -1-_-,8'-0' Li _-+---'---10'-0=..'----'_--------:--=-_~-...:-.,------- 60'-0'

72'

14

96'

THISWORI ORUNOE~ ,

North I

·I\\~z.o


Ms. Tracie Sober Valley Well Drilling, LLC 91-458 Komohana Street Kapolei, HI 96707

Dear Ms. Sober:


COMMISSION ON WATER RESOURCE MANAGEMENT PO BOX621


November 12,2010

LAURA H. THiElEN CHAIRPERSON


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

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


1326-04.wcpia.acc

Well Construction/Pump Installation Permit Application for Well No. 1326-04

We acknowledge receipt, on November 5, 2010, of your completed Well Construction/Pump Installation permit application and filing fee for the Kalihiwai-Fischer Well (Well No. 1326-04). 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 Charley Ice of the Commission staff at 587-0218 or toll-free at 274-3141 (Kauai), extension 70218.

CI:ss Attachment

c: Gary Fischer

S;;YL 'r' LE~~.-olvE Acting Deputy Director

o LINDA LINGLE

GOVERNOR OF HAWAII LAURA H. THIELEN

CHAIRPERSON

TO:

FROM:




November 12,2010

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

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


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



Dr. Keith Kawaoka, Office of Hazard Evaluation and Emergency Response

Laura H. Thielen, Chairperso<1. ~I Commission on Water Reso~~lJ Management

SUBJECT: Well Construction/Pump Installation Permit Application Kalihiwai-Fischer Well (Well No. 1326-04) TMK (4) 5-3-004:014

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

We would appreciate your comments on the captioned application 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 20, 2010. Ifwe do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice ofthe Commission staff at 587-0218.

CI:ss Attachment( s)

RESPONSE: [ 1

[ 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 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 [ lis ( 1 is not located near the proposed well site (information attached).

Ao NPDES permit is required.

Other relevant DOH rules/regnlations, 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:

c




November 12,2010

Russell Tsuji, Administrator Land Division

Lenore N. Ohye, Acting Deputy Director1\ J", Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Kalihiwai-Fischer Well (Well No. 1326-04) TMK (4) 5-3-004:014



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


LENORE N. OHYE ACTING OEPUTY DIRECTOR



Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-0218.

CI:ss Attachment( s)

RESPONSE:

[ ] A water lease/permit is required ofthis 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:

c o




November 12,2010

Dr. Puaalaokalani Aiu, Administrator Historic Preservation

Lenore N. Ohye, Acting Deputy Director" .J.I Commission on Water Resource ManageJ~nt

Well Construction/Pump Installation Permit Application Kalihiwai-Fischer Well (Well No. 1326-04) TMK: (4) 5-3-004:014



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




Please find the attached maps to locate the proposed well. If you have any questions about this permit application or request additional review time, please contact Charley Ice of the Commission staff at 587-0218. 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.

CI:ss Attachment(s)

RESPONSE:

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

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

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

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

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


Mr. Ian Costa, Director Planning Department County of Kauai

o o


COMMISSION ON WATER RESOURCE MANAGEMENT po. BOX 621


November 12, 2010

4444 Rice Street, Ste. A473 Lihue, Hawaii 96766

Dear Mr. Costa:

Special Management Area Use Permit Requirements for Well ConstructioniPump Installation Permit Application

Kalihiwai-Fischer Well (Well No. 1326-04)


WILLIAM 0 BALFOUR. JR. SUMNER ERDMAN NEAL S. FUJIWARA

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



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 20,2010. Ifwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-0218.

Sincerely,

+L~WLEN Chairperson

CI: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, information, or recommendations are attached.

[ ] No objections

[ ] Other comments:

Contact Person: ___________________ _ Phone: ___________ _

Signed: _______________________________________ _ Date: _____________ __

c ,...... ..., COMMISSION ON WATER RESOURCE MANAGEMEN

ROUTE SLIP FOR NEW APPLICATIONS

FROM: CHARLEY DATE: 5-Nov-10 SUSPENSE DATE:

KUNIMURA, I. FUJII, N. -3-NAKAMA, L.

Approval -3- Signature

Information HARDY,R.

-2-HOAGBIN, S. 4 ICE, C.

