HomeMy WebLinkAboutCOM 0326.000 2008-2010
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LINDA LINGLE tF¢ CHIVOME LEINAALA FUKINO, M.D.
GOVERNOR OF HAWAII4 DIRECTOR OF HEALTH
Ft
STATE OF HAWAII
DEPARTMENT OF HEALTH
RO. BOX 3378 In reply, please refer to
HONOLULU, HAWAII 96801 END / WB
WW 301 PN CL
April 29, 2009
R~
C~
G7
Mr. Theodore Baldau
Vice President
RT Engineers, Inc.
P.O. Box 390628 m
Kailua-Kona, Hawaii 96739
Z3
Dear Mr. Baldau:
Subject: Variance Application No. WW 301 Docket No. 09-VWW-04
Application for Variance - Primarily Concerning Large Capacity Cesspools
Teshima Enterprises, Inc. c/o Mr. Ernest Teshima
Proposed Upgrade of Existing Cesspools to Seepage Pit and Proposed
Installation of a Septic Tank
79-7251 Mamalahoa Highway, Kealakekua, Hawaii 96750
TMK: (3) 7-9-003: 029 124,951 square feet
The Department has reviewed your application for a variance from Chapter 11-62, Hawaii
Administrative Rules for the subject property. In accordance with Chapter 342D-7, HRS and
Chapter 11-62, Section 11-62-41, a public notice of this proposed activity is required.
Enclosed is a copy of the required public notice. Please read the public notice and contact the
Department of Health Wastewater Branch if any discrepancies or corrections are required. If the
public notice is satisfactory, the public notice is required to be published in the Honolulu
Star-Bulletin and West Hawaii Today one (1) time only. Please contact the following
agencies for assistance in the publishing of the public notice (names and emails may have
changed - this is only basic information on file). Also, if an a-copy of the Public Notice is
requested by the newspaper agency, please email lori.morikami@doh.hawaii.gov and she will
email a printable version of the public notice to you.
Honolulu Star Bulletin, 500 Ala Moana Blvd., Seven Waterfront Plaza Ste 500,
Honolulu, Hawaii 96813 Contact Lisa at phone (808) 529-4344 or
Rose at (808) 529-4825, fax (808) 529-4829, email lisa@starbulletin.com
West Hawaii Today, P.O. Box 789, Kailua-Kona, Hawaii 96745,
phone (808)329-9311 fax (808)329-3659 email llogan@westhawaiitoday.com
Failure to have this notice published within three (3) weeks of receipt of this letter, may result in
a greater delay of the final decision of this application for variance. All publication costs are the
responsibility of the applicant. Once published, you must submit the original certified affidavits of
Comm. No. 3_AA9
Ref. To:
Ref. Dote MAY 0 6 2009
Mr. Theodore Baldau
April 29, 2009
Page 2
the publication from both newspaper agencies to the Wastewater Branch at 919 Ala Moana
Blvd. Room 309, Honolulu, Hawaii 96814-4920 within fifteen (15) days after the publication
date. You may make a copy for your records. Please be advised that, pursuant to Chapter
342D-7, HRS, a public hearing may be required as a result of this public notice. If so, you will be
required to publish a notice of public hearing.
Please find enclosed a receipt for your variance application for the amount of $300.00. If you
have any questions regarding the public notification procedure or the processing of your
variance application, please call the Planning & Design Section of the Wastewater Branch at our
direct toll free phone number 974-4000 ext. 64294, fax (808)586-4300.
Sincerely,
THOMAS E. ARIZUMI, P.E., CHIE
Environmental Management Division
Enclosures: Receipt No. 26525
Public Notice -
c: Applicant- Mr. Ernest Teshima
Clean Water Branch
Safe Drinking Water Branch
Wastewater Branch - Kona Staff Engineer
Department of Water Supply - County of Hawaii
District Health Office - Hilo
?Hawaii County council
WASTEWATER SYSTEMS
PUBLIC NOTICE OF
VARIANCE APPLICATION NO. WW 301
DOCKET NO. 09 - VW W - 04
Pursuant to H.R.S. Section 342D-7(i), Hawaii Revised Statutes, the State Department of
Health (DOH) seeks written comments from interested persons regarding the following.
