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OOWALO Form 71(1) A. State of Hawaii A DE;,...lMENT OF LAND I. NATURAL qEsO!l..lES DIVISION OF WATER AND LAND C OPMENT

DRILLER'S REPI. .. T

DESCRIPTION Date of report Person filing report

WELL A. OWNER .P.IJ\\._W.~~-waa(S_TEAM~E .P~u.)Va,~wa,a_ FNJ3. #~- ISLAND H.~.wa,U B. GENERAL LOCATION PJ.\!LAnahJ.\lu TMK7cJ,q);~ C. DRILLING COMPANY __ W~J~.r ____ R_es_()\.!._z:c~.S: .. _In_~e:r_I1.a.~io_J1._a~ D. TYPE OF RIG .... Rotary.. DRILLING COMPLETED . ..7... 7& DRILLER .>:n,d.di.C:l<

month year

ITATI

E. ELEVATION, msl: Top of drilling platform ft. Bench mark and method used to determine Height of drilling platform above ground surface ft. elevation:

F. HOLE SIZE: 171/.2. inch dia. to .. 40 ft. below drilling platform. 8 .. 1/._Z inch dia. to -~.5_9.3 ft. below drilling platform .

.... 8 .. :'.,':?. ___ inch dia. to 4a9.6 ft. below drilling platform. G. CASING INSTALLED: __ 1.3 .... in. 1.0. x .5/.16 .. in. wall solid section to ...... 4_Q ..... ft. below drilling platform .

. 6 ........ in. 1.0. x 3-/.a .. in. wall pet:fo[ated section to 2.5.93. ....... ft. below drilling platform. Type of perforation .... N9_~-~---

H. ANNULUS: Grouted .0.. .. .. ft. to lO_Q. ft. below drilling platform. Gravel packed ft. to ft. below drilling platform.

I. PERMANENT PUMP INSTALLATION, Pump type, make, serial no. _ Motor type, H.P., .voltage, r.p.m ..

Capacity .. g.p.m.

Depth of pump intake setting ft. below .................... which elevation is .tt. Depth of bottom of airline ft. below ................................... ____ which elevation is . ft.

HYDROLOGY J. INITIAL WATER LEVEL Z3.0.5 ........ ft. below drilling platform. Date of measurement .. A.ug • .1. 1978. K. INITIAL CHLORIDE, .. ~.5 ........ ppm, total depth of well ~500 ft. below drilling platform

L. PUMPING TESTS, Date Start water level . End water level Depth of well

Elapsed Time (hours)

.. to to to to.

.. to . to

M. DRILLER'S LQG,

Rate (gpm)

Draw· down (ft.)

Reference point (R.P.) used:

. ft. below R. P. .... ft. below R. P.

ft. below R. P. Cl·

(ppm) Temp.

F

Date Start water level End water level Depth of well

Elapsed Time {hours)

. to to . to .

__ to .. ... to .

.. to.

SUBSURFACE FORMATION

Water Level

Sampling Date _ which elevation is ft.

Rate (gpm)

Draw­down {ft.)

.. ft. below R. P.

.. ft. below R. P. . . ft. below R. P.

Cl­(ppm)

Temp. F

Water Level Depth. ft.

to Rock Description & Remarks ft. Depth, ft.

to. Rock Description & Remarks ft.

_ ..... to. to

__ ......... to ............ to.

to. to

.............. to.

.............. to ........... to.

.. __ to.

N REMARKS· ..

FOR ORILLER'S USE

Job Name

Job No ...

to to ........... Note:.. to ... Ana~_e.s ......... PPM. to . .J:hl.ori~.- ... laC

. ..... to ......... ~~~ ............... .3. •. 5. _ to

to . to .

.... to . to

Mg .. .504 SIP~

INSTRUCTIONS: Serid three(3) copies t01 Manafir-Chi'ef Engineer, Divisitln of Water and Land Development, P. 0. Box 3 , H.onolulu, Hawaii 96809. REFERENCES: Chapter 178, entitled "Artesian Wells, Generally," HRS, as amended by Act 123 SLH 1970. Honolulu Board of Water Supply, "Rule_s and

5.3 14

.... ~IL

FOR OFFICIAL

Latitude .1.9.4~

Longitude LS 5. 50

USE 5.5 .

