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<br />COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FUND LOAN APPLICATION <br /> <br />Instructions: This application should be typed or printed neatly with black ink. Attach additional <br />sheets as necessary to fully answer any question or to provide additional information that would be <br />helpful in the evaluation of this application. When finished, please return this application to: <br /> <br />THE COLORADO WATER CONSERVATION BOARD <br />Attn: John W. Van Sciver <br />1580 Logan St., Suite 750 <br />Denver, CO 80203 <br />Phone Number (303) 866-3449 Fax Number (303) 894-2578 <br />e-mail: john.vansciver@state.co.us <br /> <br />Part A. - Description of the Applicant (Generally, the applicant is also the prospective owner and <br />sponsor of the proposed project. If this is not the case, please contact the CWCB staff before <br />completing this application.) <br /> <br />Name of applicant New Cnnsnlidated [.nwer Rnulder Reservnir and nitch Cnmpany <br /> <br />Mailing Address dn navid.J Yardlf91 Secretary ~R~R Flnrentine Circle [.nngmnnt. CO RO'5m. <br /> <br />Business Phone Number (.~O~) 4R5-94B <br />Federal ID Number R4-1 ~ ~7329 <br /> <br />Fax Phone Number ( <br /> <br />) <br /> <br />e-mail Address rainhaa@earthlink net <br /> <br />2. Person to contact regarding this application, if different from above: <br /> <br />Name <br /> <br />SAMR <br /> <br />PositionlTitle <br />Address <br />Business Phone Number ( <br />e-mail Address <br /> <br />) <br /> <br />Home Phone Number ( <br /> <br />) <br /> <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.):nitch Cnmpany <br />Date of Annual Meeting necemher nf each year. <br />Is the organization incorporated in the State of Colorado? YES X NO_ (If YES, please <br />include a copy of the articles of incorporation, and the bylaws with this application form.) <br /> <br />4. Please provide a brief description of the owner's existing water supply facilities and describe any <br />existing operational or maintenance problems. Attach separate sheets if needed, and a map of <br />the service area. See [.nwer Rnulder nitch nn attached map nitch is alsn part of the Cnlnradn- <br />Rig Thnmpsnn Prnject and serves as the "Snuth Platte Supply Canal" Twn water rights are <br /> <br />G:ICUENTSININEWLBICWCB CONSTRUCTIONFUNDLOANAPP.DOC <br /> <br />01126104 10:53 AM- <br /> <br />CFLA902 <br />