Mr. Ernest Teshima of Teshima Enterprises, Inc. 79-7251 Mamalahoa Highway, Kealakekua,
Hawaii 96750 has applied for a variance for the maximum of five (5) years as stated in the
variance application from Hawaii Administrative Rules (HAR) Section 11-62-03 Definitions state
"Individual wastewater system means a facility which is designed to receive and dispose of no
more than 1000 gallons per day of domestic wastewater. Individual wastewater systems may
involve treatment processes and include, but are not limited to, septic tanks and household
aerobic units with disposal system and cesspools. Each individual wastewater system shall be
an independent system and shall have all of its plumbing, treatment (if any), and disposal
components separate from any other wastewater systems.",Section 11-62-31.1(a)(1)(D)
"General requirements for individual wastewater systems. Individual wastewater systems may
be used as a temporary on-site means of wastewater disposal in lieu of wastewater treatment
works under the following conditions: Developments involving dwellings. The total wastewater
flow into one individual wastewater system shall not exceed one thousand gallons, and one
individual wastewater system shall not serve more than five bedrooms, whether they are in one
dwelling unit or two." and Section 11-62-32 Spacing of individual wastewater systems state "No
individual wastewater system shall be located at any point having less than the minimum
distance indicated in Table II attached to this chapter in appendix F, entitled Tables, dated
April 15, 1997 and located in the end of this chapter unless otherwise approved by the director."
Mr. Theodore Baldau, Vice President of RT Engineers, Inc., P.O. Box 390628,
Kailua-Kona, Hawaii 96739, is the individual authorized to act for the applicant. The applicant is
proposing the upgrade of existing large capacity cesspools at Teshima's Restaurant that serve
ten (10) - one bedroom apartments (no kitchens), one (1) - two bedroom residence and one (1)
- five bedroom residence, dining area (60 restaurant + 75 banquet hall) and bar seating (42).
The applicant has made the following comments.
1. Requested variance for HAIR Section 11-62-03 Definitions: The total volume of domestic
wastewater directed to the proposed individual wastewater system will be 5,680 gallons
per day. This wastewater flow is generated by a restaurant with a bar and banquet room,
a two bedroom and five bedroom single family dwelling and 10 single bedroom
apartment type rooms with no cooking facilities.
2. Requested variance for HAIR Section 11-62-31.1(a)(1)(D) General requirements for
individual wastewater systems: The total calculated volume of domestic wastewater
directed to the proposed individual wastewater system will be 5,680 gallons per day.
This wastewater still partially be generated from 7 bedrooms contained within two
dwelling units and 10 single bedroom apartments without cooking facilities.
3. Requested variance for HAIR Section 11-62-32 Spacing of individual wastewater
systems: The existing cesspool that is proposed to be converted to a seepage pit is
setback approximately 5 feet from the property line fronting Mamalahoa Highway. Table
II requires a minimum 9 foot property line setback for seepage pits. In addition the
proposed septic tank (treatment unit) to be installed in the area between restaurant
structure and property line fronting Mamalahoa Highway may also encroach into the five
(5) foot property line setback.
4. The large capacity septic system proposed to serve the facility would not comply with
HAR Section 11-62-03 because the IWS would receive more than 1,000 gallons per day
of wastewater. The estimated flow into the system would be 5680 gallons per day.
5. The existing large capacity cesspool(s) must be closed and replaced with a new
treatment individual wastewater system by April 5, 2005 to comply with federal
requirements.
6. The current State requirement of a wastewater treatment plant would significantly add to
the construction cost as well as require a much greater outgoing maintenance cost.
7. The applicant believes this variance request is in the public interest because the LCC will
be upgraded to an IWS (septic system). The IWS plans will be designed by an engineer
and will be submitted to DOH for review and approval. The new IWS will provide a better
wastewater treatment system compared to the existing LCC. Therefore, impact to the
environment will be minimized.
8. Prevent loss of jobs. The LCC serving my facility has been in operation for 80 years.
The current State requirements of a wastewater treatment plant would significantly add to
the construction cost, as well as require a much greater ongoing maintenance cost. I
(owner) may be forced to close my existing business and lay off my employees.
9. The existing LCC will be upgraded to an IWS (septic system). The IWS will provide a
better treatment system prior to effluent disposal. The IWS will be designed and
constructed to meet the Department of Health standards. The impact to the environment
will be minimized compared to the current wastewater disposal.