IMATA, R.

WELL NUMBER \~'ZV;' O~

~ WELL CONSTRUCTION

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

WELL NAME Kalihikai Fischer

~ PUMP INSTALLATION

A IT ACHMENTS FOR APPLICATION P~CESSING - Both applicant & staff generated 1 TRANS. LETTER ./

2 PERMIT PROCESS TABLE ~

12-Nov-10

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft acknow letter

-2-Type Final, label file folder, update People.db 4 File & Input Issue Date

Xerox copies

WUP Number na

o WUPA

3 CWRM MAPS ~. making 1-mile radius and penciling in on hanging maps 4 APPL. FORM (11 COPIES) v. 5 USGS MAPS (11 COPIES) .5' 6 TAX MAPS (11 COPIES)

7 PARCEL OWNER VERIF. MLS PRINTOUT 8 CONTRACTOR VERIF. DCCA LICENSE SCREEN PRINTOUT 9 ALL INFO FILLED IN

10 BACKGROUND CHECK

11 $25 FEE DEPOSIT SLIP

12 DHP/CDUP/SMA pre-screen

13 EA 343 5(a) triggers?

FOLDER:

+ .-:LL... S;~ C~"RM. V\'\!H' --L- (§M8.map printout http://gis.hicentral.com/webs'te/parcelzoning/viewer.htm.,or INGRID'S SMA/CD MAP) (LUC map printout http://luc.state.hi.us/luc_maps.htm., or INGRID'S SMA/CD MAP)

/ NO (lot ~ .sLu..rtit~ 5~tbo-ck YES - trigger identified is: (if triggered, exemption analysis memo must be attached before accepting)

ii· MADE NEW FILE FOLDER, AITACHED FILE FOLDER ALREADY MADE, IN FILE CABINET

INCOMPLETE ACTION DATES:

DATE ACTION

1 unit. Backup?

.f

Well Background Check

Approved Well No. Well Name Applicant Well Construction

Driller Pump Inst. Type Issued Signed WCR1 Accept Pump Installation

Issued Signed WCR2 Accept

4363-19 Mera 11 B NELHA

BMW 6 Del Monte Fresh Produce

4463-05 North Point 12 NELHA

4463-06 North Point 12A NELHA

4463-07 North Point 12B NELHA

3605-29 Kawailoa Mauka Kawailoa Mauka, LLC

4363-18 Mera 11A NELHA

4363-14 Kona Blue 10 NELHA

4363-16 Kona Blue 10B NELHA

4361-01 Queen K 13 NELHA

4262-05 Moana 9A NELHA

4262-06 Moana 9B NELHA

4262-04 Moana 9 NELHA

4363-17 Mera 11 NELHA

1225-03 Kilauea-KPGIIII Ahaina Hou Land, LLC

4363-15 Kona Blue 10A NELHA

7/19/2004 5229-04 Maui Lani 5 Maui Lani Partners


2/23/2005 0521-10 Dry Gulch Flats William Lydgate


4/14/2005 1225-05 Kai Halalu 1 Miller Family Trust

11/25/2005 4527-18 Kaonoulu 5 Keuranes Ltd.

