MEMO and RO UTE 'ill P Q I WCR 1 Check for Well No. and RO UTE 'ill P (ver. 07/21/09) Q 07/21/09 I WCR 1 Check for Well No. 7345-06 (regulation/survey route) 2. ... forms provided

MEMO and RO UTE 'ill P (ver. 07/21/09) Q 07/21/09

I WCR 1 Check for Well No. 7345-06 (regulation/survey route)

2. Well Log Check Geology Code for Well IndeX~~Fm Name: fo[~/tI.. !lIt5D. Englandi2£=(initial)

3. Pump Tests Check Diane England ~ (initial)

Step-Drawdown Test:

Constant Rate Test:

followed WCPI Stds analysis attached


Potential Well Interference:

Potential Stream Impacts:

Additional Testing or Data Required:

Pump Test Comments Attached:

Proposed Pump Capacity is OK.:

Yes No

0 0 0 0

0 0 0 0

0 .,.e("

)If 0

0 ~ 0 J2f /0

~pm no test required

Lo test required

4. Construction Check Mitch Ohye \~ r (initial) \ Yes, No

R. Torres ~nitial) If no, describe deficiency r\1

data complete A 0 followed Special Cond & elevations ~/ 0 well database updated J2J 0 location change significant? 0 0

(SMA, CD, TMK) Latitude Longitude

NAD27 N \~ A ~> I

NAD83 t C, \, "~ 0." 'I .1

5. Cha€Y/Ry~ (initial) take action based on above analysis ~ ~VV\) ~ / ~ U~5E-~ rfo(M...5

ATTACHMENTS FOR PUMP INSTALLATION PERMIT (2x): ~ not necessary - only WCP or BOTH; 1 COVER LETTER =t= } ~ 2 COUNTY COMMENTS (DWS/SMA) 3 DOH COMMENTS To be sent to driller/pump installer ,v,, :,' l1L 4 DLNR COMMENTS (LD/OCCUDHP) ~-Y' 5 WCR 1 Accept ./ -1 00 o0l-\.') ~ 6 WELL CONST. COMPLETION CERTIFICATE <------ To Landowner S -'7 6~

} Staff internal checks cJ\<..vs

6. Roy (initial) check (Entered WCR 1IWCCC accept date into database) 7. Susan Hoagbin (initial) finalize 8. Ken (initial) signature 9. Mitch (initial) Entered PIP issue date if attached/required 10. Charl(ilRyarl) File

. 4

LINDA LINGLE GOvERNOR OF HAWAII

Mr. Rod Diamond

o Q

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

September 11, 2009

Diamond Construction and Water Well Drilling HCR #3 Box 14073 Keeau, HI 96749

Dear Mr. Diamond:

Well Completion Report Parts I & II for Well No. 7345-06

LAURA H. THIELEN CHAIRPERSON

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

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

KEN C. KAWAHARA, PE. DEPUTY DIRECTOR

We received your Wpll Completion Report Parts I & II for the Vipassana Well (Well No. 7345-06) on July 14, 2009 and acknowledge that they are complete.

This completes your obligation under the well construction and pump installation permits. Certificates of well construction and pump installation completion will be issued to the well operator/landowner and you will receive a copy. These certificates transfer responsibility of specific aspects of well usage and maintenance from you to the well operator/landowner.

If you have any questions, please contact Ryan Imata of the Commission staff at 587-0255 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai), extension 70255.

Sincerely,

RI:ss

c: Vipassana Hawaii

o o LINDA LINGLE LAURA H. THIELEN

GOVERNOR OF HAWAii CHAIRPERSON




September 11, 2009 /


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

7345-06.cwc

Mr. Jack Hoyt Vipassana Hawaii P.O. Box 551681 Kapaau, HI 96755

Dear Mr. Hoyt:

Certificate of Well Construction Completion for Well No. 7345-06 (TMK 5-3-007:043)

We are pleased to inform you that the Well Construction work permitted for the Vipassana Well (Well No. 7345-06) is complete and acceptable and welcome you as a new member to the community of well owners and ground water 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-l68-l2(f), HAR, prior to any well sealing or plugging work.

4. In the event that the well operator and/or landowner changes, the Commission shaH be notified prior to the change.

5. In the event the benchmark in the concrete base of the weH is altered in any way, an updated version of the Well Elevation page of the Well Completion Report Part I shall be submItted to the Commission. If a licensed surveyor had estimated the original benchmark elevation then a licensed surveyor must establish the new benchmark elevation. The WeB Elevation portion of the Well Completion Report Part I can be obtained by contacting Commission staff or at our website at www.hawaii.gov/dlnr/cwrmlresources~ermits.htm.

Because ground water 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 Admimstrative Rules may be subject to fines of up to $5,000 per 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 Ryan Imata of the Commission staffat 587-0255 or toll-free at 974-4000 (Hawaii), extension 70255.

RI:ss

c: Hawaii Department of Water Supply Diamond Construction and Water Well Drilling

t t 11 Q I 1"#4 t

/

o o LINDA LINGLE

GOVERNOR OF HAWAII LAURA H. THIELEN

CHAIRPERSON


CHIYOME l. FUKINO, M.D.

/

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

Mr. Jack Hoyt Vipassana Hawaii P.O. Box 551681 Kapaau, HI 96755

Dear Mr. Hoyt:




September 11, 2009 /

Certificate of Pump Installation Completion for Vipassana Well Well No. 7345-06 (TMK 5-3-007:043)


7345-06.cpi

We are pleased to inform you that the Pump Installation work permitted for the Vipassana Well (Well No. 7345-06) is complete and acceptable and welcome you as a new member to the community of well owners and ground water 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), HAR, 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 prior to the change.

4. In the event the benchmark in the concrete base of the well is altered in any way, an updated version of the Well Elevation page ofthe Well Completion Report Part I shall be submitted to the Commission. If a licensed surveyor had estimated the original benchmark elevation then a licensed surveyor must establish the new benchmark elevation. The Well Elevation portion of the Well Completion Report Part I can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrmlforms.htm.

l\m-. Jack Hoyt Page 2

o o September 11, 2009

5 . Your approved pump has a capacity of 27 gpm at a head of 256.6 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.

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. Blank water use report forms are also available at www. hawaii. gov/ dlm/ cwrmlresources --IJermits.htm

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 ground water 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 per 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 Ryan Imata of the Commission staff at 587-0255 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai).

Sincerely,

ARA,P.E.

RI:ss Encl: Water Use Report Forms

c: Hawaii Department of Water Supply Diamond Construction and Water Well Drilling

______________ NIB ______________________ _

o o Well Check Program 4/1/04 - Revised for update to Well Standards (February 2004)

Data Input

Well Number 7345-06 Well Name Vipassaoa Ground Elevation 262 Cement Grout 204 Grouting Method other Hole Diameter 8.5 Total Depth 291 Water Level 5.4 Depth to water 256.6 Public Water Supply Well? no Solid Casing Material 'pvc plaStic plastic Solid Casing Specification ScheduJe40 Solid Casing Length 256.6 Solid Casing Diameter 4.5 Solid Casing Wall Thickness 0.000 Open Casing Length 34A

Results

State of Haiii 0 For Official Use Only: RECEIVED

COMMISSION ON WATER RESOURCE MANAGEMENT COMMISSION ON WATER Department of Land and Natural Resources ESOURCE t·1t.J'4AGEMEN