10. The proposed treatment individual wastewater systems will provide greater protection
than the large capacity cesspools. The proposed IWS is an improvement to the existing
cesspool in terms of wastewater treatment. The septic tank will provide pretreatment and
sludge removal prior to effluent disposal.
11. The owner of the facility simply cannot afford to build and operate wastewater systems
meeting all the requirements of HAR Chapter 11-62 such as small aerobic wastewater
treatment plants.
12. The variance is requested for the maximum of five (5) years.
13. Attachment F-1 (B):
Wastewater Calculation for Teshima Enterprises TMK: (3) 7-9-003: 029
Wastewater flow from Teshima's Restaurant, (10) 1 bedroom apartments (no kitchens),
(1) 2 bedroom residence and (1) 5 bedroom residence are included in this calculation.
Allowable daily wastewater generation
Total area of parcel: 124,951 square feet
Footprint of Teshima's restaurant structure: 3,500 square feet (approximate)
Yields (124,951 - 3,500) sq. ft./10,000 sq ft/1000 gal. Per day = 12,145 gal per day (gpd)
allowable wastewater generation
Projected Flow
Restaurant
Total dining seating (60 restaurant + 75 banquet hall) = 135
Bar seating: 42
Kitchen waste water: 135 seats x 8 gal. per seat = 1080 gpd
Bar waste water: 42 seats x 15 gal. per seat = 630 gpd
Customer restroom use: 200 meals per day x 40% @ 5 gal per use = 400 gpd
Employee restroom use: 6 full time employees @ 20 gal per day = 120 gpd
Miscellaneous clean up: 50 gpd
Total daily wastewater from restaurant use: 2,280 gpd
Dwellings:
Total number of bedrooms: 17
Gallons per bedroom: 200
Total daily wastewater from dwellings: 17 bedrooms x 200 gallons / bedroom = 3,400 gpd
Total daily wastewater generated from all uses: 2,280 gpd + 3,400 gpd = 5,680 gpd
Total daily wastewater generated well within allowable limits.
14. The following information is from the Information for Variance Evaluation by UIC Program
worksheet, Underground Injection Control (UIC) Program, Safe Drinking Water Branch:
Facility Address is: 79-7251 Mamalahoa Highway, Kealakekua, Hawaii Owner: Teshima
Enterprises, Inc. Island: Hawaii TMK: (3) 7-9-003: 029 Lot Size: 124,951 sq ft
Action related to disposal is: reuse cesspool as seepage pit.
Seepage Pit: Existing: How many: 1, grd. Elev (g) ft 1450, Diameter (d) ft 8, Depth (h) ft
12.5, Depth to Standing Water from Surface if present: 12.0
Wastewater type: domestic, residential, non-residential, food processing.
Facility's wastewater flow in gallons per day: existing design 1800 gpd, future design
5680 gpd. Actual (measured or metered) Average 1800, Maximum 2200.
A plot map has been attached to this application for variance but can not be shown here.
If you would like to review the complete application, please call or write to the Wastewater
Branch, 919 Ala Moana Boulevard, Room 309, Honolulu, Hawaii 96814-4920, telephone (808)
586-4294 and/or fax (808) 586-4300 to obtain a facsimile. DOH will consider all written
comments received within thirty days of this notice. If warranted, DOH may hold a public hearing
on the variance application, after receipt of separate related documents and written comment, if
any.
CHIYOME LEINAALA FUKINO, M.D.
Director of Health
State of Hawaii Wastewater Branch
Department of Health Application No. WW 3
Environmental Management Division Docket No. 0~_ - VWW -
APPLICATION FOR VARIANCE - Primarily Concerning Large Capacity Cesspools
Wastewater Systems
In accordance with Chapter 342 D Hawaii Revised Statues as of December 9, 2004
Submit ONE (1) original with filing fee of $300.00 payable to State of Hawaii to:
Hawaii.State Department of Health
Wastewater Branch
919 Ala Moana Blvd. Room 309
Honolulu, Hawaii 96814-4920
Ph (808) 586-4294 Fax (808) 586-4300
Attachments are allowed. For copying purposes, 8 1/2" x 11" format is preferred.
