PROJ01986

• Contract/PO #: C150013
• Contractor Name: North Poudre Irrigation Company
• Contract Type: Loan
• Water District: 4
• County: Larimer
• Loan Projects - Doc Type: Application

Colorado Water CODSe"ation Board
CONSTRUCTION FUND LOAN APPLICATION

Instructions: This application form should be typed. Of printed neatly with black ink. You may attaCh
additional sheets as necessary to fully answer any question, or to provide additional information which
you feel would be helpful in evaluating this application. If you have difficulty with any part of the
application. please contact the Colorado Water Conservation Board office for assistance, at (303) 866-
3441.

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.

Part A. - Description of the Applicant (Project Sponsor or Owner):

1. Name of applicant(s): The North Poudre In'aadon Companv

Mailing address; 3729 Cleveland Ave. PO Box
WelliQilon. CO 80549

Telephone number:

Bpsiness

[phone]

~

NA

2. Person to contact regarding this application. if different from above:
Name: Duane Aranc:i Mannel Pineda
Position/title; Vice-President President
Mailing address: PO Box 100 PO Box tOO
WelliJlilon. CO 80549 Wellineton. CO 80549

Telephone number:

~

~

[phone]

(970) 3S 1-9020

[phone]

[phone]

3. Type of organization (Ditch Company, Irrigation District, Municipality. Private Owner. etc.)~
Ditch CorrtpaQy

4. Is the organization incorporated in the State of Colorado? YES~ NO_
(If "YES" . please include a copy of the articles of incorporation. and the Bylaws with this
application form.)

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

.. See Attachment In

6. For existing facilities indicate: (A) the number of shares of stock 10.000. or
(8) the number of shareholders...68L.