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<br />Water Supply Reserve Account - Grant Application Form <br />Fonn Revised May 2007 <br /> <br />8 . Additional Information - If you feel you would like to add any additional pertinent information please feel <br />free to do so here. <br /> <br />Please see the attached description of the La Plata West Water Authority and <br />corresponding summary of Board members' water management experience. <br /> <br />For a complete description of the project, please see the attached Project Overview. <br /> <br />The above statements are true to the best of my knowledge: <br />Signature of Applicant: Mark La n gfo rd <br /> <br />Digitally signed by Mark Langford <br />DN: cn=Mark Langford, o=La Plata West Water Authority, QU, <br />email=marklangford@ttii.com. c=US <br />Date: 2007.12.28 10:08:43 -OTOO' <br /> <br />Print Applicant's Name: Mark Langford, President, La Plata West Water Authority <br /> <br />Project Title: La Plata West Rural Domestic Water Supply System <br /> <br />Return this application to: <br /> <br />Mr. Rick Brown <br />Intrastate Water Management and Development Section <br />COLORADO WATER CONSERVATION BOARD <br />1580 Logan Street, Suite 600 <br />Denver, CO 80203 <br /> <br />To submit applications by Email.sendto:rick.brown@state.co.us <br /> <br />Reference Information <br /> <br />The following information is available via the internet. The reference information provides additional detail <br />and background information regarding these criteria and guidelines and water policy issues affecting our <br />state. <br /> <br />Sample Contract and Purchase Order -(Create Link) <br /> <br />Colorado Water Conservation Board Policies <br />Loan and Grant policies and information are available at - http://cwcb.state.co.us/Finance/ <br />Water Supply Reserve Account Criteria and Guidelines - <br />http://cwcb.state.co.us/IWMD/tools.htm#Water Supply Reserve Account <br /> <br />11 <br />