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<br />-5- <br />COLORADO WATER LAWS <br />The permittee is encouraged to contact. the State Engineer, <br />administration of water rights, and tFie Colorado Department <br />the discharge of pollutants into the Miaters of the State. <br />laws could result in enforcement actinns taken by the Stat <br />Department of Health. <br />ADDITIONAL INFORMATION <br /> <br />with regard to the <br />of Health, with regard to <br />Violation of Colorado water <br />e Engineer and/or the Colorado <br />This space can be referenced for further information of any of the items on this form. <br />~Y,/1iG.'t .C,~ Sn.s// ~,.«s wi~// n asf ,30 ~r<c~~ <br />/ 9 0 <br />~' ( !/.~ T~i~ F.., ~.,c ~ts~ li~~~~ r ,,,,~ 07~ S ooo~ i s eKsisi~~ <br />~++d W+,/~ ~ + .r+ ~ /" Y <br />n en e v irs <br />e <br />e d <br />T~ <br />f`i ~ C o' <br />~ 7R+f+'s ~~PC~ 0 7`^ 7~~t ~ <br />p rDlLn~. ~~eY•e ~ / <br />/ <br />~ <br />/ <br />-I <br />- <br />`p .-e L ~~Ue DI-O+~ie .- / <br />.1 <br />d'O rLn / / <br />A"C C~S~a~ S~td <br /> ~ <br /> <br />~r r ~. ~i'~2 n Be <br />v r Fo ...~P.,..~~. ~ ~ ~ <br />0 <br />.y/~ •~~ x + <br />7~ w e .~, r i -~ s ~ s <br />L~ ~d r. of cu~i , c +~ T cc.,~// d o ~! c..T7~i ~ e C es~ '-Z'e cc> >. 7~h r fs v . ~ow <br />.l <br /> +. <br />St c of ~ r f 9~ 4t~br.>' ~/./7 ~'-~ u,ctc, ~. , 3 d X / mo o c ~3 ~J, e d <br />~ .200= <br />~ ~ To ?~~ ~ y <br />~r~ <br />7 °-~ <br />ue ~,.c <br />z <br />To the best of my knowledge, all the information presented in this application is true <br />and correct. <br />i <br />Date: I ~G ~',5 <br />/,~ <br />r- ' <br />~c..~-~, _ y- <br />Title <br />(Rev. 7/84) <br />Doc. No. 5545 <br />