state of hawaii department of land and natural …s 9 oct 19 p 4' 2 5 state of hawaii...

BENJAMIN J. CAYETANO GOVEJtHC:)R Of HAWAI

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAl RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O BOX621

HONOLUlU. HAWAII 968011

DEC -7 1999

Ms. P. Kuuleialoha Johnson P.O. Box 1213 Kapaa, HI 96746

Dear Ms. Johnson:

Well Completion Report for Well No. 1120-28

TlMOl1ofY E. JOHNS

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

DAVIDA. NOBRIGA HERBERT Y. RICHARDS. JR.

LINNEl T. NISHIOI<A .-m_CTOII

We have received your Well Completion Report Part II for the Ka Lae Mana Pt. Well (Well No. 1120-28) and acknowledge that it is complete. We sincerely appreciate your attention to this matter.

If you have any questions, please contact Lenore Nakama of the Commission staff at 587-0218 or toll-free at 274-3141, extension 70218.

LN:ss

Sincerely,

~~ LINNEL T. NISHIOKA Deputy Director

o o 2127198 WCR Fonn

Pump Installation Company: ------<.....I-:=-'"--"----......... ..=....;;....="""""'L....;..----::z:_/

21. Name of person performing work: - ............... '-'=--==::.=J~=-=:;.,.L.......::....---..~I 22. Date Pump Installation Completed: - ........ "-"....-.~_-..c-......--'--I-"'--__

23. PUMP INSTALLATION: Pump Type, Make, Serial No.: ST/-!//V?£sr Capacity: 6 gpm

Motor type, H.P., Voltage, rpm: -~/.,......!i"-+-".o""""+----'-.......-~--==-= ....... ----------Depth of Pump Intake Setting 0 well bench mark Depth to bottom of airline ft. below 0 ground 0 well bench mark 30 F-I-. Pumping Head is 30ft. Type of flow meter: NONE which measures in ___ _

24. As-built drawings attached attached? _ Yes _ No 25. Other remarks/comments: (See be/ow)

Pump Installation Contractor (print) ,SHOOt< LL(i(.tlE:4yrJ C-57 Lic. No. ____________ _

Signature

Applicant (print)

Signature

8.{cont'd) DRILLER'S LOG (cont'd):

Depths (ft.) Rock Description, Water Level, Dates, etc.

____ to _______________ _ ___ to ________________ _ ___ to _______________ _ ___ to _______________ _ ___ to _______________ _ ____ to __________________ _ ___ to ____________________ _ ___ to ____________________ _

___ to ______________ --------___ to _____________________ _ ____ to _____________________ _ ____ to _____________________ _ ___ to ________________ _ ____ to _________________ _ ____ to ________________ _ ____ to ________________ _ ___ to __________________ _ ____ to _________________ _

Depths (ft.) Rock Description, Water Level, Dates, etc.

____ to _________________ _ __ __ to __________________ _ ___ to __________________ _ __ __ to ________________ _ __ __ to ________________ _ __ __ to _______________ _ ___00 _________________ _ ___to _________________ _ __ __ to ________________ _ ____ to _________________ _ ___to ________________ _ ___to ________________ _ ___to _________________ _ ___to __________________ _ ___to _______________ _ ___ to _________________ _ __ __ to ________________ _

to ( ,

19.& 25. Remarks: _____ \ \_~_O_/_'Z-_q, __ "'_bc_l&c __ ~____'\J\___'_'_~___'.....:..:,____'f!'__'''(::....:.... ____ _

/ /

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

WELL COMPLETION REPORT Part I. Well Construction & Part II. Permenant Pump Installation

c..~ c..'-:) c:J ;0

2/2~8 WC~rfform J

Instructions: Please print or type and submit completed report within 60 days after well completion to the ComrU/.$sion on Water ResjJurce Management, P.O. Box 621, Honolulu, Hawaii 96809. An as-built drawing of the well and chemical analysis should also beoubmittett- For assistance call the Commission Regulation Branch at 587-0225, or 1-800-468-4644 EXtension 70225. ..•. j. ~ .'-= c.) , " i

CJ .,- ..... r.; > •• '-,.J

1. 2.

State Well No.: 1120-28 Well Name: Ka Lae Mana pte Location/Address: ... M.u.x.o .... lo ... aLllla~. -"'KUjaLllluLllla .... i ____________ _

ISla~:-..Ki.u.ai1 Tax Map tC.ey~..:::I;":.;;o,.-9~~1Uii :3:.Q~~ __ _

·}················.· ••••••••••• WELLCONSTRlJC'TION •••••••• REPORT •••• ·• 3. Drilling Company: 4. Name of driller who performed work: 5. Type of rig/construction: 6. Date(s) Well Construction and pump tests (if any) completed: 7. GROUND ELEVATION (referenced to mean sea level, msl): ft.

Well Bench Mark (description/location): Elevation{msl): ft. 8. DRILLER'S LOG: Please attach geologic log (if available or if required by permit)

Depths (ft.) Rock Description, Water level, Dates, etc. Depths (ft.) Rock Description, Water level, Dates, etc.

to to -- -- -- --to to -- -- -- --(If more space is needed, continue on back.)

9. Total depth of well below ground: ft. 10. Hole size: inch dia. from ft. to ft. below ground

inch dia. from ft. to ft. below ground inch dia. from ft. to ft. below ground

11. Casing installed: in. 1.0. x in. wall solid section to ft. below ground in. 1.0. x in. wall perforated section to ft. below ground

Casing Material/Slot Size:

12. Annulus: Grouted from ft. below ground to ft. below ground Gravel packed from ft. below ground to ft. below ground

13. Initial water level: ft. below ground. Date and time of measurement: 14. Initial chloride: ppm Date and time of sampling: 15. Initial temperature: of Date and time of measurement: 16. PUMPING TESTS: Reference Point (RP.) used: , which elevation is ft.

(1) Step-Drawdown Test Date (2) Long-term Aquifer Test Date Start water level ft. below RP. Start water level ft. below RP. End water level ft. below RP. End water level ft. below RP.

17. Pump Test Procedures data & graphs (12117/97 SOPTO & CRPTO Forms) attached? _ Yes - No 18. As-built drawings attached attached? _ Yes _ No 19. Other remarks/comments: (On back of this form)

Well Drilling Contractor (print) C-S7 Lic. No.

Signature Date

Surveyor (print) Lic. No.

Signature Date

Applicant (print)

Signature Date

\J

BENJAMIN J. CAYETANO OO'4RH01t 011 HAWAI

o

STATE OF HAWAII DEPARTMENT OF lAND AND NATURAl RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOlUlU, HAWAI 96809

NOV 19 1999


Dear Ms. Johnson:

Pump Installation Permit and Water Use Reporting for

Ka Lae Mana Point Well (Well No. 1120-28)

TNOTHY E JOHNS -BRUCe S. NClERSON ROBERT G. GIIW.O BRM C. NISHIDA

DAVID A. NOBRIGA HERBERTIl RICHARDS,.IIl

I.lNNEl T NISHIOKA """,,,,-.:TOIl

We have received your signed pump installation, indicating that you will be installing the pump yourself as an "owner builder". Please be advised that, as stated on your permit, pump installations must be done by a Hawaii-licensed contractor with a C-57, C-57a, or A license. We have attached the pertinent section from Administrative Rule § 16-77-32, administered by the Department of Commerce and Consumer Affairs (DCCA), which outlines specialty classifications. We have also attached a letter from DCCA, clarifying the applicability of the owner-builder exemption.

If you have already installed the pump yourself, we will need to schedule an inspection to ensure that the pump was installed according to current standards. If this is the case, please submit the items required under Condition 5 within sixty "",\ ~ ... v~_ at which time we will set up the field inspection. If you have not yet installed the pumJ '41. '" I\rooerly licensed installer and return another copy of the permit validated v ~~ -( ·-"hlres.

