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i <br />-5- <br />CULURADU WATER LA'rIS <br />The permittee is encouraged to contact the State Engineer, with reyard to the <br />administration of water riy'nts, and the Colorado Departmznt of Health, witn regard 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 the Colorado <br />Department of health. <br />ADDITIUiIAL INFURhIATIUN <br />• Tnis space can oe referenced for further information of any of the items on this form. <br />To the best or' my knowledge, all the information presented in this application is true <br />and correct. <br />oate: ~~~ 1 ay: <br />(Rev. 9/33) <br />Doc. No. a54~ <br />