2011-05-19_PERMIT FILE - M2011029

• Permit No: M2011029
• IBM Index Class Name: PERMIT FILE
• Doc Date: 5/19/2011
• Doc Name: New 112 Hardrock application part 1 Exhibit A thru Exhibit J
• From: Jubilee Venture, LLC
• To: DRMS
• Email Name: DMC
• Media Type: D
• Archive: No

&)( Gy"! h?/7 6:
REcEIVet)
600 FOOT WELL SPACING STATEMENT APR 12 2011
SOURCES
(NO EXISTING WELLS) WATER AR
TATESNEER
I (we) !/
as follows:
//,-om ; (: / I-r
state
I (we) have verified that there are no wells that exist within 600 feet of the proposed well
Iodation as indicated on well permit application receipt no. ,
that I (we) do not own.
Dated this day of 141'XAL
?_.
Signature(s): &&,6,
Print Name: