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State of Hawaii OF LAND AND DIV1sIOn of Water and Land Development Honolulu, Hawaii ss nCT 19 AID: I 8 WELL ABANDONMENT REPORT C;''''''l(,f'IH' n; \:J!n? f:,:r.' ,';:= "'1Et:T Well Name or Location: American Linen (Young Laundry) Artesian Well State Well No.: 2054-03 Tax Map Key: 1-1-16: 26 ------------------------ Date work completed: 10/08/95 Form completed by: Tracy Runnells --------------------- Land Owner: Applicant: Steve Larson for "Merican Linen" ph,one 11836-1661 ! Drilling Contractor: ROSCOE MOSS I! BMilA U • INC. phone #682 5856 Measured Depth: ft. (blank csg.) Measured Depth: 602 ft. (bottom of csg,.) Measured Depth: N/ A ft. (top of sandfill) Measured Depth: 656 ft. (total depth of weN l oj ...... I=Q () I I J I I <+-i , H Q) [f): , P.. 0 I -,---J --- -- Finished Grade E1.: ..JL ft. Csg. dia. Check material used: - in. 'fil Cement +-' I g ...... oj I H Q) ,0 en o Sandi Cement Sand/Cement ratio: / I I I '0 ...... oj ...... ..... en Mixed and pressure grouted 127 sacks neat cement 5 gallons water per 94 lbs. sack. Cut steel casing to finish grade. (Return completed form to the Division of Water and Land Development, P.O. Box 373, Honolulu, Hawaii 96809)

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State of Hawaii .nEPART!'1~~T OF LAND AND NATUHA~~~D:SS

DIV1sIOn of Water and Land Development Honolulu, Hawaii

ss nCT 19 AID: I 8 WELL ABANDONMENT REPORT

C;''''''l(,f'IH' n; \:J!n? RE~3;l'.~ft{ f:,:r.' ,';:= "'1Et:T

Well Name or Location: American Linen (Young Laundry) Artesian Well

State Well No.: 2054-03 ~~~~-----------

Tax Map Key: 1-1-16: 26 ------------------------Date work completed: 10/08/95 Form completed by: Tracy Runnells ---------------------Land Owner:

Applicant: Steve Larson for "Merican Linen" ph,one 11836-1661 !

Drilling Contractor: ROSCOE MOSS I! BMilA U • INC. phone #682 5856

Measured Depth: ~ ft. (blank csg.)

Measured Depth: 602 ft. (bottom of csg,.)

Measured Depth: N/ A ft. (top of sandfill)

Measured Depth: 656 ft. (total depth of weN

,~,

l ~ ~ oj ......

I=Q ()

I

I

J I I <+-i , H Q) [f): , P.. 0

I -,---J

---

--

~ Finished Grade E1.: ..JL ft.

'r~

Csg. dia.

Check material used: -in.

'fil Cement

+-'

I g ...... oj

I H Q) ,0 en

o Sandi Cement

Sand/Cement ratio: /

I I

I '0 ~ ...... oj ...... .....

en ~

Mixed and pressure grouted 127 sacks neat cement 5 gallons water per 94 lbs. sack. Cut steel casing to finish grade.

(Return completed form to the Division of Water and Land Development, P.O. Box 373, Honolulu, Hawaii 96809)

BENJAMIN J. CAYETANO GOVERNOR OF HAWAI.

ST DEPARTMENT

COMMISSION ON

TO: American Linen, Inc. 2771 Wai Wai Loop Honolulu, HI 96819

We acknowledge rec4eipt above well. In accordlan4:e Stream Diversion discretion, your ap]:)u~.!mCln Map Key: 1-1- ""nY,\Tn'l1 .. rI i)u ..... ""''-L

o MICHAEL D. WILSON

CHAJAPER80N

ROBERT G. GIRAI..D DAVID A. NOBRIGA

LAWRENCE H. MilKE RICHARD H. COX

RAE M. LOU •• P.E. DEPUTY

CW}:IUCclOOIl to seal and abandon the Water Use., Wells, and

authorizmg Chiiroerson ft. deep well, at +rax

1. The Commission on Water Resource MalIlag~~:ne][1.l '-'-1v.,'u ... ·"" .... V4&J P.O. Box 621 Honolulu, HI 96809, shall be any work covered by this permit

2.

commences.

The Well Abandonment Report within 30 days after completion

shall be submitted to the Commission

3.

4.

The applicant shall comply with all .. """" .......

This permit may be revoked if work .,t"",-t .. rI within six (6) months of the date of issuance or if work is suspended or_apan4:tOIlea six (6) months. The work shall be completed within two years of the

I have read the conditions and terms agree to meet these conditions as a nT •• TO • ."

proceed.

Ke:~O\llfce Management

this j)ermit and understand them. I accept and ana underlying condition of my ability to

Applicant's Signature: _______ --+-____ _ Date: __________ _

PrinredName: ______________________ ~ ____ --------------------------------FUTnorTitle: ____________________ -+ __________________________________ _

Please sign and return one copy of this per~ to the Commission and retain a copy for your record.

Enc. (Well Abandonment Report form) c: USGS

Department of Health Safe Drinking Water Branch Solid and Hazardous Waste Branch Ground Water Protection Program

Honolulu Board of Water Supply

No.

B1

B2

B3

B4

B5

B6

B7

B8

B9

1B

11

12

13

14

15

16

17

18

19

2B

21

22

23

24

25

26

27

28

29

3B

31

32

AUG-29-95 11:27

O=TI~I

ID:8B8587B2 9 WATER RESOURCE HGT

GRAND TOTAL XHT PAGES GRAND TOTAL RCV PAGES GRAND TOTAL PRINT PAGES =

= B16499 = BB57B4

BB7855

DATE START HODE IDENTIF CATION PAGE TIHE CODE JOB No.

