BOARD00043 ‎(3)‎

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

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Non-Reimbursable Application - CWCB Construction Fund

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Form Revised June 200ti

8.

What is tbe estimated cost of the study/demonstration project? Please include estimated Study, Planning,
Engineering, and Construction costs, if known :

.

Estimated Planning/Study Costs:

$ 40,000.00

Estimated Engineering Costs:

Estimated Construction Costs:

Estimated Total Costs:

$ 40,000.00

9.

How much funding are you requesting?

$ 40,000.00

Part C. - Project Sponsor Financial Information

1.

The CWCB Construction Fund is primarily a revolving loan fund. Non-reimbursable
investments are approved only when the project or study is of statewide interest and benefits a
wide range of people. Provide copies of the two most recent annual reports, financial
statements, corporate reports or other current documentation of financial condition and
operations with this application.

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2. Provide a brief narrative description of potential sources of funding (in addition to the CWCB)
which have been explored or which will be explored for the proposed project or study.
(Examples would be Local County and Town Governments, Water Conservancy Districts,
USDA Rural Development, The Natural Resources Conservation Service, The U.S.
Environmental Protection Agency, Commercial Banks, etc.)

The above statements are true to the best of my knowledge:
Signature of Applicant: ~''''ffU\
Print Applicant's Name: R~lfl'opper, C;olorado Geological Survey
Project Title: Arkansas River Basin - Ground Water Bibliography
Date: August 24, 2006

Return this applicatiion to:

Mr. Mike Serlet, P.E., Chief
Water Supply Planning and Finance Section
COLORADO WATER CONSERV AnON BOARD
1580 Logan Street, Suite 750
Denver, CO 80203

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To submit applications by Email, send to: mike serlet@state co liS
To submit applications by Fax, send to: [phone]
For Questions, call TeJlephone No.: [phone]