· o o ~t.13b7 //61y LINDA LINGLE GOVERNOR OF HAWAII J () os-# M UURA H. THIELEN CHAIRPERSON TO: FROM: r: ".\j STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION

$Page 1: · o o ~t.13b7 //61y LINDA LINGLE GOVERNOR OF HAWAII J () os-# M UURA H. THIELEN CHAIRPERSON TO: FROM: r: ".\j STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION$

Search Results o o Page 1 of 1

Assessed Values reflect tax year 2008.

Search criteria: TMK Taxkey 2-2-8-4-43

• PUBLIC RECORD DATA Taxkey Subdiv /Condo Tnr Address Owner [Lessee IkI.5. Bths Land area Liv area Last Sale Instr Price r:. 2-2-8-4-43 Peahl F 490 CAUDILL, 1 1 8.66 ac 2,400 6/2/2003 AS $50,000

HAUMANAJESSICA I/ETAL RD

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

Charley,

Copyright @9/11/2008 by Hawaii Information Service

"Leah" <[email protected] om>

09/15/2008 09:52 AM

To <[email protected]>

cc

bcc

Subject Roberson Permit

I just spoke with Mrs. Roberson. Jessica is the sister-in-law. They all live there and own their own part of the land. The permit should be under Kaleo Roberson. Thanks for double checking!

Leah

http://webrel.hawaiiinformation.comlREsearchIHIS/Searchisearch _ PUB.asp?NOCACHE... 9/11/2008 ------------------------,._ .... _ .. _ .......... _-_., .... _--

o o ~t.13b7 //61y

LINDA LINGLE GOVERNOR OF HAWAII

J () os-# M UURA H. THIELEN CHAIRPERSON

TO:

FROM:

r: ".\j

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

September 19, 2008

Dr. Puaalaokalani Aiu, Administrator Historic Preservation t

MEREDITH J. CHING JAMES A FRAZIER NEAL S FUJIWARA

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

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

SUBJECT:

Ken C. Kawahara, P.E., Deputy Director 1~C.· ~L-Commission on Water Resource Management

Well Construction/Pump Installation Permit Appl' ation Haumana-Roberson Well (Well No. 5515-09) TMK: (2) 2-8-004:043

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

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by October 20, 2008. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application or request additional review time, please contact Charley Ice of the Commission staff at 587-0218. If you require additional information regarding specific information that can be provided by the applicant, please contact the applicant directly at the contact information provided on the application form.

CI:ss Attachment(s) ::AJ C"> --------~~--------------------------------------------------------------~;:~~~~C) _ Cft_"

RESPONSE: c:::- 0::::;' :::It Co> .

[ ]

~ [ ]

.".. ::? (]i ;;J ;..<, ':~l Ul;-n i- __ 1'-t This is a [ ] public (county or state) project [ ] private project and [ ] will [ ] may disturb historic sites.

- ~:l:~t:~ We concur that the work described under this permit will not disturb historic sites. ;< .;:; ... :::,

:::.. ':;':J"'t"""f1 -0 ·r:.-o

We do not concur that the work described under this permit will not disturb historic sites. We require the followiftffor ',;) ~ our concurrence: 'i1 Si.~

o rnr't\

'" ~:o

Contact Person: _~"'~A_~,-{)_1+----<}1~'1'1...L-J'-IYIf __ (}_~,,----__ Phone:

._----------------------" .... " ...


Mr. Kaleo Roberson P.O. Box 790974 Paia, HI 96779

Dear Mr. Roberson:

o Q




April 22, 2010

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.


5515-09.ccwcpi

Combined Certificate of Well Construction and Pump Installation Completion for Well No. 5515-09 (TMK (2) 2-8-004:043)

We are pleased to inform you that the Well Construction and Pump Installation work permitted for the Haumana-Roberson Well (Well No. 5515-09) is complete and acceptable and welcome you as a new member to the community of well owners and ground water users in Hawaii. This combined certificate allows you to commence pumping your well for reasonable & beneficial individual domestic 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. Ifthe 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 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 Well 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/cwrm/resources..permits.htm.

5 . Your approved pump has a capacity of 30 gpm at a head of 480 ft. In the future, pump replacements of equal or lesser capacity will not require an additional permit from the Commission, but will require the submission of a Well Completion Report Part II by the licensed pump installer. If the pump replacement is greater than the existing pump, you will need to apply for a new pump installation permit.

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

o o Mf!o Kaleo Roberson Page 2 April 22, 2010

6. The landowner shall cause the well operator to maintain the installed meter or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate devices or means for measuring chlorides and temperature. These data shall be measured monthly and reported to the Commission on an annual basis, on forms provided by the Chairperson (attached), in accordance with §13-168-7, HAR. Blank water use report forms are also available at www.hawaii.gov/dlnr/cwrm/resources~ermits.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 Charley Ice of the Commission staff at 587-0218 or tollfree at 984-2400 (Maui), extension 70255.

CI:ss

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

Sincerely,

De uty Director


Mr. Michael Robertson Wail ani Drilling, Inc. 110 West Uahi Way Wailuku, HI 96793

Dear Mr. Robertson:

o o




April 22, 2010

Well Completion Report Parts I and II for Well No. 5515-09


SUMNER ERDMAN NEAL S. FUJIWARA




5515-09.wcrl&2.acc

We received your Well Completion Report Parts I and II for the Haumana-Roberson Well (Well No. 5515-09) on March 29,2010 and acknowledge that they are complete.

This completes your obligation under the well construction and pump installation permits. Certificates of well construction completion 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 Charley Ice of the Commission staff at 587-0218 or toll-free at 984-2400 (Maui), extension 70218.

Sincerely,

WO-. De uty Director

CI:ss

c: Kaleo Roberson

MEMO ~nd ROUTEcgLIP (ver. 04/23/09) 0 I WCR 1 Check for Well No. 5515-09 (regulation/survey route)

1. From <6:arle~nise/Ryan $ (initial) V' fJ-r

04/27/09

(~~(ln

2. Well Log Check Geology Code for Well Index: ~ Fm Name: fA. tt Vol t6 Englando£, (initial)

3. PumE}. Tests Check Denise Mills 1i (initial)

~ ~ Yes No

Step-Drawdown Test: followed WCPI Stds 0 analysis attached 0 ~ gpm no test required

Constant Rate Test: followed WCPI Stds 0 analysis attached 0 ~ gpm no test required

Potential Well Interference: 0

Potential Stream Impacts: 0

Additional Testing or Data Required: 0

Pump Test Comments Attached: 0

Proposed Pump Capacity is OK.: ~

4. Construction Check Mitch Ohye --+ ___ (initial) R. Torres __ (initial) If no. describe deficiency Yes No

data complete 0 0 followed Special Cond & elevations ,0 0 well database updated '0 9-location change significant? 0 f

(SMA, CD, TMK)

NAD27

NAD83

Latitude

r r .. r y. (_, --",' I

5. ~harle~enise/Ryan ____ (initial) take action based on above an

ATTACHMENTS FOR PUMP INSTALLATION PERMIT (2x):

1 COVER LETTER

2 COUNTY COMMENTS (DWS/SMA)

3 DOH COMMENTS

4 DLNR COMMENTS (LD/OCCUDHP)

5 WCR 1 Accept

6 WELL CONST. COMPLETION CERTIFICATE

__ not necessary - only WCP or BOTH.

} To be sent to driller/pump inslaller

<------ To Landowner

} Staff internal checks

6. Roy~ (i . i I) check (Entered WCR 1IWCCC accept date into database) 7. Susan H~bi~. (initial) finalize 8. Ken (initi signature 9. M~b (initial) Entered PIP issue date if attached/required 10. ~rleyd!inise/Ryan File

o Wailani Drilling Services <wailanidrilling @gmail.com>

03/29/201002:10 PM

o To Charley.F.lce@hawaiLgov

cc

bcc

Subject Re: Roberson well head

Hi Charley, The concrete slab is 4x8x12 in thick. The slab extends approx 12 inches beyond the edge of the 6 mcasmg. It looks a little crowded because the wellhead plate is 14 in diameter so it crowds into the wall. The wall and the whole pump house is removable. Thanks, Michael

On Mon, Mar 29,2010 at 8:56 AM, <[email protected]> wrote:

Thanks, Mike. This photo has the same "problem" -- it doesn't look like the pad extends the expected distance in all directions. Perhaps a simple explanation of the actual dimensions and the reach of the pad beneath the pump house will suffice.

Wailani Drilling Services <wailanidrilling@gmail com>

03/26/201002:57 PM

Aloha Charley,

To [email protected]

cc Subject Roberson well head

Attached is a new photo of the well head after I had Nathan grout, paint and rerun the cable through proper conduit.

The building is removable in the event of pump r&r.

Hope this completes everything. Thank You, Michael

I iW o.j~ tov (), r~~fo of .~ ~·kt~ 'JJ~ ~td ~lM,-w fu eoJ t~~vt~ ...

-

, o o State of Hawaii For Official Use Only:

COMMISSION ON WATER RESOURCE MANAGEMENT Department of land and Natural Resources

WELL COMPLETION REPORT· PART I Well Construction

InstnICtlons: Please print in ink or type and send completed report (with attaChments. if appflCable) 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 submilled within 60 days of the completiOn of wO/i(. For assistance. please consult the Hawaii \Mall Construction and Pump Installation Standards or caB the Regulation Branch at 587-0225. For updates to this form or additional information. please Visit our website at http://www.state.hi.usldlnrlcwrml

1. State Well No.: ?~ /l~ - o.q Well Name: Hp-U.1'71<?f13 - f4; b.8rs (4/1

2. Address: 1>01:0(.. 4t'Iog-=tt-t J.::>-i~ ttl qtp1:::rct Tax Map Key:

3. Drilling Company: :w ?i\~ i 1)Y i \\ ( Vlj I VI v .

Island: H~" -J. -'0. ()Ot-/ : 0 L/3

4. Drilling method used during co~ruction: ljtRotary ~PercuSSion 0 Other (describe)

5. Date Well Construction (drilled,cased,grouted) completed: \'2 ,'22 -0'3 Attach Completed Driller's Log monthIdaylyear

6. was the subject well cored? 0 Yes iNO

7. Step-Drawdown Test completed? t No 0 Yes Attach Stap-Orawdown Testfonn (12/17/97 SDPTD Fonn)

8. Constant Rate Aauifer Test completed? '$-No 0 Yes Attach Constant Rate At uifer Teat 101711 (12/17/97 CRPTD Fonnl Water Levet

_ Depth to := ft. above mean Reference point water sea level (see eleVatiOn~l note below) Waler Level Data:

Dateltlme of measurement

9. Initial encountered during drilling tJ(). /UJ I .. J I lri .1 11 • Otl 1-l::(1th.:;::is:..:shoukI==also:::.::..:be=filled=.:in=on:..:the!;=..;:d::.::riI::.:;Ie:..::r'S:..::IQg::.JIL..} ___ -t-=Grou=::.::nd:..=-=-':3-::""'ft;:.;.."",ms:::.:I--f--,--f--,_·~_-I_'-#'_-I--+ __ '1";-__ r-:--,{.::---:'Q _v _

10. Just Drior to casina Installation Ground]p° It m$I ~4 v . if.. \2· 2~· OR 11. After casing· illStallation (this information should be before any pump tests are performed with casing Installed)

Chloride: ~ ppm, Temperature: ?IV. OF

If this reference point Is not the benchmark, the difference between the benchmark and 1< this ~nt is: I '30, ft.

note; for 811 elevations referenced to mean sea level, take th$ ground elevation (surveyed or estimated if suNey not f6quired at this t/lTle) and subtract the depth to the water level.

12. As·builtsection filled In completely 0

13. Photograph of well and concrete pad shOWing benchmark on concrete pad attached 0

14. GPS coordinates provided in degrees. minutes, seconds 0

15. 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.)

16. Remarks:

~ed~~r(~~~~ ·~57lliN~ ~\o:~a Signature ~~. ~ L;s Date_'J.::::..-.-..:..._....!-,'--____ _

WCR1 Form 6112107 Page 1 at. 5

//

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

12. AS-BUILT WELL SECTION

\ ,!M>',

Please refer to the Cement Grout ~W ft. HAWAII WELL CONSTRUCTION AND (min. 70% of distance from PUMP INSTALLATION STANDARDS ground elevation to top of to ensure that your as-built is in compliance water surface or 500 ft., with applicable standards. whichever is less.) -

Grouting method: Annular space between Solid Casing: (;;, 90% x (Ground Elev.-Water Level Elev»

o Positive displacement (if annular space is less than two inches, attach

~ ,-hoto of tremie) ~Other

Total Depth

~5 ft.

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

~in. ~,

Rock or Gravel Packing:

~l~ ft. Material:

o Crushed Basalt

o Rounded Gravel

Water Level Elevation:

W:- ft. msl"

(item 11 from page 1)

Length: '0 I? ft.

Nominal Diameter: .~5 in.

Wall Thickness: in.

Bottom Elevation: -I'f ft., msl

I ! '

Open Hole:

Length: __ --'-"_I'--:\ _______ ft. Lj Oiameter: _____________ in.

Bottom Elevation:, _________ ft., msl *msl = mean sea level

Solid CaSing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L ~STM A53 0 ASTM A139

And compliant with (check one or more): 0 ASTM A242 or A606 0 Type E 0 Type S ~rade B 0 Other

Stainless Steel: (check one): 0 ASTM M09 (production wells) 0 ASTM A312 (monitor wells)

ASS PlastiC conforming to ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 0 Schedule 80

PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): Schedule 40 0 Schedule 80 0 Schedule 120

Thermoset Plastic: {check one) o Filament Wound Resin Pipe conforming to ASTM 02996

o Centrifugally Cast Resin Pipe conforming to ASTM 02997

o Reinforced PlastiC Mortar Pressure Pipe conforming to ASTM 03517

o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950

u PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM D3296

Open Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L ~STM A53 0 ASTM A 139

And compliant with (check one or more): 0 ASTM A242 or A606 0 Type E 0 Type S ~Grade B 0 Other

Stainless Steel: (check one): 0 ASTM A409 (production wells) 0 ASTM A312 (monitor wells)

ASS Plastic conforming to ASTM F480 and ASTM 01527: (check one) 0 Schedule 40 0 Schedule 80

PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): Schedule 40 0 Schedule 80 0 Schedule 120

Thermoset Plastic: (check one) o Filament Wound Resin Pipe conforming to ASTM 02996

o Centrifugally Cast Resin Pipe conforming to ASTM 02997

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517

o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

WCR1 Form 6112107 Page 2 of 5

. , \

--J

.'

..... o

1..00'0 DRILLER'S LOG

o

WELL NUMBER: $"S'/I? - oq In addition to the drillers 109, if a geologic log was prepared, please submit with this form

Depths(fl) Rock Desctlption water l.eIIeI C!- Oates [)epths{fl.} Rock DesctlptIon water l.eIIeI C!- Oates

:iLto 1':5 C~~ _ 12//'5 _to_ ----I~ to?f3 ruJ d!; i\

---- _to_ ----10' (;/ u 0/5 to'O'5 /()I ~rpfl< ---- _to_ ----

5'5 to22- veil Cletj " ---- _to_ ----.-, . •• .3Z.to!12 ---- _to_ ----!J2..to 115 " " ---- _to_ ----115 to 185

., 1"2.//1.1

151 YU eI'!J ---- _to_ ----I~to 15.5 ..

t5' s,ft-rv VI<. ---- _to_ ----I~ to 1-::r5

1{)lb~~ " 10' 0fI. l1< --- _to_ ----

/7'510 /qf5 t.u1u~ II

---- _to_ ----1C/5 toa/5

'5' Clatf \I

15' 12u,,t. t:U.~ ---- _to_ ----2:§.. to ~35 bku- rvuc. " ---- _to_ ----

10 I bkuM.'U' r'2./A-205to 2:)5 101 ~Y' _to_ ---- ----S#/ tk.. II

255 to 2-=l-S 15' bklUt/'*< ---- _to_ ----1f)'P~tK \l

2-=t5 to 1tf6 10' s,hU<. ---- _10_ ----- - 'b' 9f::1:--nt«.. 11./ I~ 2tf5 t02!.2 15' bkU,.ld12tK _to_ ---- ----3/6 to 3?S bfAu. f1itl<..

\I

---- _to_ ----_ to_ ---- _to _ ----

Remarks:

u,+ ~ ~ "'" ')..q5 (

o o WELL CONSTRUCTION PERMIT

Haumana-Roberson Well, Well No. 5515-09 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 Haumana-Roberson (Well No. 5515-09) at TMK 2-8-004:043, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

I.

2

3.

4.

5.

6.

7.

8.

9.

10.

II.

12.

13.

14.

15.

The ChaifQerson of the Commission on Water Resource MlIl!agement (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) wee~s before any work authorized by this permit commences and stafl shall be allowed to inspect installation activities in accordance with §13-168-15, Hawaii Administrative Rules.

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

The well construction permit shall be for construction and testing of the well only. The permittee shall coordinate with the Chairperson and conduct a.pumping test in accordance with the HWCPIS (the latest pump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrmlforms.btm). The permittee shal submit to the Chairperson the test results as a basis for supJlOrting an application to install a permanent pump. No permanent pump may be mstalled until a PIlIflll installation permit is approved and issued by the Ch8lrperson. No withdrawal of water shall be made for purposes other than testing without a Certificate of Pump installation Completion. The permitted pump capacity described on the pump installation permit may be reduced in the event that the pump test does not support the capacity.

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

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

In the event that historically significant remains such as 8I1ifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee shall stop work and immediately contact the Dep8l1ment of Land and Natural Resources' State Historic Preservation DiVision. Work may recommence only after written concurrence by the State Histone 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 P8I1 I shall be submitted to the Chairperson within sixty (60) days after completion of work (please contact staff or visit www.hawaii.gov/dlnr/cwrmlforms.htm for current form).

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

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

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

If the well is not to be used it must be prorerly capped. If the well is to be abandoned during the course of the project then the permittee must apply for a well abandonment permit in accordance with § 3-168-12(f) prior to any well sealing or plugging work.

The permittee, its successors, and assigns shall indemniry, 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 In accordance with Hawaii Administrative Rules § 13-168- I 2(f).

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

Date of Approval: October 27,2008 Expiration Date: October 27, 2010

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] shall not commence work until I bave 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 witb any permit condition may be grounds for revocation and fines of up to S5,000 per day starting from the permit date of approval.