AUG-28 B9:27 G3/T 8B85872 99 BB2 B1'B9 OK 547

AUG-28 BS:56 G3/R 7BB BB1 BB'4B OK

AUG-28 11:26 95236BB BBB BB'BB BB9 548

AUG-28 12:25 G3/T 8B8 732 2164 BB2 B1 '24 OK 549

AUG-28 13:B5 ECH/R 8B85872 BB3 B2'24 OK

AUG-28 13:43 G3/R 8B8 935 7BB BB1 BB'36 OK

AUG-28 13:59 9969699 BBB BB'BB BB9 55B

AUG-28 14:BB ECH/T 8B82455 13 BB5 B2'32 115 55B

AUG-28 14:B3 G3/T 1 BB7 B3'45 OK 55B

AUG-28 14:B7 EHHR/T 8B8 587 BB7 B1 '47 OK 55B

AUG-28 14: 14 9527619 BBB BB'BB BB9 55B

AUG-28 14:14 G3/T 8B85872 BB7 B2'53 OK 55B

AUG-28 14:18 ECH/T 9536B13 BB7 B2'28 OK 55B

AUG-28 14:21 G3/T 8B85394 BB7 B2'16 OK 55B

AUG-28 14:28 EHHR/T 1 8B8 9 BB6 B1' 52 OK 551

AUG-28 14:31 G3/T 8B8-949 BB3 B1 '25 OK 552

AUG-28 14:4B EHHR/R BB4 B1 '45 OK

AUG-28 15:21 ECH/T 8B82455 13 BB7 B2'38 OK 553

AUG-28 15:24 G3/T 8B8 527 BB7 B3'53 OK 554

AUG-28 15:39 G3/T 8B85364 BB3 B2'2B OK 555

AUG-28 15:54 BBB BB'BB CALL

AUG-28 16: 18 G3/R 1 B11 B6'53 OK

AUG-28 16:25 G3/T 8B8 531 8B18 BB2 B1'B2 OK 556

AUG-28 16:28 ECH/T 8B85872 99 BB1 BB'44 OK 557

AUG-28 16:46 ECH/R 8B85374 68 BB4 B2'B1 OK

AUG-28 17:B4 BBB BB'BB CALL

AUG-28 17:34 G3/R 1 BB6 B4'59 OK

AUG-29 B8:35 ECH/T 916 327 1815 BB3 B1 '26 OK 558

AUG-29 1B:B1 ECH/T SIB 559 644B BB2 B1'38 OK 559

AUG-29 1B:28 EHHR/R 8B8 947 7338 BB7 B2'58 OK

AUG-29 1B:56 G3/T OE HOSS 8B8 682 5866 BB1 BB'4B OK 56B

AUG-29 11:B4 94568BB BBB BB'BB BBS 561

~ ,~

"6/ lc;io.,t7 ~';?J06.

.. ate of HawaII _A . 'lbMMISSION ON WATER RESOt".;E MANAGEMENT Department of Land and Natur.al Resources

APPLICATION FOR PERMIT xElWeli Construction or C Pump Installation

JUL I 81995

1. APPUCANT: (may be B, b, or c, but JaU must be filled In)

(a) WELL OWNEF' ... "'~~ I.INE.U, Itx-. EB>+ - 75DO (b) LANDOWNER FOUNDATION, INC. ~Nam. YQUN6 H!.lJHBM & I>BJ C&E-&~U;Hc;FltmINafM THE HARRY Ii JEANETTE WIlBERG

ContaotPtrton S'4~E LARSEN ph, 636 lfijel Contact~1)LVIN 6WAIA fib' 924-1000

2.

3.

4.

5,

Addr... 2771 WAIWAI LOOP Addmt 3660 WAI~ AVE S'4E 1400 HONOLULU, In 96819 _ DONOHTT.n, DT 96 816-3 2 60

(c) CONTRACTOR Flrm/Nam. ROSCOE MOSS HAWAII, I!£. 682-5856 Ool'lttac:1Qr'*CoS1Uoen .. NQ C-16437 kidrt.. 91-259A OLAI ST KAPOLEI; HI 96707

A~tAIJ {..lHeN

WELL LOCATION/NAME: AR ESI LL 12054 -Nlind OAHU --~~ ....... ------Address 2771 WAIWAI LOOP HON LULU, HI 96819 Tax Map Kay 1-1-16: 26

(s) PROPOSED WORK: [J 0rI1I New W.II [J • Alief LooatIon ~ ~ o Uodlfy !Jtlating w.n C Atdrlll [J OHptn ~. ~/S.IJ

, 0 ..,.., :t:a--C \natall New Pump C Alplaoe Pump 0 Modify Pumlt·: :-::.' S;;: :u " Be *Ut. to QOMpittt and ~bmlt well ~m.nt r.pon upon com~ of wo~ ~

(b) WELL TYPE: t:1 cug [J Bottd C Crivtn XJ1 DrIlled [J Alodial 3:i~ '.::r It ttlle well i part of • bitttry of wtlIa., C V.. C No .,,"< (BrIefly cSelCtlbt and fill In the dlfoQram 0t'I the back of ttlla form.) ~ ~. ...... rr1

:~: :::; •• 0 rn ("1"11

PROPOSED PUMP INFORMATION: Rated Pump Capacity: N,IA :::; ?Ial1ongtr minute

Pump"".: t:J OMp w.!I Turb!~ o Subm.""tIha 0' c./ltriNgal

PROPOS eo USE:

Cl Rotary C ProptII.r C RoWy-Cl~m.nt C AIoIpt6elting [J RotaIy4w C Impul"

[J Municipal ~l'ICIudh'lg ~" 110ft., eto.) C Oomt$tio Oncllvlclua!, ncncon'arMr~lwlttr aye.) Olrrlglikln (orop) Stat. Land \JIll ClIatriQti C Utban C A;rlOulture

Motot: COl ... , O'Gu [J Eltcltrlc, rattci ho .... power of ____ _

o MlIIWy C Induatrial C Other (.xplaln) o F\lta/ [J Ooneervatlon County%onln; (dtlOl1bt) ___________________ _

(If more ep.ol II M$dQd, contlnu. below under r4lMlrica, 1lCp1,"~na.)

e. (8) PROPOSED AMOUNT OF WITHDRAWAL: _____ _ gallons per day (b) METHOD OF FLOW MEASUREMENT: Cl FlOW--/MlII' o Open-piPt 0 0t1ft0e Plate C W&4r

7. PENDING ACTIONS: t:1 COUA C SMA CEIS CEA DNONE CI OthIr(txplaln)

8. REMARKS, EXPLANATIONS: ______________________ _

For Oftlelll UN OnlY! Oete ReoeNecI ~ ____ _ Data Aoo8j:>ted _____ _ Field CheCI<ed By ____ _ Date _______ _

L!>nglrudQ ~ ___ _ Uliruckl _____ _

Aqulfet Svatem Name ______ _ Stale WfiIJA No, ______ _

o

r .. "}. .

-..... Remari<s, ~plalnatlons (coot'd):

.-

Total Depth 668 tt.

9. PROPO~ ED WELL SECTION

,. I I~ I I

Ground Ekwatil>n: __ 8_ ft., 11"1$1.

