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07/21/2005 10:41 FA% J0~7218288 GREYSTONfi ~JOOZ <br />GWS-38 <br />600 FOOT WELL SPACING STATEMENT <br />1(we) Adams County Board of Commissioners state as follows: <br />I {We) own real properly described as a gravel pit in <br />the Unknown'/. of the NW'/., Section 26, Township 1S, Rangs 67W, <br />6th P.M., Adams County, Colorado. We own the right and <br />easement to the following well: <br />Actual Actual <br />Distance Distance <br />tram Sec. torm Sec. <br />Permirt# '/< '/. Sec. Twp. Rng. Line Line <br />42119 Unknown NW 28 15 67W Unknown Unknown <br />N^ S^ E^ W[]. <br />2. ! (we) have been apprised that Albert Frei 8 Sons. Inc., the <br />present owners of a parcel of land in the NE'/. of the 5W %, Section 26, <br />Township 1 S, Range 67W, 6th 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 />appligtlon that was submitted to the State Engineer and receipted by him under <br />receipt no. 3155748. <br />3. The proposed location for the subject well will be 600 feet or less from my (our) gravel pit <br />well. <br />4. <br />By this statement I (we) am (are) spec~cally waiving any objection to the issuance of a <br />.well permit for the subject well, as set forth in the referenced application, and would <br />.request that permit issuance not be postponetl or dented because of any concerns by <br />the DlvJsfon or others that the proposed well will materially affect my (our) weil,or water <br />right I (we) am (are) alsc specficaliy waiving my (our) right 1(we) may have to <br />participate in a hearing before the State F~gineer pursuant to Section 37-90-137(2), <br />C.R.S, i <br />APPROVED AS TO FORM: <br />County Au ney s Office <br />