pt.€¦ · certificate of well construction completion for well no. 5515-05 (tmk: 2-8-006:022) we...

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Page 1: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

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Kealii Pt.

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PunfawaPt

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Page 2: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

FROM: Charley TO: _IMATA, R. _ UYENO, D. _ CHONG, R. _ CHENG, C. _ LAROUX,E.

_ OHYE, M. _ FUJII, N. _ YOSHINAGA, M. _ SWANSON, S. _ KUNIMURA, I. _ ENGLAND, D.

COMMISS!-e:-WATER RESOURCE MANAGEMENT .,

DATE: ~~.p:fl O~ ( .> INIT. TO: INIT. FOR: PLEASE:

~ KAWAHARA, K. _ -L- Approval Review & Comment

L HARDY, R. ,L ~ Signature _ Type Draft _ SAKODA, E.::::.s.:: Information ~ Type Final _ NAKAMA, L. File _ TORRES, R. _ Copies: __

-J- HOAGBIN, S _ CHING, F. _ DAN BAR RA, S. _ YODA, K.

Take Action:

Please See Me

04Apr08,

Page 3: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

J o o LINDA LINGLE LAURA H, THIELEN

GOVERNOR OF HAWAII CHAIRPERSON

Mr. John Harrisson

Dear Mr. Harrisson:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P,O, BOX 621

HONOLULU, HAWAII 96809

April 24, 2008 /

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

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

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

KEN C. KAWAHARA, P,E, DEPUTY DIRECTOR

5515-05.ccpi

Certificate of Pump Installation Completion for Well No. 5515-05 (TMK: 2-8-006:022)

We are pleased to inform you that the Pump Installation work permitted for the Kealii­Harrisson Well (Well No. 5515-05) is complete and acceptable and welcome you as a new member to the community of well owners and groundwater users in Hawaii. This certificate of pump installation completion allows you to commence pumping your well for reasonable & beneficial water use.

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

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

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

3. In the event that the well operator and/or landowner changes, the Commission shall be notified of the change prior to the change, aIld all forms shall be transferred to the new owner.

4. In the event the benchmark in the concrete base of the well is altered in any way, an updated elevation survey (page 5 of the Well Completion Report Part I) shall be submitted to the Commission. The Well Completion Report Part I can be obtained by contacting staff or at www.hawaii.gov/dlnr/cwrmlforms.htm.

5. Your approved pump has a capacity of 16 gpm at a head of 486 ft. In the future, pump replacements of equal or lesser capacity will not require an additional permit from the Commission, but will require the submission of a Well Completion Report Part II by the licensed pump installer. If the pump replacement is greater than the existing pump, you will need to apply for a new pump installation permit.

/

Page 4: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

o I .... Mr. John Harrisson

o Page 2 April 24, 2008

6. The landowner shall cause the well operator to maintain the installed meter or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate devices or means for measuring chlorides and temperature. These data shall be measured monthly and reported to the Commission on an annual basis, on forms provided by the Chairperson (attached), in accordance with §13-168-7, HAR.

7. The proposed use shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. The authorization to drill a well and/or install a pump sheill not constitute a determination of correlative water rights. The landowner and well operator are notified that the quantity of water taken from the well and/or the pump capacity could be reduced by the Commission in the future.

8. In the event that your installed pump is less than 70 gallons per minute, and no elevation survey has been completed, you may be required to do one in the future.

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

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

CI:ss Encl: Water Use Report Forms

c: Maui Department of Water Supply Wailani Drilling, Inc.

Sincerely,

~!w~ Deputy Director

Page 5: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

o o LINDA LINGLE

GOVERNOR OF HAWAII LAURA H. THIELEN

CHAIRPERSON

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

April 24, 2008 /

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

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

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

SSlS-0S.ccwc

Mr. John Harrisson

Dear Mr. Harrisson:

Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022)

We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson Well (Well No. 5515-05) is complete and acceptable and welcome you as a new member to the community of well owners and groundwater users in Hawaii.

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

1. Before this well can be pumped on a regular basis, a certificate of pump installation completion must be obtained.

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

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

4. In the event that the well operator and/or landowner changes, the Commission shall be notified of the change prior to the change, and all forms shall be transferred to the new owner.

5. In the event the benchmark in the concrete base of the well is altered in any way, an updated elevation survey (page 5 of the Well Completion Report Part I) shall be submitted to the CommIssion. The Well Completion Report Part I can be obtained by contacting staff or at www.hawaii.gov/dlnr/cwrmlforms.htm

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

If you have any questions, please contact Charley Ice ofthe Commission staff at 587-0251 or toll-free at 984-2400 (Maui), extensIOn 70251.

CI:ss

c: Maui Department of Water Supply Wailani Drilling, Inc.

!1?KA~±:E~ Deputy Director

Page 6: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

LINDA LINGLE GOVERNOR OF HAWAII

Mr. Michael Robertson Wailani Drilling, Inc. P.O. Box 790299 Paia, HI 96779

Dear Mr. Robertson:

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

April 24, 2008 /

Well Completion Report Parts I & II for Well No. 5515-05

LAURA H. THIELEN CHAIRPERSON

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

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

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

KEN C. KAWAHARA, P.E. DEPUTY otRECTOR

5515-05,wcrl&2.acc

We received the final item for your Well Comp~tion Report Parts I & II for the Kealii­Harrisson Well (Well No. 5515-05) on April 18, 2008 and acknowledge that it is complete.

This completes your obligations under the pump installation permit. A certificate of pump installation completion will be issued to the well operator/landowner and you will receive a copy. The certificate transfers responsibility of all aspects of well usage and maintenance from you to the well operator/landowner.

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

CI:ss

c: John Harrisson

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

Page 7: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

Wailani 8rilling, Inc. Q Michael Robertson eLic. #C57-20115 P. o. Box 790299 • Paia, HI 96779 Phone: 808-579-8768 • Fax: 579-8769 E-mail: [email protected]

Kealii-Harrison Well #5515-05

GPS: N 20° 55' 47.3" W 156° 15' 49.7"

/~

Page 8: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

11/01/2007 15:16 FAX

Wailani Drilling, Inc. Michael Robertson -Lic. #C57-20115 p. O. Box 790299 • Paia, HI 96779 Phone: 808-579-8768 • Fax: 579-8769 E-mail: [email protected]

FAX COVER

DATE: I, IDl 't:l, FAX TO #: 5 Sl D~ \ ~

FROM: ~

ATTN: ~~~. RE: \( ~ C\, \ ~ ~ 'H 6. ( r ~ s S 6 V\ \}J ~ \ \

PAGES: (including cover)

141 001

F-v~ ~ \JJ L~ ~ «,-:tt. -\.~ ~~.

O~~ ~{6\ ~~,,~ ~W w.&tc~. "\"~ ~ ~ D.A4 'M. ~ ~

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A~~~*~~ ~+~ 6&.:-G~ ~ ~ +~~ fo-y.

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NOlJ-01-2007 03: 16PM FAX: ID:OLNR CWRM PAGE: 001 R=95\

Page 9: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

MEMO and ROUTALIP (ver. 8/31/2007) 0 11/07/07

I WCR 1 Check for Well No. 5515-05 (survey to regulation memo) I ~Ul-4xn)~~

1. Pump Tests Check Diane England r;:tv' (initial)

Yes No

Step-Drawdown Test: followed WCPI Stds 0 analysis attached 0

Constant Rate Test: followed WCPI Stds 0 analysis attached 0 proposed pump cap o.k. 0

Potential Well Interference: 0

Potential Stream Impacts: 0

Additional Testing or Data Required: 0

Pump Test Comments Attached: 0

o o

o o o

~ gpm no test required

~pm no test required

:/ ~ ~

2. Well Log Check Geology Code for Wei Index:-fl,. Fm Name: 'b., J Cb- '10 ks '0. Englan-::.....:::........l..

3. Construction Check Mitch Ohye -+-Jri~/- (initial) Yes No

data complete 0 followed Special Cond & elevations~ well database updated 0

If no. describe deficiency

Latitude Longitude

NAD27

NAD83 ( 1 .... ~ . I' .

____ (initial) take action based on above analysis

ATTACHMENTS FOR PUMP INSTALLATION PERMIT (2x): 1COVER LETTER

2COUNTY COMMENTS (DWS/SMA)

3DOH COMMENTS

4DLNR COMMENTS (LD/OCCUDHP)

5WCR 1 Accept

SWELL CONST. COMPLETION CERTIFICATE

__ not necessary - only WCP or BOTH.

} To be sent to driller/pump installer

<------ To Landowner

} Staff internal checks

5. Roy (initial) check (Entered WCR 1IWCCC accept date into database) 6. Susan Hoagbin (initial) finalize 7. Mitch (initial) signature (Entered PIP issue date if required) ~har~yan File

, .

Page 10: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

.; 117011 2007 15: 16 FAX 141002 .<,

State of Hawaii COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resource.

WELL COMPLETION REPORT - PART I W.II Construction

Instruction.: Please print in ink or type .nd "lid QOmpkited report (with attachment&, It applicable) to the Commission on water R8IIOurce ManagemeJ1t, P.O. Box 621, Honolulu, HalN$ll 9fleOI). Tht Comml.flion may not accept Incompletl!l rapoJU;. This form shall be submlltsd wlhin 60 daVI of the completlon of werle. For assistance, please consult the Haw.l1 Well Conlltrudion and Pump Installation standards or call Ihe Regulation Branch at U7..om. For updates to thl$ rtlrm Of Ildditional information, please visit our webllle at hltp:IIwww.I5>18te.hi.uwdlnr/QMTll/

01 NOV I p3 :

1. StateWeIlNo.:SS'S-Q§. Well Name: k~9.\'.l-lgf't:;~n Island: M~ Address: ~.s \:\ .. v 1'V\$U;l9,. ~c\ . \~~1 ~! Tax Map Key: ~ ~ $b ~ ~

3. Driling Company: \jJ c' ~ 4J. ..... _'. ~ _ I M 4>

4. Drilling method used during construction: ~Rotary 0 rcuSSiOn 0 Other (describe)

5. Date well Construction (dnlled,c:ased,grouted) completed: 9~.., Attach CoI1lplcad Ort ..... Log m r

6. Was the subjectweU cored? 0 Yes ~o/ 7. Step-Orawdown Test complemd? 111 No 0 Yes Al*:h $tep..otaw~ relit form Cf2!f7J!17 BDnD FoIm)

~o CJ Yes

11. After casing installation (rillS Informellon Sl'ICuid be befata lilly pump test. are performed with cuing Installed)

Chll;lri<ie; 1J2Q... ppm, Temperolle; J Q OF

mellfl sea subtract the dspth to !he WlfteT I.VfII.

