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COLORA <br />7"7 DO COLORADO WATER CONSERVATION BOARD <br />WATER SUPPLY RESERVE ACCOUNT <br />DEPARTMENT OF 2007-2008 GRANT APPLICATION FORM <br />NATURAL <br />RESOURCES <br />Demonstration of Membrane Zero Liquid Discharge Process for <br />Drinking Water Systems Arkansas, Metro, S. Platte, Basins <br />Name of Water Activity/Project <br />$100,000 from FT-1 Basin Account <br />selected Basin <br />Accounts* <br />$700,000 from State <br />Account FT-1 Statewide Account <br />River Basin Location <br />Amount of Funds Requested Please Check Applicable Box <br />* See Table 1 of application for detailed fiuiding request <br />Yes <br />No <br />Approval Letter Signed By <br />Roundtable Chair and <br />Description of Results of <br />Evaluation and Approval Process <br />* For the Basin Account, the Application Deadline is 60 Days Prior to the Bimonthly CWCB meeting. The <br />CWCB meetings are posted at www.cwcb.state.co.us and are generally the third week of the month. <br />* For the Statewide Account, the Application Deadline is 60 Days Prior to the March and September <br />CWCB Board Meetings. <br />* In completing the application you may attach additional sheets if the form does not provide adequate space. If <br />additional sheets are attached please be sure to reference the section number of the application that you are <br />addressing (i.e., A.1. etc.). <br />Instructions: This application form must be submitted in electronic format (Microsoft Word or Original <br />PDF are preferred). The application can be emailed or a disc can be mailed to the address at the end of the <br />application form. The Water Supply Reserve Account Criteria and Guidelines can be found at <br />http://cwcb.state.co.us/IWMD/. The criteria and guidelines should be reviewed and followed when <br />completing this application. You may attach additional sheets as necessary to fully answer any question, or to <br />provide additional information that you feel would be helpful in evaluating this application. Include with Your <br />application a cover letter summarizing your request for a grant. If you have difficulty Nvith any part of the <br />application, contact Rick BroiNn of the Intrastate Water Management and Development (Colorado Water <br />Conservation Board) for assistance, at (303) 866-3514 or email Rick at rick.broiyncr;state.co.us. <br />Generally, the applicant is also the prospective ovaier and sponsor of the proposed water activity. If this is not the <br />case, contact the Rick Brown before completing this application.