i -~--~, ~~, · 2011-07-08 · LINDA LINGLE OOVERHO" OF HAWAIi I Mr. Jeffrey Hunt, Director Planning Department County of Maui 250 South High Street Wailuku, HI 96793 Dear Mr. Hunt:

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Search Results Page 1 of 1

Copyright ®11/17/2004 by HawaII Information Service

Assessed Values reflect tax year 2004

• PUBLIC RECORD DATA Taxkey Subdlv/Condo Tnr Address Owner LLessee Bds Bths Land area Llv area Last Sale Instr Price

r- 2-4-5-9-7 Lahaina F 300 LAHAINALUNA RD PIONEER MILL CO., LTD/ETAL 19.61 ac 0

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

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http://webrel.hawaiiinfonnation.com/re4IIDS/Search/search PUB.asp?NOCACHE=1100748576883 11/17/2004

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o "Sophia Gusman" <[email protected] .us>

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Subject Kaonoulu 1 Well

LINDA LINGLE OOVERHO" OF HAWAIi

I

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

Dear Mr. Hunt:

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STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU. HAWAII 96809

August 4, 2009

I "09 AUG -6 Pl2 :28

Special Management Area Use Permit Requirements for Well Construction/Pump Installation Permit Application

Kaonoulu 1 Well (Well No. 4524-02)

LAURA H. THIELEN CHAlItP£ltSON

SUMNER ERDMAN NEAL S. FUJIWARA

CHIYOME L. FUKINO. M.D. DONNA FAY K KlYOSAKI. P.E. LAWRENCE H. MilKE. M.D .• J.D.

KEN C. KAWAHARA. P.E. DEPUTY DlRECTOIII

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

We would appreciate your comments on the captioned application with regard to the SMA permitting requirements specific to your division. Please respond by returning this cover memo form by September 4. 2009. If we do not receive comments or a request for additional review time by this date, we will assume you have no comments.

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

CI:ss

RESPONSE:

pO This well project [ ] requires P<I does not require a SMA. Ifa SMA is required it [ ] has [ ] has not been approved and [ ] is [ ] is not currently active.

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

[ ] No objections

[ ] Other comments;

Contact Person: _....".,.L-cr--.,!....I._--f __ ~.:..-_ClC=_~::...:o.. ____ _

Signed:_----=~~r.q"..r;~ __ (J)-tAfo-------

Phone: 1-70- 6215

Date: _ta_l_l_e_~_O_'f_

LINDA LINGLE GOVERNOR Of HAWAII

Mr, Don Fujimoto

Q



HONOLULU, HAWAII 96809

January 3, 2007

KDMG Development, LLC 2005 Main Street Wailuku HI 96793

Dear Mr. Fujimoto: Expiration of Well Construction Permit

Kaonoulu Ranch Well #1 (Well No. 4524-01)

PETER T. YOUNG CHAIRPERSON

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

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

STEPHANIE A. WHALEN

DEAN A. NAKANO ACTING DEPUTY DIRECTOR

Thank you for your response to our notice of your expiring permit. We understand that the project has not materialized as planned, and we should allow the permit to expire. It is therefore cancelled with this letter.

Cl:ss

Sincerely,

Wf7H 1'z.

DEAN A. NAKANO Acting Deputy Director

FROM: ROY

TO:

BAUER, G. CHING, F. DANBARA, S. FUJII, N. GOODING, K. HARDY, R. HIGA, D. ICE, C. IMATA, R. IZU, Y. KUNIMURA, I.

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COMMISSION ON WATER RESOURCE MANAGEMENT

DATE: JAN -4 m INIT. TO:

NAKAMA, L. NAKANO, D. OHYE, M. SAKODA, E. STAHL, K. SUBIA, S. SWANSON, S. UYENO, D. YODA, K. YOSHINAGA, M.

INIT:

SUSPENSE DATE:

FOR:

Approval Signature Information

(11/04)

PLEASE:

See Me Review & Comment Take Action Type Draft Type Final

-I- File Xerox __ copies

o

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~ ~ o LINDA LINGLE

GOVERNOR OF HAWAII


BOARD OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

STATE OF HAWAII

DAN DAVIDSON DEPUTY DIRECTOR . LAND

YVONNE Y. IZU DEPUTY DIRECTOR· WATER

AQUATIC RESOURCES

.!~(~~~~~~\~~~:?F LAND AND NATURAL RESOURCES ~:,: " ~,HIS:TQRIC PRESERVATION DIVISION

BOATING AND OCEAN RECREATION BUREAU OF CONVEYANCES

COMMISSION ON WATER RESOURCE MANAGEMENT CONSERVATION AND COASTAL LANDS

CONSERVATION AND RESOURCES ENFORCEMENT ENGINEERING

FORESTRY AND WILDLIFE

, t. ; . KAKUHIHEWA BUILDING, ROOM 555 601 KAMOKILA BOULEVARD

KAPOLEI, HAWAII 96707

HISTORIC PRESERVATION KAHOOLAWE ISLAND RESERVE COMMISSION

LAND STATE PARKS

December 22, 2004

MEMORANDUM LOG NO: 2004.3636 DOC NO: 0412CD19

TO: Yvonne Izu, Deputy Director Commission of Water Resource Management

FROM: Melanie Chinen, AdministratorAwJ State Historic Preservation Div~

SUBJECT: Chapter 6E-42 Historic Preservation Review - Well Construction/Pump Installation Permit Application for the Proposed Kaonoulu Ranch #1 Well (Well No. 4524-01) [State/COWRM] Ka'ono'ulu Ahupua'a, Makawao District, Island of Maui TMK: (2) 2-2-002:015

Thank you for the opportunity to review and comment on the Well Construction/Pump Installation Permit Application for the Proposed Kaonoulu Ranch #1 Well, which was received by our staff on November 23, 2004. Our review is based on reports, maps, and aerial photographs maintained at the State Historic Preservation Division; no field inspection was conducted of the subject property.