WELL COMPLETION REPORT - PART I ... JUL II. AM. Ins'" Well Construction .. IV .

~~~~~~--~~~~~----~--~--~~--~~~~~--~~~~~~~~ / Instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the Commission 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 assistance, please consuH the Hawaii Well Construction and Pump Installation Standards or call the Regulation Branch at 587-0225. For updates to this form or additional information, please visit our website at hUD·//www.state.hi.usldlnrlcwrm!

1. State Well No.: 7345-06 Well Name: Vipassana Hawaii 2. Address: PO Box 551681, Kapaau, ill 96755 Tax Map Key:

3. Drilling Company: Diamond Drillin and Pum

4.

5.

Drilling method used during construction: -+ Rotary Date Well Construction (drilled, cased, grouted) completed: __ .,..,..6~-~4,....-0~9 ___ Fill out attached Driller's Log

MonthIDaylY_ In addition to the driller's log, if a geologic log was prepared, please submit with this form.

6. Was the subject well cored? DYes. No

7. Step-Drawdown Test completed? • No DYes Attach Step-Drawdown Test Form (12117197 SDPTD Form)

• No D Yes Attach Constant Rate Aquifer Test Form (12117/97 CRPTD Form)

?

8. Constant Rate Aquifer Test completed?

Water Level Data: Reference Point Depth to Water Level Date !Time of

9. 10.

11. 12. 13. 14.

15. 16.

Elevation Water (ft.) ft. above msl Measurement

Initial encountered during drilling (this should also be filled in on the driller's log)

Just prior to casing installation After caSing installation (this information should be before any pump tests are performed with casing installed)

Chloride: 45 ppm. Temperature: 69 *F

As-built section filled in completely

Ground= ft.msl

Ground= 262 ft.msl If this reference point is not the benchmark,

the difference between the benchmark and this

point is: 4 in.

= 256.6

256.6

Attach photograph of well and concrete pad showing benchmark on concrete pad. GPS coordinates provided in degrees, minutes, seconds

5.4 5-28-09 am

5.4 5-28-09 am

If a pump is not planned to be installed, please describe (below in the remarks section) how well is secured to prevent unauthorized access (example: lockable cover, threaded coupling, etc.) Remarks:

Licensed Driller Rod Diamond C-57 Lic. No. Be 23379 ----------------------------------------- --------------------

Signature ___ --"-~ __ ~ __ IL_~ __ ' _____ _ 7-10-09 Date: ==----=--==-=----WCR1 Form 6112107 Page 1 of 5

o o

,,1 1-/' , '('I" 1;· ... i , I ~ '. 1 v· ! C

c o 13. AS-BUILT WELL SECTION (Plea. attach aHJuiIt if different from diagram provided below)

Elevation at top of casing 263 ft. msI*,..-L- . . (to nearest 0.01 ft.) --' l ___ ---Ic.- MinimumofZRadius&4"ThickConcretePad

1.:.-"51 '"7~ r Ground Elevation: 262 ft .• msI Bench mark

Hole Diameter: 8.5 in

elevation: I'"~\ -to.· 11m>' 11-' ".0' ..

Please refer to the . .. •.. 262.4 ft .• msr _20! ~-: . '. tlAwM BY: CONSTRUCTION M:t12 Cement Grout ft. ::1-" :. ~.

(Survey to nearest (nin. 70% of distance from ; .. ::. .. :.: P'-!Me Itt§TALLAllON §IAltDARDS 0.01 ft.) ground elevation to top of X

:-: ;. i to ensure that your as-buiIt is in compIianoe water surface or 500 ft.. i.:~:' iii with applicable standards. whichever is less.)

... ---. :'.:: . :.::.: 1 ;.-: . ' . ~ . : .. ~. :.!'o ... Solid casing: (~ 90% x (Ground EIev.-Water Level EIev»

Grouting method: Annular space between .~'.: ~:.: i hole and casing (1.5" for .:" .:s-0 Length: 256.6 ft. o Positive ~

: :~: positive displacement, 3" ,_.4: I 4.5 inches displacement for other methods): :.':= ,':: . > Nominal Diameter. in.

/ :.4°, .5! X Other 2 . '. ;'.: w WaI Thickness: Schedule 40 in . in. I---' :. ~. :: '::' "a --- ;; c

Bottom Elevation: -O- ft .• msI 4. " ::l

- c--

~ ~

Rock or Gravel Packing: ~ x

Total Depth 87 ft. r---, ~

291 0 Open Casing: o Perforated o Saeen ft. Material:

I CJ)

/IJ

34.4 X Crushed Basalt Length: ft. o Rounded Gravel V Nominal Diameter: 4.5 jnches in.

" Wall Thickness: Schedule 40 in. Water Level Elevation: -5.4 ft. msI* Bottom Elevation: -3~A: ft .• msl

- - . III - .-

L ___________ : Open Hole:

Length: NLA ft.

Diameter: in. -'-- ----~ Bottom Elevation: ft.. msl

= "msI mean sea level

Solid Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWNA 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) 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 AWNA 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 ANSIIAWNA 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 A400 (production wells) 0 ASTM A312 (monitor wells)

ABS Plastic confonning 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 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 AWNA C950 o PTFE Fluorocarbon Tubing conforming to ASTM 03296 o FEP Fluorocarbon Tubing conforming to ASTM 03296

WCR1 Form 1fY18104 Page 2 of 5

o o

WELL NUMBER: 7345-06

Depths (ft.) s

0 to 5

5 to 65

65 to 155

155 to 166

166 to 170

170 to 195

195 to 200

200 to 215

215 to 255

255 to 285

285 to 291

to

to

to

to

to

to

Remarks:

o DRILLER'S LOG o

Rock Description, Water Level, Chlorides PPM

Soil

Soft Basalt with Clay

Basalt

Hard Basalt

Red Ash

Hard Basalt

Red Ash mixed with Basalt

Hard Basalt

Basalt

Basalt mixed with Clay Basalt mixed with Red Ash, Water @ 256.6 ft., Chlorides 45 PPM

Dates

5-27-09

"

"

"

5-27-09

5-27-09

5-28-09

"

"

"

5-28-09

WCR1 Form 10118104 Page 3 of 5

o

-

Latitude: N 20 degrees 13 min. 37 sec.

Longitude: W 155 degrees 45 min. 58 sec.

-

No Dwelling

20 ft. from Pratt Rd. & 350 ft. property line

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

WCR1 Form 10118104 Page 4 0'5

· . Well Elevation

Site Photo

Benchmark Elevation 262.4

I certity that the elevation shown above: 1) Was done in accordance with acceptable surveying practices 2) Is accurate to the nearest 0.01 ft. 3) Is referenced to mean sea level

Surveyor License No. Date

WCR1 Form 10118104 Page 5 of 5

o o WELL CONSTRUCTION PERMIT

Vipassana Well, Well No. 7345-06 , 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 l3-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the construction and testing of Vipassana Well (Well No. 7345-06) at TMK 5-3-007:043, Hawaii, 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.

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

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

The well construction permit shall be for construction and testing of the well only. The permittee shall coordinate with the Chairperson and conduct a pumping test in accordance with the HWCPIS (the latest pump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrmlresources_permits.htm). The permittee shall submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump. No permanent pump may be installed until a pump installation permit is approved and issued by the Chairperson. No WIthdrawal of water shall be made for purposes other tlian testing without a Certificate of Pump Installation Completion. The permitted pump capacity described on the pump installation permit may be reduced in the event that the pump test does not support the capacity.

In basal ground water, the depth of the well may not exceed one-fourth (1/4) of the theoretical thickness (41 times initial head) of the basal ground water unless otherwise authorized by the Chairperson. If it can be shown that the well does not tap basal ground water then this condition may be waived after consultation with and acceptance by Commission staff. However, in no instance can the well be drilled deeper than one-half (1/2) of the theoretical thickness without Commission approval.

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/resources-permits.htm for current form).

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

The well construction permit application and, if relevant, any related staff submittal approved by the Commission are incorporated into this permit by reference.

If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

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 proferly capped. If the well is to be abandoned during the course of the project then the permittee must apply for a well abandonment permit in accordance with § 3-168-12(f), HAR, prior to any well sealing or plugging work.

15. The permittee, its successors, and assigns shall indenmifY, 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 agen~der this permit or relating to or connected WIth the granting of this permit. • ,."n

16. 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 wel&s~ump installation permit m accordance with §13-168-12(f), HAR. l= C~

:;0-

17. Special conditions in the attached cover transmittal letter are incorporated herein by reference. . g ~~ I ~ :t:0fl1 'A~ »X<.

Date of Approval: March 27, 2009 ru;LAU H. THIEL ,Chairper. E;~O Expiration Date: March 27, 2011 -rv Commi sion on Wa r Resource .ag~t I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a p"qu~nd underlying condition of my ability to proceed and understand that I shall not commence work until I have signed, dated, and returmd 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: ff/?-- .£;l' C-57 License #: BC-23379 Date: 01/'f/~1 ~ Diamond Consttuction

Printed Name: Rod Diamond Firm or Title: and Water Well Drilling

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

Attachment

c o

MEMO and ROUTE i,P (ver.7/1412009) o

07/21/09

WCR 2 Check for Well No. 7345-06 (survey to regulation memo)

1. (initial)

2. Pum Tests Check s ecial condition of PIP? Yes 0 D. England ~~nitial)

Step-Drawdown Test:


Aquifer Pump Test:

o o

followed WCPI Stds 0 T & S analysis attached 0

Potential Well Interference: Potential Stream Impacts:

Additional Testing or Data Required:

Pump Test Comments Attached:

Proposed Pump Capacity is OK.:

\ r:-/

o o

If no, describe deficiency

£0 gpm no test required

~ ~ gpm no ... t requ;red

stream names:

,) 3. Pump Installation Check Mitch Ohye ---:-:--_-:-. (initial) R. Torres ~(initial)

