~~tj~ - university of hawaii · linda lingle governor of hawaii mr. andree lecocq einrogel farms...

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LINDA LINGLE GOVERNOR OF HAWAII Mr. Andree Lecocq Einrogel Farms LLC P.O. Box 752 Kilauea, HI 96754 Dear Mr. Lecocq: STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621 HONOLULU, HAWAII 96809 November 5, 2003 Well Completion Report for Well No. 0622-03 PETER T. YOUNG CHAIRPERSON MEREDITH J. CHING CLAYTON W. DELA CRUZ JAMES A. FRAZIER CHIYOME l. FUKINO, M.D. STEPHANIE A. WHALEN ERNEST YW.LAU DEPUTY o.RECTOR 0622-03.wcr We received your Well Completion Report Part II for the Einrogel Well (Well No. 0622- 03) on May 3, 2001 and acknowledge that it is complete. We apologize for this late acknowledgement of your submittal. If you have any questions, please contact Lenore Y. Nakama of the Commission staff at 587-0218 or toll-free at 274-3141 (Kauai), extension 70218. Sincerely, c:== t9 LYN:ss c: Steve Goldberg, Oasis Water Systems ERNEST Y.W. LAU Deputy Director /

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LINDA LINGLE GOVERNOR OF HAWAII

Mr. Andree Lecocq Einrogel Farms LLC P.O. Box 752 Kilauea, HI 96754

Dear Mr. Lecocq:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

November 5, 2003

Well Completion Report for Well No. 0622-03

PETER T. YOUNG CHAIRPERSON

MEREDITH J. CHING CLAYTON W. DELA CRUZ

JAMES A. FRAZIER CHIYOME l. FUKINO, M.D. STEPHANIE A. WHALEN

ERNEST YW.LAU DEPUTY o.RECTOR

0622-03.wcr

We received your Well Completion Report Part II for the Einrogel Well (Well No. 0622-03) on May 3, 2001 and acknowledge that it is complete. We apologize for this late acknowledgement of your submittal.

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

Sincerely,

c:== t9 ~~tJ~

LYN:ss

c: Steve Goldberg, Oasis Water Systems

ERNEST Y.W. LAU Deputy Director

/

PAGE 02

9. AS-BUILT PUMP SECTION (PlfJfJs$ attach $s-built if dift9rent from diagram providfJd bQlow)

Bench mark elevation surveyed to nearest 0.01 ft. =

. ',3 17SlJt, mean sea. level

~f-- ... Ob'"J..'2-- 03

elevation of top of chase tube 3 )9.5 ft mean sea level

....----' pump intake depth = a3:j= ft, (referenced to bench mark)

~11

......---+_~ Chase tube depth '" it1O'" ft. (referenced to bench mark)

if airline installed, bottom of airline elevation = ___ ft. mean sea level

BENJAMIN J. CAYETANO GOVERNOR OF HAWAII

To: Steve Goldberg

o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

FACSIMILE TRANSMITTAL

From: Lenore Nakama

Company: Oasis Water Systems Date: April 23, 2001

Fax Number: 828-0778 Pages Including Header: 1

Phone Number: 828-6876 Subject: Outstanding Items

Notes/Comments:

Steve, as discussed by telephone last week, the following items need to be submitted:

1324-02 - Signed Well Construction Permit

GILBERT S. COLOMA-AGARAN CHAIRPERSON

BRUCE S. ANDERSON ROBERT G. GIRALD BRIAN C. NISHIDA DAVID A. NOBRIGA

HERBERT M. RICHARDS, JR.

LlNNEL T. NISHIOKA DEPUTY DIRECTOR

1224-01 - If pump capacity> 50 gpm, step-drawdown test. If pump capacity >= 70 gpm, step drawdown & longterm tests.

0622-03 - As-built drawing of pump section.

P,O. BOX 621, HONOLULU, HAWAII 96809 PHONE: (808) 587-0218 FAX: (808) 587-0219 EMAIL: [email protected]

MEMO and RgUTE SLIP o 04/17/01

I WCR 2 Check for Well No. 0622-03 (survey to regulation memo)

1. Pump Tests Check, special condition of PIP? Yes/No) Glenn Bauer / (initial if yes) Yes No Ifno,describe~

Step-Drawdown Test: ~~; ~ followed WCPI Stds 0 0

analysis attached 0 0 proposed pump cap o.k. 0 0

1» .~~~

Aquifer Pump Test:

followed WCPI Stds 0 0 T & S analysis attached 0 0

WeI/Interference: estimated Steady-State drawdown at 1-mile radius is ft.

analysis attached 0 0

Stream Surface Water Impacted: o o .- If yes, identify most probable stream

2. Pump Installation Check Mitch Ohye 1;\',/ (initial)

data complete followed WCPI Stds well database updated

Yes No If no, describe deficiency

~.

/0

o o o \ I

, ,

3. Charley/Lenore/Ryan ____ (initial) take action based on above analysis

4. Roy (initial) check

5. Susan Subia (initial) finalize

6. Linnel (initial) signature

7. Charley/Lenore/Ryan File

~ 4/IIP /Ol Z;3'r wI- I~I Ui(> 3120196 WCR Form E.I ~ VJ--O z..

~~ .... ~~~ .. ~~ .... ~~ .. ~~ ... ~~~ .. ~~~~~~~~P~.

20. Pump Installation Company: tA.J 21. Name of person performing work: --"'4lJI-:......j.;..,...."..-,o#-l..:.!.!I.~~---22. Date Pump Installation Completed: _--'-";;;;;;~':'-..:..L.------23. PUMP INSTALLATION:

Capacity: '2. D Pump Type, Make, Serial No.: _~~.,....4..c..!:~~~...".....,,~,--~~ Motor type, H.P .• Voltage. rpm: ..L..X.,:;c.J(v~~I~~...:'Z-==:::-..,~,-= __ ~~....;;.....-----:=:--::=----

gpm

Oepth of Pump Intake Setting .@1tp 1.1c.ft. below (c)..J , which elevation is 3/7 ft Depth to bottom of airline '¢6f)1.'IW:Eft. low , ~ • which elevation Is r { ft Pumping Head is ,@ II t, ft. T¥l3 of flow meter: Of!Lr\. which measures In G4J4};<;(-

24. As-built drawings attached attached? _ Yes L... No .' . \ !

25. Other remarks/comments: (See below) ,

Pump Installation Contractor ~~~~~...&..+~L.....o'--__ C-57 Lic. No. -b~Io-~~,.I---",,.....,,..----

Signature

Applicant (print)

Signature

8. (cont'd) DRILLER'S LOG (cont'd):

Water Level Depth (ft.) Rock Description, Remarks,

Oates ~ft. o to --r~IU.;:..Ir---::-r-....,..,II--..,--,~-c:r- to '2. :23 ro ~l ---~~~~~~~~~~-~to

~!~~ --~~~~~~~~~~~' 1.1.fL to 1-f2Ja ~~:~~~~~~~~~~------. to~~~~~~~~-----------____ ro _______________________ __ ____ ro _____________________ _ ____ ro ___________________ ___ ___ to ____________________ __

._._to ___ _ ____ ro ____________________________ __ _____ to ___________________________ . ____ to _____________________________ ___ ____ to _____________________________ ___ ____ to ____________________________ ___

Date _--'--=-__ +_--'--/-___ _

Date 12-,£- 1, Water Level Depth (ft.) Rock Description, Remarks,

Oates (ft.) ____ to _______________________________ __ ____ ro _____________________________ __ ____ ro __________________________ ___

to S~o==== _________________________ ____

____ ro ___________________________ __ ____ to __________________________ __ _____ to ___________________________ __ ____ to ___________________________ ___ _____ ro ____________________________ __ __ ___ ro ____________________________ __ __ ___ ro __________________________ __ __ __ ro ____________________________ ___ __ __ ro _________________ ~ _________ __ __ ___ w ____ ________ ..... ______ ~ ____ __ __ __ to ___________________________ __ ____ to __________________________ __ __ ___ to __________________________ ___

__ ___ to __ ___to __

19.& 25. Remarks: ~\JJ~L.:.-..:\::.....::..-\ ---lI.l..:..-__ o~t~ __ ~~~

M,.;B<.n L:(, fU.e, C;'?_~~ I /'

/

\, fvt~.·~ \.J1t\~l -/ ~1S I f

l . ~l;\t\<;'~·1.u~i.;-; '''')...10

02/20/2001 17:28 8088280778 PAGE 01 lU!eOlJ~CH MGT 1 D , fJIDS5S"1

.. _ •••• ... __ ...... _ ..... _.. • ~a ...... ,

glnrogel. Well Ng, 0622.03 '\. ..

In 8CQOtWtlot WItft Department Of Land and NIdlIrar R~s. Commiulon on WafI)r Resoul'CII ManaQ.meM's // At.hninl •• n.t'" ~ Sec;ton 13-1 •• entitled -W., Use. W~Ir.. and Stream DiverSion WQ~". 1hls doc:ument J*IIli'IIhe / pump iOlClllatlotl for &JnrugaI ewell NO. O&22-oa) at lJ)t ~K.thl,Jne Road. Kauei, TMK 4-8.-004-001. subjec;t.., .... Hawal Well Con~ & Pump II ~ Standards (1J23197) which InI:Iude but 111m not Imw to th. folloWing condltioos:

,. 1't'I! alllilpallOR eo the ConYnI,..... on W .. r RnouIOl M8n1gtmHlllt (cOIMIIMIoft>. P.O. Boll Rt. Honct.lll,l, M/ 8ID09.:If1d be 11OIIIiecI. in Wftting. lit .... 1WO (2) wwb DtI'ore my WOItt ~ by Vli:i permit QOmntncu and ..., stnIIl be.bMd to I~ II1$lddan 1IdiYiIi_ i1 ao;otdtl'l(e wilt It3-1.'&" MI'MIiI Admi ..... u-.. Rvle$

2. The ~ InBtaIIatiun Pll"'lksl'lall be fa'" inlltallldiOft d • 20 Ilpm OIIpaCf\Y. or leM. ~ITIP In fit wtlD.

3. ThII ptrmitlrllt, .... opMIIrIr. lIfldIor well owner .hlllI prQ'Me Ind malnllllO an ~ m ..... or OltIer allP/'OPf* n-.nt fer ~ mid ~ ~ ..... lind WIRer~. AIld _ppr~" ~ 01 Means for menunng chloride6 "'" ~bn. n.e deW .... be "-lWreeI ~ lind ~ to b C..omrrissI<:ln M MOnthly blUi$. on fvImI J)ftMded by !he CtIalrlJenon (.aacnecs).

