BOARD00043 ‎(3)‎

• Board Meeting Date: 9/19/2006
• Description: CF Section - Finance Subcommittee Meeting
• Board Meetings - Doc Type: Meeting

COLORADO

I~I
DEPARTMENT OF
~j\TURAL
~SOURCES

COLORADO WATER CONSERVATION BOARD

CONSTRUCTION FUND
2005-2006 NON-REIMBURSABLE PROJECT APPLICATION

(Project Name)

* Application Deadline = AU2Ust 16. 2004 for Funds Available Julv 1. 2005.
* Fundine recommendations will be considered at the November 2004 CWCB Board Meetine.

Instructions: This application form should be emailed, typed, or printed neatly. You may attach additional
sheets as necessary to fully answer any question, or to provide additional information that you feel would be
helpful in evaluating this application. Include with your application a cover letter summarizing your request
for a non-reimbursable investment. If you have difficulty with any part of the application, contact Mike
Serlet of the Water Supply Planning and Finance Section (Colorado Water Conservation Board) for
assistance, at [phone] or email [e-mail].
Generally, the applicant is also the prospective owner and sponsor of the proposed project. Ifthis is
not the case, contact the Mike Serlet before completing this application at [phone].

. Part A. - Description ofthe Applicant (Project Sponsor or Owner);

1. Applicant Name(s): Colorado Water Conservation Board and the Division of
WatAr RAf:;OIJrCAf:;_

1313 Sherman Street, Room 721, Denver, CO 80203

Mailing address:

Taxpayer ID#:

Email address:

Jeffrey [e-mail]

Cell:
Fax:

Phone Numbers: Business:

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

Name:

Jeff Baessler

.

Position/Title

Senior Water Resource Specialist