Yes No If no, describe deficiency

data complete followed Special Cond & Elev.

well database updated

I /0 Pi .~/

o o o

(

4. CharlG ____ (initial) take action based on above analysis

ATIACHMENTS FOR ACCEPTANCE: 1WCR2 ACCEPTANCE LEITER

2PUMP INST. COMPLETION CERTIFICATE

3METER INSTALL. REPORT (IF NECCESSSRy) __ _

4WUR FOR~Mlif neCElssalry)

=r To be sent to driller

J To be sent to landowner/operator

} Staff internal checks

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

6. Susan Hoagbin (initial) finalize

7. Ken (initial) signature

8. Faith Ching (initial) enter into WUR database

9. Charl<2[Rya~ File

State of Ha9aii 0 COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources WELL COMPLETION REPORT - PART II Pum Installation

Instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the Commission 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 assistance, please consuH the Hawaii Well Construction and Pump Installation Standards or call the Regulation Branch at 587-0225. For updates to this form or additional information, please visit our website at http://www.state.hi.us!dlnrlcwrml

1. State Well No.: 7345-06 Well Name: Vi assana

2. Address: PO Box 551681, Kapaau, HI 96755 Tax Map Key:

3. Pump Installation Company:

4. Date Pump Installed: 6-3-09 Month lday/year

5. PERMANENT PUMP INFORMATION

Pump Type, Make, Serial No.: SUB / GOULDS / 18GS30

Rated Capacity: 27 gpm at head of:

Motor Type, H.P., Voltage, rpm:

Pump type (check one):

o Deep Well Turbine o Rotary o Propeller

X Submersible o Rotary-Displacement o Reciprocating

o Centrifugal o Rotary-Gear o Impulse

6. Method of flow measurement: X Flowmeter Manufacturer Master Model no. PT92194

For Official Use Only: RECEIVED

RCEoSMOMrSSlON ON WATER URCE MANAGEME

,. JUI. I .. AHD ft

//'

Island: Hawaii

5-3-007-043

256.6 ft.

Size % in. o Weir o Open Pipe o Orifice* o Other*, explain below

7.

8.

9.

lO.

11.

*attach schematic

FiJI in the as-built section on the other side of this sheet.

Attach the rating curve for the installed pump.

Attach photograph of well clearly showing the benchmark on the concrete pad, the well head, and the method of flow measurement.

Well Owner: VIPASSANA HA WAIl Jack Hoyt, Executive Director PO Box 551681 Kapaau, HI 96755 808-889-0349 Land Owner: Same

Pump Installation Contractor (print) Rod Diamond

Signature

C-57/C-57a/A Lic. No. Be 23379

Date 7-10-09 WCR2 Form 2123105 Page 1 of 2

c o

7. AS-BUILT pQ SECTION (Ple~S8 attach ~S-built if different rroggtam provided below)

Bench mark elevation ~'t'l.,yed to nearest 0.01 ft. = ~-: __ ·_ft. mean sea level

Elevation of top of chase tube NI A ft. mean sea level

•

----------------,----

____________ L-_

Pump intake depth = 284 ft. (referenced to bench mark)

Chase tube depth = NI A ft. (referenced to bench mark)

If airline installed, bottom of air1ine elevation = NI A ft. mean sea level

- 0<) , '!" -1

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o o

.. O:UMP INSTALLATION PERMITO

Vipassana Well, Well No. 7345-06 Note: This permit shall be prominently displayed at the site until the work is completed

, In accordance with Department of Land and NatUral Resources, Commission on Water Resource Management's Administrative Rules, Section 13-168, entitled "Water Use, Wells, and Stream Diversion Works", this document permits the pump installation for Vipassana Well (Well No. 7345-06) at TMK 5-3-007:043, Hawaii, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

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

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

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

4. The pump instaHation permit shall be for installation of a 50 gpm rated capacity, or less, pump in the well. This permanent capacity may be reduced in the event that the pump test data does not support the capacity.

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

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

7. Well Completion Report Part II shall be submitted to the Chairperson within sixty (60) days after completion of work (please contact staff or visit www.hawaii.gov/dInr/cwrm/resources _permits.htm for current form).

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

9. The pump installation permit application and, if relevant, any related staff submittal approved by the Commission are incorporated into this permit by reference.

10. If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

11. Any variances from the HWCPIS shall be approved by the Chairperson prior to invoking the variance.

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

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

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

Date of Approval: Expiration Date:

March 27, 2009 March 27, 2011

L EN, Chairperson

ater 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 p~r day starting from the permit date of approval.

Installers Signature: ;i22.~L /C-57. C-57a. or A License #: BC-23379 Date: \5 ll4 10 1 Diamond Construction and

Printed Name: Rod Diamond Firm or Title: Water Well Drilling


Attachments

CQIISSION ON WATER RESOURCE MANAGEMEN.Q ROUTE SLIP FOR PERMIT ISSUANCE 6125108

FROM: RYAN DATE: 3/5/09

CHENG, C. CHING, F. CHONG,R. DANBARA, S. ENGLAND, D.

--FUJII, N. *' -1-HARDY, R.

2 HOAGBIN, S. ICE,C.

--IMATA,R. -3-KAWAHARA, K.==

WELL NUMBER 7345-06

application type BOTH

4

KIMURA, J. KUNIMURA, I. LEROUX, E. MILLS, D. OHYE, L. OHYE, M. SAKODA, E. SWANSON, S. UYENO, D. YODA,K. YOSHINAGA, M.

WELL NAME

1 WCP COVER LETTER V 2WCP ~ 3 WELL CHECK PRINTOUT ~

proposed well section issues?

4 PIP COVER LETTER 5 PIP

COMMENTS: 6 SDWB 7 WWB

CWB lD HP

d.7 rec'd

SUSPENSE DATE:

Approval -3-Signature

4 Information

Vipassana

issues?

8 9

,10 11 12 13 14

lUC not in CD X OCCl not in CD ~X~----------------

SMA not in SMA X ~\~~ ~C7~--------------------------------------

NOTES: DRILLER

TMK

phone fax cell

PUMP CAPACITY WELL OWNER LANDOWNER COMMENT DEADLINE

Rod Diamond Diamond Construction and Water Well Drilling 23379 HCR#3 Box 14073 Keeau 966-4129 966-4129 987-8100

5-3-007:043 50

HI

Vipassana Hawaii Vipassana Hawaii

~9 "3 ('L--1

96749

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft

-2-Type Final File Xerox copies

if checked, send to applicant

... \.

LINDA LINGLE GOVERNOR OF HAWAII

Mr. Rod Diamond

o o




April 1, 2009

Diamond Construction and Water Well Drilling HCR#3 Box 14073 Keeau, HI 96749

Dear Mr. Diamond:

Pump Installation Permit Vipassana Well (Well No. 7345-06)


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, JD.


Ref 7345-06.pip.doc

Enclosed are two (2) originals of your approved Pump Installation Permit for the captioned well(s) that authorize permanent pump installation work for your well(s). As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 14:

Special Conditions

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

2. Attached for your information are copies of the Department of Health's (DOH) review comments. Please note DOH's requirements related to discharge of effluent from well drilling and testing activities. Also, please contact the Noise Radiation and Indoor Air Quality Branch at 586-4700 to check compliance with construction noise permit requirements for this project.

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

Please sign both permit originals and return one copy to the Commission office for our files.

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

If you have any questions, please call Ryan Imata of the Commission staffat 587-0255.

'.JI~L S~jn7:Jt!-iJv LA RA H. THIE -t Ch irperson

Enclosure

c: Vipassana Hawaii (with applicable comments - DOH SDWB, WWB, CWB) USGS HawaiiDWS

_11_ t

-OPUMP INSTALLATION PERMnO

Vipassana Well. Well No. 7345-06 Note: This permit shall he prominently displayed at the site until tI,e 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 Vipassana WeIl (Well No. 7345-06) at TMK 5-3-007:043, Hawaii, subject to the Hawaii Well Construction & Pump InstaIlation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

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

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

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

4. The pump installation permit shall be for installation of a 50 gpm rated capacity, or less, pump in the well. This permanent capacity may be reduced in the event that the pump test data does not support the capacity.

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

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

7. Well Completion Report Part II shall be submitted to the Chairperson within sixty (60) days after completion of work (please contact staff or visit www.hawaii.gov/dlnr/cwrm/resources -permits.htm for current form).

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

9. The pump installation permit application and, if relevant, any related staff submittal approved by the Commission are incorporated into this permit by reference.

10. If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

11. Any variances from the HWCPIS shall be approved by the Chairperson prior to invoking the variance.

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

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

14.

Date of Approval: Expiration Date:

March 27, 2009 March 27, 2011

, Chairperson 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.

InstaIler's Signature:

Printed Name: Rod Diamond

C-57, C-57a, or A License #: BC-23379 Date:

Diamond Construction and Firm or Title: Water Well Drilling


Attachments

/


Mr, Rod Diamond

o o




April 1, 2009

Diamond Construction and Water Well Drilling HCR#3 Box 14073 Keeau, HI 96749

Dear Mr. Diamond:

Well Construction Permit Vipassana Well (Well No. 7345-06)






Ref: 7345-06.wcp

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 17:

Special Conditions

1. Attached for your information are copies of the Department of Health's (DOH) review comments. Please note DOH's requirements related to discharge of emuent from well drilling and testing activities. Also, please contact the Noise Radiation and Indoor Air Quality Branch at 586-4700 to check compliance with construction noise permit requirements for this project.

2. The annular space shall be grouted in lifts. Otherwise the maximum well depth for PVC is 200'.

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

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

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

IMPORTANT - Drilling work shall not commence until a fully signed permit is returned to the Commission. The permit shall be prominently displayed or made available at the construction site during construction. Be advised that you may be subject to fines of up to $5,000 per day for any violations of your permit conditions starting from the permit approval date.

If you have any questions, please call Ryan Imata of the Commission staff at 587-0255 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai), extension 70255.

Sincerely,

12r~~J(~JT~~1~~son r1IE

Enclosures

c: Vipassana Hawaii (with applicable comments - DOH SDWB, WWB, CWB) USGS HawaiiDWS

/'

o o WELL CONSTRUCTION PERMIT

Vipassana Well, Well No. 7345-06 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 Vipassana Well (Well No. 7345-06) at TMK. 5-3-007:043, Hawaii, 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.

16.

17.

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

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

The well construction permit shall be for construction and testing of the well only. The permittee shall coordinate with the Chairperson and conduct apumping test in accordance with the HWCPIS (the latest pump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrmlresources-permits.htm). The permittee shall submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump. No permanent pump may be installed until a pump installation permit is approved and issued by the Chairperson. No withdrawal of water shall be made for purposes other than testing without a Certificate of Pump Installation Completion. The permitted pump capacity described on the pump installation permit may be reduced in the event that the pump test does not support the capacity.

In basal ground water, the depth of the well may not exceed one-fourth (1/4) of the theoretical thickness (41 times initial head) of the basal ground water unless otherwise authorized by the Chairperson. If it can be shown that the well does not tap basal ground water then this condition may be waived after consultation with and acceptance by Commission staff. However, in no instance can the well be drilled deeper than one-half (112) of the theoretical thickness without Commission approval.

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

In the event that historically significant remains such as artifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee shall stop work and immediately contact the Department of Land and Natural Resources' State Historic Preservation DiVision. Work may recommence only after written concurrence by the State Histonc Preservation Division.

The 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/resources -permits.htm for current form).

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

The well construction permit application and, if relevant, any related staff submittal approved by the Commission are incorporated into this permit by reference.

If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

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 proferly 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(1), HAR, prior to any well sealing or plugging work.

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

This permit shall apply to the location shown on the application only. If the well is to be relocated, the permittee shall apply for a new well construction/pump installation permit m accordance with § 13-168-12(1), HAR.

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

~aL--Date of Approval: March 27, 2009 Expiration Date: March 27, 2011 ~~m 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 tines of up to $5,000 per day starting from the permit date of approval.

/

Driller's Signature: C-S7 License #: BC-23379 Date: ______ _

Printed Name: Rod Diamond Diamond Construction

Firm or Title: and Water Well Drilling


Attachment

o o Well Check Program 4/1/0.4 - Revised for update to Well Standards (February 20.0.4)

Data Input

Well Number 7345-0.6 Well Name Vipassana Ground Elevation 275 Cement Grout 20.7 Grouting Method ipositive displacement Hole Diameter 8 Total Depth 295 Water Level 6 Depth to water 269 Public Water Supply Well? no Solid Casing Material pvc plastic plastic Solid Casing Specification Schedule 40. Solid Casing Length 275 Solid Casing Diameter 4.5 Solid Casing Wall Thickness 0..0.0.0 Open Casing Length 20.

Results

Well Depth Theoretical Thickness of Aquifer 246 1/4 Aquifer Thickness 61.5

. DepttfdfWell.belolN 'Se~ Level '.'.'" '"

.. ,:.", ~20, "okay", "Y : c:7 "7 SeCtion 2.2 Well Casing

Minimum Wall Thickness Material pvc plastic

Minimum Thickness per standards no requirement Wall' Thickness ProvideC/.

, """: ,.",>'0. no, standard Section2.4(b) Minimum Length of Solid Casing

90.% of ground to top of aquifer 242.1 :,,,;..Lengfh,of/soliC/. casing Proyided ':< .. " " ... i~".": ,,;A,: ... :;, ":~":27::5 OkaY~i" ,;'" ,,< Section 2.4(c)

'QasiiifiMalerial ScfiediJre".i40 i '" i: /';"'''':'' :,: .Wi:;!::"",~:'~ in;~om'pliance, - Section 2.4(d) l{fof:.pV:i:;only:~check (0('20.0.' limit) ''',fA' .:;::,:,/,":';H",>i"I,I:1;'I:,,: .. ', too deeiHor plastic U Section 2.4(d) Annular Space

Depth of Grouting Calculated Depth of Grouting 188.3

;"~DepthOfGroutirig provided '::, : " " ,20.7:: Okay Section 2.6(c)

Minimum Annular Space required 1.5 Thicki1es~ofAnniJlarSpace ,., , , ",,,,,::::r .,';", :',::,' '::1':7S okay"" .. '. Section 2.6(d)

-------,------------------------------------

~AR-25L2009 12: 18 From:DOWSAFE ~,0:r,ER BRANH 8085864351 To:808 587 0219 P.3'16

kd. UV::D -----"., l:. Uh:~ • ...ii·~G Y:/flLR BRANCH

LINDA LINGLE G~~I'Ir:rK..,.v6.l'

MAR , ,. ".r-.. C t.'Ar.;

STATE OF HAWAII DEPARTMENT o~ LAND AND NAtURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT PO BOXB21

t10NOlUlU. HAW""1 <;l6SW

February 26, 2009

~e:R£DJ"H J CHING JAM!;S A Ff{AZIER NEAt. S FUJIWARA

CIiIYOME L I'UiC;INO. M 0 DONNA F"y K. K1YOSAKI. P&' ~"WRENCE H MIlKE. M. D . JD

",eN c t<AWAMARA.. P E :1i.ruTY DUtriC.TQA

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

Tomas See, Chief, Wastewater Branch '-Stuart Yamada, Cbief, Safe Drinking Wa.ter Branch Alec Wong, Chief, Clean Water Branch

FROM: a;./taura H. Thielen, Chairperson ~t...-----Dr. KeitlJ Kawaoka, Office ofHazaTd EV!l,uatifO d Emfrgency Response

,- Commissjon on Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Ap lication Vipassana Well (Well No. 7345-06)

Transmitted for your review and cornmc::nt is a copy of the captioned Well Construction/Pump lnstallation pennit 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 retllmin this coyer memo fo .. m bv March 27 2 09. lfwe do not receive comments or a request for additional review time by t is date, we will aSSume: that you have no comments.

Please find the attached maps to locate the proposed well. If you nave any questions about this permit application, request additional information, Or rc:;que:st additional review time, please contact Ryan Imata of the Commission staffat 587-0255.

RJ:ss Attachment( s)

RESPONSE:

[ I

I J

[ I

r J

[ I

[ I [ J

r J

ThIS well q\JaJifi.~ as a ""u,e. wh.c" will ,orv. IS a source of porabk "'."', II> iI pooli, watel .yo ... m (defined as servin" 2~ or m.Ort> poop]. ~Il.as( 60 days pa y .... or h.o IS .,.. .n.,.... ,,,,,,i"" con".ctic>n8) and Mml rt>oc.ve PireaorofHoalth "I'prOVodJ!!.i!I!:10 ,I. \lSe to comply ""1" HilW"i Adrninlstr.\lvo "'ule. (HARJ. Tid. I J. Cha'(~r 20, ""I"" R"I~ting to PaI.bI. Wl\t~r SySIeiDIi. }11-2~-29

Thi~ 'WII!'U does not qualify su ... $loureR .s~DJ 8 Pul?1i~ Water ~y~em (.ij.C'rv~f1 less t"h.a." 2S F'copk or more pC!opl~ at 1~15[ 50 day$ p=r yeatr Qr J 5 service co~neo:;1.on.) Qnd ,flh~ .... ell water is used for driilbn.s. ,~. pri,ale owner .hoal.:lleol for b3<l1.noloj!:Jco.l and ehemleaJ prcscnce bef_ j,,;\>.tong .uoh ••• M~ rO\l,lm~ly moonor the water quality the~aftcr How;vc:r, it' futute pbnned u.s. from tb,. >Ollrce mCrtUei In nle;t 111: public wal ... $~t<m defimtion t~n Di«ctOl" Dr Hc.lth approv.l i. requiro<l II!!!!!: to IIl1plemonto"Qn

If \tt~ "'ell IS u.td TO rupply borh POL1lbl~ an" Tl(m1lotabl~ purposa~ In • "ngle .y<lem, the "ser shaD ihm.lIUl~ "rQ~'_""' •• \'()'" ."tI ""cldU:ow cc)llnections by phY!Hcaily !(~par.tinJ potlhle and non-l'0t.bl. sysfems by~" ~" ~"" or an approved b""L,il~w ~vc~.", ...d by oI.",ly lAbe.I.nll all nonpotable SplgOlS willi ",arDms sigm to prevent lIladvcrtent COnSIIIIIPlion of Mo-potable wlter Bae!dlow l)I'eve])\iQI) ~lI1<)es shDuld hi! rOUllllcly Insp.cted and Icsred

I, <l~$ nol appear thai thiS weI) will be ,.sed fur .ons~r!)pIIVe pwpOlt~ OlId i. not ,ubJ.~' 10 Sari; Dnn~ .. ~ WilIer Re~13tionl

ror t"'~ :applicant's informanon, ~ .ourco of possible Wasl~w~l .. o\)nt~rnll\atJo" I Ji~ [ I i~ not localtd ne ... the propo.s~d "".11 "Ie (inforn'~T\Qn an3cOOd)

An NPDES Pl:llJlj1 " ~"In>d

Otha r~I.\'atd DOH rul.~,..gvl"'tions. infonna\1On. or lecolnm~ndatlOn, ore .l1achod

b the eVint thallhe locariorI of Ihl w.11 'han~c:s but iii SIIU witilln tbe p.utel d=nlxxl on thiS apphta\lon. our dt\'1!lUn <cnsld.~ til. oommeml to ",Ilk appl,cable, ... d w< do rIOr ased 10 review lb. ftow locat'on

NQ OOIlImentg:obJ""'lOn.

Contact Person: --J/I1:...:.u(-,-,CI."", ... f,fJ~UoI~:;.j· bl-,,--,/I;lUl.fo.!'~~i',..,LI+IJp..k~,--_