4l .... Regulations Providing for the 'protection, Development and Conservation of Water Resources." Sec't 8-105(j), "Powers, Duties and Functio~ of the Board," Well No. 4(>50 ,OJ. .... Charter of the City and County of Honolulll, 1959. •

Form aa•" •

t'<C.<;E!VEO

STATE Of HAWAI 3 9 FE B G A 9 : I 3 COMMISSION ON WATER RESOURCE MANAGEMENT

DEPAATMENT OF lAND AND NATURA&.. RESOURCES DIVI .... Of WATER RESOURCE MAHAOEJotENT lltV.OI' WATER &

LAND llt vcl.OPMENT

REGISTRATION OF WELL .... DECLARATION OF WATER USE

INS'I'RUC'IIONS: PIMM 1)1» or print. It nfonn-'on IS not aYa111D1e or not ~. ~ u NIA. F11 0U11 u COI1"oPiefeiY as ~=:~ ~ Vllllh the DWion OC W._, ~ ........,.,.II, P.O. Boa 373, Honolulu. ~ i&IIOt. PhoM S..3~

IAn'UIY OF Wll.LS: ,or a t.a..-y OC Willa. oro the ...,._, in a ......._ or in a IMI. sU:1m11 a l'9glllration 1omi lor -=t1 well togeltler with a lingle IMP or pot pllin lhoWi'lg layotf of WilL

STATE WaL NO.: ·:2-C" ISLAND: ··"···. WELL NAME OR DESIGNATION: .- :·~··ia.J•,.:ca -=:anc:., (!:eadr::'·;:,~·tc· s)

SOURCE OR STATION NAME (F< .. ....., ~ -): _,_P.:o"'o:;"c::o·a"'a'-'''=.aae_ __________ _

\ A. WELL OPERATOR B. OWNER OF WELL SITE

Firm nama: <= ... ,.··::?'·"'a -­Contact person: . --··-""' ·-::o::., Address: P .c. box 1 "iY, ::e::.l·. a-r:.::;a,

Zip: _::_::_.:__ Phone: · -- 3l

C. WELL LOCATION

Firm name: Pn,.·:aa"-:a.: '"~c:· -~::--;

Contact person: ~·. ,..,. c,, 3c:;r.c~"=

Tax Map Key: <CSC'-·-.' 1 Town, Place,' District: ?'.: ~\·,•aa·,aa ~:c"c:--.. ":;:..·"'· -~a

Attach USGS "Quad" map (scale 1 :24,000), tax map, or other map showing the well location.

D.' WELL DATA Fer DriiiMI ...... .on~ ·...a.r drawing. drWIII"t ~ag, n pwmp - --. n cornp~M• iMfM bKIW. Fer Tunrwtll aNI ...,... Ulmll CDnlhCtDn ~ pot pllr'l, or .-.:t\ IMP·

Ground elevation("--"'"'): :l.5SC H. Year drilled or constNCied: ::-"191.11.3"-----Reference point (u.dto,_,.~to-.): Well contractor: \,tuhr SM. ... ·j 9

Elevation: ;;1550 H. -..,.,\,ccnhc,Ju \

Depth to water (---):~H. Maxiroom nscorded chloride: ppm Mlnlroom recorded chloride: ppm Maxirrum chloride in 1987: ____ ppm

E. INSTALL ED PUMP DATA

Casing diameter: 1' in.

Solid casing depth (- .....,.): ,) $<1 3 H. Plfforalld casing depth<--):~~­Total deplh of wei: :±~ !,.l. ~

Mlnlroom chloride in 1987: ______ ppm

Pu1r1> type: 0 Vertical shaft @'Submersible 0 CentrifUgal 0 Other ("""'): -----­

Power: 0 Diesel, _ HP 0 Gas, _ HP [;21 Electric, ~ HP 0 Other (-): ----

Pulr4> capacity: 59 gallons per minute

Pu1r1>irun~ionoo~or:~7~7~-:~c~ed~a~--------------------------------------

... (continued oveF)

For Official Use Only: Dare received: 7 -I. - ~7 Dare accepted: ---,- , , • Reid c/18ckod by:____ Dare: Latit!Jde: \3 4t. 55 Hydrologic Und: --,-,.-,:-:-Comments: ____________ Longii!.Jdfl: ISS" Czc' 41" Stale Well No.: --'-0:'0 c c·

.......... : HaMii Rll.....:l ...... CNpler 174C . ...... ......... !Wta. CNplln 13-187.., 13-171.

F. DECLARATION OF WATER USE

NOTI: The ~ crt tt1e ~ o1 W•• U.. II to otain ~lcln MC11eM1Y kif 1M m.w.gemal'l o1 the sa..·, ....., ~- The DedlittDan ... 1'11111 canl• a leglil rigtt lc ..... OJ b ~.

