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b0~ ~'OO'I' ~~/ELI._~P~CIivG ~'I'A'I'~bl~l'~i'I' <br />I Weld County III IIIIIIIIIIIIIIII _ state as follows: <br />1. [own rzal property located in the S1V ;%, the SE ;'~, and the CIE S~, <br />Section 3l ,Township 6N ,Range 6~\V 6`h P.\L, \~'eld County, <br />Colorado. Located on our property are the following well(sl: <br />i1-;3210 <br />3. I have been apprised that Weld County ,the present owner of a parcel of <br />land in the SW 'b, Section 31 ,Township 6i`I , Range 6~W 6'h P.Ivt., <br />desire to drill a ne~.v well. I also understand that the purpose of such will is for dust <br />control and other industrial purposes in portions of the SW '/a and the SE '/+ of <br />Section 3l . <br />The proposed location of the well will be less than 600 feet from one or more of my <br />gravel pit wells. <br />4. By this statement I am specifically waivins any objection to the issuance of a well <br />permit by the State Engineer to Weld County for the subject well. <br />By signing this statement I am not waiving my right to take necessary action in the <br />future to protect my gravel pit ~vell(sj from injury due to the subject will. <br />~~ <br />Dated this ~ day of ~ w~ , 19~~5 <br />/ i A <br />l <br />s~sto„7 c~u ~ ,~IfY~/ <br />