Laserfiche WebLink
GWS-38A II 600 F/OOT WELL SPACING STATEMENT <br />I (we) ~ ~tl ~ ;1 .L.~~- P state as follows: <br />1. I(we) own rea( property described as in <br />the `'/4 of the '/<, Section ~, Township ,Range , <br />P.M., Lt)E~___ County, Colorado. We own the right and <br />easement to the following welt(sJ: <br />Actual Actual <br />Distance from Distance from <br />Permit # 114 1/4 Sec. Twp. Rng. N/S Sec. Line E(W Sec. Line <br />~~1~Fi <br /> <br />ft. ft. <br />ft. ft. <br />ft. ft. <br />2 <br />I (we) have been apprised that <br />the <br />3 <br />present owners of a parcel of land in the <br />'/< of the "/<, Section _, <br />Township ,Range 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. <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. 1 (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 4' day of <br />(~~ <br />45 <br />