Signed: __ -----:;.,.,!k~::2::2.~:....:....:...,-?1/_=!J..:=....,~~~·---~ .... I ~ Phone;

Date:

S&-4:tSB 3!z,,/07

MRR-25-2009 12:17PM FRX:8085864351 ID:OLNR CWRM PRGE:003 R=94%

, ~.

~AR-2~-2009 12:18 From:DOH/SAFE ~T-ER BRANH 8085854351 To: 808,587 0219 P.4/16

CWRM Application Source: Vipassana Well (State Well No. 7345-06)

Safe Drinking Water Branch (SDWB) - Engineering Section

No comm@nt-irrigation well

SDWB - Underground Injection Control (Ule) Section

No comment

I1AR-25-2009 12: 17PM FAX: 8085864351 ID:DLNR CWRM PAGE:004 R=94%

, . Ma r-24~009 11: Cram

'-'\ From-DEPT OF HEAL~~NVIRON"ENTAL ~NGMT 8085864352 T-672 P.C12/021 F-616

~INDA ~INGLE CQ\I£MNOII 011' nAwA11

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAl- RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT po. BOX 621

tlONO~IJLU. tlAWAl4 g6809

February 26,2009

Mf.AfOITH J. CHING JAMESA FRAZIER NEAL S. FUJIWARA

CHIYOME ~. FUI<INO. M.D. ~ONNA FAY K KrvOSAKI. P ~.

LA'MU:NCE H. MilKE, M.D., J.P.

KeN C. KAWAHARA. P.E ~iPuJVI)IfijjC:TOR

TO: Honorable Chiyome L. Fukino. M.D.~ Director

Attention: Director's Office ( _. 2698 MAR 2 3~441.w Department of Health \

Tomas See, Chief, Wastewater Branch l)\ ~uart Yamada, Chief, Safe Drinking Water Branch Alec Wong, Chief, Clean Water Branch

FROM: a,,jtallra H. Thielen, Chairperson .......L------Dr. Keith Kawaoka, Office of Hazard Evaluatifn d Em,rgency Response

\"- Commission on Water Resource Management

SUBJECT: Well ConstructionlPump Installation Pennit Ap lication ViVassana Well (Well No. 7345-06)

Transmitted for your review and comment is a copy ofthe captioned Well Construction/Pump 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 deparnnent. Please respond i!I returnin this cover memo form b Marcb 17 2(109. If we do nOl receive comments or a request for a dmona review time by this date, we WI assume that you have no comments.

Please find the attached maps (0 locate the proposed welt If you have any questions about this permit application, request additional information, or request additional review time, please contact Ryan Imata of the CommiSSIon staff aT 587-0255.

RJ:ss Attachment(s)

RESPONSE; [ l

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Thii w~l qllabm~ as IliOur~ whim will_ a;; g 50\Ir~~ of potable W8tU ro a pub~c water !yoltln (dcfiIldd b s.niDj& 25 or more J)l:'tiple at leBst 60 days PC( year or ba. I j or morc .ClVio. cOllllcclions) and ..... t (OCOi"6 DiteCIOl' of H.alll. approv.ll!!i!!! 10 '1' "'"' I'l Q(>mply wlfh Hawaii Admln.8((.Iltiv<l Rl!lBs (HAR), Till. 11, Chap!8f 20. Rule, Ralalil'lt 10 Po!sb18 Waler Sy,,,,,,,,, ~ 11.20-29

Thii w~1I d~c~ not '1U11hfy a~ iI :5OUTQQ ~ne ~ public water ~yxcm (.erves ltSli man 25 people 01 lUore people 8t1fo8!r60 4ay~ P"f YOi\r Qf 15 &mig; connccrions) and If tIM: well WQtcr is \1Sed for drinkinJi. the privaTe owoor ... ",,101 Ie" COf b"".nullJili".1 ""d tb"DlI.",1 p .... no .. before initiating sucb us. sad routin~ly mOilitor Tilt water lJ.ui1Hy tbeream. However. if future plall~ u!ol< frol1lllll.\ "'QrCc. ill<lr.lIk'~ to m~C!1 th; public waler system deflJlitiOll Ulan p,r~~~ar o(l-tsalth approv::t.ll=-- nsqulI1m.l!.!!!!! \0 1mpJe:ql~nt~~IDn,

If the ",ell is used to supply both potable and lIoll-pOlable purpos~ io. ;. ~(;l~ Sy!Tbu, !h~ us., .... 11 "lulIin'" o", •• -o"nncootiorn; IlI\d b..ldlow CIltlI'lCloOlioll< I>y pllysicaUy '''p8talins p<llobl" and rloll-p<l .. ble ')ISI.m. by oon ~ir l!~P C< "" "I'Pf(>vc4 b.oktlow prevoDICf. and b~ "leul)' labehnll all nOnp<>1".bl .. ~ptgl)\5 wiTh wiUlIinl! '.gn.lo pnovonlln;O<!lIl)n,,1It poo>umptioD of non"i'<'1ablc water B,.cli:f1ow ptcvcauon device. should b8roulinoly i,,~pl!Q~d ilnd 1e~1e4.

It docs not appear lbllt rhis well will b; us~d for consumptive purposes alld is nOI ~ubJ~1 to Saf. OTinkill1! W~lOr R~!NI .. 1ion5.

For the applicant's infotmatiOil. a soutee of possibJ;, "'aSUswaref COntl.nliu"uon Iii. 11 i. R,It I"",,,(,.,j II/;Ii(f III<: pr<lpo,;ed _II ait; (ilifOIrnanoB &nacll..d)

Nl NPPl'!S p.rml1 ;. f'qqir.<t.

OdICt rcltvilll DOH rulesircgulations. Informatioa. Of (ccollUDcndaIions a,~ mached.

In Ihe ~v~nl !hall~lIloQ'lti"n of the Willi <hAil!"" 1>111 j~ 11111 wilhil\ ~ pO(Qcl d;~ibcd On ttois a~IJb~alion. OIlT t!ivl.ion "on,id",,> the oammonls 10 still be applicable. anll we dO 11<llullOd to I'"VII::W Ille ll<:W loeaho.l

( I N<:o comlilen!~!obj'Clioos

Contact Person: d Ot.U\WfL, L. Se+v Phone: Ze(p-~.:1Oe

Date: :!J·:1A.05

t"lAR-24-2009 10: 51AM FAX: 8085864352 ID:DLNR CWRM PAGE: 021 R=96%

,1' \

Ma r-24-!'dls 11: 02am From-DEPT OF HEALT~VIRONMENTAL MNGMT 8085864352 T-672 P.001/021 F-616 o FAX TRANSMITTAL

State of Hawaii Department of Health Environmental Management Division

Clean Water Branch - Engineeri1lg Section Phone Ro.: (808) 586-4309

Fax No.: (808) 686-4352

Fax to: ~ Ryan ~a!9' Mr. Charley Ice I Ms. Denise Mills Company: Commission an Water Resource Management

Department of Land and Natural Resources

Date: M.a,y(.~ * wo5 , . Fax. from: 10anna 1. Seto if

Fax No.: 587-0219 Total Pages, inci. cover: 2+ 1,,0

Subject: Well ConstructionlPump Installation Permit Application(s) Well No(s). 4655-01} 1toB"'-3q 5~ \O-O;L I ~5"e{p-3"G 1+66 -0 " '60Z. ... 0~j

1eoZ -i0.l The Department of Health, Clean Water Branch (CWB) has the following comments: 4000 - 0 'I 1.

t. ~:H~("~03 For WeJl-Drilling Activities ~ (06'"1-, ,

Any discharge to State waters of treated process wastewater effluent associated with well 1~4: ~ drilling activities is regulated by Hawaii Administrative Rules (HAR), Title lIt Chapter 55, "Z15S(P- ~= Appendix I, effeetive October 22, 2007. Treated process wastewater effluent covered by 4 ~5~ . z. this general pennit includes well drilling slurries~ lubricating fluids wastewater, and well :3,-,5~'" 0: purge wastewater. Tbisgeneral pennit does not cover well pump testing. The applicable S 'Z..oep-O Notice of Intent (NOI) Forms and filing fee shall be submitted at least 30 calendar days before the start of discharge to the: '7<061-'%

Department of Health Clean Water Branch 919 Ala MoanaBoulevard, Room 301 Honolulu, Hawaii 96814-4920

The CWB-NOI Fonns are available online at http://www·hawaii.govlhealthlenvironmentallwater/cleanwater/formslger1l-index.hnnl. Inquiries may be directed to the CWB at (808) 5864309 or by fax (808) 586-4352.

:;48 tP--o e 1~44-01

5'3~3-o\..ft ().t

(,pl"'~ -c~

2. For Well Pump Testing

The discharger shall take all measures necessary to prevent the discharge of pollutants from entering State waters. Such measures shall include, ifnecessary, containment of initial discharge until the discharge is essentially free of pollutants. If the discharge is entering a stream or river bed, best management practices shall be implemented to prevent the discharge from disturbing the clarity of me receiving water. If the discharge is entering a storm drain, the discharger must obtain written perniission from the owner of the storm drain prior to discharge. Furthennore, best management practices shall be implemented to prevent the discharge from collecting sediments and other pollutants prior to entering the storm drain. .

t'lAR-24-2009 10: 46AM FAX: 8085864352 ID:DLNR CWRM PAGE:010 R=100%

)

(.

o o

Mr. Ryan hnata / Mr. Charley Ice / Ms. Denise Mills Commission On Water Resource Management

FAX TRANSMITTAL PageZ

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

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

MAR-24-2009 10: 46AI1 FAX: 8085864352 ID:OLNR CWRM PAGE:010 R=100%

,-----------------------------------


TO:

o

STATE OF HAWAII DEPARTMENT OF LAND AND NATU~~9UFW,EsLAHD &

COMMISSION ON WATER RESOU'fttlff~n~~CES P.O. BOX 621 ST"'Tr:' "'f • .I AY/AII

HONOLULU, HAWAII 96809 /4. CU. ,1-\"

February 26,2009

Morris Atta, Administrator


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.


FROM:

SUBJECT:

Land Division r t~ Ken C. Kawahara, P .E., Deputy Director • Commission on Water Resource Management

Well ConstructionlPump Installation Permit Appl cation Vipassana Well (Well No. 7345-06) TMK 5-3-007:043

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 March 27, 2009. 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 Ryan Imata of the Commission staff at 587-0255.

Rl:ss Attachment(s)

RESPONSE: ~ ".' "') c.o

[ ] A water lease/permit is required of this applicant and an application for such will be requested b~ur division. . ::.~ :JJ

::;:J : 1

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[ ]

[ ]

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A water lease/permit is not required of this applicant. c:>

:;s.:o - tTl C) A water lease/permit has been obtained by the applicant through lease no. ____ .. ..:"'.,.'-'-;..r::."=-------=~-__1

(.:><

Other relevant Land Division rules/regulations, information, or recommendations ar~~hed. :-~"; . .,...:

No objections

CJ

c.n

Other comments: Original source of private title is grant 661 issued prior to Statehood.

Contact Person: Gary Martin Phone: 587-0421 ------------------

Signed:----'/~_4.. __ .... -_77'--~--=---=--I~-,"""-----I

Date: __ ' '-,-\ "' __ 8_2_00_9_

MGr.10.2009 1:~9PM DOHFR OFFlCE 208-536-7537 '-'

~ ....,;

~o. 1805 P. 11

lINOA LINGLE GCiYEfiNOR Of HAW lUI

LAURA H. THiElEN REC((VED tl'J.lN'£nOO"

TO:

OE PAR1 MEtH OF HEALTH ~~~~~'~H~~,~

rAIJ Q NEALS. FUJIWAAA

, . . ~ tit.. CHIYOME L. FUKlNO, IIIID ."'a. A ~O~NflA FAY K I<JYOSAKI. P:E. "" .. .. C&'REloiCE II. MilKE. M.D. J.D.

STATE OF HAWAII H£ER OFFICE WJ c, KAWAHARA. P.E.

C'EPUTYOJREt.TaTt

DEMRTMENT OF LAND AND NATURAL FU=SOlJRCeS COMMISSION ON WATER RESOURCE MANAGEMENT

P.O. 80)(821 HONOLULU, I1AWAfi 96809

February 26, 2009

Honorable Chiyome 1. Pukino, M.D., Director Department of Health Attention: Director's Office

TOmas See, Chief, Wastewater Branch tuart Yamada, Chief, Safe Drinking Water Branch lec Wong, Chief, Clean Water Branch

...JOr. Keith K,

