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• <br />P.EGULAR (I12) PERMIT APPLICATION <br />FORM <br />-3- <br />NOTICE OF PROCEDURES <br />After the application is considered "filed" (pursuant to RULE 1.1(10)) with the Mined Land <br />Reclamation Division, notice procedures outlined in RULE 2.2 must be followed. (Format for <br />such notices will be included in the letter you receive from the MLR Staff informing you of <br />the completeness ("filing") of your application. <br />COLORADO !/ATER LAWS <br />The permittee is encouraged to contact the State Engineer, with regard to the administration <br />of water rights, and the Colorado Department o° Health, with regard to the discharge of <br />pollutants into the waters of the state. Violation of Colorado water laws could result in <br />enforcement actions taken by the State Engineer and/or the Colorado Department of Health. <br />ADDITIONAL I:lFORMATION <br />This space can be referenced for further information of any of the items in this Form. <br />To the best of my knowledge, all the information presented in this application is true and <br />correct. <br />BY: ~x1~ /Vfi,f~l . <br />TITLE: _ROad Supervisor ~~ <br />(Signature by individual legally authorized to <br />bind the operator to this application) <br />DATE: ~ FF/ruR/cr Z /9d <br />(Rev. 7-29-82) ~ <br />