... T1w prOfIC*Id UN IhaD net acMtIMIy .cr.c:e .~ ()r fullIre 1.1 ~ of wa1er in '" ..... IncItIdIng ~ .tUIfIclt __ or ~ ~ low ~ Ttl" I*mit or en. alnhotltatlon to pump __ flam :1_ $hal nee OOMIrU. II daUlnnintIIioII d. ~ .... 1IIIIr r1Ihfa. TIle PIN"'"*'. well operRIr • .wor ~I ONrl8f are I'IOIiIItCI .,..., by !his JiRMsion ....... that tho ~ Gf __ ..... from Irle MIl could be nMlggeg by h COtnI'l'llNlCn In tha fulunr. !hie permit 16 not a wmmiIment that tile pump ~ pennIIBd hera or even lOme ....... ~t i$ guaroinl..d ill !hit tulIP.

S. The pttwnlnM, MIl OIImItor . ..ctIaf ... ~ .,.. ~ ~nl1 :;ubmit a-bllilt dr1l*ilVl and ·Paft II • (Pennllllnt) PI,IYIp Ir.ftlllatlon ~ rA \fleW .. 00mpre1iOl'l ~ (.u.cMd) ef) "'. Cl1l1irpwson within silCty ~eo) d8)1l'" ~I af-..crlt..

6. TM~ __ ep.nIIIx, and/or ...... QwMr .... , complywltl'\ allllpptialble 1 __ • nn.. and ~~, ... ~ muy be~_~cttthl; l*W\it.

7. ~ pvmp j; IW ... " f*lIIit .,pIiooati~r i$ ~ Into this pennit bY r.,.,.,.oe IN is tubiect b .. tt.waII W .. ~ & ~ IIIIIIIIIdon ~ ('1J?lWT). IT"" HWCPI$ ere not follow94 M<I .. a ~ WIIttf i. WI*'«i Of wnIIt.~,. ~ on'" ~1ftIIy""".

e. TIre pemlta may be rwcMd if woctI. is not.-.d ..... six (I) monlhtJ 1Ift. ... d" Of ~ orf( wert is ~ or IbIntSOned fw _ (8) rnonI\I, ""-oct.wIBe ipIIdIIIId. n. wane pmJlOMC! Irr ... pump insldlltign p8Imlt appIICetIIOrt WII be ~ wiVWn two (2) ~ frGm h ... rJ( peIft'IIt IPPn:MII. unlaw ~ 'P'dIed. n. permll may be eIdendec! bf tIw Ctwll'l:lt1'Wfl uPOn a $IIOWfrg of gaod CIIUfe WId ~ ~.. A""!Qa1 kl el(le11(l Ole permit e/leII be eubmlDad ~ tile CtliIIfl*SOI'I no later IrWIn 1hNI ~) ~ pmr to 1M ~ the pamit DlIpirU. If'" oommeocement datei:a not met, tie Conn_on may rw¥Oke the l*fI'ilafler tMnu 110 ............ ~. andlor wtllI ov.ner notice of the propoRCS ~ end an opportunity to be tre.rd.

t. If.,.. WIlli noc., be .-ell It mull be praperty~. If the _II ;. 10 ot aMndoned then the permlIae, .... ~~. andlOi .... 0M18r nw.t;qlpt;' for I "II ~PI! permit in lIClCOrd.noe willi §13. '6&-1 Z(f) prior to any W911 ~ or plugging work.

10.

" .

Date of ApproY8I: Expiration Date:

October 25, 2000 october ~$, 2002

TIMOTHY e; JOHNS. Chei~: Commission QIl Wefer ~urc::e Manag~

01/18/2001 09:37 8088280778 PAGE 01 ~EBOURce HGl" 10, ReeSB7P 'l"l 9 PACE 11' 1

~~tr'Tf _ ....... __ ..... __ .... . _ .. , _ ....... ,.

)!Jnros.el,WeIl Ng. 0622-03

In 8QC01dance wiIh Department of Lilnd and Naturtr R,SQurces. Commission on Wawr Resourcf! Uanagement's Adn'rit\I........,. ~. $ec;Uon 1S-188, entIUliId 'Water UP. W,lIa. aM STl'Mm Diversion War1!.s". "is doaument perml1s the pump inataa.1ign for 1ij;irW;8f (Well No. 0S22~) at UJI M ~huna Road, Kawai, lMK 4-8-0Q4..001, subjact tD the Hawaii Well Ccnatruction & Pump I~ S1an~aras (1123197) IMIlcI1lnclude bUt ara not lim~ 19 ~9followino mt\dltlons.::

,. 'rhta ChaIrpenon 10 tfte ~"'an on War Ftt8OUl'Ot Management (CcmmiNion). P,O. b Q1. HoooI!JIu, HI MW, etlIIU be notifi9d, tn ~ • .-t Ie8Ift two (2) ~ DtfoI'. IftY WtWtc ~ by this permlt conmenc:u and ..., .. be *-d 10 ~ il'\StdRon 1IdiYiri_ in aoootClenoe wiUI §13-168-15."-wait AdmlnishtiW RultS,

2. n. ptml) Inslallation panM $!Iiltl ~ !t,Ir in~~ ~ " ::/0 VJ1ITl capatly. or ., puftIP 1ft ". "YOU.

3. l'hIt r»rmi .... weII ",**IrJr, tIfJdIor well owner -'1 pr~ lind mainlein an ~ melar or othet ~ INt8ft$ fer ~II and ~ wtm--.w.It ..,d ~ kMIII, and IIppropriaM d.~ or muM fot ~ng dtlorldas ~~. n.,., d4111iJ eh&II bw matlUrec:t monthly am ~ Co mit (;~ on monlhlV ba1>15. Ull IbIT/III ~ ey the ChairpllfSOil (atracNd).

4. TIM prtlpOMd uw ah:IU nQt ~wnaIy .1fEt .~ Of ~.~ ~ IlW6 of wa~r in the iJleII. including any sUt1acB __ or Mfabllialuf ~ _ standard$. ,... p.tmII or the aUlhol'~1ion 10 purnp _t .. from iI ~11Ihd not aonstItJJte • dete<minaIion 01 ~nw __ rig"". The~. well ~. ancfIor _II 0WIlBf' are ~ and by thi$ ~ uncs..-fands that the quanlft;y of w.n.r tilken from It1e WtIII COIJI(t be ~ t>/ tte COr\'I",*fIOIt In .,. fcjba. This pennit is not a wrnmitnont Ihtt • pumD ~ pennnI8d here or ~ lome ..... r 3mO\Int ;$ guaranleed in Ihlt future.

!. TIle I»~. Mil OCIW'alOt. ~ INtII owner ... ccmpletc! .. nit 5Ubrrlt iJs-built drawinas aM'~ II • (PeIm."."t) PI,I'np I~ ~ QlhWeli 00mpIIMI0n ~ (1IIaC:MCI) 110 ",. CIuIIlplnOn within sixty '00) days after oomptetion of WCtI<.

6. Trw permlllM • ..,. OS--IDr. andlOl' well own.- IhaII comply wiIn 311 applIcable 13M. ru*" IIltd ~. III1d r'\(lrloCIQIY\~ce may be (If'OlmClS tor ~ ~ 1111$ ~.

7. ~ pump inet.lllltion permit eppIioation is ~ InIO !hit permit bv ~ee .no IJ SUI)J.el to IN I'IaWIllI Well Construction & Pump IflIIIaIIdon SlllncWds (1/21l19'T). If~ HWCPJs.re not fOI/)WO(I an<! 1M t oonuquenoe WlI1IIr "WN*I or GOntamillaUld •• lien ()ft .... ~ May .-Ult.

fl. TIle petft\it may be I"OVClked if wen i$ not.UIrlJId wfthin $/x (15) months ~r !he ~Ie Of approval or If WOI1t is ~ Or .btndoned fQr em (6) 1llGrltht, un .... ~~. TI'I. wortc pmpoMd 11'1 lilt pump InetldlatJon permft appIicatiol'l ~U be wmpIeted wilflin MO (2) ~ I'Rlm .. datIt of ~ tpproVIII. unIew ~~. The pelmit ma)' ~ .~ by h ChaltJ)trtort UPOn i ~ of gooIl.C*JM l1'l<I gooo-faIVt ~. A reque,t 10 eoctertCS 1M ~1'I'I'Iit ShIIII be subl!'.i1lBd to tne CttaiJpeJSOn no later ItIIIn thrlllt (,) morw prror 10 lhe drIUt "'-~ ~ If fie <»rnmenoernent d_ itt nor "'"to t\fo CVImln.iOfJ may ~ the petm~ .tiler elvin; tie pecmIftee. ",Id opendoI'. ancIICIt ..... ' ()v.oer notice d Itl. proposecl aoIion IIlld an OPpol1Unity to be heard,

t. If IfMI '"'" Ie not ~ be UMIC:1 II ""* be Pf~~. If ~ _II * to be' .~t)CIotJ«j then the pennIntM. well operateii'. ",d101' ~ QWI1OI' muat apply for • Wi. tbtIncronm.nt ptm1t In lICCOI1!ance willi § 13-1680-'Z(f) prier to any ~1"'"1'1Q or Plugglng~.

10,

1 '.

Date of Approve!: E~iration Da'.:

Permittee's Signatur&:

Printed Name: 1\ Installer's Signature:

Printed Name:

October 25, 2000 Odober 2$, 2002

/

BENJAMIN J. CAYETANO GOvERNOR OF HAWAII

Mr. Andree Lecocq Einrogel Farms LLC P.O. Box 752 Kilauea, HI 96754

Dear Mr. Lecocq:

-'1IilIIIriI"

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU. HAWAII 96809

JAN 1 0 2001

GILBERT S. COLOMA-AGARAN CHAIRPERSON

BRUCE S. ANDERSON ROBERT G. GIRALD BRIAN C. NISHIDA

DAVID A. NOBRIGA HERBERT M. RICHARDS. JR.

LlNNEL T. NISHIOKA DEPlJTY DIRECTOR

Ref:0622-03.let

We have received a copy of a Pump Installation Permit for Well No. 0622-03 that has not been signed by a licensed pump installation contractor (attached). Please obtain the contractor's signature on the permit and return a fully executed permit to us prior to the start of any work under the permit.

