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<br />10/29/96 10:28 <br /> <br />'a'303 866 4474 <br /> <br />CWCB <br /> <br />141 005 <br /> <br />5. Please indicate: The number of shareholders: N / A <br />.Q.[ <br />The number of customers: II 'DITCIJE5 W/~ S6Vl:PAL HUfVD1?t:-/) lJ.6GRS <br /> <br />6. What is the purpose of this project? Check one: <br />.. _ New project <br />_ Rehabilitation or replacement of existing facility <br />_ Enlargement of existing facility <br />_ Emergency repair <br />~ Other (please describe) Rf..FI~IVC.JNb AN, EX/STlI116 Ffbf:'i:AL. peOJ~LT <br /> <br />7. If the project is for rehabilitation of an existing dam, is the dam currently under a resLriction hy <br />the State Engineer? N (A <br /> <br />8~- General location of the proposed project. Include COUIlb,:ld approximate distance and <br />direction from thenearesttown or city: IRJM'/)Ab M IS L/}CAT~D IN <br />LAS AIJIV'I\I\S COlA.N7Y Af>Pk?6Y.. lWtATttJ.::_ .3 InIL&5 Wcf:J T_ <br />t) F- 7#1; T/!)L011J tJF TR'NIi>fl-'!J <br /> <br />9. Please provide a brief narrative description of the proposed project including purpose, <br />facilitites, types of water use to be served, and service area (if known at this time). Attach <br />additional pages, maps, or drawings as needed. <br />~7RIAJIl>A.J) Pi'D.lcc,r /5 A ;::'~b&fAL. PR{).Jt:-c,r BUILT 13';' If/E CCJ~j>S <br />t}F eAJblNl::t:R~ AN/) hJA~ OPtl'A7IoAJAL IN lCf77. J:T P~t)lJlb~ <br />ELtJbb CD/lJ7J?DL . XR/!!=/6A7/l>/V ,AN '0, ICcCNA.7/otJ / kJllbt../FE' &/tlcft7,. <br />fj.J 15 Re&.uI::S T '13 'f 'HE P~"A mike- DSiRIC. r IS' FfJ~ IYJ~/()~y 7JJ ,PRiPA r <br />THE .IJ:/CltAlio/lJ Ct>ml19^,~^, {. WE ~oJtc.rs (9R/~/tJAL H1~~e WILL /'JoT CflAA:6-6. <br /> <br /> <br />12. Are you intending to apply for a feasibility study loan from the eWeR Construction Fund? <br />NO <br /> <br /> <br />/ 0 JAN~A ~y /CfCj7 <br />Date <br /> <br />A~ELL.LJ <br />