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WATER WELL WffHIN 600 FEET <br />WELL OWNER CONSENT FORM <br />To Whom ff may contain <br />I, Gates Cyclo, Inc. , being the owner of the <br />well(s) referenced herein, do hereby glue consent for CAMAS Colorado, Inc. to <br />Construct a well (gravel mule) vnthin 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 4577E <br />Located in the ,~J~E (Qtr/Qtly <br />Searon 14 <br />Township 1S (SMj <br />Range 67w (W!E) of the 6°i P M <br />County Adams ,Colorado <br />Coordinates 200os feet (S/N) <br /> 1500E feet (FINN) <br />From the sE '/. comer of the said SecUOn 14- <br />Well Permit Number <br />Located in the I (Qtr/Qtr) <br />Section <br />Township (SIN) <br />Range (W/E) of the 6°i P M <br />Courrty ,Colorado <br />Coordinates feet (SM) <br /> feet (E/V1~ <br />From the '/. comer of the said Section <br />Weil Pen17n Number <br />Located In the / (Qtr/tom <br />Section <br />Township (SIN) <br />Range (W/E) of the 8"' P M <br />Courrty ,Colorado <br />Coordinates feet(S/Nj <br /> feet (ENVI <br />From the %. comer of the said Section <br />Signed Date <br />Pnnted Name <br />Address <br />Wdr Wep Consent Form <br />6ubsnbde Stpply Plan, and <br />DMG Eah~bd O -Water Informatgn <br />