Casing: [J P8I1orated CJ Screen Material SEE ATTACHED DRAWING Len;th _______ ...,,~--

~~.-----------------------Wd thickneaa ___________ _

Openings ____ sq. In./L..F,

Optn Hole: 66 ' Lengtn Olametar-7r--=7,..,Z .... S ... :-------

*~prolClmat. elevlUon at Ume of nllng applicatIOn. Ground __ .. :~ above mean 1M level (msI) by alUrveyor llcenaed by the State m.ltt be aubrrf Itart 01 OOne1NotIon. Final tievatlOno 01 well COmponents ahailltM aubmtlK In the w.l1 cof1"4)lellon/we/1 abanclOMlent r~rtI.

~~ -1- r- -;-r

I . i I. ;

r~ T, .~.]J

~ i: :

IN STALLATION PLAN (schematic)

YOUNG LAUNDRY WELL (2-2-65)

LEAK TEST BY U.S.GS. (1-2-65) DRILLED BY LAYNE INT'L.. INC. ELEVATION TOP OF CASING 12.2'

NO SCALE

i

0 1

,. Cent rolizer [l] ;VV"·PiPII Plug /" Wo.er Me'er

[) ; ~I-----~'---4-0-,.-------~ :~

I :!

I ~: a;' _ i 10·

II D;

I I

I .

-,... C7I Il'I

.,. c. ;; 0 U

:CD

:

...

-cni 10 1 <to

J .~l 01 U·

N -J_ -

I -L_-~ __ L __ . '--- ---

-- --_.-

Ground Surface '1~ ~ ."e . ".~,; ;.- Seal Rings Every 20' ~ .' ~ ~ ,,0

Grout ~

o Ring - Centralizer

--=:::-r~[

/ Grout

------.::---I--+--f-+-~

l -16"Oia. Well

Cement Plug

12"Colil'9 '-- 8" Casinl;l 6"C05ing

Bronze Pump-. -

~

Centralizers < . ~

~ ~ "" L 77/8"

--,------------------' , ,

?"T~I r '.:; ~" I -r-- i

I

I I

: --'-

~~ Seal Ring

Laundry Bldg

WELL LOCATION No Scale

, [ttl NEW WELL -

I ',. ~ I 'll~ ~9' : \~

, 0

I ~ Waler Line •

----------~ ."

Eleclrlc Conduit ~ ~

@1 .z.. Old Well (se~led)

North Properly line

Woiwai LooP Rood

BENJAMIN J. CAYETANO GOVERNOR OF HAWAII

Mr. John Clarke

o

DEPARTMENT COMMISSION ON

Young Laundry & Dry Cleaning 2771 Waiwai Loop Honolulu, Hawaii 96819

Dear Mr. Clarke:

We have just received your letter fIling fee for sealing an injection well on letter on January 10, 1995, returning an been sent to us in error. Perhaps our

o

OF HAWAII AND NA ruRAL RESOURCES

RESOURCE MANAGEMENT

-6 1995

MICHAEL D. WILSON CHAIRPERSON

ROBERT S. NAKATA J. DOUGLAS lNG, ESQ.

ROBERT G. GIRALD DAVID A. NOBRIGA

DR. LAWRENCE MilKE

RAE M. LOUI, P.E. DEPUTY

January 12, 1995, transmitting an application and Young Laundry property. We had just sent you a

check and application, believing they may have crossed in the mail.

As injection wells are solely the res1PoDlSiblllt}l of the Department of Health, it is unnecessary to submit such an application fee to the Water Commission. We are returning the application and fIling fee. Our are for wells that withdraw water, such as the artesian well on that property (Well No . .L.vu, .... -"'J

It is our understanding that the new property owner, American Linen, will address the artesian well situation with their own ap]?l1clanon.

"'UJ'IE>""'U efforts in this matter.

If you have questioDlS, please call Sakoda at 587-0225.

Sincerely,

Deputy Director

CI:ss

Attachments

-

It 0 Young Laundn' & Dry Cleaning 2771 WAI WAI LOOP - HONOLULU, HAWAII 96819-~~-- " . - r·.

(808) 836-1661

Mr Ed Sakoda State of Hawaii

"hi=- . .t~J!:.. "-: "'-'" ~-="~ -~ ;;:

January .1~'. 1995 i"

Department of Land and Natural Resources Commission on Water Resource Management

Dear Sir

Please find enclosed the application for permit form, along with a check for $25-00 for the filing fee. This is for the abandonment of our injection well which has been completed. The artesian well on the property is in the process of being capped by the new owners who are American Linen. If there are any questions or concerns regarding this well please call Dean Bright at 836-1661.

