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------~-------+--/Makaluapilllil Pt
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PI.5838-02 EXHIBIT 1
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EXHIBIT 1;\
LINDA LINGLE GOVERNOR OF HAWAII
Mr. Rod Diamond HCR #3 Box 14073 Keaau, HI 96749
Dear Mr. Diamond:
o o
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
September 5,2007
Well Completion Report Parts I & II for Well No. 0037-01
LAURA H. THIELEN INTERIM CHAIRPERSON
KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR
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.
0037-01.wcrl&2.acc
We received a corrected GPS reading for your Well Completion Report Part I for the Honolua-Stoops Well (Well No. 0037-01) and acknowledge that both Completion Reports Parts I & II are complete as of August 24,2007. I
This completes your obligation under the well construction permit and the pump installation permits. Certificates of well construction and pump installation completion will be issued to the well operator/landowner and you will receive copies. These certificates 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 974-4000 (Hawaii) or 984-2400 (Maui), extension 70251.
CI:ss
c: David Stoops
Sincerely,
Whn 1't
KEN C. KAWAHARA, P.E. Deputy Director
/
LINDA LINGLE GOVERNOR OF HAWAII
Mr. David Stoops 18 Olali Street Lahaina, HI 96761
Dear Mr. Stoops:
o o
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
September 5, 2007
Certificate of Pump Installation Completion for Well No. 0037-01
LAURA H. THIELEN INTERIM 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 DIRECTOR
0037-01.ccpi
We are pleased to inform you that the Pump Installation work permitted for the HonoluaStoops Well (Well No. 0037-01) 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, and 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/cwrm/forms.htm.
5. Your approved pump has a capacity of 32 gpm at a head of 165 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.
•
-, o o
Mr. David Stoops Page 2 September 5, 2007
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 a 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 shall 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, extension 70251.
CI:ss Encl: Water Use Report Forms
c: Maui Department of Water Supply Rodney K. Diamond
Sincerely,
W.f7H 1't
KEN C. KAWAHARA, P.E. Deputy Director
o o LINDA LINGLE LAURA H. THIELEN
INTERIM CHAIRPERSON GOVERNOR OF HAWAII
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
September 5, 2007
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
0037-Ol.ccwc
Mr. David Stoops 18 Olali Street Lahaina, HI 96761
Dear Mr. Stoops:
Certificate of Well Construction Completion for Well No. 0037-01
Weare pleased to inform you that the Well Construction work permitted for the Honolua-Stoops Well (Well No. 0037-01) 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/cwrm/forms.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 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, extension 70251.
CI:ss
c: Maui Department of Water Supply Rodney K. Diamond
Sincerely,
Wfrl-,; "'-
KEN C. KAWAHARA, P.E. Deputy Director
/
o o MEMO and ROUTE SLIP (ver.5/16/07) 06/14/07
f WCR 2 Check for Well No. 0037-01 (survey to regulation memo)
1. Pum Tests Check s ecial condition of PIP? YesIJ 0 D. England (initial if yes) Yes No no, describe deficiencY
Step-Drawdown Test:
followed WCPI Stds 0 analysis attached 0
o o o
_StepDrawdown-USGS.xls used ~ gpm no test required proposed pump cap O.k. 0
Aquifer Pump Test:
followed WCPI Stds 0 T & S analysis attached 0
Well Interference: estimated Steady-State
drawdown at 1-mile radius is ft. analysis attached 0
Stream Surface Water Impacted: o J
o o _AquiferTest used _Cooper-Jacob-USGS.xls used
_GOoper-JacobRECOVERY -USGS.xls used
7gpm "0 'os, '"',''''' .
13' _ Theis.xls used _ Confined-Predict-USGS.xls
L, Y"'. kfe""y mo,' probab~ ."eam
2. Pump Installation Check Mitch Ohye ........... ~ __ (initial) No If no, describe deficiency
data complete followed Special Cond & Elev.
well database updated
o o o
\'\ \L/ \) , 2VO 1~1
~ \(, ')1" ......
~l?,,(2~)
G/Lene---- (initial) take action based on above analysis
ATIACHMENTS FOR ACCEPTANCE:
1WCR2 ACCEPTANCE LETTER To be sent to driller 2PUMP INST. COMPLETION CERTIFICATE
3METER INSTALL. REPORT (IF NECCESSSRY) __ _ v..~r .
Staff internal checks f~ }
• (NUlL:
.AV< vY\.
4. Roy ____ (initial) check(Entered WCR 2/PICC accept date into database) 5. Susan Hoagbin ____ (initial) finalize & enter on WU R database
e/Le~'e
State of Ha8ii 0 COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources WELL COMPLETION REPORT - PART II Pump Installation
Instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the Com on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. The Commission may not accept incomplete reports. This form shall be submitted within 60 days of the completion of work. For assistallce, please consult the
For Official Use Only:
12 pl: 18
Hawaii Well Construction and Pump Installation standards or cal the Regulation Branch at 587-8225. For ~~" n~~tflG'.U Nj ',f ~ "Ir-'~ this form or additional infonnation, please visit our website at http://www.state.hi.usldlnr/cwnnl l; ,,!, ; ;h" _,p" n' ' }!', ,,""
~~"r-' ~r'·" ~ i \ ~r" .1"'-"
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1. State Well No.: 0037-01 Well Name: Honolua-Stoo s ==========================~~--~=====±~~~ 2. Tax Map Key: 2-4-001- 18
3. Pump Installation Company:
4. Date Pump Installed: 5/23/07 --------~~~~r--------
5. PERMANENT PUMP INFORMATION ------------------------------------------------------
Pump Type, Make, Serial No.: 2 Pumps in well SUBI GRUNDFOS/B09010012-P10520US
Rated Capacity: 16 X "1-- t'u ('vI V > gpm at head of: 165 ft.
Motor Type, H.P., Voltage, rpm: FRANKLINI % HP/230V/3450 Pump type (check one):
o Deep Well Turbine
X Submersible
o Centrifugal
6. Method of flow measurement:
o Rotary o Propeller
o Rotary-Displacement o Reciprocating
o Rotary-Gear o Impulse
X Flowmeter
o Weir
Manufacturer MASTER Model no. PT 92194 Size %x5/8
o Open Pipe 0 Orifice*
*attach schematic
7. Fill in the as-built section on the other side of this sheet.
8. Attach the rating curve for the installed pump.
9. Attach photograph of well clearly showing the benchmark on the concrete pad, the well
10. Other remarks/comments: Installed 2, % hp pumps
Pump Installation Contractor (print) Rod Diamond
-------------i
"
C-57/C-57a1A lie. No. Be 23379
Date 6/4/07
WCR2 Form 2123m5 Page 1 of 2
" e
.. '
~ f ~ : to C. • r .) ,J .,. \
7. AS-BUIL T pui SECTION (Please attach as-built if different from 218m provided below)
Bench mark elevation surveyed to nearest 0.01 ft. = 78.6 ft. mean sea level
~1I11 = 1111_1111- UII '~--"'l.'-'
8evation of top of chase tube NI A ft. mean sea level
---f. ,.
'. __ ._ .... ,,1.
/ " / /
Pump intake depth = ft. (referenced to bench mark)
Chase tube depth = NI A ft. (referenced to bench mark)
If airline instaUed. bottom of airline elevation =
NI A ft. mean sea level
WCR2 Fonn 212:w5 PIIge 2 of 2
~FORMANCE CURVES 16GPM MODEL 16S
l.!' 00'?1-0\ 7(oo<f1~ -------------..:!--_..:..-_--....:.;.._.:...-_----------.;"".: ~w RANGE: 10 -20 GPM
2300
OUTLET SIZE: 1114 .. NPT NOMINAL DIA. 4"
165100-7505 (10 HP)
-.. -
1500
1400
1300
tl 1200 816550-38 (5 HP 1.
;- 1100 :c: u 1: 1000
900
800 ri16S3o-24 (3 HP)
700
100
o o 2 4
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6 8
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10 12
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14
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16
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3450 l= RPM~
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18
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20
CAPACITY (GPM) /; 1'/", I . (~'" I.; (.'f r-' . :,,' j,- ',,-, !i", ,'~
)ACATIONS SUBJECT TO CHANGE WITHOUT NOnCE. lTOR STANDARD, .5 -5 HPI3450 RPM. )TOR STANDARD,7.5 -1OHP/3450 RPM.
( le. ') ~!I'('v Performance conforms to ISO 9906.1999 (E) Annex A Minimum submergence is 2 feet.
-------------------------------------------------------------------~(~.
• •
, .. ~ PUMP INSTALLATION PERMI~ ~onolua-Stoops Well, Well No. 0037-01
Note: This permit shall be prominently displayed at ti,e 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 Honolua-Stoops (Well No. 0037-01) at TMK 2-4-1:18, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:
I.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
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.
No withdrawal of water shall be made other than for testing until a Certificate of Pump Installation Completion has been issued by the Commission.
This permit shall be prominently displayed, or made available, at the site of construction work until work is completed.
The pump installation permit shall be for installation of a 12 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.
A water-level measurement access shall be permanently installed, in a manner acceptable to the Chairperson, to accurately record water levels.
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.
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.hawaiLgov/dlnr/cwrm.
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 ofthis permit.
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.