Based on the submitted permit application, we understand the proposed undertaking consists of the construction of a new well and the associated pump.

A search of our records indicates an archaeological inventory survey has not been conducted of the subject property.

A search of our records indicates an archaeological inventory survey has not been conducted of the proposed project area. This area in general is likely to have once been the location of pre-Contact farming, perhaps with scattered houses. Known historic sites in the vicinity of the proposed well site include three heiau: Statewide Inventory of

Ms. Yvonne Izu Page 2

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Historic Places (SIHP) -1044 (alternately listed as an unnamed heiau or Rice Camp Heiau); SIHP-1043 (Koheo Heiau); SIHP-1046 (Ka'ono'ulu Heiau). The presence of these heiau indicates the cultural significance of this area during the pre-Contact period and suggests the possibility that additional historic sites may be present.

Therefore, in order to determine the effect of the proposed undertaking on historic sites, we recommend that no action be taken on the subject Well Construction/Pump Installation Permit Application until an archaeological field inspection has been conducted of the proposed project area, including access routes, to determine whether significant historic sites are present in the project area. Additional archaeological work may be recommended based on the findings of the field inspection.

If you have any questions, please call Cathleen A. Dagher at 692-8023.

CD:jen

c: Michael Foley, Director, Dept of Planning, 250 S. High Street, Wailuku, HI 96793 Maui Cultural Res. Commission, Dept of Ping, 250 S. High St, Wailuku, HI 96793

LINDA LINGLE GOVERNOR OF HAWAII

o Q PETER T. YOUNG

C~IRPERSON

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



HONOLULU. HAWAII 96809

YVONNE Y. IZU DEPUTY OlRECTOR

December 30, 2004

Ref:4524-01.wcp

Mr. Don Fujimoto KDMG Development LLC 2005 Main Street Wailuku, HI 96793

Dear Mr. Fujimoto:

Well Construction Permit Kaonoulu Ranch #1 (Well No. 4524-01)

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.

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 (February 2004) and any special conditions performed under this permit. However, a permanent pump may be installed prior to the permanent pump installation permit issuance in accordance with the Commission's April 15, 1998 Declaratory Ruling No. DEC-ADM98-G5, which states that:

"Permanent pump installation for capacities between 0-70 gpm and where the proposed use is for private individual needs in non-ground-water management areas may be allowed prior to the final pump installation permit issuance. When required as a condition of the well construction permit, subsequent pumping tests shall validate the acceptability of the permanent pump. The permanent pump installed prior to final pump installation permit issuance is subject to removal if the testing shows that a smaller pump is required to reduce the potential of affecting neighboring wells and localized upconing at the applicant's well. "

Mr. Fujimoto Page 2 December 30,2004

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If you qualify and wish to take advantage of this ruling, please include a written request to install the permanent pump prior to final pump installation permit issuance when you return to us your signed well construction 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.

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 $5000 per day for any violations of your permit conditions starting from the permit approval date.

If you have any questions, please call Charley Ice of the Commission staff at 587-0251 or tollfree at 984-2400, extension 70251.

Sincerely,

Wf7f7 ~

Peter T. Young Chairperson

Enclosures

o WELL CONSTRUCTION PERMO Kaonoulu Ranch #1, Well No. 4524-01

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 Kaonoulu Ranch #1 (Well No. 4524-01) at Kaonoulu, el-600', Makawao, Maui, TMK 2-2-2:15, subject to the Hawaii Well Construction & Pump Installation Standards (February 2004) 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 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 construcf the well shall not constitute a determinalion 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.Lwell op~rator, and/or well owner shall comply with all applicable laws, rules, and ordinances; non-compliance may be grounds for revocation of uJiS permit

The well construction Q.9rmit application is inC9lJ)Orated into this permit by reference and is subject to the Hawaii Well Construction & Pump Installation Standards (February 18, 2004; 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 aPl?roval 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, p'ersonal injury, or Cleath 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: December 20, 20q,5 4-December 20, 2006

PETER T. YOUNG, Chairperson Expiration Date: 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 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 $5000 per day starting from the permit date of approval.

Permittee's Signature: ______________ _ Date: ______ _

Printed Name: Firm or Title: _______________ _

Driller's Signature: ______________ C-57 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 Healthl Safe Drinking Water, Wastewater, and Clean Water Branches Maui Department of Water Supply

I

FROM: CHARLEY

BAUER, G.

QMISSION ON WATER RESOURCE MANAGEMEQ ROUTE SLIP FOR PERMIT ISSUANCE

DATE: 1-S b-eL'Otf SUSPENSE DATE:

TO: INIT. FOR: PLEASE:

KUNIMURA, I. _3_Approval See Me CHING, F. DANBARA, S.-FUJII,N. -GOODING, K.--

MATHIAS, T. _3_ Signature -1-Review & Comment

~HAROY,R. ---HIGA,D.

HIRANO, E. -5-ICE,C.

IMATA, R. JINNAI, R.

WELL NUMBER 4524-01

1([ WELL CONSTRUCTION

4

-2-

NAKAMA,L. 4 Information NAKANO, O. IZU, Y. w,··u- o( OHYE, M. SAKOOA, E. SUBIA, S. "'l:f¥ SWANSON, S. UYENO, D. YODA,K.

WELL NAME Kaonoulu Ranch #1

ATTACHMENTS FOR WELL CONSTRUCTION PERMIT: 1 COVER LETTER 2 PERMIT (2x)

COMMENTS: 3 SOWS 4 WWB 5 CWB 6 HEER 7 LO 8 HP .

9 PUMP TEST g5 10 WCR I FORPt!h='_'~

ir;j';ftf:f!i~~~~~ftl~~

o PUMP INSTALLATION

TO BE SENT TO APPLICANT

FOR OFFICE USE ONLY

ATTACHMENTS FOR PUMP INSTALLATION PERMIT: 1 COVER LETTER 2 PERMIT (2x)

COMMENTS: 3 SOWS 4 WWB 5 CWB 6 HEER 7 LO 8 HP 9 WCRII FORM

10 WURFORM :·"n;;1UIJiI~f1.LI"S·'t"'i\SJ "(2111"'* .... > '"1!111 ' ,,'Y"]1B'J~1k3*L;;~!~~~ t ~mfMdii~f~~,/)~n,~" ,~~

TO BE SENT TO APPLICANT

FOR OFFICE USE ONLY

Take Action == Type Draft 2 Type Final

-5-File --Xerox copies

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Results

-----------------------~--... - •. "'--------------------

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WClM:) CI~no: or 0208~~9808:XtJ..::l Wd9S:m 17002-82-)30

STATE OF HAWAII

PETER T. YOUNG CI'II\IRPEPSON

80ARI1 Of' I)\NO AND ~i\ TUI'IAL "ESOURCES COMMISSIQN ON WATER ~ESOURCE MANAGF.MEJIIT

DAN DAVIDSON DEPUTY OIRF.CTOR . LAND

YVONNE Y. 121,1 DEPUTY DIRECTOI'l.WAn:p

AOU",TIC RESOURCES

DEPARTMENT OF LAND AND NATURAL RESOURCE~J

BOATINI3 A"ID OCEAN RF.CREATION 9U~8\U OF DDNlfEYANCEB

COMMISSION Ot.l WATER AESOll~CE MI\~AGEMENT CONSERVATION AND COABTA~ L~NDS

CONBE'lVATIC)N JoNO I:'~~OVRCES ENF;)RCEMENT ENGINEERiNG

iOO~ESTR'f 11'10 WILDLIFE HISTORIC PRESERVATION DIVISION KAKUHIHEWA BUILDING, ROOM 555

601 KAMOKILA BOULEVARD

HISTORIC PPESERVATIO~ KAHOOLAWF. I~I.ANO RJ;SERVE COWAISGIOJ-.I

LANO STATEPARKB

KAPOLEI, HAWAII 96707

December 22, 2004

MEMORANDUM l.OG NO: 2004.3636 DOC NO: 0412CD19

TO: Yvonne Izu, Deputy Director Commission of Water Resource Management

FROM: Melanie Chinen, AdministratorAw) State Histone Preservation Di~

SUBJECT: Chapter 6E-42 Historic Preservation Review - Well Construction/Pump Installation Permit Applica·tfon for the Proposed Kaonoulu Ranch #1 Well (Well No. 4!i24-01) [State/COWRM] Ka'ono'ulu Ahupua'a, Makawao District, Islanl:f of Maui TMK: (2) 2-2-002:015

Thank you for the opportunity to review and comment on the Well. Construction/Pump Installation Permit Application for the Proposed Kaonoulu Ranch #1 Well, which was received by our staff on November 23, 2004. Our review is based on reports, maps, and aerial photographs maintained at the State Historic Preservation Division; no field inspection was conducted of the subject property.

Based on the submitted permit application, we understand the proposed undertaking consists of the construction of a new well and the associated pump.

A search of our records indicates an archaeological inventory sur/ey has not been conducted of the subject property.

A search of our records indicates an archaeological inventory sUl"·ay has not been conducted of the proposed project area. This area in general is liI<ely to have once been the location of pre-Contact farming. perhaps with scattered housm;. Known historic sites in the vicinity ofthe proposed well site Include three heiau: Statewide Inventory of

e6e-~ ~OO/lOO'd 699-1 ozoe Z69 soe

* , %00l=C:I 200:38t1d

Ms. Yvonne Izu Page 2

......... '-'

WC:lM:) C:lNlO:m 020~9808:><tI~ Wd9S:10 b002-82-:)30

....,'

Historic Places (SIHP) -1044 (alternately listed as an unnamed heiau or Rice Camp Heiau); SIHP-1043 (Koheo Heiau); SIHP-1046 (Ka'ono'ulu Heiau). The presence of these heiau indicates the cultural Significance of this area during thEt pre-Contact period and suggests the possibility that additional historic sites may be pm:sent

Therefore, in order to determine the effect of the proposed undert€ik.ing on historic sites, we recommend that no action be taken on the subject Well Construdion/Pump Installation Permit Application until an archaeological field inspection has been conducted of the proposed project area, including access routes, to determine whether significant historic sites are present in the project area. Additional &1rchaeological work may be recommended based on the findings of the field inspection.

If you have any questions. please call Cathleen A. Dagher at 692-8023.

CD:jen

c: Michael Foley, Director, Dept of Planning, 250 S. High Stre,lat, Wailuku, HI 96793 Maui Cultural Res. Commission, Dept of Ping, 250 S. High St, Wailuku, HI 96793

868-~ ZOO/ZOO"d 699-! OZ08 ,69 908 UOlleAJ8S8Jd ~!JOlS!H 3!V!S-WOJ~ wd9l:Z0 vOOZ-8,-~8a

B085864351 T-3Z8 P.OOI/001 F-097 (Z-15-04 rl :38pm From-DOH/Safe Dr IP~in, Water Branch

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LINDA ~INGLE Git;\lEaNrn:f OF foIAWA~t

TO:

FROM:

SUBJECT:

STATE OF HAWAII DEPARTMeNT OF !.AND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT F'.o. BOX 621

HONOLULU, HAWAD 96SOS

November 19, 2004

Honorable Chiyome L. Fukino, M.D., Director Department Of Health Attention: Harold Vee, Wastewater Branch

MERIWIiti J. CHING CLAYTON W. DEOl.A CRUZ

JAMIiS A. FRA2IER CHIYQME L I'UKIND, MD.

