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Water Supply Reserve Account – Grant Application Form <br />F o rm Revised May 2007 <br />_______________________________________ <br />. Additional Inform ation – If y ou feel y ou would like to add any additional pertinent inform ation please <br />8 <br />feel free to do so here. <br />N/A <br />The above statem ents are true to the best of m y knowledge: <br />Signature of Applicant: <br />Print Applicant’s Name <br />: Kathry n Wadsworth - GARNA <br />j ec t Title <br />Pro <br />: Arkansas Headwaters Diversio n Structure Im p rovem e nt Pro j ec t <br />Return this application to <br />: <br />Mr. Rick Brown <br />Intrastate Water Managem e nt and Developm ent Section <br />COLORADO WATER CONSERVATION BOARD <br />1580 Logan Street, Suite 600 <br />Denver, CO 80203 <br />To subm it a pp lications b y Em ail , send to: rick.brown @ state.co.us <br />Reference Information <br />The f o llowing inf o rm ation is available via the internet . The reference inform ation provides additional detail <br />and background inform ation regarding these criteria a nd guidelines and water policy issues affecting our <br />state. <br />Sam p le Contract and Purchase Order – http://cwcb.state.co.us/IW M D/tools.htm <br />Colorado W a ter Conservation Board Policies <br />Loan and Grant policies and inform ation are available at – http://cwcb.state.co.us/Finance/ <br />W a ter Supply Reserve Account Criteria and Guidelines – <br />http://cwcb.state.co.us/IW M D/tools.htm # W a ter_Supply_Reserve_Account <br />13 <br />