. ". ~,I -~2-1l With regard to water use reporting, we U !r or other device as a means of measuring water use ) is hereby waived; however, please estimate your' n ()~ p capacity, by end use accounting, or by some ot! ~ lSe on an annual basis on the forms provided.

Please remember, as stated on your pe fines of up to $1000 per day. We work very f fines, but may and have recommended fines 1 satisfactory compliance with the Hawaii We! (January, 1997).

If you have any questions, please ca extension 70218.

~G.o!'f-

LN:ss Attachments

LINNEL T. NISHIOKA Deputy Director

.bject to ~g nleve

4-3141,

PI G)::r: 300 r+ r-u () O-U ::y rn

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S 9 OCT 19 p 4' 2 5

STATE OF HAWAII COMMISSION ON WATER RESOURCE MANAGEMENT

DEPARTMEI'lT OF LAND AND NATURAL RESOURCES

ANNUAL GROUND WATER DELIVERY REPORT (INFORMATION TO BE USED BY U.S. GEOLOGICAL SURVEY)

P. Kuuleialoha Johnson P.O. Box 1213

Kapaa, HI 96746

State Well No. _....:.1....:.1=2"",0--,·2::,.8,,--_ Well Name Ka Lae Mana Pt. year _____ _

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

Month

Delivery' Begin Dillivery':fiid::" Pllte ...... ;:'.,.!!"

(mm/dd/y,y1:/ "(mml<l

January

February

March

April

Quantity Delivered (gll.llons)

Type of

Use*

Acres' Irri.f,;I:at,~~ .•

Crop Type

. / .... Method>of .... ..... . ..... Measuremeht* * .

May S'l) CA-.A V J' C/, ;. e: ,,, / ? --- ,L/A ~. _ \" L1t21 June ~ n l.L ~ S- "r- ;(;c UJ /}-.re-A ~ !:: ,/ e:£ S' To July

August

September

October

November

December

• Use of water code:

AQ: C: D: ID: IF: IS:

AQuaculture A: Commercial I: Domestic H: Irrigation - Drip F: Irrigation - Furrow Irrigation - Sprinkle

Other comments or additional information:

Agriculture non-irrigation use (livestock, cane wash, etc.) Industrial-manufacturing, construction, etc. Hydroelectric power generation - indicate KWH of power generated Fuel power generation - cooling

Submitted by (pr,~in.:.:t:.-) ='E.:e~~=r'''''''''"5''-r:::""I-I.c...:..,-"",,,,,,,~o::::

Signature __ ---'~~~~~~Jt.;::t:.....""""="""_"""'==,.-. __ -.JJate _________ _

•• For estimated values use code:

P: T: D: x:

Power consumption Total time of operation Comparison with past data Other means - (indicate method)

Phone No. ___________ _

Form wur·ann-gw.doc.doc (3/99)

......" ,."""

PUMP INSTALLATION PERMIT Ka Lae Mana Pt. Well. Well No. 1120-28

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 Ka Lae Mana Pt Well (Well No. 1120-28) at , Moloaa, Kauai,TMK 4-9-13:11, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:

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

2. The pump installation permit shall be for installation of a 12 gpm capacity, or less, pump in the well.

3. The permittee shall provide and maintain an approved meter or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate devices or means for measuring chlorides and temperature. These data shall be measured monthly and reported to the Commission on an annual basis, on forms provided by the Chairperson (attached).

4. The proposed use shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. This permit or the authorization to pump water from a well shall not constitute a determination of correlative water rights. The permittee is notified and by this provision understands that the quantity of water taken from the well could be reduced by the Commission in the future. This permit is not a commitment that the pump capacity permitted here or even some lesser amount is guaranteed in the future.

5. The permittee shall complete and submit as-built drawings and Part II - (Permanent) Pump Installation Report of the Well Completion Report (attached) to the Chairperson within sixty (60) days after completion of work.

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

7. The pump installation permit application is incorporated into this permit by reference and is subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

8. The permit may be revoked if work is not started within six (6) months after the date of approval or if work is suspended or abandoned for six (6) months, unless otherwise specified. The work proposed in the pump installation permit application shall be completed within two (2) years from the date of permit approval, unless otherwise specified. The permit may be extended by the Chairperson upon a showing of good cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later than three (3) months prior to the date the permit expires. If the commencement date is not met, the Commission may revoke the permit after giving the permittee notice of the proposed action and an opportunity to be heard.

9. If the well is not to be used it must be properly capped. If the well is to be abandoned then the permittee must apply for a well abandonment permit in accordance with §13-168-12(f) prior to any well sealing or plugging work.

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

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

Date of Approval: October 8, 1999 Expiration Date: October 8, 2001

TIMOTHY E. JOHNS, 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 do not hold a valid permit until I and the pump installer have signed, dated, and returned the permit· to e Commission. I also u erstand that non-compliance with any permit condition may be grounds for revocation and fines of up to $ f r d~ m t ermlt date of approval.

Permittee's Signature:

Printed Name:

Installer's Signature:

Printed Name: Firm or Title: _---'c...z::I.:::l~2Z.~L.._~~~r::IIIi~~....:.....L .- . -;.-

Please sign both copl s permit, return one to the Chairperson, and retain the other for your reconl."f; -;;:

~rr~ Attachments c: USGS

Department of Healthl Safe Drinking Water & Wastewater Branch Kauai Department of Water Supply

" ..c:.. -.

BENJAMIN J. CAYETANO _<1-

REF:CWRM-SS

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAl RESOURCES


HONOlUlU, HAWAII 96809

OCT 15 1999


Dear Ms. Johnson:

Pump Installation Permit Ka Lae Mana pt Well (Well No. 1120-28)

TNOTMY E. JOHNS ..-BRUCE S. AHOERSON

ROBERT G. GlRAl.O BRIAN C. NISHIDA DAVID A. NOBRIGA

HERBERT M. RICHARDS. JR.

UNNEL T. NISHIOKA OUUTY DIIIICTOIl

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. The pennlttee shall obtain the signature of a Ilcenaed contractor (~7, C-57 .. or A) on the pennlt and return. validated copy of the pennlt to the Commission prior to the start of any work authorized by this pennlt.

2. If the elevation benchmark needs to be altered, the penntttee shal ensure that the benchmark Is transferred (or the well resurveyed) and documentation of the new benchmark ahall be submitted to the Commission within sixty (80) days after the pwnp Is Installed.

The permittee Is responsible for all conditions of the permit. This Includes ensuring that the pump Installation contractor submits a completed Part II of the Well Completion Report form (enclosed) within sixty (60) days after the pump Installation work Is completed. Be advised that you may be subject to fines of up to $1000 per day for any violations of your permit conditions starting from the permit approval date.

To validate your pump installation permit, please sign and have the contractor sign both permit originals and return one for our files. A copy of the Well Completion Report (Part II) and a copy of your water use report form are enclosed for your use.

IMPORTANT - Unless specifically exempted, pump Installation may not proceed without a validated permit retumed to the Commission. Except for the monthly water use report form, please provide copies of all the Information In this packet to your pump Installation contractor.

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

If you have any questions, please call the Commission staff at 587-0218 or toll-free at 274-3141, extension 70218.