12. ~It sec:tIon nlled In completely ~ 13. PhotOO_ph of well and cone'" pad showing benchmark on cone,*,- pad attached [J

14. GPS coordinates provided In deg .. s, minutes, seconds ~ 15. If a pump is not planned to be installed, please describe (below in the remarks section) how well is sea.red to prevent unauthorized access (example: lockable cover, threaded coupling, etc.)

16. RemaI1c8:~w~S4»+obJ:.\e>s.eWf\\h(!..d".l:).pt" •• ; n, b,,,,. (It- \.:).'1 be \0...., & (Q\h .. l \e "t.\, -r~ o.v.o.. cst ±"e w t\\ ni"er ..£ls.ar)S At\d .1$ e,\evs."'£ea ~bC:H)e. SU[~\l!ll:d'\"'~ ~(oy"d.

Wt !oil\\' e ""'1\,,\ ~hs:.l. S~O"'.

C-57 Lie. No. _d..;....;. :..,.b.-;.' ~\ ~~:...-.... ___ _

Signature Date ~C"1-#-J./t~d."f-I/o",-1-,-· __ _

~R1 Form 8112107 Page 1 015

8

NOU-01-200703:16PM FAX: ID:OLNR CWRM PAGE: 002 R =95':

/ /

Page 11: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

11701/ 2007 15: 16 FAX \ ! ~ , rc ,"\ A CA .. ~""":;,, ... ::}f;"',) .-\ :,' 11.\',

......, I4l 003

12. AS-8UIL T WELL SECTION (Pine atlaah IIS.oW7t if QlfrfJrwlt from fJiagrtm proVifJ«i below)

, . Hole Diameter: l ~ ~ S in

~:v=::O~ ~~nli2s2!D1t., IT"SI" ~ .. "1_-· Minimum 0'2' Radius &4" !hick Concrete Pad ~ r.B::e::nc:h~ma=rk:---l- _.M·. __ ,,!:.:J~ :~?t:d I" GJwnd Elevation: ~~~ ft .• msl Cl SUrveyed IYllted

elevatiOn: •.. ,.. . ............ - ....... "ij"""" " • "Imo' 'rr","

CemInt Grout ~OO ft, ~;~~: ~::~: i Pleas. r .... r to the

~ft.,rr. .. o (Surv.~1Id to newe5t 0.01 ft.) I!i"'(Estimated)

Grol.tlng melhod: o Positive

displacement [If unnular I>PEICI'I iii I.,s than two Inohes. atl8ch

I photo of tremie) tit Other

(min. 70% of dlatllnce from ~. '.: -grounll elevatiCll1 to tgp of ~.;:.,:~.:: ':- ~ water aurt.!ce or 600 ft., .. : ~ ~~~,: whichlMlr Is Iess.) L.. :.~.~;.' ','.;: j'"

r- t_III~ • . '. .. ..

HAWNl WELbC0N8!RYCDON AND PUMP 1NBJAum §IAUMPS to el'l$Ute 1hat yOU( IIiit is in c;ompIiance

WItIllIppliceble ttandlllrdli.

Annular space belwHn {~/ ~ 0-- Solid Clllling: f:!: 9em x (Ground E1ev.-YVatIr Level Elev) nale and ca&ing (1.6' fOr .,,:,. : •. '~;~ ~ l.J!tng~: ,:? '2 0 ft. pOSiUv!i1 dil;plOlce~nt. 3" ~ e C-10r ~r methods): )~;: ~ ;::;~~ ~ Nomlnal Diameter. Irl.

".1. ./~":'. • ..• Q. wanhicknltil: I ;Ago In. ~ in. ~ ;'::'" '...)( .- f

~R=ock=N=Gra\I=A=aI=:=.aCldn=g=: =!~ ..... i~; ~ ~ ao_ ._"-_L,;t-'r1i-rar

o

-atBd---'"--- ft., msl

IWilterlilll: ~ ~ Open Calling: [jf" 1'1 0 SeMen

o Cruthed Baglt Lengtll;~~_""";"----"7i ______ ft

o Rounded Gravel // Nominal D/ametl'ltc_: _.....lG~~ ____ in. --;;;;;;;;;;;;:=::::::::::=:::::=::~I -l!'I:lr-)JIl--lb)'illl- ..- I "'-SO?

VIIat.r Level EIevaIIon: Wall Thlckn.ss: "'" In.

s: fl Il1>r . ~ ~!tom Ell\IaIIon~ - ~ ~ (itllm11 from pag. 1) _~.f:!: Ili-;--r-

ft., Mt;1

........... ,..---------------, Open HoII: • fA-

L.ngtll: ___ .;..:N:......<,.~,--,-____ fl:.

OhJmeter; ___ --"-AL~,+A.it------in. BottomEIeveIlDl1. J:.!..e: .: It, msl ---------_ . .:.."-, ..

"mil ii mean sea lewl

SoUd Cuing Material: lo ... 0~ \ C; ~09 U bc-e..Q...\ ~O ~ ./ Gartlon &tIRtI: COlrfliant With (ChecI! one or mQlU); (] ANSIIAV'NJA C200 0 API SjliIC 5l I:t'AS1lII A53/ 0 ASTM A139

Aod oornp~."t wItI"I (CII$CI( ""*' Of rrKJfV): (] ASTM A242 or A606 0 Type E: 0 Type S iB"t:irade B 0 OIher stalnlu. steel: (cMck one): 0 ASTM MOe (produc\iOll web) 0 ASTM A312 (mtlnitor wells) ABS Pili. I:omorminll toASTM F480 and ASTM D1627: (Cl!BCkOlle) IJ S<:hedu/e 40 IJ Sctledule SO PVC Plado conforming to ASTM F<leo $nd (ASTM 01785 or ASTM 02241); (check rme): CI SU\edule 40 CI Schedule 80 (] ScheduJe 120 Thermoeal Plastic: (checlc one) . C Faarnent Wound Resin Pipe conforming to ASTM D2996

[] Contnfugally Cast Realn pipe oonfOrming to ASTM 02997

o Reinforced Pililt1lc Moftllr PrelsurCl Plfl conforming to ASTM D3517

(J 131"" Fiber Rolnforc8o Ralln Pressure Pipe conforming to AWWA C950 CI PTFE Fluoroc;arbon Tubing conforming tg ASTM 03200 D FEP Fluof()e;llrbon Tubinll cO!lfurming to ASTM D32GS

gptp CUlM _"'i / Carbon Steel: compliant with (clJeeJ( ale orlllOAl~ 0 ANSI/AI/YWA C200 0 API spec:, 51. ~STM ~ 0 AS1M A139

And ~ with (check 011. (K roote): 0 ASTM A;i.42 or A606 0 Type E 0 Type 6 VGrade B 0 other Stalnleu SIMI: (check one~ Q ASTM MOe (production wells) [] ASTM A312 (monitor WIllI)

ASS P"~ conforming to ASTM F48l and ASTM D1527: (check one) (] Schedule 40 tJ Schedule 80 PVC PI..tk: ~nfQmling ttl ASTM F~80 and (ASTM 01786 or AStM D.:z241)c (checfi OIlS): IJ SchedUle 40 IJ Schedule 80 t:I Sched,,1e 120 Thennoeet PigUe: (check one) (] FHament Wound Resin Pipe CUl'lfl)tmlOg til AS1M 0299Il

o Cenll'lfttg8l1)' Cast Re~in Pipe CI.lnfl.lrming to ASTM 02997 C Reinforced PIa&tlt; Moltlilr PteiS.US Pipe COnfOl'nlill9 \0 ASTM 03517

D Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA CQ50 c PTFE: FhlOl'Vaarbon Tubing conforming to ASTM 03296 [] FE!> Fluorocarbon TUblllg t;oofOrming to A5TM 03:296

INeRf Fotm fJI12107 PegtI 2 of 5

HOlJ-01-200703:16PM FRX: ID:OLHR CWRM PRGE:003 R=95%

Page 12: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

11;:01/2007 15: 17 FAX 141 004

Kb.. \i \ t\"'N' \ ~~o'" WELL NUMBER: S$' I s: - 0 S;

DRILLER'S LOG

~~ 3~~

Depths (ft.) Rock Description, walei' Level,etc. Dates Depths (ft.) Rock Dellcription, Water level, etc. Dates

~to~T~ ~to~ Be~ C\fJl..y

<60 to~ Ta..\1\ ~g.~~

~1 __ 10 __ ---__ --__ ---

__ to _____________ _

__ to _____________ _

ll.L to \ 5:; i) \ I,,) e ii9s..'1s __ 10 _____________ _

JS~ tola T aoll'), fRpck

~to ~C,D B\~,= l\_I:.\ct

'1.1 __ to ___________ -~~

';;t '-0 to ..... S T Go "" SSg 5y \\ j 1;).-. • ~to~ S~'" Gre'\J Q..r.ks

I

~ql 10 :>:..5'" Me.~ Blu.q. Q.....Ja... S/~l ~~ IO~ ~ e,\~ iLJ... ~to~\).\*"'Q.9.~Ab ~(~~ __ to _____________ _

__ to _______ ~_~ ___ _

__ 10 _____________ ~

__ 1o _____________ _

_ ~to ___ ~ _________ _

~_to _____________ _

~_to ________ ~ ____ _

Remarks:

NOl)-01-200703:17PM FAX:

__ to~ ~_~_~ __ ~ __ _

__ to ___________ ~~_

__ tc _________ ~_ ~ __

__ 10 __________ ~ _~_

__ to __________ ~ __ _

__ to _____________ _

__to_~ ___________ _

__to _____________ _

__ 1o _________ ~ ___ _

__to _____________ _

__to~ ____________ _

__to _____________ _

~to _____________ _

WCR1 Form 1117/06 Page 3 of 5

ID:DLNR CWRM PAGE: 004 R =95~;

Page 13: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

, 11;01/,2007 15: 17 FAX

\'\e "" \'.', - \.\ c ..... r·. s.~oll\ lo, c;,c; \ c;, ... 0 t;

...

weH o

-

t

~~1.e\) ~p~ (l{a..U) 4:,\~" db

Attach pbolos of completed well and I;onc.rete pad

\

141005 1

EXAMPLE

Lat: 19"36'45" ~Ong; 154°j7']I!"

