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<br />eweR Construction Fund Loan Application <br /> <br />T (2) r charge wells allowing pumping of <br />Ifx'ES, please explain. wo e __.__. <br />6000 Acre feet a'year--Permit 1158771 - F and application in on a <br /> <br />a second well and for an augmentation well to pump back. See 4a. <br /> <br />7. Please list the names and addresses ofllie Applicants' cngineer(s) and attomey(s). <br /> <br />NA1vfF <br /> <br />Brent Nation <br /> <br />A nOR E5;5; and PHONF <br />P.O. Box 314 <br /> <br />231 Main Street, Suite 306 <br />--.--.---.,.--'"---'''''''''.-...-. <br /> <br />C l.t.\\ q'1I;)-ILR~-1.3~1- ') <br /> <br />970-867-2883 <br /> <br />Fort Morgan, CO 80701 <br /> <br />8. List any feasibility studies or other investigations that bave been completed or are now in <br />progress fOT the proposed project. Please submit one copy of each completed study with this <br />applicatioft To be completed by Brent Nati?n--NationEngineering <br /> <br />9. Estimated cost of the project. Please include estimated engrneenng costs, and estimated <br />construction costs, ifknown. <br /> <br />Estimated Engineering Costs:$_ <br /> <br />Estimated Construction Costs: <br /> <br />2,000.00 <br /> <br />Estimated Total Costs: <br /> <br />$ 200,000.00 <br />$ 202,000.~__._ <br /> <br />10. Loan amount and terms you are requesting. <br /> <br />Requested Loan Amount: <br />Term (length) ofloan: <br /> <br />$--.121.500.00 <br />20 <br /> <br />(Usually 75% of Estimated TOlal Costs) <br /> <br />years (Usually 10, 20, or 30 years) <br /> <br />Interest Rate: <br /> <br />2.5 <br /> <br />Oft. (Please call for our current rates) <br /> <br />Part C. - Project Sponsor Financial Information <br /> <br />Because ibe eWeR Construction Fund is a revolving fund, it is important that the project sponsor <br />have the financial capacity to repay any loans made by the eWeR The following information is <br />needed to assist the CWCB in a preliminary assessment of the applicant's financial capacity. It is <br />also requested that the project sponsor submit with this application copies of the two most recent <br />annual reports, financial statements, c01porate reports or other current documentation of financial <br />condition and operations. <br /> <br />1. List any existing liability or indebtedness that exceeds one thousand dollars. For example, bank <br />loans, government agency loans, bond issues, accounts payable, etc. Include names and <br />addresses of lenders, amounts, due dates and maturity dates. Attach a separate schedule, if <br />needed. <br /> <br />') <br /> <br />CFLA9112 <br />