~AWRr;fllCE H. MilKE, M.D .. J.D. STePHANIE A. WHALEN

YVONNe Y.IZU f.lEP\lrYDI~

William Wong, Sate Drinking Water Branch Dr, Keith Kawaoka, Hazardous Evaluation and Emergency Response Alec Wong, Clean Water Branch

Peter T. Young, Chairperson 11 Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Kaonoulu Ranch #1 Well (Well No, 4524-(1)

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

We would appreciate your comments on the captioned application for any conflicts or inconsistencies with the programs, plans, and objectives specific to your department Please respond by returning this cover memo form by December 20, 2004. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587-0251 .

CI:ss Attachment(s )

RESPONSE:

\{

[ I

[ J

[ J

11

ThiS wall Qualities as a SOI.Jrce which will serve a!! a source ~f po~blc water 10 a PUI>I~ wlilter system (defined a~ serving 2:; or mora people at laast eo dilY~ per year or has 15 or more servl(;El CQIlnedions) and mU$t lllCeI\Ie DireI;Ior ofHeal1h approval ~r to 1ts use to compjy with Hawaii Aamillisfrallve Rules (HAR). Title 11, Chapter 20. Rules Relating to Pallible Water Systems, §11·Z()., .

Thi& well does not quelify as a sOl.lree serving a public water 5~tem (serves less tnan 25 people or more ~eo"Je ~ loast So days per year or 15 sC/Vice connections) and If the waJJ W3teris u!>e<! for drinkln~, the orivale owner shOUld te!>t for blilcteriologlcal and CI1e!11lC3I pro~ance OOfore i'liti:ating fluch U~ ancl routinely monitor the iNater QI.!arrtv thereafter. However. if future plenrU~(I use from Ihi~ sOurce mcreal'es 10 meet tl'ia public water eystem definition then Ol(Qctor of Heafth approval is required prior 10 rnplemer1!atlon.

If the well 1$ IJsed to supply bot/) porable ana nOll-PQl<!ble purposes in II Single 5ystem, the ussr shaJl a6mlnate cros;s-cunneelions and baCllflow cOl'lne~ions by plws1r;ally sepsratil'l\l potable and non,':;'gtable $ystems lly an aIr ~p or sn llpproved backfl~ prevenlr:r. SI1t1 by cleafly labelln9 I)JI non-~6Ie sp190'-'5 with W8t'ni'lg signs 10 pravenl inadvertent consumption or non-polabla water. Bsekflow prevention device~ Should be routinely inspeCis:l and lested,

It doe$ not appear that this well will be IJSed for consumptive purposes and Is nat subJed to Sate Drink.If\9 Water Regulations.

For tl'le applicant's information, a source of pOSsible wastawater contamination []is [J Iii not located near me pl'1;lposad well sije (information I;IItllched).

[ J An NPDES permitisreQUired. . j',. L /J L.h. /'.

[ I Otl'ler relell<'lnt DOH IUIe&lre9ulations. Intotmalion. or nlcommendeliQns are a~ached kl :;;c?-~~ ?v.~~~ ~··~4 r J NgCo",ment;,lotlje~ o! ftn ~~'l ~/~~ ~ ~W'11'cPy.., (.. , Contact pe~. ~ wrxt· PIlone; 386-4258

Signed: pZ! t'tJ. __ . Date: NOV 2 A 2004

OEC-15-2004 02:05pr'1 FAX: 8085864351 IO:OLNR CWRM PAGE: 001 R=97%

Dec-15-2004 02:59pm ' .. J ~'.~

From-DEPT OF HEAL"'~NV I RON MENTAL tiNGMT ').

8085864352

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

1. For Well-Drilling Activities

T-837 p,OOl/aOl F-2l9

Any discharge to State waters of treated process wastewater effluent associated with well drilling activities is regulated by Hawaii Administrative Rules, Title 11, Chapter 55, 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 pump testing. The applicable Notice of Intent Forms and filing fee shall be submitted at least thirty (30) days before the start of discharge to thePepartment of Health, Clean Water Branch at919 Ala Moana Boulevard, Room 301, Honolulu, Hawaii 96814-4920 or P.O. Box 3378 1 Honolulu, Hawaii 96801-3378. Inquiries may be directed to the Clean Water Branch at (808) 586-4309 or by fax at (808) 586-4352.

2. For Well Pump Testing

The discharger shall take all measures necessary to prevent the discharge of pollutants from entering State waters. Such measures shall include, 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 dis~harger 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 sto~ drain .

. JS/cr

- -_ .. '-------- - -.... - _._---

Post-it~ Fax Note 7671 Dala

DEC-15-2004 02:51PM FHX:8085864352 ID:DLNR CWRM PHGE:001 R=97%

' ... '-LINDA LINGLE

GOVERNOR OF HAWAII

TO:

FROM:

SUBJECT:

o Q

;'~'·'l, ::' \:,''0 2t._c. STATE OF HAWAII " ",~ \ \,::,~:,,)OEiA~TMENTOFLANDANDNATURALRESOURCES

h;':.i', ", ·· .. > .. CO~IIfI'$$ION ON WATER RESOURCE MANAGEMENT S '"t,: ,- " " ' P,O, BOX 621


November 19, 2004

Dede Mamiya, Administrator Land Division

Yvonne Y. Izu, Deputy Director 1 Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Kaonoulu Ranch #1 Well (Well No. 4524-01)


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

YVONNE y, IZU OEPUTY DIRECTOR

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by return ina this cover memo form by December 20, 2004. If we do not receive comments or a requesnor additional review time by this date, we will assume you have no comments.


CI:ss Attachment( s)

RESPONSE:

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

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

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

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

[ ]

[ ]

[ ]

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

No objections

Other comments:

Contact Person: __ --=G.=a.:;"r.l...y....:M:.:,;a::.:r::.,;t:,,;:i:,,:n=----_______ _

n~ ~ Signed:_~~~~_7---::11----_---= __ ---

:·::n "'J

t::::) ............