The work proposed in the pump installation permit application shall be completed within two (2) y~ll!s from th~e of permit approval, unless otherwise specified. The permit may be extended by the Chairperson upon a show~~good cause and goodfaith performance. A request to extend the permit shall be submitted to the Chairperson no later than tll~.l:I~~~ the pe~ expire~""!Jt
~he.~ermitt~e, its successors, and assigns shall indemnify, de.fe.nd, and hold the ~~ate of Hawaii harmle~~.and a~nst any.~;, liability, claim, or demand for property damage, personal InJury, or death ariSIng out of any act o(Qm~sJOn o~ appli~t, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the:grimting ofthis permit.«
:,:' -0 ,,..-'"
rs :T1 [~.J
Special conditions in the attached cover transmittal letter are incorporated herein by reference.
W.fiM ;Nt
Date of Approval: February 17, 2007 February 17, 2009
PETER T. YOUNG, Chairperson Commission on Water Resource Management Expiration Date:
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: ;f~L/ C-S7, C-S7a, or A License #: 23379 Date: G -2-- 01
Printed Name: Rodney K. Diamond Firm or Title: -----------------------Please sign both copies of this permit, return one to the Chairperson, and retain the other for your records.
Attachments
o 0 MEMO and ROUTE SLIP (ver. 5/16/07) 06/14/07
I WCR 1 Check for Well No. 0037-01. (survey to regulation memo)
1. Pump Tests Check Diane. England:=:t:Z:={fn1tial) Yes No If no. describe deficiency
Step-Drawdown Test:
followed WCPI Stds analysis attached proposed pump cap o.k. ~ StepO_own-USGS.,'. "'.. .J,o ,pm "0 te,t "'<t"''''''
Aquifer Pump Test:
followed WCPI Stds 0 T & S analysis attached 0
Well Interference: estimated Steady-State drawdown at 1-mile radius is ____ ft.
analysis attached o
Stream Surface Water Impacted: 0
2. Well Log Check Geology Code for wellindex~
3. Construction Check Mitch Ohye -i-t.....:...'----
data complete ~ followed Special Cond & elevations. / well database updated Y
NAD27
NAD83
2--1
o o _AquiferTest used _Cooper-Jacob-USGS.xls used
_<;Doper-Jacob-RECOVERY -USGS.xls used ~50 gpm no test required
/' _ Theis.xls used _ Confined-Predict-USGS.xls
If no. describe deficiency
o o o
Latitude
00 ~ ~1.
)0 "::.. \
Longitude
I jJfo Ik,'o f," 24 -0""1
t-orUt!1.'tc' HElP o:r" (i'(:(t:'f
I ./\. (initial) take action based on above analysis ---"',",
ATIACHMENTS FOR PUMP INSTALLATION PERMIT (2x): 1COVER LETTER
2COUNTY COMMENTS (OWS/SMA)
300H COMMENTS
40LNR COMMENTS (LO/OCCUOHP)
5WCR 1 Accept 6WELL CONST, COMPLETION '-O:"'T'I:I''-A'ro:
__ not necessary - only WCP or BOTH.
} To be sent to driller/pump installer
<------ To Landowner
} Staff internal checks ~/, ./1
5. ROY~ (i_heCk (Entered WCR 1IWCCC accept date into database) 6. Susan o.gbin (initial) finalize ~ e signature (Entered PIP issue date if required)
harle Len an Ie
State of Ha9aii 0 For Official Use Only:
COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources WELL COMPLETION REPORT - PART I Well Construction
Instructions: Please print in ink or type and send completed report (with attachments, if' I 0 e pi: I 8 Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. The Commission may not accept incomplete reports. This form shall be submited within 60 days of the completion of work. For assistance, please consult the Hawaii Well Construction and Pump Installation Standards or cal the Regulation Branch at 687-0226. For updates to this form or additional information, please visit our website at ht!p:JIwww.staIe.hi.~~· i' './ "! \ ,I ,\ T U\
1. State Well No.: 0037-01 Well Name: Honolua-Stoops
/
/
2. Address: Honolua Gulch, Honoapiilani Hwy, Honolua Tax Map Key: ----....:..------1 3. Drilling Company: Diamond Drilling and Pum
4. Drilling method used during construction: ~ Rotary 5. Date Well Construction (drilled, cased, grouted) completed: __ -:-:5~/2~3~f:::::O:::-:7~_ Fill out attached Driller's Log
MonIhIDayI'fear In addition to the drillers log. if a geologic log was pI'8paI8d. please submit with this form.
6. Was the subject well cored? DYes • No 7. Initial water-level encountered 78 ft. below ground Date and time of rneastJ"eI1IeI1t:
----~~~~~-=---~ 5/7/07 PM
8. Step-Drawdown Test completed? • No D Yes
9. Constant Rate Aquifer Test completed? • No D Yes
Parameters prior to pump test:
5/7/07 PM 10. Water-level: Est. 0 ? ft. above msl Date and time of measurement: ------===~----~~--_4 h1OfthIday/year lime
11. Chloride: _____ 1_5_3_____ ppm Date and time of sampling: 5122/07 PM ..... ~ time
12. Temperature: OF 66 Date and time of measurement: 5/22/07 PM ------------ h1<rihIday/year time
13. Fill in the as-built section on the other side of this sheet. 14. Attach photograph of well and concrete pad showing benchmark on concrete pad. 15. Fill in attached surveyor's report.
If a pump is not planned to be installed, please describe (below in the remarks section) how well is secured to prevent 16. unauthorized access (example: lockable cover, threaded coupling, etc.) 17. Remarks:
Drilled to 90 ft. well only produced 3 gpm. Continued to 130 ft. still 3 gpm. Continued to 150 ft. broke through 60 ft. of Basalt layer, then water came in at 75ft. below sea level.
Licensed Driller Rod Diamond C-57 Lie. No. Be 23379 ------------------------------------ ------------------
Signature ___ -".flJ __ ~ __ ~_L~ __ ' ____ _ 6/4/07 Date: ------------------~
weR1 Form 10118104 Page 10'5
.J
"'f, •. " r
;'" -- ;'
o o
o o 13. AS-BUILT WELL secnoN (PINstI dadJ aHuiIt if dINetent tom dIegram ptoVided below)
Elevation at top of casing ~ ft., mar (to nearest 0.01 ft.)
Bendt mark elevation:
78.6 ft. msI" (Survey to 'neatast 0.01 fl)
Grouting method: o Poeitive
displacement Jl{0ther
Total Depth
150 ft.
Solid Casing Material:
Annular space between hole and casing (1.5" for positive displacement, 3' for other methods):
3 ___ in.
Rock or GraYel Packing:
60 fl Material: N. Crushed Basalt o Rounded Gravel
Water Level Elevation:
est.? ft. msI*
"mSI = mean sea level
lB,oO~1"'D\
12 in.
Minimum of 'Z Radius & 4· Thick Conaete Pad
Ground Elevation: 78ft., msI
oIf-----f Solid Casing: {~ 90% x (Ground EIev.-Water Level EIev»
Length: 90 ft. Nominal Diameter: 6 inches in.
waI Thickness: Schedule 40 in.
Bottom Elevation: -2 fl, msI
Open Cesing: o Perforated o Saeen
Length: 60 ft.
Nominal Diarneter. Q im::bes in.
wan Thiclcness: Schedule 40 in.
Bottom Elevation: -75 fl,msI
Open Hole: Length: ____ --LNJU/:..c.A:l...--___ ft. Diameter. ___________ in.
Bottom EIevation:, _______ ft., msI
Carbon Steel: compliant with (check one ormore): 0 ANSI/AWWA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A139 And compliant with (check one or more): 0 ASTM A242 or A606 0 Type E 0 Type S 0 Grade B 0 Other
Stainless Steel: (check one): 0 ASTM A409 (production wells) 0 ASTM A312 (monitor wells) ASS Plastic conforming to ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 0 Schedule 80
/ /
PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): _ Scbedule 4ft 0 Schedule 80 0 Schedule 120 Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996
o Centrifugally Cast Resin Pipe conforming to ASTM 02997 o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517 o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950 o PTFE Fluorocarbon Tubing conforming to ASTM 03296 o FEP Fluorocarbon Tubing conforming to ASTM 03296
Open Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5l 0 ASTM A53 0 ASTM A139
And compliant with (check one or more): 0 ASTM A242 or A606 0 Type E 0 Type S 0 Grade B 0 Other
Stainless Steel: (check one): 0 ASTM A409 (produCtion wells) 0 ASTM A312 (monitor wells) ASS Plastic conforming to ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 0 Schedule 80 PVC Plastic conforming toASTM F480 and (ASTM 01785 or ASTM 02241): (check one): _ Schedule 4ft 0 Schedule 80 0 Schedule 120 Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996
o Centrifugally Cast Resin Pipe conforming to ASTM 02997
o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517
o Glass Fiber Reinforced Resin Pressure Pipe conformillg to AWWA C950 o PTFE Auorocarbon Tubing conforming to ASTM 03296
o FEP Fluorocarbon Tubing conforming to ASTM 03296
weR1 Form 10118104 Page 2 of 5
o o DRILLER'S LOG
WELL NUMBER: 0037-01
Depths (ft.) s Rock Description, Water LeveI,etc. Dates
0 to 90 Red ClaylRock 517107
90 to 106 Red ClayIRock to 100ft. hit BasaltlHard Rock from there on 5/8/07
106 to 130 Basalt 5/21/07
130 to 150 BasaltJ Hit lava tube at 150ft. water came in 5/22/07
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Remarks:
weR1 Form 10118104 Page 3 of 5
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SKETCH OF WELL LOCATION (Referenced to permanent landmark, i.e. building, road, fence, etc.)
weR1 Form 10118104 Page 40(5
1\
o o WELL CONSTRUCTION PERMIT
Honolua-Stoops Well, Well No. 0037-01 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 Honolua-Stoops (Well No. 0037-01) at TMK 2-4-1:18, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:
I.