Enclosure

o PUMP INSTALLATION PERMIT

/

Ka Lae Mana Pt. Well. Well No. 1120-28

In accordance with Department of Land and Natural Resources, Commission on Water Resource Managemenfs Administrative Rules, Section 13-168, entitled Water Use, Wells, and Stream Diversion Wor1cs·, this document permits the pump installation for Ka Lae Mana Pt. Well (Well No. 1120-28) at , Moloaa, Kaual,TMK 4-9-13:11, subject to the Hawaii Well Construction & Pump Installation Standards (112319D which include but are not limited to the following conditions:

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

2. The pump installation permit shall be for installation of a 12 gpm capacity, or less, pump in the well.

3. The permittee shaD provide and maintain an approved meter or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate devices or means for measuring chlorides and temperature. These data shall be measured monthly and reported to the Commission on an annual basis, on forms provided by the Chairperson (attached).

4. The proposed use shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. This permit or the authorization to pump water from a well shall not constitute a determination of correlative water rights. The pennittee is notified and by this provision understands that the quantity of water taken from the well could be reduced by the Commission in the future. This permit is not a commitment that the pump capacity permitted here or even some lesser amount is guaranteed in the future.

5. The permittee shall complete and submit as-built drawings and Part II • (Permanent) Pump Installation Report of the Well Completion Report (attached) to the Chairperson within sixty (60) days after completion of work.

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

7. The pump installation permit application is incorporated into this permit by reference and is subject to the Hawaii Well Construction & Pump Installation Standards (1/23197). If the H\I\ICPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

8. The pennit may be revoked if work is not started within six (6) months after the date of approval or if work is suspended or abandoned for six (6) months, unless otherwise specified. The work proposed in the pump installation permit appflcation shal be completed within two (2) years from the date of permit approval, unless otherwise specified. The pennlt may be extended by the Chairperson upon a showing of good cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later than three (3) months prior to the date the pennit expires. If the commencement date is not met, the Commission may revoke the permit after giving the pennittee notice of the proposed action and an opportunity to be heard.

9. If the well is not to be used it must be properly capped. If the well is to be abandoned then the pennittee must apply for a well abandorvnent pennit In accordance with §13-168-12(f) prior to any weH sealing or plugging work.

10. The permittee, its successors, and assigns shall Indemnify, defend, and hold the State of Hawaii hannless from and against any loss, Ilabiity, clam, or demand for property damage, personal injury, or death arising out of any act or omission of the appHcant, assigns, officers, employees, contractors, and agents under this pennit or relating to or connected with the granting of this pennit.

11. Special conditions in the attached cover transmittal letter are incorporated h

Date of Approval: October 8, 1999 Expiration Date: October 8, 2001

I have read the conditions and terms of this pennlt 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 do not hold a valid pennlt until I and the pump Installer have signed, dated, and returned the pennlt to the Commission. I also understand that non-compllance with any pennlt condition may be grounds for revocation and fines of up to $1000 per day starting from the pennlt date of approval.

Permittee's Signature: Date: ___ _

Printed Name: Firm or Title: _______________ _

Installer's Signature: ___________ C-57, C-57a, or A License #: ____ _ Date: ___ _

Printed Name: Firm or Title: ______________ _

Please sign both copies of this permit, ,.tum one to the Chairperson. and retain the other for your record5.

Attachments c: USGs

Department of HeaIIhI Safe DrInking Water & wastewater Branch Kauai Department of Water Supply

t ~P-1S-99 09,30 FROM,WATER RESOURCE MGT o L.~A';. __ ?<'_ ....

BENJAMIN J. CAmANo _01''-'

RE('~~I\lED

STATE OF HAWAII

10,8085870219 ....-. "'wI'

PAGE 1/2

nuo'I'HY E, JOHNS -BRI.IC.5 So ANDmsoN ~08UT G. G\P.ALD ~ C. NISHIDA.

DAVIO A NOBRIGA ~T tol RICKARDS. JR.

ltNNeL T. N!SHIOKJ. 1ZPUlY~ 99 SEP 30 p 2: I 6

OEPARTMeNTOF LANDANO NAlURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

cm.{<i/SS!()N ON W.fI,TER Rite! nCII tI, Ij i' GCMEtu

JI'.0.80)(&21 HONOl.Ulu. HAWAII 96a09

FACSIMILE TRANSMITTAL

To: Kuufei Johnson

Company:

Fax: Number. 245-2014

Phone Number: 822-3113

Notes/Comments:

From; Lenore Nakarna

Date: September 16, 1999

Pages Including, Header. 2

Subject: As-built Drawing

Per your :request, we are sending an as-built well section. Please fill in the blanks as applicable and send it back to us along with a plot plan & map showing the exact location of the well. Once Wei

receive these documents. we may then issue a pump installation permit for your well. If you have any questions, please feel free to (".all. Our toll-free direct number is 274-3141) extension 70218.

P.O. BOX 621, HONOLULU. HAWAII 96809

~aL.. I.)(). 1 N \\'U> ' .."q, " ~ I (,o.JC :rfl>~

I?ctk

1 l!I..e--1 cav' Iff. 0q~ r~ 3? ;:fj,lr - ~

I -~l

Jo/-ffl)~

::::>G ------""' .. ,.: (808) 587"()219 j;MAIl' 1fl.' ...... Gi\"ivl ...... -

13. AS .. BUfL T WELL SECTION (PleBS9 attaoh 8s·bullt H different from diagram provld9d beJow)

~ f.' elevation at top of casing 3t- It:':." _ [_~~~Ie OJamete~: / 2 in. (Survey to nearest 0.01 ft,) l _ . :1-- MInimum of 2' Radius & 4" Thi~ Concrete Pad

A :.' ~'.,:' ?'?'::-;1 ~GrOUnd Elevatlon: '1-y':.qz. ft., msl'" Bench mark elevation; ____ " .4,. :. ..:, ... ~. ...,--

az :. :. :.. .. - w.'

~7 7' -,",,- ......

'" ft., msl'" : .• ~ : ."': ~ ..... ...'. (Survey to nearest L"',,- ;:l· ;:i. 0.01 ft,) Cement Grout: -&L ft. .~:.: ~.':'

Tota~ Depth

cao ft,

(min. 70% of distance from ": ., : ~ .; >-gfound elevation to top of ~ :!; ~ ::: fI) ...... ' ... ",' jjj water surface 01 500 ft., ::'~.:: ::~::. "ij) whichever Is less.) .... : ~'.: i;,

Annular apace bttween hole an castng (mln.3"):

Rock or Gravel Packing:

J~ ft. Material: 11: Crushed Basalt 7t Rounded GraveJ

Water Lever Elevation:

1- ft. malA-

":t"t+ :'",:.-= :~:.: ~.:.:.a! ... ~", .. ~1"" !1 .~;~; ~ :~: >

.. ' " .. : ......... :.: :.:;: .!l ; .... ;0 w

-g

I )(

'$. 8 1\1

~, :. .• :.;: :!:y'~Y . ", ~~ ..... f~ ":~~i;: ..

,-'.

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

-msl:: mean sea favel

. '

Please refer to the HAWAII WELL CQNSIRUCTfQN AND PUMP INSTALLATION STANDARDS to ensure that your a&-bullt Is tn compliance

with aODUcabJe reoulatlons..

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

Length: 60 ft . Diameter: _______ ..-;.6LJ-____ ln .

Wall ThIckness: _____ <4<::;;.L..;:tt:.:::...-____ tn.

Bottom Elevation:. ____ ---.;;3::::;...;:ij~ __ ft., msr

Open Casing: 1t Perlorated 'It Screen

length: &:::0 ft.

Diameter: ~ in. Wall Thickness:

> k¢:. in.

Openings: :sa.. sq. In.lL,F.

Bottom elevation: - ft.,msl"

Open Hole:

Length: ____ ~,~/l(...4-I.'&~ ___ --ft.

DIameter: ,In.

Bottom Elevation: _., ., .. __ .". . ... ______ . __ ._. n '. ms,A-

,~ '1l I ...

Dl I

UI UI

IS)

UI

t.l ...

