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07/21/2005 10:41 FA% 90~T218288 GREYSTONE Q1005 <br />GWS-31r f00'f~OTVVELL SPACIIWG STATE1ViEt+fC <br />i'{wa) #3ramnan Sand and Gravel £omuanv state es follows; . .. <br />'l. I (we) own real property described as agrictitturat in <br />~the;NE'/. of the SE Y., Section 26, Township 9S~ f~angeS71UV, <br />fith~i?:M.; Adams County, Colorado. We owntbe right and. <br />' easement to the following well: <br />Actual Actual <br />Distance Distance <br />• from'Sec. foan Sec: <br />Permit # '/. % Sec. Twp. Rng. tine . :Line. . <br />43446 NE SE Zfi 1S fi7W Unknown ft. ifiknown ft. <br />N'[] S ~ E [] . W 'O <br />2. I (we) have been apprised that Albert Frei ~ Sons. Ina. the <br />present~owners of a parcel of land in the NE % of the SW %, Section 26, <br />Townshig 1S; Range li7W, 6th'P.M., desire to dn71 a new well or <br />extend the use of,an e~dsting well. I (we) also unders#and tha# the purpose of such <br />well is set forth in the wetl,permit application, and that 1(we) have reviewed the <br />application that was submitted to the State Engineer and receipted by him under <br />receipt iro.:.315574B. <br />S. The proposed location for the subject well well be 600 feet or less from my (our] well. <br />4. 8y'this statement 1(we) am (arej specifically waiving any objection to the issuance of a <br />w®11 permit for the subject well, as set forth in the refen:nced application, and would <br />re4uest!that pertnR issuance not be postponed ordenied bequse of any concerns by <br />the Division or othera that the proposed weN wilt materlalry affect my {our] well or water <br />right I (we) am (are) also spedfiglly waiving my (our) right 1(we) may have to <br />participate in a hearing before the State Fsglneer pursuant to Section 37-90-13i!(2), <br />C:R.S. <br />Dated this 2 y day of. ~ r,~,..~~ ._ . ,~~ , <br />