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__,..,.. <br />-s- <br />CULDRADU WATER LAWS <br />Tne permittee is encouraged to contact the State Engineer, with regard to the <br />administration of water rights, and the Colorado Uzpartment of Health, witn reyard to <br />the aischarge 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 />r1DDITIUiidL INFUR"IATIUN <br />This 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 />Date: ~-/~- '~~ B ~ ~ <br />Y~ <br />>~ i°S ~,L(QAirI,Q~'~ <br />Tithe - <br />(Rev. 9/33) <br />Uoc. No. SSd~ <br />