Drill"', s;gnatuce~~ ~;.;.,,, #, C-201lS Date, \ \. \'1: . 'J1,V e,

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

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

Attachment

/

I

MJ;MO and ROUTALIP (vor.4123/2009) o

WCR 2 Check for Well No. 5515-09 (survey to regulation memo)

1. Charley' .!fnise/Ry:n ;:/t;l1l (initial)

2. Pum Tests Check s ecial condition of PIP? Ye

Yes No

Step-Drawdown Test:

followed WCPI Stds analysis attached

Aquifer Pump Test:

o o

followed WCPI Stds 0 T & S analysis attached 0

Potential Well Interference: 0 Potential Stream Impacts: 0

Additional Testing or Data Required: 0

Pump Test Comments Attached: 0

Proposed Pump Capacity is OK.: o o

D. ~ 11 (initial)

f no, describe deficiency

~70 gpm no test required

~o gpm no test required

stream names:

04/27109

3. Pump Installation Check Mitch Ohye r\~initial) R. Torres __ (initial) Yes No If no, describe deficiency

data complete followed Special Cond & Elev.

well database updated

o o

.;::3

4. <e;arl~enise/Ryan ____ (initial) take action based on above analysis

ATTACHMENTS FOR ACCEPTANCE: 1WCR2 ACCEPTANCE LETTER

2PUMP INST. COMPLETION CERTIFICATE

3METER INSTALL. REPORT (IF NECCESSSRy) __ _

4WUR

=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. @arleJZpenise/Ryan File

.. o o

~~-~" State of Hawaii If - .... ~ COMMISSION ON WATER RESOURCE MANAGEMENT For Official Use Only:

~ i Department of Land and Natural Resources

} WELL COMPLETION REPORT .. PART II

Inatructlons: 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. TIlls form shall be $UbmiIted within 60 days of the completion of work. For assistance. please consult the Hawaii Well Construction and Pump Installation Standards or call the Regulation Branch at 1187-G226. For updates to this form or additional information, please visit our website at http://www.hawaii.govidlnr/cwrm/

1. State Well No.: 6$11'5 - o:q Well Name: H~na - r20iu¥scn Island: H2-ut. 2. Address: 1V1>~ ~Qq~ T?i~ 1-11 q(p.f'¥{Tax Map Key: :2 -'0 -o.Ot./- : 0 t-f 3 3. Pump Installation Company: \tV ~i \ t.Wl i Dr i 1\ (Vlj IUv' 4. Date Pump Installed: \1. . Pb . 06

monthIday/year

5. PERMANENT PUMP INFORMATiON

Pump Type, Make, Serial No.: 4 OSSo - I ~ G(~.fro j f.i0c:3 0 I 00 ;Zlf;-:V100~ 1-, i )

Rated Capacity: '20 gpm at head ot / yJbO ft.

nM\Ltrn , ':? \fP ~ ~'OOv ~ i

Motor Type, H.P., Voltage, rpm: 9q.tgQ qzm Pump type (check one):

o Deep Well Turbine o Rotary o Propeller

r;lsubmersible o Rotary-Displacement o Reciprocating

o Centrifugal o Rotary-Gear o Impulse

6. Method of flow measurement: 't Flowmeter wI totalizer Manufacturer 1'~V Model no. l:2-0 Size \ I 12 '1

o Other, explain and attach schematic

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

8. Attach the rating curve for the Installed pump.

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

~berl.fCVt 10. Well OWner Company Kol=,o Qobef-SCiY1 Contact ~~Lu Address 'ID "fJOf..-~ oq1tf P4[tL If1 Q(J1:'tt1

Phone (00~) ~'l. '?'1-~ ~ Fax (I/a.

11. Land OWner Company S~ ;a.~ ~~tv-e.. Contact

Address

Phone Fax

12. Remarks Jbis ~I i~ V~tlj~ a 00 g.]em wfh1 "70 ~s{ ~ fr.icf7 M 10#.

Pump Installatl~lG'0~ '(j J)YIJW.H>/'l/I ':-57/C-57aJA Lie. No. 'U) /15 \t"- u L ... ~.. ~ 10 Iq

Signature· u- Date • '0

INCR2 Form 02126107 Page 1 of 2

/

.

o o

7 . AS-BUILT PUMP SECTION (Ple8se att8ch as-built if different from di8gram provided below)

Bench mark elevation surveyed to nearest 0.01 ft. = ~ft. mean sea level

~ 1ll1-1I1I-IUI == 1111 '''~'-.-"''"'''''''.''''''''-'''.'~.'

Elevatlon of top of Chase tube ~o'2- ft. mean sea level

1

,

,

Pump Intake depth = ~W ft:· (referenced to bench mark)

Chase tube depth = '?l,q ft. (referenced to bench mark)

If airline installed, bOYam of airline elevation "" n ft. mean sea level

WCR2 Form 3117/06 Page 2 of 2

_ i o Wailani Drilling Services, Inc. License #C57-29485 110 West Uahi Way, Wailuku, HI 96793 Phone: 808-249-0149. Fax: 808-244-4791 E-mail: [email protected]

o

Haumana-Roberson Well #5515-09 GPS: N 200 55.837' /

W 1560 15.773' /

.. 0 o Performance Curves 40 GPM Model 40S

FLOW RANGE: 24 - 55 GPM OUTLET SIZE: 2 fI NPT

~ w u.. ---CI « w I

1700

1500

1400

1300

1200

1100

1000

600

500

• 400

200

NOMINAL CIA. 4" .

OU£~±b±b~d±Q±Ud±ti±D±b~d±~±U~~~~~

o 5 10 15 20· 25 30

CAPACITY (GPM)

SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE. 4" MOTOR STANDARD. 1-10 HP13450 RPM. 6" MOTOR STANDARD.15-20 HP/3450 RPM . • Also available with 6" motor .

• GRUNDFOS'~

35 40 45 50 55

Performance conforms to ISO 9906 Annex A @ 5 ft. min. submergence.

OrUMP INSTALLATION PERMl' 0 Haumana-Roberson Well, Well No. 5515-09

Note: This permit shall be prominently displaved 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 Haumana-Roberson (Well No. 5519-09) at TMK 2-8-004:043, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

I. The Chairperson to the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any work covered by this permit commences and staff shall be allowed to inspect installation activities in accordance with § 13-168-I 5, Hawaii Administrative Rules.

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

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

4. The pump installation permit shall be for installation of a 40 gpm rated capacity, or less, pump in the well. This permanent capacity may be reduced in the event that the pump test data does not support the capacity.

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

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

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

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

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

10. The work proposed in the pump instanation 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 shan be submitted to the Chairperson no later than the date the permit expires.

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

12.

Date of Approval: Expiration Date:

October 27, 2008 October 27, 2010

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 pe)o..rlay s~om ~~ate of approval.

Installer's Signatu~ J< ~r A License #: C-2011S Date:



Attachments

Charley,

o "Leah Robertson" <[email protected] om>

04/23/2009 02:31 PM

o To <[email protected]>

cc

bcc

Subject Haumana-Roberson Well #5515-09

Attached is everything to complete the well with the state. Please let me know if I am missing anything, and if you received this. There will be two emails.

Thank you,

Leah WCR1.pdf WCP.pdf WCR2.pdf

"Leah Robertson" <[email protected] om>

04/23/2009 02:28 PM

To <[email protected]>

cc

bcc

Subject Haumana-Roberson Well #5515-09 (2/2)

Pump Curve. pdf PIP.pdf Well Head Photo·scannedOOO1.pdf

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

Charley,

.. Leah Robertson" <[email protected] om>

05/05/2009 03:06 PM

To <Charley.F.lce@hawaiLgov>

cc

bcc

Subject RE: Roberson wcr1

Sometimes I'm the last to know when the boys change stuff, sorry about that. That was the pump that was going to possibly be put in, but obviously wasn't. Attached is the corrected WCR2 and pump curve. By the way, the serial # was correct. I cross referenced the invoice to be sure.

Thank you, Leah

From: [email protected] [mailto:[email protected]] Sent: Monday, May 04,20099:01 AM To: [email protected] Subject: Roberson wcr1

Please double-check your figures for this well (5515-09): the pump works against how much head? Your ground elevation is 300 ft., total depth is 335, but head is 480? The pump curve shows your chosen

model not to be operable with that much head. Also the concrete pad does not surround the wellhead -- the well is at one edge of it -- no protection on

that side.

Charley leo H'yI:lrologist

HaV\eii Water Comm ission 1151 P unchboVll 227 Kalanim oku P .O.8ox621 , Honolulu 96809 (808) 587-0218

No virus found in this incoming message. Checked by AVG - www.avg.com

Version: 8.0.238/ Virus Database: 270.12.17/2095 - Release Date: 05/04/0906:00:00 pump curve. pdf

WCR2.pdf

,

State of Hawaii For Official Use Only:

COMMISSION ON WATER RESOURCE MANAGEMENT' Department of Land and Natural Resources

WELL COMPLETION REPORT - PART II Pump Installation

Instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the Commlssion 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 consult 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.hawaii.gov/dlnrlcwrml

1. State Well No.: 6$ Irs - CX1 Well Name: ~~ha - {2o/:2e¥St¥! Island: ~. 2. Address: 170 'is q-,& 'f:fOQ111 -P~i -;l Itl Q{f:1-:¥(Tax Map Key: 2 -ttl' ()oL/- : 0 t{ :3 3. Pump Installation Company: ~~iIO¥lj 1)vil\{l'lj IYlu' 4. Date Pump Installed: t1. ''Vb . 06

monthIday/year

5. PERMANENT PUMP INFORMATION

Pump Type, Make, Serial No.: .1'53'50-2b, (;ny.xt.fVs/1?~ D I OO:2LP -i>\00~ '2-

Rated Capacity: ~ 0 gpm at head ot y-€O ft.

Motor Type, H.P., Voltage, rpm: fYM \Ll i n I &5 l±'P} '2:00 V) a tf00 rpm Pump type (check one):

o Deep Well Turbine

¢:sUbmersible

o Centrifugal

6. Method of flow measurement:

o Rotary

o Rotary-Displacement

o Rotary-Gear

t Flowmeter wI totalizer Manufacturer t)QdV o Other, explain and attach schematic

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

8. Attach the rating curve for the installed pump.

o Propeller

o Reciprocating

o Impulse

Model no. l:2-0

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

10. Well Owner Company Kol-eo RoWSOf! Contact /i-;? W fLO herJ'CVt Address 10 'fJOf..- ~oq:tY- PtUa. H1 QU'1-111

Phone (roolOl'?l'l. -=31---;?J Fax _\"l_I.:-o ______ _ 11. Land Owner Company £ kJrn..lc ;3 S ? \0 tJ..re Contact __________ _

Address ________________________ _

Phone Fax ______ -,,-___ :--

12. Remarks 1his ~I i~ V!.U'1V)iY'(j a 00 €JJ?m wth1 10 ps-/ '5 5(d(M /0#.

Pump InstaliatloP\~tract~ (prinO'tJiJl ~~~~~iE*f~=P-57/C-57a1A Lie. No. _'JA).::..::...:..:11~5==--____ --I1

Signature r'~ Date q·/O '0

INCR2 Fonn 02126107 Page 1 of 2

7. AS-BUILT PUMP SECTION (PfeasB attach as-built If diffenmt from diagram provided below)

Bench mark elevation surveyed to nearest 0.01 ft. "" ~ft. mean sea level

Elevation of top of chase tube :p O~ ft. mean sea level

, -

,

. f.

Pump intake depth = ~:zD ft,.. (referenced to bench mark)

Chase tube depth = '?l~ ft. (referenced to bench mark)

If airline installed, bOla of airline elevation = n ft. mean sea level

WCR2 Form 3117106 Page 2 of 2

--1t

Performance Curve~ 25 GPM Model 25S

FLOW RANGE: 18 -32 GPM OUTLET SIZE: 11f~ " NPT

1100

1000

900 I=' UJ UJ u.. 800 -0 ~ UJ

700 I

600

500

400

- - -300 ~=. 25515-9 (1112 HP) F·· !" .. :' ......

.. - 25S10-711 HP) t .... ..!!!!

200 .. 25S07-5 (3/4 HP I -.

100 - 25S05-3 (112 HP I, ;;,--~L~. I -. t

5 10 15

CAPACITY (GPM)

SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE. 4" MOTOR STANDARD, .S -S HPJ3450 RPM. 6" MOTOR STANDARD,7.5 -10HPJ34S0 RPM.

C;RUNDFOS'~ 3-10

20

NOMINAL DIA. 4"

25 30

Performance conforms to ISO 9906 Annex A @ 2 ft. min. submergence.

3S

o "Leah" <[email protected] om>

01/05/2009 12:54 PM

o To <Charley.F.lce@hawaiLgov>

ee

bee

Subject Haumana-Roberson Well #5515-09

History: .flJ This message has been replied to.

Charley,

When I sent you the notice to start work, I forgot to attach the WCP. Please let me know that you received this.

Thank you,

Leah WCP.pdf

o o WELL CONSTRUCTION PERMIT


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 Haumana-Roberson (Well No. 5515-09) at TMK 2-8-004:043, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

II.

12.

13.

14.

15.

The Chairperson of the Commission on Water Resource Management (Commission), P.O. Box 62 t, 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.


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 m accordance With the HWCPIS (the latest rump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/twrmlforms.btm). The ,Permittee shal suomit to the Chairperson the test results as a basis for supporting an application to install a permanent pump. No permanent Jlump may be mstalled until a pumJl installation permit is approved and issued by the Chairperson. No withdrawal of water shall be made for purposes other thll!l testing without a Certificate of Pump Installation Completion. The permitted pump capacity described on the pump mstallallon permit may be reduced m 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.


In the event that historically significant remains such as artifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee shall stOJl 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 Well Completion Report Part I shall be submitted to the Chairperson within sixty (60) days after completion of work (please contact staff or visit www.hawaii.gov/dlnr/cwrm/forms.htm for current form).


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

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

[fthe well is not to be used it must be prorerly capped. If the well is to be abandoned during the course of the project then the permittee must apply for a well abandonment permit in accordance with § 3-168-12(f) prior to any well sealing or plugging work.

The permittee, its successors, and assigns shall indemnily, 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 constructionlpump instanation permit 10 accordance with Hawaii Administrative Rules §13-168-12(f).


Date of Approval: October 27,2008 Expiration Date: October 27,2010

I have read the conditions and terms ofthis 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] shall not commence work until] bave signed, dated, and returned the permit to the Commission. ] understand that this permit is not to be transferred to any other entity. J also understand tbat non-compliance witb 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~J~~ ~~ense #: _C.;:;,...:-2::.;0:.,:1;,,:1""5 ___ _ Date:

Printed Name: Michael Robertson Finn or Title: Wailani Drilling, me. Please sign both copies of this permit, return one to the Chairperson, and retain the other for your records.

Attachment

----------------____ ••• _ ... 0 ..... _ ••• _ •• __ • _______________ _

o 0 Wailani Drilling Services, Inc. License #C57-20115 110 West Uahi Way, Wailuku, HI 96793 Phone: 808-249-0149 • Fax: 808-244-4791 E-mail: [email protected]

Notice to start work Haumana-Roberson Well #5515-09

Dear Charley, November 17,2008

This is to inform you that we will be mobilizing our drill rig & equipment to this location and intend to start drilling in approximately 2 weeks. Please let me know that you received this notification.

Thank you, Leah

CO~SION ON WATER RESOURCE MANAGEMENT 0 ROUTE SLIP FOR PERMIT ISSUANCE 5/19/05

FROM: CHARLEY '2:l-f)~r Q~

DATE: MI#/#lfIlft#IlI=/v SUSPENSE DATE:

KUNIMURA, I. NAKAMA, L. NAKANO, D.

Approval --Signature -3-lnformation

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

-3-0HYE,M. SAKOOA, E.

-2-SUBIA, S. -1-HARDY, R.

HIGA,D. ICE, C. IMATA, R.

WELL NUMBER S

551;-09

~ WELL CONSTRUCTION

SWANSON, S. UYENO, D. YODA,K. YOSHINAGA, M.

Haumana-Roberson

ATIACHMENTS FOR WELL CONSTRUyTION PERMIT: 1 COVER lETIER ....&:.. 2 PERMIT (2x) _./ __

COMMENTS: 3 SOWB 4 WWB 5 CWB 6 HEER 7 lD 8 HP 9 OCCl

10 SMA

r&l PUMP INSTALLATION

TO BE SENT TO APPLICANT

FOR OFFICE USE ONLY

ATIACHMENTS FOR PUMP INSTAL~TION PERMIT: 1 COVER lETIER ./ 2 PERMIT (2x) -r

COMMENTS: --3 SOWB 4 WWB 5 CWB TO BE SENT TO APPLICANT

6 HEER 7 lO 8 HP 9 OCCl

10 SMA FOR OFFICE USE ONLY

PLEASE:

See Me -1-Review & Comment --Take Action --Type Draft -2-Type Final -4-File

Xerox copies


Ref: 5515-09.pip

Mr. Michael Robertson Wailani Drilling, Inc. P.O. Box 523 Puunene, HI 96784

Dear Mr. Robertson:

o Q




Pump Installation Permit Haumana-Roberson Well (Well No. 5515-09)


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




November 5, 2008

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 12:

Special Conditions

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

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

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

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

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

If you have any questions, please call Charley Ice of the Commission staff at 587-0218.

Sincerely,

Enclosure

c: Kaleo Roberson USGS MauiDWS

Q;MP INSTALLATION PERMIT 0 Haumana-Roberson Well, Well No. 5515-09

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 Haumana-Roberson (Well No. 5519-09) at TMK 2-8-004:043, Maui, subject to the Hawaii Well Construction & Pump Installation Standards (HWCPIS - February 2004) which include but are not limited to the following conditions:

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

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

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

4. The pump installation permit shall be for installation of a 40 gpm rated capacity, or less, pump in the well. This permanent capacity may be reduced in the event that the pump test data does not support the capacity.

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

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

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

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

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

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

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

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

Date of Approval: Expiration Date:

October 27, 2008 October 27, 2010

~L N, Chairperson

ter 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 s,hall not commence work until I and the pump installer have signed, dated, and returned the permit to the Commission. I understand that this permit is not to be transferred to any other entity. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $5,000 per day starting from the permit date of approval.

Installer's Signature: C-57, C-57a, or A License #: C-201lS Date:



Attachments

LINDA LINGLE GOVERNOR OF HAWA1I

Ref: 55l9-09.wcp


Dear Mr. Robertson:

o o




Well Construction Permit Haumana-Roberson (Well No. 5515-09)


MEREDITH J. CHING JAMES A FRAZIER NEAL S. FUJIWARA

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



November 5, 2008

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 15:

Special Conditions

1. Attached for your information are copies of the Department of Health's (DOH) review comments. Please note DOH's requirements related to discharge of effluent from well drilling and testing activities. 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. Attached for your information is a copy of the State Department of Land and Natural Resources Land Division's comments related to water lease requirements.