Water use data are recorded: 0 Dally 0 Weekly GJ' Monthly 0 Other(-):-------------

Method of measurement: !B' Flow Meter 0 Orifice 0 Other(-):---------------

Quantity ot Use {AII:IM ~ or ~ mcntwy _.., Ule trom lhe -" -~ on tM ~ tide ot thil torm . .., ttw ~ YMtl 1113 through 1117. Fot. a-1.-y al .... wnicil .. nal ~ !MI..O, t:IUI ...nlc:h ... OCII'IIIC&ed to ..... m.ter or ather......,.. .W..NifiCI" me.~~ tram a.~.):

WATER USE, IN GALLONS x 1000

j _1j83 \ 1984 ! 1985 ' ~6_ 1!187

1 Januarv I I I / ;q). ooo 4\S. :t<;O f&bruorv I I / 26~.600 ~'1<.. t;ipO

I March I lA I -~ l,ql nco ,._,c; J.5C j ADril I ' / ' 31'1. s-m 'lo.<. o--c

'

i

i

'

L Mil¥. I / I '""- ooJ '1-1S a5C I ' Juno I / ),\'\ sco >1:o-;>. OOt::

I Julv j I / 346-. oov ... ~ ~"0'

l AuauS1 '

/ ~4t co~ MC >.<;D I r I 31'<. = ...,,_ oco i OctobAr / 34:1-. Ct."' .l-ie J..SC ' I / I '· ,~ s-ou Lkl1. ~-"\ i

I r I L/ i i :!,C,;). CN~ "-"' "..;t I

'_Mili~ __ _l:::' i ~ 1•11. 59< " j,~.).S\:1

Minimum day's use: ______ gallons Maximum day's use:------ gallons -Typical times of usage:-------------------------

Type of Use(,_ .. _,_.,._.,.,..... __ .., ___ ):

Catagorv

0 Municipal(...-., ,....,. ......... ~)

0 liTigation

0 lndustrtal

OMil~al'l

Additional lnfqrmatjqn

Nuinber ot service connections: 35 ( no+:e t;oe tota! r-ell iF.:;.DS0-01 ,-._ .. :.(.,_ ...... -0~ :.s 35 canr.c::+:i ··:-:--: ;.

Acresl~ed:~--~~~~~--------Crop(s): U Sugar 0 Pineappje

0 Other (specify): Non-crop: 0 La~ ---,-0-r.:Go:-n:;--,co-:-u-:rs"'e ___ _

00ther(~): MOUlod: 0 Drip 0 Funow-----,o,..,-,Spmkle=-,-. :-:-r-----

0 Cooling 0 Manufactulfng 0 Mill 0 Other (specify):------------

I declare that the contents ot the above Declaration of Water. Use are, to the best of my kno'Medgl and beliet, true, correcl, and co~ete.

Water Usefs Signature: '-----d£;.- ~ Date: t- 0>1-~'1 Printed Name: I)\ ,\S,a i<CI\0$ ~ Firm or Tile (Well Oper , etc.): -'mo'-""""''~3~."''------

1-----1 COMPANY WATER RESOURCES INTERNATIONAL, INC.

WEU F.N.B. TEMP #1 -~

RELD PUUWAAWAA

s'rATt·. HAWAil.Yc-_·· ___ _

.· .,

N/A. ICH.

-'""' , .. I

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ll'loo. ~······ "-'' 2" l'F~ -·· ' '

: 01,.,... toN. s~"' 5' '"'' ,. lengtl.

.. · : Sou"• Model No, Geoe<al iet"iQ\ No. IQ71

H~" T<uek No, ' ipod"" f4• i 'T<uek No. !

·,.,.. <Amlla foal Se<iol No. I , ........ !3 cu '

LO'""'' Ge ...... Gamma Roy "'"''""

Run o ..... ::;-,;;:. T,C. =.. Z..o ~~~~ T.C. =.. .,,z~·~ .• API N. Units No. ''"'" To So<. Oiv. Lor · Sec. per Log Oiv.

0 ~ T. ?~

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[Remo•k••

Fold,._

GAMMA lAY DIPTHS NIIITIION

0 50 270 roo;2ao l'.7f\

370 TO '1'1"1'1 770 API GAMMA-lAY UN!TS 11Nm

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WIAELINE SERVICES

GEAJJHART· OWEN . • ' PRODUCTION LOGGING

OlffEROOlAL TEMPERATURE LOG FILE NO. WATER RESOURCES INTERNATIONAL INC. COMPANY

WELL F.N.B. i1 PUUWAAWAA ·-· FIELO

COUNTY HAWAII STATE HAWAII LOCATION

K.B. 16 1 EL.EV. . D.f. 12 I

SEC. TWP, RGE. G.L 2250 1

04TE 7-24-76 •T•n l.~ :

_Q_f_"TH DRILLER . RECORDED BY w: ' DEPTH LOGGER 5555 1 WITNESSED BY ~r.R Jl\.:1'1. ~

. 1 LOG TO : w.

MECHANICAL DATA CAS INC Rl

SIZE

~ TO - -

I~ 201 5575 :@u. --. -- -- -- -- -

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-DATA IN. DATA

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