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WATER WELL WfTHIN 660 FEET <br />WELL OWNER CONSENT FORM <br />To Whom If may COr1Cem <br />I, Roy~N. Renslow , being fhe owner of the <br />well(s) referenced harem, do hereby gtve consent for CAMAS Colorado. Inc. to <br />ConsUud a welt (gravel mule) wtthtn 600 feet of my well 1 am fhe owner of the following <br />well(s) which maybe wtthtn 600 feet of the Brighton Mine <br />Well Permit Number 85949 <br />Lopted to the NW / NW (Qtr/Qtr) <br />Section 23 <br />Township 1S (S/N) <br />Range s7w (W!E) of the 6°i P M <br />County Adams .Colorado <br />Coordinates 30oN feet (SM) <br /> 90ow feet (EIVJJ <br />From the Nw ~/. comer of the said Seaton 23 <br />Wall Permit Number <br />Located inthe / (Qtr/Qtr) <br />Section <br />Townshtp (S/N) <br />Range (V1rlE) of the 6'' P M <br />County ,Colorado <br />Coordinates feet (SIN) <br /> feet (E/VV) <br />From the '/. comer of the said SecUOn <br />Watt Pem1rt Number <br />Located tit the / (Qtr/Qtl) <br />Section <br />Townshtp (SM) <br />Range (W/E) of the 6'" P M <br />County ,Colorado <br />Coordinates teat (SJN) <br /> feet (EN-~ <br />From the '/. comer of the said Seaton <br />Stgned <br />Punted Name <br />Address <br />Date <br />wait wdl ConsMt Form <br />liuWldule Supply Vlan, and <br />DMG Exh~bd Q - Watar InM~mstan <br />