C-24947

C-24947 C-24947

C-24947

C-24947

C-24947

C-24947 C-24947

C-24947

C-24947

C-24947

C-24947

C-24947

C-24947

C-24947

C-24947

C-24947

C-24947

C-24947 C-21896

C-24947 C-21896

C-24947 C-24947

C-24947 C-21896

C-24947 C-29578

C-24947 C-18254

12/8/2005 3306-13 NSLF-015 North Shore Land & Farming, C-24947 C-24947


12/8/2005 0519-07 Miller 01 Robert J. Miller C-24947 C-24947

1/3/2006 3306-15 Bareis Springs Orion Bareis C-24947 C-24947

4/17/2006 3306-17 Christensen 1 Christensen Brothers Constru C-24947 C-24947

Friday, November 05,1010

WELL

BOTH

WELL

WELL

WELL

BOTH

WELL

WELL

WELL

WELL

WELL

WELL

WELL

WELL

PUMP

WELL

4/1/2009

8/9/2007

4/1/2009

4/1/2009

4/1/2009

4/1/2009

4/1/2009

4/1/2009

4/1/2009

4/1/2009

4/1/2009

4/1/2009

4/1/2009

4/1/2009

BOTH 8/2/2004 9/21/2005 7/26/2006 6/26/2007

BOTH 8/212004 9/21/2005 7/26/2006 6/26/2007

BOTH 7/29/2005 8/112005 3/16/2006 5/16/2006

BOTH 31712005 9/21/2005 7/26/2006 6/26/2007

BOTH 4/27/2005 5/112006 8/10/2006 12/19/2006

BOTH 111112006 1/18/2006 4/16/2007 4/19/2007

8/912007

41712009 4/13/2009 5/10/2010 5/10/2010

41712009 4/13/2009 5/10/2010 5/10/2010

7/29/2005 8/112005 10112/200610/12/2006

41712009 4/13/2009 5/10/2010 5/10/2010

4/27/2005 2/512009 2/18/2009 2/18/2009

1/11/2006 9/16/2009

BOTH 12/12/2005 12/19/2005 212912008 9/812008 12112/2005 12/28/2005 816/2009 6/2/2010

BOTH 12/12/2005 12/19/2005 212912008 2/29/2008 12112/2005 12/28/2005 811312009

BOTH 12/12/2005 12/19/2005 819/2006 10113/2006 12/12/2005 12/19/2005 712112007 3/21/2007

BOTH 1/25/2006 1/27/2006 2/29/2008 2/29/2008 1/25/2006 1/27/2006 2/29/2008 2/29/2008

BOTH 4/24/2006 4/26/2006 3/10/2008 3/10/2008 4/24/2006 4/26/2006 3/10/2008 3/10/2008

Page 10/3

Approved Well No. Well Name Applicant Well Construction

Driller Pump Inst. Type Issued Signed WCR1 Accept Pump Installation

Issued Signed WCR2 Accept


1017/2006 3306-21 Haleiwa-Saville Scott Saville C-24947 C-24947

1017/2006 2710-08 Waianae-Schmidt Peter Schmidt C-24947 C-24947

3/27/2007 3306-22 Kamalani Kamalani Ranch Co. C-24947 C-24947

5/25/2007 2355-16 WG Minami 2007 WG Minami Inc. C-24947 C-24947

5/25/2007 3306-23 Payes Linda Payes C-24947 C-24947

9/25/2007 4100-06 Kawela Mauka Ex Sean Ginella C-24947 C-24947

1/23/2008 3306-24 NSLF 11 North Shore Land & Farming, C-24947 C-24947

2/1/2008 4327-10 Kalama Beach A U.S. Geological Survey



2/1/2008 4427-08 Kihei Fire B3

2/1/2008 4427-07 Kihei Fire B2

2/1/2008 4427-06 Kihei Fire B1

U.S. Geological Survey



5/5/2008 0620-01 Kapaa Cannery Kauai Natural Waters, LLC

C-24947

C-24947

C-24947

C-24947

C-24947

C-24947

C-24947

6/30/2008 3554-07 Thielen-01 Anchor Construction Mgmt Co C-24947 C-24947

9/18/2008 0619-01 Mitchell Norman & Sheila Mitchell

9/30/2008 5641-03 KOR Lot 3 Starwood SVO Pacific

9/30/2008 5641-04 KOR Lot 3 Backu Starwood SVO Pacific

12/8/2008 0620-01 Kapaa Cannery Kauai Natural Waters, LLC

1/5/2009 3306-25 NSLF 13 Menehune Water Company

2/27/2009 0136-01 McCarty James & Victoria McCarty

4/8/2009 3307-24 NSLF-09 Samuel Dolman

4/8/2009 3307-23 NSLF-08 North Shore Land & Farming,

7/6/2009 3903-03 Kipahulu National National Park Service [01]