1. GENERAL INFORMATION (please print or type):
A. Name:,\i: M& C411Cc?~15~ .1a~.
(Corporation, company, agency, fine, etc. seeking variance)
Contactperson: l`?~~ , EQaAES7 c'SAsMk
Mailing address: 04 S-\ MAMA~.At~oA Ak\0AWPI)e
~E ~1 a~GE~L., q kAo,•J Pr \ 1 616-T so
(City) (Island) (Zip Code)
Nature of Business: Check applicable category. EPA makes the final determination
of a Large Capacity Cesspool (LCC).
Non-Residential LCC
[ ] Retail Business
[ ] Visitor Center
[ ] Church
[ ] School
[ ] Golf course clubhouse / restroom
[~Q Restaurant/ food establishment
[ ] Other, please specify:
[X] Residential LCC
[xJ Multiple dwelling
[ j Community system
( ] Regional system
[ ] Other, please specify:
P:\wwMApplicabon for LCC Variance April 2008.doc as of April 8, 2008. Page 1 of 6
Provide location of existing -cesspool(s):
Tax Map Key No. (3 1 1 - - 60 b Lei
1=Oahu 2=Maui 3=Big Island 4=Kauai
(Number) (Street)
~EA. a`CE1G+d. AONV4P1%,N Qb 1$O
(City) (Island) (Zip Code)
B. Individual authorized to act for applicant:
Name: ~ oP-=V-E 7? 3, i
Title: \LC.E ~ZEs ~DE.y~
Company: 'E tJb %t.xCE--S , 1NC .
Address: O - -sc(O (0 j
o\lr.~- ~wtq t-1A~,fIR~~ Qb-139
(City) (Island) (Zip Code)
Phone No.: 32q- G z z S Fax No.: BSc 3z y -71
Email Address: Q~aw\ tia~aati C.o .
C. Identify the specific section(s) of Chapter 11-62 for which the variance is requested.
Check applicable sections:
Section 11-62-03 Definitions state "Individual wastewater system means a
facility which is used and designed to receive and dispose of no more than
one thousand gallons per day of domestic wastewater. Each individual
wastewater system includes all connected plumbing, treatment (if any), and
disposal components that could, if not connected, serve as separate
wastewater systems."
[ ] Section 11-62-31.1 (a) (1) (A) "Developments involving dwellings: There
shall be 10,000 square feet of land area for each individual wastewater
system."
[ ] Section 11-62-31.1(a)(1)(C) "Developments involving dwellings: Area of the
lot shall not be less than 10,000 square feet except for lots created and
recorded before August 30, 1991. For lots less than 10, 000 square feet which
were created and recorded before August 30, 1991, only one individual
wastewater system shall be allowed. "
[ ] Section 11-62-31.1(a)(2)(A) "Developments involving buildings other than
dwellings: There shall be 10, 000 square feet of usable land area for each
individual wastewater system. Usable land area shall not include the area
under the buildings."
P \wwMpplicabon for LCC Variance April 2008.doc as of April 8, 2008. Page 2 of 6
[ ] Section 11-62-31.1(a)(2)(8) "Developments involving buildings other than
dwellings: The total wastewater flow of the development shall not exceed
15, 000 gallons per day."
[ ] Section 11-62-31.1(a)(2)(C) Developments involving buildings other than
dwellings: Area of the lot shall not be less than 10,000 square feet except for
lots created and recorded before August 30, 1991. For lots less than 10, 000
square feet which were created and recorded before August 30, 1991, only
one individual wastewater system shall be allowed."
N SEE A~CArr4w~.~-C =•G.
It. SPECIFIC INFORMATION:
A. Describe existing facility conditions in detail, in relation to the requested variance.
(Example: Requested Variance for HAR Section 11-62-31.1 (a)(2)(C): The total area
of the subject lot is 8,500 square feet. The lot has 2 buildings on it consisting of a
restaurant and a physical therapy office which are served by a cesspool. The
estimated wastewater flow is 2,000 gpd.)
B. Describe how the present or proposed conditions fail to conform to the environmental
rules of the State. Check applicable category and provide missing information.
[ ] The area of the lot is square feet. This is insufficient to meet
the minimum land'area requirement for IWS utilization which is one IWS per
10,000 square feet of lot area.
[x] The large capacity septic system proposed to serve the facility would not
comply with HAIR Section 11-62-03 because the IWS would receive more than
1,000 gallons oPr day of wastewater. The estimated flow into the system
would be__ 0'20 gallons per day.