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

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

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

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

If you have any questions, please call Charley Ice of the Commission staff at 587-0218.

Enclosures

c: Kaleo Roberson USGS MauiDWS

t , o o

WELL CONSTRUCTION PERMIT


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 Haumana-Roberson (Well No. 5515-09) at TMK 2-8-004:043, Maoi, 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.

IS.

The Chai~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.


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 HWCPlS (the latest rump test worksheet can be obtained by contacting Commission staff or at www.hawaii.gov/dlnr/cwrmlforms.htm). The permittee shal sulimit to the Chairperson the test results as a basis for supporting an application to install a permanent pump. No permanent pump may be Installed until a pum(l installation permit is approved and issued by the CiIliirperson. No withdrawal of water shall be made for purposes other than testing without a Certificate of Pump Installation Completion. The permitted pump capacity described on the pump installation permit may be reduced in the event that the pump test does not support the capacity.

In basal ground water, the depth of the well may not exceed one-fourth (114) of the theoretical thickness (41 times initial head) of the basal ground water unless otherwise authorized by the Chairperson.


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


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

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

If the well is not to be used it must be prorerly 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) 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 In accordance with Hawaii Administrative Rules §13-168-12(f).


Date of Approval: October 27,2008 Expiration Date: October 27,2010 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 have signed, dated, and returned the permit to the Commission. I understand that this permit is not to be transferred to any other entity. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $5,000 per day starting from the permit date of approval.

Driller's Signature: C-S7 License #: C-20U5 --=::....==:::::...._--- Date:



Attachment

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

Well Number Well Name Ground Elevation Cement Grout Grouting Method Hole Diameter Total Depth ~ater Level Public Water Supply Well? Solid Casing Material Solid Casing Specification Solid Casing Length Solid Casing Diameter Solid Casing Wall Thickness Open Casing Length

Results

yes no

steel stainless steel

5519-09 Haumana-Roberson

other

no steel ASTMA53

o

350 300

~2.5

380 4 Depth to water 346

not plastic

360 6

0.280 20

pvc plastic abs plastic thermoset plastic other

steel ANSI/AWWA C200 API Spec. 5L ASTMA53 ASTM A139 ASTMA606 other

positive displacement other

steel public steel non public

e

steel ANSI/AWWA C200 API Spec. 5L ASTMA53 ASTM A139 ASTMA606 other

#N/A 0.28

o

stainless steel ASTM A409 other

pvc plastic Schedule 40 Schedule 80 other

. , LINDA LINGLE

GOVERNOR OF HAWAII LAURA H. THIELEN

CHAIRPERSON

TO:

FROM:


COMMISSION ON WATER RESOURCE MANAGEMENT

Morris Atta, Administrator

P.O. BOX 621 HONOLULU, HAWAII 96809

September 19,2008


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



Ken C. Kawahara, P .E., Deputy Director l2.. (M# p. L-Commission on Water Resource Management

SUBJECT:

Land Division f 1 Well ConstructionlPump Installation Permit Appli ation Haumana-Roberson Well (Well No. 5515-09) TMK (2) 2-8-004:043

Transmitted for your review and comment is a copy ofthe 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, request additional information, or request additional review time, please contact Charley Ice of the Commission staffat 587-0218.

CI:ss Attachment(s)

RESPONSE:

[ ] A water lease/permit is required of this applicant and an application for such will be:.ne,qy,ested ~ur division. . '.: ~-"

[~X

[ ]

[ ]

[ ]

[}dx

"~-' c::::J ,. (? ::u

,. St -f 'll A water lease/permit is not required of this applicant. '/1' I".:> .;')

A water lease/permit has been obtained by the applicant through lease no. __ ---=-:,....,'C_. ~~"""~""""'o __ -.l ___ ~i-r .• .. ::5> .-'"

Other relevant Land Division rules/regulations, information, or recommendations ~~~ched. ~ ,;:;: • - 1 '~",,_~ ., -~

No obiections ~ .'1' ~ ~;~.~. ~

Other comments: Original source of private title -I~ Lan~ommission Award 8515:3 issued between 1845 and 1855.

Contact Person: _--"'G'-"a ... r"-,y_ .... M ... a ... r~t"'-"=i-"'n'--________ _ Phone: 587-0421

Signed:_...L~ ___ ;-F7_~ ___ ~""'""""-_"'_ Date: --------

DC r ~ -I' 2(';Jn i .' VJ

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

CHARMAINE TAVARES Mayor

JEFFREY K. ENG Director

ERIC H. YAMASHIGE, P.E., L.S.

October 16, 2008

DEPARTMENT OF WATER SUPPLY COUNTY OF MAUl

200 SOUTH HIGH STREET

WAILUKU, MAUl, HAWAII 96793-2155

www.mauiwater.org

Ms. Laura H. Thielen, Chairperson Commission on Water Resource Management Department of Land and Natural Resources, State of Hawaii P.O. Box 621 Honolulu, HI 96809

Dear Ms. Thielen:

.. !'.I ~ ~:D~ r'-C./)~ ~

RE: Well Construction/Pump Installation Permit Review and Application TMK: 2-8-004:043 Haumana-Roberson Well (Well No. 5515.09)

Thank you for the opportunity to comment on this review and application.

Deputy Director

II 'r:

:1 :"T' li

!:f rr. ~

~ ..... 0

~

The proposed well will overlie the Haiku aquifer which has a sustainable yield of 31 million gallons per day. The Department of Water Supply (DWS) has several concerns for the existing as well as proposed private wells. These include: 1. The proliferation of current and proposed private wells within the aquifer. 2. The maintenance and operation of these wells. 3. The creation of multiple conduits for contamination. 4. The non-reporting of water use and the status of existing wells. 5. The difficulty in tracking the existing wells. 6. The impact of this proposed well on other wells within close proximity to it.

DWS recommends that all existing wells be required to report monthly water use pursuant to Maui County Ordinance 3321, Section 2.90A.OSO Reports of use. The ordinance states that "Whenever a report of water use in the County of Maui is required to be submitted to the commission pursuant to section 13-168-7, Hawaii administrative rules, the same report shall be simultaneously submitted to the department."

DWS also recommends that any property which has a well and DWS service be required to install a low pressure back-flow prevention device if one is not already installed.

The Department of Water Supply is an Equal Opportunity provider and employer. To file a complaint of discrimination, write: USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 14th and Independence Avenue, SW, Washington DC 20250-9410. Or call (202) 720-5964 (voice and TOO)

Printed on recycled paper @

eo Ii ~~~ .. ... \. ~-, '--...... B , ~·m -" r;> n "" " --".. C ,~ C L- .:-

~ -'J

Ms. Laura H. Thielen Page 2 October 15,2008

In order to protect the ground water resources, DWS also recommends that the applicant adopt best management practices for well construction/pump installation to prevent contamination during construction as well as maintenance of the well. These practices include: 1. Inspect exposed parts of the well periodically for problems such as cracked or corroded well

casing, broken or missing well cap, damaged protective casing and settling or cracking of surface seals.

2. Slope the area around the well so that surface runoff drains away from the well. 3. Provide a well cap or sanitary seal to prevent unauthorized use of or entry into the well. 4. Provide for sediment removal or well cleaning as necessary. 5. Have the well tested once a year for fecal coliform or other constituents of concern. 6. Avoid mixing or using pesticides, fertilizers, herbicides, degreasers, fuels or other pollutants

near the well. 7. Do not locate any type of potentially polluting activity up slope from the well. 8. Keep accurate records of any well maintenance, such as disinfection or sediment removal,

that may required the use of chemicals in the well.

Should you have any questions, please contact our Water Resources & Planning Division at 244-8550.

Sincerely,

MkIL. r JEFFREY K. ENG, DIRECTOR ayl c: Engineering Division

Applicant

Oct, 10, L008 10:C2AM

TO:

STATE OF HAWAII DEPARTMENT OF IJ<ND AND NATURAL REso"t.JRCe;S

COMMISSION ON WATER RESOURCE MANAGEMENT P.O.80XS'1

HONOLuLU, HAWAII 96009

September 19,2008

Honorable Chjyome L. Fukino, MD., Director Department of Health Attention: Director's Office

Tomas See, Chief, Wastowater Branch

p, 1 I

LAURA H. THIELEN

MEREDITH J. CHII'lG JAMEa A. FRAZIER NEAL S. FUJIWARA

CHIYOME L. FUKtNO, M,D. DONNA FAYK KIY08AKI, P.E. LAWRENCE H. MIIK~, M.O., J.D.

KEN C, I<AWAHAAA, P.E. 05PVrf ~IRf(;tM

Stuart Yamada, Chief, Safe Ddnking Water Branch Alec Wong, Chief, Clean Water Branch

JDr, Keith Kawaoka, Office of Hazard Evaluation and Emergency Response

FROM: (W"Laura H. Thielen, Chailperson f (l·1OMJIIL.. ~. Commission on Water Resource Management

SUBJECT: Well Construction/Pump Installation Pennit App ication HaUInana-Roberson Well (Well No, 55l5-09)

TranSIllitted for your review and comment is a copy of the captioned Well ConstmctionlPump Installation permit application,

We would appreciate your comments on the c~ptioned application for any conmcts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returnillf this conr memo form by October 20. 2008, Ifwe do not receive comments or a request for ruIditiona review time by this date, we will assume that you have no comments,

Please find the attached maps to locate the proposed well, If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-02l8.

Cbs Attachment(s)

RESPONSE: [ I Thil w~ll qu!.litl.~ ill: • $QUfOC which. will serve ~! , SOUa'U of pOlib)e wl!er to a public wALfr a}'8~m (~Afi~ed 0$ so",ing 25 or mGre peop.1e at lea~>t 60

d.y. per year or h.s 15 0. mor& ~lC. <o".""toon.) IIIld must r"""lYe Duector oIHe.lIb .PP1OVIIIWJII to ,t. we to comply w,d. Haw.,i Admil1litntiY~ kul •• (HAR], Till. II, Ch1!pleI 20, 1t,,1 •• ReI.ting to Pot.~J. Water SY~I.m., §l1-20-Z9.

( 1 fhi. w.lI <loes Mt qualifY lUi a Bource &t/"\lil'l8 • public w.I~HyslCm (~CrveB leaa lIian 25 people W' aull'e peopJ~ it least 60 days per}'Car or I~ !Or'IIiOl! Donnecliom) and if 1M well wal ... ,. I1sO(I fOI drillldng. the priva'" O,ol1.r dwuJtileSI for blcteriological and chemicol pr.>AAce befQre irulialing BUch me """ routinely momt~r Ibe wale. qllslily th .... .a.r. lfowever, if future plaJU1ed u,. 6"CIlYl rhi. siluro. increue. to meet the public w.tet .~t"m de(milion Ihen Direclol "fHealih approval is required I!!:!!!: 10 implemall13lion.

[ I lfth w~1I i. U,M los"pply belli eOllble and noo·p)[sbl. pUrpO'.' i •• siJIg,le .syuem, ,he user ,h.1I elill1i"ale Qr055-OOllll.ctioDS IIIld tocldl"", COJUleCIiOm by phy!!Jcslfy '.paraI>ng potllbl~ and non·potable SY9t.,liS by all ,,. iI'iP or 1111 opprov«l baekflow pre'Wnlet, and by d.ady hbcling aU Mn· p~t,bl. spigols with warning 'i~sto prow.ot i .... d""rIent oQPsumption .rnon-pC/lable walor. aackilo", pr.~ntion devioes should be >ouli".ly ill3pec[~d !lIid tested.

[ J It does neL appeaf that tLis \~.n Vlill ~~ ",ed for c~n,umptiv<> /l\liPo$e$ and i. not •• bj.ct to Safe Drinking Wate.- Re8"",ati~n •.

r 1 For the applieanr. infarmahol:l, a sOllrt/, of Jl(ll;sible wastewater contami~.lio" ( Iii ( I 1$ not 'o\llll!>d near the proposed well,ite (intorm~lion Inaobed).

[ ) AIl NPDES ~emjit is requit"d,

[ I Ol"e(rclcv.~t DOH",I.slrog.,.I"lono, information. or lCHlmm ... datioils 21'o .. ,Laoh.d.

( I In ,\. ev.nlth.t th.lo •• tion oCthe well chans", but i5 still within. tM psrocl de~ib.d CIII rbi. 'pplio.liOtl. o~r divisioll oDniidera the !)OilUlle",;; [0 >Lillo. applicable, and we du I!Ot ".od '(l ",view the new location.

X No eomrn .... rs/ilbjldio,,;

Contact Person: £<; 0hClLI{"d 'Po. \unc;;.,f

Signed: ~t:.! ~"-- Date:

OCT -10-2008 10: 05R~1 FRX:808 586 7537 IO:DLNP CWPM PRGE:007 P=95%

OCT-02-2008 12:12 From:OI]WSAFE WATER BRANH 8085854351 To:808 587 0219 P.7/9

t" ,.) ~j!\;:'E DRII~i'\d~G ~iATER BRANCH

LINDA LINGLE C3t:1"J!i'lll'NOPt)4:IoIAWJ..tl

LA.lJRA ~ Till!;,!>" Clolhl~P"€~:!I014

SEP 25 MEREDITIi J CHING JAMES A ~RA2IER N~AL 6 '-UJIWARA

C",IYOME L FlJ](INO. M D ()ONNA FAY I( KIYOSAKI. PE

LAWA:E"IC. H MIlKE, M. D. J D

KEN C I<AWAJ1AAA P ~ STATE OF HAWAII D~.~TV.~ •• ",,,,

OEPARTMENT Of LANe AND NATURAL. RESOURCES In General: ~ S I;' - 0 '1 COMMISSION ON WAT~~ iI~;!?URCE MANAGEMENT .. Q = (' , __ r ~:"'.

HONOLULU HAWAII 98809 \ ,

use

TO:

September 19,2008

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

;-~ \ ,. .. '. ~ location = ~",

(above)(ae~w)UIC line grd. elev. = 't, r:~I'- '

Tomas See, Chief, Wastewater Branch well dia. ~tuart Yamada, Chief, Safe Drinking Water Branch II d th == ., ~e;,

=

Alec Wong, Chief, Clean Water Branch we ep :,..'

FROM .f'~~~~~~~:~:~;;;':;: :::::~ J0oa~7~;~ WA'''~ ~"" SUBJECT: Well ConstmctionlPump Installation Permit APplication '. J

Haumana-Roberson Well (Well No. 5515-09) T t' \ ,:. , :1 ,\ (. - ?, ~ c·, .', . (.),.~ "

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

We would appreciate your commt:nts on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. :please respond by returning this cover memo form by October 20. 2008. Ifwe do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

Please find the attached maps to locate the proposed welL If you have any que~tjoo5 about this permit application, request additional information, or request addi~iooal review time, please contact Charley lee of the Commission staff at 587-0218.

CJ:ss Attachment(s)

R.ESPONSE' . ., ,-.., . \ lo/tlo'?J '.10(). {).-f • \ ! { , •• " ". ll,;-(~JI:%- '

I I Tln< _II ",u.l,ll., ... 'O"f~" wh •• h Will B&rv •• , • •• ur •• of pO '"Ie ""'.rt •• p"bllc wotor SY".1lI (d&fil1o. a. SMVi:,t;::::~r. peOple., Ie ••• W

I J

[ J

I)

I J

~

doys pcr yea' or ha, 1 S <>r .. "'''' "",vice c()n"e<:lio~) aIld maot .. cetV~ Dlfe<tot (){JItald~ app,<>val i!!l!!!: I" Ill' "". 1<' CQfllpl} wllb HiIwa'l AdnllnisUallvc Rule, (HAR). T'tle ll. (;b"l'Icr 20. Il.ulo. Rol .. m~ 101'0101010 W.,er Sy".m •• §11·20.29

Thi. "",II d"". "<II qualIfy ••• ,~~ '.""og a ),uhl.c Wat ... y.t .... (.""' •• l.s. than 2 S pcoplc Or mar'(; PMI'I. .11 ... ,60 d"y. per y ... or J 5 servICe c.(I{1nc~~U)n.$) lil.nd Li'thtt- walt wOIolm l!ii Ir..I!titd fol' dr1nk1tlg. lht:; ptlvil'~ Ow-her sb •• ld \dil f(Jf b~lCi1"ldOS1"llil anu d.cmu::;gl pTC~C:~ bcti)l-c m~he.tJn~ su.::h \.LSC ..,d rouLlntly 8101l1lor the water Q\lallty thereafter Howevo<, Iffi.tIIre pl.nnod us. from thIS 'ou= IDq •• a~ 10 ~ellh. public ,.al .... oy.lem Jofrnlhon tho" Di",.lm uf H ... ltb app,ovails r~quu~d.w:i&l; I~ ompiclIIOIltatl(>D

lHbE \V1d! J.5, used (t) ~'Ipp)y bQth PQtal;ll~ .:and 1\Qn-p~iIlbl~ purpQ~~.~ If1I iI ~lngle 4Y~t~m. thl!!' u~er ~~_ll ehmJn~le ;:;:rv~~"QJlltectlcm,$ ~.m:1 bQlCk.oow «,"",o<h(m. by ,,1I)'S,o.n} sO"llI'allll.llI'OIabJo ~~O )~OIl·W .. bJ. systoms ~~ an w tap c:K a. approv"d b3okflow prov ... ,.r. and by ok""} l .. b.I",S .. II ""_tJot~ble ,"P1SQt:s with warnIng t'ilgrtS tu 'Prevent mad1/"r1~tll ('ol'dtltnpbon of nan-pota'blli wat~r Backnuw pR:;V[;ntIOR d!5VJ~6!'i 5hould Ve Tc,.hfll!'iy IJJ$ped:1!d Uld test.d

An )\1"DJ5S perm,1 .. req."ec:\

Olbe, tekva.l DOH rulc&/"'gulatlOll&. InformaQoll. or ""c'Dm~ndatl\lllli arc attaohed

In tho ovent th.t tho 1" •• I,,,n ofl~e woliehOllg .. bot I~ ~1l11 Wltbm the PII,col desonbed "D th .. appltcailon. our divI~j(l1l oolll.iJers the COlll!ne"ts tl) still be lVphc.ble, <IJlO w, 00 not ~e.d \0 ",Vie ... the n ...... 'o..,bon

l ) No cnmm~nb/ob.1C:C.tl1:lru.

