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.. i ~ <br />600 FOOT WELL SPACING STATEMENT" <br /> <br />1. 1(we) own real property described es <br />in the -1/4 of the .Section _ <br />P.M., County, <br />following well(s}: - <br />state as follows: <br />--y;oa , ~~ r-~~ ~ <br />_, Township ,Range <br />Colorado.- Located on our property are the <br />2'. I(we) hive been apprised that Carl Hill ,the present owners of <br />a parcel .of land in the NE 1/4 of the sue' f/4, Section 35 ,Township 6N , <br />Range 661.^~ 6th p,M., desire to drill a new weU(s) (excavate a gravel pit). <br />I(we) also understand that the purpose of such well(s) (gravel pit) is to mine sand <br />and gravel and I(we) have reviewed the application(s) that were submitted to the <br />Division of Minerals and Geology wrth Permit Number(s) M92069 <br />_ ~` <br />l ~ " ~ 3. The proposed location(s) for the one (t) ~ ~ ~ well(s) (gravel Pit) <br />will be less than 600 feet from one or more of my(our) wells. <br />4. By this statement I(we) are specifically waiving any objection to the issuance of a <br />well permit(s) by the State Engineer to Carl Hill and/or 83rd Joint Venture <br />.r.r <br />for the subject wells} (gravel pit). <br />5. By signing this statement I(we) are not waiving my(our) right to take necessary <br />action in the future to protect my(our) well(s) from injury due to the subject mining <br />operation. . <br />Dated this ~~ day of. .~•~ , t9.d~` . <br />.- <br />phi, ~. ~~ f, ~-~-.;-' <br />e'10Q106~9pp11wN tlx <br />\:. <br /> <br />