well completion report -part ii 9 : a · well completion report part ii for well nos ......

112
o 0 State of Hawaii For Official Use Only: COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources WELL COMPLETION REPORT - PART II Instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. The Commission may not accept incomplete reports. This form shall be submitted within 60 days of the completion of work. For aSSistance, please 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/dlnr/cwrm/ 1. State Well No.: 5629-01 Well Name: Piwai Well #2 2. Address: upper Omao Tax Map Key: 3. Pump Installation Company: Beylik Drilling & Pump Services, Inc. 4. Date Pump Installed: December 04, 2007 month/day/year 5. PERMANENT PUMP INFORMATION 2-5-01:02 Island: REC::'!VED 08 MAR 12 A 9 : 39 f/."'t !;: - Kauai Pump Type, Make, Serial No.: Lineshaft Vertical Turbine, Goulds, 12CMC, SN 515815-2 Rated Capacity: 1050 gpm at head of: _____ 6_60 _____ ft. Motor Type, H.P., Voltage, rpm: Pump type (check one): Deep Well Turbine D Submersible D Centrifugal VHS, US Motors, 250 HP, 460V, 1785 RPM D Rotary D Rotary-Displacement D Rotary-Gear D Propeller D Reciprocating D Impulse 6. Method of flow measurement: tS Flowmeter Manufacturerwyatt/Badger Model no. BVT-F Size D 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. 8" ------------ 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 11. Land Owner 12. Remarks Company Kauai Department of Water Supply Contact Bruce Inouye Address 4398 Pua Loke Street, Lihue, HI 96766 Phone 808 245-5415 Fax 808245-5813 Company Kauai Department of Water Supply Contact Bruce Inouye -------------------------- Address 4398 Pua Loke Street, Lihue, HI 96766 Phone 808 245-5415 Fax 808245-5813 Pump Installation ______ C-57/C-57a/A Lic. No. ____ _ Signature ( /h.l 1:.# L7 Date 3'10'06 / WCR2 Form 3/17106 Page 10'2

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Page 1: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o 0 State of Hawaii For Official Use Only:

COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources

WELL COMPLETION REPORT - PART II

Instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. The Commission may not accept incomplete reports. This form shall be submitted within 60 days of the completion of work. For aSSistance, please 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/dlnr/cwrm/

1. State Well No.: 5629-01 Well Name: Piwai Well #2

2. Address: upper Omao Tax Map Key: 3. Pump Installation Company: Beylik Drilling & Pump Services, Inc.

4. Date Pump Installed: December 04, 2007 month/day/year

5. PERMANENT PUMP INFORMATION

2-5-01:02

Island:

REC::'!VED

08 MAR 12 A 9 : 39

f/."'t ~' '~~~ ~o

!;: -

Kauai

Pump Type, Make, Serial No.: Lineshaft Vertical Turbine, Goulds, 12CMC, SN 515815-2

Rated Capacity: 1050 ~~-----------------------

gpm at head of: _____ 6_60 _____ ft.

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

Pump type (check one):

~ Deep Well Turbine

D Submersible

D Centrifugal

VHS, US Motors, 250 HP, 460V, 1785 RPM

D Rotary

D Rotary-Displacement

D Rotary-Gear

D Propeller

D Reciprocating

D Impulse

6. Method of flow measurement:

tS Flowmeter Manufacturerwyatt/Badger Model no. BVT-F Size

D 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.

8" ------------

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

11. Land Owner

12. Remarks

Company Kauai Department of Water Supply Contact Bruce Inouye

Address 4398 Pua Loke Street, Lihue, HI 96766

Phone 808 245-5415 Fax 808245-5813

Company Kauai Department of Water Supply Contact Bruce Inouye --------------------------

Address 4398 Pua Loke Street, Lihue, HI 96766

Phone 808 245-5415 Fax 808245-5813

Pump Installation Contrac~._B_ey<-l_ik_D_ri_lIi....zng",.... ______ C-57/C-57a/A Lic. No. :...;A~C-=-2:....:.1.::.;89::..:6:....-____ _

Signature ( /h.l 1:.# L7 Date 3'10'06 /

WCR2 Form 3/17106 Page 10'2

Page 2: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o o 7. AS·BUIL T PUMP SECTION (Please attach as-built if different from diagram provided below)

Bench mark elevation surveyed to nearest 0.01 ft. =

L--=--=--=--=ft_._m_e_a_n_se_a_le_ve_I __ ---'1 pending

I I

Elev (pending - 618') ft MSL

'9

Elevation of top of chase tube pending ft. mean sea level

I I

I 1

I

f

Pump intake depth = 643.1 ft. (referenced to bench mark)

,j..----+--l Chase tube depth = 632 . 5 ft. (referenced to bench mark)

I I

I If airline installed, bottom of airline elevation = N/A ft. mean sea level

WCR2 Form 3/17106 Page 2 of 2

Page 3: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

t:-l'l.1"VI./I

Rev 1 Sf2002 Goulds Pumps

.. ITT Industries

. t • ','

ITT - Goulds Pumps Turbine Operations

800 ~. . . ,.~_ ... , i ~~{~. ,:

700 § .-/~--~ "'I'... • ~ :: 600 § .)/; .... < .. ,r-.-.~ . ~

500 E / . . . Design "~ ; ~ :: ~ .; .. . .... - .. "... . :

400 ': . ~,; ~ 40

300 ~ • / ... .... ... .... . ~ 30

200§·/ HP :~20

1: ~( r 1 1 :;1:,11 i; ii ;:I~ I I 1 I I 1 ~ ~O o 200 400 600 800 1000 1200 1400 1600

so: 515815-2 Model: 12CMC/IO

Flow-GPM L~-~~q-D' R~~ tI?.. ) Certified Test Results Imp Dia: 8.69 in

By:.IY~ ~

Title: Engineer Date: Oct. 16, 2006

Speed: 1770 RPM

o

o

Page 4: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o

Page 5: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

1388 KAPIOLANI BLVD. / 2ND FLOOR / H ULU, HI 96814/ PH. (808) 944-1821 / FAX (8

February 19, 2009

Mr. Ken Kawahara, Deputy Director DLNR Commission on Water Resource Management 1151 Punchbowl Street, Room 227 Honolulu, HI 96813

Attention: Mr. Charley Ice

Dear Mr. Kawahara:

Subject: Final Environmental Assessment (FEA) Piwai 677' 0.5 MG Storage Tank Lawai-Omao Water System

6-9339/ [email protected] / www.fainc.org

D9 fEB 23 All: r 7

Thank you for your comment letter dated July 9, 2007 in response to the Draft Environmental Assessment (copy enclosed for your reference). The County will incorporate this project into the Water Use and Development Plan. With respect to Piwai Wells 2 and 3 (5629-01 and 02), the Well Completion Report - Part II for the wells were completed March 21,2008. We hope these responses are to your satisfaction. The Final Environmental Assessment will be forthcoming.

Sincerely, FUKUNAGA & ASSOCIATES, INC.

encl. cc: Keith Fujimoto, KDOW

FUKUNAGA. &~lA.1ES, INC.

Page 6: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

, \ "

LINDA LINGLE GOVERNOR OF HAWAII

Ms. Lynn Malinger Fukunaga & Associates 1388 Kapiolani Boulevard Honolulu HI 96814

Dear Ms. Malinger:

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

July 9, 2007

SUBJECT: Piwai 677 0.5 mg Water Storage Tank DEA

FILE NO.:

ALLAN A SMITH INTERIM CHAIRPERSON

MEREDITH J. CHING JAMES A FRAZIER NEAL S. FUJIWARA

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

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

REF:

Thank you for the opportunity to review the subject document. The Commission on Water Resource Management (CWRM) is the agency responsible for administering the State Water Code (Code). Under the Code, all waters of the State are held in trust for the benefit of the citizens of the State, therefore, all water use is subject to legally protected water rights. CWRM strongly promotes the efficient use of Hawaii's water resources through conservation measures and appropriate resource management. For more information, please refer to the State Water Code, Chapter 174C, Hawaii Revised Statutes, and Hawaii Administrative Rules, Chapters 13-167 to 13-171. These documents are available via the Internet at http://www.hawaii.gov/dlnr/cwrm.

Our comments related to water resources are checked off below.

~ 1. We recommend coordination with the county to incorporate this project into the county's Water Use and Development Plan. Please contact the respective Planning Department and/or Department of Water Supply for further information.

o 2. We recommend coordination with the Engineering Division of the State Department of Land and Natural Resources to incorporate this project into the State Water Projects Plan.

o 3. There may be the potential for ground or surface water degradation/contamination and recommend that approvals for this project be conditioned upon a review by the State Department of Health and the developer's acceptance of any resulting requirements related to water quality.

Permits required by CWRM: Additional information and forms are available at www.hawaii.gov/dlnrlcwrmlforms.htm.

o 4. The proposed water supply source for the project is located in a designated ground-water management area, and a Water Use Permit is required prior to use of ground water.

o 5. A Well Construction Permit(s) is (are) required before the commencement of any well construction work.

o 6. A Pump Installation Permit(s) is (are) required before ground water is developed as a source of supply for the project.

DRF-GN 03/02/2006

Page 7: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

"

Ms. Lynn Malinger Page 2 July 9, 2007

o o

o 7. There is (are) well(s) located on or adjacent to this project. If wells are not planned to be used and will be affected by any new construction, they must be properly abandoned and sealed. A permit for well abandonment must be obtained.

o 8. Ground-water withdrawals from this project may affect streamflows, which may require an instream flow standard amendment.

o 9. A Stream Channel Alteration Permit(s) is (are) required before any alteration can be made to the bed and/or banks of a stream channel.

o 10. A Stream Diversion Works Permit(s) is (are) required before any stream diversion works is constructed or altered.

o 11. A Petition to Amend the Interim Instream Flow Standard is required for any new or expanded diversion(s) of surface water.

o 12. The planned source of water for this project has not been identified in this report. Therefore, we cannot determine what permits or petitions are required from our office, or whether there are potential impacts to water resources.

o 13. We recommend that the report identify feasible alternative non-potable water resources, including reclaimed wastewater.

[gI OTHER:

Piwai Well Construction Permits for Well Nos. 5629-01 & -02 have been extended three times and have expired as of May 1,2007. Any work underway should be suspended pending reapplication, subject to fines of up to $5000 per day.

The project should not affect surface water.

If there are any questions, please contact Charley Ice at 587-0251.

Sincerely,

W.f7f1 .Nt

KEN C. KAWAHARA, P.E. Deputy Director

DRF-IA 04115/2005

Page 8: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

LINDA LINGLE GoVERNOR OF HAWAII

LAURA H. THIELEN CHAIRPERSON

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

/ {

CHIYOME L. FUKINO, M.D.

Mr. Fred Camero

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

May 5, 2008 /

Beylik Drilling and Pump Service, Inc. 91-259A Olai Street Kapolei, HI 96707

Dear Mr. Camero:

Well Completion Report Part II for Well Nos. 5629-01 & 02

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

5629-0 I &02. wcr2.acc

We received your Well Completion Report Part II for the Piwai Wells 2 & 3 (Well Nos. 5629-01 & 02) on March 24, 2008 ,and acknowledge that it is complete.

This completes your obligations under the pump installation permit. A certificate of pump installation completion will be issued to the well operator/landowner and you will receive a copy. The certificate transfers responsibility of all aspects of well usage and maintenance from you to the well operator/landowner.

If you have any questions, please contact Charley Ice of the Commission staff at 587-0251 or toll-free at 274-3141 (Kauai), extension 70251.

Sincerely,

c.:i~~ D puty Director

CI:ss

c: Tom Shigemoto, Kukuiula Development Company Tom Nance Water Resource Engineering

Page 9: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

LINDA LINGLE GOVERNOR OF HAWAII

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

May 5, 2008 /'

LAURA H. THIELEN CHAIRPERSON

MEREDITH J. CHING JAMES A FRAZIER NEAL S. FUJIWARA

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

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

/

5629-1&2.ccwc

Mr. Tom Shigemoto Kukuiula Development Company P.O. Box 430 Koloa, ill 96756

Dear Mr. Shigemoto:

Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 (TMK 2-5-001:002)

We are pleased to inform you that the Well Construction work permitted for the Piwai Wells 2 & 3 (Well Nos. 5629-01 & 02) is complete and acceptable.

To protect Hawaii's natural ground water resources for the benefit of all, the following requirements apply to the use of your well: .

1. Before this well can be pumped on a regular basis, a certificate of pump installation completion must be obtained.

2. If the well is not in use it must be properly capped.

3. If the well is to be abandoned then the landowner must cause a licensed contractor to apply for a well abandonment permit in accordance with § 13-168-12(f) prior to any well sealing or plugging work.

4. In the event that the well operator and/or landowner changes, the Commission shall be notified of the change prior to the change, and all forms shall be transferred to the new owner.

5. In the event the benchmark in the concrete base of the well is altered in any way, an updated elevation survey (page 5 ofthe Well Completion Report Part I) shall be submitted to the CommIssion. The Well Completion Report Part I can be obtained by contacting staff or at www.hawaii.gov/dlnr/cwnnlfonns.htm.

Because groundwater in Hawaii is a public trust, and adverse effects at one well may affect other water resources, an)' violation of the above conditions, or any other provision of the Hawaii Administrative Rules, may be subject to fines of up to $5,000/day. The CommissIon needs your help and asks that you to do your part in utilizing this shared resource. We prefer to work with you in meeting the goal of protecting our ground water resources together.

If you have any questions, please contact Charley Ice of the Commission staff at 587-0251 or toll-free at 274-3141 (Kauai), extension 70251.

Sincerely,

1WC.~~ N C. KAW ,P.E.

D puty Directo

CI:ss

c: Kauai Department of Water Beylik Drilling and Pump Service, Inc.

Page 10: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

LINDA LINGLE GOVERNOR OF HAWAII

Mr. Tom Shigemoto

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

May 5, 2008

Kukuiula Development Company P.O. Box 430 Koloa, HI 96756

Dear Mr. Shigemoto:

LAURA H. THIELEN CHAIRPERSON

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

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

5629-1&2.ccpi

Certificate of Pump Installation Completion for Well Nos. 5629-01 & 02 (TMK 2-5-001 :002)

We are pleased to inform you that the Pump Installation work permitted for the Piwai Wells 2 & 3 (Well Nos. 5629-01 & 02) is complete and acceptable. This certificate of pump installation completion allows you to commence pumping your well for reasonable & beneficial water use.

To protect Hawaii's natural ground water resources for the benefit of all, the following requirements apply to the use of your well:

I. If the well is not in use it must be properly capped.

2. If the well is to be abandoned then the landowner must cause a licensed contractor to apply for a well abandonment permit in accordance with §13-168-12(t) prior to any well sealing or plugging work.

3. In the event that the well operator and/or landowner changes, the Commission shall be notified of the change prior to the change, and all forms shall be transferred to the new owner.

4. In the event the benchmark in the concrete base of the well is altered in any way, an updated elevation survey (page 5 of the Well Completion Report Part I) shall be submitted to the Commission. The Well Completion Report Part I can be obtained by contacting staff or at www.hawaii.gov/dlnr/cwnnlforms.htm.

5. Your approved pump has a capacity of 1050 gpm at a head of 660 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.

Page 11: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

Mr .... Tom Shigemoto Page 2 May 5, 2008

6. The landowner shall cause the well operator to maintain the installed meter or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate devices or means for measuring chlorides and temperature. These data shall be measured monthly and reported to the Commission on a monthly basis, on forms provided by the Chairperson (attached), in accordance with §13-168-7, HAR.

7. The proposed use shall not adversely affect existing or future legal uses of water in the area, including any surface water or established instream flow standards. The authorization to drill a well and/or install a pump shall not constitute a determination of correlative water rights. The landowner and well operator are notified that the quantity of water taken from the well and/or the pump capacity could be reduced by the Commission in the future.

8. In the event that your installed pump is less than 70 gallons per minute, and no elevation survey has been completed, you may be required to do one in the future.

Because groundwater in Hawaii is a public trust, and adverse effects at one well may affect other water resources, any violation of the above conditions, or any other provision of the Hawaii Administrative Rules, may be subject to fines of up to $5,000/day. The Commission needs your help and asks that you to do your part in utilizing this shared resource. We prefer to work with you in meeting the goal of protecting our ground water resources together.

If you have any questions, please contact Charley Ice of the Commission staff at 587-0251 or toll-free at 274-3141 (Kauai), extension 70251.

CI:ss Encl: Water Use Report Forms

c: Kauai Department of Water Beylik Drilling and Pump Service; Inc.

Sincerely,

140e~ 14u~L--IN C. KA~ AHARA, P.E. Deputy Director

Page 12: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

Q MEMO and ROUTE SLIP (ver.03/04/2008)

I WCR 2 Check for Well No. 5629-01&02

1. Pum Tests Check s ecial condition of PIP? Ye Yes No

Step-Drawdown Test:

o (survey to regulation memo) I D.Engla~

fno.describedeficiency

followed WCPI Stds analysis attached proposed pump cap o.k.

( r D<70 gpm no ""I .. qu; .. d

Aquifer Pump Test:

followed WCPI Stds T & S analysis attached 0<50 gpm no test required

Potential Well Interference:

Potential Stream Impacts: stream names:

Additional Testing or Data Required:

Pump Test Comments Attached:

l, ""

2. Pump Installation Check Mitch Ohye _.....,\ __ (initial)

data complete followed Special Cond & Elev.

well database updated

Ye~ No If no. describe deficiency i .

/0 0 o /D 0'/ 0

.. / ~jj

____ (initial) take action based on above analysis

ATTACHMENTS FOR ACCEPTANCE:

1WCR2 ACCEPTANCE LETTER

2PUMP INST. COMPLETION CERTIFICATE

04/03/08

3METER INSTALL. REPORT (IF NECCESSSRY) __ _

4WUR

1" To be sent to driller

J To be sent to landowner/operator

} Staff internal checks

4. ROY+ (initial) check(Entered WCR 2/PICC accept date into database)

5. Susan HO~in (initial) finalize

6. Ken initial) signature

7. Faith Ching dbV\tJ (initial) enter into WUR database

~h~r~yan File

Page 13: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

>

>

, ... BEYLIK DRILLING & PUMP SE~E, INC. • 91-259A OLAI STREOw

KAPOLEI, HAWAII 96707 PH: (808) 682-5554 FAX: (808) 682-5866

DATE I JOB NO. 3-21-08

ATTENTION

CHARLEY ICE RE:

PIWAI WELLS NO. 2 & 3 TO STATE OF HAWAII - DLNR

COMMISSION ON WATER RES. MGMT.

P.O. BOX 621 ...., c:::::» r:r;~; --.. , .".. -HONOLULU, HI 96809

.,~

~ :a -...:- 'i'. ·~.·'·I<:;;; ;i1

'~ ..... ,.

WE ARE SENDING YOU Kl Attached , '~~.- ~ C)

D Under separate cover via __________ tne fuflowing;tems: !.l

COPIES

1

1

D Shop drawings

D Copy of letter

DATE NO.

. ~:,. ~:::Tt

D Prints D Plans D Samples :,;.[];''':'Specifiar..tions <:: D Change order D ___________ ~t2J~~~T·-~OO~--;~~~---[:,:: ;·-r

=:':f.'~~'~;; ........ /"'\. DESCRIPTION

WELL/CO~LETIO~RT - P~I (PIWA~LL NJ)l 2)

WELrl COMP\.wrf()N REPOR:r-::'P ART 11-c:ErrWAI WELL NO. 3)

tf:L~J A -t\.O~ -(a,~U~~(L "T"o

~.M . .. <11>f Of" a~.se: ll.l0€:.. .

THESE ARE TRANSMITIED as checked below:

D For approval

D For your use

ID As requested

D Approved as submitted

D Approved as noted

D Returned for corrections

D Resubmit ___ copies for approval

D Submit ____ copies for distribution

D Return ___ corrected prints

D For review and comment D ________________________ _

D FOR BIDS DUE _______________ _ D PRINTS RETURNED AFTER LOAN TO US

REMARKS ____________________________________ ~----------------------

THE ATTACHED WELL COMPLETION REPORTS HAVE BEEN UPDATED WITH THE

BENCHMARK ELEVATIONS

COPYTO __ G_._F_UK_UM_I_T_S_U~/_14_1_8_H~/_C_FI_L_E ______ __

SIGNED: ___ ~--;;.~~~;;;~~~;;..-___ _

If enclosures are not as noted, kindly notify us at 0

Page 14: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

"

Page 15: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o o 7. AS-BUILT PUMP SECTION (Please attach as-built if different from diagram provided below)

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

648.05

Elev (+l 30.05 ft MSL

~

I Elevation of top of chase tube 648.30 ft. mean sea level

Pump intake depth = 643 . 1 ft. (referenced to bench mark)

Chase tube depth = 632.5 ft. (referenced to bench mark)

If airline installed, bottom of airline elevation = N/A ft. mean sea level

WCR2 Form 3117106 Page 2 of 2

Page 16: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

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

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

654.64

El (+) 30.64 ft MSL

j f

Elevation of top of chase tube 654.89 ft. mean sea level

Pump intake depth = 661 . 1 ft. (referenced to bench mark)

Chase tube depth = 650 . 5 ft. (referenced to bench mark)

If airline installed, bottom of airline elevation = NIA ft. mean sea level

WCR2 Form 3117106 Page 2 of 2

Page 17: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o o 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 Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. The Commission may not accept incomplete reports. This form shall be submitted within 60 days of the completion of work. For assistance, please 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/dlnr/cwrm/

1. State Well 5629-02 No.: Well Name: PiwaiWell#3 Island:

2. Address: Upper Omao Tax Map Key: 2-5-01 :02 3. Pump Installation

Beylik Drilling & Pump Services, Inc. Company:

4. Date Pump Installed: November 19, 2007 month/day/year

5. PERMANENT PUMP INFORMATION Pump Type, Make, Serial

Lineshaft Vertical Turbine, Goulds, 12CMC, SN No.:

Rated Capacity: 1050 gpm at head of: 660

Motor Type, H.P., Voltage, rpm: VHS, US Motors, 250 HP, 460V, 1785 RPM

Pump type (check one):

~ Deep Well Turbine o Rotary o Propeller

o Submersible o Rotary-Displacement o Reciprocating

o Centrifugal o Rotary-Gear o Impulse

6. Method of flow measurement:

ii Flowmeter Manufacturer Wyatt/Badger Model no. BVT-F Size

0 Other, explain and attach schematic

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

S. Attach the rating curve for the installed pump.

Kauai

515815-1

ft.

8"

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 Kauai Department of Water Supply Contact Bruce Inouye

Address 4398 Pua Loke Street, Lihue, HI 96766

Phone 808 245-5415 Fax 808245-5813

11. Land Owner Company Kauai Department of Water Supply Contact Bruce Inouye

Address 4398 Pua Loke Street, Lihue, HI 96766

Phone 808 245-5415 Fax 808 245-5813

12. Remarks

Pump Installation Contractor (print) Be~lik Drillin!i! C-57/C-57a/A Lic. No. AC-21896

Signature Date

0i MY- 08" (D~f:l::::"'2 Form 3/17/06 Page 1 of2

1

I I

Page 18: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

7. AS-BUILT PUMP SECTION

pending

El (pending - 624') ft MSL

(Please attach as-built if different from diagram provided below)

I .. 1._ .....

Pump intake depth = 661 . 1 ft. (referenced to bench mark)

Chase tube depth = 650. 5 ft. (referenced to bench mark)

If airline installed, bottom of airline elevation = N/A ft. mean sea level

WCR2 Form 3/17/06 Page 2 of 2

Page 19: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

~'J.H)U7

kv 1 ,f2002 Goulds Pumps

• ITT Industries

ITT - Goulds Pumps Turbine Operations

; .

1000 _ \?b\.( 1;ir20'15 .~ .. ~..,; _ 100 - . TDH . - .~.JC-J:' .. ~Q.':'!#?; -

900 ~ Ef/'{tLillIJj ~17 : 90 - - . - .,... . -INiJ_ ~ ,-r- : I~U4,;,7~ ~. :-

800 ~ ..... --~---:.~;.: 80

700 §. ' .....•.. /",.-~ .... ;; . '", :~ 70 ~

600 E)h: Desi;, . .: ~ 60 r: /- - ... -:. -: .. :~K' 1 : = I- . .. .. .. " -

500 I- - . ' --- . . ..... - - :.. . . - 50

t= ~-I .. . ----. ..,. -- -. ' .. ~. ~ .. : . = r- , -; - - .-

400 ; _ ~. ~ j ... _:.. .... . ",: ; 40 I- . 1 --- . , . '"

300 : ' .. ; ___ . ."-.. ~-... :' : __ .... I' ____ • _ 30 I- - , - - . .. -1-. . : ,.... . _

200 I- .' .... HP - i - 20

100 § I ':; . ......... . .. ' ~ 10

OVi' II;'" i" "r;,llll i"~O o 200 400 600 800 1000 1200 1400 1600

so: 515815-1 Model: 12CMCII0

Flow - GPM Certified Test Results

BY:.!Y<7"M- ~ Title: Engineer Date: Oct. 16, 2006

Imp Dia: 8.69 in Speed: 1770 RPM

~ \ \

o

o

Page 20: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion
Page 21: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o o 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 Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. The Commission may not accept incomplete reports. This form shall be submitted within 60 days of the completion of work. For aSSistance, please 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/dlnr/cwrm/

1. State Well No.:

2. Address:

5629-01

Upper Omao

Well Name: Piwai Well #2

Tax Map Key: 3. Pump Installation Company: Beylik Drilling & Pump Services, Inc.

4. Date Pump Installed: _De_c.,.,..e.,..,.m_b..,...er_0_4_, 2_0_0_7 ____ _ month/day/year

5. PERMANENT PUMP INFORMATION

Island:

2-5-01 :02

Kauai

Pump Type, Make, Serial No.: Lineshaft Vertical Turbine, Goulds, 12CMC, SN 515815-2

Rated Capacity: --:-::-:-:-____ 1_05_0 _____ gpm at head of: Motor Type, H.P., Voltage, rpm: VHS, US Motors, 250 HP, 460V, 1785 RPM

Pump type (check one):

~ Deep Well Turbine o Rotary

o Submersible o Rotary-Displacement

o Centrifugal o Rotary-Gear

660

o Propeller

o ReCiprocating

o Impulse

ft.

6. Method of flow measurement:

ii Flowmeter Manufacturerwyatt/Badger Model no. BVT-F 8" Size _____ _

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.

10. Well Owner

11. Land Owner

12. Remarks

Company Kauai Department of Water Supply Contact _B_ru_c_e_l_no_u_y_e _______ _

Address 4398 Pua Lake Street, Lihue, HI 96766

Phone 808 245-5415 Fax 808245-5813

Company Kauai Department of Water Supply Contact _B_r_u_ce_ln_o-'uy:...e _______ _

Address 4398 Pua Lake Street, Lihue, HI 96766

Phone 808 245-5415 Fax 808245-5813

Pump Installation Contractor (print) ..;;;B....;;.eyl,;.l=-ik....;;.D_ri_lli ..... ng"--___ _ C-57/C-57a/A Lic. No. ~A.:::.C--=2...:..:18~9~6 ____ _

Signature Date __________ _

, (D :~-<i WCR2 Form 3/17/06 Page 1 of2 re~}d ~ ~I Oi~O~, ~

Page 22: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

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

Bench mark elevation surveyed to nearest 0.01 ft. =

ft. mean sea level

pending ~f.~~ ~p14-po8

(O~&. 05 ~-'.

Elev (pending - 618') ft MSL

Pump intake depth = 643.1 ft. (referenced to bench mark)

Chase tube depth = 632 . 5 ft. (referenced to bench mark)

If airline installed, bottom of airline elevation = N/A ft. mean sea level

WCR2 Form 3/17/06 Page 2 of 2

Page 23: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

t:.l'>l.1"WI

Rev 1 Sf2002

.' '. ',' r,

Goulds Pumps

ITT Industries

800 f: ' . . . ... -_ .. , " I ~~~~, ,= ~ , ;,' ... __ . :.~.~: .-.......~ ,;. ..".. "'" = 80

700 ~ , ,,'. -/': :: ,I· .'~ , I" :: 70 ~ 600 § )~>.':~ ... '. ! ro-.. ..... ~

~ , /' . .. ,DeSign~,.,~ • . : :: 60

500 f- " - ' . .. ,... ,.. I ~: - 50

400 § • il .....• 0.

0

•.• 0" "'"'~~:, -_; 40

~'/ .' --,. , : -~ :.... . - '--, .'.: ~ -- ' .. ' .. :..... ~ , .. . -

300 ~ . i 30

200§· / ... "'lIP .•.•....••. :~20

1: ~n , ;, :ir':'1 r 'i~ ;,: '" "~ ~ ~O o 200 400 600 800 1000 1200 1400 1600

so: 515815-2 Model: 12CMC/10

Flow -GPM Certified Test Results

By:b~ ~ Title: Engineer Date: Oct. 16, 2006

Imp Dia: 8.69 in Speed: 1770 RPM

o

o

Page 24: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o 0

Page 25: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

FROM: ROY

TO:

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

~ HARDY,R. HOAGBIN, S.

-L- ICE, C. IMATA, R.

COlOlrvrlSSION ON WATER RESOURCE MANAGt:",ENT

DATE: OCT - 5 'K1J1

INIT. TO: INIT:

SUSPENSE DATE:

FOR:

Approval Signature Information

(10/07)

PLEASE:

See Me Review & Comment Take Action Type Draft

__ Type Final File Xerox _ copies

Page 26: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion
Page 27: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

LINDA LINGLE GOVERNOR OF HAWAII

Mr. Sean Perkins

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

November 8, 2007

Kukuiula Development Company (Hawaii), LLC P.O. Box 280 Koloa, HI 96756

Dear Mr. Perkins:

Request for Pump Installation Permit Extension Piwai Wells 2 & 3 (Well Nos. 5629-01 & 02)

LAURA H. THIELEN CHAIRPERSON

MEREDITH J. CHING JAMES A FRAZIER NEAL S. FUJIWARA

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

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

KEN C. KAWAHARA, P.E. DEPUTY DIRECTOR

5629-2&3.pip.ext

Thank you for your letter dated October 1, 2007, requesting an extension to the captioned permits. We understand that the pump has been installed but that permanent power and discharge pipe for efficiency testing have not yet been installed, and that these are the well owner's responsibility.

We have been in contact with the permittee, your licensed contractor, and he concurs with this request. By: this letter, the request is approved. The new expiration date for the permit is February 1, 2008. I All other conditions remain the same. This letter should be filed with other correspondence and your copy of the permits for reference.

If you have any questions, please contact Charley Ice of our staff at (808) 587-0251, or toll free from Maui at 984-2400, extension 70251.

CI:ss

c: Beylik Drilling and Pump Service, Inc.

Sincerely,

Wf7n ~

KEN C. KAWAHARA, P.E. Deputy Director

/

Page 28: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

d Iff 4l1li In "* ilfi44ifiFPIf 1'~i¥'ii1; ,FI 1 iii ",fhiiW I' II"~ ~1iiHf· ¥ f

Kukui ula

October 1,2007

State of Hawaii Department of Land and Natural Resources Commission on Water Resource Management P.O. Box 621 Honolulu, Hawaii 96809

Attn: Mr. Ken Kawahara

KAUA'I'S LIVING GARDEN

Re: Piwai Wells No.2 (No. 5629-01) and Piwai Wells No.3 (No. 5629-02) Pump Installation Permit Extension Request

Dear Mr. Ken Kawahara:

D1 OCT 5 AID: 0 6

11

Kukui' ula Development Company (Hawaii), LLC, (KOCH) respectfully requests an extension of three (3) months to the Piwai Wells No.2 and No.3 Pump Installation Permits. Both current installation permits are set to expire on November 1,2007.

Progress continues to be made on the construction of the Piwai Water System that has been underway since March 2006. As stated previously, the water transmission lines and access road to the well sites are complete. At the present time, pump bowls and pump column assemblies have been installed in both wells. However, the motors and discharge systems are awaiting the availability of permanent electric power before they are installed. Power is expected to be available in six weeks, unfortunately, a short time after the pump installation permits will have expired.

Therefore, KOCH hereby request extensions of the Pump Installation Permits for Wells 2 (No. 5629-01) and No. 3 (No. 5629-02) until February 1,2008.

Your consideration of the pump installation permit extensions is greatly appreciated. Should you have any questions or concerns, please feel free to contact me at 742-6233.

Very truly yours, Kukui'ula Development Company (Hawaii), LLC

Sean Perkins Project Manager

Attachments

CC: Tom Nance wi attach Tom Shigemoto wi attach

Page 1 of 1 KUKUI'ULA DEVELOPMENT COMPANY, (HAWAII), LLC

A DMB ,mJ A&B C"m!11unity P.O. B"x 280, Kill"a, Kalla'i, III 96756 • Ph 808.742.6304 www.kllklilUla.C()!11

,I;

Page 29: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

LINDA LINGLE GOVERNOR OF HAWAII

RECEIVED FEB 2 6 2007

KUKUI'ULA QEVELOPMENT co,

Mr. Sean Perkins

c o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

February 23,2007

Kukuiula Development Compariy, (Hawaii), LLC P.O. Box 280 Koloa, HI 96756

Dear Mr. Perkins:

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING JAMES A FRAZIER NEAL S. FUJIWARA

CHIYOME L. FUKINO, M.D. LAWRENCE H. MilKE, M.D., J.D.

STEPHANIE A WHALEN

Ref: 5629-01 & 02.ext

This is in response to your January 21,2007 letter, requesting a six (6) month extension of the pump installation permits for the Piwai Wells Nos. 2 & 3 (Well Nos. 5629-01 & 02). Our records show that this is the third extension request for these permits, which are currently set to expire on May 1,2007.

Thank you for documenting the considerable progress made on the Piwai Water System construction. We understand that an extension is needed to complete the remaining work which includes site work and well and pump testing.

Your request is hereby approved. The pump installation permits have been extended to November 1,2007.

LN:ss

If you have any questions, please contact Lenore Nakama at 587-0218.

Sincerely,

WrH W.ROYHARDY Hydrologic Program Manager

c: Tom Shigemoto, Alexander & Baldwin, Inc.lMcBryde Sugar Co., Ltd. Dwight Ho, Beylik Drilling & Pump Service, Inc.

Page 30: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o PUMP INSTALLtcTION PERMrO Pi\vai No.3, 'NsIf No. 5028~02

. . Note: This D6rmft shaff bs DTominsntfv dfsofayed at the site untlf tls work is cOJT1Dfsred

. ! .

In accordance with Departrneilt of Land and Natura! R.eSources, Commission on Weier R.esource Management's Adminisirative Ruies, Section 13-168, entitled ''Water Use, We lis , and Stream 'Drversion Works", this document permits the pump installation for Piwai No. 3 ('Neff No, 5628-02) at Upper Omao, Kauai, TMK 2-5-01:02, subject to the Hawaii WeH Construction & Pump InstaDation Standards (Febr.lary 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 nofiiied., in writing, at least wo (2) weeks before any work covered by this permIT commences and ·staff shall be a[low-eel to inspect installation activrties in accordance with §13-i68-i5, Hawaii Adminisirative Rules.

2. Tne pump instalfation permit shaH be for installation of a 1,250 gpm capacity, or less, pump in the well. . . .3. The permitt~, welf operator, andlor wef/ owner shall provide 'and maintain an approved me.ter or other appropriate means for

. f!1easuring and reporting 'Hith¢rawals and water levels, and appropriate devices or means for measuring chlorides and temperature. These data shall be meaSured monthly and reported to the Commission on a monthfy basis, on forms provided by the Chairperson (attached). . . .

4. The proposed use sh8JI not adversely affect existing or future legal uses of water in the area, including any surface water or estabJished instream flow standards. This permit or the authorization to pump water from a well shaH not constitute a determination of correlative water rights; The permittee, welf operator, and/or we/I owner are notified and by this provision understands that the quantity of water. taken from the well could be reduced by the Commission in the future. This permit is not a commitment that the pump capacity permitted here or even some lesser amount is guaranteed in 'the future. . .

5. The permittee, well operator, and/or well owner shaH compiete arld subinit as-built drawings and Part 11 - (Permanent) pump Installation Report of the Well Completion Report (attached) to the Chairperson within sixty (60) days after completion of work. .

6. The permittee, well operator, and/or well owner shall compfy with all appJicable laws, rules, and ordinances, and non"CompJiance may be grounds for revocation of this permit. .

. . 7. The pump installation permit application and any related staff submittal approvecti by the Commission are incorporated into this permit

by reference. This permit is also subject to the Hawaii Well Construction & Pump InstaHation Standards (February 18, 2004), If the HWCPIS are not followed and as a consequence water is vyasted or contaminated, a ffen on the property may result.

8. .' The permit may be revoked if work is not started within six (6) months after the date of approval or jf work is suspended or abandoned for six (6) months, unlesS otherwise specified. The work proposed in tha pump installation permit appfication 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 990d cause and good-faith performance. A request to extend the permit shall be submitted to the Chairperson no later tha-n three (3) months prior to th~ date the permit expires. If the commencemant date is not met, the Commission r'n~y revoke the . permit after giving the permittee, well'operator, and/or weH owner noiice of the proposed action ana an opportunity to be heard.

g. If th e weH is not to be used it must be p'r'operfy capped. If the well is to be abandoned then the permittee, well operator, and/or weH owner must apply for a well abandonment permit in a=rdance with §13-168-12(f) prior to any weIl sealing or plugging work.

10.

11.

The permittee, its successors, and assigns shall indemnify, defend, and hold the State of Hawaii harmless from and a~st any loss, liability, cfairri, or demand for property damage, personal injury;'or death arising out of any act or omiss~pf.the app~n~ assigns, officers, employees, contractors,- and agents under this permit or relating to or connected with the granting'(~ ~ permito ..,.,

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

. 'W-fiN ')," C? ~ ';:::'; ~ ril

U) ....

r~ c.J1 ;' I~\

.. ' Date-6i"j,.,pprovat: Septenib~er'14, 2064 September 14, 2006

--~--------~----------------~'~~~':~~~--~"=r~~.~ PETER T. YOUNG, Chalrperson····- ~'Xi' .~ ':J Commission on Water Resource Ma~Metnent c::::.

. . . "'->.' 01 Expiration Da.te: .

I have read the conditions and terms of this permir and unde~tand them. I accept and agree tp meet these conditions as a "prerequisite and underlying condition of my ab1Utyto proceed and understand that I shalf not commence work until I and the p·ump· installer have signed, dated, and returned the permit to the Commission. I als9 understand that non-compJianc;e with any permit conditibn may be grounds for revocation and fines of up to $5000 p~r day starting from the p>ennit date of approval.

. Permittee's Signature~ I ':h' Date:

Printed Name: . CW): 'IGj c-jD Firm or Title: \/rec..-. P~S.\J'"?:l_+_ o

Installers Signature: C-57, C-57a, or A License #: AC-21896 Date: 12 (7 ! 05

Printed Name: DWIGHT EO '-1'-,..,., or-I:~I~. BEYLTK DRILLING & PDtiP SERVICE, INC. r J!II IUc. .

.PJS2.sa sign -boL'7 copies arthis parmtt, TSIurn one. to t.;ia CfraJrperson: and rstain t.he ot~er for your re.~oT':is.

c: USGS Dep2rITnent of healthl Saf; Drinkbg 'flaB: &. VI/as'fev.:a"ter 3ran=h

Page 31: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

COMMISSION ON WATER RESOURCE MANAGEMENT (6/07)

..

FROM: KEN DATE: JUN 28 SUSPENSE DATE: _~O,--~-=-+-/\ ...... q-,", +-(_o-,~ __ _ ---------------TO:

ANAKALEA, P. CHING, F. CHONG,R. DANBARA, S. ENGLAND, D.

-/FUJII,N. 'Z J HARDY, R. l HOAGBIN, S. -l--- ICE, C. _ IMATA, R.

INIT. TO:

KAWAHARA, K. KIMURA, J.

~UNIMURA.J.

NAKAMA, L. __ OHYE, M.

SAKODA, E.

fir- SWANSON, S. __ UYENO,D.