Phone: _5;;",.8;;",,;7_-..;;0..,.,';';=.2 ;;:,.1_."..0":) , .... :. "0

, : "

,,~

, ~oy~Z'-2004 02:48pm From-DEPT OF HEA~T~ ENVI RONMENTAL MNGMT 8085864352 T-63Z P.DOl/002 F-998

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

1. For Well+Oriliing Activities

Any discharge to State waters of treated process wastewater effluent associated with well drilling activities is regulated by Hawaii Administrative Rules, Title 11, Chapter 55, 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 pump 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) 586-4309 or by fax at (808) 586-4352.

2. For Well Pump Testing

The discharger shall take all measures ne~essCiry 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 jmplemented to prevent the discharge from disturbing the clarity of the receiving water. If the discharge is entering a storm drain, the dis~arger 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 storm drain.

JS/cr

t---1Dl-)-24-213134 132: 413Ptvl FAX: 81385864352 ID:DLNR CWRM PAGE:I301 R=96%

./

, Nov~l4-2004 D2:48pm From-DEPT OF HEA~!H ENVIRONMENTAL MNGMT 8085864352 T-632 P.002/D02 F-998

LINDA L1NGLE OOVlEftroIDA OF HAvrAli

TO:

FROM:

SUBJECT:

'04 NOV 23

STATE OF HAWAII DEPARTM5NT OF LAND AND NATlJAAl RESOURCes

COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOX 621

HONOLULU. HAWAII 9Seo9

November 19. 2004

Honorable Chiyome L. Fukino, M.D., Director Department of Health Attention: Harold Yee, Wastewater Branch

WONNEY. rZu OEPI.I'YY CII'fI!:CTOR.

William Wong, Safe Drinking Water Branch Dr. Keith Kawaoka, Hazardous Evaluation and Emergency Response Alec Wong, Clean Water Branch


Well Construction/Pump Installation Permit Application Kaonoulu Ranch #1 Well (Well No. 4524-O1}


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 teturninCl this cover memo form b~December 20, 2004, If we do not receive comments or a request for additional review time y this date, we will assume that you have no comments.

Please find the attached maps to locate the proposed well. If you have any questions about this permit application, request additional information, or request additional review time, please contact Charley Ice of the Commission staff at 587~0251.

CI:ss Attachment(s)

RESPONSE:

I]

II

11

I J

11

II

This well ~ualifie8 as a source whiCh will serve as a source of potable wa~r to a public wattlr systlOm «(iefined as &"",iI19 .2$ or mo .... people at least 60 days per year or has 15 or more eervioe connectiOiU;) Bnd must rec6lve Director of Health approval !.~r to 11$ use to comply whh Hawaii AdmrniSlr:.liw RW9$ (HA~), Tille 11, Chapter 20, Rl.I'es ~elatlng to POtable Water Syste~. §11-2 - .

This well does nol quaUy aa a source serving a public water 6Y9tem (serves lass than 2$ peopl@ or more people at I!'Iast 60 days pet year Ot 15 Service conneClion~) ami It the well warer IS used ftlr dlinklng, thc;s private OW'ler shOUld test for bIocteriolOEllCa1 and chllmical presence before Inltlatlrlg such use and routinely I1lQnllOr tile water quality thereafter. However. if NtLlre plann61:l use from this source Intreases to meet the public water system definition then Olreclor Of Health approval is requited Il!!gr to Implementatioo.

I' the well is u~ed to supply bQth potable and non-potable purposes In a Single System. the user sMIl eliminate CfQSs·connBCtiona ana b:.cknow CQnnect;ans by physically Sepa!aMg potable ~nd non-poIa~le systems by an air gap or an approved backflow prevenler, and by cleerly lepellng 1111 non-potablo sp1aot$ With warning uigne to pre~ent Inadvertent consurnptfon of 11000-paUlbIe waler. Backflow prelJ(lnllOn dBVices should be fO<Itlnely InspeCled and ta:5tGd.

It does not appear tnat this wall will pe U1ieQ for consumptlw purposar; and is nO! subject to S"fe Drinking Water Regulations.

FOI' tha applicant'li infonnaUon, a ~OU[ce of pOSSibl8 wastewater conlamlnatlon [11$ [lis not located 1'1&81 tl'lt!! propOGed well site (Information attaChed).

An NPDES Pflfmit is rl!lquirecl.

Othl!lr relevant DOH rulas/rB9uliltion~, Information, or recomroondations are sttactled.

Signed: ____ ~~~~~~..;.-._+_------

Phone: ~6-caO ~ Date:_..:::..U-+~_t.t(-4. _6--1*_

NOl)-24-2004 02: 40P~'1 FAX: 8085864352 I D: DLNR CWR~l PAGE:002 R=97%

, I LINDA LINGLE

GOVERNOR OF Hot.WAlI

Date:

To:

Attn:

From:

Subject:

STATE OF HAWAII DEPARTMENT OF HEALTH

P.O. BOX 3378 HONOLULU. HAWAII 96801

Wastewater Branch 919 Ala Moana Blvd. Room 309 Honolulu~ Hawaii 96814-4920

Phone (808) 586-4294 Fax(808)586-4300

STATE MESSENGER DELIVERY

Commission on Water Resource Management Department of Land & Natural Resources State of Hawaii

cm~~ Iw Lori Kajiwara Ph 586-4290 direct line Planning & Design Section Fax 586-4300

CHIYOME L FUKlNO, M.D. DIRECTOR OF HEALTH

In reply, pI_ refer to: EMD/WB

Email: [email protected] watercommissionfax.wpd sam As of January 8, 2003

Well Construction/Pump Installation Permit/Water Use Permit for

Well No. '+5W-O I i<e\onOu.(u ~ vh

Please find enclosed the application of the above subject project.

