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-~ ~ w <br />-5- <br />CULDRADU 'dNTER LA+1S <br />The permittee is encouraged to contact the State Engineer, with reyard to the <br />administration of water riyhts, and the Colorado Department of Health, wiin reyard co <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 andJor the Colorado <br />Department df Health. <br />AUDITIUWAL INFURMATIUIV <br />Tnis space can oe referenced for 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 />SCHMALZ CONSTRUCTION, LTD., a Col ado <br />n core ation r_ <br />Ua te: ,'{ P2 , / ~~, ~~ By: <br />_r ona c_ a z <br />President <br />Title <br />(Rev. 9/33) <br />Uoc. No. 5545 <br />