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Banks and Gesso, LLC <br /> 1 <br /> Well Owner Consent Form <br /> To whom it may concern: <br /> ' I being the owner of the <br /> well(s) referenced herein, do hereby give consent for L.G. Everist, Inc. to construct a well <br /> (gravel mine) within 600 feet of our well. <br /> is the owner of the <br /> following well(s) which may be within 600 feet of the proposed Ft. Lupton Sand and <br /> Gravel Mine. <br /> ' (Permit # 90907 Estate of K epyjn and RP lx euc )'crr'Ker <br /> Address : p,Q, gny /c;S- <br /> Br�fhoarT D 805/.3 <br /> Located in the J/W l AlItl (Qtr. /Qtr. ) <br /> Section : 30 <br /> ' Township : 2 (S /® <br /> Range : (o!o (0/E)of the 61h P.M. <br /> ' In We►d County, Colorado. <br /> Cooridinates : feet (S leg <br /> 900 feet Q/ E) <br /> From the 1VG4/ '/<corner of the <br /> Said Section ;3 <br /> ' Signed : Print: Date <br /> 1 <br /> Ft.Lupton Sand and Gravel Mine 99024 <br /> L.G. Everist October 1999 <br />