HomeMy WebLinkAbout60-foot Well Spacing Statement 05.04.2020GWS -38 600 FOOT WELL SPACING STATEMENT
I (we) Teodoro and Maribel Gutierrez
state as follows:
1. I (we) own real property described as 781 County Road 221, Rifle CO in
the NW 1/ of the NW 1/4, Section 12 , Township 6 , Range 93
Sixth
P.M., Garfield
easement to the following well:
County, Colorado.
We own the right and
Actual
Distance from
Permit # 1/4 1/4 Sec. Twp. Rng. N/S Sec. Line
26661 NW NW 12 6 93 1022 FNL ft.
2. I (we) have been apprised that HES 51 County Road 223 LLC
Actual
Distance from
E/W Sec. Line
341 FWL ft.
the
present owners of a parcel of land in the SW 1/4 of the NW 1/4, Section 12 ,
Township 6 , Range 93 , Sixth P.M., desire to drill a new well or
extend the use of an existing well. I (we) also understand that the purpose of such
well is set forth in the well permit application, and that I (we) have reviewed the
application that was submitted to the State Engineer and receipted by him under
receipt no. 3697067
3. The proposed location for the subject well will be 600 feet or less from my (our)
well.
4. By this statement I (we) am (are) specifically waiving any objection to the issuance
of a well permit for the subject well, as set forth in the referenced application, and
would request that permit issuance not be postponed or denied because of any
concerns by the Division or others that the proposed well will materially affect my
(our) well or water right. I (we) am (are) also specifically waiving my (our) right I
(we) may have to participate in a hearing before the State Engineer pursuant to
Section 37-90-137(2), C.R.S.
Dated this
_day of ,
abd-(4)