__ __ YODA, K. YOSHINAGA, M.

INIT:

l£(L

-,-I -

FOR: PLkASE:

Approval Signature

----vr Information

See Me --r Review & Comment Take Action

-L Type Draft dtx:.._Y"""C V __ Type Final

File Xerox _ copies

flP QVeC(cJ... [~'r 'p!",.~, ~. (S(pzrt-c1 10Z) 5~. k-M<. .... (er"~I("'t'OI!\ /

Page 32: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion
Page 33: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o LINDA LINGLE

GOVERNOR OF HAWAII ALLAN A. SMITH INTERIM CHAIRPERSON

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

/

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

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

Mr. Sean Perkins

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

July 9, 2007

Kukuiula Development Company (Hawaii) LLC P.O. Box 280 Koloa, HI 96756

Dear Mr. Perkins:

Expiration of Pump Installation Permits Piwai Wells 2 & 3 (Well Nos. 5629-01 & 02)

KEN C. KAWAHARA, P.E DEPUTY DIRECTOR

5629-1&2.expnot

Under the conditions of your captioned permits, well completion reports should be filed within 60 days of completion of work, to be done by the permit expiration date of May 1, 2007. Please submit these at your earliest convenience, as violations of these conditions are subject to fines of up to $5,000 per day.

The pump installation permits expired on May 1, 2007.

If you have any questions, please contact Charley Ice of our staff at (808) 587-0251, or toll free from Kauai at 274-3141, extension 70251.

CI:ss

Sincerely,

W.f'rM 1't

.e.~ -fa MDv' 1. 'or ~ z.../2-~/OT

KEN c. KAWAHARA, P.E. Deputy Director

Page 34: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

, .-t .... LINDA LINGLE

GOVERNOR OF HAWAII

Ms. Lynn Malinger Fukunaga & Associates 1388 Kapiolani Boulevard Honolulu HI 96814

Dear Ms. Malinger:

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT po. BOX 621

HONOLULU, HAWAII 96809

July 9, 2007

SUBJECT: Piwai 677 0.5 mg Water Storage Tank DEA

FILE NO.:

ALLAN A SMITH INTERIM CHAIRPERSON

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

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

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

KEN C KAWAHARA, PE DEPUTY DIRECTOR

REF:

Thank you for the opportunity to review the subject document. The Commission on Water Resource Management (CWRM) is the agency responsible for administering the State Water Code (Code). Under the Code, all waters of the State are held in trust for the benefit of the citizens of the State, therefore, all water use is subject to legally protected water rights. CWRM strongly promotes the efficient use of Hawaii's water resources through conservation measures and appropriate resource management. For more information, please refer to the State Water Code, Chapter 174C, Hawaii Revised Statutes, and Hawaii Administrative Rules, Chapters 13-167 to 13-171. These documents are available via the Internet at http://www.hawaii.gov/dlnr/cwrm.

Our comments related to water resources are checked off below.

[8J 1. We recommend coordination with the county to incorporate this project into the county's Water Use and Development Plan. Please contact the respective Planning Department and/or Department of Water Supply for further information.

D 2. We recommend coordination with the Engineering Division of the State Department of Land and Natural Resources to incorporate this project into the State Water Projects Plan.

D 3. There may be the potential for ground or surface water degradation/contamination and recommend that approvals for this project be conditioned upon a review by the State Department of Health and the developer's acceptance of any resulting requirements related to water quality.

Permits required by CWRM: Additional information and forms are available at www.hawaii.gov/dlnr/cwrmlforms.htm. D 4. The proposed water supply source for the project is located in a designated ground-water management area,

and a Water Use Permit is required prior to use of ground water.

D 5. A Well Construction Permit(s) is (are) required before the commencement of any well construction work.

D 6. A Pump Installation Permit(s) is (are) required before ground water is developed as a source of supply for the project.

DRF-GN 03/02/2006

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I

".

Ms. Lynn Malinger Page 2 July 9, 2007

o o

o 7. There is (are) well(s) located on or adjacent to this project. If wells are not planned to be used and will be affected by any new construction, they must be properly abandoned and sealed. A permit for well abandonment must be obtained.

o 8. Ground-water withdrawals from this project may affect streamflows, which may require an instream flow standard amendment.

o 9. A Stream Channel Alteration Permit(s) is (are) required before any alteration can be made to the bed and/or banks of a stream channel.

o 10. A Stream Diversion Works Permit(s) is (are) required before any stream diversion works is constructed or altered.

o 11. A Petition to Amend the Interim Instream Flow Standard is required for any new or expanded diversion(s) of surface water.

o 12. The planned source of water for this project has not been identified in this report. Therefore, we cannot determine what permits or petitions are required from our office, or whether there are potential impacts to water resources.

o 13. We recommend that the report identify feasible alternative non-potable water resources, including reclaimed wastewater.

~ OTHER:

Piwai Well Construction Permits for Well Nos. 5629-01 & -02 have been extended three times and have expired as of May 1,2007. Any work underway should be suspended pending reapplication, subject to fines of up to $5000 per day.

The project should not affect surface water.

If there are any questions, please contact Charley Ice at 587-0251.

Sincerely,

Wf'rM -Nt

KEN C. KAWAHARA, P.E.

Deputy Director

DRF-IA 04115/2005

Page 36: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

LINDA LINGLE GOVERNOR OF HAWAII

Mr. Sean Perkins

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

February 23, 2007

Kukuiula Development Company, (Hawaii), LLC P.O. Box 280 Koloa, HI 96756

Dear Mr. Perkins:

PETER T. YOUNG CHAIRPERSON

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

CHIYOME L. FUKINO, M.D. LAWRENCE H. MilKE, M.D., J.D.

STEPHANIE A. WHALEN

Ref: 5629-01 & 02.ext

This is in response to your January 21, 2007 letter, requesting a six (6) month extension of the pump installation permits for the Piwai Wells Nos. 2 & 3 (Well Nos. 5629-01 & 02). Our records show that this is the third extension request for these permits, which are currently set to expire on May 1, 2007.

Thank you for documenting the considerable progress made on the Piwai Water System construction. We understand that an extension is needed to complete the remaining work which includes site work and well and pump testing.

Your request is hereby approved. The pump installation permits have been extended to November 1,2007.

LN:ss

If you have any questions, please contact Lenore Nakama at 587-0218.

Sincerely,

wrH W.ROYHARDY Hydrologic Program Manager

c: Tom Shigemoto, Alexander & Baldwin, Inc./McBryde Sugar Co., Ltd. Dwight Ho, Beylik Drilling & Pump Service, Inc.

Page 37: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

IT F "W'! If" 11' IT' Ar' MI"i!1 I'l''''!!'' Ii' r,G', I"'" ... jiii q @i f nSf / i+Ftlli!t i' ~ ';H'I'1"!,"I" i ' If 1, H"~'1"4" 1"l1f~If,f flf""'\r t, lIP; II '+* 'l'f lii!'iflll

j'l , ,

,,'

Kukui ula KAVA'I'S LIVING GARDEN

January 21, 2007

State of Hawaii Department of Land and Natural Resources Commission on Water Resource Management P.O. Box 621 Honolulu, Hawaii 96809

Attn: Mr. Dean Nakano, Acting Deputy Director

Re: Piwai Wells No.2 (No. 5629-01) and Piwai Wells No.3 (No. 5629-02) Pump Installation Permit Extension Request

Dear Mr. Dean Nakano:

07 FEB 2 A 8: 23

Kukui' ula Development Company (Hawaii), LLC, (KDCH) respectfully requests an extension of six (6) months to the Piwai Wells No.2 and No.3 Pump InstallationPermits. Both current installation permits are set to expire on May 1, 2007. Pursuant to Standard Condition 8 of the permit, KDCH is submitting this request three (3) months in advance of the permit expirationfor your consideration

Progress continues to be made on the construction of the Piwai Water System that has been underway since March 2006. As stated previously, the water transmission lines and access road to the well sites are complete. Additionally, the 0.1 Mgconcrete storage tank and site driveway are anticipated to be complete in the next two months. The two well site control buildings and pump works are under construction with the pump installations anticipated within the next three months. Unfortunately, the current schedule does not indicate that all of the work for the two well sites will be completed by the May 1,2007, deadline. There will be site work, well testing, pump testing, and final inspections that will run past the deadline.

Therefore, KDCH hereby request extensions of the Pump Installation Permits for Wells 2 (No. 5629-01) and No. 3 (No. 5629-02) until November 1, 2007.

Your consideration of the pump installation permit extensions is greatly appreciated. Should you have any questions or concerns, please feel free to contact me at 7.f-6304.

Very truly yours, Kukui' ula Development Company (Hawaii), LLC

Sean Perkins Project Manager

Attachments

CC: Tom Nance wi attach Tom Shigemoto wi attach

Page 1 of 1 KUKUI'ULA DEVELOPMENT COMPANY, (HAWAll), LLC

A DMB and A&B Community P.O. Box 280, Koloa, Kaua'i, HI 96756· Ph 808.742.6304 www.kukuiula.com

------_______ , ____ ,.., ___ ..... ~""_~. __ .• "~<,....., .. __ .' _____ .. ''' ___ ''' __ • _. _~~_, ___ 4 1_'_'_' _._~ _"'_"'"

Page 38: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

LINDA LINGLE GOVERNOR OF HAWAII

Mr. Thomas Hoen

c

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

September 21, 2006

Kukui'ula Development Co., (Hawaii), LLC P.O. Box 280 Koloa, HI 96756

Dear Mr. Hoen:

PETER T. YOUNG CHAIRPERSON

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

CHIYOME L. FUKINO, M.D. LAWRENCE H. MilKE, M.D., J.D.

STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING DEPUTY DIRECTOR

Ref: 5629-01 & 02.ext

This is in response to your August 29, 2006 letter, requesting an extension of the pump installation permits for the Piwai Wells Nos. 2 and 3 (Well Nos. 5629-01 & 02). Our records show that the permit for Piwai Well No.2 expired on July 15,2006, and the permit for Piwai Well No.3 is set to expire on September 14,2006. According to your letter, permitting delays and inclement weather have resulted in an extension of the construction completion.

Although Standard Condition 8 of the permit requires that a request to extend the permit must be submitted no later than three (3) months prior to the permit expiration date, we will allow an extension at this time. In the future, please adhere to the terms and conditions of the permits.

Your request is hereby approved. The pump installation permits have been extended to May 1,2007.

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

LN:ss

Sincerely,

W!"rH 1'2.

DEAN A. NAKANO Acting Deputy Director

c: Tom Shigemoto, Kukui'ula Development Co., (Hawaii), LLC Dwight Ho, Beylik Drilling

/

Page 39: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

~ "lUi' tf '!If if4 Iii'" I iii Wli\li;;

.1.

" r ~i,*:; i !it; @fl" 4 Pi? 4Wi4+1· Wi;;: ,Atf 'if. I P4i 'f i

Kukui ula KAVA'I'S LIVING GARDEN

August 24, 2006 DB AUG 29 AIO: ~ 3

Mr. Dean Nakano Acting Deputy Director Commission on Water Resource Management P.O. Box 621 Honolulu, Hi 96809

Re: Piwai Wells No.2 (No. 5629-01) and No.3 (No. 5629-02) Pump Installation Expiration Extensions

Dear Mr. Nakano:

CO):"i!SS!I:' nl~ W;\TG\ RFSC~C: • GU,1UIT

We respectfully request another extension to the Piwai Well No.2 Pump Installation Permit, and an extension to the Piwai Well No. 3 Permit. Due to the longer than anticipated permitting phase and a very wet spring season, the construction completion of the project has been extended.

Significant progress has been made as the construction of the Piwai Wells and Waterline Project has been underway since March 2006. The water transmission lines and access road to the Well Sites are complete and construction of the well complex sitework is currently underway with pump installation scheduled for April 2007.

Therefore, we hereby request extensions of the Pump Installation Permits for Wells 2&3 (5629-01 and 5629-02) until May 1,2007.

If you have any questions regarding this matter please call me at (808) 742-6304. For your convenience attached, please find copies of the Pump Installation Permits referenced above along with the letter granting extension of the Piwai well No.2 Permit.

We appreciate your consideration in this matter.

Yours Truly,

Thomas Hoen Project Manager

THllac

attachments

cc: Tom Nance wlattach Bob Diffley wi attach Tom Shigemoto wi attach

KUKUI'ULA DEVELOPMENT COMPANY, (HAWAII), LLC A DMB and A&B Community P.O. Box 280, Koloa, Kaua'i, HI 96756. Ph 808.742.6304 www.kukuiula.com

Page 40: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

• • c PUMP INSTALLATION PERMI.~ Piwai No.3, Well No. 5629-02 .....,

Note: This oermit shaff be prominently displayed at the sne 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 Piwai No. 3 (Well No. 5629-02) at Upper Omao, Kauai, TMK 2-5-01 :02, subject to the Hawaii Well Construction & Pump Instaflation Standards (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 noti1ied, in writing, at least two (2) weeks before any work covered by this permit commences and staff shall be allowed to inspect installation activities in accordance with §13-168-15, Hawaii Administrative Rules.

2. The pump installation permit shall be for installation of a 1,250 gpm capacity, or less, pump in the well.

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

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

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

6. The permittee, 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. .

7. 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 Hawaii Well Construction & Pump Installation Standards (February 18, 2004). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

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

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

10.

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 ~cant, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the granti~ 'l:4his pe~

:-lie ';8 Special conditions in the attached cover transmittal letter are incorporated herein by

f1reference. 9 ~ ~ ('T\

w. ~ 'v u; ':-'> / I o'./) ~ • ;k ,-n .:::;; cD r11

z;:~ 2. . Date; "of Apr;;mial: Septemb"er: 14, 2004

September 14, 2006 PETER T. YOUNG, Chairperson '¥: ~. a f11 Commission on Water Resource M~~ment.. c:J Expiration Date:

:t:.:.....t . fT"Ir1'":..c-

I have read the conditions and terms of this permit and understand them. I accept and agree to me~~se corfl;iiflons 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 also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $5000 per day starting from the permit date of approval.

Pennttiee's Signature~~ '::b . Date #1 Printed Name: d. ~J; Firm or Title: \Ii~ fh:::-sldc..., + . Installer's Signature: C-57,C-57a,orALicense#: AC-21896 Date: 12/7/05

Printed Name: DWIGHT HO Firm or Title: BEYLIK DRILLING & PUMP SERVICE, INC.

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

Attachments c: USGS

Department of Health! Safe Drinking Water & Wastewater Branch Kauai Department of Water Supply Tom Shigemoto, Alexander & Baldwin Inc.lMcBryde Sugar Co.

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o PUMP INSTALLATION PERMO Piwai Well No.2, Well No. 5629-01

Note: This permit shalf be prominentlv 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 Piwai Well No.2 (Well No. 5629-01) at Upper Omao, Kauai, TMK 2-5-01 :02, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:

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

2. The pump installation permit shall be for installation of a 1250 gpm capacity, or less, pump in the well.

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

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

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

6. The permittee, 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.

7. 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 Hawaii Well Construction & Pump Installation Standards (1/23/97). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

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

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

10. The permittee, its successors, and assigns shall indemnify, defend, and hold the State of Hawaii harmless from and against any loss, liability, claim, or demand for property damage, personal injurY, or. death arising ou! of any act or omission of th~plicant, assigns, officers, employees, contractors, and agents under this permit or relating to or connected with the granting of this P8'it.

Special conditions in the attached cover transmittal letter are incorporated herein b'y refere~ce: ~ ~ ~ ."

. h . - /~1A G? ~ 11.

Date of Approval:

Expiration Date:

July 17, 2003 July 17,2005

~===:::3JU.0i~::6~ ~. ~ ~.r PETER T. YOUNl,Ch~="'-:::' ~

Co~mission on Water Resource~iigeme~ rn . . .~~ 0

I have read the conditions and terms of this permit and understand them. I accept and agree to ~i:3'i.ese c~~itions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence~until IliJ4I the pump installer. hiwe signed, dated, and returned the permit to the Commission. I also understand that non-cOfflpliance wlt1'i any permit condition.may be grounds for revocation and fines of up to $1000 per day starting from the permit date of approval.

Permittee's Signature: ~--,''---'';,.£--------rr-~-~----r'-!l----- Date B PSfD 3

Printed Name: . ~unc:ib Firm or Title: _0,--,-1_Cc...=--,fh,-,-~_J=:!/c.::.J.,---E!YJ--,-t-¥--_______ ~

Installer's Signature: ~~..:..--- C-57, C-57a, or A License #: AC-21896 Date: 12/7/05

Printed Name: DWIGHT HO Firm or Title: BEY1J:K DRILLING & PUMP SERVICE, INC.

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

Altachmen ts c: USGS

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

Page 42: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o , JUL-07-2005 14:31 FROM:DLNR CWRM 808 587 0219 TO: 801:3 538 7757

UNDAlINGlE OUVERNOA QF"w,4WAII

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCEMANAQEMENT PO BOXfl21

HONOLULU, HAWAII seaos

May 24, 2005

Mr. Tom Shigemoto. Vi.ce President A&B Properties, hie. P.O. Box 43:() Koloa, HI 96756

Dear Mr. Shigemoto·:

Request for Extension of Time Pump Installation Permit for Piwai Well No.2 (Well No; 5629-01)

PETER l' YOUNC ..-...... ". MEREOrrH J CHING

CtAYrON Wi DELA.CRUZ JAMes-A. "'RiglER

CliIYOt.£l. FUKlNO, M.D LAWRSNC .•. 1l MilKE. MO. J D

Sl'EPHANIEA WHAlEN

DEAN A NAKANO ACrnHCDErvn' DIJn!C1'on

RerS629-0 LCXl

This is in response to your May 13, 2005 letter, requesting a. one-year extension of time to complete work authorized by the subject pennit. According to your letter, a time extension is needed because design plans and specifications. have been rev.ised and are awaiting approval ft'om. the Department of Water. .'

By tlIis,letter your request is approved. The new expiration date for the subject Pump Installation Pennit is July. 15. 2006, Please do not forget to return a fully executed permitpnor to the start of any work. Thank you for your attention to the teunsand conditions of your pennit.

If you have any questions, please contact Lenore Nakama at 587-0218.

LYN:ss

c: Kukuiula Development Corp.

9610 - w • Oi 1-0

CONTRACT --CORRESPONDENCE

SCHEDULES --ESTIMATES

REPORT --- Ii ~ 7 rer/J1lt./"

Sincerely,

WhH ~

DEAN A. NAKANQ Acting Deputy Director

Post-it- Fax Note 1671

To .1bV\ lJ~t.i:. Co./Dept

Phone It

Fax II .;~ ~ --'1:1.S'I

Dato

From

Co.

Phone H

Fax #

hllof .. pages

I

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J,AN-12-2006 15: 02 FROM: DLNR CWRM 808 587 0219 TO:808 682 5866

~ ~. PUMP INSTALLATION PERMI'.

Piwai Well No.2. Well No. 5629-01 Note: This permIt shall be prominently dlsplaved at the site until the work Is completed

In accordance with Department. of Land and Natural Resources. Commission 6n Water Resource Management's Administrative Rules, Section 13-168. entitled 'Water Use, Wells, and Stream Diversion Works", this doc.ument permits the pump installation for Piwai Well No. 2 (Wall No. 5629-01) at Upper Omao, Kauai. TMK 2-5-01 :02, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following c.onditions:

1. Th& 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 shaJJ be allowed to inspect installation activities In accordance with §1a.168-15, Hawaii Administrative Rules. .

2. The pump installaUon permit shall b$ for Installation of a 1250 gpm capadty, or less. pump in the WillI.

3. The permittee, well operator, andlor well ownar shall provide and maintain an approved meter Or other appropriate means for measuring and reporting withdrawals and water levels, and appropriate deVIces or means for measuring chloridss and temperature. These do1t3 shall be meaSured monthly and reported to the Commission on a monthly basis, on forms provided by the Chairperson (attached).

4. The proposed use shall not adversely affect existing or future legal uses of water in the area, including ~ny surface water or established instream flow standards. This permit or the authorization to pump water from a well shall not constitute a determination of COrrela~ve water rights. The permittee, well operator, and/or well owner are notified and by this provision undarstands mat the quantity of water taken from the well could be reduced by the Commillsio.n In the future. ThIs permit Is not a commlrment tllal rne pump capadty permitted here or even some lesser amount is guaranteed In the future.

S. The permittee, well Operator, andlor woll owner shall complete and submit as-built drawings and Part II • (Permanent) Pl.lmp Installation Report of the Well Completion Report (attached) to the Chairperson within Sixty (60) days after compleHon of work.