2.
3.
4.
5.
6.
7.
8.
9.
10.
II.
12.
13.
14.
15.
The ChaiT£erson ofthe Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any work authorized by this permit commences and staff shall be allowed to inspect installation activities in accordance with §13-168-15, 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 ofthe well only. The permittee shall coordinate with the Chairperson and conduct a pumping test in accordance with the HWCPIS (the latest rump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrm/forms.htm). The permittee shal submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump. No permanent pump may be Installed until a pum)J installation permit is approved and issued by the Chairperson. No withdrawal of water shall be made for purposes other than testing without a Certificate of Pump Installation Completion. The permitted pump capacity described on the pump installation permit may be reduced in the event that the pump test does not support the capacity.
In basal ground water, the depth of the well may not exceed one-fourth (114) of the theoretical thickness (41 times initial head) of the basal ground water unless otherwise authorized by the Chairperson.
The permittee shall incorporate mitigation measures to prevent construction debris from entering the aquatic environment, to schedule work to avoid periods of high rainfall, and to revegetate any cleared areas as soon as possible.
In the event that historically significant remains such as artifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee shall stop work and immediately contact the Department of Land and Natural Resources' State Historic Preservation DiVision. Work may recommence only after written concurrence by the State Histonc Preservation Division.
The 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/cwrm/forms.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 prorerly caf,ped. If the well is to be abandoned during the course of the project then the permittee must apply for a well abandonment permit in accordance with § 3-168- 2(f) 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.
~J
!his permit shall. apply to the location shoWll on th.e ~ppli~ation only. If the well is to be relocated, the permittee shall app@fi.:!'a new wMlnstructionlpump .lnstanatlon permit In accordance With HawaII Administrative Rules §13-168-12(f). , .) ~ "~
Special conditions in the attached cover transmittal letter are incorporated herein by reference. 0" s:=. ?"
Z ,ti'JI - ()l
!n1
Date of Approval: February 17,2007 Expiration Date: February 17,2009
PETER T. YOUNGi~ll:airperson 0' Commission on Wat~rJtesour<A1anagement , ..c...
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: A A a. i/
Printed Name: Rod Diamond
I C-S7 License #: 23379 -=::::..=....:....::...-----Date: r -'2..' ~J
Firm or Title: ----------------------Please sign both copies of this permit, return one to the Chairperson, and retain the other for your records.
Attachment
·, • I -'- o
LINDA LINGLE GOVERNOR OF HAWAII
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.
Ref: 0037-01.wcp
Mr. Rodney K. Diamond HCR #3 Box 14073 Keaau, HI 96749
Dear Mr. Diamond:
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
Well Construction Permit Honolua-Stoops Well (Well No. 0037-01)
STEPHANIE A. WHALEN
March 9, 2007
Enclosed are two (2) copies of your approved Well Construction Permit for the captioned well(s) that authorize well construction activities but excludes installation work for a permanent pump. As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 13:
Special Conditions
1. Attached for your information are copies of the Department of Health's (DOH) review comments. Please note DOH's requirements related to discharge of effluent from well drilling and testing activities.
2. 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.
3. Attached for your information is a copy of your county's Department of Water Supply comments related to their concerns.
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 prominently displayed or made available at the construction site during construction. Be advised that you may be subject to fines of up to $5,000 per day for any violations of your permit conditions starting from the permit approval date.
If you have any questions, please call Charley Ice of the Commission staffat 587-0251.
Sincerely,
WFrf7 1'L
Peter T. Young Chairperson
Enclosures
c: David Stoops (with applicable comments - DOH SDWB, WWB, CWB, Land Division, DWS) USGS MauiDWS
/
..
•
o 0 WELL CONSTRUCTION PERMIT
Honolua-Stoops Well, Well No. 0037-01 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 Honolua-Stoops (Well No. 0037-01) at TMK 2-4-1:18, 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.
II.
12.
13.
14.
15.
The ChaiJ'Qerson 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 statt shall be allowed to inspect installation activities in accordance WIth §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 pumping test in accordance with the HWCPIS (the latest rump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrmlforms.htm). The permittee shal sutimit to the Chairperson the test results as a basis for supporting an application to install a permanent pump. No permanent pump may be mstalled until a pum]J installation permit is approved and issued by the Chatrperson. No withdrawal of water shall be made for purposes other than testing without a Certificate of Pump Installation Completion. The permitted pump capacity described on the pump installation permit may be reduced in the event that the pump test does not support the capacity.
In basal ground water, the depth of the well may not exceed one-fourth (1/4) of the theoretical thickness (41 times initial head) of the basal ground water unless otherwise authorized by the Chairperson.
The permittee shall incorporate mitigation measures to prevent construction debris from entering the aquatic environment, to schedule work to avoid periods of high rainfall, and to revegetate any cleared areas as soon as possible.
In the event that historically significant remains such as artifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee shall sto]J work and immediately contact the Department of Land and Natural Resources' State Historic Preservation DiVIsion. Work may recommence only after written concurrence by the State Histonc Preservation Division.
The proposed well construction shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instreatn 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 contatninated, 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 prorerly capped. If the well is to be abandoned during the course of the project then the permittee must apply for a well abandonment permit in accordance with § 3-168-12(t) 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 datnage, personal injury, or death arising out of any act or omission of the applicant, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the granting of this permit.
This permit shall apply to the location shown on the application only. If the well is to be relocated, the permittee shall apply for a new well construction/pump installation permit m accordance with Hawaii Administrative Rules §13-168-12(t).
Special conditions in the attached cover transmittal letter are incorporated herein by reference.
Date of Approval: February 17,2007 Expiration Date: February 17, 2009
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 #: 23379 --=.:::..:;,.~-----
Date:
Printed Name: Rod Diamond Firm or Title:
Please sign both copies of this permit, return one to the Chairperson, and retain the other for your records.
Attachment
/
LINDA LINGLE GOVERNOR OF HAWAII
o o 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.
Ref: 0037-01.pip
Mr. Rodney K. Diamond HCR #3 Box 14073 Keaau, III 96749
Dear Mr. Diamond:
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOX 621
HONOLULU, HAWAII 96809
Pump Installation Permit Honolua-Stoops Well (Well No. 0037-01)
STEPHANIE A WHALEN
March 9, 2007
Enclosed are two (2) originals of your approved Pump Installation Permit for the captioned welles) that authorize permanent pump installation work for your welles). As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 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 II form within sixty (60) days after the pump installation work is completed. Be advised that you may be subject to fines of up to $5,000 per day for any violations of your permit conditions starting from the permit approval date.
Please sign both penn it 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,
wr-rM 1'L
Peter T. Young Chairperson
Enclosure
c: David Stoops (with applicable comments - DOH SDWB, WWB, CWB, Land Division, DWS) USGS MauiDWS
/ /
"PUMP INSTALLATION PERMITf'\ "'onolua-Stoops Well, Well No. 0037-'"
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 l3-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the pump installation for Honolua-Stoops (Well No. 0037-01) at TMK 2-4-1:18, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:
I. 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 ~hall 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 12 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 ofthis 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 ofthis permit.
12. Special conditions in the attached cover transmittal letter are incorporated herein by reference.
Date of Approval:
Expiration Date:
February 17,2007 February 17, 2009
W.fin 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-S7, C-S7a, or A License #: 23379 Date:
Printed Name: Rodney K. Diamond Firm or Title: ------------------------Please sign both copies of this permit, return one to the Chairperson, and retain the other for your records.
Attachments
COISSION ON WATER RESOURCE MANAGEMENT 0 ROUTE SLIP FOR PERMIT ISSUANCE 5119105
FROM: CHARLEY
ANAKALEA, P. BAUER,G. CHING, F. DANBARA, S. FUJII, N. GOODING, K.
-1-HARDY, R. HIGA,D. ICE,C. IMATA, R.
WELL NUMBER 0037-01
'6? WELL CONSTRUCTION
4 5 6 7
tSl PUMP INSTALLATION
DATE: ~flAfIf#&.1 SUSPENSE DATE:
KUNIMURA,I. {KAMA,' NAKANO, D. OHYE, M. SAKODA, E.
-2-SUBIA, S. --SWANSON, S. ------UYENO,D.
YODA, K. YOSHINAGA, M.