STATE MESSENGER DELIVERY

I \

o o LINDA LINGLE

GOVERNOR OF HAWAII NOV 2 2 2004.PETER T YOUNG

CHAIRPERSON


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

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

STATE OF HAWAII YVONNEY IZU DEPUTY DIRECTOR

TO:

DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT

P.O. BOX 621 HONOLULU, HAWAII 96809

November 19, 2004 c::::>

Honorable Chiyome L. Fukino, M.D., Director ...-Department of Health ?2, n , Attention: H~r~ld Yee, Wastewat~r ~ranch .' • 8 ';

Wilham Wong, Safe Dnnkmg Water Branch • '-:; "".::: .," Dr. Keith Kawaoka, Hazardous Evaluation and E~gency ~onse ; Alec Wong, Clean Water Branch ' .:.


'"'0 - r:s -'- . . '7

.-\ r-:> , ,

FROM:

SUBJECT: Well Construction/Pump Installation Permit Application Kaonoulu Ranch #1 Well (Well No. 4524-01)

c.O --,


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 December 20. 2004. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.



RESPONSE:

[ I

[ I

[ I

[ I

This well qualifies as a source which will serve as a source of potable water to a public water system (defined as servin~ 25 or more people at least 60 days per year or has 15 or more service connections) and must receive Director of Health approval prior to Its use to comply with Hawaii Administrative Rules (HAR), Title 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 rr year or 15 service connections) and if the well water is used for drinking, the private owner should test for bacteriological and chemica 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 \lap 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 \J.IS [] Is not located near the proposed well site (information attached). '~

[ I An NPDES permit is required.

~ Other relevant DOH ruleslregulations, information, or recommendations are attached,

~ No commentslobjecti,?ns ~ •

Contact ~:_ ~ Phone: 8?JoLf)1j 1-Signed: ~t,~ Date: / /-21- 2I!r?-j

;\ iJ

-----------------------------•.. ----.... ----------------------

o o >

UNDAUNGLE GO\IERNOII CW.-.

CllYOME L FUICINO, aD. DlRECn)II CW'-'lH

STATE OF HAWAII DEPARTMENT OF HEALTH InNPIY.,..... .... 1IT.

P.O. BOX 3378 HONOLULU. HAWAII 86801

Wastewater Branch 919 Ala Moana Blvd. Room 309 Honolulu, Hawaii 96814-4920

Phone (808) 586-4294 Fax (808) 586-4300

EMO/WB

A septic tank file has been found and the following information is provided. In general, the Department of Health has reviewed and approved of the plans based on the information submitted as verification that a treatment individual wastewater s'Ystem (lWS) such as a septic tank was constructed and authorized to be used for wastewater disposal from a building/dwelling.

Tax Map Key number

Address

Septic Tank File #

Applicant Name

Submit Plan Date

Plan Approval Date

Inspection Date

System Approved for Use Date

BPA Date

System / Disposal Via

Use For

Designed By

Percolation Rate / Capacity

~.) ~- ~ - OOQJ: OIS .;150 r DnliV, ffilCi 525

06- {Lf - J-O a.3

It1~-i /Ornln Lib / /000 {)C(O(if)~

Wastewater Branch Engineer PO Section (Oahu)

For further information, you may also call the Wastewater Branch neighbor island engineers:

Mr. Dane Hiromasa at the Kealakekua Health Center, Kona at (8080322-1507

Mr. Jerry Nunogawa at the Hawaii District Health Office, Hilo at (808)933-0401

Mr. Joe Tateyama at the Kauai District Health Office at (808)241-3323

l'fo. Mr. Roland Tejano at the Maui District Health Office at (808)984-8232

cesspool faxes.wpd sam rev October 10, 2003


o Q


COMMISSION ON WATER RESOURCE MANAGEMENT po. BOX 621

Mr. Don Fujimoto KDMG Development LLC 2005 Main Street Wailuku, HI 96793

Dear Mr. Fujimoto:


November 19, 2004




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

YVONNE Y. IZU DEPUTY DIRECTOR

4524-01.wcpia.ack

Well Construction/Pump Installation Permit Application for Well No. 4524-01

We acknowledge receipt, on November 10, 2004, of your completed Well Construction/Pump Installation permit application and filing fee for the Kaonoulu Ranch #1 Well (Well No. 4524-01). 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 Charley Ice of the Commission staff at 587-0251 or toll-free at 984-2400 extension 70251.

CI:ss

Sincerely,

Wforl-i 1't

YVONNE Y. IZU Deputy Director

o o LINDA LINGLE

GOVERNOR OF HAWAII PETER T. YOUNG

CHAIRPERSON

TO:

FROM:

SUBJECT:




November 19, 2004

Honorable Chiyome L. Fukino, M.D., Director Department of Health Attention: Harold Yee, Wastewater Branch


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

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


William Wong, Safe Drinking Water Branch Dr. Keith Kawaoka, Hazardous Evaluation and Emergency Response Alec Wong, Clean Water Branch




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 December 20. 2004. If we do not receive comments or a request for additional review time by this date, we will assume that you have no comments.



RESPONSE:

[ I

[ I

[ I

[ I

[ I

[ I

[ I [ I

This well qualifies as a source which will selVe as a source of potable water to a public water system (defined as selVin!) 25 or more people at least 60 days per year or has 15 or more selVice connections) and must receive Director of Health approval m:!2!: to Its use to comply with Hawaii Administrative Rules (HAR), Title 11, Chapter 20, Rules Relating to Potable Water Systems, §11-2~

This well does not qualify as a source selVing a public water system (selVes less than 25 people or more people at least 60 days per year or 15 selVice connections) and if the well water is used for drinking, the ~'vate owner should test for bacteriological and chemical presence before initiating such use and routinely monitor the water qual thereafter. Howe".':1J if future planned use from this source Increases to meet the public water system definition then Director of Hea th approval is requirea 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 lIap 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 [I is not located near the proposed well Site (information attached).

An NPDES permit is required.