6. 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 0( this permit.

7. The pump InstallaUon permit application and any related staff submittal approved by the Commls$ion are incorporated into this permit by reference. This permit Is also subject to the Hawaii Well Construction & Pump Installation Standards (1123/97). If the. HWCPIS are not followed and as a consequence water is wastod or contaminated. a lion on the property mOlY rosult.

e, The permit may be revokeq if worK is not started within Six (6) months after the dale of approva" Or if worle Is suspended or abandoned for six (6) months. unless otnerwise specJfled. The worle proposed In !he pump Installation permit application shall be completed within two (2) years from the. date of permit approval. unless otherwise spedfleQ. The permit may be extended by the Chairperson upon a showing of good cause and good-faith performance. A request to extend the permit shalt be submitted to the Chairperson no later than three (3) months prior to the dale !he permit eXpires. If the commencement date is not met, the Commis$lon may revoke the permit after giving the permittee, well operator. and/or well owner notice of the proposed acllon i1nd an opportunity to be heard.

9. If the well 15 not to be used It must be properly capped. If the well Is 10 be abandoned then the permittee, well operator. and/or well owner must apply for a well abandonment permit in accordance with §13-168.12(t) prior to any well sealing or plugging WOrk.

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

11. Special condldons in the attached cover transmlltalietter are incorporated !lerein by reference.

. Date of Approval:

,Explration Date:

July 17, 2003 July 17, 2005

I have read the condltiol'lS and terms of this permit and understand them. I accopt and agree to meet these conditions 0lS a prerequisite and underlying condition of my ability to proceod and undel"Stiind that I shall not commence wor!< until I and the ~ump installer h:i\ve Signed, dated. and returned !tie permit to the Commission. I also understand that non-compliance with ~n)' permit condition may be grounds for revocation and fines of up to $1000 per dilY st:mlng from tho parmit dato 0' approval .

Permittee's Signature: . ~ Printed Name: Firm or Title:

fr;" be QA~~~;J) Installer's Signature: ~ C-57,C-57a.orALic.ense#: AC-21896 Date: 1-2~~06

r Printed Name: Dwight Ho Firm or Title: Beylik Drillin,g & Pump SVO~, Inc.

c10

Please sign both copies of this permit, return gne to the Chairperson. :md retain the other for your records.

Attachmont:; c: USGS

Oepartmanl of Health{ Safe Ori'lklng Waler Ii. Wastewater Branch Kauai O~parvnenf 0' Watzlr Supply

.. (.;,"1

,<)

Page 44: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

; i'M

December 14,2005

Mr. Dean Nakano Acting Deputy Director

Kukui ula KAUA'I'S LIVI:-JG (;ARIJE:-J

Commission on Water Resource Management P.O. Box 621 Honolulu, HI 96809

Re: Piwai Wells No 2(No. 5629-01) and No 3 (5629-02) Pump Installation Permits

Dear Mr. Nakano:

I'" i 'J

Attached are the completed Pump Installation Permit forms with the Installer's information and signature affixed.

The installer is Beylik Drilling & Pump Service, Inc., the same company that drilled the wells. They intend to commence with construction early next year.

In the past, Tom Shigemoto of A&B Properties, Inc. has been communicating with you on these matters as landowner. As Kukui 'ula Development Company (Hawaii), LLC is responsible for developing these facilities for the Kukui'ula Project, we are addressing you directly and copying Tom Shigemoto of A&B on the correspondence. We hope this is acceptable.

Please feel free to call me with any questions and/or concerns at (808) 742-6304.

Yours truly,

Thomas A. Hoen Project Manager

THIlac

attachments

cc: Tom Nance w/attachments Tom Shigemoto w/attachments

KUKUI'ULA DEVELOPMENT COMPANY, (HAWAII), LLC A DMB and A&B Community p,O, Box 280, Koloa, Kaua'i, HI 96756. Ph 808.742.6304 www.kukuiula.com

" II i i .

..-' '-, V I

Page 45: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

>

>

BEYLIK DRILLING".... & PUMP SERVICE, 1Nw'

91-259A OLAI STREET KAPOLEI, HAWAII 96707

PH: (808) 682-5554 FAX: (808) 682·5866 DATE 12-7-05 I JOB NO.

r!~-----l- ATTENTION

THOMAS A. HOEN RE:

PIWAI WELL NO. 2, WELL NO. 5629-01 TO KUKUI'ULA DEVELOPMENT CO. (HAWAII), LLC

-. I G r, II PIWAI WELL NO. 3, WELL NO. 5629-02 P.O. BOX 280

5

KOLOA, KAUAI, HI 96756

WE ARE SENDING YOU ~ Attached o Under separate cover via __________ the following items:

o Shop drawings o Prints o Plans o Samples o Specifications

o Copy of letter o Change order o

COPIES DATE NO. DESCRIPTION

1 PUMP INSTALLATION PERMIT FOR WELL NO. 2

1 PUMP INSTALLATION PERMIT FOR WELL NO. 3

THESE ARE TRANSMITIED as checked below:

o For approval o Approved as submitted o Resubmit ____ copies for approval

o For your use o Approved as noted o Submit ____ copies for distribution

ex As requested o Returned for corrections o Return ___ corrected prints

o For review and comment 0 _________________________ _

o FOR BIDS DUE _______________ _ o PRINTS RETURNED AFTER LOAN TO US

REMARKS ________________________________________ ___

DEC 0 9 2005

COPYTO ______ 14~_1~8_H~/_C_F_I_L_E ______________ _ r7\~;/,: ,.~ SIGNED: V~ . .---------''''----'--~,-----r-=D=W=I-=G=HT=-=H:::-O:::--------

If enclosures are not as noted, kmdly notIfy us at once. I

Page 46: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

-o PUMP INSTALLATION PERMI?-\

Piwai Well No.2, Well No. 5629-0'1-'

Note: This permit shalf 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 Piwai Well No.2 (Well No. 5629-01) at Upper Omao, Kauai, TMK 2-5-01 :02, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:

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

2. The pump installation permit shall be for installation of a 1250 gpm capacity, or less, pump in the well.

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

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

5. The permittee, well operator, and/or well owner shall complete and submit as-built drawings and Part II - (Permanent) Pump I nstallation Report of the Well Completion Report (attached) to the Chairperson within sixty (60) days after completion of work.

6. 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.

7. 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 Hawaii Well Construction & Pump Installation Standards (1/23/97). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

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

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

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

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

Date of Approval: Expiration Date:

July 17, 2003 July 17, 2005

~:::::2>~; ~ ~ PETER T. YOUN ~h~erson .

Commission on Water Resource Management

I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the pump installer h~lVe signed, dated, and returned the permit to the Commission. I also understand that non-complif!!l~e with any permit condition may be grounds for revocation and fines of up to $1000 per day starting from the permit date of approval. 1

permittee'SSignal1Jre~ Da;~ .• 8p~/D3 Printed Name: . ~e.mDlO Firm or Title: 0C!c- (t=:JIJ.eJ?t C) I \

;::t ... ~-­-'~,~

Installer's Signature: ~~...;....-.. .. - C-57, C-57a, or A License #: AC-21896 Date~ - l2/7 /05 c..J'l

Printed Name: DWIGHT HO Firm or Title: BEYLIK DRILLING & PUMP SERVICE, INC.

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

Attachments c: USGS

Department of Health! Safe Drinking Water & Wastewater Branch Kauai Department of Water Supply

Page 47: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

LINDA LINGLE GOVERNOR OF HAWAII

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

May 24, 2005

Mr. Tom Shigemoto, Vice President A&B Properties, Inc. P.O. Box 430 Koloa, HI 96756

Dear Mr. Shigemoto:

Request for Extension of Time Pump Installation Permit for Piwai Well No.2 (Well No. 5629-01)

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

JAMES A. FRAZIER CHIYOME L. FUKINO, M.D.

LAWRENCE H. MilKE, M.D, J.D. STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING DEPUTY DIRECTOR

Ref:5629-0 I.ext

This is in response to your May 13,2005 letter, requesting a one-year extension oftime to complete work authorized by the subject permit. According to your letter, a time extension is needed because design plans and specifications have been revised and are awaiting approval from the Department of Water.

By this, letter your request is approved. The new expiration date for the subject Pump Installation Permit is July 15, 2006. Please do not forget to return a fully executed permit prior to the start of any work. Thank you for your attention to the terms and conditions of your permit.

If you have any questions, please contact Lenore Nakama at 587-0218.

LYN:ss

c: Kukuiula Development Corp.

Sincerely,

W.f'l'H 1't

DEAN A. NAKANO Acting Deputy Director

Post-it® Fax Note

Phone #

Fax #

7671 Date

From

Co.

Phone #

Fax #

#01 ~ pages

(

Page 48: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

... AB c o P. o. Box 430

Koloa. Hawaii 96756

A&B PROPERTIES, INC.

www.abprop.com Tel (808) 742-2773 Fax (808) 742-2776

A SUBSIDIARY OF ALEXANDER &. BALDWIN INC

May 13, 2005

Mr. Dean Nakano Acting Deputy Director Commission on Water Resource Management P.O. Box 621 Honolulu, Hi 96809

Re: Piwai Well No.2 No. 5629-01 Pump Installation Permit

Dear Mr. Nakano:

As noted on the attached copy of the Pump Installation Permit for Piwai Well No.2, the expiration date of the permit of July 17, 2005 is approaching. We have been fully engaged in the design and permitting phase of the project and are committed to perform the installation in a timely manner. Our progress to date includes completion of the design plans and specifications, which were submitted to the County of Kauai Department of Water on September 3,2004. The Department and our Engineering firm, Tom Nance Water Resource Engineering, have made comments and revisions to the plans and we anticipate an approval from the Department in the next few weeks. We therefore hereby request an extension of the Pump Installation Permit for a period of one year from the expiration date of July 17, 2005. We anticipate that the construction will commence in mid-July 2005 and be complete one year later.

If you have any questions or comments please feel free to contact our Project Manager, Mr. Tom Hoen at (808) 742-6304, or our Engineer, Mr. Tom Nance at (808) 537-1141.

Yours Truly

~gem , Vice President A&B Properties

attachment

Cc: Tom Nance Tom Hoen R. K. Sasaki

Page 49: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

0, PUMP INSTALLATION PERMIQ:: \\. Piwai Well No.2, Well No. 5629-01

Note: This permit shall be prominently displayed at the site untI1 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 Piwai Well No.2 (Well No. 5629-01) at Upper Omao, Kauai, TMK 2-5-01:02, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:

1. The Chairperson to the Commission on Water Resource Management (Commission), P.O. Box 621, Hon9lulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any work covered by this permit commences and staff sHall be allowed to inspect installation activities in accordance with §13-168-15, Hawaii Administrative Rules, "

2. The pump installation permit shall be for installation of a 1250 gpm capacity, or less, pump in the well.

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

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

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

6. The permittee,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.

7. 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 Hawaii Well Construction & Pump Installation Standards (1123/97). If the. HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result. .

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

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

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

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

~'\::::::sJt'tO, ~ . Date of Approval:

.Expiration Date:

July 17, 2003 July 17, 2005

cJEY PETER T. YOUN :Ch~erson Commission on Water Resource Management

I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the pump installer have signed, dated, and returned the permit to the Commission. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $1000 per day starting from the permit date of approval.

.~ Date: Bfos/D3 Firm or Title: ---,0t.!../_~=-..L..fh-,--z.=:J/,-,-J.,-..eYJ--'--,t,"--____ J __ _

Permittee's Signature:

Printed Name:

f;;;" k. CD'Yqf('* Inc4 Installer'S Signature: C-57, C-57a, or A Lic.ense #: Date: ____ _

Printed Name: Firm or Title: ________________ _

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

Attachments c: USGS

Department of Health! Safe Drinking Water & Wastewater Branch Kauai Department of Water Supply

Page 50: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

LINDA LINGLE GOVERNOR OF HAWAII

Ref:5629-01.pip

Mr. Tom Shigemoto

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

Kukuiula Development Co. (Hawaii) LLC P.O. Box 430 Koloa, HI 96756

Dear Mr. Shigemoto:

Pump Installation Permit Piwai Well No.2 (Well No. 5629-01)

PETER T YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

JAMES A FRAZIER CHIYOME L FUKINO. MD STEPHANIE A. WHALEN

ERNEST YW LAU DEPUTY DIRECTOR

August 14, 2003

Enclosed are two (2) originals of your approved Pump Installation Permit for the captioned well(s) that authorize permanent pump installation work for your well(s). As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 11:

Special Conditions

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

2. Please enclose the pump speCification and rating curve for the installed pump with the Well Completion Report.

The permittee, well operator, and/or well owner are responsible for all conditions of the permit. This includes ensuring that the pump installation contractor submits a completed Part II of the Well Completion Report form (enclosed) within sixty (60) days after the pump installation work is completed. Be advised that you may be subject to fines of up to $1000 per day for any violations of your permit conditions starting from the permit approval date.

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

/

Page 51: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

Mr. Tom Shigemoto Page 2 August 14, 2003

IMPORTANT - Pump installation shall not commence until a fully signed permit is returned to the Commission. Except for the monthly water use report form, please provide copies of all the information in this packet to your pump installation contractor.

Finally, this letter is notice that we have accepted your Well Completion Report - Part I as complete as of July 17, 2003.

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

Sincerely,

~ef~~ AW Peter T. Young

U - Chairperson

Enclosure

Page 52: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

,..., PUMP INSTALLATION PERMIT ~ 'W' Piwai Well No.2. Well No. 5629-01 """

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 Piwai Well No.2 (Well No. 5629-01) at Upper Omao, Kauai, TMK 2-5-01:02, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:

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

2. The pump installation permit shall be for installation of a 1250 gpm capacity, or less, pump in the well.

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

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

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

6. The permittee, 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.

7. 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 Hawaii Well Construction & Pump Installation Standards (1/23/97). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

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

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

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

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

Date of Approval:

Expiration Date:

July 17, 2003 July 17, 2005

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 also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $1000 per day starting from the permit date of approval.

Permittee's Signature: Date: ____ _

Printed Name: Firm or Title: ________________ _

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

Printed Name: Firm or Title: ________________ _

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

Attachments c: USGS

Department of Health! Safe Drinking Water & Wastewater Branch Kauai Department of Water Supply

/

Page 53: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

Well No. Well Name Applicant

5629-01 piwai 2

c

SECTION 1: WELL LOCATION INFORMATION

Island Aquifer System

Aquifer Sector

KAUAI

LIHUE WAILUA

data

Date of Review Reviewer

Proposed Use

o

Proposed Withdrawal

System Sustainable Yield

.............. UiThUH/Tii

RRI

Municipal ---~--.--- .. - ---_._.

600000 60

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

Elevation at top of casing

Ground Elevation

Cement Grout Rock Packing

Hole Diameter Total Depth

Estimated Head Calculated Aquifer Thickness

County Water Supply (YIN ?)

ft., m.s.1. ft., m.s.1.

_~.~ 44~'~ ft. n ft.

,~4. in. , nt/ft.

__ ~4::=:8~.3a::;.;.'" ft., m.s.l. 1984 ft.

YES

Solid Casing Material

Designation

Length Diameter

Wall Thickness Casing

Material Designation Length

Diameter

Wall Thickness Openings

Open Hole Length

Diameter

Steer A$tNJA139 /!:~;'~95 ft. • '·16;75 in.

--~----~

.0>375 in.

,.16:75 in.

.O~31 in. ~ ___ ., ;/\0, sq.in.ll.f.

'50. ft. ,24 in.

SECTION 3: CHECKLIST (values to check are shaded)

Well Depth Theoretical Thickness of Aquifer 1/4 Aquifer Thickness

Depth of Well below Sea Level

Well Casing Minimum Wall Thickness

Material County or Non-County

Minimum Thickness per standards

Wall Thickness Provided Minimum Length of Solid Casing

90% of ground to top of aquifer Length of solid casing Provided

Casing Material Annular Space

Depth of Grouting Calculated Depth of Grouting Depth of Grouting provided

Thickness of Annular Space

Steel county

1984 ft. 495.9 ft. 125.8 ft.

0.375 in.

__ ~0.375 in.

540.8 ft.

okay (refer to HWCPIS Section 2.2)

(disregard if the well is not basal, deep monitor or salt water)

okay (refer to HWCPIS Section 2.4 c) (disregard this if this is a non-county well)

___ -=5-"-95 ft. okay (refer to HWCPIS Section 2.4 d) __ --=-=A-=.ST-'-'Mc:.:...A 139 okay (refer to HWCPIS Section 2.4 e)

420.6 ft. 449.9 ft.

3.625 in.

If the cell above reads #NIA, reference HWCPIS)

okay

okay

Page 1

(refer to HWCPIS Section 2.6 c)

(refer to HWCPIS Section 2.6 d)

Page 54: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

~ ~~ \.~;;;

o o

Tom Nance Water Resource Engineering D3 JUL 17 A 8: 4 6 July 16, 2003

03/292 (01-72)

Mr. Ernest YW Lau - Deputy Director Commission on Water Resource Management Department of Land and Natural Resources State of Hawaii P. O. Box 621 Honolulu, Hawaii 96809

Dear Mr. Lau:

Well Completion Report - Part I - for Piwai Well No. 2 - State No. 5629-01

Kauai. Hawaii

Attached is the Well Completion Report, elevation certification, and pump test data for Piwai Well NO.2. Feel free to call if there are questions.

cc: Tom Hoen - Kukui'Ula Dev. Co. Dwight Ho - Beylik Drilling Michael Hinazumi - DOW

Attachments

Sincerely,

Tom Nance

680 Ala Moana Boulevard, Suite 406 • Honolulu, Hawaii 968l3~541l • Phone: (808) 537-1141 . Fax: (808) 538~ 7757· E~mail: [email protected]

Page 55: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

'.

o o State of Hawaii For Official Use Only:

COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources

WELL COM PLETION REPORT - PART I Well Construction 03

Instructions: Please print in ink or type and send completed report (with attachments, if applicable) to the Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. The Commission m~ _.' not accept incomplete reports. This form shall be submitted within 60 days of the completion of work. FQltl assistance, please consult the Hawaii Well Construction and Pump Installation Standards or call the Regulat~(f C, Branch at 587-0225. For updates to this form or additional information, please visit our website aT" http://www.hawaii.gov/dlnr/cwrml

17 A8: ~6

1. State Well No.: S;(P""2.-'1- 0 I Well Name: _P_iw_a_i_#_2 _________ .....,..- Island: Kauai

2. Address: ___________________ Tax Map Key: ( 4-) 2- - r-,--o-,-.-' -0-2--

3. Drilling Company: _B_e,Ly_lik_D_ri_lIi_n,><.g.:...., _In_c_. _________________________ _

4. Drilling method used during contruction: ~ Rotary 0 Percussion 0 Other (describe)

5. Date Well Construction (drilled,cased,grouted) completed: 4/24/03 Attach Driller's Log (7/26199 DL Form) month/day/year

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

6. Was the subject well cored? 0 Yes ~ No

7. Initial water-level encountered ft. below ground Date and time of measurement: ----month/day/year time

8. Step-Drawdown Test completed? 0 No ~ Yes Attach Step-Drawdown Test form (12117197 SDPTD Form)

9. Constant Rate Aquifer Test completed? D No ~ Yes Attach Constant Rate Aquifer Test form (12117197 CRPTD Form)

Parameters prior to pump test:

10. Water-level: ft. above msl Date and time of measurement: ---------- month/day/year time

11. Chloride: ppm Date and time of sampling: month/day/year time

12. Temperature: Date and time of measurement: month/day/year time

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

14. Attach plot plan and surveyor's stamped elevation report.

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:

Licensed Driller (print) ~_:y~ik ~~~~~.:.~~<2: __________________ _

Signature ~_~ _____ _

C-57 Lic. No. ~~:.2..~~~ ________________ _ Date _~~~~O_~ __________________ _

Surveyor (print) __ ~~~~!_~~Yi-!l"&'_:-=-~PPJ_~.L!!l~_._ please attach stamped report~ ~

Signature _____________________________________ _

L.P. L.S. Lic. No. ___ 4:.J~~ __________________ _

Permittee (print)

Signature Date __ ~~~~~~ ______________ _

WCR1 Form 9129100

Page 56: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

" o 0 13. AS·BUIL T WELL SECTION (Please attach as-built if different from diagram provided below)

.~ r Hole Diameter: in. Elevation at top of casing ______ ft., msl' ~ -------(to nearest 0.01 ft.) t- Minimum of 2' Radius & 4" Thick Concrete Pad

b.' ~'H r Ground Elevation: .!l49.9~_ft., msl Bench mark

~c:.. ',<l."q' •. <l".",: ~ • "/>',

foS?> < 24

elevation: I/;>X\\ . ~ " ///f&\ 'I""'" :'.~: "

.. Please refer to the ,4"

_____ ft., msl' ,'. ,'.

HAWAII WELL CONSTRUCTION AND :.-;-. :.';.',

(Survey to nearest Cement Grout: j49.J! __ ft. .~. " : "" : PUMP INSTALLATION STANDARDS

0.01 ft.) (min. 70% of distance from .:-:;. >:;. ~ to ensure that your as-built is in compliance .; . ~ .