P:\w MApplicabon for LCC Variance April 2008.doc as of April 8, 2008. Page 3 of 6
[ ] Other, please specify:
C. Describe in detail why the present or proposed equipment and/or operating conditions
cannot be altered to bring such facility into compliance with the environmental rules of
the State within a reasonable amount of time. Check all applicable reasons.
p([ The existing large capacity cesspool(s) must be closed and replaced with a
new treatment individual wastewater system by April 5, 2005 in order to
comply with federal requirements.
[Xj The current State requirement of a wastewater treatment plant would
significantly add to the construction and ongoing maintenance costs.
[ ] The facility has been in operation for years in this location using the
existing cesspool. The installation of a wastewater treatment plant in lieu of a
septic system will not be possible due to space restrictions and may force the
owner to abandon the business operation.
[ ] Other, please specify:
D. Check applicable reasons listed below and/or supply supporting information
(Attachments D-1, D-2 & D-3) to clearly show that:
(1) The granting of the variance is in the public interest as defined in the Hawaii
Revised Statutes, Section 342.D-6(c).
NA The applicant believes this variance request is in the public interest
because the LCC will be upgraded to an IWS (septic system). The
I WS plans will be designed by an engineer and will be submitted to
DOH for review and approval. The new IWS will provide a better
wastewater treatment system compared to the existing LCC.
Therefore, impact to the environment will be minimized.
06 Prevent loss of jobs. The LCC serving my facility has been in
operation for $0 years. The current State requirements of a
wastewater treatment plant would significantly add to the construction
and ongoing maintenance costs. I (owner) may be forced to close my
existing business and lay off my employees.
[1
P1wwbWpplicaton for LCC Variance April 2008.dw as of April 8, 2008. Page 4 of 6
(2) The granting of the variance will not substantially endanger human health or
safety.
The existing LCC will be upgraded to an IWS (septic system). The
IWS will provide a better treatment system prior to effluent disposal.
The IWS will be designed and constructed to meet the Department of
Health standards. The impact to the environment will be minimized
compared to the current wastewater disposal system.
The proposed treatment individual wastewater systems will provide
greater protection than the large capacity cesspools. The proposed
IWS is an improvement over the existing cesspool in terms of
wastewater treatment. The septic tank will provide pretreatment and
sludge removal prior to effluent disposal.
[ ] Other, please specify:
(3) Compliance with the rules or standards from which the variance is sought would
produce serious hardship without equal or greater benefit to the public.
[ ] The residents of are economically
depressed.
N/I
The owner of the facility cannot afford to build and operate wastewater
vkk systems (such as small aerobic wastewater treatment plants) to meet all the
requirements of HAIR Chapter 11-62.
[ ] The existing location of the facility is severely restrictive, and there is
insufficient space to construct a wastewater treatment plant.
E. Specify the amount of time requested for the variance and the reasons for such a time
period. Note that the Director cannot issue a variance for a period exceeding five years (if
additional space is required, please include the information on a separate attachment and
label "Attachment E-1"). Check applicable amount of time requested.
5 years [ ] 4 years [ ] 3 years
[ j 2 years [ ] 1 year
F. Submit any additional information which will support this application for a variance (i.e.,
statements, plans, area maps, histories, etc.) Label "Attachment F-1."
P:\WWMApplicafion for LCC Variance April 2008. doc as of April 8, 2008. Page 5 of 6
III. CERTIFICATION:
I, I-44C=Pk=e1E ~ht.D~] tZT £?Jb1NEFY5, Zarf .
(Print Name) (Print Title)
certify that I have knowledge of the facts herein set forth and that the same are true and correct to
the best of my knowledge and belief.
Signature: fAZ40-,, , Date: 4 ~ b ` O q
DO NOT WRITE BELOW - FOR AGENCY USE ONLY
IV. Date Application received: o41 - t-~ ewoq
V. Application No.: Y ~ VY 1d/~0I
VI. Docket No.: 01- \/`r ~r(' r ' 0"T
VII. Received by:
VIII. Filing fee ($300.00) check date: Pv Check # F21 /
IX. Department of Health Receipt #
X. Decision on Application (including date):
XI. Date of Public Hearing:
P.\wwbWpplicafion for LCC Variance April 2008.doc as of April 8, 2008. Page 6 of 6
Teshima Enterprises Inc
TMK (3) 7-9-003:029
Wastewater Variance Application
Attachment I.C.