7/6/2009 5524-01 Kauai Bottling Co Kauai Bottling Co., LLC

7/30/2009 3013-09 Ohikilolo Our Lady of Keaau

10/19/2009 5429-02 Honuhonu Honuhonu Ranch

Friday, November 05, 2010

C-24947 C-24947

C-24947

C-24947

C-24947

C-24947 C-24947

C-24947 C-24947

C-24947

C-24947

C-24947

C-24947 C-24947

C-24947

C-24947 C-24947

BOTH 9/19/2006 9/21/2006 7/29/2008 7/29/2008

BOTH 10/1112006 10/16/2006

9/19/2006 9/21/2006 7/29/2008 7/29/2008

10/11/2006 10/16/2006 e-Il rvrt.f1f) BOTH 10/11/2006 10/16/2006 311112008 3/11/2008 10/11/2006 10/16/2006 311112008 3/11/2008

BOTH 4/10/2007 4/12/2007 111712007 5/29/2008 4/10/2007 4/12/2007 8/612009 3/1/2010

BOTH 6/14/2007 6/18/2007 7/11/2008 7/24/2008 6/14/2007 6/18/2007 7/11/2008 7/24/2008

BOTH 6/14/2007 6/18/2007 2/29/2008 2/29/2008 6/14/2007 6/18/2007

BOTH 10/17/2007 10/29/2007 2/612009 4/14/2009 12/13/2007 10/2/2008 9/9/2009 9/9/2009

BOTH 3/612008 3/26/2008 9/212008 9/24/2008

WELL 3/3/2008 2/11/2008 6/312009 7/16/2009

WELL 3/312008 2/11/2008 6/312009 7/16/2009

WELL 3/312008 2/11/2008 6/312009 7/16/2009

WELL 3/312008 2/11/2008 6/312009 7/16/2009

WELL 3/312008 2/11/2008 6/312009 7/16/2009

WELL 3/312008 2/11/2008 6/312009 7/16/2009

PUMP

BOTH 7/30/2008 8/27/2008 11/5/2008

BOTH 9119/2008 10/2/2008 7/30/2009

BOTH 10/3/2008 10/17/2008

BOTH 10/312008 10/17/2008

WELL 12/22/2008 12/24/2008 914/2009 9/4/2009

BOTH

BOTH

PUMP

PUMP

PUMP

11712009 1/12/2009 3/30/2009 3/31/2009

3/512009 3/6/2009 7/30/2009 8/612009

BOTH 7/14/2009 7/17/2009

PUMP

BOTH 10/20/2009 10/27/2009

3/6/2008 2/9/2009

512112008 11/19/2008 914/2009 9/4/2009

7/30/2008 8/27/2008 5/412009

9/19/2008 2/19/2009 9/30/2009

1/712009 1/12/2009

3/512009 3/6/2009 7/30/2009 8/612009

4/16/2009 4/20/2009

4/16/2009 4/20/2009

7/14/2009 7/17/2009 10/14/200910/14/2009

711412009 7/17/2009

9/28/2009 9/30/2009 12/28/2009

10/20/2009 10/27/2009

Page 2 of3

/.

Well Construction Pump Installation Approved Well No. Well Name Applicant Driller Pump Inst. Type Issued Signed WeR1 Accept Issued Signed WCR2 Accept

11/6/2009 0422-01 Makaleha Joel Calhoun C-24947 C-24947 BOTH 11/13/2009 11/19/2009 11/13/2009 11/19/2009

11/18/2009 0915-02 Popohaku-Harris Terry Harris C-24947 C-24947 BOTH 12/4/2009 121712009 3/11/2010 4/612010 1214/2009 121712009 3/11/2010 4/612010

2/17/2010 3104-02 HEP-1 Hawaiian Earth Products C-24947 C-24947 BOTH 11/2/2010 11/2/2010

6/18/2010 3306-26 Kaala Farms Kaala Farms LLC C-24947 C-24947 BOTH 6/24/2010 6/25/2010 6/24/2010 6/25/2010

7/12/2010 2144-01 Sherrill Les & Laura Sherrill C-24947 C-24947 BOTH 8/16/2010 8/16/2010 8/16/2010 8/16/2010

8/25/2010 3901-01 Paumalu Sean Ginella C-24947 C-24947 BOTH 8/31/2010 9/212010 8/31/2010 9/212010

Friday, November 05, 2010 Page30f3

qEPARTMENT OF LAND AND NATURAL REQRCES DOCUMENT NO . .. UAC OR ATTACHED WORKSHEET DATE' November 5 2010 .