Contact Person: ~-....... A1~l{J><FWJ."....~ ..... l_ . .....jMlI<..L!'~"fI~'"'P'I=.l\,~(!A~--

Signed: --_---:-~~ .... ~-: ~l;:::==-..-'1-'ld..-------+------

Phone; $'£rCo -~

Date: l~' ~f c"O

OCT -02-2008 12: 38Pt1 FAX: 8085864351 ID:OLNR CWRM PAGE:007 R=94%

OCT-02-2008 12:13 From:DOWSAFE WATE'P,BRANH 8085854351 To:808 5RY 0219 "

CWRM Application Source: Baumana-Roberson Well (Well No. 5515-09)

Safe Drinking Water Branch Engineering Section

See attached private water wells in£o~mation sheet.

Underground Injection Control (UIC)

Well water quality should be initially and periodically tested for its acceptable and intended use, especially if for human consumption. Water quality should not be presumed acceptable and unchanging. Land-based activities around the well and within the well's recharge area maYI over time, have an unacceptable effect on the well's water quality. Well construction materials and related equipment could also affect water quality.

CWRM well Application Standard comments (SDWB) vers_ 6/1/07

OCT-02-2008 12:38PM FRX:8085864351 ID:DLNP CWPM PRGE:008 P=94%

, .. Opr-02-2008 12: 13 From:DOWSAFE WATER BRANH 8085854351

j- "

To:808 587 0219

WARNING! As the owner of a privately-owned well, you should NOT assume that water

from your well is safe for consumption. It is your responsibility to make sure that your well water is safe to drink. The only way to do this is to have your well regularly tested for bacteriological and chemical contaminants.

There are no regulations controlling water quality in private wells serving individual residences as there are for public water systems (public or privately owned utilities supplying water to 25 or mfre people' or 15 service conmtct~ons). In other words, there are no enforceable limits for co taminantS"anCt\no requiremeri=ltsJtor re.gUlar testing. Private wells ar~ 0liten found in rur.al

~~t:~~ where ~:~In~ a iv~ti~S\.lf s ,~ite wast~at~,r dis~sal ~an ic~nt~~inate t~_ ~rOU~d

. . ' /'. \ / (. . J i I: 'C_ ........ \ \ u. . ENVlRONflIlENTAL R' TECTI GENCY EPARECOMMENDA. oNs ! '

. ., I, i

T1e EPA recommend t at priv~te wel.1 o~ner$ test t~ei~ w~1I wa~e~ each year ~br such ;';' contaminants as Total C Ilform Ba tena, Nitrates, as well asan'l.ot'her contaminants that may be of concern in your area. More frequent testing may be appropriate if you suspect a problem. EPA also suggests that you consider testing for pesticides, organic chemicals, and heavy metals before using it for the first time. Please refer to the EPA website on Private Drinking Water Wells at http://www.epa.gov/safewater/privatewells/fag.html

OTHER CO'NTAMINA~TS \\ " ! I " ". I /' I. ! ;

'-- \ : / \ \ .' i ..... .... ...... . ' ...... --..... , ...... Water te~ting can b1e v.,er'y ex~n~ive.! ~n8.jmport~nt ~h.at .olll sR.ehq tiQ1~'~O ideijti~ .. v.v~~t ~th~r potential conta~mmts\m~y be 9f cor'ic~fn. Ple~s refe. r the/EPA weo'slt$ .on

1"Pnp3te Dnnklng

Water Wel~s \~t ',~ 1:11 . 'ea" ov/safe merl riv tewell Iwha GueaFl~o)ht~1 b for more help~uf Informa IO~.i Be aware of whatls hoW ou lJ!sEJ.snd·dispose h, usehold and

garden Che~. iQ. , .. a. I~. A~so (de. \~n'nine t~e .,ocation" of 'rearpy ,.se. p. t~~ tanks o~ Ite,ssP~.4 OI.~1 and agricultural or tn~ustnal MtlVlfles In the area: General infom'latlon on known ch~!!!lcal contami nation' of ground water in Hawalrcahals'Obe foLihcrat the OOf-fwebsite ..... . www.hawaii,gov/health/environmentallwaterlsdwb/conmaps/pdf/conmapsOS.pdf

LABORATORIES

Local com~etciallabQfa~Ories can pe;foun? in t~ .yellow 'pa es of he ~eleph?~e book under "Laboraton~s, \Analytl¢at: Whene~epposslble. utilize a labo ato hat IS certified or approved for the speci!ic ~ri~king wa1e'~ t~sts a~d Carefully fo~low their ins ruc io s fo~collf:lcting. storing,. a~d transporting ,he sa~pl~S. \Ju,st b" s,ure to ask the I~b to use EP pprpved me~~~s for drinking water anal~~I~, \{l. list ~f labs ~e~fl~d or/apj:>roved ~y ft,e De art nt of Plea1t~ can be found at www.hawau. vit ear h/env ro er"ltal rlsdwb/sd bl es' %20La S,' f. As lab certification sta~us; cHanges90rystantly, qonfirm theirstatu~ he y u contactthe I~b. Please note that the lis~ i~ litnited to currently regulateQ ~ontafnin~n 5 in p blicwa~r systems.

\ ., " ", l

RESULTS

Once the lab provides you with the test results, you will be in a better position to determine if your well water is safe to drink or what contaminant you need to treat for. Generally, you should compare the results with Federal (www.epa.gov/safewater/mcl.html) and State (www.hawaii. govJhealth/environl1'lentallwaterlsdwb/sdwb/pdf/State%20MC L. pdf) drinki n9 water standards. Where your test results are greater than the State or Federal maximum contaminant levels, your well water should be considered as unsafe for consumption.

OCT-02-2008 12:38PM FRX:8085864351 ID:OLNR CWRM PRGE:009 R=94%






KEN C. KAWAHARA, P.E. STATE OF HAWAII DEPUTY DIRECTOR

DEPARTMENT OF LAND AND NATURAL RESOURCES ~ \

P.O. BOX 621 r-- L4Y HONOLULU, HAWAII 96809

September 19,2008

COMMISSION ON WATER RESOURCE MANAfoGEM~ENT ~1.''''- r'l

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

.lomas See, Chief, Wastewater Branch Stuart Yamada, Chief, Safe Drinking Water Branch Alec Wong, Chief, Clean Water Branch Dr. Keith Kawaoka, Office of Hazard Evaluation and Emergency Response

FROM: (W-LauraH. Thielen,Chairperson ftl o faAA/6'L---\' Commission on Water Resource Management

SUBJECT: Well ConstructionlPump Installation Permit App ication Haumana-Roberson Well (Well No. 5515-09)

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

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by October 20, 2008. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

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

CI:ss Attachment( s)

RESPONSE:

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~ c:::. This well qualifies as a source which will serve as a source of potable water to a public water system (defined as serving 25 9tJn$.ilpeople a~ 60 days per year or has 15 or more service connections) and must receive Director of Health approval prior to its use to comp~~waii Administrative Rules (HAR), Title II, Chapter 20, Rules Relating to Potable Water Systems, §11-20-29. EC~'fi $a ..,.. This well does not quality as a source serving a public water system (serves less than 25 people or more people at least 60 ~... year or ~ce "'V connections) and if the well water is used for drinking, the private owner should test for bacteriological and chemical pres".!2,.. ore initiaa such use fTJ and routinely monitor the water quality thereafter. However, if future planned use from this source increases to meet the piiDi ater systesfinition:,") then Director of Health approval is reqnired prior to implementation. ::-.: . ,".

-'- .::> '11 If the well is used to supply both potable and non-potable purposes in a single system, the user shall eliminate cross-co~~and backi18' .:: connections by physically separating potable and non-potable systems by an air gap or an approved backflow preventer, ~ ~Iearly la~g all non- ...... potable spigots with warning signs to prevent inadvertent consumption of non-potable water. Backflow prevention devi~ sJil!oald be roulin'!l'y inspect~irJ ~~ ~~ -. 0 It does not appear that this well will be used for consumptive purposes and is not subject to Safe Drinking Water Reguliflt,n~ c..J .

en For the applicant's information, a source of possible wastewater contaminatio,*s [I is not located near the proposed well site (information attached).

An NPDES permit is required. •

Other relevant DOH rules/regulations, information, or recommendations are attached, OYll...sfl¥1 pvofl te; 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.

X No comments/objections

C t t P Roland T ejano on Maui 984-8232 onac ~:;-

Signed: ~~. tJr1 OJJ (If Date: 1-00.-OB

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

y' "

Sep-ZS-2008 02:05pm

Fax. to: Company:

Fax. No.:

8085864352 ~.~T-34S P.OOI/005 F-149

FAX TRANSMITTAL State of Hawaii Department of Health Environmental Management Division

Clean Water Branch - En.gin.eering Section Phone No.: (808) 586-4309

Fax No.: (808) 586-4352

Mr. Ryan !mata ..<Mr. Charley Ic~1 Ms. Denise Mills Commission On Water Resource Management Department of Land and Natural Resources

Date: 9'1..'3· 06 . Fax from: Joanna 1. Seto (f

Total Pages. incl. cover: 5 587-0219 .

Subject: Well ConstructionlPump Installation Permit Application(s) Well No(s). '51'39:''' ok I -feH3 - 0 I, 5'51 s~ 0 ~

The Department of Health, Clean Water Branch CCWB) has the following comments:

1, For Well-Drilling Activities

Any discharge to State waters of treated process wastewater effluent associated with well drilling activities is regulated by Hawaii Administrative Rules (HAR), Title 11, Chapter 55, Appendix 1, effective October 22,2007. Treated process wastewater effluent covered by this general permit includes well drilling slurries, lubricating fluids wastewater, and well purge wastewater. This general permit does not cover well pump testing. The applicabJe Notice oflntent (NOI) Fonns and filing fee shall be submitted at least 30 calendar days before the stan of discharge to the:

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

The CWB-NOI Forms are available online at http://www .hawaii. gov Ihealthlenvironmentallwater/cleanwater/formsl genl-index.html. Inquiries may be directed to the CWB at (808) 586-4309 or by tax (808) 586-4352.

2. For Well Pump Testing

The discharger shall take all measures neces:;al'Y \0 prevent the discharge of pollutants from entering State waters. Such measures shall include, if necessary, contairuncnt 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 ofthe recei\ling water. If the discharge is entering a storm drain. the discharger must obtain written permission 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 poJlutams prior to entering the storm drain.

SEP-29-2008 01:51PM FAX: 8085864352 ID:DLNR CWRM PAGE:005 R=96%

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

Sep-29-2008 02:05pm From-DEPT OF HEALTH ENVIRONMENTAL ~G~ "......, \ ......

8085864352 ~.. T-346 P. 002/005 F-149

Mr. Ryan lmata I Mr. Charley Ice / Ms. Denise Mills F~TRANSMITTAL Page 2 Commission On Water Resource Management

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

By HAR. Title 11, Chapter 55, Appendix C, effective October 22. 2007, an NPDES permit or Notice of General Penn it 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 NOI (see Comment No.1, above) shall be subrnined 30 calendar days before to the Slatt of construction activities.


Sep!Z9-2008 02:06pm

LINDA LlNG~~ ~evEtmOft Of hAW'tII

From-DE PT OF HEAL T.I-I ENII I RONIAENT AL IAN GMT ,. 8085864352 T-346 P.OOS/OOS F-149

I.AURA H. THIELEN ~1'IAIHr"l:H~N

~EI<EDITH J. CHING JAM~S A. FRAZIER Ne!AL S. FUJIWARA

CHIYOIiIE L FUIO'olO, ~II.D DONNA FAY K KIYOSAt<1. i>.E

STATE OF HAWAII

u\'WRE~CE H. MIIKt.. M.D., Jl' "" { KJ;N C KAWAI1AA.A, P.E. J .. .,.,i

tz"UTY ~fU~';TQR

lA.. DEPARTMENT OF LANO AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

po. BOXel1 HONOL..ULU, HAWAII 951109

U 2~eBSfP25 S:57AN

September 19,2008

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

Tomas See, Chief, Wastewater Branch Stnan Yamada, Chief, Safe Drinking Water Branch Alec Wong, Chief, Clean Water Branch Dr. Keith Kawaoka, Office of Hazard Evaluation and Emergency Response

FROM: (w-"Laura H. Thielen, Chairperson 1::. (l·rlUAJ~L-...-c' Commission on Water Resource Management

SUBJECT: Well ConstructionfPump Installation Permit App ication Haul11ana-Roberson Well (Well No. 5515·09)

Transmitted for your review and comment is a copy of the captioned Well ConstructionJPump 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 depanment. Please I'espond by retllrniDf this cover memo forM by Odober 20, 2008. Ifwe do not receive comments Or a request for addition a review time by this date, we will assume that you have no comments.


Cl:ss Anachmen:r(s)

RESPONSE:

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Thia well CJ1IIIlifie •• s a souroe which wiD ... ", •• H 0 '0",0. otpotoble ""ot ... to a public wa"'r 'y<'"m (defined a. ~"""1I25 '" "'_ j"'ople ,,' least 60 da~8 per ycar or bas J j or more sCfVic. conn.",iom) '1M IDA~ ~ivc: DircClQ( ofHulth 'lPprnv.11!.!!e!: to its uac to «Imply wilh I·l.-.w~jj I\dmini8l(ati .. ~ Rules (HAR). Tide II. Chap .. t 2C1, R.uI ... Rd"ul>8 '" Potable Water System., §11-21l-29

Thill well doc. not qualify as a sc>II\'c~ scr.ilIg a ~blii; ,"",.r ~.u;m (~crvcs les8 lhan 25 poople or lIlor. pt.'Q\>lc 3t 1,,88160 days per y ..... Of I ~ 5m'ice """"cCt;ans) and ifth. well wale.;~ uje4 f", drifll<ing. tho private ow..." ohould , ... , fer biolllori<>lolOi",,1 and cheaucal pt ••• no. bc:tt>r< initiating .... ch ••• Md TOAIIlI"ly monilor the w~tCT qu~lity thereafter. ffilwcvGt, if tutu", pl:mno;.;! ASC from this .0UlCe itMlreas... 10 m.~llhe public wilier aySUlm definition then Director at H,allh approval il requirtd ~ l<l lIllplemml~lion

lfth .. weill, UM:d 10 supply both potable and DOJ)·p"robl. purpo.es in 1I single syncm. the uac' ... ~ll elimin* oTQ5s-connel)riorul and b&cltOD'" connections by pllysically aepua[ins pc>Lobld .. <I nQIl·p~l~bIe s~stcms by an ail' ~ap Or an llppro".d b~Qkflow prcvc~tCi1'. &lId by daorly IAbclillg all AOJlpOtable spigots W1th "'''min!; ~ign. to preVCII1 iudvcrtcnt conltlmpliot, of DCln-pctilbl. w~ .... , BflOkflow prcvcnIlolI .... vio., ,"oAld bc rouri~cly Ulai"'tt~a andtBIIi'l:t!q,

It doe$ n<>\ .. pP_lh .... ,hi. w~1I will b~ ""~ for QOnaumptive purpose. MlI;' nol .~bj""llo S~f~ Drinking Walet R.ogul~ll<m$

Fot ~ &pplic.nt'~ ;nfarmatiofl, ~ ""~rQ~ of pOSiiblc wAstcWat(;( cClllauunaLion Ili> I J ill not locmed neac [he ptapo,.q wdll <'I' (infOClllation a.ttached).

An WPI!S p~rmil ,~ r~q\lired.

OIh~r ~1~vQII1 DOH rulcml!lliarions. illfol'llliltioll. Or "'COrnm~n<h"On$ ;u-.: omllOhw.

In Ihc ~nt [hat the location of [he well ehaJlfll!, blA i. ;tiU withlIllhio rnr~l described Oil rbi, 3pplic~ti';IIl, O\IT division considers [he COmm~nl~ 10 still be applicable. and we do /lOt !leed [0 ,.e~i~w th" nt>w lo~".

( 1 No COm""'IlI~lobl.~li()"1

Contact Person: ~ ~ Phone: VG Cp'-130'3

Signed: ~ Date; ~. 25' 0(7


TMK (2) 2-8-004: 043 490 Haumana Road Permit # 4435 / File # 3543 '!Ii WWB . OneStop . Microsoft Internet Explorer I-If r5l11x1

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Application Information

Pennit 10: 4435 IWS Type: [S~~~iC Tank

File Number: 3543 Island:

Application: 0 Status:

1 Project Information 1---------------------, Engineer:

TMK:

Street Address:

Street Address 2:

Suite! Apt.:

; Linda V Taylor ---+ ... _-+--+---_._--".

1228004043

IWS may be within 1,000 ft. of a potable we

1490 Haumana Road

City: LCIH.:..;d.:..:ik.:..;U'--______________ ---'

State: Hawaii

Zip Code:

1 Payment Information I

Source: WWB

Description: 1

I Review Information

Submit Date:

Reviewed:

17/31/1995

15/16/2006

plan Approved: 15/19/2006

Inspection Date: 15/21/2007

Final Approval: 15/21/2007

Tennination Date:

_.IUM _.IUM

~---.-- --~---'----I

Payment Type: ! Check ..~.J Check Number: .... 14_1_3 ____________ ---' Amount: 125,00 '-"'-'-..;;..;;..------'

Check Date: 15/11/2006 Payor: ITAVLOR

App.oval to Build App.ove To Use EHception Repo.t Save

Added By: phsieh 2/26/2007 10:52 AM Last Modified: rtejano 7/31/2008 8:57 AM

-----------------• Internet

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1 Property Owner

First Name: IJessica ::=::============~

Last Name: I~c=a=u=d=ill=========~ Street Address: 1490 Haumana Road

Street Address 2:

Suite/ Apt. Number:

City: IHaiku ~=====::;-----'

State: Hawaii v :====.:::::,--------~.

Zip Code: 1'--____ --' Use Project Address: [EJ

... Reporb; iil-:-~-~j Grants ~ My Profile

g Documents ~ BLDG Permits BI Notes

1 Dwelling Information 1---------------, Lot Size (sq ft.): 1374616

CPR Lot:

Dwelling Type: f---·-·······-··---·--···----~-·-····-··-··----···--·--······----··---······--1

L~ H i sti.r"~_~-=-' Ii n g/N=_"'!'..<l_~~io!,_~j

Existing IWS:

# of Existing I W S:

other Wastewater Bldgs:

Total Bedrooms: 4 Bedroom

Designed Flow Rate (gpd): Isoo

Building Type:

LCC: [EJ Potable Well within l,OOOft? rJ

Added By: phsieh 2/26/2007 10:52 AM Last Modified: rtejano 7/31/2008 8:57 AM Save

11 http://onestop.eha.local/wwb/Permlts/PermitFacihty ,aspx?permitID=0d8Oea67-B070-430f-B596-61e387cd59388rFiIeNumber=3543& TB=tabFa • Internet ~---.~-

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!Septic Tank Information!

