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WATER WELL WITHIN 600 FEET <br />WELL OWNER CONSENT FORM <br />To Whom IF may contain <br />I, Thomas Majors , being the owner of the <br />well(s) referenced harem, do hereby glue consent for CAMAS Colorado. Inc. to <br />Construct a welt (gravel mule) within 600 feet of my well I am the owner of the following <br />well(s) which may be within 800 feet of the Brighton Mine <br />Well Permit Number <br />Located m the <br />Serxron <br />Township <br />Range <br />County <br />Coordinates <br />From the <br />Well Penult Number <br />Located m the <br />Sedan <br />Township <br />Range <br />County <br />Coordinates <br />From the <br />Weu Pemttt Numoer <br />Located n the <br />Section <br />Township <br />Range <br />County <br />Coordinates <br />From the <br />Signed <br />Punted Name <br />Add2ss <br />206490 <br />N W ! N W (Otr/Otr) <br />14 <br />1S (SM) <br />67W (W/E) of the 6'" P M <br />Adams , ColOrad0 <br />sons feet (SM) <br />1000W feet (El1IV) <br />sw '/. comer of the said Section ~_ <br />/ (Qh'/Qtr) <br />(S/N) <br />(W/t7 of fhe 6w P M <br />Colorado <br />feet (SIN) <br />feet (EN1~ <br />'/. comer of the said Section <br />/ (Qtr/QM} <br />(SM) <br />(WIt7 of the 6"' P M <br />Colorado <br />feet (S/N) <br />feet (FJVI!) <br />'/. comer of the said Section <br />Date <br />w.er wee consent Form <br />SulM~hrte Supply Plan, and <br />DMG E~~6d G -Water Infomwtgn <br />