Sincerely YOUNG LAUNDRY & DRY CLEANING

~~~ John Clarke Chief Engineer

Complete Service to All Health care Facilities

Laundry & Dry Cleaning Services to Hotels - Retail Laundry & Dry Cleaning

Linen & Garment Rental to Restaurants & Retail Stores - Career Apparel

Industrial Garment & Towel Supply Services

" ate of Hawaii .. MMISSION;ON WATER RESOU~E MANAGEMENT

Department of· Land and Natural Resources

"i (."

APPLICATION FOR PERMIT· ,'" '.',:; "~?, f'! r- t ~'! '1 nstruction or [] Pump Installation . ,\:\ ') U·~I . . _

Inatructlona: Plel'" pHni In Ink or type and .. nd complltld Ip~llcation with attachmlntl to thl Commllsion o,,:Waiir ~IO~ Mlnlgll'i\.nl. P.O. Boll 821, Honolulu, HawaII SI6809. Application mUlt ~ acco"1panlld by I non.,lfundabll filing fll of $25.00 paVlbl, to th. Dept. of Land\"d Nltural ~lOurcel. Thl, Co~~!'llonr:n~~ l)ot~~Pt Incomp'lt.!appllcalionl. For a"lltance, call the Regulation Ehn~ at 587~S. .1'1 ',: ;,', ,,' , '., ,,', - ,/. 1..' ",' 1. APPUCAN1E (may"bi a,b, or' 6; but.ll! must be (Hied In) " ',:,

/(a) WELL,OWNER c/{b) lANDOWNER \ :;~:~.\' ~ .. Arm/Name Young Laundry & Dry Clean~ Firm/Name Barry & Jeanette Yeanbera Foundation Contact PerlOn JobD Clilrke Ph, 838 61 Contact ParlOn alyin Awaya. Pb' 737-7800 Iddrl... 2771 Wai Wai Loop Add"... 366 Waialae Ave. Suite 400

Bgnolulu. HI 96819 Honolulu. HI 96816-:32.6!L __ _

/(0) CONTRACTOR Firm/Name Roscoe Moss ~dre.. 91- A Oiai St •• Eva

Contractor'l 0.57 Ucen .. No,_...:C_-_1...;.6...;.4..:,l_7 __ _

/2. WELL LOCATION/NAME: ~"--=Y:..=ou=ng::l·~La=u~n~~Fry",,-::=-~=-=--__ _ Island _~O~ah~u~--:::---:-.".

3.

4.

Address 2771 Wai Wai Loop Honolulu. HI 96819 T ax Map Key I - 1- /6 - :}6 (Attach a USGS map, acal, 1"·2OOQ',and a property tax map showing wellioeation referlnced to established property boundarlts,i

. (a) PROPOSED WORK: [J Drill New Will tl • Alter L.ocatlon

o Modify Exlltlng Well 0 Redrlll [J Delpen

o Install New Pump [J Replace Pump [J Modify Pump • Be lure to compllte and lubmlt Will abandonmlnt "pon upon compleUon 01 work.

/" tl Driven e Drilled [J ~No 'al

I. thl. Willa pan of a b •• lry of weill? 0 VII e'No

(b) WELL TYPE: o Dug [J Bored

(Brllfly delCC'lbe and 111111'1 thl diagram on thl back of this form.~

PROPOSED PUMP INFORMATION: Rated Pump Capacity: __ ....,.tJ~A-4-__ gallons per minute

Pump TVpe: o DeIP Will Turbine [] Submeralble

o Centrifugal

- [J Aoca1Y C Aotaly·OIapllcemlnt [] Aotaly·Glar

o Propeller o Reciprocating [J Impul ..

Motor: OOle .. 1 OGu o ElectriC, ratld hor .. power 01 ____ _

5. PROPOSED USE: [] Municipal ~ncludlng t\9tell. sterll, Itc.) [J Military

[] industrial [] Dome.tlc ~ndlvldual, ~oncommerclal water IVS.) [] irrigation (Clop) _,..: ______ _

Statl lAnd U .. Dlttrlct: i 0 Urban 0 !lQrlcultuli o Other (Ixplaln) o Rural 0 Conservation

County Zoning (delCfl~) ___ --..: ___________ --:_--::--~_:_---I (If more apec:e Is needed, continue belOw under remar\(S, explanallons.)

6. (a) PROPOSED AMOUNT OF WITHDRAWA4: _____ _ gallons per day (b) METHOD OF FLOW MEASUREMENT: 0 Flow-nwier [J Open-pipe D Ortfice Plale

7. PENDING ACTIONS: . D CDUA . (J SMA DEIS DEA o NONE o Other(e)(plaln)

8. REMARKS, EXPLANATIONS: ____________________ . __

.~.:...------~------

For Oltlclll U .. Only: Da'. AeceIYed ______ _ Dill Mcepted ______ _ Field CheCked By _____ _ Oalt _________ _

Longitude _____ _

LalltUde

AquHar System N.".. ____ ,-__ _ Sr.,. Well No. 1,D 54 - ~

8/24,.,2 W(

59-101 1213

~.

~- : ,-

- Young aun ry ry L d "D CI aanng 2771 Waiwal Loop • Honolulu. Hawaii .. -.. IN~~~~E INVOICE VOUCHER AMOUNT OF DESCRIPTION NUMBER NUMBER IN\lOICE ,

" ",

. 10-10 25.00

0 '. ,

REMITTANCE STATEMENT DETACH .... atat_ BEFORE depoeIIInt CMcIL

o o BENJAMIN J. CAYETANO

GOVERNOR OF HAWAII

MICHAEL D. WILSON CHAIRPERSON

ROBERT S. NAKATA J. DOUGLAS lNG, ESQ.

STATE OF HAWAII DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT P. O. BOX 621

ROBERT G. GIRALD DAVID A. NOBRIGA

DR. LAWRENCE MilKE

RAE M. LOUI, P.E.

Mr. John Clarke Young Laundry & Dry Cleaning 2771 Waiwai Loop Honolulu, Hawaii 96819

Dear Mr. Clarke:

HONOLULU, HAWAII 96809

~ 10 1995

The Department of Health, after inspecting the sealing of an injection well, has brought to our attention that an old artesian well on your property, (State Well No. 2054-03), is also either in need of sealing or adaptation for reuse. We are aware that you have this matter under consideration.

We have received an application to jibandon and seal a well on this property, but it is not clear whether the application is intended to record the sealing of the injection well or to announce your decision about the artesian well.

We are returning the application an4 fIling fee, and request that you clarify your intentions. We have also attached a letter ttom the Department of Health rmding that the artesian well apparatus is exposed to accident and possible waste or contamination. Your early decision would be very much appreciated.

If you have questions, please call E4 Sakoda at 587-0225.

CI:ss

Attachments

Sincerely,

RAE M. LOm Deputy Director

DEPUTY

o Memo to file: ~c 0 A r .: ,/,

New well owner: American Linen

Anticipated Action (31 Jan 95): modify well- cap and valve below grade

\

FR~M:_liJ! IQ;, INIT:

SURVEY BRANCH

R. LOUI S. KOKUBUN F. CHING S. SUBIA KYODA K OSHIRO

E. HIRANO G.BAUER N. FUJII

FIELD Sr-J\VICES & TECHNICAL SUPPOF.T

V.SHIROMA R. JINNAI M.OHYE I. KUNIMURA S. SWANSON

COM_SION ON WATER RESOURCE MANAGE4-

DATE: 1y1~/1r SUSPENSEDATE:, ______ _

REGULATION BRANCH

E.SAKODA R. HARDY L NAKAMA D.HIGA C.ICE

PLANNING BRANCH