Septic Tank Uquid Volume (gallons): L:11:.:0:.:0:.:0~ ____ .J

6" Inspection Port(s) to grade: IE] Manhole openings brought to grade: ~ Remarks:

~ Reports

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Disposal Type: ... _ ................ _ ......................................... _.v ..... :

Upgrad eHisting leachfield to 4 bd SFD(installed 40 units infiltrator)

9- My Profile

! Soil Profile Information !-----------------------------------,

Percolation Rate: 140 Min. Soil Absorb(sf/bd): 1849 3' Groundwater setback: IE]

!Soil Absorption Information!----------------------------------,

SOIl Absorption Bed Soil Absorption Trenches Seepage PIt

Length: 10 Length: 116 Diameter: 10 I Depth: 10

Width: 10 width: 12 Uning Type: V

3' Soil Replacement: D Num. of Trenches: 11 Access Opening: 10 I inches

3' Soil Replacement: D Cover Diameter: 10 I feet

6" Inspection Port: D Added By: phsieh 2/26/200710:52 AM Last Modified: rtejano 7/31/2008 8:57 AM Salle

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Ms. Linda V. Taylor P.O. Box 779 Makawao, Hawaii 96768

Dear Ms. Taylor:

STATE OF HAWAII DEPARTMENT OF HEALTH

P.O. Box 3378 HONOLI.A.U. HAWAD 968013378

August 20, 2003

Subject: Individual Wastewater System (IWS) Plans for Jolm Roberson Project Site: 490 Haumana Road, Haiku, Maui TMK: (2) 2-8-004; 043 IWS File No.: 3543

We have received your Certification of Construction and As Built Plans for the above IWS. Information submitted to us indicates that the installed IWS meets applicable provisions of Hawaii Administrative Rules, Title 11, Chapter 62, entitled "Wastewater Systems. "

'. ,\:'. ',~

As the professional engineer responsible for the Certification of Construction, please inform your client that the above IWS is approved for use. We strongly recommend that you discuss the necessary operation and maintenance of the individual wastewater system with your client. Emphasis should be placed on periodiC inspections for scum and sludge accumulation as wen as informing them not to dispose of materials that could affect the operation of the wastewater system.

Should you have any questions, please feel free to contact Mr. Roland Tejano at 984-8232.

Sincerely,

HAROLDK. YEE, P.E. Chief, Wastewater Branch

RT:lmh

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Application Information

Pennit ID: Ii •• l r-------------------------------- - --,

IWS Type: L_~_~_"_~i_=_~~ _________ ~j

File Number: 3543 B

Application: 0

I Project Information I Engineer:

TMK: 1228004043

Street Address:

IWS may be within 1,000 ft. of a potable we

1490 HAUMANA ROAD

Street Address 2:

Suite/ Apt.:

City: IHAIKU

State: Hawaii

Zip Code:

Assigned To: [!~j~~~:~~i~L_

Source: WWB

Description: IIWS B

I Review Information

Submit Date:

Reviewed:

11/21/2004

11/22/2004

plan Approved: 11/22/2004

Inspection Date: 18/9/2004

Final Approval: 110/4/2004

Tennination Date:

1 Payment Information 1------------------------------------------------------------------------------, Payment Type: l~==a Check Number: LI __________________________ -' Amount: I

'--------------'

Check Date: 11/27/2007 Payor: Ina

Apptoval to Build Apptove To Use EH(eption Repott Save

Added By: phsieh 2/26/2007 10:52 AM Last Modifted: rtejano 3/27/2008 1: 35 PM

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Fil"5t Name: ~IJ=E=S=S=IC=A========~ Last Name: ICAUDILL

~========~ Street Address: 1490 HAUMANA ROAD

Street Address 2:

Suite / Apt. Number:

City: IHAIKU ~====:::;-----'

State:

Zip Code: IL-____ --' Use Project Address: EJ

... Reporis §;. My profile

Q Documents ~ BLDG Permits B Notes

I Dwelling Information 1---------------, Lot Size (sq ft.):

CPR Lot:

Dwelling Type:

Existing IWS:

# of Existing IWS:

other Wastewater Bldgs:

Total Bedrooms:

Designed Flow Rate (gpd): 11000

Building Type: I~~~~~~~~~~~--~~~~~~~"~'-~"-~!

! Residential Vi L ________________________ .. __ ----'

LCC: EJ Potable Well within 1,OOOft? D

Added By: phsieh 2/26/200710:52 AM Last Modified: rtejano 3/27/2008 1: 35 PM Save

I) http://onestop.eha.local/wwb/Permits/PermitFacdity .aspx?permltID=9d461585-7230-199c-91f2-2b6ac6Of799c&FileNumber=3513&TB=tabFa • Internet ~->=,.,.".

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IWS System Information 1-----------------------------------,

Iseptic Tank Informationl-----------------------------------,

Septic Tank IJquid Volume (gallons): c:[1c.:2:..:5c.:0 ____ ---' Manufacturer:

6" Inspection Port(s) to grade: lEJ Disposal Type: L_. __ . ____ . ______ . ____ . ______ • ________ . ___ ,

Manhole openings bl"Ought to grade: lEJ Remarks:

INew 3bd SFD

[Soil Profile Information 1----------------------------------,

Percolation Rate: [24 Min. Soil Absorb(sf/bd): [0 3' Gl"Oundwater Setback: lEJ Isoil Absorption Informationl------------------------------------,

SOl' Absorption Bed SOl' Absorption Trenches Seepage Pit

Length: [90 Length: [0 Diameter: [0 [ Depth: [0

Width: [13 Width: [0 IJning Type: V

3' Soil Replacement: lEJ Num. of Trenches: [0 Access Opening: [0 [ inches

3' Soil Replacement: lEJ (over Diameter: [0 [ feet

6" Inspection Port: lEJ Added By: phsieh 2/26/2007 10: 52 AM Last Modified: rtejano 3/27/2008 1: 35 PM Save

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LINOA LINGLE GOVERNOR Of HAWAU

CHlYOME LEIfAAlA FUICINO, MoD. DlNECTCIR Of HEALlH

Ms. Linda V. Taylor P.O. Box 779 Makawao, Hawaii 96768

Dear Ms. Taylor:

STATE OF HAWAII DEPARTMENT OF HEALTH

P.O. Box 3378 HONOLULU, HAWAII 96801-3378

October 4, 2004

Subject: Individual Wastewater System (IWS) Plans for Jessica Claudill Project Site: 490 Haumana Road, Haiku, Maui TMK: (2) 2-8-004: 043 IWS File No.: 3543-B

We have. received your Certification of Construction and As Built Plans for the above IWS. Information submitted to us indicates that the installed IWS meets applicable provisions of Hawaii Administrative Rules, Title 11, Chapter 62, entitled "Wastewater Systems."

As the professional engineer responsible for the Certification of Construction, please inform your client that the above IWS is approved for use. You are also responsible for seeing that your client receives a copy of this Approval for Use letter together with the IWS as-built plans. We strongly re<.(ommend that you discuss the necessary operation and maintenance of the individual wastewater system with your client. Emphasis should be placed on periodic inspections for scum and sludge accumulation as well as informing them not to dispose of materials that could affect the operation of the wastewater system.

Should you have any questions, please feel free to contact Mr. Roland Tejano at 984-8232.

Sincerely,

(;;P -f I<-q~ HAROLD K. YEE, P.t: Chief, Wastewater Branch

RT:lmh

· Jessica Caudill TMK : (2) 2-8-4:43 December 22. 2UU3

INDIVIDUAL WASTEWATER SYSTEM DESIGN CALCULATIONS

EFFLUENT DISPOSAL SYSTEM:

Number of Bedrooms: 5 Percolation Rate: 24 min/in Absorption Area Required: SF/BR (ref. Manual of Septic Tank practice (l1-62-34(a)(3))).

Total Absorption Area Required: 5 x 230 SF = ] ]50 SF

Soil Absorption Trenches: 1150 sf / 2 ft wide = 575 ft For 6 trenches: 575 ft / 6 = 95.8 ft long, or 96 ft 575 LF SOIL ABSORPTION TRENCH REQUIRED: 6 trenches, 96 FT long, 5 FT apart, 3 FT deep maximum, see details.

A system of the size will not feasibly fit in the area dedicated to the IWS. A Soil Absorption Bed may be more suitable.

Soil Absorption Bed :

/' 1150 SF of Absorption Bed is required: 1150 SF / 22 ft~ide = 52.3 ft, use 53 ft long

/

1150 SF SOIL ABSORPTION BED REQUIREJ?: 22 ,FT ~IDEX 53 FT LONG, 4 lines, 6 FT apart, 2 FT from sidewalls, 3 Ff deep maxitnUm, see\tetails.

For Infiltrators: In the event that Infiltrators will be used, a 17% reduction will be taken:

Required area = 1150 sf 17% reduction = - 195 sf Adjusted area::;: 955 sf 955 sf / 15.4 sf = 62 EQ 36 Infiltrators, use 63. (EQ-36 Infiltrator chamber: 1 5/6 ft wide by 8.4 ft long.) or 955 SF /17.7 SF::;: 53.9 H-I0 Infiltrators, use 54. (H-IO chamber: 34" wide x 6.25 ft long

955 SF OF SOIL ABSORPTION AREA WITH INFIL TRA TORS REQUIRED. 63 EQ36 INFILTRATOR CHAMBERS OR 54 H-IO INFILTRATOR CHAMBERS.

Linda Taylor Engineering, Inc. P.O. Box 779, Makawao. Maui, Hawai'i, 96768

(808) 572-2688

,/', f IIDUAL WASTEWATER iI'-~aI\M DESIGN FOR: /SI«A CAUDILL '-'.."

11K : (2) 2-8-4:43 )ecember 22, 2003

IWS SETBACK!

Buildings: Property Lines Large Trees: Streams:

H A UM A ~_---------------------'. '--. _ ... _-------===" ... ;:=-------

1250 GALLON

MODERAT LV STEEP WI TERRACES

-- C.O.T.G. (TYPJ

FUTURE

;~( _____ --!.:!/:(r...:O:...' _______ S:..;E:..;P_T;..".IC~T.;,.,A:..;N __ K~ __ ~~ -1

DISTRIBUTION BOX ~ .!J'

REGRADE AS NEEDED TO INSTALL PER SPECS. EXACT LOCATION TO BE FIELD DETERMINED.

5·BEDROOM IWS;