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

No comments/objections

Contact Person: _______________ _ Phone: _____ ~ __

Signed: __________________ _ Date: ______ _


o o PETER T. YOUNG

CHAIRPERSON



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

TO:

FROM:

SUBJECT:


COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BO)(621


November 19, 2004

Dede Mamiya, Administrator Land Division




YVONNEY IZU DEPUTY DIRECTOR

We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returnina this cover memo form by December 20. 2004. If we do not receive comments or a requesUor additional review time by this date, we will assume you have no comments.



RESPONSE:

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

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

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

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

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

[ ] No objections

[ ] Other comments:

Contact Person: _______________ _ Phone: ______ _

Signed: _________________ _ Oate: ______ _


o o PETER T. YOUNG

CHAIRPERSON



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

TO:

FROM:

SUBJECT:




November 19,2004

Melanie Chinen, Administrator Historic Preservation




STEPHANIE A WHALEN


We would appreciate your comments on the captioned application with regard to the programs, plans, and objectives specific to your division. Please respond by returnina this cover memo form by December 20. 2004. If we do not receive comments or a requesOor additional review time by this date, we will assume you have no comments.



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.

[ ] No objections

[ 1 Other comments:

Contact Person: _______________ _ Phone: ______ _

Signed: _________________ _ Date: ______ _

--------------------------------------------.-.--->~--------------------------------------

FROM: CHARLEY DATE:

IQ;. INIT. TO:

BAUER, G. CHING, F. FUJII, N.

t:"'l Q ~MISSION ON WATER RESOURCE MANAGEMENT

ROUTE SLIP FOR NEW APPLICATIONS

17-Nov-04 SUSPENSE DATE: 24-Nov-04

INIT. FOR: PLEASE:

NAKAMA, L. _1_Approval NAKANO, D. _1_ Signature

See Me -1-Review & Comment

NISHIOKA, L. 3 Information Take Action -1-HARDY, R. -3-OHYE, M. tJ?: Type Draft acknow letter

HIGA, D. SAKODA, E . • HIRANO, E. -2-SUBIA, S. -4- ICE, C. SWANSON, S.

-2-Type Final w/elec.signat., label file folder -4-File

Xerox copies IMATA, R. UYENO, D. IZU, Y. YODA, K. KUNIMURA, 1.- YOSHINAGA, M.==

WELL NUMBER 4£'lJ..f, 01 WELL NAME Kaonoulu Ranch 1

o WELL CONSTRUCTION o PUMP INSTALLATION

ATTACHMENTS FOR APPLICATIZ. PROCESSING - Both applicant & staff generated 1 TRANS. LEITER 2CWRMMAP ~

3 APPL. FORM (5COPIES) ---LL.. 4 USGS MAPS (5 COPIES) ....:f..J-5 TAX MAPS (5 COPIES) -..::LL 6 PARCEL OWNER VERIF. --J MLS PRINTOUT 7 CONTRACTOR VERIF. :;/ DCCA LICENSE SCREEN PRINTOUT 8 ALL INFO FILLED IN 9 BACKGROUND CHECK

10 $25 FEE DEPOSIT SLIP 11 DHP & SMA check

FOLDER:J I2S. MADE NEW FILE FOLDER, ATTACHED o FILE FOLDER ALREADY MADE, IN FILE CABINET

INCOMPLETE ACTION DATES:

DATE ACTION

~ BOTH

QARTMENT OF LAND AND NATURAL RESoAES D OCUMENTNO .. UAC OR ATTACHED WORKSHEET DATE S t b 30 2004 eplem er .

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

S 05 326 C 1026 0752 (1 ) $25.00 TNWREINC.

" " " " " " (2) $50.00 TNWRE INC.

" " " " " " (3) $25.00 Jackson Auto Group

(4)

(5)

(6)

(7)

(8)

(9)

(10)

TOTAL $100.00

REMARKS: LINE (1) Kaonoulu Ranch Well LINE (2) EAKTWell1 & 2 LINE (3 JJCOWell LINE (4) LINE (5) LINE (6) LINE (7) LINE (8) LINE (9) LINE (10)

Tom Nance Water Resource Engineering

Ms. Yvonne Izu Deputy Director

o

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

Dear Ms. Izu:

(Ct~;; '1. t',~;· •.

f,~[S(>

o

All · 0 5

, ",~ '. '. \,4

... :::: r

Well Construction and Pump Installation Permit Application for the Kaonoulu Ranch Well - Kaonoulu. Makawao. Maui

November 9, 2004 04/485 (04-76)

The attached permit application and filing fee are for an exploratory well to be developed on Kaonoulu Ranch land on MauL Depending on the well's quality and yield, it may be used as a source for reverse osmosis treatment to produce potable quality water.

Your expedient review of this application would be appreciated. Please feel free to call if you have any questions.

Sincerely,

Tom Nance

cc: Don Fujimoto - KDMG Development LLC

Attachments

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

o State of Hawaii For Official Use Only:

COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources APPLICATION FOR PERMIT , Well Construction and/or • Pump Installation

11-9-04 04-760. NOV lOAn • n"5

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'()225. tC', l'S:: ,':' ('; \\r. i~:, For further information and updates to this application form, visit http://www.state.hLus/dlnr/cwrm. r ,: ,r., ,:; . ," ':~; •

~----~--------~--~ APPLICANT INFORMATION: (Fill out all three, if applicable, and place a check next to the primary contact)

1. (a) D WELL OWNER: KD:to1G Development LLC Contact Person: Don Fujimoto 244-1500 Phone: _______ _

Mailing Address: 2005 Main Street, Wailuku,' Maui, Hawaii 96793 Fax: (808) 242-2777 E-mail: _d...;;..on-,@='=d_o;....w_l;;...i-=n...,.g'-c_o-'-.c_o_m ___ --=~_=_r=---

(b) D LAND OWNER: Kaonoulu Ranch Contact Person: Henry Rice Phone: 876-0422 Mailing Address: P.O. Box 390 KuLa, Maui, Hawaii 96790 Fax: E-mail: _____________________ _

(c) D CONTRACTOR: To be competitively bid Contact Person: ------- Phone: _______ _

Mailing Address:

Fax: E-mail: _________ _ Lic #: -:----,,-=c-=--::=-----,.,,-

(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: Kaonoul u Ranch Well 1 Island: Maui

Address Kaonoul u, Makawao, Maui Tax Map Key: 2 2 02 15: 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 • Install New Pump" (check all that apply)

D Modify Pump" D Modify Existing Well*

D Abandon/Seal"

"State Well No.: (if unknown, please call Commission at 587-0225)

4. CONSTRUCTION: , Drilled D Dug

Is this well part of a battery of wells? 5. PROPOSED PUMPING RATE: 450 6. PROPOSED USE: • Municipal (including hotels, stores, etc.)

D Shaft D Tunnel

DYes .No (Please describe) gallons per minute

D Ind ustrial (check al/ 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:

No. of Acres:

D Other (explain): ____ 50_0_,_0_0_0 _____ gallons per day

• Flowmeter D Open-pipe D Weir D Orifice

8. LEGAL REQUIREMENTS: Ifrequired, these permits lDJl§l. be obtained before the Commission can legally issue a permit. Conservation District Use Pennit (CDUP) To find out if a COUP is necessary, call DLNR Land Division at 587'()414

• Not Required If required, date approved _____ _

D Other(explain)

Environmental Impact Statement (EIS) or Environmental Assessment (EA) To determine if an E IS or EA is necessary, call OEOC at 586-4185

• Not Required If req uired, date published in OEOC bulletin _____ _

Special Management Area Pennit (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. ARCHEOLOGICAL REQUIREMENTS: To find out if an archeological work is required: on Oahu, call Elaine Jourdane at 692-8027; on Hawaii, call MaryAnne Maigret at 327-3690, for Maui county, call Cathy Dagher at 692-8023, on Kauai, call Nancy McMahon at 742-7033.

• Not Required If required, please attach letter from DLNR Historic Preservation

10. REMARKS. EXPLANATIONS; The well, if successful, woul d be used to supply a reverse

osmosis treatment plant to produce potable water. (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 knowledge. Further, the sig natories understand that approval of this application attaches the followi ng standard conditions: 1) the proposed work is to be completed witlin 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.

Well Ow~KDMG Development LLC Landowner Henry Rice, Gen. ?Partn~ntractorTo be competitively

(p~intlegibIY) ~C~ (P~ntIe9i~ 2'" (P~ntIe9ibIY) Signature t dVv--~ Slgn~ ~\,Jo..... Signature

Date (0 'f ' Date Date

For official use only

Latitude

Longitude

Aquifer System No.

State Well No.

WCPIPA Form 7/17/03

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10. PRO POSED WELL SECTIO N (Please attach schematic if different from diagram provided below)

Hole Diameter: 19 in.

Elevation at top of casing 582 ft., msl* l_ { 1.....-;- Minimum of2' Radius & 4" Thick Concrete Pad (to contain benchma fo:-..Ej surveyed to nearest 0.01 ft.)

r.:.:~ o· •• , •••• :<4. V:.:" r Ground Elevation: 580 fl, msl*

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, . ,. '1_' '1_' <, , -i:': Please refer to the " , .' , .', .',

HAWAII WELL CONSTRUCTION AND ,,'f· ;:;, Cement Grout: 410 ft. ~,~~ ~:.: PUMP INSTALLATION STANDARDS (min. 70% of distance from . ~ -: ;~~~ > to ensure that your as-built is in compliance

~:1: ground elevation to top of .~.~: a> with applicable standards . ...... jjj water surface or 500 ft., ..... :: -., .... .~: Qi

whichever is less.) " , .' . . ', . '. > a> :."l· ~. lo- ....J

~.:.: ~:.: .... Solid Casing: (~ 90% x (Ground Elev.-Water Level Elev» .l!l

Annular space between ~ . ~ .. co Total Length: 575 ft. ~~' 3: hole and casing (mi n.3"): :-:.:. , 12 .~ .- Nominal Diameter: in.

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in. ;,. ... :. a> 0.375 --- :. ~. ;:i· jjj Wall Thickness: in.

!-:.; "0 +5 c: Bottom Elevation: ft., msl* I~ .. :

:J ....: - ~ Rock or Gravel Packing:

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x 1 Total Depth None fl :::l:! Open Casing: • Perforated o Screen N 0

615 ft. Material: 0 30

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Total Length: ft. o Crushed Basalt AI

o Rounded Gravel y Nominal Diameter: 12 in.

'" ~ ~ Wall Thickness: 0.3125 in.

Estimated Water Level Bottom Elevation: -25 ft., msl*

Elevation: ~J iil note: Neither bentonite nor mud should be used in

4 ----' f-ft. msl* .<".tllrRt",rl 7nn", rlllrinn rlrillinn

Open Hole:

Length: 10 ft.

Diameter: 11 in.

- Bottom Elevation: -35 ft., msl*

* 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 CompletionlWell Abandonment reports and referenced to a benchmark which has been established by a surveyor licensed by the State.

Kaonoulu Ranch Well 1

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 of Well Limit = ( 2 -~) = -18.5 ft.

Solid Casing Material: Carbon Steel: compliant with (check one or more): 0 ANSVAWWAC200 0 API Spec. 5L • ASTMA53 0 ASTMA139

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)

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 ANSI/AWWA C200 0 API Spec. 5L • ASTMA53 0 ASTMA139

And compliant with {check one or more): o ASTMA242 .TypeE o TypeS • GradeB o 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 conformi ng to ASTM 03296

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i -~--~, ~~, · 2011-07-08 · LINDA LINGLE OOVERHO" OF HAWAIi I Mr. Jeffrey Hunt, Director Planning Department County of Maui 250 South High Street Wailuku, HI 96793 Dear Mr. Hunt:

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