'T~ { ~ f - {(() ~ ')J.p '21 'f ( (NZt!'w;t~ 4

APPROVAL SIGNATURE INFORMATION

PLEASE:

See Me Review & Comment

~ Take Action ...1L Type Draft __ Type Final

File Xerox __ copies File:

. ~w:'l! :.f"Ll +- ~r_{~I~Oote

JOHN WAIHEE GOVERNOR OF HAWAII

To:

Through:

From:

Subject:

o

STATE OF HAWAII DEPARTMENT OF HEALTH

P. O. BOX 3378 HONOLULU. HAWAII 96801

December 6, 1994

Ed sakoda, Branch Chief

o

Commission on Water Resource Management and Regulation Branch

William Wong, P.E., Chief J ~i Safe Drinking Water Bran~17

Chauncey Hew, GeOlOgist~a:7tt ./1?u­underground Injection Control pro1ram

YOUNG LAUNDRY WATER WELL

PETER A. SYBINSKY. Ph.D DIRECTOR OF HEALTH

in reply. please refer to: EMDI

On October 13, 1994, the Underground Injection Control (UIC) program inspected abandonment work for an injection well at Young Laundry. During this inspection, an old, apparently artesian water well, assumed to be State Well No. 2054-03, was brought to our attention. The old water well lies along the west side of the property, similar to the injection well. The distance between the two wells was not meas4red but appeared to be about 150 feet.

The old water well was marked by a rusty, 10-inch pipe that was standing about 10 feet high. The top of the pipe was open and a water level was observed in the pipe about 1 foot below the top (about 9 feet above the ground surface). We are unsure if the observed water level was due to artesian head pressure or from accumulated rainwater over a closed valve or plug in the well.

Due to the uncertainty regarding the sealing of the old water well, we have strong concerns that if the well is not sealed, then a direct conduit to the basal lens lies open. This condition would make the basal lens very vulnerable to contamination. We are also concerned about the strength and safety of the rusty pipe. Visually, the rusty pipe appears weak. The pipe/well is also situated in an area near the passing of big laundry trucks. If there is in fact a 9-foot artesian head in the well, an accidental knock­down of the pipe could be disastrous.

,

If you are currently processing th~ procedures to force the closure of this well, please expedite the work. I~ this project is on a waiting list of projects for attention, please giv, this project high priority. As an immediate course of action, we suggest that a determination of the actual open hole depth be made on the well through the rusty pipe. This could be done by Young Laundry, but preferably, it should be done by an agency. Action plans should be based on this information.

If you have any questions or need assistance that we might be able to offer about this subject, please call us at 586-4258.

state of HawaII COMMISSION ON WATER RESOURCE MANAGEMENT Department of Land and Natural Resources

,

WELL AB~t-,lDONMENT REPORT I

InstNQtloot: PleMO print or typo lind 8UbrM completed r~11 wlt.hln;3P days tdtQr 9QaJl~ col'r4JleUon to thQ CoO'ln"ll&aJQn on Water RiaOurOi Mana~nt, P.O. Box 8;21, Honolulu, H.weJl e~. An a&-ooilt drawing af th41 weiland chernlcal analysis IlhoulcllJltO ba tJJJbo"IIttQ<l. For a.s:sIGtdncG call the Co~n R~uldtlon Branch at 687-0226. .! 'T

1, 2, 3, 4. 5. 6. 7.

STATE Weu. NO. 2054 WELL NAME· YOUNG LANDRY INJ WELJ$LAND ""=,,O_AH_U __ _ LOCATION:Addr~S$ .2771 WAIWAI LOOP BONO BI 96819 Tax Map Key()f..~1-1(i'$26 DRILLlNGOR PUMP INSTAU.ATION CONTRACTOR~OSCOE' MOSS HAWAlf.'.,') ... , .. ",,·;+NCI.~~~\ ,.i;: .. '.\:.,~ .. :\", CONTRACTOR'S 0-57 UCENSE NUMBER ' C-1~~37. . •• J ' . - ." NAME OF DRILLER WHO PERFORMED WORK 'RODNEY COUCH ~; TYPE OF RIG/CONSTRUCTION 60L Cl\BLEl'OQL RIG .. ,','. "'.:\

\ .. " .. ~. DATE OF WELL SEAUNG COMPLETION 10/]:8/94 (NOTe: R.port mu.t bll submitted WIthin 30 d4ys aner ttll' dat')

FiniGhod Gr.~ Elevation 7 ft, APPROXIMATE ~'

I~

CMlng 01

,

L.... .--TotlJ ~rQ<l ~th .,,146 It .. "

r

, ,

,,"

ametol' 14 In.

0

Check Materiel UMd

Grout Se.tJ: U:~nt CJ S&nd/Cement SandI~ RIIIlo ---1_

Moaooroo OGpth BlaNc CtoItIg 80ft. i .... p-

o

Measured Depth PGrfOl'IIGd C~ng NfA tt. .... -~ ... MeMured ~th to BoDom of Grout MIA tt.

'-r r'"' Mea.urod Depth of Sand FI N/A n,

=

,I

Remarks: INJECTION WELL SEALED UNDER UIC PERMIT IUo-1339; WELL WAS RE-I' . .

, (l1 rT'IOfIlpap. II ~~ oon1lnoe on back.)

DRILLED TO 146' THEN C~~ED USING 138 BAGS TOTAL; ;" ,I ,

I':;

Title FIELD SUPERINTENDENT

0&1 lO~19~9;t~:::·. ; ; [ Fo< 1)nIo<'. v .. ,

q,

J .,:1,1'

IFo<OtftdWVN --:]1 I'

W"N¢. i Job No. 'ti'; . LatItude Lor91uclo Job Name \

6124/92 WAS Form , ;

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~,0:=~~:_-____ ~ ______________________ --------------__ --__ ----__ --------------------------------------------------------------~

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-- --.. -- --- '---.j, I-

o Ring - Centralizer

rr-~'1 ll-- Grout' .

-"::::--'-"1--4-P++JiI

l L.16"DiD Well

L- 12" CallOg '- e" Casing 6" COSlng

ljrou """

Bronze Pump-. -

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Cement Plug Centralizers < : ...

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INSTALLATION PLAN (schematic)

YOUNG LAUNDRY WELL (2-2-65)

LEAK TEST BY U.S.G.S. (1-2-65) DRILLED BY LAYNE INT'L.. INC. ELEVATION TOP OF CASING 12.2'

/ Waler Meter

~~

Laundry Bldg.

NO SCALE

noLL ,-Ul-AIIUN .

@f 'l.., Old Well (se~led)

Nor' h Property Line .'

Waiwai Loop Rood

o

o

Phone __________ 4-________________ _

TelEPHONED 'LEASE CALL

CALLED TO SEE YOU WIll CALL AGAIN

WANTS TO SeE YOU URGENT

O~rllor

JOHNWAIHEE OOVERNOA OF HAWAII

o o

STATE OF HAWAII. DEPARTMENT OF LAND AND NATURAL RESOURCES