L .,JtO-

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

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

-HCRt F.orm .aJ121t11 Pege 4,g( 5,. ,

t',OJ - 01-2007 03: 17PM FAX: 10: DLNR CWRM PAGE: 005

Page 14: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

MEMO and ROUTAup (vor.8/31/07) 11/07/07

I WCR 2 Check for Well No. 5515-05 (survey to regulation memo)

1. Pump Tests Check( special condition of PIP? Yes/No) D. Engla-;>i» 7 ~al if yes) Yes No Ifno.describ~'lIlI

Step-Drawdown Test:

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

Aquifer Pump Test:

followed WCPI Stds 0 T & S analysis attached 0

Potential Well Interference:

Potential Stream Impacts:

o

o

Additional Testing or Data Required: 0

Pump Test Comments Attached: o

o o o

o o

o

~pm no test required

~pm no test required

stream names:

2. Pump Installation Check Mitch Ohye '\10

\ / (initial) Yes No If no. describe deficiency

data complete followed Special Cond & Elev.

well database updated

p '0 y

____ (initial) take action based on above analysis

ATTACHMENTS FOR ACCEPTANCE: 1WCR2 ACCEPTANCE LETTER 2PUMP INST. COMPLETION CERTIFICATE 3METER INSTALL. REPORT (IF NECCESSSRY) __ _

4WUR

1" To be sent to driller

J To be sent to landowner/operator

} Staff internal checks

4. Roy (initial) check(Entered WCR 2/PICC accept date into database)

5. Susan Hoagbin (initial) finalize

6. Faith Ching _____ (initial) enter into WUR database

Ghar~yan File

Page 15: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

11/1)112007 15: 17 FAX 141006

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

FOI' omdal Ule. (hlIy:. RECr:IVr:r

WELL COMPLETION REPORT .. PART II P9 lnetallatlon

01 NOV I P 3: 2 In.tndion.: Plea" print In Ink or typ$ and send completecl report (with attach01enUi, It applicable) to the CommllSlon 0" W$( Reloul1;e Management, P.o. Box 621. Honolulu, Hllwail 96800. Tha COtt'II1Ita&lon may not acoept Incomplete reports. This 'orm shall be submitted within 00 days of tn. completlon 01 work. For assistance, please consult the Hawaii Well Conslructlon and Pump Instellatio" standards or CIII ltJe Regulation Branch at 517.00225. For updates to tin brm or addltlonallnformatkm, please visit our website .t http://www.hawaii.gov/dlnrtewrm'

1. State WeD No.: $S'lS-oS Well Name: \;'ee.\:"L - \-\q.rW:)S$R'" Island: tAw 2. Address: !il S "'~~ ~ ~~ 'l b 1di ra)( Map Key: ~\ ;}, <j,(" 'i'i. 3. Pump Installation Company: W ~ 'h":"~. ' \l ~ A.L.

4. Datt, Pump Installed: ~lW='.::H'::::~E~::-?"------~ 5. PERMANENT .. PUMP INFORMATION

Pump Type, Make, Serial NO.: ~ ti P G (\,1"'6-'. \. $uL. t <-0 S 30 -~ '\ ~ 1()C)\ DO _\ f h~(' OMIIS

Rated Capacity: I (.., gprn at head of: !:l iCe ft.

Motor Type, H.P., Voltage, !'Pm: E~:2 k ~ alo V S~. lI~S'o G.t~ Pump type (check one):

o Deep Well Turbine

Li"'Subnl$rsible .

[J Centrffugal

o Rotary

o Rotary~Displacernent o Rotary-Gear

o Propeller

o Reciprocating

o Impulse

6. Met~ of flow mea8urement:

r:e(' Flowmeter wi total~er Manufacturer II

-"~.....;:;::>!-.:w:-~- MOdel no~ .e.M 1 \.; Size _l.L..l.:i.S=---__ o Other, explain and attac:t1 schematic

7. Fill In the la-built .. etlon on the ather sl", of thl8 8hMt

8, Attach the nttlng curve for the In_lied pump,

9. Attach pholCgraph otwell clearty allowing the benchmark on the cone .... pad, the wetl head, and the method of now mAlIurement.

10. Well Owner Company :i[o,",..!. ~~ Address 3"1:r }\ ~u """'I:) q.. S?d

Contact ~ \1:~ \S\J5i:' lc.)o'

Phone _-::--1..:..;;o~~_'1.:..'i ....... ==~---company~ __ J;~~~~~ __ ~~ ____ __

Fax ____ ~ _____ _

11. Land OWner Add~U ______________________ ~ ________________________ __

Phone ________ -- Fax ---------------------12. Remarks

Signature Date __ ~~...;....oII;.,p. ........ - __ -..;1

\lK;R2 Fom7 02/2fS107 PBf18 1 of 2

~n)-01-2007 03: 17PM FAX: ID:DLNR CWRM PAGE:006 R=9S%

/

Page 16: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

1l!~1l/2007 15: 18 FAX 141009

7. AS-BULl PUMP 8ECnON . (PIllS" IIltacn ~ If d/trtw.nt tfum diagram pro'Jded btl/ow)

BenCh mark elevation .J>U1Veyed to nearest 0.01 tt .. ">~fl. mea s.ea IeVttI

(p,. t:S ~ \ G; , 0 c:, l.\-kf-Ll ~O ~

~IIU~IAI§uu=ml " -:------ - .... ,&.- -- '.

NOU-01-200703:18PM FAX:

Elevation of top of cI'Ia_ lube l *~ fl. mean see lewl

.,

,

i I I

i I ,v· I !

I

I I

I i I I I

} --

i I I I

I , I

I I I i

i ,

IO:OLNR CWRM

Pump Intake depth .. '3 ~} ft. (referenced to bench mark)

ChasB tube depth • 3.!U ft. (referenced til bench mark)

If airline iJ1stalecl, 70; of airline elevation = fl. mean sea level

PAGE:009 R=95%

/

Page 17: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

11/(111,2007 15: 17 FAX 141 007

Performance Curves 16 GPM Model 16

FLOW RANGE: 10 -20 GPM

1900

1800

o o

NIJl)-01-200703:17PM FRX:

2 4 6

OUTLET SIZE: 1114 II NPT NOMINAL CIA. /.

8 10 12 14 16 18 20

CAPACITY (GPM) ._----------_ .......... , ....... _----

ID:OLNR CWRM PRGE:007 R=95%

Page 18: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

11/.011.2007 15:18 FAX [4]008

,"" ,.......,. ,-"UMP INSTALLATION PERMIT """" Kealii-Harrisson Well, Well No. 5515-05

Note: ThL'I pemlU gluUl be prominently disDiaved ai the site. "HtU the work is completed

In accordance with Department of Land and Natural Resources. Conunission 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 Kealii-Harrisson Well (Well No. 5515-05) at TMK. 2-8-06:022, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

I.

" ...

3.

4.

5.

6.

7

8.

9.

10.

11.

12.

The Chl\irp~son to the Conunission on Water Resource Management (Commission), P.O. Bolt 621, Honolulu, Hl %809, ihall be notified, in writing, III least two (2) weeks before any work covcrcd by this permit commences and staff shall be allowed to inspect installation activities in IWcordance with § 13-168-1 S, Hawaii Administrative Rules.

No witbdrawal of water shall be made other than for testing until a Certificate of Pnmp Installation Completion has been issued by the Cormnission.

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

The pump installation pennit shall be for installation of a 15 gpm rated capacity. or less, pump In the well. This per!l'lanent ~pacit)' may be reduced in the event that the pump test dllta does not support the capacity.

A water-level measurement IWce6S shan be permanently installed. in a mllnner acceptable to the Chairpcrson, to accurately record water levels.

The permittee shall install an approved meter or other appropriatc means for measuring and rcporting withdrl1wals and appropriate devices or means for mcli~uring chlorides and tempcmlurc at the well head.

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

The permittee, well operator, andlor well owner shall comply with all applicable laws, rules, and ordinances, and non-COJq>liancc may hi; srounds for revocation of this permit.

The pump installation permit application and any related staff submittal apl't'oved by the Commission are incorporated into this permit by reference. This permit is also subject to the HWCPIS. If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a Heo OD the property may reillit. Any variances from the HWCPIS shall be approved by the CbaiJperson prier to invoking the variance.

The work propo6~d in the pump installation permit application shall be completed within two (2) ycars from the dan: of pennit approval, unless otherwise specified. The permit may hi; extended by the Chairperson upon a showing of good cause and good. faith pcrfol'JllQnce. A reque't to extend the permit shall be submitted to the Chairperson no lan:r than the dille the permit cxpirc5.

The permittee, its successors, and assigns shall indemnify, defend, and hold thl:: State of Hawaii hannless from and against tiny 1058, liability. claim. or demand fol' 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: gnlllting of this permit.

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

Wf'rH '"

Date of Approval: July 15, 200S July 15,2007

PETER T. YOUNG, Chairperson Commission on Warer Resource Management Expiration Date:

l have read the conditions and terms of this permit and understand them. I accept and agree to meet Ulese eondltlols as a prerequisite and uDderlylng condition of my ability to prooeed and understand that I shanault commence work until I IIJId the pump installer bve signed, dated., and returned the permtt to the Commission. I Iloderltand that tltls perilit Is Dot to be transferred to any other entity. I also understand that non-compUaDce with aoy permit condition ma), be grounds for revo&!atlon and fines of .p to 55,000 per day stanlng from the permit date of approval.

Installer's Signarure: ~~ ~ .. C-57, C-57a, or A License #: 10115 Date: '/SJtJ.7 / Printed Name: Michael Robel.'tson Firm or Title: Wailam Drilling, Inc,

Plell.se sign buth CflJI;'" fllillis ptH'lttlt, I'l1lurlt (lne to tile Chlllrpel'son, lI"d retain the ()tilu I(JI' JltJUl' 1'g(!6,.ds.

Atluchments

hlOlJ-01-2007 03: 18PM FAX: ID:DLhlR CWRM PAGE:008 R=95%

/

Page 19: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

LINDA LINGLE GOVERNOR OF HAWAII

Mr. Michael Robertson Wailani Drilling, Inc. P.O. Box 790299 Paia, HI 96779

Dear Mr. Robertson:

Q

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

October 3, 2007

Expired Well Construction and Pump Installation Permits Kealii-Harrisson Well (Well No. 5515-05)

LAURA H. THIELEN CHAIRPERSON

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

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

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

KEN C. KAWAHARA, P.E. OEPUTY DIRECTOR

Please be advised that the permits for the captioned well have expired. No further work should be done on this well until new permits are issued. Please transmit any information about work already completed.

Work without a permit is subject to fines of up to $5,000 per day.

If you have any questions, please contact Charley Ice of our staff at (808) 587-0251, or toll free from Maui at 984-2400, extension 70251.

CI:ss

c: John Harrisson

Sincerely,

Wf7n 1't

KEN C. KAWAHARA, P.E. Deputy Director

Page 20: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

Jan 27 06 11 :09a Michael Robertson

JRN-27-2006 10:27 FROM:DLNR CWRM, ,..."