.. ~ l>

O~ ::a tT1 Ul o c: ::a n tT1

:;: r:J >-i

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O~ 110) ... UI

BENJAMIN J. CAYETANO GOVERNOR OF HAWAII

To: Kuulei Johnson

Company:

Fax Number: 245-2014

Phone Number: 822-3113

Notes/Comments:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES


HONOLULU, HAWAII 96809

FACSIMILE TRANSMITTAL

From: Lenore Nakama

Date: September 16,1999

Pages Including Header: 2

Subject: As-built Drawing

TIMOTHY E. JOHNS CHAIRPERSON

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

HERBERT M. RICHARDS, JR.

LlNNEL T. NISHIOKA DEPUTY DIRECTOR

Per your request, we are sending an as-built well section. Please fill in the blanks as applicable and send it back to us along with a plot plan & map showing the exact location of the well. Once we receive these documents, we may then issue a pump installation permit for your well. If you have any questions, please feel free to call. Our toll-free direct number is 274-3141, extension 70218.

P.O. BOX 621, HONOLULU, HAWAII 96809 PHONE: (808) 587-0226 FAX: (808) 587-0219 EMAIL: dwrm@pixLcom

/

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

Elevation at top of casing ___ ft., mat- _ - Hole Diameter: ____ in.

(Survey to nearest 0.01 ft.) --~-.j

- Minimum of 2' Radius & 4" Thick Concrete Pad

Bench mark elevation: ------------.-.! ....",.~~~

ft., msl· o nearest (Survey t

0.01 ft.)

Total Depth

ft.

Cement Grout: (min. 70% of distance fr

_ft. om

of ft.,

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

Annular space betwee n j: hole and caSing (min.3

in.

Rock or Gravel Packln g:

ft. Material: 7t Crushed Basalt 7t Rounded Gravel

Water Level Elevatio n: ft. mal·

emsl = mean sea level

:. ~ .. . .' ...... .:: ;. .~ :!: ...... : ." ...... .. • 4. .' .

.'" .. .....

... 6 ... . '. :. ,.. · .' 6 •••

>:;. ~

~ ::: i) :.': W ..... :: CD .. .4." · '. :. ~ .. · .' 4 •••

:-: ;. ~ :!: .. . 4: .... . -..... • .4 ...

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• > G)

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c :I e C> -)(

0

/IJ

- .. - --

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I I I _t _

/I I/J1&\

" Ground Elevation: ____ ft., msl·

Please refer to the HAWAII WELL CONSTRUCTION AND PUMP INSTALLATIQN STANDARD§ to ensure that your as-built is in compliance

with aoolicable reaulations_

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

Length: ft.

Diameter: in .

Wall Thickness: in.

Bottom Elevation: ft.,mat-

Open Casing: 7t Perforated • Screen

Length: ft.

/ Diameter: in .

Wall Thickness: in.

Openings: sq. in.IL.F.

Bottom Elevation: ft., rnsl·

----Open Hole.

Length: _____________ ft.

Diameter: _____________ in.

Bottom Elevation: _ _________ ft., rnst-

J

o

o

September 15, 1999

DickielTats:

Thanks so much for helping us to verify a water level in a recently-drilled private domestic well in Kauai. We would like to remeasure the depth to water because the well completion report indicates a water level at -13 ft msl. If possible, can you also take a picture of the well and note whether there's a pump in the well. I have attached a USGS topo map & tax map showing the well location. Also attached is a copy of the completion report. The contact name, address & phone number for the permittee are:

Penny Kuuleialoha Johnson P.O. Box 1213 Kapaa, HI 96746

PH: 808-822-3113

Again, mahalo, and if there are any questions or problems, please call Lenore Nakama at 587-0218.

FROM: Linnel

_'_ BAUER, G. _CHING,F. _fUJII, N. ~HARDY,R. _HIGA,D. _HIRANO,E. _ICE,C. _IMATA,R. _JINNAI, R. _ KUNIMURA, I.

COMMISSION ON WATER RESOURCE MANAGEMENT (7/99)

DATE: SEP I 0 1999 SUSPENSE DATE ______ _

TO:

_LUM,A. 2(1 NAKAMA, L.

_'_ NAKANO, D. ~ NISHIOKA, L. _l_OHYE, M. _SAKODA,E. -4- SUBIA, S. __ SWANSON, S. _UYENO,D. __ YODA, K.

__ Approval ~Signature

Information

PLEASE:

See Me Review & Comment Take Action

__ Type Draft ~ Type Final --.:1- File

Xerox __ copies

'.Q·<.;·....j,L,

I WCR 1 Check for Well No. 1120-28 (survey to regulation memo)

1. Pump Tests Check Glenn Bauer A (initial) """-Yes No

Step-Drawdown Test: acceptable 0 0 followed WCPI Stds 0 0 analysis attached 0 0 proposed pump cap o.k. 0 0

Aquifer Pump Test: acceptable followed WCPI Stds T & S analysis attached

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

analysis attached

o o o

o

o o o

o

If no, describe deficiency

Stream Surface Water Impacted: o o .- If yes, identify most probable stream

2. Construction Check Mitch Ohye _....;....._!- (initial) ~ \0;" Iv ,t L\ Y s No If no, describe deficiency

data complete followed WCPI Stds wellphys.dbf updated welaplic.dbf updated

o o o o

09/14/99

AUG-24-99 10.18 FROM.W~~ RESOURCE MGT

~ State of Hawaii

ID.e0e~0219

'wtI

COMMISSION ON WATER RESOURCE MANAGEMENT Department of land and Natural Resources

PACE

WELL COMPLETION REPORT 2J2:J/98 WCR Form

Part I. Well Construction & Part II. Permenant Pump Installation InsIrudions: Please pmt or type and submit eompIeIed report wlhin 60 days alter well oompJetion to the ConYnission on warM Resource Management. P.O. BoJc 621, Honolulu, Hawai 96809. !vi as-buil ~ of the weU and chemical analysis should also be submiJ1ed. For assistance cal the Commisaion Regulation Branch at 587"()22S, or 1-80~ Extension 70225.

1. State Well No.! 1120-28 Well Name: Ka Lae .mana pt. Island: ...... K.lIIII3U1ua .. i _____ _ 2. locationiAddress:...,I;MoU¥&foaa¥lUlu.' ..I.lK~a~ualL!i __________ ~_ Tax Map Key:,-"4-9==;..:.:13 .... : ..... 11-=--__ _

3. Drilling Company: /~L~ d 4Re-A!.. ~ 4. Name of driller who performed work: t" " ~=:;; Ed ::.tJ 5. Type of rig/construction: Jl?o~V ~~ r; , tTl 6. Date(s) weH Construction andpumj;ttiStl?(if any) completed: iYbv. 9;0 ::::i~ C; ~ 7. GROUND ELEVATION (referenced to mean sea level, msO: :24,9(; ft. , ':J

d']

Well Bench Mark (descriptionllocation):RM3Z flIP« IAI!'. ~/6~~ 8~~~(msle7.35tgt 8. DRILLER'S LOG: Please attach geologic log (if available or if reqtif:tl by permit)::::: ~ • • :.'~

rfl."T"" ',-Depths (It.) Rock Desaiption. Water Level, Dates. etc. Depths (ft:.) Rock D~Water~el, Dates. etc:.