OR

9 SF S ITH 6 E· INFILTRATOR CHAMBERS 54 1I191NFILTAATOR C~:I6MB~R& WITH FILTER FABRIC (see details

~~~. I/. ~ It',.\

;1 Q't- I "'. ~ \ ( ~ PROfESSIONAL \ b '\' .1 -l' ENGINEER , ::a : \~lf- 6~/b-OYjlf-( \. \. No. 6507·C / /

~"-- . /' ~' :.t ~ .. --

. \ .'

I

, THIS WORK WAS PREPARED

(J' . OR UNDER MY SUPERVISION. !

Linda Taylor Engineering p.o. Box 779, Makawao, Maui, Hawaii • (808) 572-2688

~; _____ .~ _____ l

NOTES;

TO EXISTING DWELLING WITH IWS

1. Soil Absorption Bed shall be a minimum of 18 inches deep and maximum of 36 inches below finished grade. Bottom of bed shall be level.

2. 4 inch perforated lines shall be spaced 4 to 6 feet apart and 6 to 24 inches from sidewalls.

3. Exact location of IWS to be field determined. 4. Contact Engineer 48 hours prior to observation . 5. All dimensions shown are minimums, locations

approximate. 6. DO NOT DRIVE OVER THE INDIVIDUAL

WASTEWATER SYSTEM. 7. Regrade where necessary to install

system according to details. 8. Septic tank manholes to be brought to

grade with risers and covered with 6 inches of fill.

9. Syste~to be installed in stabilized fill only. 10. Exact' rocation to be field verified. 11. Provide positive drainage over IWS.

Divert excess runoff from IWS.

A-~BU. \ L.i SITE PLAN SCALE: 1'=50'

LINDA LINGLE GOVERNOR OP' HAWAII

Mr. Jeffrey Hunt, Director Planning Department County of Maui 250 South High Street Wailuku, HI 96793

Dear Mr. Hunt:



HONOLULU. HAWAII 96809

September 19,2008

Special Management Area Use Permit Re<l,uirements for Well ConstructioniPump Installation PermIt Application

Haumana-Roberson Well (Well No. 5515-09)

("')0 om ,-.""0

~l':::;;-f ri~o \J-<-r"I ,.,., --0 ""0 <..,..,' r-r, 1> :::J 3:.:z: >z ~~

LAURA H. THIELEN OW""EItSON


CHIYOME L. FUKlND. M.D. DONNA FAY K. mOSAKI. P.E. LAWRENCE H. MilKE, M.D., J.D.

KEN c. KAWAHARA. P.E DEPUTY DlIltEcroft

&I

iO/ N W

-v -.~ \0


We would appreciate your comments on the captioned application with regard to the SMA permitting requirements specific to your division. Please respond by returning this cover memo form by October 20, 2008. Ifwe do not receive comments or a request for additional review time by this date, we will assume you have no comments,


Sincerely,

~wc.~L (;.vLA RA H. THIEL N \ Ch erson

CI:ss

RESPONSE:

~ This w;ll"project [~UireS [ ] does not require a SMA If a SMA is required it [~[ ] has not been approved and [v'f is [ ] is not currently active. LJN.~\ \... ~R\ \.... "2:t> 1 'Z.O\D \.

[ 1

[~ [ 1

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

No objections

Other comments:

Signed:-f-~~~~'-"-F--ff-'Ul.!~~.1-________ _

Phone: 2Jo-7Sl2-

Date: /6 -/-D&



Dear Mr. Robertson:

o o




September 19,2008






5515-09.wcpia.acc

Well ConstructionlPump Installation Permit Application for Well No. 5515-09

We acknowledge receipt, on September 15, 2008!ofyour completed Well ConstructionlPump Installation permit application and filing fee for the Haumana-Roberson Well (Well No. 5515-09). 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 installation will be issued until the Commission has determined that the pump capacity will not have adverse effects on the aquifer, other nearby wells, or streams. In other words, you may need to remove the pump and install a smaller pump at the Commission's discretion before you can withdraw water for purposes other than testing.

If you have any questions about your permit application, please contact Charley Ice ofthe Commission staff at 587-0218.ortoll-free at 984-2400 (Maui), extension 70218.

CI:ss Attachment

c: Kaleo Roberson Jessica Caudill et al

~~w~~ :t.~ Direct:'~R

/


o o




September 19,2008 )



CHIYDME 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

Tomas See, Chief, Wastewater Branch Stuart Yamada, Chief, Safe Drinking Water Branch Alec Wong, Chief, Clean Water Branch Dr. Keith Kawaoka, Office of Hazard Evaluation and Emergency Response

FROM: (W'Laura H. Thielen, Chairperson t ao14VJPL-~. Commission on Water Resource Management

SUBJECT: Well ConstructionlPump Installation Permit App ication Haumana-Roberson Well (Well No. 5515-09)


We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by October 20,2008. Ifwe do not receive comments or a request for additional review time by this date, we will assume that you have no comments.


CI:ss Attachment(s)

RESPONSE: [ I

[ I

[ I

[ I

[ I

[ I

[ I

[ I

[ I

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

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

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

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

For the applicant's information, a source of possible wastewater contamination [lis [ I is not located near the proposed well site (information attached).

An NPDES permit is required.

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

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

No comments/objections

Contact Person: _________________ _ Phone:

Signed: ________________ _ Date:

o o LINDA LINGLE


CHAIRPERSON




TO:

FROM:

SUBJECT:




September 19,2008

Morris Atta, Administrator

Land Division f 1 Ken C. Kawahara, P.E., Deputy Director (L f'M#p. L-Commission on Water Resource Management

Well ConstructionlPump Installation Permit Appli ation Haumana-Roberson Well (Well No. 5515-09) TMK (2) 2-8-004:043





CI:ss Attachment(s)

RESPONSE:

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

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

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

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

[ ] No objections

[ ] Other comments:

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

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

~-------------- .•. .,~." .. ,-

o o LINDA LINGLE


CHAIRPERSON




TO:

FROM:

SUBJECT:




September 19,2008

Dr. Puaalaokalani Aiu, Administrator Historic Preservation t L-Ken C. Kawahara, P .E., Deputy Director j~ {!". 1/ Commission on Water Resource Management

Well ConstructionlPump Installation Permit Appr ation Haumana-Roberson Well (Well No. 5515-09) TMK: (2) 2-8-004:043



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 October 20, 2008. 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 or request additional review time, please contact Charley Ice of the Commission staff at 587-0218. If you require additional information regarding specific information that can be provided by the applicant, please contact the applicant directly at the contact information provided on the application form.

CI:ss Attachment(s)

RESPONSE:

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

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

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

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

Signed: __________________ _ Date:. _______ _


Mr. Jeffrey Hunt, Director Planning Department County ofMaui 250 South High Street Wailuku, HI 96793

Dear Mr. Hunt:

o o




September 19,2008

Special Management Area Use Permit Requirements for Well ConstructioniPump Installation Permit Application




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


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

We would appreciate your comments on the captioned application with regard to the SMA permitting requirements specific to your division. Please respond by returning this cover memo form by October 20, 2008. Ifwe do not receive comments or a request for additional review time by this date, we will assume you have no comments.

Please fmd the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-0218.

Sincerely,

~~t':rL CHLA RA H. THIEL N \. Ch erson

CI:ss

RESPONSE:

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

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

[ ] No objections

[ ] Other comments:

ConmctPerson: ________________________________________ _ Phone: -----------------

Signed: ____________________ _ Date: _______ _


o o




September 19, 2008

Mr. Jeffery K. Eng, Director Department of Water Supply County of Maui 200 South High Street Wailuku, HI 96793

Dear Mr. Eng:

Well ConstructionIPump Installation Permit Review Well ConstructionIPump Installation Permit Application







Transmitted for your review and comment is a copy of the captioned Well ConstructionIPump Installation permit application. If you have any comments on this application, please submit them by October 20, 2008. If we do not receive comments we will assume you have no comments.

If you have any questions about this permit application, please contact Charley Ice of the Commission staff at 587-0251.

Sincerely,

CI:ss

CO,QSION ON WATER RESOURCE MANAGEMENT 0 ROUTE SLIP FOR NEW APPLICATIONS

FROM: CHARLEY DATE: 28-May-08 SUSPENSE DATE: 4-Jun-08 -----------------PLEASE:

CHING, F. KUNIMURA, I. FUJII, N. NAKAMA, L. GOODING, K. -. - -4-0HYE, M.

-1-HARDY,R. ~--SAKODA'E' HIGA, D. === SWANSON, S.

-2-HOAGBIN, S. UYENO, D. -5-ICE, C. --YODA, K.

IMATA, R. -- --YOSHINAGA, M.-

1 Approval JUI-3- Signature f=__ 4 Information

See Me -1-Review & Comment --Take Action

Type Draft acknow letter -2-Type Final, label file folder, update People.db -5-File --Xerox copies

-3-KAWAHARA,K.==

WELL NUMBER 55 {~ ~01 WELL NAME Haumana-Roberson WUP Number

P( WELL CONSTRUCTION ~ PUMP INSTALLATION

ATTACHMENTS 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

10 BACKGROUND CHECK

MLS PRINTOUT DCCA LICENSE SCREEN PRINTOUT

o WUPA

11 $25 FEE DEPOSIT SLIP

12 DHP/CDUP/SMA pre-screen (SMA map printout http://gis.hicentral.com/website/parcelzoning/viewer.htm.,or INGRID'S SMA/CD MAP) (LUC map printout http://luc.state.hLus/luc_maps.htm., or INGRID'S SMA/CD MAP)

FOLDER: o MADE NEW FILE FOLDER, ATTACHED

~ FILE FOLDER ALREADY MADE, IN FILE CABINET

INCOMPLETE ACTION DATES:

DATE ACTION

copies of maps?

5519-05 Kauhikoa-Winn 5417-04 IN & RS 4326-11 Ke Alii 1 4326-12 Ke Alii 2 4527 -16 St. Theresa Ch 4835-03 Ukumehame 2 4835-04 Ukumehame 3 3824-01 Berkowicz 4226-19 Kilohana Waena 5240-09 Kahoma Irrig 4326-13 Kamaole-Aloha V 5413-14 Huelo-Dosland 5515-06 Clark 5318-02 Pauwela Farm( s 2

1\-0 \IV e1 '2-

5530-06 Laquidara 5531-01 Waihee Mauka 1 5631-08 Waihee-Sarasin

£'Co3l ,{O 9~d-M. 3

o WCR 1 ace; WCR2 ace PIP WCPexp WCPexp PIP sign PIP exp PIP exp WCP exp WCR1 ace WCP & PIPexp WCP exp WCPexp WCP exp WCP& PIPexp

WCP exp (need WUPA) PIP exp (need WUPA) WCP exp (need WUPA)

... -, I V

o e~ ~ w'hf{c.Q.,k I (~

AIDVO~ ccwc & ccpi 3/04/08 i3<VA- 'V{'.

issued 2/09/08; need WCR2 I q I q,,1r.:lo<O (well~ capped) no ~CR (" WQJ nH'vC;

WCR2 rec'd 2/08/08; signed PIP 2/11/08 need WCR, signed PIP ptW A-/o8/o~ ~"j/~

~ WCR2, signed P,IP 3/03/08 ~(~ -lL". C9-W t

need WCRs -Jfl..dScf p~) t~ ~F""':Jf;:I/()g II.r ccwc 1108; PIP 10/24/~ -A need WCRs rtJvv-. 570 ::' r o~ need WCR~~!og-/o9\ll.J.r &(J-X'r€., WCR1 rec'd 2/27&28/08 WCR1 rec'd 2/27&28/08, WCR2 3/04/08 WCR2 w/signedPIP, photo rec'd 2/25/08; WCR1 rec'd 2/28/08 Itr 2/20108 pau? Y: .{(t"\« 08' WCR1 rec'd 2/29/08, need new PT; WUPA TBS

r>6J..A ';41,/0 8 I

We/fBackground Check

Approved Well No. Well Name Applicant

2253-01 Waiea-Lindsey 1 Noenoe Lindsey

5518-06 Pauwela-Blietz William Blietz

5515-08 Haumana-Pitts Ronald and Jason Pitts

Kaplan Residenc Wailani Drilling

4/27/1992 5615-01 Haiku-Robertson Michael H. Robertson

5/17/1995 5615-02 Peahi-Phillips Chuck Phillips

12/6/1995 3153-01 Hokukano Ranch Hokukano Ranch, Inc.

1/24/1996 5615-05 Peahi-Wilson Deborah Wilson

1/24/1996 5413-05 Huelo-Gould Sherrie Gould

3/13/1996 5616-02 Heaaula-Martin Peter Martin

3/13/1996 3904-06 Kipahulu-Nicoll Sacred Haleakala Trust

4/10/1996 5615-03 Peahi-Trier Richard Trier

7/17/1996 5515-03 Peahi-Wanner David Wanner

9/11/1996 5426-01 Papaula-Ruben Michael Ruben

9/11/1996 5230-01 Ka Hale A Ke Ola Maui Econ. Concerns

12/18/1996 5414-01 Huelo-Hipp Gary Hipp

12/18f1996 5413-07 Huelo-Baker Ed Baker

12/18/1996 5413-08 Huelo-Lowen Alan Lowen

3f4/1997 5329-21

3/4/1997 5329-20

Maui Cent Park 3 County of Maui DPR

Maui Cent Park 2 County of Maui DPR

3f4/1997 5329-19 Maui Cent Park 1 County of Maui DPR

4f22/1997 5413-09 Waipio-Hagar Sam Hager

6/3/1997 5417-01 Edington Anthony Edington

6/9/1997 5517-01 Joachim Brian Joachim

9f22/1997 5731-02 Kanoa 1 Maui DWS

9/22/1997 5731-03 Kupaa 1 Maui DWS

12/8/1997 5413-10 Huelo-Naiditch Jack Naiditch

Wednesday, May 28, 2008

Well Construction Driller Pump Inst. Type Issued Signed WCR1 Accept

Pump Installation Issued Signed WCR2 Accept

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115

C-20115 C-20115

C-20115 C-20115

C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115

C-20115

C-20115 C-20115

BOTH

BOTH

BOTH

WELL

BOTH 4/27/1992 5/15/1992 8/27/1993 4/24/2002

BOTH 6/21/1995 3/611996 7/19/1996 9/12/2002

WELL 212111996 3/1211996 1129/1997 1/29/1997

BOTH 2128/1996 1216/2001 2118/1997 4/24/2002

4/27/1992 5/15/1992 8/27/1993 4/24/2002

6/21/1995 211/2000 7119/1996 9/1212002

2128/1996 1216/2001 2118/1997 9/1212000

BOTH 1/24/1996 7/15/1996 7/19/1996 10/1211998 10/1211998 211/2000 10131/1996 911512006

BOTH 4/25/1996 2118/1997 2118/1997 10/1211998 121211998 2118/1997 2118/1997

BOTH 4/25/1996 3/30/1996 211811997 10/1211998 10/1211998 5/25/1999 211811997 2118/2004

BOTH 7/9/1996 7/19/1996 9/1212002 10/1211998 1/29/1999 213/1999 911212002

BOTH 8/1211996 10/20/1996 211811997 2125/1997 10/1211998 5/24/2000 211811997 9/1212002

BOTH 101711996 4/4/1998 7/1/1997 5/30/2000 3/20/1998 4/14/1998 5/18/2000 5/30/2000

BOTH 10n/1996 10/11/1996 10/111997 10/1/1997 1/811998 2123/1998 2127/2002 6/3/2002

11711997 12/18/1998 711/1997 10127/1997 3/20/1998 3/30/1998 7/11199710/27/1997 BOTH

BOTH

BOTH

BOTH

BOTH

BOTH

11711997 5/18/2000 2/18/1997 5/18/2000 10/1211998 5/18/2000 211811997 5/18/2000

1n/1997 5/8/1998 7/1/1997 10120/1997 3/31/1998 6/10/2000 5/1212000 8/15/2000

314/1997 9/10/1997 1/16/1998 4/16/1998 5/13/1998 6/16/1998 7/21/1998 1/512000

3/411997 9/10/1997 1/16/1998 4/16/1998 5/13/1998 6/16/1998 7/21/1998 1/512001

3/411997 9/10/1997 1/16/1998 4/16/1998 5/13/1998 6/16/1998 7/21/1998 1/512001

WELL 4123/1997 6/10/1997 7/111997 10127/1997 3/20/1998 3/23/1998 5/12/2000 5/1212000

BOTH 614/1997 6/8/1999 1218/1999 2110/2000 2117/2000 3/1/2000 1218/1999 6/20/2000

BOTH 6/10/1997 9/18/1997 10/1/1997 10/1/1997 10/17/1997 1211211997 12/121199712117/1997

WELL 9/24/1997 7/16/1998 7/111999 9/27/1999

WELL 9/24/1997 7/16/1998 6/23/1999 6/23/1999

BOTH 1211211997 8/29/1999 1/31/2000 5/412000 5/16/2000 7/24/2000 1/31/2000 5/412000

Page 1 0/6

Approved Well No. Well Name Applicant Well Construction

Driller Pump Insf. Type Issued Signed WCR1 Accept Pump Installation

Issued Signed WCR2 Accept

3/1211998 5616-03 Clark Bob Clark C-20115 C-20115

5/1/1998 5741-01 McDonald Mark McDonald C-20115 C-20115

5/1/1998 5841-03 Shoemaker Scott Shoemaker C-20115 C-20115

5/21/1998 5328-52 Maui Beach Hotel Maui Beach Hotel C-20115 C-20115

6/22/1998 5137-01 Launiupoko 2 Launiupoko Associates, LLC C-20115

6/23/1998 5615-04 Peahi-Bock Jerry Bock

7/10/1998 5515-04 Peahi-Johnson Mary Johnson

10/21/1998 5424-09 Spreckelsville-Ge Tom Gerlach

11/18/1998 4936-01 Olowalu Elua Olowalu Elua Assoc., Ltd.

2119/1999 3806-03 Kaupo-Mokulau Mokulau Trust

8/10/1999 5616-04 Peahi-Honig Fredrick Honig

8/17/1999 5840-03 Kahana Gartner Kahana Ranch

8/26/1999 5731-04 Kanoa 2 MauiDWS

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115

C-20115

C-20115

C-20115

C-20115 C-20115

C-20115 C-20115

C-20115

8/26/1999 5939-02 Napili Park Maui County Parks Dept. C-20115 C-20115

8/26/1999 4226-15 Hale Kamaole Hale Kamaole Condo Assoc. C-20115 C-20115

8/26/1999 4821-01 Omaopio-Esty Edward Esty C-20115 C-20115

1/9/2000 5414-02 Huelo-Ulin David & Nancy Ulin

3/17/2000 5425-03 Papaula-Golting Eric Golting

4/10/2000 5514-02 Hoolawa-O'Neili Shawne O'Neill

5/1/2000

5/1/2000

5620-04

5620-03

Pauwela Lewis 2 Sky Lewis

Pauwela Lewis 1 Sky Lewis

5/26/2000 5518-02 Kuiaha-Smith Smith Development

7/6/2000 5341-02 Front St. Housing William Dorbush

8/9/2000 4327-07 Kihei Akahi Irrigat Kihei Akahi Condo Asso.

8/11/2000 4822-01 Kula Meadows Kula Meadows, LLC

8/14/2000 5616-05 Manawai-Vandev Dennis Vandevelde

10/27/2000 5413-11 Hoalua-Grace Gwendolyn Grace

10/27/2000 5517-02 Manawai-Papanui Papanui, LLC


C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

BOTH 3/17/1998 3/24/1998 9/29/1998 1/31/2000 3/312000 3/2212000 12117/199812117/1998

BOTH 51711998 5/25/1998 4/17/2000 4/18/2000 5/512000 5/25/2000 4/1712000 5/26/2000

BOTH 51711998 6/17/1999 8/2212000 9/25/2000 10/10/2000 10/16/2000 1/25/2001 3/19/2001

BOTH 5/2211998 5/26/1998 7/28/1999 511712000 5/26/2000 6/612000 6/20/2000 6/20/2000

WELL 6/24/1998 8/17/1998 12114/2001 211412002

BOTH 6/24/1998 8/30/1999 8/2212000 9/13/2000 9/2212000 9/25/2000 11/1612000 11/20/2000

BOTH 711411998 81711998 8/2212000 9/13/2000 12115/2000 12118/2000 1/25/2001 3/19/2001

BOTH 111211998 4/23/1999 8/2212000 9/27/2000 10/20/2000 11/20/2000 1125/2001 3/19/2001

BOTH 121811998 7/13/1999 7/16/1999 7/16/1999

BOTH 3/411999 10/9/1999 8/2212000 213/2005

BOTH 8117/1999 8/30/1999 8/2212000 1/31/2001