Approval Signature
-3-lnformation
Honolua-Stoops Well
TO BE SENT TO APPLICANT
FOR OFFICE USE ONLY
ATIACHMENTS FOR PUMP INSTALL910N PERMIT: 1 COVER LETIER ./ 2 PERMIT (2x) ~
COMMENTS: 3 SDWB 4 WWB 5 CWB 6 HEER 7 LD 8 HP 9 OCCl
10 SMA ",,' .• ·····!ImlI.'II!t.fil~~ali'allfa~'R~ :~t*J~,':,(!~ftl~\1!&,r~~'JMm~~fIt~~
TO BE SENT TO APPLICANT
FOR OFFICE USE ONLY
PLEASE:
See Me -1-Review & Comment
Take Action Type Draft
-2-Type Final -4-File
Xerox copies
c Well Check Program 4/1/04 - Revised for update to Well Standards (February 2004) Data Input
Well Number Well Name Ground Elevation Cement Grout Grouting Method Hole Diameter Total Depth Depth to Water Public Water Supply Well? Solid Casing Material Solid Casing Specification Solid Casing Length Solid Casing Diameter Solid Casing Wall Thickness Open Casing Length
Results
Well Depth Theoretical Thickness of Aquifer 1/4 Aquifer Thickness Dep(/tOiWel/fjelow Sea Level
Well Casing Minimum Wall Thickness
Material Minimum Thickness per standards ,Wall 'fhlckness Provided"
Minimum Length of Solid Casing 90% of ground to top of aquifer
. Length of:solidcasing. Ptovided Casingl'fJ:atena/ (forpv,(jonly -check for 200' limit)
Annular Space Depth of Grouting
Calculated Depth of Grouting Depth' o{'Gtouting provided
Minimum Annular Space required Thickness of Annular Space
yes no
steel stainless steel
0037-01 Honolua-Stoops
other
no pvc plastic Schedule 40
S40
" ,"i',:
pvc plastic no requirement $40
,. , Schedo[ij 40
'.'
o
85 65
12 90 83 calculated head 2
plastic
85 6
5
82 20.5 " ;:0 okay ",: '" Section 2.2
okay Section 2.4(b)
74.7 85 O~ay " Section 2.4(c)
lJu~o~pliance Section 2,4(d) okay Section 2.4(d)
58.1 65 okay Section 2.6(c)
2 3 okay Section 2.6(d)
T-363 P.01/02 F-397 f • Feb-14-07 11 :08am
809-242819
JE:Fff:£ " S· . ..-lUi IT
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COUj\rry OF Mr: .. UI
OEPAlFrrMENT Of" !Pltf.1Nb'.HNG
FACSIMILE TRANSMISSION COVER SHEET
DATE: .2 I P41 Of TO: C,: \I\G\ r , e \1 , Ic~ e~
I
TELEPHONE No.:~D~ 5~7 025 I FACSIMILE NO.: ~tX. 5<67 02\Q
FROM: Dep+. 0.( F)lcl;Y\nin~
NO. OF PAGES (INCLUDING COVER SHEET): _9 __
REMARKS OR SPECIAL INSTRUCTIONS:
MAUl COUNTY CODe IS AVAJUJ .. ABlE ON "(HE INTERNET
www.co.maui.hi.us
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FEB-14-2007 10:49AM FAX:808 242819 ID:DLNR CWRM PAGE: 001 R=100~;
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......
"
FF..~-14-07 11 :08am F rom-DEPT OF PLANNJNG COUNTY OF wm '\
903-242819 T-363 P.02/02 F-397
LINDA I-INGLE 'X)v~1\NOtC 01" r'I,I,~n
Mr. Jeff Hunt, Director Planning Department County of Maui 250 South High Street Wailuku, HI 96793
Dear Mr. Hunt:
STATE OF HAWAII DEPARTMENT OF LAND AND NATI)RAt. RSSOUf(Ces
COMMISSION ON WATER RESOURCE MANAGEMENT P.O,80X621
HONOLULU. HAWAII 95809
January 16,2007
Special Management Area Use Permit Requirements for Well Construction/PLlmp lnstallation Permit Application
Hono]ua-Stoops Wel1 (Well No. 0037.01)
-(J:')
a -~. -
PETER T. YOUNG CI'lA.1I11"I!!"'SO~
MEREDITH J. CHING JAMES A. FRAZIER NEA~ S. FUJIWARA.
CHlYOME L. FuKINO. M.O. LAWRENCE H. MIlKE, MO .. J.D.
STEPHANIE A. WHALIi:N
CEAN A. NAKANO MTlNOCiP_T'r gll\i¢T~R
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 caplioned applicarion with regaId to the SMA pennining requirements specific to yo~r division. Please respond by returning this cover memO form by February 17.2007. 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 infom'lal.ion, or request additional review time, please contact Charley Ice of the Commission staffat 587-0251.
C);ss
RESPONSE:
Sincerely,
WhM ~
DEAN A. NAKANO Acting Deputy Director
!XI This well project [ ] requires ~] does not TequiT~ ~ SMA. Ifa SMA is required it ( 1 has ( ) has not be<:n approved and [ ] is [ ) is not currently acrivc.
[ ] Other televant ruleslrcgulations, in formation. or recommendations arc anached.
[ ] No Objections
IX! Other comments; W 0 U 1 tl h a vee 0 nee r n 6 S h 0 u 1 d t his imp act s County's ability to provide water servie
Conract PerSon: J . Phone: -~'l'-'TJ'T::~t-e-n--~ . ~ 3:~n Louderm~!k -270 7180
SIgned: ~.~~~ Date: 2.1~b:l
FEB-14-2007 10:49AM FAX:808 242819 PAGE:002 R=100%
QZ-13-07
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02: 26pm From-DOH/Sah Dmki ng'Nater Branch .... '" 8085864351 T-928 P,OOl!002 H03
' ... ..,11'" Post-it'" F;lX Note '1
To ChQ1'\t. :tee l=rom q - Cc.(Dept. G\NP-NI CO.
Phone II 58"'~O'l.5, Phone II LINDA UNGLE
;:;~IIlNO'" o,.x,r,WAII
Fax 1/ S'S1 .. 02.IQ Fax 11
r,,;MJTUMC. L. ,,"UKJNU, M.U.
LAWR"NC~ 1-1, MilKE. 1.1.0" JJ;t STEPHANIE A WHALEN
TO:
FROM;
STA I:: OF HAWAII OEPARTM2NT OF LA DAND NATURAL RESOURCES
COMMISSION ON WAT R RESOURCE MANAGEMENT ,D.eOX521 LU, HAWAII 9B8!l9
Honorable Chiyome L. Fukjno, M. " Director Department of Health Attention: Director's Office
Harold Vee, Was ater Branch Stuart Yamada, Sa e Drinking Water Branch Alec Wong, Clean Water Branch
. 11 Peter T. Young, Chairperson Commission on Water Resource Management
DEAN A. NAKANO ,l\CllNQ D€flv1YOIR~I)R
SUBJECT: Well Cons1nlction!Pump Installation Pennit Application Honolua-Stooos Well (Well No. 0037-01)
Transmitted for your review and comment is a copy of the captioned Well Construction/Pnmp Installation permit application.
We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs. plans. and objectives specific to your department_ Please respond by return;ng tbis cover memo form by Fcbrnarv 17, 2007,. Ifwe do not receive comments or a request for additional review time by this date, we will assume that you have no comments.
Please find the attached maps to locate the proposed well. If:you have any questions about this permit application, request additional information. or request additional review time, please contact Charley Ice of the Commission staff at 587-0251.
Cl:ss Attachment(s )
RESPONSE:
11
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TIlls wcllqllalifi~ 8S a sooreewhi~b will SClVCas 3 sourc~ ofporabk 'Narer 10 a public w:l1"'$y~tem (tMjn~d as sening 25 or more people arlcasr 60 days per ~ or has 15 or more service: cOIUlectioxu) and mu:U r'eeeiv.e Direc, .. ;: .. r Qr i-I~11tn a~l ~ to its use to comply with Hawajj Adanlnisualive R"le~ (llAR), Tille II, Chll<~le( 20, R"i.!$ R~liltin:r to Potab"" Wat~r S)'StI:ms. 31 1-20-29.
This well do~. no; Qutllify as 8 sour!;'!; serving a public Walcr sySlcrn (5~rvC9 less man 25 people or llIore pl!Opl. at It! ... t 60 d.'1~ po:!' y_ or 15 service col1Iltcti~ns) and if the well water 15 !lS~d for drinking, Iha private own~I' ~b6uld Il!!lt for b~ctef;oll)si¢~1 ~nd eh .. mioal pr ... onoc bei<lfc initialing such """ and routinely mOlurer dlC warer Cl,ualily the,'~fler. How~ver, 1f IUtuno ol<lnl1cd U5I: f,-Qm thi~ sour..: increases to meet the public walCr sysrcm MUlino,1 1.hen £)iteewt (Jf Health apptoYoflllSi teqL11Jt:d ~ to im~;dt:m<t;T1tatiOll.
If tb~ well is Ilscd to supply both potable and non-potable purposes in •• inglc iysrcllI, d,C \l!klt' ,lull elim;",.I!> cro~·cQ;lne«ions ;md ba~ldIow cOlUlcctions by pb)'!'icaUy &CpllI1lting potablo lIl'Jd nOli-pemble syaulllS by lIl' aif s*p (If an "llpotwed tJ.ck£[ow pr~nl!;r. and by QICllIly labeling all non)XltBblc spigoCS WIth VlmniIIg sigIlS te prc~nl ir,sdvcrrcut COIl£lIlIlptiotl of"!Jn-l'<:IL"bl. w;~.... ij"o;lctlQw pR-"cntion d~'i= 5hould be routiDely inspected lIIld tc5Ied.