.~{.: ground elevation to top of ::. :~:. w with applicable standards. water surface or 500 ft., 'P.·

" " .. ai

whichever is less.) l- ... ,4., > ~ . : ,'. a> :. ~ :. ~. ...J

:~.:.: ... : ~ Solid Casing: (2: 90% x (Ground Elev.-Water Level Elev))

Annular space between .. :p' :-:; . 1ii . ; . ~ .

.~ :1:: ~ Length: ~~~ _________________________ ft .

hole and casing (min.3"): l7 , . .. 'P.· => Nominal Diameter: j§~I~ __________________ in.

~V ~.~':.~ ,4,. a>

3.625 in. 1>','" W Wall Thickness: .375 in. :: ':> :.f:" "C ---------------------------

~ c

Bottom Elevation: '~'. -: :J ------------- ft., msl -I--. ~ e

Rock or Gravel Packing: 0& Q. °9/0 ~cp x

Total Depth ft )iJ3 :.e none ft. r--, ~~ 0

-------- 0 Open Casing: o Perforated o Screen 775 ft. Material: Cl)

------

I 1\/ o Crushed Basalt B9p Length: _'L~ _____________________ ft.

o Rounded Gravel

~ 16.75

!IW Nominal Diameter: ----------------------- in. ~

D(J Wall Thickness: ~~1 ______________________ in.

.1 Water Level Elevation: I I Bottom Elevation: ------------------- ft., msl

4-.( i ~~ ft.msl' ,"',)'-i, ~------- _L- tl2Q - I-

~~ ~

~ tY J . Open Hole:

Length: .!l2 ______________________ ft.

Oiameter:_~~ _________________ in. L...- 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 0 ASTM A53 ~ ASTM A 139

And compliant with (check one or more): 0 ASTM A242 0 Type E 0 Type S i2I 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): 0 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

Open Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSIIAWWA C200 0 API Spec. 5L 0 ASTM A53 i2I ASTM A 139

And compliant with (check one or more): 0 ASTM A242 0 Type E 0 Type S i2I Grade B DOiher

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): o 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

Page 57: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

ELEV. ="50.55

CASING

ELEV . ="47. q2

GROUND

E:J..E:VATION

THIS WORK WAS PREPARED BY ME OR UNDER MY SUPERVISION

A~ Signature

ESAKI SURVEYING & MAPPING, INC.

BENCH MARK USED: 1/2" PIPE • JESUS" (ELEV.-SIO.71)

~J..L. #~

State 0' Ha~aii ~ter Commission

V;ell #56:2ct-OI O~ner: A $ 6 Fropertles, Inc. J:>ote 0' SlJrve~: JIJI~ c=f, ~oos

(f) a ~O' -3 ;:::~

N u......l

coLd ~

-.g-.g (f)!!:! -I I(f)

~o .. ~ L_ ]u:: EO' ::l C z·-3 ..00 o L -,0

Page 58: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

01 Table 1 (SDPTD Form 12117/97)

STEP-DRAWDOWN PUMP TEST DATA (not required for wells producing < 100,000 gpd or 70 gpm)

Pumped Well No. r" 'lJ3 -0' Observation well no. _::-=---:--:-:-:--::-----Pumped Well Name F'wb.l ~~ IJ,O. '2.. Distance between Obs. & Pumped Well ft. Target Q 11.ro gpm Reference pt. for depth to water (OS! - 0C2 ft. msl

Static Water Level @ start of test ii· ~Z ft. msl Water level measurements by: 0 steel tape • pressure transducer 0 airline

START TEST Date: M~ 5, ~OO; Time of day: '0 : ~ A.(V\

Flow Meter Reading Start: ",(, ~1, '?00 gals

-30 -30 0

-15 -IS 4~.40 0

0 0 48:~g 0 Start pump

1 I 4!.ot 1.5 \.{ 4! .,'2.

2 2- Ab:n.· 2.5 4' -'2 \

3 4-6· '13 4 4' ·8'7 5 4h. 'l.I 11;. 6

7

8 I· 10 \ -"11 M::>~

15 l·g( 20 .~C?

25 1.'0 302 (,$, Chloride sample taken

1·1>~ Step 2 begin?

l·~ 1'~3 212- ~V r!r

Cb~O

'b

Page 59: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o

;0 01 171- ~.O)~ '2.12- ~.2.

'7~ 1 .. g., 04- ~.bst

t;t;

Go Cj ~ 2>cg

'l.1~ 12 .(P

S?5

8'?S 2..1 'l. 1.1J ~ ~.z,

~~ ~4-0))

~

(60

211 ?.o 12..5

(Oor

Page 60: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o

, S(, '?go

~.~<6

~·<61 2.11 l'l-.b 3. C? I

AS" ~."JJ ~o ~.<t~ o;~?J 21 I

44·!Z. 44·48

1012- '1.11 72.5

'002. Q.1f 'LO 7'1..'0

o

1 starting pumping rate Q 2 minimum length of step period of constant pumping rate

3 minimum mandatory Chloride (CIl measurement/sampling at end of every step 4 Use same ending drawdown figure as start for recovery

&Lt) 41!

Max possible duration, water level or quality did not stabilize for

Begin recovery data next page Flow meter reading at end of pumped period: 3'Ji02. ~61J gals

Page 61: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o o Table 1 (SDPTD Form 12117/97)

0

1.5 0' 0 '(;ult,t>

2 4-~.41. 0 1>~J.1?U\L

2.5 4-g.l1 O·/J 0 ~tl

3 A;g.t1 0." 0

4 4g.11 0." 0

5 4'· o .ocry 0

6 0,0' 0

7 0

8 0

10 0

15 0 0

20 O·O~ 0

25 0·04 0

30 o.or; 0

40 0-04- 0

50 0.04- 0

60 0

70 0

80 0 90 0

100 0

150 0

200 0

250 0

END TEST Date: S .. ~wWo~ Time of day: _J.4·· 10 _

ADDITIONAL REMARKS:

Person in charge of pump test (print): ___ ~ ...:..f.l_~~ .... _J,.=eG"~ _____ .

Signature: ____ ~ ~~ ____ _

The signature above indicates that the data reported on this form is accurate and true to the best of the person's knowledge who operated this pump test.

Page 62: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o o Table 2 (CRPTD Form 12117/97)

CONSTANT-RATE PUMP TEST DATA

Pumped Well No. S(,V3 .. 01 . Pumped Well Name ('JI\lJ6.J "-leu... Mo. ~ ~~~Q g~

Observation well no. Distance between Ob=--s--:. &;-;:::"Pu-:":m-=-p:-e-'-d .-;W-:-e"::"'U---- ft. Reference pt. for depth to water ".t~. 0., ft. msl Static Water Level @ start of test +7. ,-~ ft. msl

Water level measurements by: o steel tape • pressure transducer 0 airline

START TEST Date: ""6.,{ '1..\, 'Leo?> Time of day: l'l:.CX' ~J

-30

-15 -t!

0 0 41·~' 0.00

1 4.r·Z?) 1..

1.5 4~·'" '2.01.-

2 4f. \ . ~" 2.5 44·';2- :, .b(

3 44·2\ Z. 4 44 5 44·0~ 6 4-4-.06 7 44.ot '3

8 ~·St

10 ~.O) l1.rS 'l.I'l. '20 15 ~.g~

20 l1.!~ 1..11-25 30 40

50

60

70

80

90

100

150 43.',

Page 63: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o o

£\.~

250 4~·9g ~ .")S

300 43.'S- ~"t 400 43.~" 4. 04- lt~o 2('Z- fl.tJ cr sample taken

500 600 700 800 I'2..S0 '2-12- cr sample taken

900 1000 2'~ cr sample taken

1500 '2.12. cr sample taken

2000 cr sample taken

2500 cr sample taken

3000 cr sample taken

4000 \t~ cr sample taken

5000 {t~ cr sample taken

6000 (1S"o cr sample taken

7000 (1,{o '1..1\ cr sample taken

8000 t1So 211 cr sample taken

9000 ('2,S"O ~\I cr sample taken

10000 \~S'O '2.\ I '2...0 Max possible duration, water level or quality did not

4';. 'g I 4-.12- {~S'o '2.(1 2.0 12.4 Begin recovery

IO,O~O next page

0 Flow meter reading at end of pumped period: 41,1 $~, OW gals

12., 4t.1, ~go t..J..Uo fC4.M('el>

1 Chloride sampling required Av6Yu.c.e 1 'Z-~'? ~M-

2 Use same ending drawdown figure as start for recovery [ ~ W 1Wt> S:WO\V\

~ b,d ~'f 2'31

Page 64: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o o

1 o 1.5 o

2 o 2.5 o

3 o 4 o 5 o 6 o 7 o 8 o

10 o 15 o 20 o.~ o 25 o.7.P) o 30 o 40 o 50 o 60 o 70 o 80 o 90 o

100 o 150 o 200 o 250 o

END TEST Date: M~ 11.1ttl:? Time of day: (~~ fJoo,l ADDITIONAL REMARKS:

Table 2 (CRPTD Form 12/17/97)

Person in charge of pump test (print): TV 1.A tJ.M~ Signature: ___ ~lsL- q __ _

The signature above indicates that the data reported on this form is accurate and true to the best of the person's knowledge who operated this pump test.

Page 65: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o Piwai pumPi2cooper-JaCOb_RECOVERy.XIS

WELL 10: Piwai Well No.2, Kauai

INPUT rcons·truct·fo·n: ............ · .... · ................................................ · .......... l I I

~ Casing dia. (de) 16 Inch

; Annulus dia. (dw) 23.25 Inch

Screen Length (L) 180 Feet Depths to:

water level (DTW) 125 Feet Top of Aquifer 125 Feet

Base of Aguifer 625 Feet

Annular Fill: across screen -- Open Hole above screen -- Cement

Aquifer Material -- Permeable Basalt

.. f~.9.Y.Y .. ~!.~ ..................................... 1??9 ... ~~.~ ............... .!

LocallD: 5629-01

Date: 5/28/2003 Time: 0:00

COMPUTED

Aquifer thickness = 600 Feet

Slope = 0.149392 Feet/log10

Input is consistent.

K = 600 Feet/Day T = 300,000 Feet2/Day

K= 600 is greater than likely maximum of 100 for Permeable Basalt

0.45

0.4 Adjust slope of line to estimate T

I-W W

0.35

LL Z

0.3 Z 3: 0 C 0.25 3: ~ C 0.2 ...J c:( :::J C 0.15 en W a:::

0.1

0.05

0

10 1,000 10,000

REMARKS: Cooper-Jacob recovery analysis of single-well aquifer test

.'hl: I escoe" tbst '-

----- ~~---~-l

I

Piwai Pumping_Cooper-Jacob_RECOVERY.xls

Page 66: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

\, 0 Piwai pump~cooper-JaCOb_RECOVERY.XIS Reduced Data

Time, Water Level

Entry Date Hr:Min:Sec Feet 1 1/0/000:00:00 47.94 2 1/7/000:00:00 43.81

3 1/7/000:03:00 47.68

4 1/7/000:04:00 47.58 5 1/7/000:05:00 47.57 6 1/7/000:06:00 47.60 7 1/7/000:07:00 47.58 8 1/7/000:08:00 47.59

9 1/7/000:10:00 47.62 10 1/7/000:15:00 47.62 11 1/7/000:20:00 47.65 12 1/7/000:25:00 47.64

13 1/7/000:30:00 47.67 14 1/7/000:40:00 47.68 15 1/7/000:50:00 47.68 16 1/7/00 1 :00:00 47.72 17 1/7/001:10:00 47.72 18 1/7/00 1 :20:00 47.75 19 1/7/00 1 :30:00 47.75 20 1/7/00 1 :40:00 47.74 21 1/7/002:30:00 47.80 22 1/7/003:20:00 47.86

Piwai Pumping_Cooper-Jacob_RECOVERY.xls

Page 67: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

...... \ ... Waterloo Hydrogeologic 0

Pumping test analysis C Date: 28.07.2003 Page 1

180 Columbia St. w. Time-Drawdown-method after 'Project: Piwai Well No.2, Kauai

Waterloo,Ontario,Canada COOPER & JACOB ph.(519)746-1798 Confined aquifer Evaluated by: Glenn Bauer

Pumping Test No. Long-Term Test Test conducted on: May 21-28,2003

Well No. 5629-01

Discharge 1239.00 U.S.gal/min

t[d] 10-4 10-3 W-2 10-1 10° 101

0.00

0.50

1.00

1.50

0

2.00

~ <Il 2.50

3.00

3.50 0

o u

4.00 0 0 ~

_ 0

4.50

5.00 o Piwai Well No.2

Transmissivity [WId]: 3.04 x 105

Page 68: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

, Waterloo Hydrogeologic 0 Pumping test analysis 0 Date: 28.07.2003 I Page 2

. 180 Columbia St. w. Time-Drawdown-method after Project: Piwai Well No.2, Kauai ,

COOPER & JACOB Waterloo,Ontario,Canada

ph.(519)746-1798 Confined aquifer Evaluated by: Glenn Bauer

Pumping Test No. Long-Term Test Test conducted on: May 21-28,2003

Well No. 5629-01 Piwai Well No.2

Discharge 1239.00 U.S.gal/min Distance from the pumping well 1.00 ft

Static water level: 604.16 ft below datum

Pumping test duration Water level Drawdown

[d] [ft] [ft]

1 0.00069 606.20 2.04

2 0.00104 606.18 2.02

3 0.00139 606.12 1.96

4 0.00174 607.77 3.61

5 0.00208 607.88 3.72

6 0.00278 608.03 3.87

7 0.00347 608.03 3.87

8 0.00417 608.03 3.87

9 0.00486 608.03 3.87

10 0.00556 608.04 3.88

11 0.00694 608.09 3.93

12 0.01042 608.05 3.89

13 0.01736 608.10 3.94

14 0.02083 608.11 3.95

15 0.02778 608.11 3.95

16 0.04167 608.12 3.96

17 0.05556 608.12 3.96

18 0.06250 608.13 3.97

19 0.06944 608.14 3.98

20 0.10417 608.16 4.00

21 0.27778 608.20 4.04

22 0.41667 608.21 4.05

23 0.48611 608.26 4.10

24 0.55556 608.23 4.07

25 0.69444 608.20 4.04

26 1.38889 608.33 4.17

27 3.47222 608.35 4.19

28 5.55556 608.41 4.25

29 6.94444 608.48 4.32

Page 69: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

Well ID: Analysis Date: Geologist:

Step Drawdown Test

c Pump Test Analysis - Comments

5629-01 4/17/08 Diane England

Test Date: 5/21108

Deviations From Pump Test Requirements 1. No Deviations from Pump Test Requirements.

Other Comments

o

2. Step test not run at 1250 gpm. Highest pump rate was 1012 gpm.

Constant Rate Pumping Test

Deviations From Pump Test Requirements 1. No Deviations from Pump Test Requirements.

Drawdown Curve Comments 2. Estimated K=2,700 ftld. Estimated T = 490,000 ft2/d.

Well Interference & Stream Impacts

Drawdown Prediction (tt) - One Mile Radius

Storage Coefficient = 0.001 0.1

50yr 0.53 0.44

100yr 0.56 0.47

500yr 0.62 0.53

1. Based on preliminary analysis, no adverse stream or well impacts are expected.

Other Comments

1. The well is tapping high-level water.

Proposed Pump Capacity OK? : YES

Page 1 of 1

Page 70: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

o 5629-01 puQing_COOper-JaCOb (v.1-8-08).xls

WELL ID: 5629-01

INPUT .) _ ...................................................................... 7' ...................... \ ~Construction: <' ~ > I I

Island: Kauai

Test Date: 5/21/2003 Analysis Date: 4/17/2008

j Casing dia. (de) ~/ 24 Inch; ~ ~ Annulus dia. (dw) 24 Inch J ~ /1 ~ Screen Length (L) -lDepths to:

water level (DTW) Top of Aquifer

Base of Aguifer

lAnnular Fill:

603.71 Feet 603.71 Feet 783.71 Feet

across screen -- Open Hole above screen -- Cement

Aquifer Material -- Permeable Basalt !

.EhQYY. .. ~I.~ .................................... 1.??~ .. §?..~ ............ .l

COMPUTED

Aquifer thickness = 180 Feet

Slope = 0.090266 FeeUlog10

Input is consistent.

K = 2700 FeeUDay T = 490000 Feet2/Day

K= 2700 is greater than likely maximum of 100 for Permeable Basalt

5

4.5

4

I-W 3.5 W LL Z

3 -~ z

3: 0 2.5 0 3: ~ 2 0

1.5

1

0.5

0

0:00:09

REMARKS:

o 0

Gl : ];JP oe}iRCJcj!Jl6 tlP o

Adjust slope of line to estimate T

0:01:26 0:14:24 2:24:00 24:00:00 240:00:00 2400:00:00 TIME, Hour:Minute:Second

Cooper-Jacob analysis of single-well aquifer test

Analysis Program: USGS Aquifer Test Analysis Spreadsheets v.1.2,Open File Report 02-197

5629-01 Pumping_Cooper-Jacob (v.1-8-08).xls

Page 71: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

""" ~

......... 5629-01 Pum'pin9_COOper-Jacob (v.1-8-08).xls

Reduced Data Time, Water Level

Entry Date Hr:Min:Sec Feet 1 1/0/000:00:00 0.00 2 1/0/000:01 :00 2.04

3 1/0/000:02:00 1.96

4 1/0/000:03:00 3.72 5 1/0/000:04:00 3.87 6 1/0/000:05:00 3.87 7 1/0/000:06:00 3.87 8 1/0/000:07:00 3.87

9 1/0/000:08:00 3.88 10 1/0/000:10:00 3.93 11 1/0/000:15:00 3.89 12 1/0/000:20:00 3.90

13 1/0/000:25:00 3.94 14 1/0/000:30:00 3.95 15 1/0/000:40:00 3.95 16 1/0/000:50:00 3.92 17 1/0/00 1 :00:00 3.96 18 1/0/00 1: 1 0:00 3.96 19 1/0/00 1 :20:00 3.96 20 1/0/00 1 :30:00 3.97 21 1/0/00 1 :40:00 3.98 22 1/0/002:30:00 4.00 23 1/0/003:20:00 3.96 24 1/0/004:10:00 3.95 25 1/0/005:00:00 3.98 26 1/0/006:40:00 4.04 27 1/0/008:20:00 4.03

28 1/0/0010:00:00 4.05 29 1/0/00 11 :40:00 4.10 30 1/0/0013:20:00 4.07 31 1/0/00 15:00:00 4.06 32 1/0/0016:40:00 4.04 33 1/1/00 1 :00:00 4.06 34 1/1/009:20:00 4.17 35 1/1/0017:40:00 4.05 36 1/2/002:00:00 4.01 37 1/2/0018:40:00 4.09 38 1/3/00 11 :20:00 4.19 39 1/4/004:00:00 4.11 40 1/4/0020:40:00 4.15 41 1/5/00 13:20:00 4.25 42 1/6/006:00:00 4.16 43 1/6/0022:40:00 4.32

5629-01 Pumpin9_Cooper-Jacob (v.1-8-08).xls

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o 0.5

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""""

Constant Rate Pump Test Well 5629-01 (5-21-03)

4000

-..-

Time (min)

6000

~

Pumping Rate Well 5629-01 (5-21-03)

4000 6000

Time (min)

8000

......