The specific sections of Chapter 11-62 for which the variance is requested are as follows:
Section 11-62-03 Definitions state "Individual wastewater system means a facility which
is used and designed to receive and dispose of no more than one thousand gallons per day
of domestic wastewater. Each individual wastewater system includes all connected
plumbing, treatment (if any), and disposal components that could, if not connected, serve
as separate wastewater systems."
Section 11-62-31.1 (a)(1)(D) General requirements for individual wastewater systems
state " The total wastewater flow into one individual wastewater system shall not exceed
one thousand gallons, and one individual wastewater system shall not serve more than
five bedrooms, whether they are in one dwelling unit or two."
Section 11-62-32 Spacing of individual wastewater systems state "No individual
wastewater system shal be located at any point having less than the minimum distances
indicated in Table II attached to this chapter in appendix F, entitled Tables, dated April
15, 1997 and located in the end of this chapter unless otherwise approved by the
director."
Attachment II.A.
Requested Variance for HAR Section 11-62-03 Definitions: The total volume of
domestic wastewater directed to the proposed individual wastewater system will be 5,680
gallons per day. This wastewater flow is generated by a restaurant with a bar and banquet
room, a two bedroom and five bedroom single family dwelling and 10 single bedroom
apartment type rooms with no cooking facilities.
Requested Variance for HAR Section 11-62-31.1 (a)(1) (D) General requirements for
individual wastewater systems: The total calculated volume of domestic wastewater
directed to the proposed individual wastewater system will be 5,680 gallons per day.
This wastewater will partially generated from 7 bedrooms contained within two dwelling
units and 10 single bedroom apartments without cooking facilities.
Requested Variance for HAR Section 11-62-32 Spacing of individual wastewater
systems: The existing cesspool that is proposed to be converted to a seepage pit is
setback approximately 5 feet from the property line fronting Mamalahoa Highway. Table
11 requires a minimum 9 foot property line setback for seepage pits. In addition the
proposed septic tank (treatment unit) to be installed in the area between restaurant
structure and property line fronting Mamalahoa Highway may also encroach into the 5
foot property line setback.
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ATTACHMENT F-1(B)
Wastewater Calculation for Teshima Enterprises
TMK (3) 7-9-003:029
Wastewater flow from Teshima's Restaurant, (10) 1 bedroom apartments (no kitchens),
(1) 2 bedroom residence and (1) 5 bedroom residence are included in this calculation.
Allowable daily wastewater generation
Total area of parcel: 124, 951 sq. ft.
Footprint of Teshima's restaurant structure: 3,500 sq. ft (approx.)
Yields (124,951- 3,500) sq. ft. /10,000 sq ft/1000 gal. per day = 12,145 gal per day(gpd)
allowable wastewater generation
Projected Flow
Restaurant
Total dining seating ( 60 restaurant + 75 banquet hall) - 135
Bar seating: 42
Kitchen waste water: 135 seats x 8 gal. per seat = 1080 gpd
Bar wastewater: 42 seats x 15 gal per seat = 630 gpd
Customer restroom use: 200 meals per day x 40% @ 5 gal per use = 400 gpd
Employee restroom use: 6 full time employees @ 20 gal per day = 120 gpd
Miscellaneous clean up : 50 gpd
Total daily wastewater from restaurant use: 2,280 gpd
Dwellings:
Total number of bedrooms: 17
Gallons per bedroom: 200
Total daily wastewater from dwellings: 17 bedrooms x 200 gallons /bedroom = 3,400 gpd
Total daily wastewater generated from all uses: 2,280 gpd + 3,400 gpd = 5,680 gpd
Total daily wastewater generated well within daily allowable limits.
For Ounce Use
INFORMATION FOR VARIANCE EVALUATION BY UIC PROGRAM App. a WW:
Underground Injection Control (UIC) Program, Safe Drinking Water Branch El above C1 below UIC line
Department of Health, State of Hawai'i
919 Ala Moana Blvd., #308, Honolulu, HI 96814
Tel. No. 808-586-4258, Fax: 808-586-4351
Attention: This information will be used to determine your project's applicability to UIC requirements and the authorization to
abandon or operate the effluent disposal system Answer all parts accurately and completely. Inaccurate or incomplete answers
may result in processing delays.
