WRITTEN CALL
Date:

15 ( TQ)

To:

Alan Martellaro, Division Engineer, Division 5 Water Resources

Re:

Water Administration of Stream System

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hereby demand the Water Officials of the

print name of person requesting) ,

State of Colorado to administer the water rights ofpi V Ell
stream system)

in the priority' system. I am hereby making a " written call" that all-water rights junior to the
be curtailed until the full appropriation of
amount)

structure and priority number) (

which is in priority, be made available for the beneficial use( s) of

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use of water)

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The effective date.and time of the " call" is "

time

date) (

Written Signature:
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Mailing Address:

Phone No:

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Please mail this notice to:

Division of Water Resources

P. O. Box 396
Glenwood Springs, CO 81602

Or hand deliver to: 202 Center Drive (Located behind the Glenwood Springs Mall)

For DWR Office Use Only: Water Commissioner_

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