BOTH 8/23/1999 9/211999 7/9/2000 7/912000

WELL 9/8/1999 212212000 6/13/2000 7119/2000

91211999 9/15/1999 10/15/199910115/1999

11110/2004 1/1412005 11/1/2004 213/200sO

216/2001 41212001 4/1/2001 4/9/2001

7/26/2000 91712000 9/11/2000 1/25/2001

BOTH 9/211999 9/14/1999 4/27/2000 9/29/2000 10/18/2000 10/30/2000 11/14/200011/28/2000

BOTH 91211999 9/20/1999 10/21/1999 10/21/1999 313/2000 3/15/2000 3/15/2000 6/16/2000

WELL 9/211999 9/16/1999 211512000 4/20/2000 5/512000 5/15/2000 5/18/2000 5/18/2000

BOTH 1/18/2000 1/30/2000 8/22/2000 9/1712001 9/28/2001 11/1/2001 12120/2001 1/11/2002

BOTH 41712000 1211212000 11/28/2000 10/30/2002 11/20/2002 12118/2002 12124/200212124/2002

BOTH 4/28/2000 5/612000 9/26/2000 6/28/2001

BOTH

BOTH

6/13/2000 1212212000 4/26/2001 4/26/2001

6/13/2000 1212212000 4/26/2001 5/15/2001

BOTH 6/15/2000 6/15/2000 7/24/2000 8/912000

PUMP

BOTH 8/21/2000 8/30/2000 1/312001 21912001

7110/2001 9/612001 9/6/2001 91712001

6/25/2001 7/1212001

6/25/2001 7/1212001

8/112001

8/1/2001

811/2001

811/2000

8/14/2000 8/30/2000 9/112000 9/1/2000

7/31/2000 10/1/2000 11/8/200012119/2002

2114/2001 4/3/2001 4/26/2001 3/27/2002

BOTH 8/14/2000 8/14/2000 11/16/2000 11/16/2000 12/15/2000 1211912002 113/2001 113/2001

BOTH 9/2212000 9/26/2000 5/312001 6/28/2001 10/1212001 4/20/2002 6/19/2002 6/1912002

BOTH 11/3/2000 121312000 4/9/2001 10130/2002 11/18/2002 11/26/2002 1219/2002 1219/2002

BOTH 11/3/2000 11/30/2000 6128/2001 7/17/2001 6/1212001 7/24/2001 8/112001 8/1/2001

Page 2 of6


Driller Pump Inst. Type Issued Signed WCR1 Accept Pump Installation


11/16/2000 4805-02 Nahiku-Betsill Betsill Brothers Constuction In C-20115 C-20115 BOTH 121712000 1211212000 9/1212002 10130/2002 3/4/2003 4/15/2003 4/28/2003 4/28/2003

11/16/2000 4326-09 Kamaole-Maui Vi Maui Vista AOAO C-20115 C-20115 BOTH 1211912000 12121/2000 4/912001 4/9/2001 4/30/2001 5/912001 5/16/2001 11/6/2002

1214/2000 4527-14 Kihei-Kauhale Ma Kauhale Makai C-20115 C-20115 BOTH 12119/2000 6/912001 5/3/2001 5/3/2001 61512001 6/18/2001 6/2212001 6/2212001

12127/2000 5522-03 Kuau-Newbro Mike Newbro C-20115 C-20115 BOTH 2127/2001 2126/2001 5/3/2001 5/3/2001 7/10/2001 7/26/2001 9/18/2001 9/18/2001

2/9/2001 4100-01 Koali-Sullivan Terrence Sullivan C-20115 C-20115 BOTH 3/5/2001 3/14/2001 12120/2001 12120/2001 1/11/2002 1/30/2002 4/812002 4/15/2002

2/27/2001 5514-04 Hoolawa-Cookma Christopher Cookman C-20115 C-20115 BOTH 3/512001 3/1212001 12120/2001 6/19/2002 10/25/2002 11/15/2002 1219/2002 1219/2002

4/6/2001 5614-03 Honopou-Bathelt Friedrich Bathelt C-20115 C-20115 BOTH 4/1212001 5/9/2001 6/19/2002 6/19/2002 8/28/2002 10/24/2002 10/30/200210/30/2002

4/20/2001 5616-06 Manawai-Steele Bill Steele C-20115 C-20115 BOTH 4/24/2001 4/27/2001 12120/2001 4/812002 4117/2002 4/20/2002 6/19/2002 6/19/2002

4/23/2001 5514-05 Hoolawa-Sadri Asghar R. Sadri C-20115 C-20115 BOTH 4/30/2001 5/412001 2118/2003 2118/2003 3/27/2003 4/30/2003 5/912003 5/9/2003

5/29/2001 5616-07 Manawai-Felton Frank Felton C-20115 WELL 6/5/2001 6/15/2001 12120/2001 4/812002 o 7/3/2001 5616-08 Grossman Gerald Grossman C-20115 C-20115 BOTH 7/10/2001 10/4/2001 11/21/2002 1212412002 1/27/2003 212512003 3/3/2003 3/3/2003

7/3/2001 5320-02 Maunaolu 1 Maunaolu Assoc. LLC C-20115 C-20115 BOTH 7/6/2001 7/18/2001 10/5/2001 10/18/2001 11/16/2001 11/19/2001 1212012001 12120/2001

7/10/2001 5617-01 Haiku Summit Tr Summit Trade Inc. C-20115 WELL 7/1212001 8/20/2001 11/29/2002 519/2003

7/10/2001 5517-03 Haiku Summit Tr Summit Trade Inc. C-20115 WELL 7/1212001 8/20/2001 11/29/2002 519/2003

8/14/2001 4226-16 Maui Kamaole A Maui Kamaole AOAO C-20115 C-20115 BOTH 9/20/2001 10/1/2001 11/9/2001 11/21/2001 1211012001 12111/2001 4/812002 4/8/2002

8/27/2001 5240-07 Lahaina Park Maui County Parks Dept. C-20115 C-20115 BOTH 9/28/2001 10/10/2001 8/19/2002 8/28/2002 1/9/2003 2119/2003 2120/2003 2127/2003

11/1/2001 5424-08 Spreckelsville-Wa Roger Wark C-20115 C-20115 BOTH 11123/2001 11/25/2001 10/30/2002 1212312002 1/812003 31712003 3/1212003 3/1212003

11/512001 4026-13 Kea Lani Irrigatio The Fairmont Kea Lani Maui C-20115 C-20115 BOTH 11116/2001 11/20/2001 10/30/2002 10/30/2002 11/20/2002 1214/2002 1218/2002 121812002

12/4/2001 3926-11 Makena Surf Makena Surf Association C-20115 C-20115 BOTH 121712001 12119/2001 8/19/2002 8/19/2002 9/1212002 9/13/2002 101712002 101712002

12/8/2001 4834-01 Ukumehame Envi Hawaii Army National Guard C-20115 C-20115 BOTH 12127/2001 3/21/2002 6/30/2003 6/30/2003 81712003 8/25/2003 9/212003 91212003

1/23/2002 5413-12 Huelo-Jones Chuck Jones C-20115 C-20115 BOTH 211/2002 214/2002 11/21/2002 12/24/2002 1127/2002 212812003 3/12/2003 3/121200D

4/112002 4702-01 Kaeleku Smith Randy Smith C-20115 C-20115 BOTH 411712002 4/30/2002 10/30/2002 112912003 113112003 2/24/2003 3/312003 3/3/2003

4/1/2002 5620-05 Maliko Moretti 1 Maliko Bay Trading C-20115 C-20115 BOTH 4/17/2002 10/25/2002 1219/2002 1/10/2003 1/27/2003 10/25/2002 121812002 5/18/2004

4/1/2002 4226-17 Kamaole Sands AOAO Kamaole Sands C-20115 C-20115 BOTH 4/17/2002 4/2212002 9/4/2002 8/21/2002 9/10/2002 9/17/2002 101712002 1/28/2003

4/1/2002 5620-06 Maliko Moretti 2 Maliko Bay Trading C-20115 C-20115 BOTH 4/17/2002 9/25/2002 121912002 1/10/2003 1/14/2003 1/27/2003 2/312003 5/18/2004

4/8/2002 4904-01 Nahiku-Harlow Harlow Tadaro C-20115 C-20115 BOTH 4/15/2002 7/23/2002 11/21/2002 11/21/2002 3/2212004 4/20/2004 6/312004 6/3/2004

4/8/2002 3810-01 Nuu Mauka Nuu Mauka LLC C-20115 C-20115 BOTH 411512002 10/3/2003 3112/2003 3/1212003 3/20/2003 4/412003 4/28/2003 4/28/2003

5/21/2002 5615-06 Haiku-Robertson Mike Robertson C-20115 C-20115 BOTH 6/4/2002 6/9/2002 11121/2002 1212312002 1/31/2003 215/2003 313/2003 3/3/2003

Page 3 0/6


5/24/2002 5514-06 Hoolawa Kahui P Kahui Pon~, LLC

6/18/2002 5514-07 Speere- Hoolawa Chris & Becky Speere

6/26/2002 5514-08 Namale Castellini Andrew Castellini

6/27/2002 4803-01 Nahiku Mau Mary Anne Doane Mau

7/12/2002 5514-10 Honokala Simmer Malte Simmer

7/16/2002 5514-09 Honokala McKinn Evan McKinney

12/6/2002 4835-02 Ukumehame Sug Sugar Way, Ltd.

1/6/2003 5412-01 Hanawana-Dougl Keith Douglas

1/27/2003 5617-02 Opana Point 1 Opana Point Partners, LLC

1/27/2003 5617-03 Opana Point 2 Opana Point Partners, LLC

21712003 5424-10 Sandate Residen Ronald Sandate

2/25/2003 4930-01 Pohakea A&B Properties, Inc.


C-20115 C-20115 BOTH 6/26/2002 10/12/2002 121912002 1219/2002

C-20115 C-20115 BOTH 7/29/2002 9/13/2002 213/2003 8118/2003

C-20115 C-20115 BOTH 9/13/2002 12115/2002 6/13/2003 216/2004

C-20115 C-20115 BOTH 719/2002 7/31/2002 121912002 1/13/2003

C-20115 C-20115 BOTH 7/29/2002 6/30/2005 1/30/2006 1/30/2006

C-20115 C-20115 BOTH 7/29/2002 12115/2002 6/13/2003 6/13/2003

C-20115 C-20115 BOTH 12123/2002 211512003 6/30/2003 6/30/2003

C-20115 C-20115 BOTH 1/912003 1/28/2003 4/28/2003 5/912003

C-20115 C-20115 BOTH 2120/2003 5/20/2003 214/2004 214/2004

C-20115 C-20115 BOTH 2120/2003 6/20/2003 5/512004 5/5/2004


1/29/2003 212412003 3/1212003 3/1212003

8/25/2003 9/2212003 9/29/2003 9/29/2003

2/912004 3/23/2004 4/512004 8/25/2004

1/27/2003 212412003 3/1212003 3/1212003

2/14/2006 11/1212005 12121/2006 9/612007

71212003 7110/2003 7/16/2003 7/16/2003

9/15/2003 9/28/2003 12117/200312117/2003

5/15/2003 7/612003 7/16/2003 7/16/2003

3/15/2004 3/20/2004 5/512004 5/5/2004

5/14/2004 5/28/2004 6/312004 6/3/20~ C-20115 C-20115 BOTH 2120/2003 4/18/2003 8/13/2003 9/29/2003 10/27/2003 11/21/2003 912712006 9/11/2007

C-20115 C-20115 BOTH 3/512003 4/10/2004 6/16/2004 6/16/2004 8/312004 8/18/2004 9/23/2004 9/23/2004

2/25/2003 5531-01 Waihee Mauka 1 Living Waters Land Foundatio C-20115 C-20115 BOTH 3/13/2003 3/20/2003 9/29/2003 214/2004 212212006 7114/2006 3/11/2008 3/11/2008

2/25/2003 5631-07 Waihee Varel John Varel C-20115 C-20115 BOTH 3113/2003 6/10/2007 8/10/2007 8/10/2007

4/22/2003 4835-03 Ukumehame Sug Sugar Way, Ltd. C-20115 C-20115 BOTH 5/15/2003 1/26/2004 5/512004 5/5/2004 5/14/2004 5/28/2004 3/812008 3/3/2008

5/9/2003 5517-03 Haiku Summit Tr Stream Resources Inc. C-20115 PUMP 6/3/2003 7/1/2003 7/16/2003 7/16/2003

6/4/2003 5631-08 Waihee-Sarasin Bryan Sarasin C-20115 C-20115 BOTH 6/19/2003 4/28/2004 2/29/2008 212912008

6/18/2003 5840-04 Kahana-Betsill Kahana Development LLC C-20115 C-20115 BOTH 71212003 7110/2003 9/10/2003 9/10/2003 10/15/2003 112812004 101712004 101712004

6/19/2003 5617-04 Stream Resource Naftulin 1 Serle LLC C-20115 C-20115 BOTH 6125/2003 7/112003 21412004 219/2004 3/3/2004 3/20/2004 5/512004 51512004

8/13/2003 5840-06 Kahana Delaney William Delaney C-20115 C-20115 BOTH 9/8/2003 9/5/2003 21412004 214/2004 2/20/2004 3/20/2004 4/512004 4/5/2004

8/19/2003 5840-05 Kahana-Kurose James Kurose C-20115 C-20115 BOTH 8125/2003 91712003 214/2004 2113/2004 2120/2004 8/1/2004 21312005 213/2000

8/21/2003 4226-18 Kamaole- Maui Hi AOAO Association C-20115 C-20115 BOTH 9/512003 9/20/2003 211812004 3/212004 3/8/2004 3/11/2004 4/512004 6/29/2004

9/19/2003 5417-03 Kaupakulua Upco Upcountry LLC C-20115 C-20115 BOTH 11/5/2003 11/20/2003 613/2004 6/3/2004 6/29/2004 1212212004 2114/2005 3/8/2005

10/13/2003 4425-01 Keokea Maui Hig Maui Highlands LLC C-20115 C-20115 BOTH 11/5/2003 12110/2003 9/23/2004 9/23/2004 10/1212004 3/5/2005 5/24/2005 5/27/2005

10/28/2003 0038-01 Kapalua Brennan John Brennan C-20115 C-20115 BOTH 11/5/2003 121212003 10/5/2005 10/5/2005 12113/2005 11/10/2005 912012007 21712008

111712003 3805-01 Kalepa-Starr Kalepa Farm Inc. C-20115 C-20115 BOTH 1111212003 21212004 1130/2006 1/30/2006 2/14/2006 2/25/2006 12121/2006 71212007

12/5/2003 5615-07 Kealii-Naish Kathryn Naish C-20115 C-20115 BOTH 12111/2003 1/10/2004 6/312004 6/3/2004 7/1/2004 8/26/2003 8/31/2004 8/31/2004

1/12/2004 5519-05 Kauhikoa Winn PeterWinn C-20115 C-20115 BOTH 1/26/2004 1/27/2004 10/26/2007 2125/2008 3/11/2008 3/19/2008 10/26/2007 212512008

Wednesday, May 28, 2008 Page 4 0[6


Driller Pump Inst. Type Issued Signed WCR1 Accept Pump Installation


3/17/2004 5514-11 Hoolawa Spell Heather Spell

4/2/2004 5417-04 Kaupakalua IN & IN & RS, LLC.

4/12/2004 5424-11 Spreckelsville-Ro Alice Kathy Ross

4/21/2004 4126-05 Wailea Ike

4/23/2004 2052-01 Maunaoni

Grand Champion Villas

Mauna Loa Land, LLC

5/5/2004 4527-16 Waiohuli-St. Ther St. Theresa Church

5/5/2004 4326-11 Ke Alii 1

5/5/2004 4326-12 Ke Alii 2

KAKII LLC

KAKII LLC

5/19/2004 5731-06 Waihee Equestria Koolau Cattle Co.

6/3/2004 5424-12 Spreckelsville-Bu Micah Buzianis

6/10/2004 4835-04 Ukumehame 3 Sugar Way, Ltd.

6/18/2004 3824-01 Ulupalakua- Berk Roberto Berkowicz


C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

9/15/2004 3725-01 Moomuku 1 Hawaii VIP Country Club, Inc. C-20115 C-20115

10/6/2004 4225-01 Maui Meadows T State of Hawaii DLNR

10/18/2004 5617-01 Haiku Summit Tr Louis B. Murphey

12/17/2004 4226-19 Kilohana Waena D & I Enterprises, LLC

12/20/2004 5230-03 lao Tank Explorat Maui DWS

C-20115

C-20115

C-20115

C-20115

12/29/2004 4424-01 Keokea Maui Hig Maui Highlands Properties, LL C-20115 C-20115 ......

1/3/2005 1652-02 Opihihale-Rullo Donald Rullo ~_ C-20115

1/3/2005 3558-01 Keauhou-Roberts Michael Robertson ~ C-20115 C-20115

5/4/2005 5240-09 Kahoma Irrigation Kahoma Development Co. C-20115 C-20115

5/12/2005 5831-01 Kahakuloa-Winn Peter Winn C-20115 C-20115

101712005 5413-14 Huelo-Dosland Mike Robertson C-20115 C-20115

101712005 4326-13 Kamaole-Aloha V Joseph Sugarman C-20115 C-20115

101712005 5515-06 Clark Steve Clark C-20115 C-20115

2/23/2006 5318-01 Pauwela Farms 1 Pauwela Farms C-20115 C-20115

4/16/2006 5424-13 Spreckelsville-Ba Barkly Bastian C-20115 C-20115


BOTH 312212004 9/10/2005 11/29/2006 911812007 10/11/2006 11/10/2006 11/29/2006 911812007

BOTH 4/1212004 6/20/2004 219/2007 219/2007 2nt2008 10/20/2006 10/24/200710/24/2007

BOTH 514/2004 5/30/2004 6/24/2005 6/24/2005 8/412005 1115/2006 12121/2006 9/19/2007

BOTH 412112004 4/26/2004 11/8/2004 11/8/2004 11/29/2004 112012005 213/2005 213/2005

BOTH 5/4/2004 11/29/2006 11/29/2006 211212007

BOTH 5/1212004 4/1/2005 21812008 2111/2008 7/13/2007 218/2008 218/2008 2111/2008

BOTH 5/1212004 10/4/2004 4/8/2008 5/23/2008

BOTH 5/1212004 10/4/2004 41812008 5/23/2008

BOTH 5/21/2004 5/25/2004 6/10/2004 6/15/2004 6/29/2004 10/29/2004 11/112004 11/1/2004

BOTH 61912004 9/5/2004 12121/2006 9/19/2007 10/29/2007 11/29/2007 912012007 9/20/20070

BOTH 6/17/2004 8/212004 3/23/2005 3/30/2005

BOTH 6/25/2004 V~ d8 4/812008

BOTH 8/212004 8/11/2004 11/1/2004 1nt2005 1/18/2005 1/30/2005 213/2005

BOTH 9/16/2004 9/20/2004 213/2005 219/2005 2117/2005 2124/2005 3/14/2005 3/14/2005

WELL 10/13/2004 10/28/2004 2127/2007 6/28/2007

PUMP 10/29/2004 11/1212004 10/5/2005 10/5/2005

BOTH 12/30/2004 211/2005 10/24/2007 212512008 3/6/2008

WELL 12130/2004 212112005 4/5/2006 1/24/2007

1nt2005 1/10/2005 5/24/2005 5/24/2005 61212005 6/9/2005 3/20/2006 6/812006 BOTH

BOTH

BOTH

1nt2005 3/25/2005 ~"tII ~.

1/612005 1/31/2005 2/28/2008

BOTH 5/13/2005 5/20/2005 3/612008 3/6/2008

BOTH 5/31/2005 11/5/2006

BOTH 10/13/2005 10/11/2006 212712008 2127/2008

BOTH 10113/2005 411812008 4/18/2008 &"(21-(0&

BOTH 10/13/2005 111012006 2/27/2008 212712008

BOTH 3nt2006 10/15/2006 71212007 8/14/2007

BOTH 5/112006 4/23/2008 4/23/2008 4/23/2008

3/512008 o 5/31/2005 5/912005 3nt2008 3nt2008

5/31/2005

4/412008 4/18/2008 3/412008 2127/2008

4/4/2008 f~08 3/4/2008 2/27/2008

3nt2006 10/15/2006 71212007 8/14/2007

5/612006 5/9/2008 4/30/2008

PageS 0/6


5125/2006 4930-02 Pohakea 2 Wailuku Water Co., LLC

5/25/2006 4930-03 Pohakea 3 Wailuku Water Co., LLC

6/15/2006 5517-07 Ulumalu-Hamilton Laird Hamilton

7/20/2006 5839-03 Kahana-Mailepai Maile Pai LLC

7/20/2006 5419-04 Kokomo Goings Arthur A. Goings

7/20/2006 5839-04 Kahana-Mailepai Maile Pai LLC

7/26/2006 5513-02 Honokala-Bryce Betty K. Bryce

11/15/2006 4720-01 Omaopio-Siele B John Siele

11/20/2006

2/6/2007

4926-02

5513-03

Hawaiian Cement Hawaiian Cement

Hookala Caro Joe Caro

2/12/2007 4719-01 Pulehu Farm Pulehu Farms, LLC.


C-20115 C-20115 BOTH 5/31/2006 >,;8'/08 51212008

C-20115 C-20115 BOTH 5131/2006 $"/fr/o8' 51212008

C-20115 BOTH 6120/2006

C-20115 C-20115 BOTH 7/26/2006

C-20115 C-20115 BOTH 8/312006

C-20115 C-20115 BOTH 7/26/2006

C-20115 C-20115 BOTH 8/312006 10111/2006

C-20115 C-20115 BOTH 12/512006 11312007 1116/2007 11/6/2007

C-20115 C-20115 BOTH 11/21/2006 121212006 8113/2007 9/612007

C-20115 C-20115 BOTH 211212007 2115/2007

C-20115 C-20115 BOTH 211212007 2115/2007 1213/2007 1213/2007

8/8/2007 5631-09 WaiheeDeepMo StateofHawaiiDLNR-CWR C-20115 WELL 8/22/2007


10/17/2007 5118-04 Piiholo South

10/30/2007 5619-01 Rush 1

1/15/2008 5030-01 Maalaea 4

1115/2008 5031-01 Maalaea 5

2/25/2008 3807-01 Kumunui

4/30/2008 3807-02 Kaupo Ramey

Piiholo South, LLC

Rusha Randle

Waikapu Properties, LLC

Waikapu Properties, LLC

Kaupo Ranch Ltd.

Ramey/Foley/Hyde

4/30/2008 4727-10 Kihei Gateway -G Goodfellow Bros, Inc.

5/9/2008 5731-09 Hatchery Melvin Mendes


C-20115

C-20115

C-20115

C-20115

C-20115

C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

C-20115 C-20115

BOTH 11/6/2007

BOTH 11/6/2007

BOTH 11/28/2007

BOTH 111612008

BOTH 1/16/2008

BOTH 4/812008

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1/24/200( ~ : S ~'?

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11/6/2007

11/6/2007


5/31/2006 8/23/2008 51212008

5/31/2006 8/23/2008 5/212008

6/20/2006

7/26/2006

8/312006

7/26/2006

8/312006 10/11/2006

121512006

11121/2006 o 211212007

1122/2007 1/25/2008 1/21/2008 1/30/2008

11/6/2007

11/6/2007

11/28/2007

111612008

1/16/2008

4/812008

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Page6of6

~ARTMENT OF LAND AND NATURAL RESO~S D OCUMENTNO .. UAC OR ATTACHED WORKSHEET DATE M 22 2008 ay ,

SRCI COST F YR APP D OBJ CTR PROJECT PH ACT AMOUNT NAME/DESCRIPTION (WANG INPUn

S 08 326 C 1026 0752 (1 ) $25.00 Bob Gould n n n n n n (2) $25.00 Wailani Drilling Inc. n n n n n n (3) $25.00 Oasis Water Systems

(4)

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $ 75.00

REMARKS: LINE (1) Lopaka's Wai Puka We" LINE (2) Haumana-Robell;on We" LINE (3 River Ranch Wen LINE (4) LINE (5) LINE (6) LINE (7) LINE (8) LINE (9) LINE (10)

o o / $§f;r4'~~ STATE OF HAWAII ,for ~i~ Only: ,.'\~t.o>~--~~} r/· ... It.,. <~ DEPARTMENT OF LAND AND NATURAL RESOURCES R ~C_" ,. -,"

~ i COMMISSION ON WATER RESOURCE MANAGEMENT

~! APPLICATION FOR A WELL CONSTRUCTION I ~ .~ ___ .. ~ I Y 20 p2: 45 PUMP INSTALLATION PERMIT DB MJ ~ 'f('"1-':'\ ~"'~~uq.

Instruetlons: Please print in ink or type and send completed application with attachments to the Commission on ~IS~iftN ON w ~, 1't.,:::, Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. Application must be accompanied ~'

copies and a non-refundable filing fee of $26.00 payable to the Dept. of Land and Natural Resources.~~, '\ • '- '. , ,.," I iI"j T

Commission may not accept incomplete applications. For assistance, call the Regulation Branch at 587-0221., j<J .J ~C':~ ',~-::J'~\ ~,>~·f11:J d

further information and updates to this application form, visit http://www.hawali.gov/dlnr/cwrm.

WELL LOCA 1ION INFORMATION 1. STATE WELL NO. (if already assigned) /2. \NELL NAME 3. ISLAND 14. TMK Z f> _ 00'-1 043 ~3"~~~-~b~·~ H~i - : -- Piiii DIIrC zone sec The following must be attached before this application is accepted as c:ompIete:

• Portion of 7.S-Minute Serias USGS topographic map (scale 1 :24,000) with welllocaIion labeled and include the name of the quad map • Property tax map. showing well location l8ferenced to established property boundaries • Photograph of the proposed well site • A 8Chematic diagram showing the well site, access road and proposed well intrastruc::ture • For dug wells, attach a gradillg plan with cross seetion PI'OfiIes showino exi8tino and fl~ grades

5, WELL OPERATOR'S NAMEICOMPANY I WeD ()perator's Contact 6. LANDOWNER'S NAME/COMPANY I Landowner's Contact

\( ~ \-e,O tlODeV'S'CV1 'S~e <5~e Well Operator's Mailing Address Landowner's MaiHng Address

1/ 0 '0tX ~ 0 Cr:tt-l- ~ i -;l l-\-I OJ(P1-~

Well Operator's Phone I Well Operator's Fax I Well Operator's E-mail Landowner's Phone I Landowner's Fax I Landowner's E-mail 9'2' ~-:r:??

PROPOSED WELL CONSTRUCTION PROPOSED PUMP INSTALLATION

7.= Work 8. Construction Type 10. Proposed Work 11. Proposed Pumping Rate, gpm 13. Method offlow measurement . Construct New Wen ¢Drllied ~ Install New Pump (gams per minute) ~Iowrneter D Modify ExIsting Well DOug D Replace Pump ,+0 D Other (explain) D Abandon/Seal Well D Shaft

12. Proposed Amount of D Tunnel WIthdrawal, gpd (gallons per day)

9. Is this well part of a battery of wells? D Yes D~ ~OiOOo 14. Proposed Surveyor name and Ik:ense number (a surveyor Is required for all Well Construction Penn ... and may be required for some Pump

Installation Penn"') nlo PROPOSED USE

D 15, Municipal (water systems serving greater than 25 individuals or 15 service connections)

~ 16. Domestic Number of units to be served: 2-

D 17. Industrial (describe)

D 18. Irrigation (deseribe crop and no. of acres)

D 19. Military (describe)

D 20, Other (deseribe)

OTHER LEGAL REQUIREMENTS" required, items 21. and 22. must be obtained before the Commission can legally issue a permit:

21. >Conservation District Use Permit (COUP) D Well is In Conservation DIstrict

D Required, COUP. date approved D Not Required (attach documentation from OCCL) D I haw not checked with OCCl about whether or not a COUP Is required. I understand that checking with OCCL prior to making this

application will expedite my review, I further understand that Issues raised by this agency may delay or result in denial of the permit Issuance, or revocation ofthe permit after it Is issued.

D Well is not in Conservation DIstrict ~ I have not checked if weD Is in or out of Conservation DIstrict. I understand that checking if the well Is in a Conservation District may expedite my

review. I further understand that Issues raised may delay or result in denial of the permit Issuance, or revocation of the permit after it Is Issued. 22. Special Management Area Permit (SMAP) Lf I 1ro fiI Required, SMA # date approved • ,. £, *" See a1\-acvHVI, evt +- ¥ D Not Required (attach doeumentation from applicable County agency) D I have not checked with the county about whether or not an SMA Permit is required. I understand that checking with the County prior to making this

appfication may expedite my review. I further understand that issues raised by this agency may delay or result in denial of the permit issuance, or revocation of the Dermit after it is Issued.

2~ State Historic Preservation Division (SHPD) of the Department of land and Natural Resources D I have consulted with the HPD regarding potential impacts of well construction activities on historic sites. I have attached applicable documentation

from the HPD. 'VJ I haw not consulted with the HPD regarding potential impacts of weD construction activities on historic sites. I understand that checking with the HPD

prior to making this application may expedite my review. I further understand that issues raised by this agency may delay or result In denial of the permit issuance, or revocation of the permit after it is Issued. Additionally, the history of past land use Is attached.

Additional remarks, explanations, etc. (attach additional sheet if more space is needed)

NOTE: Signing below indicates that the signatories understand and swear that the information provided is accurate and true to the best of their knowledge. Further, the signatories understand that upon permit approval: 1) the proposed work Is to be completed within two (2) years of the approval date; 2) the contractor shall submit to the Commission a weD completiOn/abandonment report within 60 days after the completion date of the permitted work; 3) In the ewnt that the application is not completed correctly, any permit may be suspended until the item is brought in to compliance, and any work done while the permit Is In suspension may result in fines of UP to $5OOOIday, 24. WELL DRILLER (MWlt be fi1ItId out if application is for Well Construction) 25. PUMP INSTALLER <-WIt be fU\ed out if application is for Pump Installation)

~ -oi \OV\j DrilliklB ~~,. '1..f.Hi'? WQ\il~i D~;llivt~lVlC.. 2-D Itt:? LiceI1aee b[ne6$ ~ ,6J, i-=- C-57 LI~,NO. , ~~ V ~ l r_"'7Jr_"'7 .. /A License No . ,. vn..la....L- ~Z''±.22·08 ...l .1 ~ L. ~ 4·'7.';)·OB ISlgruilMt-' ~ ~ Print Date Signature Print Date

t:HCNvael ~\o~vtsW1 Hi'~ ~kr-ev+sCV! INePt Application Form 02126/2007

c

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PROPOSED WELL SECTION (Please BItBch scIJenI9tIc If clllfelent from diagl'am pnwided below)

HOle Diameter: t2. IS in.

Elevation at top of casing 3 5 I ft., msl" ll----{ '"c-;- Minimum of 2' Radius & 4" Thick Concrete Pad (to contain benchma surveyed 10 nearest 0.01 ft.)

b ~~ r Ground Elevation: 350 ft., msl" r-:1 ::, . , .' . r"",' .1:> •• '//1"'" /1/1&'

>::' . ... .4 ... Please refer to the

~CO ft. Cement Grout: ;".; ~' .. ' HA WAD WELL CONSTRUCTION AND

(min. 70% of distance from : ..• ~~ :. ~.

ground elevation to top of .~~::: !-:.; PlTMP IN~AJ.I,ATIQr! §TANDARDS .. :".- .:~ to ensure that your as-built is in compliance with water surface or 500 ft .• ~:!: ~:;:. whichever Is less.) .... "' .. applicable standards . '\>., '1>.- ... ..... . .' .. "" :/': .. , '. ,',

Grouting method: Annular space between hole ":.'~' :: :: Solid Casing: ~ 90% x (Ground Elev.-Water Level Elev» and casing (1.5" for positive

.~:.: ~'.,: '3I.PO o Positive .. :".' .:r.-0

Total Length: ft. displacement, 3" for other .; ,;. ;:;; displacement ~ to methods): . " ."' .. Nominal Diameter: In. . ~~

.... . ... / :.4" .. .. A ... ,'21(30 :3 in.

1;",,<1 ;',:4 Wall Thickness: In. - :. ~. -LO ~.:.: .. Bottom Elevation: ft., msl"

Rock or Gravel Packing: - ~ Ii ~ Total Depth Y\\~ ft. --., Open Casing: ~erforated o Screen

3~O ft. Material: ~ .. r-' ~O

o Crushed Basalt Total Length: ft.

~/ Nominal Diameter: LQ in. o Rounded Gravel ~

.v. ~ .~.wall Thickness: .~S in.

estimated Water Level 'l' ~ Bottom Elevation: .... -:aO ft., msl* I~ Elevation: -~ ~ note: Neither bentonite nor mud should be used in

Ii f--ft. msl* saturated zone during drllHng

Open Hole: (.:";\ Length: V) ft.

Diameter: in.

Bottom Elevation: ft., msl·

* The approximate elevation must be referenced to mean sea level (ms!) at the time of application tiling. Final elevations of well components shall be submitted in the Well CompIetIonNVeIl Abandonment I9pOrts and referenced to a benchmark which has been estabHshed by a surveyor Hcensed by the State.

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 Umit = (water Elevation _ 41 x W!!Ie!klf Elcyatiog )

Example: Estimated + 2 It water Level Elev. - Bottom Elevation of WeN limit = ( 2 - ~) .. -18.5 ft.

Solid Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAV'MIA C200 0 API Spec. 5L ~STM A53 0 ASTM A139

And compliant with (check one or more): 0 ASTM A242 (or A606) 0 Type E 0 Type S ~rade B 0 Other

Stalnle .. Steel: (check one): 0 ASTM MOO (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): 0 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 Reintorced Resin Pressure Pipe conforming to AV'MIA 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 ANSIIA'IMIA C200 0 API Spec. 5L ri ASTM A53 0 ASTM A 139

And compliant with (check one or more): 0 ASTM A242 (or A606) 0 Type E 0 Type S j(;Grade B· 0 Other Stainless Steel: (check one): 0 ASTM A400 (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): 0 Schedule 40 0 SchedureW'rrSchedule 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 AV'MIA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296 o FEP Fluorocarbon Tubing conforming to ASTM 03296

WCPI Application Form 02126/2007


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:!f /"' 'I')qp~~ ~ ; / ()~'J1-I/... LOT 109

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• 1/2-IN REBAR ~ / 8.660 ACRES {";;. (~

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I LOTS T),(K;(S) 2-8-004: 090 cHRisTINE MlCHAlSI<I

(OW'NElt)

~~ \ \ LOT 108 \p::il~) 2-8...:.004: 051 I R. XOHLER. ETAL

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LOT1i" ~ ~(2) 2~004: 041

AN'l'HONY J. Be GINGER L. AVElLA (OWNERS)

PLAT SHOWING

FOUNDATION OF PROPOSED GARAGE AFFECTING LOT 109 OF THE HUI KUAI AINA 0 PEAHI

SITUATED AT HAMAKUALOA. MAUl, HAWAII

PREPARED FOR:

JESSICA CAUDILL P.O. BOX 680 HAIKU. HAWAII· 9t=?708

PREPARED BY: NEWCOMER - LEE

LAND SURVEYORS, INC. 1496 IDWER MAIN 's,~. SUITED,

WAILl1{{U;;. ~:m.:. ijA;lfAn.~~?93. . . SCALE: 1 INCH = lOO FEET DATE: SEPTEMBER 7, 2004

-----=~~~~~~~~~

FROM: ROY

TO:

CHENG, C. CHING, F. CHONG,R. DANBARA, S. ENGLAND, D. FUJII, N. HARDY,R. HOAGBIN, s.

IICE,C. . IMATA, R.

KAWAHARA, K. KIMURA, J.

) () COMMISSION ON WATER RESOURCE MANAGEMENT

DATE: APR 1 7 2008

INIT. TO:

KUNIMURA. I. LEROUX, E. NAKAMA,L. OHYE, M. OSHIRO, K. SAKODA, E. SWANSON, S. TORRES, R. UYENO, D. YODA,K. YOSHINAGA, M.

INIT:

SUSPENSE DATE:

FOR:

Approval Signature Information

(03/08)

PLEASE:

See Me Review & Comment Take Action Type Draft

__ Type Final File Xerox _ copies

c

I c,''''IARMAINE TAVARES Mayor

o o JEFFREY S. HUNT

Director

COLLEEN M. SUYAMA Deputy Director

Ms. Jessica Caudill Post Office Box 680 Haiku, Hawaii 96708

Dear Ms. Caudill:

COUNTY OF MAUl

DEPARTMENT OF PLANNING

April 11, 2008

DB APr; 17 A 10: 2 6

r r ,

SUBJECT: SPECIAL MANAGEMENT AREA MINOR PERMIT AND TIME EXTENSION FOR THE CONSTRUCTION OF A GROUNDWATER WELL LOCATED AT 490 HAUMANA ROAD, HAIKU, MAUl, HAWAII TMK: 2-8-004:043 (SMX 2005/0115) (SM2 2005/0083)

In response to your application received on February 18, 2005 and request for a time extension and in accordance with the Special Management Area Rules for the Maui Planning Commission, Sections 12-202-12 and 12-202-14, a determination has been made relative to the above project that:

1 . The project is a development;

2. The project has a valuation not in excess of $125,000.00; (Valuation: $40,000.00)

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

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

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

1. That construction shall be in accordance with preliminary plans submitted on February 18, 2005.

250 SOUTH HIGH STREET, WAILUKU, MAUl, HAWAII 96793 MAIN LINE (808) 270 ... 7735; FACSIMILE (808) 270 ... 7634

CURRENT DIVISION (808) 270 ... 8205; LONG RANGE DIVISION (808) 270 ... 7214; ZONING DIVISION (808) 270 ... 7253

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

Ms. Jessica Caudill April 11, 2008 Page 2

o o

2. That construction of the improvements shall be initiated by April 30, 2010, and shall be completed within one (1) year of said initiation.

3. That Best Management Practices (BMPs) shall be implemented to prevent erosion and construction related runoff and to protect surface and groundwater resources.

4. That a well construction permit and/or pump installation permit shall be obtained from the Commission on Water Resource Management (CWRM) prior to construction.

5. That a backflow prevention device approved by the Department of Water Supply (DWS) shall be installed to provide sanitary protection to DWS water supply.

6. That monthly pumpage quantities from the well shall be documented, verifiable, and reported to DWS and CWRM every six (6) months. Failure to comply with this requirement or submission of inaccurate or false information may lead to the immediate revocation of this SMA permit by the Planning Department and possible initiation of enforcement action and/or fines.

7. That in the event historic properties are identified during construction, all work shall cease, and the applicant shall immediately contact the Oahu (808-692-8023) and Maui (243-5169) Offices of the State Historic Preservation Division (SHPD).

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

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

Sincerely,

~.Q.~ CLAYTON I. YOSHIDA, AICP Planning Program Administrator

,


CIY:PFF:nlk

o o

c: Aaron H. Shinmoto, PE, Planning Program Administrator (2) Paul Fasi, Staff Planner Development Services Administration DLNR, CWRM DWS 2005/SM2 Minor Permit File General File K:\WP _DOCS\PLANNING\SM2\2005\0083 _RobersonWell\ApprovaI2.doc

CHARMAINE TAVARES o o Mayor

JEFFREY S. HUNT Director

COLLEEN M. SUYAMA Deputy Director

Ms. Jessica Caudill Post Office Box 680 Haiku, Hawaii 96708

Dear Ms. Caudill:

COUNTY OF MAUl

DEPARTMENT OF PLANNING

April 11, 2008

SUBJECT: SPECIAL MANAGEMENT AREA MINOR PERMIT AND TIME EXTENSION FOR THE CONSTRUCTION OF A GROUNDWATER WELL LOCATED AT 490 HAUMANA ROAD, HAIKU, MAUl, HAWAII TMK: 2-8-004:043 (SMX 2005/0115) (SM2 2005/0083)

In response to your application received on February 18, 2005 and request for a time extension and in accordance with the Special Management Area Rules for the Maui Planning Commission, Sections 12-202-12 and 12-202-14, a determination has been made relative to the above project that:



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




250 SOUTH HIGH STREET, WAILUKU, MAUl, HAWAII 96793

MAIN LINE (808) 270-7735; FACSIMILE (808) 270-7634

CURRENT DIVISION (808) 270-8205; LONG RANGE DIVISION (808) 270-7214; ZONING DIVISION (808) 270-7253


o o

2. That construction of the improvements shall be initiated by April 30, 2010, and shall be completed within one (1) year of said initiation.




6. That monthly pumpage quantities from the well shall be documented, verifiable, and reported to DWS and CWRM every six (6) months. Failure to comply with this requirement or submission of inaccurate or false information may lead to the immediate revocation of this SMA permit by the Planning Department and possible initiation of enforcement action and/or fines.


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

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

Sincerely,

~-Q·rw CLAYTON I. YOSHIDA, AICP Planning Program Administrator


CIY:PFF:nlk

o o

c: Aaron H. Shinmoto, PE, Planning Program Administrator (2) Paul Fasi, Staff Planner Development Services Administration DLNR, CWRM DWS 2005/SM2 Minor Permit File General File K:\WP _ DOCS\PLANNING\SM2\2005\0083 _RobersonWell\ApprovaI2.doc

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

FROM: ROY

TO:

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

DATE: JUl - 1 20J5

INIT. TO:

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

__ - YODA, K. YOSHINAGA, M.

INIT:

SUSPENSE DATE:

FOR:

Approval Signature Information

~~{-(04/05)

PLEASE:

See Me Review & Comment Take Action Type Draft Type Final

---r File Xerox __ copies

o

" P,LAN M. ARAKAWA o o Mayor

MICHAEL W. FOLEY Director

WAYNE A. BOTEILHO Deputy Director

Ms. Jessica Caudill P. O. Box 680 Haiku, Hawaii 96708

Dear Ms. Caudill:

COUNTY OF MAUl i"l'S l' !! I DEPARTMENT OF PLANNING!. VV ...

All : I 2

June 29, 2005 ., ~ , , r . :'"i

RE: Special Management Area Minor Permit for the Construction of a Groundwater Well located at TMK: 2-8-004:043, 490 Haumana Road, Haiku, Island of Maui, Hawaii (SMX 2005/0115) (SM22005/0083)

In response to your application received on February 18, 2005, and in accordance with the Special Management Area Rules for the Maui Planning Commission, Sections 12-202-12 and 12-202-14, a determination has been made relative to the above project that:



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




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

Ms. Jessica Caudill June 29, 2005 Page 2

o o

2. That construction of the improvements shall be initiated by June 30, 2006, and shall be completed within one (1) year of said initiation.




6. That monthly pumpage from the well shall be reported to DWS and CWRM.

7. That native plants shall be used in order to conserve water.


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

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

sin;1~~fd MICHAEL W. FOLEY Planning Director

,

..

Ms. Jessica Caudill June 29, 2005 Page 3

MWF:PF:lar

o

c: Wayne Boteilho, Deputy Planning Director Clayton I. Yoshida, AICP, Planning Program Administrator Aaron H. Shinmoto, PE, Planning Program Administrator (2) Paul Fasi, Staff Planner Development Services Administration (2) DLNR, CWRM DWS SHPD 2005/SM2 Minor Permit File General File (K:\WP _DOCS\PLANNING\SM2\2005\0083_RobersonWell\Approval.wpd)

" "".,,_ ... _ .. _--------------