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?. <br />C?L?RADG WATER CGNSERVATI[]N BARD <br />??` ? ? ?? <br />,? ? ?r <br />?? <br />WATER SUPPLY RESERVE A?C?UNT ?_ , <br />?,?. <br />????7?1???,?,???,<<.?.. c??: ZooG-ZO07 GRANT APPLICATIGN FURM i:? ". ?,, :?- . <br />? '? <br />N?TIrJI L <br />l?l?? ? l?C;l?? ? ? ? ? ::? ?? , ? <br />?? <br />??_??_????.?_.__?..___?._?_..__.________...Y.____..____?_... ??._?.......__..__._.?? _..?._.._.. ?........__._.u__ ...____....._,._......._.?_._..?,...?._?.??.._?_?..?.___?._w_??_?.___..__.._.??.._.. <br />??.__, <br />?- <br />Identif cation and Assessment of Important Wetlands in North Platte River Watershed <br />4 <br />f <br />Name vf'Water ActivitylPraject River Bann Location <br />$182,040 ? Basin Account ? Yes <br />X Statewide Account ?° <br />Amount of Funds Requested Please Check Applicable Box <br />Basin Funds: $96,aaa - $1 o,oaa (partner contribution} = $86,aaa <br />Statewide Account: $96,vaa <br />Requested Total from CWCB Basin and <br />Statewide Accounts: $18?,oaa <br />Approval Letter Signed By <br />Roundtable Chair and <br />Description of Results of <br />evaluation and Approval <br />PraGeSS <br />* For the Basin Account, the Apulication Deadline is 6o Days Prior to the Bimonthly ?WCB meeting. <br />The CWCB meetin s are asted at www.cwcb.state.co.us and are enerall the third week of the <br />m <br />* For the Statewide Account, the Application Deadline is Go Days Prior to the March and September <br />CWCB Board Meetings. <br />* In completing the applicatian you may attach additional sheets if the form does not provide adequate <br />space. If additional sheets are attached please be sure to reference the section number of the applicatian that <br />you are addressing ?i.e., A.1. etc.}. <br />Instructions: This application form must be submitted in electronic format Microsoft Word or <br />original PDF are preferred}. The application can be emailed or a disc can be mailed to the address at the <br />end of the application form. The Water Supply Reserve Account Criteria and Guidelines can be found at <br />h :Ilcwcb.state.eo.uslIWMD1. The criteria and guidelines should be reviewed and followed when <br />completing this applicatian. Yau may attach additional sheets as necessary to fully answer any question, <br />or to provide additional information that you feel would be helpful in evaluating this application. Include <br />with your applicatian a saver letter summarizing your request for a grant. If you have difficulty with any <br />part of the application, contact Rick Brown of the Intrastate Water Management and Development ?Calarado <br />Water Conservation Board} for assistance, at (303} $66-351 or email Rick at rick.brown?c??tate.ca.us. <br />Generally, the applicant is also the prospective owner and sponsor of the proposed water activity. If this is <br />not the case, contact the Rick Brown before completing this application.