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<br />'r l: ~. <br />_-_ __ <br />RF.7'~•-.~TF r <br />-5- <br />CULURADU WATER LAWS <br /> <br />Tne permittee is encouraged to contact the State Engineer, with regard o the <br />administration of water riyhts, and the Colorado Department of Health, itn re yard 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 an /or the Colorado <br />Department of Flealth. <br />ADDITIONAL INFURMAT <br />Tnis space can oe referenced for further information of any of the i <br />on this form. <br />To the best of my knowledge, all the information presented in this appl <br />and correct. <br />Date: fP~pYtlCLry /, ~9Bq By: <br />~-~~ <br />e <br />(Rev. 9/33) <br />ication is true <br />Doc. rlo. 5545 <br />