COMMISSION ON WATER RESOURCE MANAGEMENT

P.O. BOX 821

HONOLUW. HAWAII 116809

FACSIMILE TRANSIVIITTAL PAGE

Please deliver the following pages to:

Name:

From:'

Dale: I 0 /£/q f Time:

Message:

Total number of pages (incluuing Transmittal Page):

* * * * * * * *

KEITH W. AHUE CHAIRPeRSON

DR. PETER SYBINSKY ROBERT S. NAKATA

J. DOUGLAS lNG, ESQ. ROBERT G. GIRALD

DAVID NOBRIGA

RAE M. LOUI, P.E. DEPUTY

If you uo not receive all of the pages legibly, please call back: {80R) 587- cJzt(""

Sending Facsimile Number: (808) 587-0219 Receiving Facsimile Number: (_) 6B2 - S-gt6

, neT ffi '94 12:02 ROSCOE MOSS CO. 808 2-5866 HI

RoscoeO .. "~..t-..jft 1~.~

·Hawaii, Inc.

o Making WIfe, Work lor H.wai; Since 1985

P.1

91-259A Ola; Street. Kapolei. H waii 96707 • Phone (808) 882-68581882-5554· Fax (808) 882-5888

PAC! ILlS 'l'RAHSHI'l"l'AL

11MB, /d'//ft/: , . I

.....&...:;.r.-=f(:...;..Ic.;;..L~..;;.".;..4 .. ·.;;.:;b.~It;.;&.~ l_r.....;:6::.;:,,:: .. .:!:...:.">i/,;...:.r.ll:u'l/ :...:;;~~"S~ Aftlf: £,J.. 'OF PAGES m FOLLOW: ~

'1'0: r i~; "-

..... J L-t. If " 4 •

PROM:~.....;;...II=~..a....;;..;tJ:;;...".;....n_~~II.:....:..1J_--+_

..

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... -.".' ss9C'_1;;lS .:'~ .t~;!a2)i~~ MOSS CO. 808

,""'" 2-5866 HI ses 235 e1S4

,-.. : ..... i ... ~

Pe .... It K ...... rs Vo-l33t

rtu.1II lad AbMdogm.t PIa.

1. A lite lIpealfio health and IIfcty pian . be prepend to plOt_ the workln on thil projeoc from potential hlZltcJoua ooadidou.

2. 'lbe well wastewater qeatloa equip.. wm be dlsooJm~ecJ hill the wdlhead.

3. '!he wen w111 be pused to cIatomIine totll Ppth of hole. 'I1le total dapth meuuremeat wD1 be complreCl to the total depth meI.lDlm IIWlo duriDJ well ialtiDadou to detormine the thicb_ of IOC'UlDUJatad lIndse.

4. A ample of the sIu.cIp will be go cd and aa1yzecl fbr hazatcIoua waste toxicity oharacterlldo.. If the .tuell' it haQrd ul, tha it wm be hlDdlecI u huIrdouI 'MIle ill coq»lianoe with aIlltate and federal • If tho ibIdJ. it DOJl·bazudous dum it ~ be h.ncJlod .1 non-huucloUi waite aI&o in agcorclaoe with applicablo Dte and federal reau1at1cml.

5. The lludJe wW be removed fiom the wtll uaiDS eirher • pumpiq or I drmiDa JDOtb.od clepllldins upon tho quatlty ad of the aha4ao.

6. lbe well boJiq wD1 b. SIlod with appropriate 0IIDIIll smut mixturo that woldd be llUa6actory to BPA and .&to of HI • o1Bcials. The mixtuto would be oomprlsecl of. OODLCIIlt _ water.

7. A two (2) inch outlicle diameter tremie ipe wiD be placed In the well to the total depth of the well

8. The oommt grout pump will be attaohtd to the tremie pipe act tho put will be pumpcc1 iDto thewel1o.liq.

9. The boq will be iIled to a clepth of above the Itatio water table olcwatioJl.

tiet boIow around sudice or at least two foot

10. The top tbrco foot or wen ouIq wm excavated and romoved a4 I IIII'fico leal w1I1 be plaoocl by 8J1ina the remalnd. ot1he bO with otmalt ....

A well abmdMDWlt diagram II attldled. Approximately 3.S _io yucl. of oeDIIIlt wiD be requkecl. The estimated COlt to .bandon this wen. 125.000 ill 1994 &ioDIn.

" I ..

SEpO<;7 ffi '94 12:02 ROSCOE MOSS CO. 808 682-5866 HI BRl8 2liUS IU84 ~~. 82 ,u" .. :::.--~ ':-:=-; '';-; 0""'-=' , .. ,. -", .. 0.-....,. .............. -W' .!... .. .

SENT BY:STATE OP HAWAII •• t1'.~:':"' .......

10'",0.,". 'T,'

; &-27-1, ;11:20AM ;ENVIRONMINTA~ HeA~TH1

! -:-'\, I, '., .

BIt\'adoD .e CO, of -as /1 fc., IIIJI

':i:.:.:: .... __ Cern_ Grout:

. .......... -.--.-.

,

IAllltb - 2 ft.

. '" ~ . ,.~",

~. . -~ PtrtOfltld CI .....

i , .. ,' , ',' .i ·1.Pi~J'" f2tG I ~- ~ It.

, DiIm- (c. .... ia. WaU

~ ~kIJ. IA. Ope.i", It -"I. ULlL.P.

.... . " """:':~' .- -~. ," _.' ..

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WaU ~.

,...." tea,rh

RoekSlrc_

C)peQH01t;

Lenith Diatneler

in •

l2/J. ft. Y-~ 'n

~ rr. 4/1 L- 112 •

. .

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OCT. -03' 94 (MON) 15:23 o 0-

FACSIMILE TRANSMITTAL

HIES HAW.AI'IINn:RNADONAL ENVIRoNMENTAL SI!R.VJCIS, INc. EIrtIs........... .1...-..,

• WE HAVE --L PAGES TO SEND, INCLUDING THIS PAGE. •

DATE: OctpINr 3. IBM

TO: Mr. EdMeda

FAXNUMBER:·_IR~~~~21~8~ ________ JOBCODE:, ________ ~NA~ ____ _

FROM: Mavumi Randall

MESSAGE:

Mr. Sakocla

This I. the application form for Mancmnmsmt wells of Young Laundry. We will sent you this after recaivIng the landowner's signature.

Thank You

OONIJDIIQJAUIY!I01'ICS ne. -"-~"'''cOIIfIIiIIiai ... illI .. iI ................. IetIU1priwi1epl ne ......... is .......... ............. .-.,-"_IWa---.. .. ,.._ ............. --. ......... ..., $1 _ ........ ~ ......

.... CIC ............. ~ Jt,.. .... NIDci ........ kiD_.,a-Illlif;_bJ ...... 11Ii.'111O lit we CIa ..... ... ,...... .................. -..... ,..

P.001

PDge

OCT 113 '94

Sb'. of HawaII ENT COMMISSION ON WATIR RESOURCE MANAOEM Oepanm,n' ot Land and Na1ur.' ResoUI'C ••

APPl1CATIO!N FOR PERMIT . n Wall 1"""0 ..... I"ti_ f"'Ir n DI ."..n tn-=:tAltt.lt.,..n

• TEN .,

II, -- ltland oahp '. WELL. LOCATtQN/NAME: . Jou~n Add".. 2771 Vat Vat Loop ~ HI Halt «. M. 'U Map key ___ -----

4,

. C.) '''OPOSED WORK; [] Orlt, ..... Well C • H'" L.MatlOl\

(D) WELL TYPE;

D MNI~Elcll""'Wln C Wrld Q OM,." D lIt,t" Nt« Pv,"" 0 "-pi", PY""O C .... 1\1"'" .. It lUll to .".."1111'" IWmK WllltlMdoMIt"'l ',..,M upGf'I ODmpllllon.1 *01" C I)ll C loti, C Dt~.n ~\tCt tJ ~I II tNt.tI. ,." " • ""''Yof ..... " C v.. rHo Clrletl, ..... aftd hh'll\ th,."".",," VI' Mell " WI _m.1

PROPOSED PUMP INFONAATlON: Rltld Pump OIp11CIty: _-..AI.b. ____ O.UClll. par mtnUl&

