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<br />CWCB Construction Fund Loan Application <br />Revised January 31, 1994 <br /> <br />4. Is the organization incorporated in the State of Colorado? YES ~ NO <br />(If "YES", please include a copy of the articles of incorporation, and the Bylaws with <br />this application form.) <br /> <br />5. Please provide a brief description of the owner's existing water supply facilities and <br />describe any existing operational or maintenance problems. (Attach separate sheets and <br />a map, if needed.): <br />System is composed of 3 slow sand filters with 1.25 MGD <br />capacity, 2 wells providing 160 gpm flow, 15 miles of 12" <br />distribution, a 400,000 gallon tank and a proposed 600,000 <br />storage tank. (See Appendix 1 for details) <br />6. For existing facilities indicate: (a) the number of shareholders N / A , or <br />(b) the number of customer<i served 594 Residential <br />60 Commercial <br /> <br />Part B. - Description of the Project <br /> <br />1. <br /> <br />Name of the project or facility: ._ Bol ts Lake proj ect <br /> <br />'" <br /> <br />Vlhat is the purpose of this loan application? Check one. <br /> <br />_ New project <br />2l Rehabilitation or replacement of existing facility <br />_ Enlargement of existing facility <br />_ Emergency Repair <br />_ Other (describe) <br /> <br />3. <br /> <br />If the project is for rehabilitation of an existing reservoir, is the reservoir currently under <br /> <br />a storage restriction order from the State Engineer? YES ~ NO _ <br />~..:~. (See attached state .Engineer .letter) <br /> <br />-..:..;;.. <br /> <br />2 <br />