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WATER WELL WITHIN 600 FEET <br />WELL OWNER CONSENT FORM <br />To Whom If may COnCem <br />I, _ Robert and LiIIY Keehn , being the owner of the <br />well(s) referenced herein, do hereby glue consent for CAMAS Colorado. Inc. to <br />Constrict a wall (gravel mine) vnthin 600 feet of my well I am the owner of the following <br />well(s) whidt may be vinthin 600 feet of the Brighton Mine <br />Well Permit Number 68905 <br />Located in the ,~y~/_~_ (Qtr/Otr) <br />Section 1a <br />Township 1S (SIN) <br />Range 6nrv (W/E) of the 8° P M <br />County Adams ,Colorado <br />Coordinates 241oN feet(S/N) <br /> 24ooE feet (FJVU) <br />From the NE ~/. comer of the said Section ~~ <br />Well Permit Number <br />Logted in the i (QtrlQtr) <br />Section <br />Township (S/N) <br />Range (W/E) of the 8"' P M <br />County , Colorado <br />Coordinates feet (SM) <br /> feet(FJVV) <br />From the %. comer of the said Section <br />Weil Permr Numoer <br />Located inthe / (Qtr/Qtr1 <br />Section <br />Township (S/N) <br />Range (W~ of the 6'" P M <br />County . Colorado <br />Coordinates feet (SIN) <br /> feet (EMI) <br />From the _ _ _ Y. comer of the said Section <br />Signed <br />Pnnted Name <br />Date <br />Address <br />w~C wdl ConaanR F«,n <br />Subablu[a Suppy Plm, and <br />DM6 Exhibd e - Walar Info,matwn <br />