(j

f~

FROM: a....rLaura H. Thielen, Chairperson WlA e. "JAIJM.')p..; \Y Commission on Water Resource Management

SUBJECT; Well Construction/Pump Installation Permit Ap61ication Vipassana Well (Well No. 7345-06)

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 for any conflicts or inconsistencies with the programs) plans, and objectives specific to your department. Please respond by returnill this cover memo form b March 27 2009. If we do not receive comments or a request for addition!!) review time by this date. We WI assume that you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional infonnation, or request additional review time, please contact Ryan Imata of the Commission staff at 587·0255.

RI:ss Attachment(s}

RESPONSE: r J

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Thi. well qu.,iiie, ••• ,,'.ree which will $f>r"iI~ ~8 asowCt; "tpul.bJ~ ",ller 10 a public waloor oyst.", (d.fined •• ,ervioo!liS or ",orejlo.ple 811 ... 160 ilityS per y~ar or hal 15 or mom servi .. connoctio".) ""0 mu.C 'octi". Dj .... ,.,.. <>f H •• lIh .pproYaI ~ ta il~ u, .. to ~omply with Hawaii Mministrilive Rul •• (MAR), TItl .. II, Chapter 20, Rule. lter_il2 to P<llable W$t.r SYSlems. §l 1-20-29.

ThiS well dge, not q1J8liJY a ... "JI""O •• rvin. a ,Public wal", 'Y'lem (SOI"\'e! l.,s thilll 2l p'Qpl. ~r more people. allea$1 6D daYB per yw Or IS 'orvioe connection.) al'ld !fth. w"Il waler i8 ue.d fCIT dr.ni<ing. Ihe prival. OW".r $hould IOJ! for bacC.rioluS",.1 aqd mcmieal pre.ence ~etor. inili.ting ,uch us. ilr\d ,u.tin.ly monitor tho water q~"liIY Ih~rellllcr. HOwev"T. iffutur~ plaMed U!I(s flim this $oor .. Incre8!lto to meel (ho publio wsta.y.I.Hi d.lIlliGon then Dir,ClCl( of Healtb 'ppm".) i. rcqui .... d l!!il!I: to im?iomenI8tion.

If Ihe well i, used 1.0 .u?ply both porable .nd non.poCabl. pllrpotos in a single s},slcll"" the \!.tor sllall eliminate (J"OS.-t<>NIeoliom and baclctlow O()nn>e:lionB by llhy.io~l[y 'ej>MlIling PQI8b)~ and Mn·potlblc ,yatem. by ~n oir ~p Qr an approvE>d b.cldJo\,y prevenl.r, and by clearly laboling &lIno)).potable Spigo15 wilh wamillg !ilfill. 10 prev.." inadverte., oon'\IrJ1pticn of non-potable w""', lhokflow prcvMtion deV10C~ fhould ~ rolllillely in"POI'tod anll tesled.

II does not app= lhat !his well will be usad ro/ cons"m?live pu.-pol.o .. d is rool subject (0 Safe O,in.l.:in& WQler Regulillioll'.

rOI Ihe applilll/U's inft:lJ"roacion. a IOUlce o[po~ible W~Blewater conlaMinarion Ilis II ia aDt ID~ted Mar Ih. proposed well .ile (iu!ormation attacbed).

All NPDES permit q. rOljuired.

OCherulavanl DOH rul~lregul8IiO"~, infomoliun. orreoomih""d'l~ons are ariaohed.

Sn Ihe even! that rtle locatiOn cfth. ",011 chango. bd i. "iU wilhin !he pEikeel dol",ib.d on thi! applica.tioo, Our division oor.siders Ih. oornmcntllD glill be applicable, .nd we do not ne.;d tu "'view the new IOC1llion.

K' No Ccl1lm ... lslobjcclion.

Contact Person: 10\: ... hQ...ro.. PuJrnoQ..[ Phone: S-g, -0 f S ::;

Signed:~~ Date: ;1 k I (J '1 ,-, 5~iO~ MRP-10-2009 03:01PM FRX:808 586 7537 ID:OLNP CWPM PRGE: 011 P=95%

LINDA LINGLE GOVERNOR OF HA WAll

o o LAURA H, THIELEN

CHAIRPERSON hi f:" ,..... r- I, . .-. ,,IlRARO OF LAND AND NATURAL RESOURCES ~ >t .:1- " ,./~, .c~~ISSION ON WATER RESOURCE MANAGEMENT

RUSSELL Y. TSUJI FIRST DEPUTY

KEN C. KAWAHARA 09 MAR 9 A 9: ... f EPlITY DIRECTOR· WATER

'of ' 'QUATIe RESOURCES BOAT;r~ AND OCEAN RECREATION

BUREAU OF CONVEYANCES COMMISSION ON WAfER RESOURCE MANAGEMENT

CONSERVATION AND COASTAL LANDS

STATE OF HAWAII r('., ':'(,";:-' "r,',' CONSERVATlONANDRESOURCESENFORCEMENT l.l I .. ' r\ . " 'i. ,~.' V/ ", ~ t ENGINEERING

DEPARTMENT OF LAND AND NATURAI.J:,tesOURCE& ' ' , ,,:, J;~s"i"g~~YP~E~~'t,.~~~ , ~~9Lf\WE ISLAND ~ERVE COMMISSION

STATE HISTORIC PRESERVATION DIVISION 601 KAMOKILA BOULEVARD, ROOM 555

KAPOLEI, HA WAIl 96707

STATE PARKS

March 5, 2009 LOG NO: 2009.0757 DOC NO: 0903MDl5

TO: Ken C. Kawahara, P.E., Deputy Director Commission on Water Resource Management

FROM: Nancy McMahon, Deputy SHPO/State Archaeologist and Historic Preservation Manager

State Historic PreseNation Division ~ tl. ~~ SUBJECT: Chapter 6E-8 Historic Preservation Review -

Well ConstructionIPump Installation Permit Application Vipassana Hawaii Well (Well No. 7345-06) Papa'a Ahupua'a, North Kohala District, Island of Hawaii TMK: (3) 5-3-007:043 (por.)

Thank: you for the opportunity to comment on the aforementioned project, which we received on March 4, 2009. We determine that no historic properties will be affected by this project because:

[gj Intensive cultivation has altered the land o Residential development/urbanization has altered the land [8J Previous grubbing/grading has altered the land o An accepted archaeological inventory survey (AIS) found no historic properties o SHPD previously reviewed this project and mitigation has been completed [8J Other: While we have no records for this property, the photograph submitted with the permit

application shows that the well site has been grubbed and graded.

In the event that historic resources, including human skeletal remains, cultural materials, lava tubes, and lava blisterslbubbles are identified during the construction activities, all work needs to cease in the immediate vicinity of the find, the find needs to be protected from additional disturbance, and the State Historic Preservation Division, Hawaii Island Section, needs to be contacted immediately at (808) 933-7653.

If you have questions about this letter please contact Morgan Davis at (808) 933-7650.

o o LINDA LINGLE LAURA H. THIELEN

GOVERNOR OF HAWAII CHAIRPERSON




February 26, 2009

MEREDITH J. CHING JAMES A FRAZIER NEAL S. FUJIWARA

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



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

4'omas See, Chief, Wastewater Branch Stuart Yamada, Chief, Safe Drinking Water Branch Alec Wong, Chief, Clean Water Branch

FROM: a,j"Laura H. Thielen, Chairperson .. 'A.-~ Dr. Keith Kawaoka, Office of Hazard Evaluatifn d Emyrgency Response

\~ Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Permit Ap Vipassana Well (Well No. 7345-06)

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 for any conflicts or c::::J

inconsi.stenci~s with the programs, plans, and objectives specific to your d~partment.-Ple~se reSPOnd by returnmg thiS cover memo form by March 27, 2009. Ifwe do not receIve commen~;« a reqY.\1.Iit for additional review time by this date, we will assume that you have no comments.,:. f,s ??1

Please find the attached maps to locate the proposed well. If you have any qu~~ti;6bs abouUhis~ permit application, request additional information, or request additional review time, please contact Ryan Imata of the Commission staffat 587-0255. .. ""0-; RI:ss Attachment( s)

rv J

--J 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 :ru:im: 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 quality as a source serving a public water system (serves less than 25 people or more people at least 60 days per year or 15 service connections) and if the well water is used for drinking, the private owner should test for bacteriological and chemical presence before initiating such use and routinely monitor the water quality thereafter. However, if future planned use from this source increases to meet the public water system definition then Director of Health approval is required prior to implementation.

If the well is used to supply both potable and non-potable purposes in a single system, the user shall eliminate cross-connections and backflow connections by physically separating potable and non-potable systems by an air gap or an approved backflow preventer, and by clearly labeling all nonpotable spigots with warning signs to prevent inadvertent consumption of non-potable water. Backflow prevention devices should be routinely inspected and tested.

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

For the applicant's information, a source of possible wastewater contamination ( lis [ I is Dot 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: Dane Hiromasa in Kona 322-1963

Signed: ~~tJn(}~

COMMQON ON WATER RESOURCE MANAGEMENT Q ROUTE SLIP FOR NEW APPLICATIONS

JM: RYAN

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

-1-HARDY,R. Il' HIGA,D.

-2-HOAGBIN, S. ICE, C.

-S-IMATA, R. -3-KAWAHARA,K.==

WELL NUMBER 7-sL \ ~ - 010

c;:t' WELL CONSTRUCTION

DATE: 18-NOy-08

KUNIMURA,I. NAKAMA, L.

-4-0HYE,M. SAKODA, E. SWANSON, S. UYENO, D. YODA, K. YOSHINAGA, M.-

SUSPENSE DATE:

1 Approval -3-Signature -4-lnformation

WELL NAME Vipassana

jZI PUMP INSTALLATION

ATIACHMENTS FOR APPLICATION PROCESSING - Both applicant & staff generated 1 TRANS. LETTER .,/

2 PERMIT PROCESS TABLE

3 CWRMMAP

4 APPL. FORM (11 COPIES)

5 USGS MAPS (11 COPIES)

6 TAX MAPS (11 COPIES)

7 PARCEL OWNER VERIF.

8 CONTRACTOR VERIF.

9 ALL INFO FILLED IN

--.k... ~

-V MLS PRINTOUT ----v'""" DCCA LICENSE SCREEN PRINTOUT

V

----:7

25-Nov-08

PLEASE:

See Me -1-Review & Comment

Take Action Type Draft acknow letter

-2-Type Final, label file folder, update People.db -S-File --Xerox copies

WUP Number -----------D WUPA

10 BACKGROUND CHECK

11 $25 FEE DEPOSIT SLIP

12 DHP/CDUP/SMA pre-screen

-V \I'/\).t-,':' (0 0 V Sn.P-----t:T (SMA map printout http://gis.hicentral.com/website/parcelzoning/viewer.htm.,or INGRID'S SMA/CD MAP)

FOLDER: !2l D

--(LUC map printout http://luc.state.hLuslluc_maps.htm., or INGRID'S SMA/CD MAP)

MADE NEW FILE FOLDER, ATIACHED FILE FOLDER ALREADY MADE, IN FILE CABINET

INCOMPLETE ACTION DATES:

DATE ACTION



o

/ COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621


February 26, 2009

Mr. Rod Diamond Diamond Construction and Water Well Drilling HCR #3 Box 14073 Keeau, HI 96749

Dear Mr. Diamond:




LAWRENCE H. MilKE, MD., JD.


7345-06.ack

Well ConstructionlPump Installation Permit Application for Well No. 7345-06