11 doc., no! appe;1I' thaI thi~ ",ell will be us~d for C()I1S11111priVC pUIpOSCS and is lIor subjecr (0 Sal."c Drink;.!!; W3Jtt Regulations.
For rhe aplIlic:.tI!'$ infonlla\ion, a ~""r"", \1fpQ::.:;iblc wast;watcr ~ont8li1ination [ Jis [ J is not locarod DCaf tbc proposed w~1l site (Information i\tta~h~d),
An NPDES permit is ~uired.
Othcr relevant DOH rule!!l!'l!suIatioll!, illfofnt:l1iC;ln, or "'C(1mml:'nd.,riQ~S ~n: attat;ho:d.
In tho """'" thiU tm: k.;;uiQ" of t~ "en cbanges but is still within t:be parcel described Oll this appliealiClrI, ow" clivi';Dn cOIl~i~ the ,ommmts to still be "Ppl;""ble,;md we do not ncod to ""i_thc new location.
r 1 Ne ooulIncmslobjecrions
Contact Person: Stuart YaBada Phone: 586-£,253
Signed:·- - - .-~ - - Date: __ z.~/r-'7!-!-;'-=-0.1.7 __ _
FEB-13-2007 02:32PM FAX: 8085854351 ID: CU1R ChlRM PAGE: 001 R=95%
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02-13-07 02:26pm From-DOH/Sat! Drirhkini Water Branch 8085864351 T-928 P.DOZ/OOZ F-303
.... 6-003 7 ~O 1 Maui
The Department of Health, Safe Drinking Water Branch has the following additional comments for the Well Construction! Pump Installation Permit Application for the Honolua-Stoops Well (Well No. 6-0037-01 Maui):
Underground Injection Control (me) Comments:
1. The well is located below the UIe line;
2. The siting of a drinking water source below the me line affects the alloV';"ed potential for new injection well construction. New injection wells "'ill then be prohibited within the setback areas defined in Chapter 11-23. We suggest that the surrounding landowners be informed of this proposed action because it may affect the development potential of the properties within the setback area.;
3. In general, a shallow well, or a well that recharges quickly from local rainfall, should not be used as a potable water source because such a well increases the risk of having unsatisfactory groundwater quality that when consumed may compromise health_ Factors that directly influence a well's groundwater quality include wastewater disposal systems (cesspools, septic systems~ drainage "vells), Jawn/gardenJcrop-growing activities, and even the proximity to the ocean where salt water intrusion' may occur;
4. Well water quality should be initially and periodically tested for its acceptable and intended use> especially if it is to be used for human consumption. Water quality should not be presumed accepr:able and 1.Ulchanging. Land-based activities around the well and within the well's recharge area may) overtime, have an unacceptable affect on the well's water quality. \Vell construction materials and related equipment could also affect water quality; and
5. The total well-depth information appears incorrect.
FEB-13-2007 02:33PM FAX: 8085864351 I D: DU~R G~Rt1 PAGE:002 R=96%
CHARMAINE TAVARES -"'MAYOR
~ . JEFFREY K. ENG '-'-' ACTING DIRECTOR
February 1, 2007
DEPARTMENT OF WATER SUPPLY COUNTY OF MAUl
200 SOUTH HIGH STREET WAILUKU, MAUl, HAWAII 96793-2155 Telephone (808) 270-7816. Fax (808) 270-7833
Mr. Dean A. Nakano, Acting Deputy Director Commission on Water Resource Management Department of Land and Natural Resources POBox 621 Honolulu HI 96809
Subject: Well Construction/Pump Installation Permit Application Honolua-Stoops Well (Well No 0037-01))
Dear Mr. Nakano:
ERIC H. YAMASHIGE, P.E., L.S. DEPUTY DIRECTOR
RIE.'CFJ\1'tn
n A'ft·: ~ 1 ~1 fEB., 0
Thank you for the opportunity to comment on the subject well permit application.
The parcel is outside DWS service area. The aquifer serving the project site is the Honolua aquifer which has a sustainable yield of 8 MGD. The applicant proposes to withdraw 250 gallons per day for domestic use. By system standards, a parcel of this size would use approximately 5,850 GPD.
The applicant should be made aware that most of the wells located in proximity of the Western coastlines have initial and test chloride levels in the range of 300 and over 900 mglL.
In order to protect groundwater resources, we encourage the applicant to adopt Best Management Practices (BMPs) designed to prevent contamination through and to the proposed well. Sample BMPs are as enumerated below:
a. Inspect exposed parts of the well periodically for problems such as: cracked or corroded well casing, broken or missing well cap, damage to protective casing, settling and cracking of surface seals.
b. Slope the area around the well so that surface runoff drains away from the well. c. Provide a well cap or sanitary seal to prevent unauthorized use of or entry into the well. d. Have the well tested once a year for fecal coliform or other constituents that may be of
concern. e. Provide for sediment removal or well cleaning as necessary. f. Keep accurate records of any well maintenance, such as disinfection or sediment removal,
that might require use of chemicals in the well. g. Avoid mixing or using pesticides, fertilizers, herbicides, degreasers, fuels, or other
pollutants near the well. h. Do not locate any type of potentially polluting activity up slope from the well.
Mr. Dean A. Nakano February 1, 2007
o Honolua-Stoops Well (Well No. 0037-01)
o
Should you have any questions, please call our Water Resources and Planning Division at 244-8550.
Sinrei+r k. ~ Jeffrey K. Eng Acting Director
earn c: Engineering Division
applicant
2
LINDA LINGLE GOVERNOR OF HAWAII
TO:
FROM:
SUBJECT:
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGI:iM~NT P.o. BOX 621 .' . .
HONOLULU, HAWAII 96809 .
January 16, 2007
Russell Tsuji, Administrator Land Division
Dean A. Nakano, Acting Deputy Director 11 Commission on Water Resource Management
Well Construction/Pump Installation Permit Application Honolua-Stoops Well (Well No. 0037-01) TMK 4-1-001:018
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
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 February 17, 2007. 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 ofthis applicant and an application for such will be requested by our division.
~ A water lease/permit is!!2! 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
IX! Other comments: Original source of private title is land Commission Award 3692:1 issued between 1845 and 1855.
Contact Person: _---'G::..=a=r:..Ly--=-Ma=r-=t:.=:i~n'__ ________ _
Signed: ~ Pt (
Phone: 587-0421
Date: FEB - 1 2001
Jan-19-2007 03:~pm
I From-DEPT OF HEALTI'
" ilRONMENTAL MNGMT 8085864352 T-644 P.002/002 F-764
I I •
LINOA LINGLE 1I;O~"HOJt 0,. nAWAN
'~H"" A \
II -.• ""~""~~
MilREPITI-I J. CHING I \ JAMeS A. FRAZIER NeAL S. rUJIWARA fi.
CHI'fOME L. FUKINO. M.D· U LAWRENCE H. MilKE. M.D .. J.D.
S1"EPHANIE A. WHALEN
STATE OF HAWAII DEAN A NA](ANO
AeTINa OIEPu'I'Y alA£CitCft
DEPARTMENT OF LAND AND NAlUAAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT
po. aOXEi21 HONOlUlU. HAWAII 96809
January 16,2007
Honorable Chiyome L. Fukino, M.D., Director Department of Health Attention: Director's Office
Harold Vee, Wastewater Branch
~ROM: Stuart Yamada, Safe Drinking Water Branch Alec Wong, Clean Water Branch
Peter T. Young, Chairperson 1 I
I Commission on Water Resource Management
'SUBJECT: Well ConstructionfPump Installation Pennit Application I I Honolua-Stoops Well (Well No, 0037-01)
, I 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 department. Please respond by returning tbis cover memo form bv Febru9R t" 2007. If we do not receive comments OJ 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 ~rmit application, request additional infonnation, or request additional review time, please contlll;t Charley Ice of the Commission staffat 587-0251.
Cbs IAttaelunent(s)
IRESPONSE: ! ) Thi. well q.alifie; "'~ /I .".,.". whieh will ~tv~ .. , .. '''"ftc of potable waref '" .. public w",t:r .y .. cm (dcf,aod as se ...... i .. s 25 "r mOl'~ !In''ple allea~l6{)
It\)Ii per Yl1llr or hll5 15 or IRr.>fe .~rv~e CQIllROclioa') alld mlisl .'£cllivB Diroclor of Health ilPpro.al priB. 1(1 ilS u:le 10 c(lmply wiilllillWiii I\lImim~lT1Iuvlj : Rul~s (l-IAR). Tjtl~ I J. Chu,*,r 2/l. Rul.~ RQlmine 10 POI~l>le Will~ $YSv.J1l3, §11·2o.~9.
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This we)) doilS no! qualify u a s01ll'U WIling a p_blic watt:!" sY'lcm (Sl3iV<!S less lI1an 25 pcopl~ or lI1Ilre people 1I1.11l8!1t 60 days per ye.\!' flf l:i 5IlfVi~ coono:c>llDI1!I) and If Iii" well waler 1$ used f(lf arm~lI\g. the- prlv~l~ OwAer $M,,14 I~~I for baCtefl{.luglcal ar,a oh~lnlcal ))m~nc~ befORilmnallnS: SLH:h U~e and rOLlti:ru:ly monitor tile water ",ualit)' thereafter. How.:ver. if futy ... planDc~ us~ from this ",.rce increit5e. 10 mec:t th~ pubbc wIlIer system definition IhI!l\ PitllClot afHeallh approvalll required .Il.J:iQr ro impl=talion.