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

LN:ky Enclosure

Sincerely,

cWj·~ LlNNEL T. NISHIOKA Deputy Director

o ~ ILl c'cc.:: I G ~ D,,-/>-L <i 9J~f N(J:~ru;} ~6-UfK2<)

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O PUMP INSTALLATION PERMITO Einrogel. Well No. 0622-03 "

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 Einrogel (Well No. 0622-03) at Lot 54 Kahuna Road, Kauai, TMK 4-6-004-001, 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 §13-168-1S, Hawaii Administrative Rules.

2. The pump installation permit shall be for installation of a 20 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 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 is incorporated into this permit by reference and is 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 incorporate.~ hfl(ein. by reference. \ /'_ fJ !~~rfJj/ /1 -r\/ {

Date of Approval: Expiration Date:

October 25. 2000 October 25. 2002

( iA/,\, . l./~ \ \...... / t \ \. ,r' I -. \l'

TIMOTHY E. JOHNS, Chairperson : Commission on Water Resource Management

I have read the conditions and terms of this permit and understand them. I accept and agree to meet these conditions as a prerequisite and underlying condition of my ability to proceed and understand that I shall not commence work until I and the pump installer have signed, dated, and returned the permit to the Commission. I 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.

r\

Date: lLL ... .::.

Installer's Signature: C-S7, C-S7a, 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 Healthl Safe Drinking Water & Wastewater Branch Kauai Department of Water Supply Steve Goldberg, Oasis Water System

BENJAMIN J. CAYETANO GOVERNOR OF HAWAII

Mr. Andre Lecocq Einrogel Farms LLC P.O. Box 752 Kilauea, HI 96754

Dear Mr. Lecocq:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU. HAWAII 96809

NOV 1 6 2000

Pump Installation Permit Einrogel (Well No. 0622-03)

TIMOTHY E. JOHNS CHAIRPERSON

BRUCE S. ANDERSON ROBERT G. GIRALD BRIAN C. NISHIDA

DAVID A. NOBRIGA HERBERT M. RICHARDS. JR.

LlNNEL T. NISHIOKA DEPUTY DIRECTOR

0622-03.pip

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.

The permittee, well operator, and/or well owner are responsible for all conditions of the permit. 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 your water use report form is enclosed for your use.

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 - Parts I & II as complete.

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

Enclosure c: Steve Goldberg, Oasis Water System

~1.4-\ ~~T~JOHNS t Chairperson

.-... PUMP INSTALLATION PERMIT""" "-'" Einrogel. Well No. 0622-03 .....,

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 Einrogel (Well No. 0622-03) at Lot 54 Kahuna Road, Kauai, TMK 4-6-004-001, 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 20 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 monthly basis, on forms provided by the Chairperson (attached).

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: Oate: ____ _

Printed Name: Firm or Title: ________________ _

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

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 Steve Goldberg, Oasis Water System

and RcaUTE SLIP o

0622-03 (survey to regulation memo)

1. Pump Tests Check Glenn Bauer d (initial)

Step-Drawdown Test:

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

Aquifer Pump Test:

Yes No

o o o

o o o

followed WCPI Stds 0 0 T & S analysis attached 0 0

Well Interference: estimated Steady-State drawdown at 1-mile radius is ____ ft.

analysis attached o o

If no, describe deficiency

Stream Surface Water Impacted: o o ... If yes, identify most probable stream

2. Construction Check Mitch Ohye

data complete followed WCPI Stds well database updated

3. Char,eyeRyan uJ 4. Roy 11 (initial) check

\ \

(initial)

5. Susan Subia. ___ · ..... \.-- (initial) finalize \,\

6. Linnel ___ ·· ..... l_· _' (initial) signature

If no, describe deficiency

10/25/00

. \ ..

/

__ :....1.:::..:0/~2::..::5:.../.::.20::..:0:.::0:....-=-:12=-::...;;;1~6_~8-=-08""8280778 PAGE 06 /0,800697'" . 19

~AC5 ;,J/"

OEC-IDS-98 l£50U~r.F- MGT

State of HawaU' . COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural RctsOLIroes

. WeLL COMPLETION REPORT PM I. Wei Conaoudion . & P.tt II. pwmen.nt Pump Insraa.Uon _ _ •

3. 0fIU1ng company: ~~~~~~~1t1ITir.--~~M":w;:\;" 4. Name of. driller who

5..., ~pe of rig(c:onslrUdticln: ~1I.lI.I~~'-"";~~~Q:-Z:~~~ e .. Osle(s) vv.n Constndon pump te&t& (if any) T. GROUND ElI!VA nON (tefetencedto ITMtIIn saa level, msl): * "3?' 1t.

Well eenott M_ (de~tian): ~. c <- I+- t! AG~~ E~tIon(msl): fl 8. MILLER'S LOG: Ptea.,.ttach ge%fJir; fog (If ilvw;lable or If required by permit) ~ (ft.) Roc*~. Wat.fl.eYet, o.tes. •• . Oepth& (ft) Rod<~. W*' ~ o.ws. arC.

to_ OU-t.&::-- _~_Iio~ ------~__.~I ~_ _ I ~to_ , _____________ 1

(If ~~. COf1finu" on Ndf.)

P. ToW depth ofwell~ground; .{.... ~Gf 9 /_~. n. 10. ~ ~.. ~ inCli iiia.1f6m 0 ft. t(> 17..0 ft. DeICM' ground

~~ inch dla. from -1-10-__ ft to a-s 5 _...; It below ground ~--:-...;... __ inch d •• from ft. to _" ft below gl'Qilnd

11. CoooIog _: t.. -,n. tl). • , In. wall solid _n to 235 II. boIuw _lid _ ~ If[ 1.0. x _ 10. w-all pe~ted tJeCtlon to ;;t.,5... ft. below ground

Caiilg Mat8nallSlot .: -fJL c... ..$:. .~ .. ---. --12. Annulu.;: Grouted from Q ft. belOW ground to 170· ft. below ~fOund·

Gravet pacQd from . ft. below ground to - _ fl below qround

1". Initial chlOnde: aT .,.".J'S'm o.te i'lild time of sampling; ~ :: 13. IniUal Mtet lWei: ~~ ft~ ground. 04lte and time of mnsurvment: .....l2!.~ 16. InlMl .mperature: :: ~ ~ OF ~.:V! time oJ tneasu. remenl::' l?"2 _ 16, PUMPING TESTS: Refwen. ce ~RP) 1,Mlc;f: • __ ~ C,~'t\"[ whleh fMNation is ~,q • \ 1 fI;.

(1) ~TE"~ . (2) ~ AqWft( Test Date A.l$ = . Start water level . fl betow R.P. Statt weter level :ft beIaw RP. End water level ft. below R.P. End water level ft below R.P.

17. Pump Test ~ . &~ (12/17197 SDPTD & C~PTO FOffl/$) 1Uactled1 V.. No 1$. 4tlui1t ~ attach8d atbIIched? _ V.s _ No - -19, Other ntmarkllcomments: back ofthf$

C-57 U~. No. :: Date

(print) li~. No.

stgnature o.

(prlnt)

Date

/

10/25/2000 12:16 8088280778 PAGE 07

Pump ,.,.taU8tiOn Campar1Y: _--l~~~~-::;,.;;r.~.:----:----• Neme of .,..on perb'mlng work: _.a.u;rIJI,.!....#-ta--..~....;.=..;...:.;."-+---

0.., Pump Installatlon Cgmpllted: _--'".;;..:........:~u-....-----­PUMP INSTALLATION:

Pump -ryp., .... , SerIal No.: ~b L?fu(v§~'~ ~~~sl' \ Capeclty: 'Z l> gpm Motortypl. H.P .. "oItagl, rpm: "£ij(v~~ :Z:a~CL __ 0 : Depth of Pl.Imp Intake Setting 0.. 60ft. belOW r"~ which elevation la '3 I 7 . Depth to t>OttDm ~ airline '?6i) rEo low I \, , which ellvatlon I, r ( pumping He. la _ IOu . ft. Ty of flow meter: SJ/~ which menu" In G4&1iC

24. Aa-buI1t.drawingl8Ullched dached? _ Yea _ No 21i. other remlllblcommenta: (See beloW)

~1!:!..:~ii-w+H-""""'~"""-L.-- C-57 LIe. No. ---Ioo~"-L...Ii.o~~.......,~----1

SlgnaIUfe Daw _--,~;;;......:.#-_.....L4-_---1

lADIi)j~,nt (print)

Signature Date 12--'(- 9'

B.(c:oM'd) DRILLER'$ LOG (QOnt'd): WIlfar Level o.plh (ft.) Rock D •• ~on. Ram..u. Wal8r Level Depth (ft.)

Data (':] o tD~ ~: i :=~~;~~~~~~~~~~~~=::

iIi~~~~~~~~----

D.taa (ft.) ____ to ______________________ _

----~------------------------~to ______________ _

to :9~== -----~---__ 10 _____________ _

___ to ________________ ~----__ ~--__ to ________ ~ __ - __ ____ w _____ ~ _______ --________ __ __ to _________ ----~

_t.o ____ - _______ - _to_ ~ ___________ -

_fQ_- -------------__ to ____ ~~ ________ ~

__ 10 _____________ _ ~to __ ~ ________ -

_to ____ - _______ _ ____10 ________________ ~ ________ __ _ to ______________ _ __ 10 ____ ~ ______ .._ __ _

_ 10 _____ - __ ~ __ - __ _ _ __ 10 ____ - _________ _

_ fQ- ---------_. __ \0 _____________ _ ____ to ______________________ __ _ __ to _____________________ _

__ 10 _____ ....-______ -_ __ __ 10 ______________________ --__ to ______________ ..:- ____ to _____ ~ ______________ _

10/25/2000 12:16 8088280778 PAGE 08

As Built Drawing Well II 0622·03

Top of Casing

Ground Elevation 311.52 r::= r------,

Solid casing 235' .'''pvc

110'

Dia. Grouted Bore Hole 14"

Grou1ed Bore Hole --

v 295' 291'

Dla. Bora Hole 14"

Perforated Casing 10"

10/25/2000 12:16 8088280778 PAGE 09

n BLBV, :319.17

! , .-- CASING I

~ELEV :317.52

GR OUND

Ill' , 111"

III I Ill' I III ~ I

I

I 1111- : i--J I-·-~ WELL ELEV ATION WELL 1# 0622-0~~

OWNER:EINROGEL

T .M.K.( 4 )4-6-04:01

:J4r u CJ~ G; . PETER N. TAY OR

LICENSED PR.OPES ONAL LANP SUltVBYOR.