8000

10000 12000

.6. --J

10000 12000

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o Constant Rate Test (5629-01)

Elapsed Time Drawdown (ft)

Pump Rates (min) (gpm)

0 0 0 1 2.04 1256 2 1.96 1256 3 3.72 1256 4 3.87 1256 5 3.87 1256 6 3.87 1256 7 3.87 1256 8 3.88 1256 10 3.93 1255 15 3.89 1255 20 3.9 1258 25 3.94 1258 30 3.95 1258 40 3.95 1258 50 3.92 1258 60 3.96 1258 70 3.96 1258 80 3.96 1258 90 3.97 1258 100 3.98 1258 150 4 1258 200 3.96 1258 250 3.95 1258 300 3.98 1258 400 4.04 1250 500 4.03 1250 600 4.05 1250 700 4.1 1250 800 4.07 1250 900 4.06 1250 1000 4.04 1250 1500 4.06 1250 2000 4.17 1250 2500 4.05 1250 3000 4.01 1250 4000 4.09 1250 5000 4.19 1250 6000 4.11 1250 7000 4.15 1250 8000 4.25 1250 9000 4.16 1250 10000 4.32 1250 10080 4.12 1250

Average: 1253.95

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o 0.5

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o 20 40

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Step Drawdown Test Well 5629-01 (5-5-03)

Time (min)

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.J~~ .... '"' ...

~4

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Pumping Rate Well 5629-01 (5-5-03)

-. -.

60 80 100

Time (min)

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o

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c Step-Drawdown Test (5629-01)

Time (min) Drawdown (ft) 0 0 1 3.34 2 1.66 3 1.55 4 1.55 5 1.57 6 1.55 7 1.57 8 1.54 10 1.77 15 1.81 20 1.86 25 1.9 30 1.83 35 1.83 40 1.84 45 1.83 46 3.02 47 3.07 48 3.03 49 2.99 50 2.95 51 2.94 52 2.93 53 2.89 54 2.68 55 2.53 60 2.53 65 2.88 70 2.86 75 2.84 80 2.86 85 2.85 90 3.04 91 3.61 92 3.56 93 3.51 94 3.56 95 3.55 96 3.57 97 3.52 98 3.51 99 3.51 100 3.57 105 3.56 110 3.54 115 3.61 120 3.63 130 3.63 140 3.63

o Pumping Rate (5629-01)

Time (min) Discharge (gpm) 0 532 7 532 8 524 15 524 15 584 19 584 20 592 29 592 30 591 45 591 46 890 47 890 48 863 54 863 55 837 64 837 65 838 79 838 80 835 90 835 91 140 141 1001 149 1001 150 993 169 993 170 1012 189 1012 190 1002

Step Change

? No Pump Rate Listed

? No Pump Rate Listed

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c o 141 3.85 142 3.89 143 3.83 144 3.86 145 3.9 146 3.88 147 3.81 148 3.91 149 3.93 150 3.88 155 3.86 160 3.9 165 3.86 170 3.87 180 3.86 190 3.86

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-+

o o REC~1\/FO

Tom Nance Water Resource Engineering 03 JAN 30 pi: 4 I

January 29, 2003 03/038 (01-72)

Mr. Dean Nakano Acting Deputy Director Commission on Water Resource Management Department of Land and Natural Resources State of Hawaii P. O. Box 621 Honolulu, Hawaii 96809

Dear Mr. Nakano:

Executed Permit for Piwai Well No. 2 - State No. 5629-01

Omao. Kauai. Hawaii

Attached is the well construction permit signed by Tom Shigemoto on behalf of the Permittee

and David Hines of Beylik Drilling, Inc., the contractor. We anticipate beginning actual drilling in mid­

February. Feel free to contact me if you have any questions.

cc: Tom Shigemoto - A&B Mike Roberts and Tom Hoen - DMB David Hines - Beylik

Attachment

Sincerely,

Tom Nance

680 Ala Moana Boulevard, Suite 406 • Honolulu, Hawaii 96813-5411 • Phone: (808) 537-1141 • Fax: (808) 538-7757· E-mail: [email protected]

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- o WELL CONSTRUCTION PERMIO

Piwai Well No.2, Well No. 5629-01 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 construction and testing of Piwai Well No.2 (Well No. 5629-01) at Upper Omao, Kauai, TMK 2-5-01:02, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

The Chairperson of the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any 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. A minimum 11/4-inch diameter monitor tube shall be permanently installed, in a manner acceptable to the Chairperson, to accurately record water levels. The permittee, well operator, and/or well owner shall coordinate with the Chairperson and conduct a pumping test in accordance with the Standards (a pump testing worksheet is attached). The permittee, well operator, and/or well owner shall submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump and withdraw water for use. No permanent pump may be installed until a pump installation permit is approved and issued by the Chairperson.

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

In the event that subsurface cultural remains such as artifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee, well operator, and/or well owner shall stop work and contact the Department's Historic Preservation immediately.

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

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

The pelJTlitteeihwell op~rator, and/or well owner shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of IS permit.

The well construction permit application is incorporated into this permit by reference and is subject to the Hawaii Well Construction & Pump Installation Standards (January 23, 1997; HWCPIS). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

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

If the well is not to be used it must be properly capped. If the well is to be abandoned then the permittee, well operator, and/or well owner must apply for a well abandonment permit in accordance with §13-168-12(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.

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

Date of Approval: October 22, 2002 October 22, 2004

GILBERT S. O~-AGARAN, Chairper Commission on ~fi Reso'Sr& ManaGement Expiration Date:

o(/) Z 1"11 I have read the conditions and terms of this permit and understand them. I accept and agree to meet thes~t~itions ~ preretiilsite and underlying condition of my ability to proceed and understand that I shall not commence work until I and tlm ~lIer ha~igned, idltted, and returned the permit to the Commission. I also understand that non-compliance with any permit condition riH!Y.~ grounds for revoeetion and fines of up to $1000 per day startin from the permit date of approval. 'j.' .. z -v<

G)~ ~ ,~ ~e: 0L'27L~ mm I

Firm or Title: .J, CI If-e.5I J£ r -Permittee's Signatur

Printed Name:

Driller's Signature:

Printed Name:

.J.-.J~4--+--L==------ C-S? License # :Ac Z!fJ9t Date: / !l slo.J ~I

Firm or Title: 'BlYlI/< 7JL/<.t!N~ ItJ(..

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

Attachment c: USGS

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

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o o PETER T. YOUNG, CHAllU'EftSON UNDAUNGLE

GOVERNOR OF HAWAII BOARD OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCES MANAGEMENT

STATE OF HAWAII

DEPARTMENT OF LAND All> NWUI1L Fl:5duicls

January 16, 2003

Dr. David Shideler Cultural Surveys Hawaii 733 North Kalaheo Avenue Kailua, Hawaii 96734

Dear Dr. Shideler:

HISTORIC PRESERVAllON DIVISION KAKUHIHEWA BUILDING, ROOM 555

8O~~~~~~Slr~ OJ W,~TtJ~ RtS~>; {CE H,l,~UG~MENT

AQUA11C RESOURCES BOATING AND OCEAN RECREATION COMMISSION ON WATER RESOURCE

MANAGEMENT CONSERVATION AND RESOURCES

ENFORCEMENT CONVEYANCES ENGINEERING FORESTRY AND WILDLIFE HISTORIC PRESERVATION LAND STATE PARKS

LOG NO: 31315 DOC NO: 0212NMlO

SUBJECT: Chapter 6E Historic Preservation Review -- Archaeological Inventory Survey for a Well Construction/Pump Installation Permit Application Piwai Well No • 5629-01 (A&B), TMK: 2-5-01: 22 Omao. Koloa. Kauai

This letter reviews this report which was submitted on December 7, 2002 (Y orck, Shideler and Hammatt, 2002. Archaeological Inventory Survey of Three Proposed Well Sites and Appurtenances in the Vicinity of the Piwai Reservoir, Koloa Ahupua 'a, District of Kaua 'i, Cultural Survey Hawaii, ms.) The background and archaeologic~ summary information of this report was very good and complete. The survey of the project area seems to have been acceptable. No historic sites were found in the area. We find the report to be acceptable. No historic properties will be impacted by the proposed well construction. This concludes the historic preservation review process for this project.

If you have any questions, please call Nancy McMahon 742-7033.

Aloha,

? /(~ /J4r- r:/tY~t/FtL1

P. Holly McEldowney, Acting Administrator State Historic Preservation Division

c. Dan Yasui, A&B Properties fax 525-6652 Dean Nakano, Water Resource Management

NM:ak

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o o CULTURAL SURVEYS HAWAI'I, INC~ECF'lVF,n

Archaeological and Cultural Impact Studies

December 6, 2002

www.culturalsurveys.com D2 DEC 9 Hallett H. Hammatt, Ph.D.

733 N. Kalaheo Avenue Kailua, Hawai'i 96734

Bus: (808) 262-9972; FAX: (808) 262-4950 e-mail [email protected]

DLNR Commission on Water Resource Management, PO Box 621, Honolulu, Hawai'i, 96809

'2! 0 I

SUBJECT: Well Construction Permit application for Piwai Well # 2 (Permit # 5629-01) Archaeological Inventory Survey of Three Proposed Well Sites and Appurtenances in the Vicinity of the Piwai Reservoir, Koloa Ahupua 'a, District of Kana, Island of Kaua'i (TMK' 2-5-01: Par. 8)

Dear Sir:

I am submitting this memo to make you aware that Cultural Surveys Hawai'i, Inc. has completed a draft Archaeological Inventory Survey - a condition of a well construction permit application for Piwai Well # 2 (Permit # 5629-01). No sites or other historic preservation concerns were identified_ The report has been submitted to the State Historic Preservation Division with a request for their review (cover letter enclosed).

Aloha , "\. ~~O~ .. JL;.~ y /

David W. Shideler e --~ Office Manager Cultural Surveys Hawai'i, Inc_

-Cc. Mr_ Dan Yasui, A&B Properties, Fax 525-6652

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o o CULTURAL SURVEYS HAWAI'I, INC.

December 6, 2002

Ms. Nancy McMahon

Archaeological and Cultural Impact Studies www.culturalsurveys.com

Hallett H. Hammatt, Ph.D. 733 N. Kalaheo Avenue Kailua, Hawai'i 96734

Bus: (808) 262-9972; FAX: (808) 262-4950 e-mail [email protected]

State Historic Preservation Division 5532 Tapa St. Koloa Hawai'i 96756

. SUBJECT: Request for Review - Archaeological Inventory Survey of Three Proposed Well Sites and Appurtenances in the Vicinity of the Piwai Reservoir, Koloa Ahupua 'a, District of Kana, Island of Kaua 'i (TMK' 2-5-01: Por. 8)

Aloha Nancy McMahon:

Enclosed please find a draft copy of an Archaeological Inventory Survey of Three Proposed Well Sites and Appurtenances in the Vicinity of the Piwai Reservoir, Koloa Ahupua 'a, District of Kona, Island of Kaua'i (TMK' 2-5-01: Por. 8) sent for your review. We have also sent a copy to the Archaeology Branch Chief, SHPD Kapolei, with a request for their review. This Archaeological Inventory Survey study was a condition of a well construction permit application for Piwai Well # 2 (Permit # 5629-01). There were no significant findings. We request your assistance in addressing the Department of Land and Natural Resources Commission on Water Resource Management concerns for historic preservation matters in the area of the proposed well. Mahalo for your kokua.

Aloha / 4~. ~ ~ ~ -z:;~~.u-~ David W. Shideler Office Manager Cultural Surveys Hawai'i, Inc.

Cc. Mr. Dan Yasui, A&B Properties, Fax 525-6652

DLNR Commission on Water Resource Management, PO Box 621, Honolulu, Hawai'i, 96809

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o o CULTURAL SURVEYS HAWAI'I, INC.

Archaeological and Cultural Impact Studies www.culturalsurveys.com

Hallett H. Hammatt, Ph.D. 733 N. Kalaheo Avenue Kailua, Hawai'i 96734

Bus: (808) 262-9972; FAX: (808) 262-4950 e-mail [email protected]

December 6, 2002

Archaeology Branch Chief State Historic Preservation Division Kakuhihewa Building, Room 555 601 Kam6kila Blvd. Kapolei Hawai'i 96707

SUBJECT: Request for Review - Archaeological Inventory Survey of Three Proposed Well Sites and Appurtenances in the Vicinity of the Piwai Reservoir, Koloa Ahupua'a, District of Kona, Island of Kaua'i (TMK· 2-5-01: Por. 8)

Aloha Archaeology Branch Chief::

Enclosed please find a draft copy of an Archaeological Inventory Survey of Three Proposed . Well Sites and Appurtenances in the Vicinity of the Piwai Reservoir, Koloa Ahupua 'a, District of Kona, Island of Kaua'i (TMK' 2-5-01: Por. 8) sent for your review. We have also sent a copy to Ms_ Nancy McMahon, SHPD Kaua'i archaeologist, with a request for her review. This Archaeological Inventory Survey study was a condition of a well construction permit application for Piwai Well # 2 (Permit # 5629-01). There were no significant findings. We request your assistance in addressing the Department of Land and Natural Resources Commission on Water Resource Management concerns for historic preservation matters in the area of the proposed well. Mahalo for your kokua.

~Ck~ David w. Shideler Office Manager Cultural Surveys Hawai'i, Inc.

Cc. Mr. Dan Yasui, A&B Properties, Fax 525-6652

DLNR Commission on Water Resource Management, PO Box 621, Honolulu, Hawai'i,96809

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BENJAMIN J. CAYETANO GOVERNOR OF HAWAII

Mr. Tom Shigemoto

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

October 25, 2002

Kukuiula Development Co. (Hawaii) LLC P.O. Box 430 Koloa, HI 96756

Dear Mr. Shigemoto:

Well Construction Permit Piwai Well No.2 (Well No. 5629-01)

GILBERT S. COLOMA·AGARAN CHAIRPERSON

BRUCE S. ANDERSON MEREDITH J. CHING

CLAYTON W. DELA CRUZ BRIAN C. NISHIDA

HERBERT M. RICHARDS, JR.

LlNNEL T. NISHIOKA DEPUTY DIRECTOR

5629-01 Piwai No. 2.wcp

Enclosed are two (2) copies of your approved Well Construction Permit for the captioned well(s) that authorize well construction activities but excludes installation work for your permanent pump. As part of the Chairperson's approval, the following special conditions were added and are part of your permit under Permit Condition 13:

Special Conditions

1. Attached for your information is a copy of the Department of Health's (DOH) review comments. Please note DOH's requirements related to discharge of effluent from well drilling and testing activities.

2. Attached for your information is a copy of the Historic Preservation Division's review comments. Please contact the Historic Preservation Division for additional information on their rules and regulations and any actions that may be required to protect historic sites

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

Please sign and have the contractor sign both permit originals and return one for our files. Also, copies of the aquifer pump test worksheet and the well completion report form are enclosed for your use.

/

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Mr. Tom Shigemoto Page 2 October 25, 2002

IMPORTANT - Drilling work shall not commence until a fully signed permit is returned to the Commission. Please provide all the information in this packet to your well drilling contractor. The permittee, well operator, and/or well owner are responsible for all conditions of the permit. This includes ensuring that the well construction contractor, or other party who constructs the well(s), submits a completed Part I of the Well Completion Report form (enclosed) within sixty (60) days after the well construction work is completed. Be advised that you may be subject to fines of up to $1000 per day for any violations of your permit conditions starting from the permit approval date.

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

Aloha, ~ . J", . J -r ERT S. COLOMA-AGARAN

Chairperson

Enclosures

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o WELL CONSTRUCTION PERMIO Piwai Well No.2. Well No. 5629-01

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 construction and testing of Piwai Well No.2 (Well No. 5629-01) at Upper Omao, Kauai, TMK 2-5-01:02, subject to the Hawaii Well Construction & Pump Installation Standards (1/23/97) which include but are not limited to the following conditions:

1.

2.

3.

4.

5.

6.

7 ..

8.

9.

10.

11.

12.

13.

The Chairperson of the Commission on Water Resource Management (Commission), P.O. Box 621, Honolulu, HI 96809, shall be notified, in writing, at least two (2) weeks before any 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. A minimum 11/4-inch diameter monitor tube shall be permanentlr installed, in a manner acceptable to the Chairperson, fo accurately record water levels. The permittee, well operator, and/or well owner shal coordinate with the Chairperson and conduct a pumping test in accordance with the Standards (a pump testing worksheet is attached). The permittee, well operator, and/or well owner shall submit to the Chairperson the test results as a basis for supporting an application to install a permanent pump and withdraw water for use. No permanent pump may be installed until a pump installation permit is approved and issued by the Chairperson.

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

In the event that subsurface cultural remains such as artifacts, burials or concentrations of shells or charcoal are encountered during construction, the permittee, well operator, and/or well owner shall stop work and contact the Department's Historic Preservation immediately.

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

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

The per:mittee.L~ell op~rator, and/or well owner shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of mlS permit.

The well construction permit application is incorporated into this permit by reference and is subject to the Hawaii Well Construction & Pump Installation Standards (January 23, 1997; HWCPIS). If the HWCPIS are not followed and as a consequence water is wasted or contaminated, a lien on the property may result.

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

If the well is not to be used it must be properly capped. If the well is to be abandoned then the permittee, well operator, and/or well owner must apply for a well abandonment permit in accordance with §13-168-12(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.

Special conditions in the attached cover transmittal letter are incorporated herein by reference. _._ o Date of Approval: October 22, 2002

October 22,2004 GILBERT S. COLOMA-AGARAN, Chairpe("SJ n Commission on Water Resource Management Expiration Date:

I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the driller have signed, dated, and returned the permit to the Commission. I also understand that non-compliance with any permit condition may be grounds for revocation and fines of up to $1000 per day starting from the permit date of approval.

Permittee's Signature: ______________ _ Date: ______ _

Printed Name: Firm or Title: _______________ _

Driller's Signature: ______________ C-5? License # : _____ Date: ______ _

Printed Name: Firm or Title: _______________ _

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

Attachment c: USGS

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

/

Page 90: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion
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Well No.

Well Name

Applicant

o 5629-01

Piwai No.2

Kukuiula Dev. Corp.

SECTION 1: WELL LOCATION INFORMATION

Island

Aquifer System

Aquifer Sector

KAUAI

LIHUE

KOLOA

data

Date of Review

Reviewer

Proposed Use

o

Proposed Withdrawal

System Sustainable Yield

;;;;;;;;;;;;;; RRI

Municipal

600000

30

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

Elevation at top of casing

Ground Elevation

Cement Grout

Rock Packing

Hole Diameter

Total Depth

Estimated Head

Calculated Aquifer Thickness

County Water Supply (YIN ?)

ft., m.s.!.

1435 ft.

Solid Casing

Material

Designation

Length

Diameter

Wall Thickness

Casing

Material

Designation

Length

Diameter

Wall Thickness

Openings

Open Hole

Length

Diameter

SECTION 3: CHECKLIST (values to check are shaded)

Well Depth

Theoretical Thickness of Aquifer

1/4 Aquifer Thickness

Depth of Well below Sea Level

Well Casing

Minimum Wall Thickness

Material

County or Non-County

Minimum Thickness per standards

Wall Thickness Provided

Minimum Length of Solid Casing

90% of ground to top of aquifer

Length of solid casing Provided

Casing Material

Annular Space

Depth of Grouting

Calculated Depth of Grouting

Depth of Grouting provided

Thickness of Annular Space

Steel

county

1435 ft. 358.8 ft.

200 ft.

0.375 in.

0.375 in.

544.5 ft. 680 ft.

ASTMA53

423.5 ft. 500 ft.

