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GWS -38 600 FOOT WELL SPACING STATEMENT <br />I (v <br />1 <br />2 <br />4-1 <br />state as follows: <br />C ` /►� <br />aeAvet p ter <br />I (we) own real property described as PETMkSON Pay kOb in <br />the '/4 of the .5 E '/4, Section jq_, Township IS , Range 1 E <br />R T9, P.M., MESA County, Colorado. We own the right and <br />easement to the following well: <br />Actual Actual <br />Distance from Distance from <br />Permit # 1/4 1/4 Sec. Twp. Rng. N/S Sec. Line E/W Sec. Line <br />3 75T9-F- SE � IS I i� $oor H ft. AOW ft. <br />,,oaPA0 9� OF MESA <br />I (we) have been apprised that OWASrLE S0 6WO 04 f9NO�06 the 6WM% <br />present owners of a parcel of land in the NIF '/4 of the SC '/4, Section JY—, <br />Township IS , Range 1E , WE P.M., desire to drill a new well or <br />extend the use of an existing well. I (we) also understand that the purpose of such <br />well is set forth in the well permit application, and that I (we) have reviewed the <br />application that was submitted to the State Engineer and receipted by him under <br />receipt no. 365 902.0 <br />The proposed location for the subject well will be 600 feet or less from my (our) <br />well. <br />4. By this statement I (we) am (are) specifically waiving any objection to the issuance <br />of a well permit for the subject well, as set forth in the referenced application, and <br />would request that permit issuance not be postponed or denied because of any <br />concerns by the Division or others that the proposed well will materially affect my <br />(our) well or water right. I (we) am (are) also specifically waiving my (our) right I <br />(we) may have to participate in a hearing before the State Engineer pursuant to <br />Section 37 -90- 137(2), C.R.S. <br />Dated this day of 3 <br />