BOARD04W

• Board Meeting Date: 9/13/2003
• Description: CF Section - Finance Committee Meeting
• Board Meetings - Doc Type: Memo

4.

COLORADO

I~I
DEPARTMENT OF
NATURAL
RESOURCES

COLORADO WATER CONSERVATION BOARD ...
o
~
CONSTRUCTION FUND ~
..l
2005-2006 NON-REIMBURSABLE PROJECT APPLICATION ~

(Project Name)

* A pplieation neadline = A n~Jld 16, 2004 for Fundili A vailahle .In 'y 1, 20M.

* Funding reeommendationili will he eoniliidered at the Novemher 2004 CWCR Roard Meeting.

Indrnetionili: This application form should be emailed, typed, or printed neatly. You may attach additional
sheets as necessary to fully answer any question, or to provide additional information that you feel would be
helpful in evaluating this application. Include with your application a cover letter summarizing your request
for a non-reimbursable investment. If you have difficulty with any part of the application, contact Mike
Serlet of the Water Supply Planning and Finance Section (Colorado Water Conservation Board) for
assistance, at [phone] or email Mikeatmlk~~p.rlp.t@~tlltp.coll~.
Generally, the applicant is also the prospective owner and sponsor of the proposed project. If this is
not the case, contact the Mike Serlet before completing this application at [phone].

Part A, - Description of the Applicant (Project Sponsor or Owner);

.

1. Applicant Name(s): Colorado Water Conservation Board and the Division of

W~.ar Da_"llrl'a_

Mailing address:

1313 Sherman Street, Room 721, Denver, CO 80203

Email address:

[e-mail]

Taxpayer ID#:

Phone Numbers: Business:
Home:

Fax:

2. Person to contact regarding this application if different from above:

Name:

.

PositionlTitle

Senior Water Resource Specialist