~~:~4_~ . .,. · 2.1.. '\.,

BBNCH MAR.K USBD: COUNTY OF KAUAI B.M.+ ON BRIDGB PARAPBT AT INTBRSBCTION OF K.AWAIHAU RD a: KAHUNA RD

L-______ --H=Ac..:..V=IN~O~AC!:."N:-=---=:~h By~ T ION OF 411,{ 7' M 4& L..

10/25/2000 12:16 8088280778 .........

III' , III' , III ~ I J 1 ~

n

PAGE 09 o

BLBV, :::319.17

.~- CASING

I~BLBV =317.52 GJt OUND

I 'III' , IIII I

I 1 I ~ I-'~ WELL ELEV ATION WELL 1# 0622-0~!J

OWNER:EINROGEL

T .M.K.( 4 )4-6-04:01

k u CJlG. PETER N. TAY OR

LICBNSBD PROPBS ON AL L~ SUR VBYOll

~) . 11. ·,'1.9' .

BENCH MAR.K USED: COUNTY OP KAUAl B.M.+ ON BIUDGB PARAPBT AT

INTBRSECTION OF KA WAIHAU RD a: KAHUNA RD L-..-________ -=-H-=.cA=-V---"-J-=-N-'--'-O--=..::.A.:::...:cN_E::::...L=-EV A.T ION OF 411 •• " M 4& L..

11/29/1999 10:53 8088280778 ID,eeEJ&e7"'~iS

PAGE 04 // PAl;J:; ~

tl" " l'~ '''I.~: '''II.'~ .....

:.J W£LLCON8TRUcnONPERMff Ek!(05Itll!mn' WtlL WIll No. Om:03

In ~~ dI:~tlili.11t d uitd _ NeUiII RuoUIw., CcmtnIuIon an w..... ~ ~. ~ RI.t*, Seeton 1~108, tnftI<S OW." U .. , W ..... MIS"" DIINNIIan WOIW' ..... doc:ument.,..,.., til 0CII'IInd0n and __ of ElnrogeI Famw W" "tV" Il1O. CM22-03~ nt lot 14 rcntr .. ,. __ • aca.t,TMtC 4 • 00400't. tut~..t 10 VIc tllNrltj 'NaIl P'!!*'*O • Pu.w Iglfilllidjon SlandIQI' C1123t1W wtlloh InclJt;ft but .. not 11m,," eo I'Ie tcIIIowklg CIOf1CIIaN:

~ c: ..

11/22/1999 11:43 8088280778 PAGE 01

Oasis Water Systems, Inc.

Nove~r22. 1999

state Of Hawaii Water Commission A TT: Chairperson

Dear Sir,

P.O BOX 535 ('0 NOV 22 An: 50 KILAUEA, HI 96754 \JJ

Phone: 808-828-6876 eel, ''is':\C\i n.\ w t\TFE R cc~'r:' c'/r U' \,' rr·,EtH l_ :-;1,' 1 \ '\...<'. .! {" ~' ... , I •

Fax # 808·587-0219

Please be advised that Oasis Water, Inc. License No. C·21457, will begir\_ on the Einrogel Well # 0622-03 in two weeks. '

eGoldberg Oasis Water inc. C-21457

BENJAMIN J CAYETANO GOYEfWC)R OIF HAW ..

REF:CWRM-SS

Mr. Andre Lecocq Einrogel Farms LLC P.O. Box 752 Kilauea, Hawaii 96754

Dear Mr. Lecocq:

o o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.o. BOX 621

HONOlULU. HAWAI 96809

SEP -8 :999

Well Construction Permit Einrogel Farms Well (Well No. 0622-03)

TIMOTHY E. JOHNS "'-

BRUCE S. AHDERSON ROBERT G. GIRAlO BRIAN C NISHIDA DAVID fA NOBRIGA

HERBERT" RICHARDS. JR

LlNNEl T. NISHIOKA

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. All wells (excepting salt-water wells, artesian wells, and temporary monitor wells designed for immediate or short-term monitoring purposes and subsequent abandonment/sealing) shall be constructed with a casing string having a minimum length of solid casing equal to 90 percent of the depth measured from the ground surface to the top of the selected aquifer.

3. To prevent surface contamination, the annular space of all cased non-arteslan wells (except monitor wells designed for Immediate and short-term monitoring purposes and subsequent abandonment) must be sealed with grout from the ground surface to a minimum depth of 500 feet or 70Of. of the vertical distance between the ground surface and the top of the aquifer selected for exploration, long-term monitoring, or development, whichever depth is less.

4. Standard Condition 21s modified to exempt the permittee,from the requirements for a pump test.

5. Standard Condition 7.e. Is waived.

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. 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:

Mr. Andre Lecocq Page 2

SEP - 8 '-;~~

c o

"Pennanent 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 pennit issuance. When required as a condition of the well construction pennit. subsequent pumping tests shall validate the acceptability of the pennanent pump. The pennanent 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. ",

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 retl!rn to us your validated well construction permit.

To validate your permit, please sign and have the contractor sign both permit originals and return one for our files.

IMPORTANT· Drilling work may not proceed without a validated permit returned to the Commission. Please provide all the information in this packet to your well drilling contractor. The permittee is 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 the Commission staff at 587-0218 or toll-free at 274-3141 , extension 70218.

Enclosures

Aloha,

dieJ·()~t TIMOTHY E. JOHNS Chairperson

o o WELL CONSTRUCTION PERMIT

Einrogel Farms Well. Well No. 0622'()3

/

In accordance with Department of Land and Natural Resources, Commission on Water Resource Managemenfs Administrative Rules, Section 13-168, entitled 'Water Use, Wells, and Stream Diversion WorKs·, this document permts the construction and testing of Elnrogel Fanns Well (Well No. 0622~3) at Lot 54 Kahuna Road, Kaual,TMK U~04-001, subject to the Hawaii wen Construction & Pump Installation Standards (1/23197) 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 (Convnission), P.O. Box 621, Honolulu, HI 96809, shaD be notified, in writing, at least two (2) weeks before any work authorized by this permit cornrnences 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 one-inch diameter monitor tube shaI be permanenUy installed, in a manner acceptable to the ~, to accurately record water levels. The pennittee shall ooordinate with the Chairperson and condud a pumping test in accordance with the Standards (a pumr testing wOl1tsheet Is attached). The permittee shaD submit to the Chairperson the test resuHs as a basis for supporting an application to instal a P@I1TlaIleOt pump and withdraw water for use. No permanent pump may be installed until a pump installation pennit is approved and issued by the Chairperson.

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

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

In the event that subsurface rultural remains such as artifads, burials or concentrations of shells or charcoal are encountered dtRlg construction the permittee shall stop work and contad the Department's Historic Preservation Division (692-8015) immediately. '

The propQSed well construction shall not adversely affed existing or future legal uses of water in the area, induding any surface water or established instream flow standards. This permit or the authorization to construd the weir shall not constitute a determination of coh'eIative water rights.

The following shall be submitted to the Chairperson within sixty (50) days after completion of work: a. Well completion report, (attached - Part I, Well Construction RePOrt). b. Elevation (referenced to mean sea level, msI) survey by a Hawaii-licensed surveyor. c. As-built s8cIionaI ~ at the well. d. Plot plan and map showing the exad location of the well. e. Complete pumping test rea>rds, including lime, pumping rate, drawdown, chloride content, and other data.

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

The well construction permit application 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 elate of aPl>fOV8l or if work is suspended or abandoned for six (6) months, unless otherwise specified. The 'Mri: proposed in the well construction permit I!Pplication shaD be completed within two (2) years from the date of permit ~I, unless otherwise specified. The permit may be extended by the Chairper!!Ol'l upon a showing of good cause and good-faith pertorrnance. A request to extend the permit shall be submitted to the Chairperson no later than three (3) months pnor to the date the permit expires. If the commencement elate is not met, the Commission may revoke the permit after giving the permitIee 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 must apply for a well abaldonment 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, daim, or demand for property damage, perSonal injury, or death arising out of any ad or omission of the applicant, assigns, officers, employees, contradors, and agents under tfiis permit or relaUrig to or conneded with the granting of this permit.

Special conditions in the attached cover transmittal letter are incoqxxated herein by reference. _ /'

\

Date of Approval: September 2, 1999 Expiration Date: September 2,2001

TIMOTHY E. JOHNS, Chairperson : Commission on Water Resource Manaement

I have read the conditions and tenns 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 do not hold a valid permit until I and the driller have signed, dated, and returned the pennlt to the Commission. I also understand that non~pliance with any permit condition may be grounds for revocation and fines of up to $1000 per day starting from the permit elate 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, tetum one to the Chairperson, and retain the other for your recorrls.

Attachment c: USGS

Department of HeaHhl Safe Drinking WafBl, Wastewater, and Clean Wa'II¥ Branches Kauai Department of Water Supply

Well No.

Well Name Applicant

0622-03

einrogel

Andre Lecocq

...... ,\ ,..,.

SECTION 1: WELL LOCATION INFORMATION

Island

Aquifer System

Aquifer Sector

KAUAI

LIHUE

ANAHOLA

data

Date of Review Reviewer

Proposed Use

Proposed Withdrawal

System Sustainable Yield

8/16/99

RRI

Domestic

10000

36

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.

5740 ft.

Solid Casing

Material

Designation

Length

Diameter

Wall Thickness

Casing

Material

Designation

Length

Diameter

Wall Thickness

Openings

Open Hole

Length

Diameter

ft. in.

.in.ll.f.

SECTION 3: CHECKLIST (values to check are shaded)

Well Depth

Theoretical Thickness of Aquifer

114 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

PVC

5740 ft. 1435 ft. -200 ft.

non-county 0.280 in.

0.375 in.

234 ft. 120 ft.

Sch40

182 ft. 120 ft.

4.25 in.

okay (refer to HWCP/S Section 2.2)

okay (refer to HWCP/S Section 2.4 c)

too shallow (refer to HWCP/S Section 2.4 d)

okay (refer to HWCPIS Section 2.4 e)

If the cell above reads #N1A, reference HWCP/S)

not enough

okay

Page 1

(refer to HWCP/S Section 2.6 c)

(refer to HWCP/S Section 2.6 d)

L 661

fN~~ 3:>~nOS3~ ~3.L\fM .:10 NOISIAIO

l\f~nltiN ONti ONtil .::10 lN3W1Htid30 III1M\1H .:lO 3.ll1.lS

c o

BENJAMIN J. CAYETANO GOVERNOR OF HAWAII

TO:

FROM:

SUBJECT:

c

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

AUG I 9 1999

Dean Y. Uchida, Administrator Land Division ~

Linnel T. Nishioka, Deputy Director - Qj \ Commission on Water Resource Management

Well Construction/Pump Installation Permit Application Einrogel Well (Well No. 0622-03)

TIMOTHY E. JOHNS CHAIRPERSON

BRUCE S. ANDERSON ROBERT G. GIRALD BRIAN C. NISHIDA

DAVID A. NOBRIGA HERBERT M. RICHARDS, JR.

LlNNEL T. NISHIOKA DEPUTY DIRECTOR

"", Transmitted for your review and comment is a copy of the captioned well applicatiBl

which includes a request for a pump installation permit. --0

.3:: We would appreciate your comments on the captioned with regard to the progra~ ~"

plans, and objectives specific to your division. Specifically, Item 9 on the application ha~en· added per your request concerning water lease/permits administered by your division. Please respond by returning this cover memo form by September 6.1999.

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.

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

[ ]

[ ]

[ ]

[ ] Other comments:

Contact Person: Gary Martin Phone: 70421

-:::ry -,-.~ • .,... ,..e{_

~3~ 7J'g --.

Signed: __ .::....~ __ ..,..._~ __ ----'=--______ .Date: AUG 30 1999

" CJI

c o BENJAMIN J. CAYETANO

GOVERNOR OF HAWAII

AUG 24 .JOL'yu.-c

TlIjI9IW EdOHNS ~ A~PET~ 1999 ,

TO:

FROM:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

AUG I 9 1999

Honorable Bruce S. Anderson, Director Department of Health Attention: Dennis Tulang, Wastewater Branch

William Wong, Safe Drinking Water Branch

BRUCE S. ANDERSON ROBERT G. GIRALD BRIAN C. NISHIDA

DAVID A. NOBRIGA HERBERT M. RICHARDS, JR.

LlNNEL T. NISHIOKA DEPUTY DIRECTOR

Timothy E. Johns, Chairperson/. ).-).-R1 /!~r-) ".0'(0 jvJ Commission on Water Resource Management 0\ ~ ;1-. \)

SUBJECT: Well Construction Permit Application Einrogel Well (Well No. 0622-03)

Transmitted for your review and comment is a copy of the captioned well 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 September 6,1999.

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

~

This well qualifies as a source which will serve as a source of potable water to a public water system (servinQ 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 (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 wafer is used for drinking, the private owner should test for bacteriological and chemical presence before initiating such use and routinely' monitor the water quahty 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 elimin.oss-connCtlllls and backflow connections by physically separating potable and non-potable systems by an air Qap or an appro ~flow pr~er, and by clearly labeling all non-potable spigots with warning signs to prevent inadvertent consumption of non-potabl . Backfl~eventiaa.. devices should be routinely inspected and tested. 0 .:- c: . .IV

It does not appear that this well will be used for consumptive purposes and is not subject to Safe Drinking W;iie~gUlationP ~11.~ 0:ft ....,. I

For the applicant's information, a source of possible wastewater contamination [ lis [ 1 is not located near thrPr~sed well"Mie . ,;.~ (information attached). ::?: '');- ;,

:,c· Z -0 '->... ~ '" -- ...... ','''.1, c;) £ _w 'C:J' ~:>" .-.. 'C,-i\

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

No comments/objections m·· .....

Contact Person: W)n N. 1<41 i vvaW Signed: ~77· ~~,~~ o

Phone: c:£h 42ei4X, Date: B-2 7- ~Cl

BENJAMIN J. CAYETANO OOVEJN:lR C# HAw ....

TIMOTHY E. JOHNS

R"'Cr:I\'rr ~

TO:

FROM:

.... t dVC;} uRI~!KI~;{~ ,-, .• ,... BRUCES.ANDERSON

• j V, II ~U ~~ i'\ i f.. r:;: B :h'~ ~ 'CH ROBERT G. GIRAlD ." , H " ~ BRIAN C. NISHIDA

AUI~ , DAVIDA. NOBRIGA I U .:' HERBERT M. RICHARDS, JR.

LlNNEL T. NISHIOKA

STATE OF HAWAII DEPUTY DIReCTOR

DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

AUG I 9 1999

Honorable Bruce S. Anderson, Director Department of Health Attention: Dennis Tulang, Wastewater Branch

William Wong, Safe Drinking Water Branch

Timothy E. Johns, Chairperson. "-1i, '~1)()" .O'·'·!V <hJ Commission on Water Resource Management v" ~ /~ v

SUBJECT: Well Construction Permit Application Einrogel Well (Well No. 0622-03)

Transmitted for your review and comment is a copy of the captioned well 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 September 6.1999.

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:

[ )

~)

[ )

[ )

[ )

~ [ J

This well qualifies as a source which will serve as a source of potable water to a public water system (servinQ 25 or more people at least 60 days per year or has 15 or more service connectionSI and must receive Director of Health approval ~or to Its use to comply with Hawaii Administrative Rules (HAR), Title 11. Chapter 20, Ru es Relating to Potable Water Systems, §11-2O- .

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 wafer 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-<Xlnnections and backflow connections by physically separating potable and non-potable systems by an air \lap or an approved backflow preventer, and by dearly labeling all non-potable spigots with waming 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. (d

For the applicant's information, a source of possible wastewater contamination [ lis [I is not located n~goposed "'site (information attached). (..I') .:;'- ~

<.2=:;;. ~ ~ ~:.~ c:l ,..Ao...J ';1")} C)~"~

r:'~;~~ Other relevant DOH rules/regulations. information, or recommendations are attached.

No comments/objections .• .,.-i

II·

Contact Person: William Hong

Signed: tk f1t~ {i)tM~

/ ,.. o 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 activities is regulated by Hawaii Administrative Rules, Chapter 11-55, 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 Hoana 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 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 4ischarge 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 storm drain.

JS/cr

BENJAMIN J. CAYETANO GCIYERNOR OF HAWAI

Mr. Steve Goldberg Oasis Water Systems P.O. Box 535 Kilauea, HI 96754

Dear Mr. Goldberg:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAl. RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU. HAWAII 96809

AUG I 9 1999

llMOTHY E JOHNS ~

BRUCE S. AI«lERSON ROBERT G. GlRALD BRIAN C. NISHIDA

DAVID A. NOeRIGA HERBERT M. RICHARDS. JR.

UNNEL T. NISHIOKA

Well Construction I Pump Installation Permit Application for Well No. 0622-03

We acknowledge receipt, on August 13,1999, of your completed well construction I pump installation permit application for the Einrogel Well (Well No. 0622-03). 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, extension 70218.

LN:ss

Sincerely,

LlNNEL T. NISHIOKA Deputy Director

o BENJAWI J. CAYETANO TIMOTHY E. JOHNS

"""""'""" ~OIFHAWAI

TO:

FROM:

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAl RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOLULU, HAWAII 96809

AUG 1 9 1999

Honorable Bruce S. Anderson, Director Department of Health Attention: Dennis Tulang, Wastewater Branch

William Wong, Safe Drinking Water Branch

BRUCE S. ANOERSON ROBERT G. GIRALD BRIAN C. NISHIDA

DAVID A. NOBRIGA HERBERT M. RICHARDS, JR

LINNEL T. NISHIOKA DEPVTY DIRECTOR

Timothy E. Johns, Chairperson . >+(~.7\.'j ",()~lD .1J Commission on Water Resource Management J\ ~ ~ e-

SUBJECT: Well Construction Permit Application Einrogel Well (Well No. 0622-03)

Transmitted for your review and comment is a copy of the captioned well application.

We would appreciate your comments on the captioned application for any conflicts or incoosistencies with the programs, plans, and objectives specific to your department. Please respond by returning this cover memo form by September 6, 1999.

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:

[ )

[ )

[ )

[ )

[ )

[ )

[ )

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

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 wafer 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 defimtion then Director of Hearth approval is required Jl!!2.[ 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 dearly labeling all non-potable spigots with waming 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 infonnation. a source of possible wastewater contamination [ lis [ I is not located near the proposed well site (information attached).

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

No commentsfobjections

ConmctP~son: ___________________________________ Phone: ______________________ _

Signed: _________________________ Date: ____________ _

BENJAMIN J. CAYETANO GOVERNOR OF HAW All

TO:

FROM:

SUBJECT:

o

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P.O. BOX 621

HONOlULU, HAWAII 96809

AUG I 9 1999

Dean Y. Uchida, Administrator Land Division ~

Linnel T. Nishioka, Deputy Director I Qj, Commission on Water Resource Managemen

Well Construction/Pump Installation Permit Application Einrogel Well (Well No. 0622-03)

TIMOTHY E. JOHNS CHAJRPERSON

BRUCE S. ANDERSON R06ERT G. GIRALD BRIAN C. NISHIDA DAVID A. NOBRIGA

HERBERT M. RICHARDS, JR.

LINNEL T. NISHIOKA

Transmitted for your review and comment is a copy of the captioned well application which includes a request for a pump installation permit.

We would appreciate your comments on the captioned with regard to the programs, plans, and objectives specific to your division. Specifically, Item 9 on the application has been added per your request concerning water lease/permits administered by your division. Please respond by returning this cover memo form by September 6. 1999.

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.

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

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

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

[ ] No objections

[ ] Other comments:

Contact Person: _________________ Phone: __________ _

Signed: ___________________ Date: __________ _

08/13/1999 11:32 8088280778

August 12, 1999

State Of Hawaii Water Commission Lenore Nakama

Dear Lenore,

Oasis Water Systems. Inc. P.OBOX535

KILAUEA. HI 96754 Phone: 808-828--6876

Fax # 808-587-0219

Thanks for the help this moming with the calculation on the Bottom elevation. I have enclosed the 4 incomplete parts of the Einrogel Well application. Please review them for legibility. Thanks again.

~. Goldberg

OasiS Water inc. C-21457

PAGE 01

'I : II I "1 " I I I· •• I

~_=0E1/13/ 1999 11 : 32 8088280778

'--"

STATEOF' HAWAII I)EPARmtN1" OF I.AND~*'tUfW. RAOURCII

COMMISSION ON WA.TER RESOURCE MANAGI!MI!NT .,C..oKDI

HIJNOWI.tI.~ ...

MAY 18 1900

W!l.CoI!JVV*n PermIt AwIIc!s!on b' liP,.. yvea

~T.~ --

We have ra_ your well constM;tioQ pennIt application and _ fee for hi EinNSlel well. ~. your appIfcdon Ia incomplete. MIttefa which muat be eddressecl bub'.,.. ~ your appIicnon .. CDftIP/et8 arv •• follows:

1. P .... idenIif; If this Is an appiiceli'()II for a wei. pump. Qr boIh_

2_ Plea. idtf\tlfy the ~ well kxaIon Qn • 1.~Uinute Sene& USGS topographic: map.

3. ,P,-" ~the ~ow me.sU1Mlent (fine Item 1.1).):

D FIQwmetar f{ Opon-pipe [] WIir D OCher (explain)

4. ~ c:ornpIeIe the proposed well ...., (OM 9 on Malt of appIIaItJon).

lJpaft ~ of Ute abcMJ informarion ,..lriII ~ '/fU ~ as complete and you c;;arl tIWI ~ your ~ to be procaaec;j withil nineIy (90) ~ , '

PIMse inronn us if yw would Il1O like 10 epoIy for. IM'1P IftstaIlatian pennil on lI1e same IilPp!k;dQln. Thlt \VII exf*Me the pracaAing Qf pemms MtCIeCS 10 <:ompIete ... well ~ent prajed by precluding the nnd to "'­~~tbr.~fQi"""'pump-

We ~ "'-t your cIriItt'$ ~ IIcenM <C21~ IS no Jolla« valid. Although,.,. wiJI proeMS the appicatlor'l wIUlOut 1he Idendfication fA. ~ well CIriIir\fI ~Of .... ~ 1IdvI.~ that C(II'\$ttUetion wotk may not ~ 1IIltiI. C-&71io1nMc1 driIIet "0'" u:- D8ffM 10 .,.. _ perrn/l.

AIIo, well conatructiOn and wmP ~ ViIOIk for IIlI other propcaed satJl'ClIIII sPlauld be c8IiIS8d unUiIi ptOP8fty DeeMed ~ ia retaIMd by OMit Wa'I8r ~

r,you hive eny~ ..... C'MtIJet lenore Nakama fA the C~ ttaft 81 1S87-(121' or~ at 274-314\. 4tlUnIIon'1az18_

SincIfWy,

08/13/~~99 11:32 8088280778

".,.-0.

ID.ef0BS87"'''''S PAGE 03

PAGJ; le/11/J

STATE OF HAWAII

NT OF LA"ND AND NATURAl.. I

DIVISION OF WATER RESOURcE MAN~

1997

08/13/1999 11:32 8088280778 ID,ElIlBIiI!l'l'lIaUi

statl't1f HaW.ii '-<

COMMI8SION ON WATER RESOURCE MANAGMENT

re'1\! DfLllnd andeaau ~r~ ICATlON FOR FE ~ ur Pump~

WILL .. pu", IWOAMAllON.: U--.. 1n1H ..... 111'" _ 08l1li ""1111&.-')

2. ~"EU,LOCAnGNII'IAME: E.1N~'-\ fM£\$. IlIIn: \<,A()~ i ~\.+s.Lt ~~~\Yf"\f\' ~ T_,-~'t)'i-=,-Q()'iCO' AtllcllII"I ...... .IMI.\I).t, .... imIIII t.lWUeOfI~"'.('" f'aa4'OW',.*"'I'I._I\Y~~D. tIIoWlfIg .... ~ ___ "".-....a-....~,

3. PROI'OSEDWORK: rioa....,MI 0 ~ c;! : ....... .... «(:!MM .... ., I:I MOIIIV ElaIlInIJ- 0 ~ u .... ...,.,.

[J AlllfIdcn'8IIf· 0 ~ PIIMp

<t. OONSTRUcnOIll:

"WeINel.; .. _IIt ...... II4'f'oIbtntwell~.,.pa::ufIOI'~~'W'J ..

o CIIe 0 IIcIAd (J DMft ,~ 0 ~' .. ".. ..... "~ ... ~cf ... ? 0 YM 0Nt> ~_)

IS. ""~ PUW' INFORMATION: ...., Putr1l CIIpIcily: _"'-a..;;po..DlooL_-__ -:.galfona per mlnuIB ...-. IJ '*'" D~

1J~1IIf

Ll WFU" ~~~-------&. f;EOJ~= 0 ~f~lIfifIt--. ........ ) 0 It\cMIIIaI

ar""~~ndI\_illlMl.~_rl\'lCMl) tIv. of~IIt:b: __ ~ __ _ o ~(_I N •. at ____ ~~,

o MlIIIIJ 0 QCHr .. n~ ___ - __ -

T. (~PftOf'()Sl!!DAMOUNtOl'wrrI1DRAWAl: \£400{) !l"'perday

(b) lum100 OF' FLOW MEA6lJR!UP!NT: n~ .,...~ 0 ~ IJ 0:;fI0t

I~~~---- =~.....;,---:-;~:~- :.:Jtr=b~~-~t~\.A WCI'II'OMl (.tI1mI

PAGE 04

08/13/1999 11:32 8088280778 PAGE 05 PAGE IVI/lfil

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PIMw rwflIr 10 !lac R4WAnWILLCO~~~1l PSlMP JUfAJd+DPN !i[ANDARf§ r.o ~ tbid )'OW COIIIndiOill p. m in

QnIIJ)IlaDco wId1l11 ~ ~platio ....

• TIle ~ __ "-mus&~ ~101I'fiI'I_ ~(mslJ 1l,...lirntor~l!on 1UII1II. f'In.J "~IIf~~~ b. ..... Ibd .... WeI complllUonIW •• ~ repoltl illdn:fc_Io. -.na.t< _lilt bMft .mb~ "1-*~ del .. byllleC1*.

bl'p.rmUbJ. CUing "'~ria': Sto.l:....,..III.~M8or_): CJ\IIISVAWWAcaoo [J APlSs-.GI. 0 AlJTMA5;J CJ 10$1'111.1»

AncIoo"".a.ulilll("'*"'_Qrmort)! [JA8lM~ a T,.,eE 0 T)'peS [J ~,..., IJ QIIIer ______ _

,_ ... StIt!;~Qftt): OASTMAoCOIiI OA$TM.Q1a .

AlII Pluljc _"",*" IOASTM F4IID MCfAlS'Oot01I1U: (~_) 0 Sc:MdIIl.M> Cl ~Ule80 P'Ir;; PInk 00III0nninv 10 ASTM F480 _ (A$1loI D1T&5 or ~ UZ241)! (CMdI_): tV" ~ 40 0 SdledUle80

T1MmI_PIUGC: (_on.) 0 '_w-.J~""" ~1DASllII ",",

o c~ .. ~ eMIl ~ Pipo~ to/<STU Dl!8!I7

o ~II Plair: IIaItIr_ ... PiH canfO/lnirlg IoASN 02!17 o GIat& ,.,.. 1Ici~ _1~ I'r.,...,. PIIIIr conlorinin!a 10 AWNA c:»$O

a PTFE Flu_ TIIIIiIISI -'uominu 10 A$TU D)Z9IJ

o FE? Auo~ Tulolng ~ IItASTM 03291

P,rm,aD'e Clljln1!;!4S'rl.I; St"':oorn:>l'."lwillI( _01'-': DANSIINNNAOJ)IJ' 0 AI'I$pec.!l.O A8T14AS3 OAS1M"'l~

_c:amPllantW\ll\(~_""III_); CI ASlM.uQ 0 TycIaE ZT $ D (1(_8 0 ou.r ~ .. tM. s,",: ,~onel: 0 AIffiIlM09 CJ AVN ASI2

"" 1'II,1ie grnfgmUlIf tOA:;THI F4IID ancs MTM 1/1527; (dIWt -l ScMful .. O C SdlMul1l80

I'VC PI .. ~ ~ 10 A5TM 1'4110 and U'ST'M 01786 or ASTM =41t. ,~-l: Cl ScMdull ao C Sdlecru.1IO

TlMnnCMl'~ (c/led( _> 0 FiJM.ntWaund RaIn,. ~g Io~ DZM

[J C."""~t, c ... Rwi~ PIPt ~ loASTM DZtI7

D RIIIr1Ior~ I'IIdIir; UooW Pr_"", PIpe .lIfoM1ing \D ASlM 031117 Cl (j(aN Pib. ~ Rem "-1ft "'" ~ __ 1<0'-'0

o t>TR: f/WI __ TullkW ~ IOMlU DJZiII>

[] I'I!P PlUDI'OCIRIOI1l11J1/11g CORIomIIng 10 A$1"M ~

I', .', I "at

BENJAMIN J. CAYETANO GOVERNOR Of HAWAli

STATE OF

o

DEPARTMENTOF~DAND IrF:ax~#~~~~~~[J~ __ ~~ __________________ ~ COMMISSION ON WATER RE L

Mr. Steve Goldberg Oasis Water Systems P.O. Box 535 Kilauea, HI 96754

Dear Mr. Goldberg:

po. BOX HONOLULU. HAV

MAY I 8 1999

Well Construction Permit Application for Einrogel Well

We have received your well construction permit application and filing fee for the Einrogel Well. However, your application is incomplete. Matters which must be addressed before we accept your application as complete are as follows:

1. Please identify if this is an application for a well, pump, or both.

2. Please identify the proposed well location on a 7.5-Minute Series USGS topographic map.

3. Please indicate the method of flow measurement (line item 7.b.):

o Flowmeter o Open-pipe o Weir o Other (explain)

4. Please complete the proposed well section (item 9 on back of application).

Upon receipt of the above information we will accept your application as complete and you can then expect your application to be processed within ninety (90) days.

Please inform us if you would also like to apply for a pump installation permit on the same application. This will expedite the processing of permits needed to complete the well development project by precluding the need to file another application for a permit to install the pump.

