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<br />CWCB Constroction Fund Loan Application <br />Revised January 31, 1994 <br /> <br />4. Is the organization incorporated in the State of Colorado? YES XX NO <br />(If "YES", please include a copy of the articles of incorporation, and the Bylaws with <br />this application form.) See Appendix A <br /> <br />5. Please provide a brief description of the owner's existing water supply facilities and <br />describe any existing operational or maintenance problems. (Attach separate sheets and <br />a map, if needed.): <br />See Report Attached <br /> <br />6. <br /> <br />For existing facilities indicate: <br /> <br />(a) the number of shareholders 1<; ,or <br />(b) the number of customers served N/ A . <br /> <br />Part B. - Description of the Project <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />1. Name of the project orfacility: Tremont South Platte River Diversion & Canal <br /> <br />2. What is the purpose of this loan application? Check one. <br /> <br />_ New project <br />L Rehabilitation or replacement of existing facility <br />_ Enlargement of existing facility <br />_ Emergency Repair <br />_ Other (describe) <br /> <br />3. If the project is for rehabilitation ofan existing reservoir, is the reservoir currently under <br />a storage restriction order from the State Engineer? YES NONil <br /> <br />2 <br />