808 587 ~19

8083226797 TO: 808T"'5797

. p.1 P.l-"l

. '. _. -. -.- .. - ~-..an 25 00 03.:31p t/lichaBI Robertson 8083226~ p.1 h

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

\w ailani Drilling Inc. L;..IOCS1-!Oll5

\Mic~aeJ R..bertson 1885 Main ~'t. Suile 408 W' u... Haviaii 96793 rh.8!l8 51~:F6S Ew< S7H769 Cellu .... 2M-7~Z9

'

0: Cbarley [ee ar: W ate!" Resource Commission

Re: Start W<)rk Notice

I

1

I Return Reeei.pt Fax

Dear Charley:

Date 1/2512006

This is to prlJ~'.idc written notit.:c: fur starti.ng work Oil the following wells:

Kealii Harrison Well No. 55 IS-05, signCII pennit enclosed. Kealii· Clark Well No. 5515-06 • signed pe;unit e.D.ck>-.rl·

Plta$C :fax receipt form to me to confum.

, ~' Mi~bertson !

f.JJ.k - if '1fJV.- ';.eM.J, ~ ~ ~~ PrPc J ~il, 7([\A (.OM. fvoWil wi ~h.l.L4.ftn-. w~ ~ .

3RN-25-2006 03:21PM FAX: 809J226797 ID: OLNR C\.IRH

I

JAN-27-2006 10:S9AM FAX: 8083226797 ID:OLNR CWRM PAGE: 001 R=9S%

Page 21: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

Jan 27 06 11: 1 Oa Michael Robertson 8083226797 p.2

I J PUMP INSTALLATION PERMIT Kealii-Harrisson Well, 'Vell No. 5515-05

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

In accordal:ce 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 Kealii-Harrisson Well (Well No. 5515-05) at TMK 2-B-06:022. Maui, subject to the Hawaii '.Vell Construction & Pump Installation Standards (HWCPIS - February 2004) winch include but are nOt limited to the following conditions:

I. The Cbairperson to the Commission on Water Resollrce Manazen.enr (C(lmmissi(ln), PO. Box 621, Honolulu, HI 96809, shall be notified, in wilting, at [east :v,'o (2) weeks before any work covered by this permit commences and staff shall be allowed to inspect installation activities in accordance w:th § 13-168-15, Hawaii Administrati .... e Rules.

2. No withdrawal of water shall be made other than for testing until a Cel1ificate of Pump Installation Completion has been issued by the Commissicn.

3. This pennit shall be pronunently displayed, or made avatlable, at the site of oonstruction work until work is completed.

4. The pump installation pernut shall be for installation ofa25 gpmrated capacity, or less, pump in 6e welL This permanent capacity may be reduced in the event that the pump test data does not support the capacity.

5. A water-level neasurement access sha:J be permanent:y instaned, in a manner acceptable to :he Chairperson, to accurately record water levels.

6 The pemurtee 5hall install an approved meter or other appropriate mear.s for measuring and reporting withdrawals and appropriate device.) or means for measuring chlorides and temperature at the we 11 head.

7. Well Completion Report Pa:1: II shall be submitted to the Chairperson within 60 ::lays after completion of work. This fonn can be obtained by cO:1tacting staff Dr on the internet at www.hawaii.govldlnr/cwrm.

8. The penninee, well ope~ator, andlor well owner shall comply with all applicable laws, rules, and ordinanc~s, and nor-compliance may be grounds for revocation of this permit.

9. The pump installation permit application and any related staff submittal approved by the Commissio:1 are incorporated into this permit by reference. This permit is also subject to the HWCPIS. [f the HWCPlS are r.ot followed and as a consequence water is wasted or contaminated, a lien 011 the pl:"operty may result. Any variance" from the HINCPIS shall be approved by the Chairperson prior to invoking the variance.

10. The work proposed in the pump installation pennit application shall be completed withm two (2) years from the date of permit approval, unless e>therwise specitled. The permit may be extended by the Chairperson upon a showing of good cau~e and good­faith performance. A request to cx:tend the :Jennit shall be submitted to the Chairperson 1:0 later than the date the permit expires

II. The permittee, its successors, and assigns shaIl indemmty, defend, and hold the State of Hawaii harmless from and against any loss, liability, claim. or demand for property damage, personal injury, or dearh arising out of any act or omis510n of :he applicant, assigns, officer" employees. contractors, and agents under this penntt or relating to or c(}nnectcd .... i.th the grading of tbis permit

12. Sp~cial conditions \D the attached ::over transmi:talletter are in;orporated herein by n:ferer.ce.

Date of Approval: Expiration Date:

July 15,2005 July 15,2007

W.hH :rn.

PETER T. YOUNG, Chairperson Commission on Water Resource Management

I ha.ve rea.d the conditiOns and terms of this permit and understand them. ] accept and agree to meet these conditions 35 a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until J and the pump installer have siglled, dated, and returlH~d tile permit to the Commission. I undentand that this permit is Dot to be transferred to any other entity. [also understand that non-compliance with any Ilermit condition may be grounds for reVQCatit>D

and fines of up to $5,OOV per day starting from the permit date or approval.

lnstaller's Signature: ~Q ~, C-57, C-57a, or A Lic~e #: 20115 Date: I Is-/~ C:. I

Printed Name: Michael Robertson Firm or Title: Wailani Drilling, Inc.

Please sign both copies o/this permit, rerurn one ID the Chairperson, and retflin the at/ler for your record~.

,JAN-27-2006 11: 00A~1 FAX: 8083226797 I D: DLi'IR CWRM PAGE:002 R=9S%

Page 22: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

Jan 25 06 03:31p (

Michael Robertson

----~~, ..... ,,------~-------8083226797

kXl ailani Drilling Inc. Lic.HC57-20115

\;:ael Robertson 1885 Main SL Suite 408 Wailuku. Hawaii 96793 rh.808 579-8768 Fax 579-8769 Cellular 264-7019

Date 1125/2006

~:o: Charley Ice or: VV' ater Resource Commission e: Start Work Notice

!

I

I

I I

Return Receipt Fax

Dear Charley:

This is to provide written notice for starting work on the following wells:

__ Kealii Harrison Well No. 5515-05, signed permit enclosed. __ Kea1ii- Clark Well No. 5515-06, signed permit encl('~",A

Please fax receipt form to me to confirm.

p.1

Mi~Je~--:!

Uk - if '1dV-. ~ ""'-~ ~trul f(flr I t&o, '7(J"\A UJAA rY'Ow; W( AA~~ft~ w~ ~ .

Certitied By The National Groundwater Association

!

,JRN-25-2006 03: 21PM FAX: 8083226797 ID:DLNR CWRM PAGE: 001 R=96%

Page 23: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

Jan 25 06 03:31p (

Michael Robertson

----~~, ..... ,,------~-------8083226797

kXl ailani Drilling Inc. Lic.HC57-20115

\;:ael Robertson 1885 Main SL Suite 408 Wailuku. Hawaii 96793 rh.808 579-8768 Fax 579-8769 Cellular 264-7019

Date 1125/2006

~:o: Charley Ice or: VV' ater Resource Commission e: Start Work Notice

!

I

I

I I

Return Receipt Fax

Dear Charley:

This is to provide written notice for starting work on the following wells:

__ Kealii Harrison Well No. 5515-05, signed permit enclosed. __ Kea1ii- Clark Well No. 5515-06, signed permit encl('~",A

Please fax receipt form to me to confirm.

p.1

Mi~Je~--:!

Uk - if '1dV-. ~ ""'-~ ~trul f(flr I t&o, '7(J"\A UJAA rY'Ow; W( AA~~ft~ w~ ~ .

Certitied By The National Groundwater Association

!

,JRN-25-2006 03: 21PM FAX: 8083226797 ID:DLNR CWRM PAGE: 001 R=96%

Page 24: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

'-LINDA LINGLE

GOVERNOR OF HAWAII

Ref:5515-05.wcp

o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

PETER T, YOUNG CHAIRPERSON

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

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

STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING DEPUTY DIRECTOR

August 4, 2005

Mr. Michael Robertson Wailani Drilling, mc. 77-181 Laaloa Avenue Kona, HI 96740 (w st p ) Dear Mr. Robertson:

Well Construction Permit Kealii-Harisson Well (Well No. 5515-05)

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

1.

2.

Special Conditions

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.

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

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

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

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

IMPORTANT - Drilling work shall not commence until a fully signed permit is returned to the Commission. The permit shall be prominentlr 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 587-0251 or toll-free at 974-4000 (Hawaii) or 984-2400 (MaUl), extension 70251.

Sincerely,

w.fin 1"l

Peter T. Young Chairperson

Enclosures

c: John Harrisson (with applicable comments - DOH SDWB, WWB, CWB, Land Division) USGS MauiDWS

Page 25: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

- 0WELL CONSTRUCTION PERMITO

Kealii-Harisson, Well No. 5515-05 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 Kealii-Harisson (Well No. 5515-05) at TMK 2-8-06:022, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

The ChaiTEerson 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 wi'th § 13-168-15, Hawaii Administrative Rules.

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

The well construction permit shall be for construction and testing of the well only. The permittee shall coordinate with the Chairperson and conduct a pUlllJing test in accordance WIth the HWCPIS (the latest fUIllJ test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrmlforms.htm). The permittee shal submit to the Chairperson the test results as a basis for suppcrting an application to install a permanent pump. No permanent pump may be mstalled 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) ofthe theoretical thickness (41 times initial head) of the basal ground water unless otherwise authorized by the Chairperson.

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

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

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

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

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

The well construction permit application and any related staff submittal approved by the Commission are incorporated into this permit by reference. This permit is also subject to the HWCPIS. If the HWCPIS are not followed and as a consequence water is wasted or 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(1) 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 shaH apply to the location shown on the application only. If the well is to be relocated, the permittee shall apply for a new weH construction/pump instaHation permit m accordance with Hawaii Administrative Rules § 13-168-12(1).

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

Date of Approval: July 15, 2005 Expiration Date: July 15,2007

PETER T. YOUNG, Chairperson Commission on Water Resource Management

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

Driller's Signature: C-S7 License #: 20115 ------~-----------

Date:

Printed Name: Michael Robertson Firm or Title: Wailani Drilling, Inc.

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

Attachment

Page 26: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

LINDA LINGLE GOVERNOR OF HAWAII

Ref:5515-05.pip

Mr. Michael Robertson Wailani Drilling, Inc. 77 -181 Laaloa Avenue Kona, HI 96740

Dear Mr. Robertson:

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU. HAWAII 96809

Pump Installation Permit Kealii-Harrisson Well (Well No. 5515-05)

PETER T. YOUNG CHAIRPERSON

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

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

STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING DEPUTY OIRECTOR

August 4, 2005

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

Special Conditions

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

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

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

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

If you have any questions, please call Charley Ice of the Commission staff at 587-0251 or toll-free at 974-4000 (Hawaii) or 984-2400 (Maui), extension 70251.