'-j

~!~ ~ ?f.E2> C~~, .d"~~:tf --===-~~N~~~~~~-.L . (If more $pacsl is needed, continue on back) Sll- ~If)

9. . Total depth of well below ground: c51? it 10. Hole sjze: 12.-hr inch dia. from a ft. to "a

_____ inch dia. from ft to ____ _ _____ inch dia: from ft. to ____ _

11. Casing installed: pre in. I.D. x 4I.u. in. wall solid section to a --64 ___ in. I. D. x --r;;;- in. wall perfo. section to ( t)

casing MateriaVSlot Size: 11M.. ~AP' 12. Annulus: Grouted from Q ft. below ground to .5"":.L..,

Grave{ packed from :S:-6 ft. below ground to ;et) ft. below =: 13. Initial water level: 30 ft. below ground. Date and time of measurement IV~ V ~~ 14. Initial chloride: ¥-o ppm Date and time of sampUng: " " 15. Initial temperature: 2-0 OF Date and time of measurement II -',

16. PUMPING TESTS: Reference Point (R.P.).used: , which elevation is ft. (1) Stej>Drawdown Test Date (2) Long-term Aquifer Test Date ___ _

start water level ft below R.P. Start water level ft. below R·.P. end water level ft below RP. End water level ft. below R.P.

17. Pump Test Procedures data & graphs (12117/97 SDPTD & CRPTD Forms) attached? _ Yes _ No 18. ~[t drawings attached attached? _ Yes _ No 19. Other remart<slcomments: (On back of this form)

Well Drilling Contractor (print) --4~rJJi!)I~:="~~~-J C-57 We. No. _---...~....s."L~~~-.,,+_-

~nawre Dme ____ ~~~n=~~~ __ ~

Surveyor (print)

Signature

Applicant (print)

Signature Date

4/5

./

/

BENJAMIN J. CAYETANO ~OFI-\A.WAII

o o

STATE OF HAWAII DEPARTMENT OF lAND AND NATURAL RESOURCES


HONOLULU. HAWAII 96809

AUG 24 iS39

Ms. P. Kuuleialoha P. Johnson P.O. Box 1213 Kapaa, Hawaii 96746

Dear Ms. Johnson:

Well Construction Pennit Ka Lae Amana Pt. Well (Well No. 1120-28)

TIMOTHY E. JOt*lS ~

BRUCE S. ANDERSON ROBERT G. GIRAlO BRIAN C. NISHIOA DAVID A. NOBRIGA


LlNNEL T. NISHIOKA DEPUTY~

This follows an August 19, 1999 telephone conversation with your husband regarding the subject permit. Per your husband's request, we are sending you a copy of your validated permit. We have highlighted Condition 7, which outlines the items and documents that should be submitted within sixty (60) days after completion of the work authorized by the permit.

We understand that the well was completed as of April, 1999; therefore, please submit the required items and documents within the next thirty (30) days. Once we receive and accept the information, we will then be able to issue your pump installation permit.

Please be advised that failure to comply with the terms of your permit may result in daily fines of up to $1000 (under Section 174C-15 Haw. Rev. Stat.).

If you have any questions, please contact Lenore Nakama at 587-0218 or toll-free at 274-3141, extension 70218.

LN:ss

Sincerely,

LINNEL T. NISHIOKA Deputy Director

Attachment (Validated Well Construction Permit and Well Completion Report form)

o o MEMORANDUM FOR THE RECORD

FROM: Lenore Nakama

SUBJECT: Well No. 1120-28

4/29/99 Steve Goldberg requested identification of drilling contractor for this well. Unfortunately, this application fell through the cracks in that we accepted permit as being fully validated even though the permittee did not obtain a licensed contractor. (As of May 14, 1997, when we received confirmation from DCCA that landowners cannot claim owner-builder exemption for well drilling, we should have been enforcing the licensing requirement.)

Called Kuulei Johnson on 4/29/99 to inquire as to status of well drilling. She said that the well has been completed. Requested that she submit the Well Completion Report, etc. She said she thought she had done that months ago, but will check and submit another copy.

._ .... OWELL CONS!RUCTION PERMIQ

Ka Lae Amana Pt. Well, Well No. 1120-28 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 testi of Ka Lae Amana pt. Well (Well No. 1120-28) at Moloaa, Kauai, TMK 4-9-13:11, subject to the Hawaii Well Construction & Pum Installation St I 7 which include but are not limited to the following conditions: ' ' ... [l

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

The Chairperson of the Commission on Water Resource Management (Commission), p.o.libl~~!l]Io~lulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any work authorized by this permit commences. ~iJ, a All: The well construction permit shall be for construction and testing of the well only. A minimum one-inch diameter mgiZr tube shall be permanently installed, in a manner acceptable to the Chairperson, to accurately record W~F leve,ls. The .. permittee shall coordinate with the Chairperson and conduct a pumping test in accordance with the Standards. The permittli\~ shall $~Dm,1t!to t~ Chairperson the test results as a bas!s for supporting ~n. application to in~tall a permanent p~mp and withdraw water fdr\a~:IN~e~nrjlnent WrhPtrJay be installed until a pump Installation permit IS approved and Issued by the Chairperson. 'c. '·.'./;Cl)6:.~ .

. ' lett I

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

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

In the event that subsurface cultural remains such as artifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee shall stop work and contact the Department's Historic Preservation Division (587-0045) immediately.

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

The following shall be submitted to the Chairperson within sixty (60) days after completion of work: a. 1 Well completion report, (attached - Part I, Well Construction Report). b. / Elevation (referenced to mean sea level, msl) survey by a Hawaii-licensed surveyor. !I) As-built sectional drawing of the well. o. Plot plan and map showing the exact location of the well. e. Complete pumping test records, including time, pumping rate, drawdown, chloride content, and other data.

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

The well construction permit application is incorporated into this permit by reference and is subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97).

The permit may be revoked if work is not started within six (6) months after the date of approval or if work is suspended or abandoned for six (6) months, unless otherwise specified. The work proposed in the well construction permit application shall be completed within two (2) years from the date of permit approval, unless otherwise specified. The permit may be extended by the Chairperson upon a showing of good cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later than three (3) months prior to the date the permit expires. If the commencement date is not met, the Commission may revoke the permit after giving the permittee notice of the proposed action and an opportunity to be heard.

If the well is not to be used it must be properly capped. If the well is to be abandoned then the permittee must apply for a well abandonment permit in accordance with §13-168-12{f) prior to any well sealing or plugging work.

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

Date of Approval: September 23, 1997 --t, J ~, ChaIrperson Expiration Date: September 23, 1999 (J' v 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. I also understand that non-compliance with any permit condition may be ds for revocation a f~s of up to $1000 per day.

J. i) , Permittee's Signature: ,/.,Uu.! 1-,' 7~~ Date: ____ _

_ .. : . .j,/..J -) Printed Name: -r.l;:: uu. LEIACQHA "P fOHNScN Firm or Title: ___________ _

Driller's Signature: /

License #: ____ _ Date: ____ _

Printed Name: Firm or Title: ___________ _

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

Attachment c: USGS

Department of Healthl Safe Drinking Water, Wastewater, and Clean Water Branches Kauai Department of Water Supply

/

-

1120 -2Y

17!~~ ~/C;q7

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:::0 c.o me-:> ~ C/) C)

0::- z ::u ,- -:,' a 2'~~ <: ;11 rii ~_)

(7) ') ~;po

-~~.,. -, .=) -...

~ z: ~ ..... ~"~ 111 - -'" 0 -'- -i rn ~~ -~ ;:'::J N) -j ,....;,

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BENJAMIN J- CAYETANO GOVERNOI' Of' HAWAJI

MICHAEL D. WILSON CHAIRPERSON

ROBERT G. GIRAlD DAVID A. NOBRIGA

LAWRENCE H. MilKE

STATE OF HAWAII RICHARD H. COX


REF:CWRM-SS DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT ,Po O. BOX 621

RAE M. LOUI, P.E.

