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<br />•. -~ <br />CULDRADD WATER LAMS <br />The permittee is encouraged to contact the State Engineer, with regard to the <br />administration of water rights, and the Colorado Department of Health, with reyard 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 ±he Colorado <br />Department of Health. <br />rIDDITIUNaL INFDR;NATIDN <br />Tnis space can oe referenced for further information of any of the items on this form. <br />To the nest of my kno•dledge, all the information presented in this application is true <br />and correct. <br />Date: /c -a9 -8~ <br />• <br />Rev. 9/33) <br />ay: ~.F ~et~~>a <br />title , <br />uuc. .a.,. -~.u, <br />