PROJ02091

• Contract/PO #: C150180
• Contractor Name: Pinewood Springs Water District
• Contract Type: Loan
• Water District: 4
• County: Larimer
• Loan Projects - Doc Type: Feasibility Study

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COLORADO WATER CONSERVATION BOARD
CONSTRUCTION FUND LOAN APPLICATION
Instructions: This application should be typed or printed neatly with black ink. Attach additional
sheets as necessary to fully answer any question or to provide additional information that would be
helpful in the evaluation of this application. When finished, please return this application to:
THE COLORADO WATER CONSERVATION BOARD
Attn: John W. Van Sciver
1313 Sherman St., Room 721
Denver, CO 80203
Phone Number 303/866-3441 - Fax Number 303/866-4434
e-mail: [e-mail]
Part A.- Description of the Applicant (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.)
1. Name of applicant Mr. Garv D. Clements, President
Pinewood Sprin�s Water District
Mailing Address 183 Cree Ct., Lyons, CO 80540
Business Phone Number [phone] Fax Phone Number [phone]
Federal ID Number 84-0762380 e-mail Address pswdadmin(�a,worldnet.att.net
• 2. Person to contact regarding this application, if different from above:
Name Frank L. Novak, P.E.
Position/Title District Water Specialist/Consulting Engineer
Address 3218 Lake Paxk Wav #304, Longmont, CO 8053
Business Phone Number [phone] Home Phone Number �303)678-5507
e-mail Address frank.novak(�a,mindsprin�.com
3. Type of organization (Ditch Co., Irrigation District, Municipality , etc. ): Water District
Date of Annual Meeting 4`�' Wednesday- each month
*Is the organization incorporated in the State of Colorado? YES_ NO X(If YES, please
include a copy of the articles of incorporation, and the bylaws with this application form.}
*See Exhibit "A"- Larimer County District Court Decree RE: Formation and
Organization of the Pinewood Springs Water District.
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