If rhl: willi i5 used 10 .upply both pot~bJe, imc M01'OI;,I>I$ J>"rpv$il. )11 ~ .ingl.:o .)~\lJITI. [h~ ~~~r ~hllll ~liminat; ~rOfSl;·~()nn;CliQll~ ~nd ba..kflow conll~clions by p\ll"-lically separating potablt and non-pomble .y.tems by an Ilir !;IIP or an approved bocktlow prcvcru:c:r. and by ~lcarll' Iakling all noni»1II1>1~ r!piS'>[$ wilt. w4li'1.i~S till'" Ie prC\Mr illa4vfnenl cOllsumptioD of non·potable water. Backtlow pr~vellljon devices sllo\lld b~ rOlilind), in.p"¢lot;l andt=otlla.
1\ <taes "at ~ppea.·lba[ lilis wtll will be usod for COn&l.1I11plivc parposcs a.~d is DOl sllbjcCl !() Safe Driakill[J Walee Regulatiolls.
An NPDES pennil is t~qllite4. II[ 1 I ~ Other rc:lcv~m DOH rulc.!lrC:~lIlatluni. informllfioD. or r~(lmmf:~<l;lIi(ln$lI!"e il\ti\Ch~. , .... 11 l' In tho: c:vent thllt rhe log~lion Mlhe well changes bul is Slill Wilhiu the parcel de~ribed un lhis al'plic:llion, Out aivision cClnsi<lers tlle (ODlmen~ I() still be
I applicable. and we do not need to r.:'l'i.:w Ihe ntw location.
I[ 1 ~o cOlnme:\lSIobjecLions
_~=Pe:oe~~ Phone: ~±st?lDate:~V~~Cq~( 0---;71...-.'
fJ7Alq.o JAN -19 - 2007 03: 25P~1 FAX: 8085864352 ID: DLNR CWRt"l PAGE:002 R=97%
""'~, Jan-19-2q07 03!15pm From-DEPT OF HEAk T' /I RONMENTAL I.I,NGMT
~ 9085864352 "T-644 P,OOl/002 F-764
'--' ;I • he DepartMent of Health, Clean Wate~ Branch bas the 'following comments:
. For!Well-Driliing Activities' , '
~ny di5Ch~ I e to State waters of treated process wastewater efrluent associated with well drilling activities is egulated 'Hawaii Administrative Rules, Title 11. Chapter 55, Appendix I, effectiveSepte'!lber 22, 1997. -reated, ,pr $S wastewater effluent covered by this general permit includes well drilling slurries, lubricating luids wast aters, and well purge wastewaters. This general· permit does not cover ~ell pump testing. The ~pplicabJe, otlce of Intent Forms and filing fee shall be submitted at least thirty (30) days, before the start of flscharge the' Department of Health, Clean Water Branch at 919 Ala Moana Boulevard, Room 301, -fonotu/u, waii 96814-4920 or P.O. Box 3378, Honolulu, Hawaii 96801-3376. Inquiries may be directed to :he Clean aler Branch at (BOB) 586-4309 or by fax at (808) 586-4352.
2. FO~ Well Pump Testing
The diSch+. ~er shall take alllT!easures. necessary to prev~nt the discha~9.e of ~o"utants, from entering State waters. S,", measures shan Include, .~ nece~I)', con~alnment of the 1~IUal discharge untU tilt!, disch~rge Is essentiall free of pollutants. If the discharge IS entenng a stream or rIVer bed, best management practices .f:lall be implemented to pn~\lent th~ discharge from dis~urbi~g the cla~ ?f the receiving water. If the di5cha~ e is entering a storm dram, the dls~harger must obtain written permission from the owner of that stCltf!l1 ( rain prior to discharge. Furthermore, best management practices shall be impletitentt~d to pr,vent (If discharge from collecting sedi~ents and other pollutants prior to entering the st0"1' dnJin.
JSlcr
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'.
JRN-19-2007 03:24PM FRX:8085864352 ID:DLHF: CWPM
...
-..
PRGE: 001 R=9S;';
.. f
I ~
) -LINDA LINGLE
GOVERNOR OF HAWAII
Date:
To:
Attn:
From:
Subject:
STATE OF HAWAII DEPARTMENT OF HEALTH
po. BOX 3378
HONOLULU, HAWAII 96801-3378
Wastewater Branch
_I=" (' t: , V ~!f.9ME LEINAALA FUKINO, M.D. In.~,. .. - ,- . . ... DIRECTOR OF HEALTH
nl JAN Z3 AU: 2 8
' .. , ;"'St'>\f'~' l",\'\ \).j ~Il'f(!;~, please refer to: 1"1, 'f:" '''''\ i\> \" .,: .. '-' F'I . V\.J l· j-" .,r' . r't"'" Ie.
Rc<:n: If't: 1,1'.:·\' '.'F}kri \ [-. .J 1 .. ." , ' \. ' • ...' !.~. '.
919 Ala Moana Blvd. Room 309 Honolulu, Hawaii 96814-4920
Phone (808) 586-4294 Fax (808) 586-4300
STATE MESSENGER DELIVERY
\. jrJ-n'J..B-h ~o 1 .. Commission on Water Resource Management Department of Land & Natural Resources State of Hawaii -.-.-
~lLtJlW Lori Kajiwara Morikami Ph 586-429 Fax 586-4300 Planning & Design Section Email: [email protected] water commission route.wpd sam as of 02-28-2006
Well Construction/Pump Installation Permit/Water Use Permit for
Well No. _O_rJ_o_7_-_0_' _tiv_fl_D_t_U-a_-_d'_ftJ_0-l-fY __ Well No. ______________________________________ ___
Well No. ______________________________________ ___
Well No. ______________________________________ _
Please find enclosed the application of the above subject project.
STATE MESSENGER DELIVERY
, - l
-I - , 9 ?S)Gl
LINDA LINGLE GOVERNOR OF HAWAII ~ ~ PE~~"V'~D
TO:
FROM:
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX621
HONOLULU, HAWAII 96609
January 16, 2007
Honorable Chiyome L. Fukino, M.D., Director Department of Health Attention: Director's Office
Harold Vee, Wastewater Branch Stuart Yamada, Safe Drinking Water Branch Alec Wong, Clean Water Branch
Peter T. Young, Chairperson 1 Commission on Water Resource Management
.\ \L' ~ MEREDITH J. CHING C , ~. • JAMES A. FRAZIER
~NEAL S. FUJIWARA
IYOtvb:lf1tl! M.D.,. ENtlfHl..., M.D .... ,. 2
STEPHANIE A. LE~ • i DEAN A. NAKANO
"'4"If~PIJ1Y DIRECTOR
Rb.F·· VPF"ll-0S:rON 0\11 h. II':i ~T' \fl' 'W"t: '. 'Y w f' re --\.I\/I"i'VI AJ ,J l.t , ..... ,. "'"',\
- ' ,;,.i"L7L1vlGtr
SUBJECT: Well ConstructionlPump Installation Permit Application Honolua-Stoops Well (Well No. 0037-01)
Transmitted for your review and comment is a copy of the captioned Well ConstructionlPump Installation permit application.
We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by February 17.2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume that you have no comments.
Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-0251.
CI:ss Attachment( s)
RESPONSE:
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This well qualifies as a source which will serve as a source of potable water to a public water system (defined as serving 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of Health approval prior to its use to comply with Hawaii Administrative Rules (HAR), Title II, Chapter 20, Rules Relating to Potable Water Systems, § 11-20-29.
This well does not qualify as a source serving a public water system (serves less than 25 people or more people at least 60 days per year or 15 service connections) and if the well water is used for drinking, the private owner should test for bacteriological and chemical presence before initiating such use and routinely monitor the water quality thereafter. However, if future planned use from this source increases to meet \be public water system definition \ben Director of Health approval is required prior to implem~ntation.
If the well is used to supply both potable and non-potable purposes in a single system, the user shall eliminate cross-connections and backflow connections by physically separating potable and non-potable systems by an air gap or an approved backflow preventer, and by clearly labeling all nonpotable spigots with warning signs to prevent inadvertent consumption of non-potable water. Backflow prevention devices should be routinely inspected and tested.
It does not appear that this well will be used for consumptive purposes and is not subject to Safe Drinking Water Regulations.
For the applicant's information, a source of possible wastewater contamination I lis II is not located near the proposed well site (information attached). ,1,,: .
An NPDES permit is required.
Other relevant DOH rules/regulations, information, or recommendations are attached.
[ I In the event that the location ofthe 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.
}q No commefts/~bjections No PtW n;:ti Contact Person:V un wa Phone:
Signed:~ __ ' ____ ' ____ ---'-____ --->t
- \
~(: BV Bt NVr L
o Q LINDA LINGLE
GOVERNOR OF HAWAII
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT
Mr. Rodney K. Diamond HCR #3 Box 14073 Keaau, HI 96749
Dear Mr. Diamond:
P.O. BOX 621 HONOLULU, HAWAII 96809
January 16,2007
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
0037-01.wcpia.ack
Well Construction/Pump Installation Permit Application for Well No. 0037-01
We acknowledge receipt, on December 4,2006, of your completed Well Construction/Pump Installation permit application and filing fee for the Honolua-Stoops Well (Well No. 0037-01). You can expect your application to be processed within ninety (90) days from this date.