3.5 in.

okay (refer to HWCPIS Section 2.2)

(disregard if the well is not basal)

okay (refer to HWCPIS Section 2.4 c)

(disregard this if this is a non-county well)

okay (refer to HWCPIS Section 2.4 d)

okay (refer to HWCPIS Section 2.4 e)

If the cell above reads #NIA, reference HWCPIS)

okay (refer to HWCPIS Section 2.6 c)

okay (refer to HWCPIS Section 2.6 d)

Page 1

Page 92: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

BENJAMIN J. CAYETANO GOVERNOR OF HAWAII

RECEIVED

o o

STATE OF HAWAII

GILBERT S. COLOMA-AGARAH, CHAIRPERSON BOARD OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCES MANAGEMENT

DEPUTlES ERIC T. HIRANO UNNEL NISHIOKA

OZ OCT 22 p 3: ~ IDEPARTMENT OF LAND AND NATURAL RESOURCES AQUATIC RESOURCES

HISTORIC PRESERVATION DIVISION KAKUHlHEWA BUILDING. ROOM 555

801 KAMOKILA BOULEY ARD

COMHISSION ON WATER RESOURCE MANAGEMENT

KAPOLEI. HAWAII 96707

October 15, 2002

MEMORANDUM

TO:

FROM:

SUBJECT:

Linnel T. Nishioka, Deputy Director Commission on Water Resource Management

Don Hibbard, Administrator State Historic Preservation Division

Historic Preservation Review -­Well Construction/Pump Installaf Permit Application Piwai Well No. 5629-01, TMK: 2-5-01: 22 Omao, Koloa, Kauai

BOATING AND OCEAN RECREATION COMMISSION ON WATER RESOURCE

MANAGEMENT CONSERVATION AND RESOURCES

ENFORCEMENT CONVEYANCES FORESTRY AND WILDLIFE HISTORIC PRESERVATION LAND STATE PARKS

LOG NO: 30929 V DOC NO: 021ONM03

Thank you for the opportunity to comment. No archaeological inventory surveys have been done for this parcel. We expect to find historic sites in the area, such as house sites, agricultural complexes (auwai and terraces), and heiau.

Given the above, we cannot make an evaluation of the impact of this project on historic sites. We recommend the following conditions to any approved permit, to ensure significant historic sites are properly identified and treated:

1) An archaeological inventory survey shall be conducted by a qualified archaeologist prior to well construction. A report documenting the archaeological work shall be submitted to the State Historic Preservation Division for review and approval. This report shall propose significance evaluations and shall propose mitigation treatments for any significant historic sites.

2) If significant historic sites are identified and once mitigation commitments are agreed to, then the applicant shall development detailed mitigation plans (scopes of work) and submit these to the State Historic Preservation Division for review and approval. Prior to any land alteration, that Division must verify in writing that these plans have successfully executed.

3) Ifburials are discovered during the survey, a burial treatment plan shall be prepared following the procedures outlined in Chapter 6E-43 and its rules. Coordination with the Kauai Island Burial Council is required as part of the approval of burial treatment. Contact DLNR Historic Preservation Burials Program for information on this matter (Kai Markell 587-0008).

If you have any questions, please call Nancy McMahon 742-7033.

NM:ak

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Page 94: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

OCT-09-2002 10:30 FROM: 8085867537 TO: 8085870219

IIfiN.IIoMlN J. CAYETANO .......... ,... .. GILBERT 6. COl.OMAoo/\GI\RAN --

TO:

FROM:

STATE OF HAWAII DEPARTMENT OF LAND ANO NATURAL RfSOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O.BOX82t

IiOMOLULU. HAWIIII 116lIOII

September 25, 2002

Honorable Bruce S. Anderson, Director Department of Health -

IINJCe S. ANDERSON IlER£DITH J. CHING

CLAYTON W. Delio CftUZ BRIAN C. NISHIDA

HEReeRT N. RICHNIos. JR.

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

LINNEL T NISHI()I(A DD'Vn'DIII5C.T~

Attention: Dennis Tulang, Wastewater BranCh William Wong, Safe Drinking Water Branch Dr. Keith KawaOka, Hazardous Evaluation and Emergency Response Alec Wong, Clean Weter BJ'anch. aL' "/'/. 0' ~

Gilbert S. Coloma-Agaran, Chairperson .... ii,. .. ~I Commission on Water Resource Manage~~~"'t.!V J, ~

SUBJECT: Well Construction/Pump Installation Permit Application Piwai Well No.2 OOLell No. 5629-01)

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

We would appreciate your comments on the captioned application for any conflicts or inconsiste.ncies ~ith the programs, plans. and objectives specific to your department. Please respond by relurnln·g thIs cover memo form by October 24. 2002. If we do not receive comments or a request for additional J'eview time by this date, we wlli assume that you have no comments.

. Ple.as~ find the attaChe.~ map~ to IDCa.te the proposed well. If you have any questions about this permIt application, request additIonal information, or request additional review time please contact Lenore Nakama of the Commission staff at 587-0218. •

LN:ss Attachment( s)

RESPONSE: I I Thi& wall qualilin ., • soun:e whiI:h will _ as II eoun:e of IIGIaOIe _leI 10 a publiC __ CyStem (ctelned .... ~ 25 or more peopki

at Ie.,. eo days p_ yea, or he5 ,5 or mara 58IIIiCe conMdiant) and mUll receive OQI;IQr CI Heal'" appmva~ IIl!i! 10 _ u~ 10 c;QmpIy willi ~I ~1IIiIJIrIIIi"., RuleS (HARJ, Tille 11, C'-pller 20. Ru1e5 Rlllaling to POlable w.rcr S"lema. ",-20-=211:-

( 1

[ )

11

I)

II I)

Xx

Thi& well cto.s not quadIy .s a 1lDUn;e _"= publiC water lyStem (serves IeQ than 2!i peOple at more people .1 1a1l51 eo dllf5 par YlNr or Hi larvitla c:onMdiOflSl1fId IF lhe WIlli i5 URII lOr drriling. \III DrNIIe OWINII' !lhauld leM lor IJac:tlrlolQGll;al ..... ~l fWCH'Icc before initiating ~udI ule • .,.. routinelY monitor 1h!J WIlIer gualily 1h.11IIIftet .. ~r. If futu .. pIIIInnacl u"'".1tMI '!iii SOurte InctNteS to II-' the public waMt I}IItem definition lhen O.ec;IOf of HeaIIh approval. IWQUiI'ed aI!IE 10 inIpIamBnllllllln.

(J!he M- I. used 10 ~pOtaIIIe .I'd noo-poIabie PU'PO'C' In • liingle liytllem. IhB uHf .,.. ellmlnete 1;I1I"-«Innedionc and t.cktIaw c:onnec:tiOns by . Iv 1iII~1inu polable MId non-~I/t lysIeftIS bIt 8fI air \JIll or an appnMJct baCl(fIow DIeVef1Ier', ~ by dean\, h,be!lng ... non-pola 8 SpigOts IIOI\h .... mlng signllO prevenllnadvenelll CD115umpliDn of no"....,..ble WIler. BacIdIow ~ daviCaC 5IICIuId lie ,.,UCillely in!lpeCllBd and Int.d.

II does not .ppeer thaI thili WIlli wiI be used 'Of COI'IUIIIPIJw: IIUfl)OHI and I, not,ubjac!1D Sa'a Drinlcing wafer Regu18d()nl.

For the B~cant'. irllorm .. lon. 8 IiOUrrAI of poIi&ibla W8IiIIIWafIar cantaminalion I )JI ! J Is not ~ nBar Iha Pft)pCI5OC1 well site (infOtmaticln .aac:hed).

An NPOES pannit is teQujrlCl·

au- 1.levant DOH rulellregulati0r5. inlDnnQtion. 0( I'8CtIMrMndaIiOn' ale at1ac:1led

No mrRlIWlblObjjlefiOns

Phone: 586-4249

~ate: lOire-Contact Person: -.:;.:..:...~=..w-=-P~~:.LlL!<t.--h'-----

Fax to: Commission on Water Resource~ Mgt. 587-0219

Page 95: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

• o o OCT - 1 BENJAMIN J. CAYETANO

GOVERNOR OF HAWAII GILBERT S. COLOMA-AGARAN

CHAIRPERSON

BRUCE S. ANDERSON MEREDITH J. CHING

CLAYTON W. DELA CRUZ BRIAN C. NISHIDA

HERBERT M. RICHARDS, JR.

STATE OF HAWAII LlNNEL T. NISHIOKA

DEPUTY DIRECTOR

TO:

FROM:

DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

September 25, 2002

Honorable Bruce S. Anderson, Director Department of Health Attention: Dennis Tulang, Wastewater Branch

William Wong, Safe Drinking Water Branch Dr. Keith Kawaoka, Hazardous Evaluation and Emergency Response Alec Wong, Clean Water BranclJ.) .. __ , ~

'" .. j" • I ~

Gilbert S. Coloma-Agaran, Chairperson r-L'l1/J'V' j Commission on Water Resource Managern.An/l'-! ~ \J \ ··c V

SUBJECT: Well Construction/Pump Installation Permit Application Piwai Well No.2 (Well No. 5629-01)

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

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by October 24. 2002. 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 Lenore Nakama of the Commission staff at 587-0218.

LN:ss Attachment(s)

RESPONSE:

[ 1

[ 1

[ 1

This well qualifies as a source which will serve as a source of potable water to a public water system (defined as servin!j25 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 ,ts use to comply with Hawaii Administrative Rules (HARj, Title 11, Chapter 20, Rules Relating to Potable Water Systems, §11-20-29.

This well does not qualify as a source serving a public water system (serves less than 25 people or more people at least 60 days per year or 15 service connections) and if the well water is used for drinking, the private owner should test for bacteriological and chemical presence before initiating such use and routinely monitor the water quality thereafter. However, if future planned use from this source Increases to meet the public water system definotion 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...connectiol;iiland backflow connections by physically separating potable and non-potable systems by an air gap or an approved backflow preventer, and by clearly labeling all non-potable spigots with warning signs to prevent inadvertent consumption of non-potable water. Backflow<ptevention devices should be routinely inspected and tested. " , J

[ 1

[ J

[ 1

[ 1

~

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 [l is not located near the proposed well site (inforrnatlon attached).

lJ· An NPDES permit is required.

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

No comments/objections NO ~wYdJ Contact Person: ----=UJ~VI-=--~N_.!.....t<a~/I:..-YVl_a---=ft(..!....----_

J Phone: Vj'l;(p tl7tI¥ Date: I 0 .,q.,.O~ Signed: __ ~~--=-· ---.:..17_, ~--r+~ . ....::.......::~--

1

Page 96: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

~NV HEALTH KAUAI 10/03 '02 14:64 NO.506 01/04

li/(J.aM:III J. <;Avn ... ,.", I)CVI""'O~ Of .... ..,1\;,

STATE OFHAWAH OEPARTMENT OF HEAl. TH

1".0 iOX 3371

.. ()fII¢I,,\,I~\I. M,O,W .... I tlfG1

FacsImile Request and Cover Sheet Wastewater Branch

919 Ala Moan!! Blvd. R.oom 309 Honolulu, Hawa!! 95814-4920

(80S) 586-4294 Fax (808) 586-4300

Oate: 001 tal 1JJQ '2.::__ Total Pages ---4.-' I~~ __ Joe Tateyama, Kaual Olstrlct Health Office Phone (908)241·3313 Fax (808}Z41·3S66

Lori Kajlwara, Planning/Design Section Email: [email protected]

Subject: Request for Informatior

----~\. .. t... . .. _____ --___ .~.~ __ _

Please check an that apply and fax sIte/plot plaM If available:

) sewered EX] no record ) cessPOOl ] aerobic unit

FHe # If ~pplie3t-le: ~ # of ~drooms __

Record Date: Submit Date: ~Ian Approval Date:

InsP41c:tfon Date:

System "Approvai for Use" Oa't;:,

Otner: ____ ~~ ____ . __ ~ ... _._~.~~ __ *._~_.~ __ . ___ _

I 1 \

I I I, I

I j

·1·

Page 97: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

Oct-OT-2002 02:1Tpm F rDm-DEPT OF HFAI,TH ENV I RONt.£NTAL IIlGMT 8085864352 T-46T P.002/002 F-136 .. IIf;NJAMIN J. CA~ANO ~ar"""M

GILBERT S. COLOMA·AGAAAN --

"TO~

FROM:

21D2 OCT ... 1

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAl. REsouRCeS

COMMISSION ON WATER RESOURCE MANAGEMENT '",0. I!OX 621

~lULU. HAWAR \lIl8OII

September 25, 2002

. Honorable Bruce S, Anderson, Director. _ Department of Health Attention: Dennis Tulang, Wastewater Branch

William Wong, Safe Drinking Water Branch Dr. Keith Kawaoka, Hazardous Evaluation and Emergen~ Response Alec Wong, Clean Water BranZ;cn ~

Gilbert S. Coloma-Agaran. Chairperson rn.c.:i ........ h f) j CommisSion on Water Resource Manage"r:9./'0~ , . ,

SUBJECT: Well Construction/Pump Installation Pennit Application Piwai Well NO.2 (Well No. 5629-01)

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

.. . We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. . Please respond b return in this cover memo form b October 24 2002. If we do not receive comments or a request Dr additiona review time by this ate, 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 Lenore Nakama of the Commission staff at 587-0218.

IN:ss Attachment(s }

RESPONSE:

11

[ 1

I)

I)

[ )

[ I

~

This well t;lllalifies as 8 iQurce which will eeM all II source of pqlable water to 8 public watar system (de/lnea as serving 25 or more people at least 60 dily& per year or hali 15 or moro eervice connections) lind mUlit recelile Director of Health apl'fOV8/ ~ 10 iIo uee ID comply wiU1 HaWllIl Mmillililriltive Rille' (W\R), Title 1 1, en-pIIIr 20. Rules flelilling III POtable water SVatemB, §11-2G='.a-:-

Tnls _II does nO'i Quality as a source aerving II pUbliC; W111Br &y&lBm (SCMlio 1 •• & 1han 25 pt!OIlle or rno", peopls lit Isa&1 110 days per year or 1 $ liervicz connection&) and il the w.II walBr ill usecl for drinking. the 9tt~1e owner IIhDuld (esilar bacteriClcgical and cham/cal presence befQra inilialing BIICh IJI58 and roudIleJy monitor II1e walUl' quallCy lhereat1er. HOWfI1ttIr. if fuIurs plannea use from 1Ili" iQures /lICIIIiIses to maat the puDllc; ""lIter &yIittm definition than DireclOr of Health approval IS lIIQuired I!!im: 10 nnplementatlon.

lime well is uSCdlO 611pp1y bOII\ potable and non-PO'l8ble pUJpORlS in a sloglS 6y&tem. !he user slllil etlmill_ crDIi&-connedions and oac:ltfiow conneaionll bY pnYliiCBli}' ,eP'{lltillg pOtable and IIQn1IOlable SI"l8tn61ly an air gap OJ( an approveo beckflow pnIItemer. ancl by CIoa~ labelinll all non-potabIB &pigolS wltn wamiog SignIIO prevent inadvertent COI'II>LlmpI/Dn of non-potable wsler. BocIcfIow pfllllfll\lion llWices IlIOuld be raulinel), Inr;peCIad ancl \ested.

It doe& nCII appa.r thai tllis well will be lJ&8d lOr conllllmptillll purposes and i& not &ubjeet 10 Safe Drlnking Water RegulatIOns.

For tile appllCenfli infOrmaoon, II lioures 01 pos5lble wa_1Cr COnUlrnlnation [115 11 b not lo(;8Jed nasr !hs propo&8d well Sil8 (inlOrm"lon attadlell).

Aft NPOES parmit is required.

01l1er relevant DOH ruIeSlregul81tOll6, informaliOn, Of racomrnBndaliOfl8 lira al\a(;hed.

NO comrnen1&lObjeClI0ll8

Phone: ~f?b -/f-3 b i Date: (.0 (l to l-

Page 98: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

Oct-DT-ZDDZ DZ:1Tpm From-DEPT OF H~A'TH ENVIRONMENTAL UNCUT 808586435Z T-46T P.DD1/0DZ F-136 .,11011 I.""'·' "1"""'11"'1' , .~I I'll,. ;t~ ."~'ill (-.,eo 1"1",,.,,', .f 1!111'1!r1:1111I' ,':111

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

1_ For Well-Drilling Activities

Any discharge to State waters of treated process wastewater effluent associated with well drilling activitie& is regulated by Hawaii Administrative Rules, Title 11, Chapter 56, Appendix I, effective September 22, 1997. Treated process wastewater effluent covered by this general permit includes well drilling slurries, lUbricating fluids wastewaters, and well purge wastewaters. This general· permit does not cover well pum'p testing. The applicable Notice of Intent Forms and filing fee shall be submitted at least thirty (30) days before the start of discharge to the- Department of Health, Clean Water Branch at 919 Ala Moana Boulevard, Room 301, Honolulu, Hawaii 96814-4920 or P.O. Box 3378, Honolulu, Hawaii 96801-3378. Inquiries may be directed to the Clean Water Branch at (808) 686-4309 or by fax at (808) 566-4352 .

.. _ .. -_ ... "--- " ... - .- .... -.-- ... _---For wili -Pump-testiri~i - -- --- '" -----. 2.

--- ". ".- .--.... --- ..•. - .. -_ .. - .-.----------.- -- -- - - - -_. -- - ___ ·-._0-_- " __ _

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

. JSlcr

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

Page 99: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

10-01-02 . "-02:28pm Froll-DOH/Safe ~"i..nkinl Water Branch 8085864351 T-031 P.001/002 F-043

",., ... ,.! ........ """1' .~ .. III!I'~"'" I" ..... "itll''''''l'.'.'· MIII'I' , ." t. '''''1 1fA~'·~':'I4."""'1 ' ..... " "."pC!JSt-it" Fax,Note- ,,;~. ,76h1,· .. ~! I I . ""L TO

Fax II

STATE OF HAWAII

GILBERT $. COLOMA-AGARAN --BRUce s. AICDERSON MEREDITH J. CHING

ClAYTON w. DElA ~ BRJ,UI C. NISHIDA

HEI\BER'r M. RICHARDs, JR.

LINI'IEL T. NlStIOKA DEl'Ul'Y-"'"

DEPARTMENT OF LAIIIO A/IID NATURAl RESOURCES ,"-II" COMMISSION ON WATER RESOURCE IIIWIAG&II.E Ik Ih.D

.. .0. 80X621""-" '- iJrclW \ G WATER BRANCH HONOlUlU. HAWIIII ~

September 25, 2002 lie. .r ... ) ,-.,~

--- .......... -...... - -.... ·TO; ............ -.- f.ionorable SrtJCQ S..·Aoderson, Director··· '.' ..... .... -..... ~ ......... - ......... -... -- .. --.. - ... - .. -.--~.-.---.

FROM:

SUBJECT:

Department of HeQlth Attention: Dennis Tulang, Wastewater Branch

William Wong, Safe Drinking Water Branch Dr. Keith Kawaoka, HQzardous Evaluation and Emergency Response

-1J1 _, ~A

Gilbert S. Coloma-Agaran, ChQirperson 1/1 'V) I

Alec Wong, Clean Water Branch.,............. ~

Cor:nmissiop on Water Resource Managendt-\(~J J, '" . . Well Construction/Pump Installation Permit Application Piwai Well No.2 (,Well No. 5629-01)

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

We would appreCiate your comments on the CQptioned application for any conflicts or inconsistencies with the programs, plans, Qnd objectives specific to your department. Please resRond b'l retuming this cover memo form by October 24, 2002. 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 Lenore Nakama of the Commission staff at 587-0218.

LN:ss AttaGhment~

RESPONSE:

III

( I

[ I

[ )

(I

( ]

II I)

This well ~Iir.es 3$ II source whiCh will sefVB as a IiOtIIa! of potable water to II pul:lliC water 6Y61I!II1 (dellned as sarving 25 or more people 31 leas! uo da~ pt:r year or has '5 or mom &BlVice connections) end I"Iust recciw Diractor of rteelth approval I!!!!!!: to It5 use to comply with Hawaii Ailmani$ll1l\iVe Rules (HAR). rille 11. Chapter :20. Rula& RelBtinlJ to Potable watsr Sy&tlemB. § 110020-29.

This well Coes nol quanry as a source saTVing a publi~ WBII!r &Y$lem (seMlS less than 25 people or more peopltl at laslit 60 deY' per )'Cat or 1!i set\rice connaQllflIi) and if tlla waD water iij \/!jed for drinking, the Privale ownar should tell! for baCteliclogical and Chemlcal pl8liBllCB before initialing &i.Idl Vile anel roulinelr. monilOt the walBr gual"rty thereafter. However. if fu1um pl",neCl use ftom this &DUlCe Incrsa&e6 10 meet tne pUblic: 'oAI8Ier sys1em definition then Diredor of Heafth UPPIUll3I is requirad prior to ,mplementllKln.