Sincerely,

WfiH 1't

Peter T. Young Chairperson

Enclosure

c: John Harrisson USGS MauiDWS

...... - .... _ .•.... _---------------_.

Page 27: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

APUMP INSTALLATION PERMIT", ~alii-Harrisson Well. Well No. SSlS-W

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 Kealii-Harrisson Well (Well No. 5515-05) at TMK 2-8-06:022, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

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

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

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

4. The pump installation permit shall be for installation of a 25 gpm rated capacity, or less, pump in the well. This permanent capacity may be reduced in the event that the pump test data does not support the capacity.

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

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

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

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

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

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

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

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

Wf7H

Date of Approval: Expiration Date:

July 15,2005 July 15, 2007

1't

PETER T. YOUNG, Chairperson Commission on Water Resource Management

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

Installer's Signature: C-57, C-57a, or A License #: 20115 Date: -------

Printed Name: Michael Robertson Firm or Title: Wailani Drilling, Inc.

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

Attachments

/

Page 28: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

Q,MISSION ON WATER RESOURCE MANAGEMEO ROUTE SLIP FOR PERMIT ISSUANCE 5119105

FROM: CHARLEY ruuuu"UU/!P" ? DATE: vtillritHlrlntVhIil SUSPENSE DATE:

TO: 0 ~ IrtJ-.t; 05 INIT. FOR: PLEASE:

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

-1-HARDY,R. -4--HIGA,D. ~ ICE,C. IMATA, R.

WELL NUMBER 5515-05

P WELL CONSTRUCTION

jUNIMURA, I. AKAMA, L.

NAKANO, D. OHYE, M. SAKODA, E.

-2-SUBIA, S. SWANSON, S. UYENO, D. YODA, K. YOSHINAGA, M.

WELL NAME

ATTACHMENTS FOR WELL CONSTRUCJION PERMIT: 1 COVER lETTER ./, 2 PERMIT (2x) ---::;;:r-

COMMENTS: -----L. 3 SDwe -----:;r-4 WWB --:;r-

Approval --Signature

j Information

Kealii-Harrisson Well

5 cwe ---:;r- TO BE SENT TO APPLICANT

6 HEER 7 lD 8 HP 9 OCCl

10 SMA FOR OFFICE USE ONLY

~ PUMP INSTALLATION

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

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

6 HEER 7 lD 8 HP 9 OCCl

10 SMA

i~(~.iMI1J_lll1l'_K.illL£J FOR OFFICE USE ONLY

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

See Me -1-Review & Comment

Take Action Type Draft

-2-Type Final -4-File

Xerox copies

Page 29: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

o Q

Results

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

Page 30: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

07':'15-05 08:06am From-DOH/Sat~ Drinkini Wat~r Branch 8085864351 T-261 P.001/005 F-795

TO:

FROM:

~ Post-it" Fax Note 7671

STATE OF HAWAII DEPARThlENT OF LAND AND NATIJAAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOXB21

I-tONOlUUJ. HI\WAII 1i6!ll9

June 7, 2005

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

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

Peter T. Young, Chairperson 1 Commission on Water Resource Management

.... _ •• _ ..... "". "11'~.

SUBJECT: Well Construction/Pump Installation Permit Application Kealii.Harrisson Well ~ell No. 5515-05)

Transmitted for your review and comment is a copy of the captioned Well ConstructionIPump Installation permit appli(4tion.

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 July 8, 2005. If we do not receive comments or a request for additional reVIew time by this date, we will assume that you have no comments.

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

CI:ss Attachmen!(sl

RESPONSE;

[ ]

( I

I]

[ J [ I

I I

TlIlS wen ~uaIirle$ as a SOun:e whicll wtu seNo!: a~ a source of potable water to a public wal8J' Sys\em (deftned as senl\rg 26 or mole people at least 80 days per year or hilS 15 or mote service I;onnectiolis) and must "i!!;eive Diredor DfHeilth apllfOVall!!i!:!!: tD lIS use 10 IDmply with Hawaii AlJmlnlstratlye Rules (HARJ, TIlle 11. Cnal'ller 20, Rules Relating to Potable Water Systems, §11.2:0.29_

This well dOe<! not q~ify as a source sarvin9 a p!.Iblic water systl!:m (se",,,,,, I",~s than 25 people or IIlQre people 11\ Ieliist 60 days fEr yeltr Dr 15 service conneCtIons) and W 1ha well wa1er i$ use<! tor drinking, tfte private owner Should test fer tlaciericilogal and CllEImICIIl presence Defore inilialXJg such USIi! 11flr;\ routinely monitor the weter gualilv thereafter. Howe'tet. if future planned use from \his SO~ II"ICI'MSeS to meet the puDic water sys.tem definitiorl then Director 01 Health appRJI/B1 is requlracJ priorte Implementation.

If the ~I i.e IJ~ to supply !10th potable and non·~Olllble purposes in iii I>lIlQIe system. Ine user shall eliminate cross-conneeticlns snl;! t)ackflOw connectlals by physically 5epclfllllnll potatllQ and noo-potsble systems by an air gap or an approved backllow praventer, ana by Cleatly Iabelil1g all non-polable 9P190ts with IlVaming signs to prevent Inad'leJUnt c:oruol,llTlP~on Of Mn-po1;l;lb!e water. BacIdIow .,,-evention devices siloulCl be routinely In$peeted and tested .

It doe;; not appear that th~ weI! will be used for consumptive Purpo$e$ and is not subjec;:t to Safe Drinking Wlilter Regulations.

For the appJicam's informBllon, a s.ouree Of possible wastewater eontllminaUon (Js [] is nollocated near the JrOposed well site (ltIfCrmatlon anacned)_

An NPDES penni! i5 required.

OIher relevant DOH rules.fregl.llations. infOnnation. or reccmmel"1datiOns ate attached.

In the event that the location of the well Chan9'~ but is &1J1I within Itle parcel described on thil. appllc:a~oR. our divil:lion c:onsIders the CCII'I'WnI!:nI$ to still t>e appliCable. and wedo I1(It "eet! to reView the new localiClll_

Phone: 586 4258

Date: .JW I 3 2lI5

JUL-15-2005 08:38AM FAX: 8085864351 ID:DLNR CWRM PAGE:001 R=96%

Page 31: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

o o LINDA LINGLE

GOVERNOR OF HAWAII PETER T. YOUNG

CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

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

c .,.oJ DEAN A. NAKANO trI ACTING DEPUTY DIRECTOR

STATE OF HAWAII ("')f""1 DEPARTMENT OF LAND AND NATURAL RESOURCES 0-0

COMMISSION ON WATER RESOURCE MANAGEMENT ::v~~ P.O. BOX 621 f"T1....-.\ 0

HONOLULU, HAWAII 96809 CJ -< -n

June 7,2005 r1'1 -0 -Or <-nJ?

Mr. Michael W. Foley, Director County of Maui

f'!'1:t.:z:. 0;:r..

')::>'­cz.

Planning Department 250 South High Street Wailuku, HI 96793

Dear Mr. Foley:

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

Kealii-Harrisson Well (Well No. 5515-05)

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 July 8. 2005. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

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

CI:ss

Sincerely,

W.fif-7 1'z.

DEAN A. NAKANO Acting Deputy Director

RESPONSE: ~ /

~ This well project. req.uires [ ] does not. require a SMA. If a SMA is required it [.(has .[.$.s ~been approved and ] IS [ ] IS not currently active. :;; c'~ Ui

[ ]

[~

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

No objections

[ ] Other comments:

"' 2 r--Contact Person: \ ..-nJ\,.- ~s ( Signed: ) 23c;e::::? ~d

/;

Phone: j). 70 --11::14:­Date:_ ... CO ...... -'......;\...;;..'3_,;·...,;:;D..,;;· f_

(.:;:: c_ -;~ _.,., ..

:J:t a

)

Page 32: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson
Page 33: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

o o .;

LINDA LINGLE GOVERNOR OF HAWAII

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

JAMES A FRAZIER CHIYOME l. FUKINO. M.D. STEPHANIE A. WHALEN

STATE OF HAWAII' DEAN A. NAKANO

ACTING DEPUTY QtRECTOR

DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE M~NAGEMENT

~'=)

U1 P.O. BOX 621

HONOLULU. HAWAII 96809 c._ c- 7J --,.. <1"1 ""'-

June 7,2005 -,

TO: Honorable Chiyome L. Fukino, M.D., Director Department of Health

~n

):0

co

·1 ~

1 Attention: Director's Office

Harold Yee, Wastewater Branch - )

FROM:

SUBJECT:

William Wong, Safe Drinking Water Branch Alec Wong, Clean Water Branch

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

Well Construction/Pump Installation Permit Application Kealii-Harrisson Well (Well No. 5515-05)

I"'V c.o

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

I

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 July 8. 2005. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

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

CI:ss Attachment(s )

RESPONSE: [ )

[ )

[ I

[ I

[ I

This well qualifies as a source which will serve as a source of potable water to a public water sy~tem (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 Dqor to its use to comply with Hawaii Administrative Rules (HAR), Title 11, Chapter 20, Rules Relating to Potable Water Systems, §11-20- 9.

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 backnow connections by physically separating potable and non-potable systems by an air 9ap or an approved backnow preventer, and by clearly labeling all non-potable spigots with waming 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 [l Is not located near the proposed well site (information attached).

[ I An NPDES permit is required.

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

[ I 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. 'i No comments/objections N 0 ~

Contact Person \,()~ \I'IW1 Signed: ~~

Phone: 5!N; 4-J.'l4 Date: O(o"\Q-1t05

Page 34: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

, Jun-13-2005 04:16pm From-DEPT OF HEALTH ENVIRONMENTAL MNGMT 8085864352 T-472 p.002/aOZ F-195

',.

LINDA LINGLE PETER T YOUNG QO'AlR~ QIf P4o\WAll

TO:

FROM:

SUBJECT:

"OS ' JUN -9 STATE OF HAWAU

DEPARTMENT OF LAND AND NA'fUfW.. RESOURces COMMISSION ON WATER RESOURCE MANAGEMENT

P,o. BOXG.21 HONO~ULU, HAWAII 9B801!