Ms. P. Kuuleialoha P. Johnson P.O. Box 1213

HO~Ut?r~~09

Kapaa, Hawaii 96746

Dear Ms. Johnson:

Well Construction Permit Ka Lae Amana Pt. Well (Well No. 1120-28)

Enclosed are two (2) copies of :your approved Well Construction Permit for the captioned well(s) which authorizes well construction activlties but excludes installation work for your permanent pump. As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 12:

1.

2.

3.

4.

Special Conditions

The well shall be initially designed and pump tested at a depth below sea level not exceeding one-fourth of the theoretical thickness (41 times the head) of the basal groundwater body, unless authorized by the chairperson. Upon request by the applicant and submission of an analysis of preliminary yield, drawdown, and chloride data prepared by a qualified ground-water geologist, hydrologist, or engineer, the chairperson may allow deepening and subse~uent testing of such wells to a depth below sea level not exceeding one:.flalf of the theoretical thickness of the basal ground-water body. The chairperson may request a statement of qualifications of the preparer of the analysis.

The annular space of wells to be grouted must be a minimum of three Inches all around the casing to pennit effective placement of grout with a tremie pipe having a minimum diameter of 1 V. inches. Should casing with collars be used, the drilled hole shall be Increased to provide a minimum three-inch annular space at the collars.

Condition 2 is modified to exempt the permittee from the requirements for a pump test

Condition 7.e. is waived.

This permit does not authorize work for your permanent pump installation. Approval and issuance of your pump installation permit is contingent upon completed application and information provided to and accepted by Commission staff as required in the Well Construction & Pump Installation Standards (1/23/97) and any special conditions performed under this permit. Please note that special conditions may simply highlight application deViations from the Standards.

The well owner is responsible for all conditions of the permit. This includes ensuring that the well construction contractor, or other party who constructs the well(s), submits a completed Part I of tbe Well Completion Report form (enclosed) within sixty (60) days after tbe well constroction work is completed. Be advised tbat you may be subject to fines of up to $1000 per day for any violations of your permit conditions.

To validate your permit. please si~n and have the contractor sign both permit originals and return one for our fIles. Please provide all the mformation in this packet to your well drilling contractor.

Also attached for your information is a copy of the Department of Health's review comments.

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

Enclosures

Aloha,

ICHAEL D. WILSON Chairperson

OEPUTY

~WELL CONSTRUCTION PERMr'

Ka~e Amana Pt. Well, Well No. 11 ~g8 In accordance with Department of Land and Natural Resources, Commission onWater Resource Management's Administrative Rules, Section 13-168, entitled 'Water Use, Wells, and Stream Diversion WorXs·, this document permits the construction and testing of Ka Lae Amana pt Wen (Well No. 1120-28) at Moloaa, Kaual, TMK 4-9-13:11, subject to the Hawaii Well Construction & Pump Installation Standards (1123197) which include but are not limited to the following conditions:

1. The Chairperson of the Commission on Water ResOurce Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any worX authorized by this permit commences.

2. The well construction permit shall be for construction and testing of the well only. A minimum one-inch diameter monitor tube shall be permanently installed, in a manner acceptable to the Chairperson, to accurately record water levels. The permittee shal coordinate with the Chairperson and conduct a pumping test in accordance with the Standards. The permittee shall submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump and withdraw water for use. No permanent pump may be installed until a pump installation permit is approved and issued by the Chairperson.

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

4. 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.

5. 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 worX and contact the Department's HistoOc Preservation Division (587-0045) iTlmediately.

6. 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.

7. The following shall be submitted to the Chairperson within sixty (60) days after completion of worX: a. Well completion report, (attached - Part I, Wen Construction Report). b. Elevation (referenced to mean sea level, msQ survey by a Hawaii-licensed surveyor. c. As-built sectional drawing of the well. d. Plot plan and map showing the exact location of the weL e. Complete pumping test records, including time, pumping rate, drawdown, chloride content, and other data.

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

9. The well construction permit application is incorporated into this permit by reference and is subject to the Hawaii Wei Construction & Pump Installation Standards (1123197).

10. The permit may be revoked if worX is not started within six (6) months after the date of approval or if worX is suspended or abandoned for six (6) months, unless otherwise specified. The worX proposed in the well construction permit application shall be COfl1)leted within two (2) years from the date of permit approval, unless otherwise specified. The permit may be extended by the Chairperson upon a showing of good cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later than three (3) months prior to the date the permit expires. If the commencement date is not met, the Commission may revoke the permit after giving the permittee notice of the proposed action and an opportunity to be heard.

11. If the well is not to be used it must be property capped. If the well is to be abandoned then the permittee must apply for a well abandonment permit in accordance with §13-168-12(f) prior to any well sealing or plugging worX.

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

Date of Approval: September 23, 1997 '-t. J ~. Cha,,,,,,rson Expiration Date: September 23, 1999 (J' v 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. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $1000 per day.

Permittee's Signature: ________________ _ Date: ____ _

Printed Name: Firm or Title: __________ _

Driller's Signature: License #: ------ Date: ____ _

Printed Name: Firm or Title: __________ _

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

Attachment c: USGS

Department of HealthJ Safe Drinking Water, Wastewater, and Clean Water Branches Kaual Department of Water Supply

/

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On

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cE"'·H/""j 01 ~

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(

Well No.

Well Name

Applicant

o 1120-28 Ka Lae Amana Pt.

P.Johnson

SECTION 1: WELL LOCATION INFORMATION

Island

Aquifer System

Aquifer Sector

KAUAI

##### #####

data

Date of Review

Reviewer

Proposed Use

o

Proposed Withdrawal

System Sustainable Yield

9/23/97 LN

#VALUE!

1500 #VALUE!

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

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

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

Cement Grout ft. Designation

Rock Packing ft. Length

Hole Diameter in. Diameter

Total Depth ft. Wall Thickness

Casing

Estimated Head ~ft.,m.s.!. Material

Calculated Aquifer Thickness 41 ft. Designation

Length

County Water Supply (YIN ?) Diameter

Wall Thickness

Openings

Open Hole

Length ft.

Diameter in.

SECTION 3: CHECKLIST (values to check are shaded)

Well Depth

Theoretical Thickness of Aquifer

1/4 Aquifer Thickness

Depth of Well below Sea Level

Well Casing

Minimum Wall Thickness

Material

County or Non-County

Minimum Thickness per standards

Wall Thickness Provided Minimum Length of Solid Casing

90% of ground to top of aquifer

Length of solid casing Provided

Casing Material

Annular Space

Depth of Grouting

Calculated Depth of Grouting

Depth of Grouting provided

Thickness of Annular Space

PVC

41 ft.

10.25 ft. 42 ft.

non-county 0.280 in.

4.000 in.

24.3 ft.

50 ft. Sch40

18.9 ft.

50 ft. 1.25 in.

too deep

okay

okay

okay

(refer to HWCPIS Section 2.2)

(refer to HWCPIS Section 2.4 c)

(refer to HWCPIS Section 2.4 d)

(refer to HWCPIS Section 2.4 e) If the cell above reads #N/A, reference HWCPIS)

okay

too small

Page 1

(refer to HWCPIS Section 2.6 c)

(refer to HWCPIS Section 2.6 d)


o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P. O. BOX 621


SEP - 2 1997

SEP _ 4 IJ97 ,..tU-: y 0...4-4.

~ MICHAEL D. WILSON I CHAIRPERSON

ROBERT G. GIRALD DAVID A. NOBRIGA

LAWRENCE H. MilKE RICHARD H. COX


RAE M. LOUI, P.E. DEPUTY

TO: Honorable Lawrence Miike, Director Department of Health Attention: Dennis Tulang, Wastewater Branch

.4 William Wong, Safe Drinking Water Branch

FROM: O~ichael D. Wilson, Chairperso Commission on Water Resour

SUBJECT: Well Construction Permit Applic tion Ka Lae Amana Pt. (Well No. 1120-28)

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

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by September 22, 1997.

