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Banks and Gesso, LLC <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 # /5-l-7yZ ) Estate of &J,fL ,7 <br /> Address : /t&/ J'I`k Mell Alle <br /> Located in the t1 ; (Qtr. /Qtr. ) <br /> Section : �_ <br /> ' Township : 2_ (S AN-j <br /> Range : (TH 0 E) of the 6'h P.M. <br /> In (K)e1j County, Colorado. <br /> Cooridinates : 2(_,0o feet (S /® <br /> 24,no feet (W,z <br /> 1 From the H- 114 comer of the <br /> Said Section 30 <br /> Signed : Print : Date <br /> Ft. Lupton Sand and Gravel Mine 99024 <br /> ' L.G. Everist October 1999 <br />