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. ! <br />• <br />-5- <br />I <br />COLORADO WATER LAMS <br />Tne permittee is encouraged to contact the State Engineer, with regard to the <br />administration of water rights, and the Colorado Oepartment of Healtn, itn regard to <br />the discharge of pollutants into the waters.of the State. Violation of Colorado water <br />laws could result in enforcement actions taken by the State Engineer and/or the Colorado <br />Department of Health. <br />i <br />AODITIUNAL INFORMATION <br />Tnis space can oe referenced for furtner information of any of the itemsion this form. <br />To the best of my knowledge, all the information presented in this applic4tion is true <br />and correct. <br />Date: ,,Z "" 2 By: <br />Title <br />Tr"— <br />(Rev. 9133) <br />uoc. No. 6546 <br />