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

LN:ss Attachment( s)

RESPONSE:

[ 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 (serving 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of Health approval prior to its use to comply with Hawaii Administrative Rules (HAR), Title 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 prior to implementation.

::0('"') c..o If the well is used to supply both potable and non-potable purposes in a single system, the user shall elim0i90ross-co~ions and backflow connections by physically separating potable and non-potable systems by an air gap or an appr~ckflow ~nter, anC!O by clearly labeling all non-potable spigots with warning signs to prevent inadvertent consumption of non-pGtab~_water. BII1fow ~-1 prevention devices should be routinely inspected and tested. 2) ~..-:. '.~)

It does not appear that this well will be used for consumptive purposes and is not subject to Safe Drinking ~~Ii!~. Regulati~. ':2 For the applicant's information, a source of possible wastewater contamination [lis [lis not located near .tlle i!~posed v4site (information attached). ;.~~ .;: _

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

"'/- --~J;

No comments/objections ::=; ;:J

... .c ....

Contact Person: l~VI N Ka J I nC(I'71 f":,/;r'~~ 11 . ·"t, '>i:; ;{;itA,f''-../

Signed: \~ .. " v' -..J " T ' ,/

t' ~~"f~-" ~ .... ,~

L'

( , f·

,.... 'iII~""'"

~ ,


o o

SEP 4 ISJ7 ROBERT G. GIRALD DAVID A. NOBRIGA

LAWRENCE H. MilKE



DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

P. D. BOX 621

RAE M. LOUI. P.E.

TO:

FROM:

SUBJECT:


SEP - 2 1997

Honorable Lawrence Miike, Director Department of Health Attention: Dennis Tulang, Wastewater Branch

• William Wong, Safe Drinking Water Branch

~ichael D. Wilson, Chairperso~ U Commission on Water Resourcf Management

Well Construction Permit Appli~tion Ka Lae Amana Pt. (Well No. 1120-28)

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Transmitted for your review and comment is a copy of the captioned well ~J!«ation.· .. !:;,!:~ NJ

We would appreciate your comments on the captioned application for any OOnfI1cts ore;, inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by September 22. 1997.

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

LN:ss Attachment( s)

RESPONSE:

[ I This well qualifiP.s as a source which will serve as a source of potable water to a public water system (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 ~a02 to its use to comply with Hawaii Administrative Rules (HAR), Tille 11, Chapter 20, Rules Relating to Potable Water Systems, §11- 9.

This weH 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 servir.e connections) and if the well water is used for drinkinq. the private owner should test for bacteriological and chemical presence before initiating such use and routinely monitor the water quality thereafter. However, if Mure planned use from this source increases to meet the public water system definition then Director of Health approval is required prtor to implementation.

If the well is used to supply both potable and non-potable purposes in a single system, the user shall eliminate cross-connections and backflow connections by physically separating potable and non-potable systems by an air gap or an approved backflow preventer, and by clearly labeling all non-potable spigots with warning signs to prevent inadvertent consumption of non-potable water. Backfiow 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 []II [ ] II not located near the proposed well site (information attached).

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

[ ) No comments/objections

Contact Person: --.-;6=-.;..v._~_(_Wt......;..rJ&f_-f-______ _ Phone: 5?b<{eS8

DEPUTY

Signed:~;t5tpa:...::;.iL...l..o;;;,::;.~~~"S------- Date: ___ '1f...../-f"'"'-f~,.......;..C(_rt_

o o BENJAMIN J. CAYETANO

GOVERNOR OF HAWAII MICHAEL D. WILSON

CHAJRPSISON

ROBERT G. GIRALD DAVID A. NOBRIGA

LAWRENCE H. MilKE


HERBERT M. RlCHARDS. J".

DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

P. O. BOX 621

RAE M. LOUI, P.E.

Ms. P. Kuuleialoha P. Johnson P.O. Box 1213 Kapaa, HI 96746

Dear Ms. Johnson:

HONOLUlU, HAWAII 96809

SEP -2 1997

Well Construction / Pump Installation Permit Application for Well No. 1120-28

We acknowledge receipt, on August 13, 1997, of your well construction permit application for the Ka Lae Amana Pt. Well (Well No. lUO-28). You can expect your application to be processed within ninety (90) days from this date.

From an August 28, 1997 telephone conversation with Lenore Nakama of my staff, your application has been amended to indicate that: 1) you are also applying to install a permanent pump in the proposed well, and 2) there are no other pending actions of which you are aware (line item 7).

For your information, the process of constructing a well is normally regulated and permitted in two (2) steps. First, a well construction permit is issued for drilling and testing purposes only. Based upon information provided by you through a Well Completion Report Part 1 (Well Construction), a pump installation permit (upon completed application) may then be issued to authorize pump work. If a pump is installed then a Well Completion Report Part 2 (Pump Installation) is required.

We note that you have not yet selected a licensed contractor to do the work. To expedite the process, we have been accepting applications for processing without the contractor's signature; however, we will require your licensed contractor to sign the permit document prior to beginning any work.

If you have any questions about your permit application, please contact Lenore Nakama of the Commission staff at 587-0218 or toll-free at 274-3141 (Kauai), extension 70218.

LN:ss

Sincerely,

I~ RAE M. LOUI Deputy Director

IlEPVTY

/

o o BENJAMIN J. CAYETANO

GOVERNOR Of' HAWAII MICHAEL D. WILSON

CHAIRPERSON

ROBERT G. GIRALO DAVID A. NOBRIGA

LAWRENCE H. MilKE


HERBERT M. RICHARDS . .F.

DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P. O. BOX 621

RAE M. LOUI, P.E.

TO:

HONOLULU. HAWAII 96809

SEP - 2 i~97

Honorable Lawrence Miike, Director Department of Health Attention: Dennis Tulang, Wastewater Branch

JAr\. f William Wong, Safe Drinking~ Water Branch

6V~ichael D. Wilson, Chairperso~ Commission on Water Resour~ Management

FROM:

SUBJECT: 'Nell Construction Permit APpli~tion Ka Lae Amana Pt. (Well No. 1120-28)

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

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by September 22,1997.

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

LN:ss Attachment( s}

RESPONSE:

[ I This well quailifies as a source which win serve as a source of poCabIe water to a public water system (S8I'f'llg 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of HeaIh approva ~ to its use to comply with Hawaii k:lministrative Rules (HAR). Tille 11. Chapter 20. Rules ReIamg to Potable Water Systems. §11-2i):29.

[ I This well does not qualify as a source serving a pubic water sys1em (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 dRlking. the private owner should test for i:Iac:terioIogical and chemical presence beb"e initiating such use and routinely monitor the water quality thereafter. However, I future planned use from this source inaeases to meet the public water system definition then DirecIDr at Health approval is required 2!:!2! to IrDementation.

[ I If the well is used to supply both potable and non-potable purposes II a single system. the user shall etirr1rate cross-connections and back1Iow connections by physically separating potable and non-potabIe systems by an air gap or an a~ backftow preventer. and by clearly labeting an non-potable spigots with warning signs to prevent inadvertent consumption of non-pot;ItlIe water. Backftow prevention de.-ices should be routinely inspected and tested.

[ I It does not ap;lear that this weD win be used for consumptive purposes and is not subject to Safe Drinking Water Regulations.

[ 1 For the applicant's Ilformation. a source of possible wasteo.vater contamination []is [] Is not located near 'tie proposed well site (information aI!Iac:hed}.

[ I Other relevart DOH rules/regulations. information. or recommendalions are attached.