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

S 11 326 C 1026 0752 (1 ) $25.00 Fischer Construction Company

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $ 25.00

REMARKS: LINE (1) Kalihikai Fischer Well LINE (2) I LINE (3 LINE (4) LINE (5) LINE (6) LINE (7) LINE (8) LINE (9) LINE (10)

c STATE OF HAWAII FOt Rffi4:j~~ !J~~p~rF{ "TER DEPARTMENT OF LAND AND NATURAL RESOURCES ~t,.~, 11 : \--.;' '~:j _ ,~. l ~ ~ rf·",.

·~:E~~·: ~.J -,. • ~ i : r t:~~t"~ENT COMMISSION ON WATER RESOURCE MANAGEMENT

APPLICATION FOR A WELL CONSTRUCTION I 2010 NOV -4 PH 2: 27 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 1 0 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)

1 kAL~~~~~' 3. ISLAND 14. TMK ~--.-L-~ o l!:! f,~OW;f,. ~V\~ , zone sec plat parcel

The following must be attached before this application is accepted as complete: o Portion of 7.S-Minute Series USGS topographic map (scale 1 :24,000) with well location labeled and indude the name of the quad map o Property tax map, showing well location referenced to established property boundaries o Photograph of the proposed well site oA schematic diagram showing the well site, access road and proposed well infrastructure o For dll9. wells, attach a grading plan with cross section profiles showing existing and finish grades

S. WELL OPERATOR'S NAME/COMPANY I Well Operator's Contact 6. LANDOWNER'S NAME/COMPANY I Landowner's Contact

~JW.l f \~CH~ ~1\Y\r: q~ ~,DtY"\W Well Operator's Mailing Address Landowner's Mailing Addrdss

r·o. Bc)C cg3"t I{M-!A lE-1 I \t \ C1ItJt\l..\-Well Operator's Phone I Well Operator's Fax I. Well Operator's E-mail Landowner's Phone I Landowner's Fax I Landowner's E-mail

b3CJ -OS'li ,q~(;@he,,~qlian .. nct ·PROPOSED WELL CONSTRUCTION PROPOSED PUMP INSTALLATION , 7. Proposed Work 8. Construction Type 10. Proposed Work 11. Proposed Pumping Rate, gpm 13. Method of flow measurement ~ Construct New Well XI Drilled ~ Install New Pump (gallons per minute) ~Flowmeter o Modify Existing Well o Dug o Replace Pump 40 o Other (explain) o Abandon/Seal Well o Shaft

12. Proposed Amount of o Tunnel Withdrawal, gpd (gallons per day)

9. Is this well part ofa battery of wells? 0 Yes !XI No LOOO 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'~RR&P PROPOSED USE

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

00 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 (CDUP) o Well is in Conservation District

o Required, CDUP # date approved o Not Required (attach documentation from OCCl) o I have not checked with OCCl about whether or not a CDUP 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.

o Well is not in Conservation District ~ I have not checked if well is in or out of Conservation District. I understand that checking if the well is in a Conservation District may expedite my

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

23. State Historic Preservation Division (SHPD) of the Department of land and Natural Resources 0 I have consulted with the HPD regarding potential impacts of well construction activities on historic sites. I have attached applicable documentation

from the HPD. Jrl I have not consulted with the HPD regarding potential impacts of well construction activities on historic sites. I understand that checking with the HPD

prior to making this application may 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. Additionally, the history of past land use is attached.

24. Water Use Permit No. (if applicable):

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

NOTE: Signing below indicates that the signatories understand and swear that the infonmation 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 of the 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 !>.ermit is in suspension may result in fines of up to $5000/day. 25. WEll DRillER (Must be filled out if application is for Well Construction) 26. PUMP INSTAllER (Must be filled out if application is for Pump Installation)

.~aH~ Wei\ Dri\\i~ lLLG 1. Y'1~ 1- V,,\\c, \ri-C\l Dr\ \\\(1q lLG 1J.\11.\"t licensee uSlness name C-57 License No. Licensee. btJsiness name 'J C-57/C-57a/A License No.

1lVttVn~ \r~(it ~~bcy \0 '"2-1- . \ 0 '\YWm ~ \r'1ltt ~~b(v \0'2.1'\0 Signature Print Date Signature Print Date

q\ ~Ll56 )<ClY'ObC\nq ~t, '('~O\t\ 1\-\\ ~(P1bt ~ \ - 4S6 \(6 \y\() "c, nCI ~ t ' ¥. ilC 'r \ I\\-\ ~ h~r Address Address

1a~1-11Lt3 bll-}l~~ y .~<\ b I~"\ \t'I,{\C~ b~ 1-111a3: fa i2 -\1-L~ "i.~':hll~ h \PI.ocT Phone Fax E-mail Phone Fax E-mail

WCPI Application Form OS/20/2009

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

Hole Diameter: \Q in.

Elevation at top of casing ~ ft., msl*_\ .. -.1 /_ Minimum of 2' Radius & 4" Thick Concrete Pad (to contain benchmark .-~j"l surveyed to nearest 0.01 ft.) '.

Grouting method:

~ Positive displacement

o Other

r~/.t,. ~:d:?l'- Ground Elevation: ~ ft., msl*

r=-._._- ~r I:';:' <·::-I·-T--y,k~ I I Cement Grout: 1n0 ft. I .': .. :.:.,.'.~:.' ~.::'. I (min. 70% of distance from "

ground elevation to top of water surface or 500 ft., I:; t. 1

wh;oh",,';, .".) j / Annular space between hole I:' '. and casing (1.5" for positive I \";.

displacement, 3" for other methods):

~in.

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))

Total Length: 'f S ft.

Nominal Diameter: ___ -=--=-"0,...· __________ in.

Wall Thickness: __ --'0"'--, ".:::L~-"-,,O,--_____ in. -t r-_____ ~:-R-O-c-k-O-r-G-ra-V-e-I-p-a-Ck-i-ng-:-~+- ~f

~,~::~" :'M' i ~~ Bottom Elevation: ______ ·'-"fo ... l~ ____ ft .• msl*

Total Depth Open Casing: ,.. Perforated o Screen

E:i::::d::::V:~vel -1' ¥~ cbtJ ft.

Total Length: ___ ....:i...>,Q:..... -,-_____ ft.

Nominal Diameter: ___ =-~(pi!..-_________ in.

Wall Thickness: ___ O""---'·+l-"~'_'O'__ ____ in.

Bottom Elevation: ____ -_l.L.5-.L... ___ ft., msl* Elevation:

_40 __ ft. msl* note: Neither bentonite nor mud should be used in

saturated zone during drilling

Open Hole:

Length: ____ --;...,..-:-_______ ft.

Diameter: ______ -'k\LJL.f.c~ __________ 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 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 1/4 of aquifer thickness or.

Bottom Elevation of Well Limit = (Water Elevation _ 41 x Water Le~el Elevation )

Example: Estimated + 2 ft. Water Level Elev. --. Bottom Elevation of Well Limit = (2. 41 ~ (2) = -18.5 ft.

Solid Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L o ASTM A53 o ASTM A139

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

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

o Type S 0 Grade B

o ASTM A312 (monitor wells)

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

o Other

PVC Plastic conforming to ASTM F480 and (ASTM D1785 or ASTM D2241): (check one): tJ!l Schedule 40 0 Schedule 80 0 Schedule 120

Thermoset Plastic: (check one) o Filament Wound Resin Pipe conforming to ASTM D2996

o Centrifugally Cast Resin Pipe conforming to ASTM D2997

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM D3517

o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950

o PTFE Fluorocarbon Tubing conforming to ASTM D3296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

Open Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L o ASTMA53 o ASTMA139

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

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

o Type S 0 Grade B

o ASTM A312 (monitor wells)

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

o Other

PVC Plastic conforming to ASTM F480 and (ASTM D1785 or ASTM D2241): (check one): jla. Schedule 40 0 Schedule 80 0 Schedule 120

Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM D2996

o Centrifugally Cast Resin Pipe conforming to ASTM D2997

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM D3517

o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950

o PTFE Fluorocarbon Tubing conforming to ASTM D3296

o FEP Fluorocarbon Tubing conforming to ASTM D3296

WCPI Application Form 05/20/2009

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.AND AND NATURAL RESOURCES

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