We acknowledge receipt, on February 18,2009, of your completed WeII ConstructionlPump InstaIIation permit application and filing fee for the Vipassana WeII (WeII No. 7345-06). You can expect your application to be processed within ninety (90) days from this date.

For your information, the attached table describes the process, responsible parties, and deadline requirements for drilling or modifying a well and installing, modifying, or replacing a pump.

By this acceptance letter, we are also notifying the well operator/landowner that water may not be pumped for purposes other than testing until the certificate of well construction/pump installation completion letter is issued to the well operator and landowner. Additionally, the permitted pump capacity described on the pump installation permit may be reduced in the event that the pump test does not support the capacity. No certificate of pump instaIIation 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 Ryan Imata of the Commission staff at 587-0255 or toll-free at 974-4000 (Hawaii), 274-3141 (Kauai), 984-2400 (Maui), or 1-800-468-4644 (Lanai & Molokai) extension 70255.

RI:ss Attachment

c: Vipassana Hawaii

Sincerely,

~1~~


o Q




February 26, 2009






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

Tomas See, Chief, Wastewater Branch Stuart Yamada, Chief, Safe Drinking Water Branch Alec Wong, Chief, Clean Water Branch

FROM: a.JLaura H. Thielen, Chairperson _ ~l..---Dr. Keith Kawaoka, Office of Hazard Evaluatirn d Emrrgency Response

""\ ~ Commission on Water Resource Management

SUBJECT: Well ConstructionJPump Installation Permit Ap Vipassana Well (Well No. 7345-06)


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 retorninl! this cover memo form by March 27, 2009. 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 Ryan Imata of the Commission staff at 587-0255.

RI:ss Attachment(s)

RESPONSE:

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This well qualifies as a source which will setve 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 IS or more service connections) and must receive Director of Health approval prior to its use to comply with Hawaii Administrative Rules (HAR), Title II, Chapter 20, Rules Relating to Potable Water Systems, §11-20-29.

This well does not qualify as a source serving a public water system (serves less than 25 people or more people at least 60 days per year or 15 service connections) and if the well water is used for drinking, the private owner should test for bacteriological and chemical presence before initiating such use and routinely monitor the water quality thereafter. However, if future planned use from this source increases to meet the public water system definition then Director of Health approval is required prior to implementation.

If the well is used to supply both potable and non-potable purposes in a single system, the user shall eliminate cross-connections and backflow connections by physically separating potable and non-potable systems by an air gap or an approved backflow preventer, and by clearly labeling all nonpotable spigots with warning signs to prevent inadvertent consumption of non-potable water. Backflow prevention devices should be routinely inspected and tested.

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

For the applicant's information, a source of possible wastewater contamination ( lis ( I is pot located near the proposed well site (information attached).

An NPDES permit is required.

Other relevant DOH ruleslregulations, 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 commentslobjections

Contact Person: Phone: -------------------------------------------- ------------------Signed: _______________ _ Date:

o Q


LAURA H. THiElEN CHAIRPERSON


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


TO:

FROM:

SUBJECT:


COMMISSION ON WATER RESOURCE MANAGEMENT

Morris Atta, Administrator

P.O. BOX 621 HONOLULU, HAWAII 96809

February 26, 2009

Land Division r tJ---, Ken C. Kawahara, P.E., Deputy Director • Commission on Water Resource Management

Well Construction/Pump Installation Permit Appl cation Vipassana Well (Well No. 7345-06) TMK 5-3-007:043




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 Ryan Imata of the Commission staffat 587-0255.

RI:ss Attachment( s)

RESPONSE:

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

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

[ ]

[ ]

[ ]

[ ]

A water lease/permit has been obtained by the applicant through lease no. __________ _

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

No objections

Other comments:

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

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


TO:

FROM:

SUBJECT:

o o




February 26, 2009

Dr. Puaalaokalani Aiu, Administrator Historic Preservation

Morgan Davis

Historic Preservation r f~ Ken C. Kawahara, P.E., Deputy Director Commission on Water Resource Management

Well Construction/Pump Installation Permit Appl cation Vipassana Well (Well No. 7345-06) TMK: 5-3-007:043



CHIYOME L. FUKINO, M.D. DONNA FAY K. KIYOSAKI, PE



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


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 Ryan Imata of the Commission staff at 587-0255. 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.

RI:ss Attachment(s )

RESPONSE:

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

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

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

Contact Person: Phone: ---------------------- ------------

Signed: ___________________ _ Date: ---------

Search Results o o Page 1 of 1

Assessed values reflect tax year 2008.

Search criteria: TMK Taxkey 3-5-3-7-43

PUBLIC RECORD DATA Taxkey Subdiv ICondo Tnr Address Owner ILessee Bds Bths Land area Liv area Last Sale Instr Pr

re3-5-3-7-43 F 53- VIPASSANA 0 0 81.98 ac o 5/25/2007 DEED $2,831,: 4429 HAWAII AKONI PULE HWY

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

Copyright ©2/13/2009 by Hawaii Information Service

http://webre2.hawaiiinformation.comlREsearchIHIS/Search/search_PUB.asp?NOCACHE... 2/13/2009

Professional and Vocational LCising (PVL) - powered by eHawaii.goo Page 1 of 1

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: 09/30/2010

CLASS PREFIX: BC SPECIAL PRIVILEGE:

RESTRICTION: EDUCATION CODE:

CONDITIONS AND LIMITATIONS:

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.

http://pvl.ehawaii.gov/pvlsearch/app?_a=d& _f=n&lictp=CT &licno=233 79&off=&nm=RO... 2117/2009

DEQTMENT OF LAND AND NATURAL RESOURQ DOCUMENT NO . .. UAC OR ATTACHED WORKSHEET DATE' November 13 2008 ,

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

S 09 326 C 1026 0752 (1 ) $25.00 Lorrie Diamond

" " " " " " (2) $25.00 Lorrie Diamond

" " " " " " (3) $25.00 Lorrie Diamond

(4)

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $ 75.00

REMARKS: LINE (1) Puhau Well LINE (2) Vipassana Hawaii Well LINE (3 Daigle Well LINE (4) LINE (5) LINE (6) LINE (7) LINE (8) LINE (9) LINE (10)

. -\ "

STATE OF HAWAI~ 0 DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

APPLICATION FOR A WELL CONSTRUCTION I

For Official Use Only:

REC'E1VFD

PUMP INSTALLATION PERMIT ORIGIN I •• MAILED Il-NCN Of ,... 08 NOV 13 A 9' 2 B

Instructions: Please print in ink or type and send completed application with attachments to the Commission on water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. Application must be accompanied by10 copies and a n0nrefundable filing fee of $25.00 payable to the Dept. of Land and Natural Resources. The Commission may not accept incomplete applications. For assistance, call the Regulation Branch at 587 '()225. For further information and updates to this application form, visit http://www.hawaii.gov/dlnr/cwrm.

WELL LOCATION INFORMATION 1. STATE WELL NO. (t already assigned)

same

Well Operator's Mailing Address

same

2. WELL NAME

Vipassana Hawaii Well

same

3.ISlANO

Hawaii

Landowner's Mailing Address Vipassana Hawaii

4. TMK

Jack Hoyt, Executive Director PO Box 551681 Kapaau,HI96755

5 ZONE

3 007 SEC PlAT

Landowner's Contact

Jack Hoyt

043 PARC

Well Operator's Phone

same Well operator's Fax Well Operator's E-mail

same Landowner's Phone

808-889-0349 Landowner's Fax Landowner's E-mail

[email protected] PROPOSED WELL CONSTRUCTION PROPOSED PUMP INSTALLATION 7. Proposed Work. 8. Construction Type 10. Proposed Work. 11. Proposed Pumping Rate, gpm (gaUons per minute) 13. Method of flow measurement

X Install New Pump. 50 X Flow meter

o Replace Pump 1-7.:12:-":. Proposed:-----:--:-Amou-nt-of-:":\Whd:-:::-:-rawa----:-I, -gpd-:""(:-gal-:-Ions-per--:-day-:)--I 8 ~ Pipe

X Construct New Well. x Drilled. o Modify Existing Well. 0 Dug o Abandon/Seal Well. 8 ~~~

Yes x No

25,000 0 Orifice o Other

14. Proposed Surveyor name and license number {a surveyor is required for all Well Construction Permits and may be required for some Pum Installation Permits Deferred

PROPOSED USE

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

16 Domestic Number of units to be served:

20. Other describe

Site Photo

OTHER LEGAL REQUIREMENTS If uired items 22. and 23. must be obtained before the CommisSion can it: 21. Conservation District Use Penn it (CDUP) o Required, COUP # date approved ____ _ o Not Required (attach documentation from OCCl) X I have not checked with OCCl about whether or not a COUP is required. I understand that checking with the County prior to making this application wiR expedite my review. I further understand that issues raised b this a en ma dela or result in denial of the rmit issuance, or revocatDn ofthe rmit after it is issued.

22. Special Management Area Permit (SMAP) x Required, SMA # _1091 date approved_1 DEC 2000 ___ . o Not Required (attach documentation from applicable County agency) o I have not checked with the county about whether or not an SMA is required. I understand that checking with the County prior to making this application wm expedite my review. I further understand that issues raised this n ma de or result in denial of the rmit issuance, or revocation of the mit after it is issued.