We understand that your driller's C-57 license (C21458) is no longer valid. Although we will process the application without the identification of a licensed well drilling contractor, please be advised that construction work may not proceed until a C-57 licensed driller signs the permit to validate the permit.

Also, well construction and pump installation work for all other proposed sources should be ceased until a properly licensed contractor is retained by Oasis Water Systems.

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

LN:ss

c: Andree Lecocq, Einrogel Farms LLC

Sincerely,

aI/it I fuf,~ EDWIN T. ~~ODA Acting Deputy Director

~~~N:). ~C OR An ACI£O. KS:£ET DATE: I ioqo I W' SRC/ COST

PH ACT JlKXNT NAMEIOESCRIPTION·CWANG Ir-I'VT) F YR APP 0 OBJ eTR PROJEe

OEPAATl"CNT OF lAND PH) ~TLItAl. RESOI..RCES MAY J 4 '

G 00 00 C 026 ~752 25.00 Stan Ort 0) - -- --- - ---- ---- ----- -- --- --------------------G 00 000 C 1026 0752 (2) 25.00 RNWRE, Inc.

GOO --- - ---- ---- ------ -- --- --------------------000 C 1026 0752 (3) 25.00 Oasis Water - -- --- - --- ---- ------ -- --- --------------------- -- --- - ---- ---- ------ -- -- (4) --------------------

TOTAl 75.00

REM4.RKS: LItE (1) Well No. 0047-02 (WUPA)

LINE (2) Well No. 5846-01 (PIPA)

LINE 0) Ein'rogel Well

o MEMORANDUM FOR THE RECORD

FROM: Lenore Nakama

SUBJECT: WCA for Einrogel Wen

Caned DCCA (ext 73222) on 5/11/99 to obtain C-57 license # for Barry Simmons. DCCA informed us that the C-57 license C21458 has been invalid since 9/98 because the principal, Oasis Water Systems, had not paid the worker's compensation. Without insurance coverage, the license is invalid.

State of Ha~ii 0 COMMISSION ON WATER RESOURCE MANAGMENT Department of Land and Natural Resources APPLICATION FOR PERMIT

For Official Use Only:

D Well Construction or D Pump Installation

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 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. (Also, please check our website at - http://www.hawaii.gov/dlnr/dwrm/dwrm.html)

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

1. (a)O WELL OWNER: t, N i()C) <-\ t=JH~ .. ns \\c.~ Contact Person: 1\ <t\d.~~ \-<<:..oc:..(l Phone: <is J.'~b 136 Mailing Address: PO \)t>;)'- 15 ~ K' 'Ao eA-- \A', Sl, ,9i Fax: E-mail: ____________ _

(b) 0 LAND OWNER: E 'j tv f"OC?)C \ f~s LLC. Contact Person: .--, _=-__ -,,-___ Phone: _____ _

Mailing Address: Po Bo:& f) 5d-. KI.. \AueA ,*, 9GJ5ij

c) it( O~TRACTOR: ~ ........ ~c.r...;L--"'-"::.....L:L-;L.Lo<.~--r--:-.....- -:::::::--:-c=--::-:-;---- Phone: Kd.SL-6 fr76 @! E-mail:

Mailing Address: -L~~,.LIo.q:.=---"-oLo.L::wL.-_-L-=....L.:~~-'-_t,..;:f..-'--_"""~'-"=~ ______ _

Fax: S4b8:~ 07'7 (circle one~-57a, or A)

Lic#: @ WELL & PUMP INFORMATION: (Please fill in the diagram on the back of this form.)

Island: 'K 14 u A- ~ 2. WELL LOCATION/NAME: El N"CXj(..\ t:&(Lt"\$

Address k,-t- S '-f K ~ h U \'"\ 1=\ ¥cR Tax Map Key(4) Y~'-oOj'OOI Attach the relevant portion of (a) a 7.5-Minute Series USGS topographic map (scale 1"=24,000'), and (b) a property tax map, showing well location referenced to established property boun ries.

3. PROPOSED WORK: (Check al/ that apply) o Modify Existing Well

o Abandon/Seal·

o Deepen o Install New Pump

o Redrill o Modify Pump

o Replace Pump

• Well No.: _____ _ nment report upon completion of work

4. CONSTRUCTION: o Dug o Bored o Driven o Radial

Is this well a part of a battery of wells? 0 Yes 0 No (Please describe.)

5. PROPOSED PUMP INFORMATION: Rated Pump Capacity: __ ~.Jo.,L..~O"-_____ -.:::Jgalions per minute

Pump Type (Check one):

o ~p Well Turbine

I\Y'Submersible

o Rotary

o Rotary-Displacement

o Propeller

o Reciprocating

Powered by:

o Diesel

00/ o Centrifugal o Rotary-Gear o Impulse IQ'Electric, rated horsepower: _____ _

6. PROPOSED USE: (Check al/ that apply)

o ~ipal (including hotels, stores, etc.)

~omestic (individual, noncommercial water system)

o Industrial

No. of Dwelling Units: ________ _

o Irrigation (crop) ___________ _ No. of Acres: ___________ _

o Military o Other (explain): _________ _

7. (a) PROPOSED AMOUNT OF WITHDRAWAL: 10, DOC) gallons per day

(b) METHOD OF FLOW MEASUREMENT: o Flowmeter 0 Open-pipe 0 Weir o Orifice o Other(explain)

OTHER IMPORTANT INFORMATION:

8. PENDING ACTIONS: OCDUA o SMA OEIS OEA o Other (explain)

9. If a pump installation permit request is part of this application, please answer the following' D NER CERTIFIES THAT THE SUBJECT PROPERTY, OR A PORTION THEREOF, WAS 0 WAS NOT A STATE OF HAWAII LAND PATENT GRANT ISSUED AFTER 1960. (Please check with your title company or the Land Division, Department of Land and Natural Resources at 587-0414 for help.)

10. REMARKS, EXPLANATIONS: (if more space is needed, please attach additional sheet)

-I 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 30 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 de rmination of correlative water rights and shall not guarantee the pump capacity or future use up to the permitted pump capacity.

Well Owner /l1\~r~e. Le.GO<-'j}"ndownerAnJr~ LeL[J~. Signature /}rvJvLQ.J- :tu ~ Signature ~~ Date l-{ - ~d. ~ C(q ~ f:s Date Li -dCA- CZ7

Field Checked By _______ _ Longitude _______ _ Aquifer System Name ________ _

Date Latitude _______ _ State Well No.

WCPIFORM (4/1/99)

/

r'

o 0 9. PROPOSED WELL SECTION

r Hole Diameter: in.

Elevation at top of casing --- ft., msl* -\ .. _t --- ... '---' __ Minimum of 2' Radius & 4" Thick Concrete Pad (Survey to nearest 0.01 ft.) --~- ----- --~i ...

i Cement Grout: ft. ~ (min. 70% of distance fro I ground elevation to top of water surface or 500 ft., whichever is less.)

,

·o:~~ ',<J.".::;, •• • f). ••

/ Ground Elevation: ___ ft., msl*

:;: :.-----. --1

.. .:.. .. ,',Cl'o •

::-', C'"

. ;-'

.... -;,'

:; .: . .:. :~:. . ., ,­I •• • •• . .:;, . , .. ',1.

" . :~.:.: :',', >'

'0';-',

~.:.: ,', .,': !> • ~

'0 'c.',' '" ; '\:1, "j

:',6: "I o ••

•• I :. ?I

~. ':' .: t>'

% w ~ ; 41 ,

...J

~, (U ~!--__

~!

Please refer to the HAWAII WELL CONSTRUCTION AND PUMP INSTALLATION STANDARDS to assure that your construction plans are in

compliance with all existing regulations.

Solid Casing: (~ 90% x (Ground Elev.-Water Level Elev)) Material: _____________ _ Material Standard: __________ _

Total Depth ':~.: . ~} .-

t>': :.:<.

:>. 41' w: Length: _____________ ft.

____ ft. 'p "

Minimum annular space :/.~':.~ between hole and casing ~ 3" -~ ':.'"'.

.. ' :~' ....

--1-

0;;..0 0

" " • c.." ;. :6-:,',!,',

'~.:.: ;

'.: ,,' =ccJ

~~ ~v01

7KO Rock or Gravel Packing: ____ ft. (': . -\U'0

<::'?> 5 10 Material: o Crushed Basalt ~5 J~,

o Rounded Gravel

Diameter: _____________ in. Wall Thickness: ___________ in .

Bottom Elevation: ft., msl*

1\1

.::;"" v If'S-I- Material: o Screen Ze] ~6 /./ Open Casing: 0 Perforated

£:~I Ic£ G. Material S:-t-a-nd-=-a-rd-:-=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--= Water Level Elevation: ____ ft. msl*-. -R-0~1---I"Jo3 --' Length: ______________ ft.

I:>"';;, ,'JC7,DI Diameter _____________ in. ~~ Fa . ~~~9J ~ Wall Thickness: in. isL.;~, fc:rJi Openings: sq. in.lL.F .

. ~ Pel '~)DOI --1- Bottom Elevation:_ ft., msl*

I cr-----.- Open Hole:

Length: _____________ ft.

Diameter: in. Bottom Elevation: ft., msl*

, 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 _ 41 ~ (2» = -18.5 ft.

* 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.

Solid Casing Material:

Steel: compliant with (check one or more): o ANSIIAWWA C200 0 API Spec. 5L 0 ASTM A53 0 ASTM A139

And compliant with (check one or more): o ASTM A242 0 Type E 0 Type S 0 Grade B 0 Other _______ _

Stainless Steel: (check one): 0 ASTM A409 o ASTMA312

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

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: Steel: compliant with (check one or more): o ANSI/AWWA C200 o API Spec. 5L 0 ASTM A53 o ASTMA139

And compliant with (check one or more): o ASTM A242 0 Type E o Type S 0 Grade B o Other ------------------Stainless Steel: (check one): 0 ASTM A409 o ASTMA312

ABS Plastic conforming to ASTM F480 and ASTM 01527: (check one) o 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

Thermoset Plastic: (check one) 0 Filament Wound Resin Pipe conforming to ASTM 02996

o Centrifugally Cast Resin Pipe conforming to ASTM 02997

o Reinforced Plastic Mortar Pressure Pipe conforming to ASTM 03517

o Glass Fiber Reinforced Resin Pressure Pipe conforming to AWWA C950

o PTFE Fluorocarbon Tubing conforming to ASTM 03296

o FEP Fluorocarbon Tubing conforming to ASTM 03296

• ,\

v

R-672

a i/

o S1'A.TE OF HAWAII

BUREAU OF CONVEYANCES RECORDED

MAR lA, 1999 08:30 AM

Doc Noes) 99-040924

/s/CARL T. WATAN.ABE ACTING

REGISTRAR OF CONVEYANtJS

CONVEYANC~ TAX: $420.00

LAND COURT SYSTEM REGULAR SYSTEM After Recordation, Return by: Mail ( ) Pickup ( ) EIN ROGEL FARMS LLC POBOX 752 KILAUEA HI 96754

TYPE OF DOCUMENT:

WARRANTY DEED

PARTIES TO DOCUMENT:

Escrow No. 99040045 Job No. 00097168

GRANTOR: CHARLOTTE M. SEYER, as Trustee of the Charlotte M. Seyer Trust dated March 25, 1994

GRANTEE: EIN ROGEL FARMS LLC, a Hawaii Limited Liability Company P. O. Box 752 Kilauea,- Kauai, Hawaii 96754

TAX MAP KEY FOR PROPERTY:

(4) 4-6-004-001

