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WATER WELL WITHIN 600 FEET <br />WELL OWNER CONSENT FORM <br />To Whom If may concern <br />I, Adams County Sheriff, Lt. Hibbard , being the owner of the <br />well(s) referenced herein, do hereby give consent for CAMAS Colorado. tnc. 10 <br />Construct a well (gravel mine) within 600 feet of my well I am the owner of the following <br />well(s) which may be within 600 feet of the Brighton Mine <br />Well Penult Number 164204 <br />Located in the ~bL/^~~ (Qtr/Otr) <br />Section 14 <br />Township 1S (SIN) <br />Range 67W (W/E) of the 6°i P M <br />County Adams ,Colorado <br />Coordmates 4875N feet (SIN) <br /> 50ow feet (FINN) <br />From the sw '/. comer of the said Section ~_ <br />Well Penult Number <br />Lopted m the / {Qtr/Qtr) <br />Section <br />Township (SM) <br />Range (W/E) of fhe 6'' P M <br />County ,Colorado <br />Coordinates feet(S/N) <br /> feet (EAM <br />From the '/. comer of the said Section <br />Weu Pennn Number <br />Located mthe / (QtrJQtfj <br />Section <br />Township (SM) <br />Range (WIE~ of the 6n' P M <br />Courrty ,Colorado <br />Coordmates feet (SIN) <br /> feet (EAM <br />From the '/. comer of the said SecUOn <br />Signed <br />Punted Name <br />Address <br />Date <br />waee• wen Consnd Form <br />SuWMute Supply Plan, end <br />DMG Eah~6d G -Water irtfonnatgn <br />