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- <br />I k <br />_ <br />GWS-38A 600 FOOT WELL SPACING STATEMENT <br />I (we) Ed Duggan state as follows: <br />I(we) own real property described as 30598 Weld Courrty Road 29, in the SE i/4 of the NW 1/,, Section <br />33, Township 6N, Range 66W, 6th P.M., Weld County, Colorado. We own the right and easement to the <br />following well(s): <br />Actual Actual <br />Distance from Distance from <br />Permit # 1/4 1/4 Sec. TM. Rng. N/S Sec. Line E/W Sec. Line <br />Unregistered SE SE 4 5N 65W 1300 ft. (S) 1000 ft. (E) <br />13065R SW SE 4 5N 65W 500 ft. (S) 1680 ft. (E) <br />ft. ft. <br />2. ' I (we) have been apprised that Aggregate Industries-WCR, Inc., the present owner of a parcel of land in <br />Section 4, Township 5N, Range 65W, 6th P.M., Weld County, Colorado desires to excavate a gravel pit. <br />I (we) also understand that the purpose of the well permit for such gravel pit is set forth in the well <br />permit application, and that I (we) have reviewed the application that was submitted to the State <br />Engineer and receipted by him under receipt no. 523102. <br />3. The location for the subject gravel pit is 600 feet or less from my (our) well. <br />4. By this statement I (we) am (are) specifically waiving any objection to the issuance of a well permit for <br />the subject gravel pit, as set forth in the referenced application. I (we) am (are) also specifically waiving <br />my (our) right I (we) may have to participate in a hearing before the State Engineer pursuant to Section <br />37-90-137(2), C.R.S. <br />5. By signing this statement, we do not waive our right to take necessary action in the future to protect our <br />well(s) or water rights from injury due to the subject mining operation. <br />Dated this aS day of44)& , 2005. <br />`STATE OF COLORADO ) <br />) ss. <br />) <br />County of "Veld <br />Subscribed and sworn to before me this cxO <br />Witness my hand and official seal. <br />(SEAL) <br />day of , 2004. <br />Notary Public <br />My Commission expires: C2 - A - 0 q