Ir the _II is u&ec1 10 &upply bott1 po\8b1e ancl non-potable purpo5BS in a &ingle :oystem, VIe user &hall aliminete cross-connadillllli end beckflow CO!'"ecliClO$ by pl'ly5iCan, SEpa~ng pc;Mabie and n~e systems by an air QilP Dr an approved baddlllW preven1er. ef1CI by C1ur!)' labeling an nDrljXJlabla sp,got& with _mlnlJ !llgne to pfe\IeI\t,"advettcnt lOIIfl5umpbDn of non-oolabla water. Backftow prevenlion dtIYiCaS Shoukl be roUli1ely inspected end le$Ced.

II dllB& not appear lhat W, well wiU tie USed fur WI1&umpliw pu1JX161!& aool!l nQr $ubjed to Silfa Drinking Waler Regulations;.

For the applicant's Information. a SOu""" of po!:!<iblI! -."""""_ ~111tltI0II [JiB r 118 nut ~ neilr lt1e propo&ed .w:O tile: pnformebon u118c:hed).

An NPOES permllis reQl.llre<j.

OIner relevant DOH ru\er;lreguJ~. infgnn3lion. Dr recommendations are attIChed.

ND t;OIT1men11i1Dbjec1ionli

Contact Person: Stuart Yamada Phone: 586~4258

Signed: ~-~ Date; 10/04/02

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10-07-02 02:28pm FrDm-DOH/Satl ~·;nkin. Watlr Branch 8085864351 T-031 P.002/002 F-043

2-5629-01 Kauai

The Department of Health. Safe Drinking Water Branch has the following additional comments for the Well Construction I Pump Installation Pennit Application for the Piwai Well No.2 (Well No. 2-5629-01 Kauai):

Please be advised that the Department of Health has eJq)erienced drinking water and groundwater contamination by submersible pumps containing mercury. Specifically, the failure of the seals of the pumps allowed mercury to leak out into the well shaft resulting in contamination of the well and the watert;erved by the well. If you intend to install a submersible pump, please review your pump specifications to be sure that the submersible pump(s) you propose to use does not contain materials wmch could result in either groundwater contamination or drinking water contamination.

10/4/02

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o o ... BENJAMIN J. CAYEtANO' 'C_- r"

GOVERNOR OF H .... WAI~' ,_~ ; . - :..1 GILBERT S. COLOMA-AGARAN

CHAIRPERSON

100Z

BRUCE S. ANDERSON MEREDITH J. CHING

CLAYTON W. DELA CRUZ BRIAN C. NISHIDA

HERBERT M. RICHARDS. JR.

LlNNEL T. NISHIOKA

TO:

FROM:

SUBJECT:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

September 25, 2002

Dede Mamiya, Administrator Land Division

" . /

Linnel T. Nishioka, Deputy Director ~;,.. U'<'J J' Commission on Water Resource Manag

Well Construction/Pump Installation Permit Application Piwai Well No.2 (Well No. 5629-01)

,

DEPUTY DIRECTOR

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

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returning this cover memo form by October 24. 2002. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

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

LN:ss Attachment( s)

RESPONSE:

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

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

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

xfx] This well project [ ] requires)[Xj does not require a COUP. If a COUP is required it [ ] !las [ 1 has not been annrnVf!rl and r 1 is r 1 is nnt (,llrronti\l <:I('t;\lO

[ ] VUler relevant Land Division rules/regulations', information, or recommenaatlons are attached. r '-J

[ ] No objections '~-f'

xIx] Other comments: Original source of private title is Land Commission ~rd No. 43 issued between 1845 and 1855.

Contact Person: Gary Marti n

-<J

Phone: ~5~S~7~O~4~2~1~-- .r_

Date: --------

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BENJAMIN J. CAYETANO GOVERNOR OF HAWAII

Mr. Tom Shigemoto

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU. HAWAII 96809

September 25, 2002

Kukuiula Development Co. (Hawaii) LLC P.O. Box 430 Koloa, HI 96756

Dear Mr. Shigemoto:

GILBERT S. COLOMA.AGARA·N CHAIRPERSON

BRUCE S. ANDERSON MEREDITH J. CHING

CLAYTON W. DELA CRUZ BRIAN C. NISHIDA

HERBERT M. RICHARDS. JR.

LlNNEL T. NISHIOKA DEPUTY QlRECTOR

5629-01.rev

Well Construction/Pump Installation Permit Application for Well No. 5629-01

We acknowledge receipt, on September 11, 2002, of your completed Well Construction/Pump Installation permit application and filing fee for the Piwai Well No.2 (Well No. 5629-01). You can expect your application to be processed within ninety (90) days from this date.

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

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

LN:ss

LlNNEL T. NISHIOKA Deputy Director

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BENJAMIN J. CAYETANO GOVERNOR Of HAWAII

GILBERT S. COLOMA-AGARAN CHAIRPERSON

TO:

FROM:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU. HAWAII 96809

September 25, 2002

Honorable Bruce S. Anderson, Director Department of Health Attention: Dennis Tulang, Wastewater Branch

William Wong, Safe Drinking Water Branch

BRUCE S. ANDERSON MEREDITH J. CHING

CLAYTON W. DELA CRUZ BRIAN C. NISHIDA

HERBERT M. RICHARDS. JR.

LlNNEL T. NISHIOKA DEPUTY DIRECTOR

Dr. Keith Kawaoka, Hazardous Evaluation and Emergency Response Alec Wong, Clean Water Branct)" ~ ~.

,-,.'" • /' I ,( Gilbert S. Coloma-Agaran, Chairperson /. 1/1/,/1"0( Commission on Water Resource Managem.el1t'-.f t \, ~ J\ J . ·C .... · \....-1-"

SUBJECT: Well Construction/Pump Installation Permit Application Piwai Well No.2 (Well No. 5629-01)

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

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by October 24. 2002. 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 Lenore Nakama of the Commission staff at 587-0218.

LN:ss Attachment(s)

RESPONSE:

11

[ 1

11

[ 1

[ 1

[ 1

11 [ 1

This well qualifies as a source which will serve as a source of potable water to a public water system (defined as servinQ25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of Health approval prior to Its use to comply with Hawaii Administrative Rules (HAR), Title 11, Chapter 20, Rules Relating to Potable Water Systems, §11-20-29.

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

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

An NPDES permit is required.

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

No comments/objections

Contact Person: __________________ _ Phone: ______ __

Signed: ______________________________________ _ Date: -------------------

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BENJAMIN J. CAYETANO GILBERT S. COLOMA-AGARAN GOVERNOR OF HAWAII

TO:

FROM:

SUBJECT:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

September 25, 2002

Dede Mamiya, Administrator Land Division

Linnel T. Nishioka, Deputy Director ~; I V'<J J'--'{ Commission on Water Resource Manag

/ , Well Construction/Pump Installation Permit Application Piwai Well No.2 (Well No. 5629-01)

CHAIRPERSON

BRUCE S. ANDERSON MEREDITH J. CHING

CLAYTON W. DELA CRUZ BRIAN C. NISHIDA

HERBERT M. RICHARDS. JR.

LlNNEL T. NISHIOKA DEPUTY DIRECTOR

Transmitted for your review and comment is a copy of the captioned Well Con~truction/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 24. 2002. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

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

LN:ss Attachment( s)

RESPONSE:

[ 1

[ 1

[ 1

[ 1

[ 1

[ 1

[ 1

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. __________ _

This well project [ 1 requires [ 1 does not require a COUP. If a COUP is required it [ 1 has [ 1 has not been approved and [ 1 is [ 1 is not currently active.

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

No objections

Other comments:

Contact Person: _________________ _ Phone: ______ __

Signed: ________________________________ _ Oate: ________ _

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BENJAMIN J. CAYETANO GOVERNOR OF HAWAII

GILBERT S. COLOMA-AGARAN

TO:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

September 25, 2002

CHAIRPERSON

BRUCE S. ANDERSON MEREDITH J. CHING

CLAYTON W. DELA CRUZ BRIAN C. NISHIDA

HERBERT M. RICHARDS, JR.

LlNNEL T. NISHIOKA DEPUTY OIRECTOR

FROM:

Don Hibbard, Administrator Historic Preservation

Linnel T. Nishioka, Deputy Director ,J~ -1 ~ Commission on Water Resource Managv"'~'-" J, U '" '---'

SUBJECT: Well Construction/Pump Installation Permit Application Piwai Well No, 2 (Well No. 5629-01)

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 returninrc this cover memo form by October 24. 2002. If we do not receive comments or a request or additional review time by this date, we will assume you have no comments.

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

LN:ss Attachment( s)

RESPONSE:

[ 1 There may be areas in the vicinity of the well site that contain subsurface cultural remains such as artifacts, burials or concentrations of shells or charcoal.

[ 1 Other relevant Historic Preservation rules/regulations, information, or recommendations are attached.

[ 1 No objections

[ 1 Other comments:

Contact Person: ________________ _ Phone: _______ _

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

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DEPARn-aIT OF l./>ND I#:) f',tA,TURAl.. RES~CES OOCl.f"IFNT t-D. ~C OR ATTACHED \rtQRKStiEET ~. DATE: <:;r:-iJ ,-: t ''If"1I1'1 .

SRCI COST .. -F YR I!PP D OBJ CTR PROJECT PH ACT .AH:>lNT NAME/DESCRIPTION 'CWM-K; INPUT)

~ Q;l ~~§. G. lQ.2J~. _Q.7~j ------ -- --- (1) 25.00 TNWRE Inc. -----------------(2) - -- --- - ---- ---- ------ -- --- -------------------

- -- --- - ---- ---- ------ -- --- (3) ----------~-------(4) .'

- -- --- - ---- ---- ------ -- --- -------------------TOTAl- 25~00

R~KS: LINE (1) Well No. 5629-01

LINE (2)

LINE (3)

LINE (4)

HONOLULU. HI 96813

DATE DESCRIPTION

Fil ing Fee

A2

\

-- \

J=:O'1 ---

c...~

4 I I

AMOUNT

Page 107: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

Search Results Page 1 of 1

o 0 _ action menu 't' Copyright ©9/17/2002 by Hawaii Information Service

• PUBLIC RECORD DATA Taxkey Subdiv/Condo Tnr Property Address Owner/Lessee Beds Baths Land area Living area 4-2-5-1-2 Lawai Koloa (Mauka) F A&B HAWAII, INC 157.71 ac

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

http://webre2.hawaiiinformation.com/REsearchiAsplFunctions/Property/Search.asp 9/17/2002

Page 108: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

Tom Nance Water Resource Engineering

o

Ms. Linnel T. Nishioka - Deputy Director Commission on Water Resource Management Department of Land and Natural Resources State of Hawaii P. O. Box 621 Honolulu, Hawaii 96809

Dear Ms. Nishioka:

o

i I

Well Construction and Pump Installation Permit Application for Piwai Well No.2 in Upper Omao - Kauai. Hawaii

September 9, 2002 02/407 (01-72)

On behalf of Kukuiula Development Co. (Hawaii) LLC, I am pleased to submit the attached application and $25 filing fee for Piwai Well No. 2 in upper Omao. If the well proves successful, it will be dedicated to the Kauai Department of Water and incorporated into the 677-foot service zone of DOW's Lawai-Omao water system, ultimately to supply the planned Kukuiula project.

If you have any questions or require additional information, please feel free to contact me or Tom Shigemoto on Kauai (phone number 808-742-2770). Thank you for your consideration.

Attachments

cc: Tom Shigemoto - A&B Properties Mike Roberts - DMB Associates Ernest Lau - Kauai DOW

Sincerely,

Tom Nance

680 Ala Moana Boulevard, Suite 406 • Honolulu, Hawaii 96813-5411 • Phone: (808) 537-1141 • Fax: (808) 538-7757· E-mail: office@tnwre,com

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o State of Hawaii COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources APPLICATION FOR PERMIT • Well Construction and/or • Pump Installation

9-4-02 01-72

Instructions: Please print in ink or type and send completed application with attachments to the Commission on Water Resource Management, P.O. Box 621, Honolulu, Hawaii 96809. Application must be accompanied by 5 copies and a non-refundable filing fee of $25.00 payable to the Dept. of Land and Natural Resources. The Commission may not accept incomplete applications. For assistance, call the Regulation Branch at 587-0225. For further information and updates to this application form, visit http://www.state.hi.us/dlnr/cwrrn.

For Official Use Only:

, ! Ii

"I, ~n . cci:J

APPLICANT INFORMATION: (Fill out all three, if applicable, and place a check next to the primary contact)

JO

1. (a) • WELL OWNER: Kukuiula Development Co. (Hawaii) LLC Contact Person: Tom Shigemoto Phone: __ 8_08_-_7_4_2_-2_7_7_0 __

Mailing Address: P. O. Box 430 Koloa, Kauai, Hawaii 96756

Fax: 808-742-2776 E-mail: [email protected] Alexander & BaldWin, Inc. I

(b) D LAND OWNER: McBrvde Sugar Co. Ltd. Contact Person: Tom Shigemoto Phone: __ 8_0_8_-7_4_2_-2_7_7_0 __

Mailing Address: P. O. Box 430 Koloa, Kauai, Hawaii 96756

Fax: 808-742-2776 E-mail: [email protected]

(c) D CONTRACTOR: To Be Competitively Bid Contact Person: _______ _ Phone: _______ _

Mailing Address:

Fax: E-mail: _________ _ Lic #: -,-_--::,....".,=-=-=:----:..,...-(circle one: C-57, C-57a, or A)

WELL & PUMP INFORMATION: (Please fill in the diagram on the back of this form.)

2. WELL NAME: Piwai Well No.2 Island:

Address UpperOmao Tax Map Key: 2

Kauai

5 01 02

Zone Sec Plat Parcel Attach: (a) portion of a 7.5-Minute Series USGS topographic map (scale 1:24,000) with well location labeled and include the name of the quad map

(b) a property tax map, showing well location referenced to established property boundaries

3. PROPOSED WORK: • Construct New Well D Install New Pump*

(check all that apply) D Modify Existing Well* D Modify Pump*

D Abandon/Seal*

*State Well No.: (if unknown, please call Commission at 587-0225)

4. CONSTRUCTION: • Drilled D Dug D Shaft D Tunnel

Is this well part of a battery of wells? DYes .No (Please describe)

5. PROPOSED PUMPING RATE: 1250 gallons per minute

6. PROPOSED USE: • Municipal (including hotels, stores, etc.) D Industrial (check all that apply)

D Domestic (individual, noncommercial water system)

Does this well serve 25 or more people at least 60 days per year or have 15 or more service connections? DYes D No

D Irrigation (crop)

D Military

7. (a) PROPOSED AMOUNT OF WITHDRAWAL:

(b) METHOD OF FLOW MEASUREMENT:

OTHER IMPORTANT INFORMATION:

600,000

D No. of Acres:

D Other (explain):

gallons per day

• Flowmeter D Open-pipe D Weir D Orifice D Other(explain)

8. LEGAL REQUIREMENTS: If required, these permits must be obtained before the Commission can legally issue a permit.

Conservation District Use Permit (COUP) To find out if a CDUP is necessary, call DLNR Land Division at 587-0414

• Not Required If required, date approved _____ _

Environmental Impact Statement (EIS) or Environmental Assessment (EA) To determine if an EIS or EA is necessary, call OEOC at 586-4185 • Not Required If required, date published in OEOC bulletin _____ _

Special Management Area Permit (SMAP) To determine if an SMAP is necessary: on Oahu, call 527-5374; on Hawaii, call 961-8288; for Maui county, call 270-7235; on Kauai, call 241-6677.

• Not Required If required, date approved _____ _

9. REMARKS, EXPLANATIONS: If successful, the well will be outfitted and dedicated to the Kauai Department -otWater.

(if more space is needed, please attach additional sheet) NOTE: Signing below indicates the Signatories understand and swear that the information provided on this application is accurate and true to the best of their knowtedge. Further, the signatOries understand that approval of this application attaches the following standard conditions: 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 well completion/abandonment report within 60 days after the completion date of the permitted work; 3) monthly water use data shall be submitted to the Commission; 4) such approval shall not constitute a determination of correlative water rights and shall not guarantee the pump capacity or future use up to the permitted pump capacity; 5) in the event 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 $1000/day.

Kukuiula Development Co. Alexander & Baldwin, Inc. I Well Owner (print legibly)

Signature

Date

(Hawaii) LLC Landowner McBryde Sugar Co. Ltd. le.IW!Z.. • ~8oC71 (print legibly)

Signature

Date

For official use only Latitude _______ Aquifer System No.

Longitude State Well No.

Contractor (print legibly)

Signature

Date

WCPIPA Form 8121/01

/

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10. PROPOSED WELL SECTION (Please attach schematic if different from diagram provided below)

Hole Diameter: 23 in.

Elevation at top of casing 647 ft., msl* ~+_ r Minimum of 2' Radius & 4" Thick Concrete Pad (to contain benchmar surveyed to nearest 0.01 ft.)

r::~ ~.)j r Ground Elevation: 640 ft., msl* ... <J'.~:4. • .<l.' .~'

• ·or,.. //~\

... '11""'\ '1=\

' .. ' · .. Please refer to the .0. ,4.'

~-: , .. HAWAII WELL CONSTRUCTION AND ':.'1", :.!'.

Cement Grout: 500 ft. ':.:.: tI, : PUMP INSTALLATION STANDARDS (min. 70% of distance from '.:t>' ::';.

>' to ensure that your as-built is in compliance .; . ~ . ~ :;.: ground elevation to top of ::. :;:. Q) with applicable standards.

water surface or 500 ft., iIi " " · ..

whichever is less.) --., .0. ,4., Ql ~ .: , .. >

Q) ':,'!,',

): ...J

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

t-o!------

.l!l Annular space between

•••• 1>.

~ Total Length: 680 ft. .; .~. ~:;.': hole and casing (min.3"): r ,

Nominal Diameter: 16 ',':: " " :> in.

3 / ~.~:.~ ',4 •• Q) 0.375 in. ..',4 iIi Wall Thickness: in. --- ~ :.' ~:. :.!'. "0 -40 '~.:.:

~ c: Bottom Elevation: ft., msl* ::>

Rock or Gravel Packing: - f-- ;; e ocf!

~og Q. None

I x Total Depth ft. Wo ~ Open Casing: • Perforated o Screen h I 840 0

ft. Material: 0 120 0) Total Length: ft. o Crushed Basalt ~fil 1\1

o Rounded Gravel tBA V

Nominal Diameter: 16 in.

57 ~g? Wall Thickness: 0.3125 in.

Estimated Water Level Bottom Elevation: -160 ft., msl*

Elevation: __ "I II bQQ -

note: Neither bentonite nor mud should be used in f-35 ft. msl* .C:RtllrRtArl 7nnp. rlllrinn rlrillinn

'-----

* The approximate elevation must be referenced to mean sea level (msl) at the time of application filing. Final elevations of well components shall be submitted in the Well CompletionNVell Abandonment reports and referenced to a benchmark which has been established by a surveyor licensed by the State.

Open Hole:

Length:

Diameter:

Bottom Elevation:

For non-salt water Basal Wells - bottom elevation of well should not be deeper than 1/4 of aquifer thickness or,

Bottom Elevation of Well Limit = (water Elevation _ 41 x Water L~vel Elevation)

Example: Estimated + 2 ft. Water Level Elev. --. Bottom Elevation otWell Limit = (2 _ 41 ~ (2») = -18.5 ft.

Solid Casing Material:

40

15

-200

Carbon Steel: compliant with (check one or more): 0 ANSI/AVWlJA C200 0 API Spec. 5L • ASTM A53 0 ASTM A139

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

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

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

ft.

in.

ft., msl*

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) 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 AVWlJA 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 ANSI/AVWlJA C200 0 API Spec. 5L • ASTM A53

And compliant with (check one ormore): 0 ASTM A242 • Type E 0 Type S • Grade B

o ASTMA139

o Other

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

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

PVC Plastic conforming to ASTM F480 and (ASTM 01785 or ASTM 02241): (check one): 0 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 AVWlJA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

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Page 111: WELL COMPLETION REPORT -PART II 9 : A · Well Completion Report Part II for Well Nos ... Certificate of Well Construction Completion for Well Nos. 5629-01 & 02 ... Well Completion

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