June 7, 2005

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

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

Peter T. Young, Chairperson 1 Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Kealii-Harrisson WelljWell No. 5515-05)

MEREPITH J. CHING CLAYTON w, DEI.A CRUZ

JAMES A FAAZIE~ CHII'OME L FUKlNO. M.D. SUPI1ANle A WHALEN

OEAN A NAKANO ... e-TM D'PuYr b~t.(;'tQ;I

. Transmitted for your review and comment is a copy of the captioned Well ~onstruction!Pump Installation permit application. I ,

We would appreciate your comments on the captioned application for anYlconflicts or inconsistencies with the programs, plans, and objectives specific to your department. Ple~se respond ~y retumin~ this cover memo form by JUI~ 8. 2005. If we do not receive comments or a request or adaitiona review time by this date, we wi 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 loe of the Commission staff at 587-0251.

Cl:ss Attachment(s}

RESPONSE: { J

[ I

II

11

[ J

[ 1

Thill YMII q~aJlties all e eource which wiu ssrv~ as ;!J SOutee Of potabi4!l walef 10 a publiC water system (Clenl'led as $et\llng 25 or more people lit lea6t 60 ,day'1l p~r ye~r or haa 15 or mare sarvics conneCtions) aM ",ust reeelv@I Dit@lctotOf 1'11&3111'1 approval !)t\Ot to lIS ul!;e In comply with Hawaii Admlm~raIiVf': Rules (HAR). YUle 11, Chapter :!a, RYles Relllllnij to P"table Water SY5tem", S11.2~

This YMII dOM not qualify ss EllOQurca SeIVlna a pubue water system (selVeS less tl'lan 25 people or more I)e(lple at least 60 days pet year Of 1 S service connections) and if the wag walSr is Ul;ed fOf dMking, the private owner &hould test for tlaeterk)Ioglcal and d\emlcal presence before initiating sucl'l Vie and routinely monitor the water quality thereafter. However, if future planned use from thill so~roa lnereaaee 10 maal tr,a publiC waler ~ystem aetimtion then Diret;lOr ot Heilltn approval is raquirad ru:mr to Irnpll!lmenlstion.

Ifth!! willI Ii Ulled to supply bOth potable and non-potable purposes in a !lingle ~ystem, the UI;ar shall elimina\a cro,.~·<:onnectioll') and bIIckflow cCIOnootions by phYllicaity !i@lparaul'Ig potable ana 1'l00000potabie system:l by an air gap or an approved backflow preventer, eml by clellny labl;lling all non-potable aplgoU; with warning Sigl'lS to pl'l!lv!!l'It inadvertent consumpllon of non-potable wllter, BilCktiow prevention devices should be l'Oullnely Inspected and te$teCl-

It dOB~ ~ot appear thllt thi:s well will be LlSecJ lor consumptive p~fpOSe$ ~nd is not subject to Safe Orlnking Water Regul:.ltioru;.

Forthe applicant's InformatiGll, .. $Qun::;1!! Of pOSSible wastewater contamination [lis [) I~ not located near !he propo~ed well eite (informaliOl'l attached),

AA NPDES permit is required.

Olner relevant DOH ruleslr~ulation", informat~n, or recommendalions ate attadleo.

In the event lhitjhe IOcallon 01 tne well cha~ges but is still within the pal'Cel descflbeo on lI1is application, QUr Oivision coMi!Jers lne comments to still be appliC<lblEl, and INti: 00 not neec to review the new IQClltion.

: ~ Phone: ~".-<CJ () f Date:--..flo::(,,+L~L 3q-:!..;;.;.or-...... _._ r r

Jut~-13·-2(]05 04: 05P~1 FA><: 8085864352 ID: DLNR CWRt1 PAGE: 002 R=9T;

-, ~

(\ U

Page 35: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

-,.,...' . Jun-13-2005 04: l6pm F rom-DEPT OF HEALT~ENVI RONMENTAL MNGMT

, ~ ~ , . "./

8085864352 T-472 P.001/002 F-195

The Department of Heal1h"Clesn Water. Branch !:las the following comments:

1. F or We II-Drilli ng Activities

Any discharge to Strate waters of treated process wastewater effluent associated with well drilling activities is regulated by Hawaii ,Administrative Rules, Title 11, Chapter 55, Appendix I, effective Septe~ber 22,1997 .. Treated process w~stewater effluent covered by this general permit includes well drill!ng slurries, lubricating fluids wastewaters, and well purge wastewaters. This general· permit does not cover well pump testing. The applicable Notice of Intent Forms and filing fee shall be submitted at least thirty (30) days before the start of discharge to the Department of Health, Clean Water 8ranch at 919 Ala Moana Boulevard, Room 301, Honolulu, Hawaii 96814-4920 or P.O. Box 3378, Honolulu, Hawaii 96801-3378. Inquiries may be directed to the Clean Water Branch at (808) 586-4309 or by fax at (808) 586-4352.

2. For Well Pump Testing

The discharger shall ta ke all measures neces~ary to prevent the discharge of pollutants from entering' State waters. Suc.h measures shall include, jf necessary, containment of the initial discharge untiHhe 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 disc.harge is entering a storm drain, 1he dis~harger must obtain written permission from the owner of that 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 stolT!" drain .

. . JS/cr

. -----.-----­~-----. ----_._--

JUH-13-2005 04: 05Pf1 FRX: 8085854352 ID:DLNR CWRM F'RGE: 001 R=97\

Page 36: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

LINDA LINGLE GOVERNOR OF HAWAII

TO:

FROM:

SUBJECT:

o o RECEIVED

OFfiCE OF CONSERVATION AND COASTAL LANDS

Z005 JUN -8 A II: 22

STATE OF HAWAII.~ & DEPARTMENT OF LAND AND NATURAL URCES

COMMISSION ON WATER RESOURCE All P.O. BOX 621

HONOLULU, HAWAII 96809

June 7,2005

Samuel J. Lemmo, Administrator Office of Conservation and Coastal Lands

Dean A Nakano, Acting Deputy Director 1 Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Kealii-Harrisson Well (Well No, 5515-05)

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

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

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

DEAN A. NAKANO ACTING DEPUTY DIRECTOR

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please res ond b returnin this cover memo form by July 8, 2005. If we do not receive comments or a request or a Itlonal review time by this date, we will assume you have no comments.

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

CI:ss Attachment( s)

RESPONSE:

io./ This well project [ ] reqUire;v,;;oes not require a CDUP. If a CDUP is required it [ ] has [ ] t'X has not been approved and rt~ [] is not currently active.

[ ] Other relevant OCCl rules/regulations, information, or recommendations are attached: c:::J-' Cfl'

[ ] No objections

[ ] Other comments:

C S".~.

j"'-j , I C!..:>

-5 ::D

~. co " . '"

.r_ --.J

Contact Person: 12nm V\ ~ eRJ\q 01

s~ned~Mn fug:~y Phone: ____ '14--~O~~~~~ __

~. ~

" .J.

p <)1

, .~

'I ,

~

Page 37: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

r' '.i ...

Page 38: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

LINDA LINGLE GOVERNOR OF HAWAII

TO:

FROM:

SUBJECT:

tl1\\ .:U ~"

o

-8 P 3:2\,

o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMI-SSION ON WATER RESOURCE MANAGEMENT

Harry Yada, Administrator Land Division

P.O. BOX 621 HONOLULU, HAWAII 96809

June 7,2005

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

Well Construction/Pump Installation Permit Application Kealii-Harrisson Well (Well No. 5515-05)

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

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

DEAN A. NAKANO ACTING DEPUTY DIRECTOR

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 programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by July 8. 2006. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

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

CI:ss Attachment( s)

RESPONSE:

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

tt 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 ~.J

[ ]

~; Other comments: Original source of private title was i~suear1prior to Statehood in 1959.

Contact Person: __ G_a_r~Y ___ M_a_r_t_i_n _________ _ Phone: 587-0421-.' . /

.IJ:'I,';,,: n ~ r-r-n:- -0 Date: __ v_'"' ___ -_. _L_U_V_J_

c::.:>

Page 39: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

CQSSION ON WATER RESOURCE MANAGEMENTQ ROUTE SLIP FOR NEW APPLICATIONS

FROM: CHARLEY DATE: 5-Apr-05 SUSPENSE DATE: ----------------TO: INIT. FOR:

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

GOODING, K.--

at

~AKAMA' L. --JL,.I 1 Approval

NAKANO D \-......- ---:;-- Signature OHYE, M: . :,~ ~ Information

__ SAKODA, E. tIr 1 HARDY, R. ..dL-

HIGA,D. ~ -4-ICE,C.

IMATA, R. KUNIMURA, 1.-

2 SUBIA, S. --SWANSON, S.

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

SS15,05

12-Apr-05

PLEASE:

See Me -1-Review & Comment --Take Action --Type Draft acknow letter -2-Type Final w/elec.signat., label file folder -4-File --Xerox copies

WELL NUMBER 5SA£ _ oS- WELL NAME Kealii-Harri~n ----------------~----------------------o WELL CONSTRUCTION o PUMP INSTALLATION

ATTACHMENTS FOR APPLICATION.,FiROCESSING - Both applicant & staff generated 1 TRANS. LETTER ./ /

2 PERMIT PROCESS TABLE :f=~-~ ~~ 3 CWRMMAP

4 APPL. FORM (5 COPIES) ......:!L-5 USGS MAPS ~ SEIPlE!, .J 6 TAX MAPS II eel"l~ GI MLS PRINTOUT 7 PARCEL OWNER VERIF. DCCA LICENSE SCREEN PRINTOUT 8 CONTRACTOR VERIF. ----L-9 ALL INFO FILLED IN../

10 BACKGROUND CHECK --I-11 $25 FEE DEPOSIT SLIP -.:1..L 12 DHP/CDUP/SMA check ~

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

INCOMPLETE ACTION DATES:

DATE ACTION

missinQA!!!!l.'t. Still kinda hiSh for 2 homes.

Surveyor license number. ~ k~ missing OCCL documentation. 1\.Ot-~ c.b

~ BOTH

Page 40: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

o

, - \

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

Page 41: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

LINDA LINGLE GOVERNOR OF HAWAH

Mr. Michael Robertson Wailani Drilling, Inc. 77·181 Laaloa Avenue Kona,H196740

Dear Mr. Robertson:

o Q

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

June 7, 2005

PETER T. YOUNG ............."

MEREDITH J. CHING CLAYTON W. DELA CRUZ

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

LAWRENCE H. MilKE, M.D .. J.D. STEPHANIE A. WHALEN

DEAN A. NAKANO AC .... DEPUTY DIRECTOR

5515-05.wcpia.ack

Well Construction/Pump Installation Permit Application for Well No. 5515·05

We acknowledge receipt, on May 25, 2005, of your completed Well Construction/Pump Installation permit application and filing fee for the Kealii-Harrisson Well (Well No. 5515-05). 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 operatorllandowner 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 587-0251 or toll-free at 974-4000 (Hawaii) or 984-2400 (Maui), extension 70251.

CI:ss Attachment

c: John Harrisson

Sincerely.