For your information, the attached table describes the process, responsible parties, and deadline requirements for drilling or modifying a well and installing, modifying, or replacing a pump.
By this acceptance letter, we are also notifying the well operator/landowner that water may not be pumped for purposes other tban 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: David Stoops
Sincerely,
Wf7h 1't
DEAN A. NAKANO Acting Deputy Director
o ()
LINDA LINGLE GOVERNOR OF HAWAII
PETER T. YOUNG CHAIRPERSON
TO:
FROM:
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
January 16, 2007
Honorable Chiyome L. Fukino, M.D., Director Department of Health Attention: Director's Office
Harold Yee, Wastewater Branch Stuart Yamada, Safe Drinking Water Branch Alec Wong, Clean Water Branch
Peter T. Young, Chairperson 11 Commission on Water Resource Management
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
SUBJECT: Well ConstructionlPump Installation Permit Application Honolua-Stoops Well (Well No. 0037-01)
Transmitted for your review and comment is a copy of the captioned Well ConstructionlPump Installation permit application.
We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by February 17, 2007. 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:
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[ )
[ )
This well qualifies as a source which will serve as a source of potable water to a public water system (defined as serving 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of Health approval prior to its use to comply with Hawaii Administrative Rules (HAR), Title II, Chapter 20, Rules Relating to Potable Water Systems, §11-20-29.
This well does not qualify as a source serving a public water system (serves less than 25 people or more people at least 60 days per year or 15 service connections) and if the well water is used for drinking, the private owner should test for bacteriological and chemical presence before initiating such use and routinely monitor the water quality thereafter. However, if future planned use from this source increases to meet the public water system definition then Director of Health approval is required prior to implementation.
If the well is used to supply both potable and non-potable purposes in a single system, the user shall eliminate cross-connections and backflow connections by physically separating potable and non-potable systems by an air gap or an approved backflow preventer, and by clearly labeling all nonpotable spigots with warning signs to prevent inadvertent consumption of non-potable water. Backflow prevention devices should be routinely inspected and tested.
It does not appear that this well will be used for consumptive purposes and is not subject to Safe Drinking Water Regulations.
For the applicant's information, a source of possible wastewater contamination I)is I) 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:. _________ _
LINDA LINGLE GOVERNOR OF HAWAII
o 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.
TO:
FROM:
SUBJECT:
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
January 16, 2007
Russell Tsuji, Administrator Land Division
Dean A. Nakano, Acting Deputy Director 11 Commission on Water Resource Management
Well ConstructionlPump Installation Permit Application Honolua-Stoops Well (Well No. 0037-01) TMK 4-1-001 :018
STEPHANIE A. WHALEN
DEAN A. NAKANO ACTING DEPUTY DIRECTOR
Transmitted for your review and comment is a copy of the captioned Well ConstructionlPump Installation permit application.
We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by February 17,2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.
Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-0251.
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!!Q! 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: ------------
.-------~-------------
o o LINDA LINGLE
GOVERNOR OF HAwAII 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.
TO:
FROM:
SUBJECT:
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
January 16, 2007
Melanie Chinen, Administrator Historic Preservation
Dean A. Nakano, Acting Deputy Directo 11 Commission on Water Resource Management
Well Construction/Pump Installation Permit Application Honolua-Stoops Well (Well No. 0037-01) TMK 4-1-001 :018
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 February 17, 2007. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.
Please find the attached maps to locate the proposed well. If you have any questions about this permit application or request additional review time, please contact Charley Ice of the Commission staff 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:
[ ] This is a [ ] public (county or state) project [ ] private project and [ ] will [ ] may disturb historic sites.
[ ] We concur that the work described under this permit will not disturb historic sites.
[ ] We do not concur that the work described under this permit will not disturb historic sites. We require the following for our concurrence:
ContactPerson: __________________________________ _ Phone: ____________ _
Signed: __________________ _ Date: ______________ _
LINDA LINGLE GOVERNOR OF HAWAII
o 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.
Mr. Jeff Hunt, Director Planning Department County ofMaui 250 South High Street Wailuku,HI 96793
Dear Mr. Hunt:
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
January 16,2007
Special Management Area Use Pennit Requirements for Well Construction/Pump Installation Pennit Application
Honolua-Stoops Well (Well No. 0037-01)
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 penn it application.
We would appreciate your comments on the captioned application with regard to the SMA pennitting requirements specific to your division. Please respond by returning this cover memo form by February 17,2007. Ifwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.
Please find the attached maps to locate the proposed well. If you have any questions about this pennit application, request additional infonnation, or request additional review time, please contact Charley Ice of the Commission staff at 587-0251.
CI:ss
RESPONSE:
Sincerely,
Wf7H ~
DEAN A. NAKANO Acting Deputy Director
[ ] This well project [ ] requires [ ] does not require a SMA. If a SMA is required it [ ] has [ ] has not been approved and [ ] is [ ] is not currently active.
[ ] Other relevant rules/regulations, infonnation, or recommendations are attached.
[ ] No objections
[ ] Other comments:
Contact Person: Phone: --------------------- --------Signed: ____________________ _ Date: _______ ___
LINDA LINGLE GOVERNOR OF HAWAII
o o
STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES
COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621
HONOLULU, HAWAII 96809
January 16,2007
Mr . Jeff Eng, Director Department of Water Supply County of Maui 200 South High Street Wailuku, HI 96793
Dear Mr. Eng:
Well ConstructionIPump Installation Permit Review Well ConstructionIPump Installation Permit Application
Honolua-Stoops Well (Well No. 0037-01)
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
Transmitted for your review and comment is a copy of the captioned Well Construction/Pump Installation permit application. If you have any comments on this application, please submit them by February 17,2007. If we do not receive comments we will assume you have no comments.
If you have any questions about this permit application, please contact Charley Ice of the Commission staff at 587-0251.
CI:ss
Sincerely,
w.~l'H 1't
DEAN A. NAKANO Acting Deputy Director
~~~ FROM:~ I
COMMlaN ON WATER RESOURCE MANAGEMENT ROUTE SLIP FOR NEW APPLICATIONS
o DATE: 6-Dec-06 SUSPENSE DATE:
CHING, F. FUJII, N. GOODING, K.--
1 HARDY,R. ~ HIGA, D. .--rr
~4 . NAKAMA, L. ~.
NAKANO, D. OHYE, M. SAKODA, E.
Approval -1-Signature -3-lnformation
2 HOAGBIN, S. ICE, C.
--IMATA, R. --KUNIMURA, 1.-
WELL NUMBER 00 3r~O~
o WELL CONSTRUCTION
SWANSON, S. UYENO, D. YODA, K. YOSHINAGA, M.-
t{u . .tQ tvJ.--WELL NAME Stoops
o PUMP INSTALLATION
ATTACHMENTS FOR APPLICATION ,PROCESSING - Both applicant & staff generated 1 TRANS. LETTER -/ .;
2 PERMIT PROCESS TABLE --T 3 CWRM MAP ---=:r-4 APPL. FORM (11 COPIES) ~ 5 USGS MAPS (11 COPIES)
6 TAX MAPS (11 COPIES)
7 PARCEL OWNER VERIF. MLS PRINTOUT 8 CONTRACTOR VERIF. DCCA LICENSE SCREEN PRINTOUT 9 ALL INFO FILLED IN
10 BACKGROUND CHECK _
11 $25 FEE DEPOSIT SLIP ---:;r-
13-Dec-06
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
~BOTH
12 DHP/CDUP/SMApre-scre.n v' NA (SMA map printout http://gis.hicentral.com/website/parcelzoninglviewer.htm.,or INGRID'S SMNCD MAP) (LUC map printout http://luc.state.hLus/luc_maps.htm., or INGRID'S SMNCD MAP)
FOLDER: o MADE NEW FILE FOLDER, ATTACHED o FILE FOLDER ALREADY MADE, IN FILE CABINET
INCOMPLETE ACTION DATES:
DATE ACTION
l1 ,~ \ S"t.&. . ,.- Yt-o ---------------------------------------------------
~ -\-v ~~~( ----------------------------------------------------
Ck&-t~
DEAMENT OF LAND AND NATURAL RESOURD DOCUMENT NO . .. UAC OR ATTACHED WORKSHEET ol DATE' December 5 2006 ,
SRC/ COST F YR APP D OBJ CTR PROJECT PH ACT AMOUNT .NAME/DESCRIPTION (WANG INPUT)
S 07 326 C 1026 0752 (1 ) $25.00 TNWRE Eningeering
" " " " " " (2) $25.00 Lori Diamond
" " " " " " (3) $25.00 Lori Diamond
" " " " " " (4) $25.00 Lori Diamond '.
" " " " " " (5) $25.00 Jeffrey Spaur
(6)
(7) •. .
(8) "
(9)
(10)
TOTAL $125.00 . . ,
REMARKS: LINE (1) Brydeswood No. 1 LINE (2) Stoops Well LINE (3 Dick & Jane Well
..