[ I No comments.iobjections

DEPUTY

Contact Person: ________________ _ Phone: _______ _

Signed: __________________ _ Date: _______ _

)()CLMENT t..o. ~C OR ATIAO£O ~I(St-£ET DATE: 9/2/97 SRCI COST

F YR APP o OBJ eTR PRruECT PH ACT NIO.ifr ~EIDESCRIPTI~' (WN-G INPUT)

, JJ! OO( r .10.2.6 !)]£ (1) 25.00 _L~eial~~~~~ ________

T - ----- -- ---- -- --- - ---- ---- ------ -- --- (2) ------------------------ -- --- - --- ---- ----- -- --- cn --------------------- -- --- - ---- ---- ------ -- --- (4) ---------------------

TOTAl 25.00

RfJo'AAKS: litE (1) Well No. 1120-28 (WCPAjPIPA) i

LINE (2) 1

LINE (3) I

LINE (It) I

";1;" • .--. . -. - t ... ~, .. I

o o State of HawaII COMMISSION ON WATER RESOURC~g.~NT Department of Land and Natural Resource$"; , -.~.

APPLICATION FOR PERMIT 97 AUG 13 A B: 2 ~ QB Well Construction or fjll Pump Installation

Instructlona: Please print In Ink or type and send completed application with attachmants to the Inl \. Yt . ~ '-, i \ M t P,O. 80)( 621, Honolulu. HawaII 96809. Application must be accompanledbya nOMefundable flllnitiiau .,IIbIe"' pt. ~~~~:=d' Natural Resource •. The Commission may not accept Incomplete applications. For assistance, call the Regulation Branch at 587~225.

1. APPLICANT: (may be a, b, or c, but.Al! mu~t be filled In) (a) WELL OWNER. /!:.. / (b) LANDOWNER Flrm/Namr KtlW I a/DA:fJ iLi1SiJJ'1 Flrm/Name_ ..... $;o.I4=M..:...4,(-----------Contact Person . . Contact "'rton Ph' Addre.. =D~~J~ __ ._ Addre .. _________________ _

-. ]Zl:l!P&iL t£ I q 6 ~ ________________ _

(c) CONTR~CTOR FIrm/Name -;-. ~. P, Contractor', 0.57 Ucen .. No _______ _ Addreu ________________________________________________ _

2. WELL LOCATION/NAME: MOL.<:l ~ / a...... Algi HAil/iVA ti Island -{,'::...:~-.;..-----

Address [) LO GoU . 'i2..oA-'D. Tax Map Key _'---''--''~...r....L._ (AHach a USGS map, acaIe 1"·2QOO',and a property tax map Ihowlng well location referenced to .e'tablilhed property boundaries.)

,

3. (a) PROPOSED WORK: • Drill New Well D • Alter location

4.

5.

6.

7.

D Modify existing Well D Redrlll D OHpen D • Abandon/Seal

D In,tall New Pump D Replace Pump D Modify Pump

• a. sure to complete and IUbmit well abandonment report upon completion of work.

(b) WELL TYPE: D Dug D Bored D Driven I!I Drilled D Radial

Is thl' well a part of Co batte;y of well,? C Y., [J No (Briefly deacrlbe and till In the diagram on the back of this form.)

PROPOSED PUMP INFORMATION: Rated Pump capacity: _~/_2-____ gallons per mlnut8

Pump Type: (] atop Well TurbfM .... D Aotr, .~. ,. -, [J. ",.1..,

Motor:

II Subm.rlible D Rotary.C1ap1acement D RecIprocating

o Centrifugal o Rotary-Gear 0 Impul ..

DOle'" DGa EI Electric, rated hor .. power of-""5;....:;;...· ____ _

PROPOSED USE: D Municipal ~ncludlng hotela, ItOrea, etc.)

a Dome. ~ndlvldual, noncommercial water 'V'.) [J irrigation (Cfop)

State Land UN OIstrlct:

D Military

D industrial

D Other (e.plaln)

County Zoning (deecrlbe) D Urb~ R!~=:~' D Rural D Con .. rvatlon

(If more epllCt " needed, continue below under renw1ca, explanations.)

(a) PROPOSED AMOUNT OF WlTHORAWAL:~/~~_' ---(b) METHOD OF FLOW MEASUREMENT: [J Flow-mater

PENDING ACTIONS: DCDUA [JEIS [JEA

gallons per day II Open-pipe

~NONE

[J Ortftoe Plata Dwelt

[J Ottw(axplaln)

8. REMARKS, EXPLANATIONS: ----------------------

(II more epllCt " needed, continue on back)

NoTE: 510"1no below IndIcel •• INI Ihe appllunt und.r • .."d. hI. If thl permit requested I. oranted by Ute Co,nml.llon on Water R,.oure, Ma:lOQemlr:t. the proposed work Is 10 be com pie!! "",'hln Iwo ('I y_." 01 Ih •• pproval dal.. In addition. Ihl contractOl' IN" submit Iv II •• Commlulvn a _a com;:letlen report. wOIn abllndC"r.'l~nt rep"",. c' tonlt> ........ 'n.'IO day. "II,,, II r "mpl~Uon llal. 01 Ihe pllmmed work. Thl IppHclnt ,110 undl"tendl that monthly water usa date lhan bl lubmltted to tI\I Commlliion. Thl ",pllcent further' understends thaI IPIlfOYlli th_ prOPOlld permit ,haR not conltltut determlNtlon 0 ,relative water right. and ,hal not Qua,n .. the pump cepaclty 01' MIA" Uti up to the permitted pump cepaclty.

Well Ow$ /~~6~ndowner~S;..:.h..Jv~L~----- COntractor _______ _

Signature KuuLc.;a/oJ.o. P. Sot..A-J<=:;e:J,J Slgnatur8 ________ _ Date ~S 1,< /'1r~ Oat8 _________ _

Slgnatur8---------Dat8----------

ForOIflcl .. UaeOnly: -x...~ r- ~/~11\.1 \JL~""" w/~~"\ 1o~~0\r\ 0." Received _______ ~ Dale Accepted ___ .. _ .. ____ _ Flllld Checked BV .. _____ ... __ _ Longitude _____ _

l.til1lM

Aquifer SYSlem N."... ¥:.-, lA~0JI,:...I\ ) leI lbI f: .. I

SI.le WeIJ No. \\1 Q -'2.'4,

Irks. Explainations (cont'd):

-----------------------~~--------------------------~i~~··~,~------------~--~r~- .

.' \ I'·

9. PROPOSED WELL SECTION

EJevlllon II lOp O. cain; ~tl .• mal.

1=.- ~ Ground Elevation: 2B ft .• msI*

Cement Grout: It.

Rock PlICklng 26 It.

Hole Diameter: 8-9 In. ____ --I~

Tot.! Depth 7 0 It.

I I I I I

. : .. " .

Sold Cuing:

Materi~. ___ B/·yJl~i~L ~ 4. ... __ Length' .575'-- F~" ft. Diameter 9::;;' ::rJUc-t/ In. Wr.!! thickness _ .• ODE .p.:::!..~ .J.-.cr::..H- In.

Casing: B Perforated 0 Screen . .!. Material PoLt 0'Ayt C/ Sc..L. yD Length C2-. FL1t:...T Diameter 4' ~ ,II....JC..i+ Wall thickness O.u£... Cb Af...' p,U?j))I Openings t sq. In./LF.

Open}tole:

ft. In. In.

Leo6tn __________________ ft.

Dlameler In ..

* Approxlmat. elevation at lime 01 filing application. Ground elevation .bove mean •• level (msl) by a surveyor licensed by the Stale must be submitted al III.rl 01 conlltructlon. Final elevations 01 well componenlllhall be submitted In the.well comp'!tIon/well abandonment reports.

. ".

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state of hawaii department of land and natural …s 9 oct 19 p 4' 2 5 state of hawaii...

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