Wf7H ~

DEAN A. NAKANO Acting Deputy Director

Page 42: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

o o I"

LINDA LINGLE GOVERNOR OF HAWAII

PETER T. YOUNG CHAIRPERSON

TO:

FROM:

SUBJECT:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURA~ RESOURCES

COMMISSION O,N WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

June 7, 2005

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

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

Peter T. Young, Chairperson 1 Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Kealii-Harrisson,Well (Well No. 5515-05)

MEREDITH J. CHING CLAYTON W. DELA CRUZ

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

DEAN A. NAKANO ACTING DEPUTY DIRECTOR

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

I

We would appreciate your comments on the captioned application for any:conflicts or inconsistencies with the programs, plans, and objectives specific to your departm~nt. Please respond by returning this cover memo form by JUI* 8. 2005. If we do not receive comments or a request for additional review time by this date, we wi( 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 staff at 587-0251.

CI:ss Attachment(s}

RESPONSE: [ I

[ I

[ I

[ I

[ I

[ I

[ I [ I

[ I

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

This well does not qualify as a source 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 m:!2!: 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 lIap or an approved backflow preventer, and by dearly labeling all non-potable 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 [l is not located near the proposed well site (information attached).

An NPDES permit is required,

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

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

No comments/objections

Contact Person: ________________ _ Phone: ______ _

Signed: _________________ _ Date: ______ _

Page 43: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

LINDA LINGLE GOVERNOR Of HAWAII

TO:

FROM:

SUBJECT:

o Q

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

Harry Yada, Administrator Land Division

HONOLULU, HAWAII 96809

June 7,2005

Dean Nakano, Acting Deputy Director 1 Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Kealii-Harrisson Well (Well No. 5515-05)

PETER T. YOUNG CIWIU'£RIOH

MEREDITH J. CHING CLAYTON W. DELA CRUZ

JAMES A. FRAZIER CHIYOME L. FUKlNO, M.D. STEPHANIE A WHALEN

• DEAN A. NAKANO AC11NG DEPUTY DIRECTOR

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 programs, plans, and objectives specific to your division. Please respond by returnin~ this cover memo form by July 8. 2005. If we do not receive comments or a request for additiona review time by this date, we will assume you have no comments.

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

CI:ss Attachment( s)

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

division.

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

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

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

[ ] No objections

[ ] Other comments:

Contact Person: ________________ _ Phone: ______ _

Signed: __________________ _ Date: _______ _

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

Page 44: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

LINDA LINGLE GOVERNOR OF HAWAII

TO:

FROM:

SUBJECT:

o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

June 7,2005

Melanie Chinen, Administrator Historic Preservation

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

Well Construction/Pump Installation Permit Application Kealii-Harrisson Well (Well No. 5515-05)

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

PETER T. YOUNG --MEREDITH J. CHING

CLAYTON W. DELA CRUZ JAMES A. FRAZIER

CHIYOME L. FUKlNO, M.D. STEPHANIE A. WHALEN

• DEAN A. NAKANO ACTIIO DEPUTY DIRECTOR

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returnin~ this cover memo form by July 8, 2005. If we do not receive comments or a request for ad itional review time by this date, we will assume you have no comments.

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

CI:ss Attachment( s)

RESPONSE:

[ 1 This is a [ 1 public (county or state) project [ 1 private project and [ 1 will [ 1 may disturb historic sites.

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

[ 1 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: ______ _

Page 45: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

LINDA LINGLE OOVERNOR OF HAWAII

TO:

FROM:

SUBJECT:

o Q

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL,RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

June 7,2005

Samuel J. Lemmo, Administrator Office of Conservation and Coastal Lands

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

Well Construction/Pump Installation Permit Application Kealii-Harrisson Well (Well No. 5515-05)

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

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

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

DEAN A NAKANO ACTING DEPUTY DIRECTOR

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returnin~ this cover memo form by July 8. 2005. If we do not receive comments or a request for ad itional review time by this date, we will assume you have no comments. I

I

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

CI:ss Attachment(s)

RESPONSE:

[ ] This well project [ ] requires [ ] does not require a COUP. If a COUP is required it [ ] has has not been approved and [ 1 is [1 is not currently active.

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

[ ] No obje~ions

[ ] Other comments:

Contact Person: _______________ _ Phone: -------

Signed: __________________ _ Date: ______ _

[ ]

Page 46: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

LINDA LINGLE GOVERNOR OF HAWAU

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

June 7,2005

Mr. Michael W. Foley, Director County of Maui Planning Department 250 South High Street Wailuku, HI 96793

Dear Mr. Foley:

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

Kealii-Harrisson Well (Well No. 5515-05)

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

PETER T. YOUNG

MEREDITH J. CHING ClAYTON W. DELA CRUZ

JAMES A. FRAZIER CHIYOME L. FUKlNO, M.D. STEPHANIE A. WHALEN

• DEAN A. NAKANO ACTING DEPUTY tMRECTOR

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 July 8, 2005. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

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

Sincerely,

W.f7n ~

DEAN A. NAKANO Acting Deputy Director

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: ______ _

Page 47: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

Search Results o o Page 1 of 1

Copyright ©6/2/200S by Hawaii Information Service

Assessed Values reflect tax year 2004. Oahu, Hawaii, and Maui Assessed Values reflect tax year 2005

Search criteria: TMK Taxkey 2-2-8-6-22

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

r .2-2-8-6-22 Peahl F 475 HARRISSON, JOHN 3 2 1.00 ac 1,900 11/15/2002 DEED $425,000 HAUMANA & THERESA 5 N RD

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

http://webrel.hawaiiinformation.comlREsearchIHIS/Searchisearch_PUB.asp?NOCACHE=111774... 6/212005

Page 48: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

D OC MENT NO U .. DATMENT OF LAND AND NATURAL RESOU~

UAC OR ATTACHED WORKSHEET DATE A : \pril 4, 2005

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

S 05 326 C 1026 0752 (1 ) 75.00 Wailani Drilling, Inc.

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $ 75.00

REMARKS: LINE (1) Aloha Village Well Lorraine Grace Trust Well John Harrison Well

LINE (2) LINE (3 LINE (4) LINE (5) LINE (6) LINE (7) LINE (8) LINE (9) LINE (10)

Page 49: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

" Wailani Drilling Company Lic.#C20115_

Michael Robertson 77-181 La aloa AYe. Kailua Kona Hawaii 96740 Ph.808/572-2673 Fax 322-6797 Cellular 264 7079 3129/2005

Return Receipt Fax Memo For:Charley Ice Re. WCPA's

Charley. Enclosed are the following items:

i f-

WCP A for Aloha Village - Joseph Sugarman with maps and SMA approval WCP A for Lorraine Grace Trust with maps and SMA approval. WCPA for John Harrisson Well with maps and SMA approval. Check for $75.00 for 3 projects above @ 25.00 ea

Or.: ,'- ,-.

Please confirm receipt by checking off the enclosed items and faxing a copy of this memo to me at 808-322-6797

Thank you : 'W~ Michael Robertson

> ,,-

Page 50: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

STATE OF HAW~ ~ DlPARTIENT OF"'" AND NATURAL RESOURCES 'IfIIII COMMISSION ON WATER RI!8OUIlCE WMAGEIIENT APPLICAnoN FOR A WELL CONSTRUcnoN I

I

PUMP INSTALLATION PERMIT

05 APR ~ AID: ~ R

WCPI App. Form 10I05I04

Page 51: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

.&1----1 Solid Casing: Qo; 90% x (Ground EIev.-WaIar Level EIev)

TaIBI /..fingIh: ~ ~O . ft.

Nominal DIameIer:_---!illCO'-_____ ,In.

Wd~ ____ ~'~~~,~O~ ______ ,n - ..." 0 ft. mal" ~~,------~~~----- .

Total DepIh

~~O ft. Open casing: ef"Perforated 0 Saeen

o Crushed Basalt Total /..fingIh: d..C ft.

o Rounded GnMI ~============~~~;~--~&­

EstimaIBd Walar l.svaI

NomnaI DiameI8r: <A n Walt 1'hidd1eas: , 4. S" in..

BoIIom Sewalio .. : . - 'to ft., maI* Ele\8IIan.

't .S ft. maI* I_I..- nora: NIIiIher benIonIIe nor nard $houId be used In

II8IrmIIed zone dwIng tHIng

Open Hale:: )J ~ ft.

:: A1~ n BolIom EJevatiora:,_J~)...ak,--~ __ ft.. mal"

* The appQxlmallJ aIIMdIan muat be • __ 1Oad to ..... aaalawl (mal) at the time II..,. ••• a.g. FInal elevallalil II .. c:omponene. ahaII be SUbmIIad In the WeI CcImpIaIIanIWeI AbatdDllll81l nsparta and .efalanced to a banchmaIk wHc:h has bean established by a...".,... Rcenaed by the Slate.

For narHaI water Basat Wells - boIIom aIevaIian II waIIlbauId natbe daepar1han 114 lIaprer1hk:lcneas or, BolIom Elevation llWellimit = (Water Elevation _ :II "w.ur £ImIigl )

Example: EstImaIed+2ft.W ..... LewlEIav. -"BoIfOmElmlllonGfW8llUlllt=(2-~) .. -18..511.

Solid Caslna Material; JJ C8IboR SIeeI: c;ompIIantwllh (check one or mara): IJ AHSUAWWA C200 IJ API Spec. 51. " ASTM A53 / IJ ASTM At39

And COIIJI)Iant wlIh (check one or mont): IJ ASTM A242 (or A806}1J Type E IJ Type S . q'Grade B IJ other Stall ......... : (chec:kone): IJ ASTM MOD (producIIon wells) 0 ASTMA312 (monilor wells)

ASS PIaIIc canbmIng to ASTM F~ and ASTM 01527; (c:hec:k one) 0 Schedule 40 0 Sc:haduIe 89 PVC PIaIIc COIdiannfltg 10 ASTM F480 and (ASTM D1785 or A.Snt D2Z41): (chack one): Q. Sc:haduIe 40 0 Schedule 80 0 Schedule 120 n.moset PIatIfc: (c:hecfc one) 0 FIlament WOII'Id ResIn PIpe conbn.1lf.to ASTM D2996

Open Casina Material:

o CerdrifugaIIy Cast ResIn PIpe conformi1tg 10 ASTM D2997 o Railbead Plastic Mortar PIessura PIpe Clonfom.tg to ASTM 03517 o Glass FIJer R",,(oad·ReIIIt Prassura PIpe COIlbmlllg 10 AWWA C950 IJ PTFE FIucrocarboI. nIbIrtg conforming to ASTM D3296 o F£P FIuorocaIbon Tubing cOlilbill1ing to ASTM 03296

Carbon SlIIet oompUantwlh (check one or mare): 0 ANSIIAWWAC200 0 API Spec. 5L III"ASTM~~ 0 ASTMA139 And compliant wIlh (check one or mare): 0 ASTM A242 (or A806). 0 Type E . 0 1p S III Grade B [] Other

SCIIktkca 8tiaeI: (chack one): 0 ASTMMOD ~ wells) [] ASTMA312 (monItorweCls) ASS PIaIUc canfofning to ASTM R80 and ASTM 01527: (check one) 0 Sc:heduIe 40 0 Schedule 80 PVC PlastIc COIIb ... tg 10 ASTM F480 and (ASlM 01785 or ASTU 1>2241): (check one): OSc:hadule 40 [] Sc:heclJIe 80 0 Sc:tiedtje 120 Thermoset PlastIc: (chackone) 0 FilalnentWowlCl ReeIn P!peCOlu .. iI'9lo ASTM 02996

o CenIrifugaIIy cast R8Iin PIpe 0011"1'.1910 ASTM D2991 o Reinaead Plastic MarIrw Prassan PIpe COIlfom.tg to ASTM 03517 o Qtass fiber RaIIlbead Resin Pressure PIpe conforming IoAWWA C950 C· PTFE AJoroctfbon Tubing c:onfoming to ASTM D3296 o FEP FIuanlcarbon Tubing conJonnitg 10 ASTM D3296

WCPI App. Form 10I05I04

Page 52: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

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Page 53: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

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Page 54: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

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Page 55: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

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Page 56: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

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Page 57: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

FROM: ROY

TO: INIT.