23. Historic Preservation Division (HPD) of the DLNR o I have consuKed with the HPD regarding potential impacts of well construction activities on historic sites. I have attached applicable documentaion from the HPD. X I have not consulted with the HPD regarding potential impacts of well construction activities on historic sites. I understand that checking with the HPD prior to making this application will expedite my review. I further understand that issues raised this del or resutt in denial of . issuance or RMlCation of the . after it is issued. Additional the' of IIrKI use is attached. Additional remarks, explanations, etc. (attach additional sheet if more space is needed)

NOTE: Signing below indicates thai the signatories undefStand and swear thai the information provided is accurate and true to the best of !heir ~_ Fl.Ither. the signatories on:torstand thai upon pennit approval: 1) the proposed wor1< is to be completed wittin two (2) years of the approval date; 2) the cortractor shall subm~ to the Commission a well completion/abll"ldent report within 60 days after the completion date of the pennittad wor1<; 3) in the event thai the application is not completed COOlICtIy, any penn~ may be suspended until the item is brought in to compliance. and any wor1< done while the pennit is in sus ion m resUt in fines of to $50001 .

24. WELL DRILLER (Must be filled out if application is for WeH Construction) 25. PUMP INSTALLER (Must be filled out if application is for Pump Installation)

Rodney K Diamond BC23379 Rodney K Diamond BC23379

~ice /;us~r;:i2::"'; C-57/C-57a1A License No.

~/'- - Rodney KDiamond ~~:10-08 . U~ Pnm

;;;;;;g;~ Rodney K Diamond Pnm

C-67/C-57a1A License No.

11-10-08 Data

HCR #3 Box 14073 Keaau HI 96749 HCR #3 Box 14073 Keaau HI 96749 Address

987-8100 966-4129 987-8100 966-4129 Phone Fax E-mail Phone Fax E-mail

WCPt App. Form 10105107

z

155°47'00" W

NATIONAL GEOGRAPHIC

TOPo~ap printed on 11/11/08 from "Vipassana gaii.tpoll 155°46'00. W

JAMI91RO o • KIIUhoItI PI

( I I

0.0

I 'i " 'I iii

0.5 miles I

WGS84 155°45'00. W

WGS84 155°45'00. W

TNr/MN

r100

,.

z g """ T'""

° a C\I

z b 9 ('t) T'""

~

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

Hole Diameter: 8 inches.

Minimum of 2' Radius & 4" Thick Concrete Pad (to contain benchmark Elevation at top of casing 276_ ft., msr surveyed to nearest 0.01 ft.)

. ., Ground Elevation: 275 ft, msl* -I .~---

.. ;,;~

't>:c-L I Please refer to the

r--_______ -"'--Ir~:~;;r ;·>r~:lT-·* HA WAIl WELL CONSTRUCTION AND

. .. Cement Grout: 207 ft. I '} .

-'~'V--

PUMP INSTALLATION STANDARDS • • 0 •• , I

(min. 70% of distance from I; ,". ·c·· to ensure that your as-built is in compliance with

:';", applicable standards. ground elevation to top of ~:.:.:

'.:;': water surface or 500 ft., ',: .:. ..... wh o h . I) I[i,: IC ever IS ess. I": .": Solid Casing: (= 90% x (Ground Elev.-Water Level EIev»

Grouting method: x Positive '

Displacement

o Other

Annular space between hole and casing (1.5" for positive displacement, 3" for other methods):

.. ' ::."··i Total Length:

Nominal Diameter:

Wall Thickness:

275 ft.

4.5 in.

~4Q in.

~in. Bottom Elevation: -0: ft., msl*

Rock or Gravel Packing: Open Casing: • Perforated 0 Screen Total Depth

~ Total Length: 20 ft.

ft. ~feet.

Material: Nominal Diameter: __ -=4::..:.~5~ _____ ,in.

x Crushed Basalt Wall Thickness: S40 in.

o Rounded Gravel Bottom Elevation: -20 ft., msl*

Estimated Water Level , note: Neither bentonite nor mud should be used in

saturated zone during drilling

Elevation: I , _6_ ft. msr Open Hole:

i Length: __ .,!..CNu.~-,-______ ft.

Diameter: ____________ ,in.

* The approximate elevation must be referenced to mean sea level (msl) at the time of application filing. Final elevations of well components shall be submitted in the Well Completion/Well 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 1/4 of aquifer thickness or, Bottom Elevation of Well Limit = (Water Elevation - ) Example: Estimated + 2 ft. Water Level Elev. Bottom Elevation of Well Limit = (2 -) = -18.5 ft.

Solid Casing Material:

ft., msr

Carbon Steel: compliant with (check one or more); DANSI/AWNA C200 DAPI Spec. 5L o ASTM A53 o 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) 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 Thennoset 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 AWNA 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); DANSIIAWNAC200 DAPI Spec. 5L o ASTM A53 o 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): o ASTM A409 (production wells) o 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 Thennoset 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 AWNA C950 o PTFE Fluorocarbon Tubing conforming to ASTM 03296 o FEP Fluorocarbon Tubing confonning to ASTM 03296

WCPI App. Form 10/05104

,

~30J-

._-----------, - J - 1 .........

. ' s

f

I

07

http://millilogOOQleocom/mail/?Ui=2&lk=a7fd64e065&caU&th=11d422775b4940be&attld=Ool&dlsp=vah&~ 10/28/088:37 AM

October 16, 2008

Christopher J. Yuen, Planning Director

County of Hawaii

101 Pauahi Street, Suite 3

Hilo, Hawaii 96720

Re: Annual Report

SPECIAL PERMIT NO. 1091 (SPP 00-036)

Applicant: VIPASSANA HAWAII INC.

Request: Allow for Establishment of the Hawaii Insight Meditation Center

Tax Map Key: See below for update on IMK Nwnber

Dear Mr. Yuen:

This provides the annual progress report on behalf of Vipassana Hawaii pursuant to Condition 10 of the referenced Special Permit (SP).

TMK Number of Correct Parcel Location. As shown on Land Court Consolidation 216 Map 1 (Registrar: October 28, 2005) and Land Court Order #1659548 (recorded: February 23, 2007), the lot nwnber and lot area of the pending parcel site for the proposed meditation center, initially described in the SP application materials, have changed. The new TMK parcel number is 5-3-007-043; Lot #4 and the total lot area are 81.979 acres.

Since Vipassana Hawaii gained title to the subject property in 2007, the land manager has continued to make improvements in preparation for future intensive agriculture as outlined in the SP. These improvements include fencing out the cattle from lot #4, clearing brush, trimming trees, and mowing the pasture to eliminate invasive plants and improve conditions for the planned gardens and orchards. In addition, Vipassana has applied to the Water District for a water meter. Although the application for one meter required almost $6,000 as a deposit, the actual installation may be delayed as much as 12 months, since the location off the 4" main water line is in the State Highway right-of-way.

In January 2008, Vipassana hired a full-time executive director to administer the organizing, planning, and fundraising necessary to fulfill the conditions of the Special Permit within the allowed time frame.

Page 1 of 2

----------___________ ur __ -_ .. _. __ ._'_n ______________________________ _

o

http://mall.gOOgleoCOm/mail/?Ui=2&ik=a7fd64e065&Vcatt&th=1ld422775b4940be&attid=Ool&dlsp=vah&~ 10/28/088:37 AM

At present Vipassana envisions a three- to four- phase campaign of construction. In the fIrst two phases scheduled for completion by December 2010, Vipassana seeks to begin by constructing the future facilities manager's office and caretaker's suite near the utility entrance to the site in the southeast comer of lot #4, to be used initially as a construction headquarters. Once in place, this office/suite will be followed by the administration building/visitor center as shown on the site plan. These two phases are intended to allow outdoor, day-long retreats (no overnight accommodations) and work on the planting of orchards and gardens; planting will continue during the third phase of construction. The architect is currently working on the 'plan approval' submittal that precedes the application for the fIrst building permit.

The third phase will include the kitchen/dining hall as outlined in the SP, as well as 30-40 beds, most likely in the form of a residence hall, cottages, and tent platforms. The intent is to complete this phase in advance of the SP deadline as extended to July 2013. Once the third phase of construction is completed, Vipassana expects to begin full operation in compliance with all the conditions of the Special Permit. As on-site operations expand, additional aspects of the agriculture plan will also be initiated.

The fmal phase of construction, post 2013, will include a signature meditation hall, staff accommodations, and additional beds/housing for overnight guests within the parameters of the special permit, but also in accordance with needs dictated by the experience of actually operating the retreat center. This sequencing of construction by phase is intended to limit the overall size of the fmal phase of construction, in particular the number of housing units and the size of the meditation hall, to a size deemed necessary and adequate by the experience of full-time operation of the center.

Vipassana Hawaii remains dedicated to the project and is eagerly proceeding on course to establish the center. There is little doubt that fundraising efforts are likely to be impacted by the current fmancial crises. Nevertheless, Vipassana intends to meet its goals and appreciates the patience the planning department has shown our organization.

Please let me know if you need further information regarding this matter. Thank you for your consideration.

Very truly yours,

Jack Hoyt

Executive Director

Vipassana Hawaii

cc: Michael Moore, Tsukazaki Yeh & Moore

Page 2 of 2

Documents

MEMO and RO UTE 'ill P Q I WCR 1 Check for Well No. and RO UTE 'ill P (ver. 07/21/09) Q 07/21/09 I WCR 1 Check for Well No. 7345-06 (regulation/survey route) 2. ... forms provided