LINE (4) Makuu Ranch LINE (5) Barvaria One LINE (6) LINE (7) LINE (8) "
LINE (9) LINE (10)
.'. ,
, .
• l'
Search Results Page 1 of 1
Copyright @1/11/2007 by Hawaii Information Service
Assessed Values reflect tax year 2006.
Search criteria: TMK Taxkey 2-4-1-1-18
• PUBLIC RECORD DATA Taxkey Subdiv /Condo Tnr Address Owner [Lessee Bds Bths Land area Liv area Last Sale Instr e
r 02-4-1-1-18 Kapalua F HONOLUASTOOPS, DAVID 1.98 ac 0 12/23/2004 DEED $495,
This information has been supplied by third parties and has not been independently verified by Hawaii Information Service and is therefore not uaranteed.
http://webre2.hawaiiinformation.comlREsearchIHIS/Searchlsearch _PUB. asp?N OCA CHE... 1/11/2007
Professional and Vocational Li,,~ (PVL) - powered by eHawaii.gov Q Page 1 of 1
Professional and Vocational Licensing CPVL) Search - General Licensee
GENERAL LICENSEE
L1C ID: CT-23379 Active/Inactive: ACTIVE
NAME: RODNEY K DIAMOND
TRADE NAME:
STATUS: CURRENT, VALID & IN GOOD STANDING
ENTITY: INDIVIDUAL BUSINESS CODE: SOLE OWNER
ORIG L1C DATE: 10/12/2001 EXPIRE DATE: 09/30/2008
CLASS PREFIX: BC SPECIAL PRIVILEGE:
RESTRICTION: EDUCATION CODE:
BUSINESS ADDR: HCR #3 BOX 14073 KEAAU HI 96749
MAILING ADDR:
Click here to enter search criteria for prior complaints history -> For prior complaints and disciplinary history, contact licensing and business information center at (808)
587-3295.
License information on this site reflects information in the Professional and Vocational Licensing Division as of January 11, 2007; howev. applications and forms are subject to standard processing time, and the information here does not reflect pending changes which are being revieWE The site is updated daily, Monday through Friday, except holidays. The State of Hawaii makes no guarantees as to the accuracy of the information accessed, the timeliness of the delivery of transactions, delivery the correct party, preservation of the privacy and security of users and makes no warranties, including warranty of merchantability and fitness fOI particular purpose. User is advised that if the information obtained herein is to be reasonably relied upon, user should confirm the accuracy of su information with the provider thereof.
http://pvl.ehawaii.gov/pvlsearch/app?_a=d&_f=n&lictp=CT&licno=23379&off=&nm=RO...1/11/2007
Professional and Vocational LiC,~ (PVL) - powered by eHawaii.gov Q Page 1 of 1
Professional and Vocational Licensing (PVL) Search - License Class
LIC: CT-23379 RODNEY K DIAMOND
CLASS CODE CLASS TYPE EFFECTIVE RESTRICTED STATUS
B GENERAL BUILDING 10/12/2001
C57 WELL 06/30/2004
http://pvl.ehawaii.gov/pvlsearch/app?_f=n&_a=LC&licno=23379&lictp=CT&off=0&run=...1Ill/2007
STATE OF HAWAIP • DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT
. For Official Use Only:
APPLICATION FO.R A WELL CONSTRUCTION I PUMP INSTALLATION PERMIT
I!!J r" fj"\ 1:' tV F-rH=:. I .. .n_ , ._ 0
Df DEC 4 A 9: 29 InstructIOns: Please print In Ink or type and said completed appIIcaIIon willi allaGtlmellIs to lie CoInllliSllioli 011 W'" Resource Management, P.O. Box 621, Honolulu, HawaIi 96809. Application IIIUII be accompaIlied by10 copies and a n0nrefundable filing fee or $25.00 payable to lie Dept. or Land and NaIUIaI Resourees. The COllllliSlllot. may not accept incomplete appIlcations. For assistance, calf the Regulation BnInc:II at A7-022S. ForiRffl«inbutafioolnl updates to ffWs application form, visit http://vwM.hawaii.govIdInrIownn.
Same
Proposed Amount of Wnhdrawal. gpd (galons per
250
Same
and 'icense number (a surveyor is required for all Wei, Construction Permits and may be required for some Deferred
o 15. Municipal (water systems serving greater than 25 individuals or 15 service
X 16 Domestic Number of units to be served:
application will expedite my review. I
my review. I further
(Must be filled out if application is for Well Construction) PUMP (Must be filled out if application Is
Rodney K Diamond BC23379 Rodney K Diamond BC23379
~. business name C-5l/CS1aIA Ucense No.
~kt2-.:J Rodney K Diamond ~~ Pnnt Date 11'14106
~ ~neVKDiamond Da1B 11/14/06
C-5l/CS1a1A liceme No.
HeR #3 Box 14073 Keaau HI 96749 HeR #3 Box 14073 Keaau HI 96749 Address
966-4129 966-4129 E·maiI Fax E·mail
WCPI App. Form 10I05I04
/
" o o PROPOSED WELL SECTION (please attach schematic if different from diagram provided below)
Hole Diameter: 12 inches.
Minimum of 2' Radius & 4" Thick Concrete Pad (to contain benchmark Elevation at top of casing 86 ft., msl* , surveyed to nearest 0.01 ft.)
-\ r-,--'----..;.'. /:" ._ -'-f- -., 85
i' .... _.___ _ ... _____ /77.~~~f "~:';"~~Ti,-<;':-'--, ',---.,G.,r,. rou" _::~Itio.n.: !!!!!!!!!lIftll'lImllslll* IIPlllease!!!!!!!!!lIrefiller!!!!!!!!!tolltlJe!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!ftI
I ! !~.:.. HAWAIIWEILCONSTRUCTION AND Cement Grout: ~ft. ' fl ::~" PUMPINSTAll.All0NSTANDARDS
F'~ .: ~. :.: ! to ensure that your as-buih is in compliance with
1 V(. U! applicable standards.
(min. 70% of distance from ground elevation to top of water surface or 500 ft., I t;~\ :;::'
-t i/' :"(; Solid Casing: (= 90% x (Ground EIev.-Water Level Elev»
i ;"::':':
whichever is less.) -
Grouting method: o Positive
Displacement
X Other
Annular space between hole and casing (1.S" for positive displacement, 3" for other methods):
:.' .~.',; i r-----. H
Total Length: 8S ft.
Nominal Diameter: 6 in.
Wall Thickness: S40 in. _3_ in. ii. ~.~~ ,f:· " f~~~;'
Bottom E~tion: -0- ft., msl*
!-.:,.: Total Depth
~feet. "'R-o-c-k -or-G-r-ave-I-p-a-ck-in-g-: --, i :~~, Open Casing: • Perforated C Screen
---.2Q... ft. Total Length: ____ ::t..S ______ ft.
Material: Nominal Diameter: ___ ..l:6~ _________ in.
x Crushed Basalt
o Rounded Gravel
t· !
Wall Thickness: ___ -'S""4:!:'O!!-____ in.
·1 ( Bottom Elevation: -S ft" msl* L-______________ ~ I
! ... E-s-tim-ated-W-at-er-L-e-ve-I---. .L Elevation:
note: Neither bentonite nor mud should be used in saturated zone during drilling
Open Hole:
Est.2" ft. msl*
I ! I
Length: _--'"N.=;~_'_ _____ ft. Diameter: ___________ in.
'----' ... ___ .. ..1
* The approximate elevation must be referenced to mean sea level (msI) at the time of application filing. Final elevations of well components shall be submitted in the Well CompletionlWeII Abandonment reports and referenced to a benchmark which has been established by a surveyor licensed by the State.
Bottom Elevation:
For non-salt water Basal Wells - bottom elevation of well should not be deeper than 114 of aquifer thickness or, Bottom Elevation of Well Umit = (Water Elevation - ) Example: Estimated + 2 ft. Water Level Elev. Bottom Elevation of Well Umit = (2 - ) = -18.5 ft.
Solid Casing Material:
ft" msl*
Carbon steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A139 And compliant with (check one or more): OASTM A242 (or A6(6) o Type E o Type S o Grade B oOther
Stainless Steel: (check one): 0 ASTM M09 (production wells) 0 ASTM A312 (monitor wells) ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) 0 ScheduJe 40 0 ScheduJe 80 PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): • Schedule 40 0 Schedule 80 0 Schedule 120 Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996
o Centrifugally Cast Resin Pipe conforming to ASTM 02997 o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517 o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950 o PTFE Fluorocarbon Tubing conforming to ASTM 03296 o FEP Fluorocarbon Tubing conforming to ASTM 03296
Open Casing Material: Carbon steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A 139
And compliant with (check one or more): 0 ASTM A242 (or A6(6) 0 Type E 0 Type S 0 Grade B 0 Other Stainless Steel: (check one): 0 ASTM A409 (production wells) 0 ASTM A312 (monitor wells) ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 0 Schedule 80 PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): • Schedule 40 0 Schedule 80 0 Schedule 120 Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996
o Centrifugally Cast Resin Pipe conforming to ASTM 02997 o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517 o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950 o PTFE Fluorocarbon Tubing conforming to ASTM 0329 D FEP Fluorocarbon Tubing conforming to ASTM 03296
WCPI App. Form 10/05/04
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