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<br />-s- <br />CULDR~IDU WHTER LA'r1S <br /> <br />Tne permittee is encouraged to contact the State Engineer, with reyard o the <br />administration of water rights, and the Uoloradu Uepartment of Healtn, itn reyard co <br />the discharge of pollutants into the waters .of tna State. Violation of %olorado water <br />laws could result in enforcement actions taken by the State Engineer and or the Colorado <br />Department of Health. <br />AUDITIUNAL INFDRtiIATIUN <br />Tnis space can oe referenced fur further information of any of the items~on this form. <br />To the best of my knowledge, all the information presented in this application is true <br />and correct. <br />~~ <br />Date: .2 2 - /9~~ ay: ~,.,,,~ ~ <br />Tit 1 e 2:d.~dLC~r~T <br />(Rev. 9(33) <br />Uoc. No. 554 <br />