Pump 'YJ": D ClIP Will TUr~M tJ at"",I11 ...

-C) .. ~

. o Praptlltr o Aeo'pf_II"t

MI • .,: CO .... Cou

C ClnIrlh4al o _auy.CI.,I."rnal\\ C AlMllY4I11' o IfI\pwl .. C lltttr",tltaci h9fIlJlQllftr 01 ____ _

... t2 ~.., .. (IMIudlnthcMlll, 110111, ItO.)

E:t DDmMIII,NIIwIcNII, nDnOOlM'llfClllwatlf ' ..... t3 Irrl;l"-' taP)

IIA" t.IM u.. DiIVIG\: tJ "''*' C AorICIIIIY'.

t1 •

C MIII"'Y o ~Clu"'ltI C 0ttI1' , •• plllnl D ""... tI CeftMt¥.l\~"

eol.lftey ~". CdHOrtbt) _______ , • (I mer. ._ • I1MCIeCI. OOfttr\U' MlDw UnDar ..nItII., "INIIIOI'\I.,

6. ,a) 'AOPO$ED AMOUNT Opr WITHDRAWAL: __ --__ vallo,,* per dlY (b) METHOD Of FL.OW MEA8UR~MINT: a'iott-rna .. o Optn-1MPt 00",. "'. 0\', .. '

"I. "'NCiNO ~CTlONS: C eDUA 1:.1:sMA till! QI.0I11

.. REMARKS, EXPLANATIONS: __ -------....... ,~~~ _______ + ..... 4-------.---------------~--------~ ... ~-~-----.-..---.. - ...... ~-.. ..--.--. -------_....... ...~ .............. -.. ,---. ---------_ .......... _----t. "'" ", .. II MIiId, ~nIrUI fn '-II)

• • ££ d ..... __ I I I •

• or ... "" Ol'tf. "" " ........ ----~--.... 0.. ,1M _.-------,.~ .... ,-----gatt _-____ -_ Longhuclll -.....," ................ .

'--""01 ... d .... __

2ot;'i- (J 3 "

OCT. -03' 94 (MON) 15:24 o o P. 002

Remarks. Explainatlons (conl'd):

9. PROPOSED WELL SECllON

Ground EI8nIIon: / 0 ft.. ....

c.n.n& Graut z.. ft. ---H

Radl PDIng { 20 ..

TotII DtpIh I r§ II.

Open Hole: " (

~::!w'_.f!fff: __ ._~_"_~_"_ .. .,..... S-_" _._: __ ~ !

.ApprD .... tIMI ....... 1Inw at ling 4IppIicdaIL GnKInca".n ave mMn _IIMII (nB) ~ • ..veyot IcIIneed ~ 1tIIt SI8te ,..... be IUtmaad ar

.... of ODftM'UdIon. fIinII ..... ra 01 WIll corr.,onenla ..... be IUbni1Ied In .. well ~nI"" ~ A!pOItL

0

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;~ Seal Rings Every 20'

o Ring Centralizer

Grout

IS"Dio. Well I,?" Casing (s-leeJ)

,,8 Casing (s+-lJ . 6 Casing{pyc PIaS-#tt)

,- oA-\-\u

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;. . ':,,~

WHL 1~1.;·\~

"Pipe Plug

lj' (I): a.: Ei II

Bronze Pun~D--+I>'f!+.f- eo!

Cement Plug

Centralizers

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<re-a~ &:a

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... :a- :~~ io:'~'

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-C;;'.~'~¥;A1~/:' .~! J" ",,- 1ft ~

INS-FALl.ATI

YOUNG LA

Laundry Bldg .

PLAN (schematic)

RY WELL (2-2-65)

U. S. G. S. (1- 2 -65 ) LAYNE INT1L.,INC.

P OF CASING - 12.21

Old Well (sealed) /59-/

o

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Young Laundry & Dry Cleaning 2771 Wai Wai Loop Honolulu, Hawaii ~6819

Ma 7, 1981

Attention: Mr. Michael E. Dra e Plant Manager

Gentlemen:

Thank you for your letter of April 21, 1981, regarding the well on your property and for nforming us that it is not being used, nor will be used in the uture.

OUr staff may contact you for a field check of your well or if we need further information

'J ES:ko

We appreciate your prompt response in this matter.

Very truly yours,

ROBERT T. CHUCK Manager-Chief Engineer

J...

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i,. _

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'../

• y & Dry Cleaning

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Young Laun

L~C IVtIO

81 /:,pn2~ All: '8

2771 WAI WAI LOO - HONOLULU, HAWAII 96819 ( 08) 836-1661

April 21, 1981

State of Hawaii Dept. of Land & Natural esources P a Box 373 Honolulu, Hawaii 96809

Attn: Mr. Susumu Ono, C of the Board

Dear Sir: RE: WELL NUMBER 2054-03

In regard to the completion of the form for Declaration of ExistingWater Withdr al and Use, please be advised that we are not now usi g nor do we foresee a need to use this well in the future.

We are returning the fo uncompleted. Should it be necessary to complete t e form, please advise.

MED:snm

encl

Sincerely,

YOUNG LAUNDRY & DRY CLEANING

M~rE.~ Michael E. Drace Plant Manager

Complete Servi e to All Health Care Facilities

Laundry & Dry Cleaning Servic s to Hotels - Retail Laundry & Dry Cleaning

Linen & Garment Rental to R staurants & Retail Stores - Career Apparel

Industrial Gar ent & Towel Supply Services

I "

.. o o WELL INFORMATION SHEET

Instructions: The following informaticm is currently on file at the Department of Land and Natural Respurces, Division of Water and Land Develop­ment. If there are any ¢hanges, please make the necessary corrections

I

and return to the Depar1ment of Land and Natural Resources, P.O. Box 373, Honolulu, Hawlaii 96809.

Well Number: t004-03 --~~~~~--------~----------------------------------------

Name or Location: Puuloa.,~. ~~~~~~~--~---------------------------------------

Owner or User: Ale)( '<oung Co·

Year drilled: 19~5

Driller:

Ground Surface Elevation in feet refer nced to mean sea level:

Casing Diameter in inches:

Total depth of well in feet:

Major Use:

o Municipal

o Domestir:

o Unused

o Disposal

o Lost

o I;rigation o Sealed o Recharge

o Industrial d; Observation o Other (specify) ------------

Static Water Level in feet: 2/. 0 --~~--~----------------------------------------

Chloride content of water in milligra1s/liter: liB - <oZO

Installed pump capacity in million gallons per day: --::O:::,.-:..;t.=.;O:::::-__________________ _

Average annual draft in million gallo~s per day:

o

• • State of Hawaii

DOrtment of Land and Natural ResOces

DECLARATION OF EXISTING WATER WITHDRAWAL AND USE Honolulu and Waialua Ground Water Control Areas

Instructions: This form must be properly completed, signed, and submitted for each individual well or connected battery of wells on or before June 4, 1981, in accordance with Regulation 9 of the Department. Submit the form with any attachments to Department of Land and Natural Resources, P.O. Box 373, Honolulu, Hawaii 96809.

1. WATER USER: Name ---------------------------

Mailing address ________ _ Phone:

2. WATER USER'S CJ WELL {:-==7::-C=:O:-:N:-::N:-::E=:C==T==E=D=--=B~A=T'TERY OF WELLS: User's Well Name and Location Tax Map Key: _______ _

User's Well No. (s)

Pump or natural flow capacity (gpm)

3. BENEFICIAL USE OF WATER:

Capacity determined by flowmeter, nameplate, orifice, etc. (specify)

Year pump inst. / modified

(a) Major Use: DMunicipal OAgriculture DMilitary DIndustrial ______ _ ODomestic wother (specify) (specify)

(b) Minor Uses: (specify) (c) For Agriculture Use list crop (s) , total acreage

irrigated , and attach map showing acreage irrigated by the well source.

4. BENEFICIALLY USED WATER WITHDRAWALS: (a) All figures given in (b) are records of: QMetered flow ONameplate pump 'capacity

OOrifice OWeir GOther (specify) _______________ _ (b) Records available .(in million gallons per day, three decimal places):

Year Monthly Month 1975 1976 1977 1978 1979 1980 Average Jan. Feb. Mar. Apr. May June' July Aug. Sep. Oct. Nov. Dec.

Yr. total ~ Mo. Ave. 5-year average: mgd, hIghest day use mgd on ,19_.

(c) For Agriculture Use only: description of withdrawal schedule (include times of day and daysofweek: ________________________________________________ __

5. WELL DESCRIPTION: On the attached sheet, make corrections or additions thereon in red pencil as necessary and return with Declaration form. If. information is readily available in another form, you may submit it in lieu of the corrected sheet.

Declaration: Under penalties provided in Regulation 9 of the Department of Land and Natural Resources, the undersigned declare and certify that this declaration has been examined, including accompanying statements, and to the best of our knowledge and belief, it is true, correct, and complete.

Water User: ~~-:--____________ ~ ___ ....,-____________ Date: ________ _ (print) (signature)

Lnndowller of

Well Site: -:--~~-_--------- ....,~-_-----_----- Date: ________ _ (print) (signature)

For Official Use: Last day to certify ________ _ Date certified _____________ _

Amount certified ------------------- WUL(S) No. ___________________ _

:...

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IN3~~dnl~" -0 (rrc/l ~ ~El.l V ·!r) I

9 I : 11\1 itt ~d'V: 18

GEORGE R. ARIYOSHI GOVI_

-0

DEPARTMENT apr

o DIVISIONS:

CONSERYATION AND .RE90UIICIS ENFORCEMENT

CONVEYANCES FlSH AND GAIod FOREST ..... UlND MA/IIAGIEMENT ITATE PAIIKI WATER AND I.UID DEVEu)~ENT

........ "'~~ •. u. HAWAII ....

1981

Young Laundry and Dry C1e ing 2771 Waiwai Loop Honolulu, Hawaii 96819

On February 27, 1981, the of Land and Natur~l Resources designated the Honolulu and Waia ua Districts as the Honolulu Ground Water Control Area and the Waial a Ground Water Control Area. By this action, the Department of Land a Natural Resources is now responsible for regulating all uses of gro water in these areas.

If you are currently using source, you are required to decl Land and Natural Resources if Specifically, you must fill ou tion of Existing Water Withdr 4, 1981, in accordance with R Natural Resources.

round water from any well or spring re such water use to the Department of wish to continue your present use.

, Sign, and return the enclosed Declara­and Use form to the Department by June

ation 9 of the Department of Land and

Accord i ng to our records, I we 11 (s) 1 oca ted on your property {Tax Map Key Please complete the enclosed form and return it as -s-oo-n-a-s--+-""""--e-~ : Department of Land and Natural Resources, P.O. Box 373 Honolulu, Hawaii 96809.

If you have any questions please call the Division of Wa Thank you for your cooperation.

Enc.

need help in filling out the form, and Land Development at 548-7619.

Very truly yours,

~;'ONO ez.... Chairman of the Board

_______ ~._I ______ ---.-.-----.-.------------------.

o Q

WELL INFORMATION SHEET

Instructions: The following information is currently on file at the Department of Land and Natural Resqurces, Division of Water and Land Develop­ment. If there are any changes, please make the necessary corrections

,

and return to the Departrpent of Land and Natural Resources, P.O. Box 373, Honolulu, Hawaii 96809.

I

Well Number: __ t~O~~~4~-~O~~ ________ ~ ________________________________ _

Name or Location: _A...;:;u.;.;:u:;..:lo'='<+¥:---=-~';;;;':"" __ --r-__________________ _

Owner or User: Ale", '(ouVlg Co·

Year drilled: _t:..:;;.9-=~;...:S~ ______ -t" __________________ _

Driller:

Ground Surface Elevation in feet refere~ced to mean sea level: _...;(C::::..-______ _

Casing Diameter in inches: _8...;...-__ -+ __________________ _

Total depth of well in feet: _.;::~~,,~t3""'__+_------------------

Casing depth in feet: _...;;'5....;:9;,...7.:...-___ -+-_____________________ _

Major Use:

o Municipal

r::J I;'rigation

o Industrial

o Domestic,

D Unused

D Sealed

l5fJ Observation

CJ Disposal

o Lost

CJ Recharge

CJ Other (specify) -------Static Water Level in feet: 21.0

--~~---+-----------------------------------Chloride content of water in milligrams/liter: ......;,I..;.:IB:::;.....-_~;:;...;::Z-=O~ __________ _

Installed pump capacity in million gall~ns per day: -.::O~.:.::z:.:::o::.._ __________ _

Average annual draft in million gallons per day:

120

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WAIWAI

NIMITZ

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