PROJC01772

• Contract/PO #: C150178
• Contractor Name: Hillrose, Town of
• Contract Type: Loan
• Water District: 1
• County: Morgan
• Loan Projects - Doc Type: Feasibility Study

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COLORADO WATER CONSERVATION BOARD
CONSTRUCTION FUND LOAN ApPLICATION

Instructions: This application should be typed or printed neatly with black ink. Attach additional
sheets as necessary to fully answer any question or to provide additional information that would be
helpful in the evaluation of this application. When finished, please return this application to:

THE COLORADO WATER CONSERVATION BOARD
Attn: John W. VanSciver
1580 Logan St., Suite 750
Denver, CO 80203
Phone Number [phone] Fax Number [phone]
e-mail: [e-mail]

Part A. - Description of the Applicant (Generally, the applicant is also the prospective owner and
sponsor of the proposed project. If this is not the case, please contact the CWCB staff before
completing this application.)

1. Name of applicant: Town ofHiJlrose

Mailing Address: P 0 Rox 1

Hi11rose, en R0711-000 1

Business Phone Number (970) R47-1761 Fax Phone Number (970)R47-1761

Federal ill Number R4-6095111 e-mail Address: townhi11rose@twol eom

2. Person to contact regarding this application, if different from above:

Name: T ,ynn Golemhoski

PositionlTitle: Town r.1erk and Administrator

Address:P 0 Rox 1, Hi11rose, CO R0711-000l
Business Phone Number (970)R47-1761
e-mail Address: townhillrose@twol com
3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Mnnieipality
Date of Annual Meeting: 1 st and 3rd Monday's of each month
Is the organization incorporated in the State of Colorado? YES _X_ NO_ (If YES, please
include a copy of the articles of incorporation, and the bylaws with this application form.)

Alternative Phone Number (970)R42-??.ll4

1

CFLA902

4. Please provide a brief description of the owner's existing water supply facilities and describe
any existing operational or maintenance problems. Attach separate sheets if needed, and a map