LlHUE1\9438\1\28916.1\OHW

WARRANTY DEED

KNOW ALL MEN BY THESE PRESENTS:

CHARLOTTE M. SEYER, as Trustee of the Charlotte M. Seyer Trust dated March 25, 1994, with full powers and authority to buy, lease, mortgage and sell the property herein described, and other powers more fully set forth therein, IN TRUST, whose mailing address is 40 Laurel Lake Road E. Weston, Connecticut 06883, hereinafter called the "Grantor", in consideration of the sum of Ten Dollars ($10.00) and other good and valuable consideration to the Grantor paid by EIN ROGEL FARMS, LLC., a Hawaii Limited Liability Company, whose mailing address is P. O. Box 752, Kilauea, Kauai, Hawaii 96754, hereinafter called the "Grantee", the receipt of which is hereby acknowledged, does hereby grant and convey unto the Grantee, as a tenant in severalty, its heirs, successors and assigns, the property described in Exhibit "A" attached hereto and incorporated herein by reference.

AND the reversions, remainders, rents, issues and profits thereof, and all of the estate, right, title and interest of the Grantor, both at law and in equity, therein and thereto.

TO HAVE AND TO HOLD the same, together with the improvements thereon and all . rights, easements, privileges and appurtenances thereunto belonging or appertaining or held and enjoyed therewith, unto the Grantee according to the tenancy herein set forth, forever.

The Grantor hereby covenants with the Grantee that the Grantor is lawfully seised in fee simple of the premises described herein and has good right to sell and convey the same; that the same are free and clear of all encumbrances except as set forth herein and except for the lien of real property taxes not yet required by law to be paid; and that the Grantor will WARRANT AND DEFEND the same unto the Grantee against the lawful claims and demands of all persons, except as aforesaid.

This conveyance and the respective covenants of the Grantor and the Grantee shall be binding on and inure to the benefit of the Grantor and the Grantee, respectively. The terms "Grantor" and "Grantee" as and when used herein, or any pronouns used in place thereof, shall mean and include the singular or plural number, individuals, partnerships, trustees and corporations, and each of their respective heirs, personal representatives, successors and assigns. All covenants and obligations undertaken by two or more persons shall be deemed to be joint and several unless a contrary intention is clearly expressed herein.

LlHUE1\9438\1\28916.1\DHW -2-

o

IN WITNESS WHEREOF. the Grantor has caused these presents to be duly executed on this l~ day of!TllvnJJ • 19 qq . .

STATE OF _.....:C-..,,3t).un...L:O:.....L-__ _

CHARLOTTE M. SEYER>rusteeOf the Charlotte M. Seyer Trust dated March 25, 1994

) ) SS:~\~~ )

Grantor

On this \ C)4h day of N (lrvb ' 19~, before me personally appeared CHARLOTTE M. SEYER, as Trustee of the Charlotte M. Seyer Trust dated March 25, 1994, to me known to be the person described in and who executed the foregoing instrument, and acknowledged that she executed the same as her free act and deed as said Trustee.

Notary Public, in and for said County and State.

My commission expireMy Commission Exoires Sep. 30. 2003

lIHUE1\9438\1\28916.1\DHW -3-

o

EXHIBIT "A"

All of that certain parcel of land situate at Kapaa, Island and County of Kauai, State of Hawaii, described as follows:

Being a portion of Lot 54 (being a portion of Land Patent Grant No. 7024), area 12.61 acres, more or less, of the "KAPAA HOMESTEADS, FIRST SERIES", and being more particularly described as Tax Map Key (4) 4-6-004-001.

Being a portion of the land conveyed to Grantor herein by undated (executed on May 21, 1996) Special Trustee's Deed recorded in the Bureau of Conveyances of the State of Hawaii as Document No. 96-079208.

SUBJECT, HOWEVER, to the following:

1. Reservation in favor of the State of Hawaii of all mineral and metallic mines.

2. Any variations in and along the boundaries running along Kapaa Stream, as may be caused by the natural deviation of said Stream.

3. Claims arising out of customary or traditional rights and practices, including without limitation those exercised for subsistence, cultural, religious, access or gathering purposes as provided for in the Hawaii Constitution or the Hawaii Revised Statutes, as amended.

4. Any matters which would be shown by a modem metes and bounds survey, including any possible encroachments or discrepancies in boundaries or area.

5. Any unrecorded leases, subleases, and/or tenancy agreements demising a portion of the land herein described, and any encumbrances affecting the same.

6. Grant in favor of Citizens Utilities Company, a Delaware corporation, and GTE Hawaiian Telephone Company Incorporated, a Hawaii corporation, dated April 22, 1981, and recorded in said Bureau in Book 15681 at Page 238, granting an easement for utility purposes.

lIHUE1\9438\1\28916.1\DHW

- -STATE OF HAWAII

DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS Business Registration Division

1010 Richards Street Mailing Address: P.O. Box 40. Honolulu, Hawaii 96810

FORM LLC-1 8198

ARTICLES OF ORGANIZATION FOR LIMITED LIABILITY COMPANY (5_ 4280203. 4280902. _ .. R_ S--,

PLEASE TYPE OR PRINT LEGIBL Y IN BLACK INK

The undersigned. for the purpose of (check one).

rn Forming a limited liability company under the laws of the State of Hawaii (FISI 00Il.1 31

o Converting to a limited liability company under the laws of the State of Hawaii (F1S1001l.121

Dept of Comme!'ce 1& Consumer AffIin STA.TE OF HAWAII f

do hereby make and execute these Articles of Organization:

The name of the company shall be:

Ein Rogel Farms, LLC (Tne ~e must coni ... me woras umrt«1l.JaDlllty ComQanyor me aDOI.eMaIIOIIL.L.C.orU.C1

II

The street address of the initial designated office in Hawaii is:

Lj '8 00 HO.:ng LeL P/od-o.:h~._,=--K_a_u_a_i..:., _I_fa_w_a_l._' i_..!.t:j.::::{p;,..J1:...:.f.....l'f~ _________ _

~~/8 ~ I III

The company shall have and continuously maintain in the State of Hawaii an agent and street address of the agent for service of process on the company The agent must be an individual resident of Hawaii. a domestic corporation. or another domestic limited liability company.

a. The name of the company's Initial agent for service of process is:

Andree Yvonne Le Cocq

b. The street address of the agent for service ?fyrocess is: 1 - - ..p,_C>~ e_~ 7S 2J_ r\,' Ict v.. e.OL..

__ -_ q;;lwaii 9'7" jre 7 S c.; IV

The name and address of each organIZer is:

Eve Nober 2343 Saybrook Avenue

City of Commerce, CA 90040

V

'. The perrod of duration is (check one):

OAt-will

IZ] For a specified term to expire on: __ D_e_c_e_m_b_e_r ____ 3.;;..;;;1;....-. ____ -...;;2':"C;..9;;...;;;9_ Day V-I (Monln

c VI

The company is (check one):

o Manager-managed. and the names and residence street addresses of the initial managers are listed below. (Number of initial members: )

IKl Member-managed. and the names and residence street addresses of the initial members are listed below.

1. Andree Yvonne Le Coca 2. Edward Nober and Eve _f,~~ -,5·7-....:..~ ____ _ Trustees of the Nober

K i b.ve~ Kauai, Hawaii 9' 6 74 6 Trust Dated March 25,

2343 Saybrook Avenue

City of Commerce, CA

VII

The members of the company (check one):

IKl Shall not be liable for the debts. obligations and liabilities of the company.

FORM LLC-1 8/98

Nober,

Family

1992

90040

o Shall be liable for some or all. as stated below. of the specified debts. obligations and liabilities of the company, and have ccnsented in writing to the adoption of this provision or to be bound by this provision.

VIII (For LLC Resulting from Conversion)

a. The name of the domestic partnership being converted is:

Check one: o General o Limited Partnership

b. The agreement of conversion was approved by:

o All of the partners

o The number or percentage of the partners required for conversion in the partnership agreement.

c. The 0 partnership registration statement 0 certificate of limited partnership is canceled as of the effective date of the conversion. The effective date of the conversion is (check one):

o On the date and time of filing.

o On, ____________________________________ ~at ______________________________ __

HawaIIan Standard Time. which date IS not later than 30 days after filing.

d. The notice of conversion was published on: _____________________ _ (Montn Days Year,

in the (state newspaper name) , and reasonable efforts to give notice thereof in a reasonable manner to persons With whom the partnership expects to have a continuing business relationship as of the time of conversion were made.

We certify, under the penalties set forth in the Hawaii Uniform Limited Liability Company Act. that we have read the above statement and that the same IS true and correct.

2nd December 98 Signed this _____ day of _____________ . 19

Eve Nober (TypeIPmI~. 01 OtganlZa')

o

()

ICT, ..... OCt ~~ lUI

:!: ff n.t' mU" FE. U -;;

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J<~ALJA

!ff:;'~".'"

!J r/J!..~'=::::~'"

I" J6.RIE.S ICA ICAUAI

FOlltl:.3T

01

This is not a survey plat but d

plat furnished as a courteey only

U~'·K'I"'''..,A;N

~-~ ..... SUBJECT TO CHANG£