79' 1251 MPaMA\ Wt~A tv~4wRY
Facility address: r.E~l RI~EK++~. `lbl5b Owner: ygs,jrMN Ev~E¢~~2\StS,S.L.
Island: #-,,j TMKNo.: C3~~-q"0 3 029 Lot size: AV+1 {SI sq. ft.
Action related to disposal (check all applicable): ? abandon cesspool ? reuse cesspool ? build new cesspool
X reuse cesspool as seepage pit ? build new seepage pit ? reuse leachfield ? build new leachfield ? reuse injection well
? build new injection well ? other. _
Describe the disposal structure: ? leachfield ft. x ft. x ft. deep
OR
g existing: ? new:
d how many: i
grd. elev. (g) ft.
? cesspool
h seepage pit, or diameter (d) ft. 8 _
? injection well
depth (h) ft. 1 Z . S
depth to standing water
from surface if present: 12. O
Wastewater type (check all applicable): domestic L residential non-residential ? runoff ? industrial
? aquaculture ? commercial products processing food processing ? animal-related ? swimming pool/tubs
? condensate ? aesthetics ? healthcare-related ? floor drains ? other:
Facility's wastewater flow in galfts per day: Average Maximum
Existing design: 1 e" O Future design: S (ab~ Actual (measured or metered): 19a o 27-0 V
Person providing this information:
? is the owner.I is representing the owner. / ' ,cps
Pri nted name: %Signed:
Title: VICE ~\?RS~OE..SC Company: 27 F'JbInJ'E~e ZS.~r"c.
Address: P. d • Z 0-A 390 (o -2 8 , ~~}~L.,k - ~o wft , t~ Z `?b 3 9
Date: 4110 ~oi Phone: (90e) 12 9" 2 Z S Fax:(") 329- 71 (4-
(0408)
iA
Transmittal Date: Ui5'01- 700 Suspense Date: 00- 06-0 '7~1
Wastewater Branch Variance A licatio Docket No. -VWW APP #
Namefritle:
Subject: Cover L tter, Public Notice and Variance Application
ROUTE TO:
A licant: l
Agent:
Director of Health - Chiyome Leinaala Fukino
Deputy Director for Environmental Health Administration - Laurence Lau
Chief, EMD - Thomas E. Arizumi
Attorney General's Office - Deputy Attorney Edward "Ted" Bohlen
Clean Water Branch - Alec Wong
Environmental Planning Office - Kelvin Sunada
Safe Drinking Water Branch - Stuart Yamada
Sanitation Branch - Commercial Properties Only
Wastewater Branch Staff Personnel
[ ] Hilo - Jerry Nunogawa (TMKs 1, 2, 3, 4)
Kona - Dane Hiromasa (TMKs 5, 6, 7, 8, 9)
[ ] Kauai - Lori Vetter
[ ] Maui - Roland Tejano
Oahu - Johnny On
Water Departments
[ ] Board of Water Supply - Clifford Lum
[>dCounty of Hawaii Dept of Water Supply - Milton Pavao
[ ] County of Maui Dept of Water Supply - Jeffrey Eng
Kauai Count Department of Water - Edward Tschu
[ i Maui DHO - District Environmental Health Program Chief
[ I Kauai DHO - , District Environmental Health Program C ief
[ Hilo DHO - Aaren-de+7o, District Environmental Health Program Chief 0
Cit & County of Honolulu, Department of Planning & Permitting 7 Floor
[ County of 1 Council / [ ] Honolulu City & County Council
Oahu Neighborhood Board #
ACTION REQUESTED:
Regarding the Cover Letter, Public Notice & Variance Application, please check one box:
[ ] Recommend to GRANT this variance application.
[ ] Have no objection to the GRANTING of this variance application.
[ j Recommend to DENY this variance application.
[ ] See attached comments.
Reviewed by Title
Contact Phone # Fax #
Please return this ROUTE SLIP. You may add a separate sheet of comments to this.
Return this to: Department of Health - Wastewater Branch, 919 Ala Moana Blvd. Room 309
Honolulu, Hawaii 96814-4920 phone (808) 586-4294 fax (808) 586-4300
Received by W WB / / pAc temp%wwb - 2008 variance route slip - CL PIN App.doc 07/18/2008