ANAKALEA, P. BAUER, G. CHING, F. DANBARA, S. FUJII, N. GOODING, K. HARDY, R. HIGA, D. ICE, C. -IMArA, R. ~

cOJ .. )SSION ON WATER RESOURCE MANAG()ENT

DATE: APR - 6 2005

TO:

KUNIMURA, I. NAKAMA, L. NAKANO, D. OHYE, M. SAKODA, E. SUBIA, S. SWANSON, S. UYENO, D. YODA, K. YOSHINAGA, M.

INIT:

SUSPENSE DATE:

FOR:

Approval Signature Information

(04/05)

PLEASE:

See Me Review & Comment Take Action Type Draft

---A- Type Final < File ---.---

Xerox __ copies

Page 58: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson
Page 59: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

\ i

ALAN M. ARAKAWA Mayor o o

MICHAEL W. FOLEY Director

WAYNE A. BOTEILHO Deputy Director

Mr. Rush Randle P.O. Box 1362

COUNTY OF MAUl

DEPARTMENT OF PLANNING

April 4, 2005

Makawao, Hawaii 96768

Dear Mr. Randle:

:15 tiP':! 6 All: 09

RE: Special Management Area Minor Permit for the Proposed Drilling and Installation of Two Irrigation Wells located at 77 Nahele Road, TMK: 2-8-006: 022, Haiku, Island of Maui, Hawaii (SMX 2005/0192) (SM22005/0043)

In response to your application received on March 23, 2005, and in accordance with the Special Management Area Rules for the Maui Planning Commission, Sections 12-202-12 and 12-202-14, a determination has been made relative to the above project that:

1 . The project is a development;

2. The project has a valuation not in excess of $125,000.00 (Valuation: $ 27,126.00);

3. The project has no significant adverse environmental or ecological effect, taking into account potential cumulative effects; and

4. The project is consistent with the objectives, policies, and Special Management Area guidelines set forth in the Hawaii Revised Statues (HRS), Chapter 205-A, and is consistent with the County General Plan and Zoning.

In consideration of the above determination, you are hereby granted a Special Management Area Minor Permit approval, subject to the following conditions:

1. That a Well Construction Permit and a Pump Installation permit from the Commission on Water Resource Management (CWRM) shall be obtained before ground water is developed as a source of supply for the project.

250 SOUTH HIGH STREET, WAILUKU, MAUl, HAWAII 96793 PLANNING DIVISION (808) 270-7735; ZONING DIVISION (808) 270-7253; FACSIMILE (808) 270-7634

Page 60: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

Mr. Rush Randle April 4, 2005 Page 2

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2. That the applicant shall coordinate with the Department of Water Supply to incorporate the project into the Water Use and Development Plan.

3. That water conservation measures, including but not limited to, utilization of low-flow fixtures and devices and use of dimate-adapted plants, shall be incorporated into daily operations.

4. That at a minimum the following Best Management Practices (BMPs) shall be implemented in the immediate area around the weI/site:

a. Vehicles shall not be parked in the immediate well area, even when working on well maintenance or repair, unless required for power supply.

b. Motor oil, fuel, paints, and any maintenance chemicals shall not be stored in the pump house or immediate zone.

c. Underground storage tanks, hazardous materials, and septic systems shall be removed or relocated from this zone, where possible.

d. Hazardous materials shall be stored in a secure building on an impermeable surface with adequate spill containment.

e. Propane gas shall be used for power pumps.

f. Non-well maintenance activities shall be kept out of immediate well area.

5. That a qualified archaeological monitor shall be present during all ground-altering activities in order to identify and document any historic properties which may be encountered during the proposed undertaking and to provide appropriate mitigation measures as necessary. An acceptable monitoring plan shall be submitted to the State of Hawaii, Department of Land and Natural Resources, Historic Preservation Division (SHPD) for review and approval prior to the commencement of any ground-altering activities. An acceptable report documenting the findings of the monitoring activities shall be submitted to SHPD for review and approval within 180 days following the completion of the proposed undertaking.

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" I

Page 61: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

, , Mr. Rush Randle April 4, 2005 Page 3

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6. That the SHPD Oahu and Maui offices shall be notified at least one week prior to the onset of the project.

7. That Best Management Practices (BMPs) shall be implemented to prevent erosion.

8. That full compliance with all other applicable governmental requirements shall be rendered.

Thank you for your cooperation. If additional clarification is required, please contact Ms. Livit U. Callentine, Staff Planner, of this office at 270-5537 or [email protected].

MWF:LUC:do

Sincerely,

;u.Cfd MICHAEL W. FOLEY Planning Director

c: Wayne A. Boteilho, Deputy Planning Director Clayton I. Yoshida, AICP, Planning Program Administrator Aaron H. Shinmoto, PE, Planning Program Administrator (2) Livit U. Callentine, Staff Planner Charley Ice, CWRM DWS SHPD DSA (2) 05/SM2 Minor Permit File General File K:\W P _DOCS\PLANN ING\SM2\2005\0043 _RandleWell\Approval. wpd

Page 62: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

, \

k ALAN M. ARAKAWA Mayor o o

MICHAEL W. FOLEY Director

WAYNE A. BOTEILHO Deputy Director

Mr. John Harrisson 475 Humana Road Haiku, Hawaii 96708

Dear Mr. Harrisson:

COUNTY OF MAUl

DEPARTMENT OF PLANNING

March 24, 2005

D5 r'j,\[=: 30 A B: ~ 8

RE: Special Management Area Minor Permit for the Proposed Drilling and Installation of an Irrigation Well located at 475 Humana Road, TMK: 2-8-006:022 (SMX 2004/0791 ) (SM2 2005/0038)

In response to your application received on December 17, 2004, and in accordance with the Special Management Area Rules for the Maui Planning Commission, Sections 12-202-12 and 12-202-14, a determination has been made relative to the above project that:

1. The project is a development;

2. The project has a valuation not in excess of $125,000.00;

3. The project has no significant adverse environmental or ecological effect, taking into account potential cumulative effects; and

4. The project is consistent with the objectives, policies, and Special Management Area guidelines set forth in the Hawaii Revised Statues (HRS), Chapter 205-A, and is consistent with the County General Plan and Zoning.

In consideration of the above determination, you are hereby granted a Special Management Area Minor Permit approval, subject to the following conditions:

1. That a Well Construction Permit and a Pump Installation permit from the Commission on Water Resource Management (CWRM) shall be obtained before ground water is developed as a source of supply for the project.

250 SOUTH HIGH STREET, WAILUKU, MAUl, HAWAII 96793 PLANNING DIVISION (808) 270-7735; ZONING DIVISION (808) 270-7253; FACSIMILE (808) 270-7634

Page 63: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

Mr. John Harrisson March 24, 2005 Page 2

2. That the applicant shall coordinate with the Department of Water Supply to incorporate the project into the Water Use and Development Plan.

3. That water conservation measures, including but not limited to, utilization of low-flow fixtures and devices and use of climate-adapted plants, shall be incorporated into daily operations.

4. That at a ninimum the following Best Management Practices (BMPs) shall be implemented in the immediate area around the well site:

a. Do not park vehicles in the immediate well area, even when working on well maintenance or repair, unless required for power supply.

b. Do not store or use motor oil, fuel, paints, and any maintenance chemicals in the pump house or immediate zone.

c. Remove or relocate underground storage tanks, hazardous materials, and septic systems from this zone, where possible.

d. Store hazardous materials in a secure building on an impermeable surface with adequate spill containment.

e. Use propane gas for power pumps.

f. Keep any non-well maintenance activities out of immediate well area.

5. That a qualified archaeological monitor shall be present during all ground-altering activities in order to identify and document any historic properties which may be encountered during the proposed undertaking and to provide appropriate mitigation measures as necessary. An acceptable monitoring plan shall be submitted to the State of Hawaii, Department of Land and Natural Resources, Historic Preservation Division (SHPD) for review and approval prior to the commencement of any ground-altering activities. An acceptable report documenting the findings of the monitoring activities shall be submitted to SHPD for review and approval within 180 days following the completion of the proposed undertaking.

Page 64: Pt.€¦ · Certificate of Well Construction Completion for Well No. 5515-05 (TMK: 2-8-006:022) We are pleased to inform you that the Well Construction work permitted for the Kealii-Harrisson

Mr. John Harrisson March 24, 2005 Page 3

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6. That the SHPD Oahu and Maui offices shall be notified at least one week prior to the onset of the project.

7. That Best Management Practices (BMPs) shall be implemented to prevent erosion.

8. That full compliance with all other applicable governmental requirements shall be rendered.

Thank you for your cooperation. If additional clarification is required, please contact Mr. Paul Fasi, Staff Planner, of this office at 270-7814 or [email protected]

MWF:PF:lar

MICHAEL W. FOLEY Planning Director

c: Wayne Boteilho, Deputy Planning Director Clayton Yoshida, AICP, Planning Program Administrator Aaron Shinmoto, PE, Planning Program Administrator (2) Paul Fasi, Staff Planner Charley Ice, CWRM DWS SHPD DSA (2) 05/SM2 Minor Permit File General File K:\WP _DOCS\PLANNING\SM2\2005\0038_HarrissonWeU\Approval.wpd