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Water Supply Reserve Account - Grant Application Form <br />Fonn Revised May 2007 <br />quality Irrigation: Established in 1986 and based in Yuma, Colorado, Quality Irrigation employs 2.5 stgf f in <br />selling and servicing center pivot irrigation systems (authorized dealer of T "alley Irrigation Systems) and <br />irrigation pumps. They are State of Colorado Certified TT"ell Testers and bold Pump Installers License No. 1231. <br />Yuma County Abstract Company Curt Fix: Curt is a Certified Appraiser and Accredited Rural <br />Appraiser based in Wray, Colorado <br />III. Bud6et <br />A detailed budget by task, which includes the level of effort (hours) and rates. Ans- unit costs or other direct <br />costs inust be specified (i.e. mileage, number of miles, dollars per mile). For an ezarnple budget format - See <br />Attachment 1 at the end of this application. <br />If applicable, the budget should also detail the source and amount of matching funds and/or in-laid contributions, <br />if anyT. If applicable, the budget should also include any other outstanding or previously applied for funding that <br />also supports the water activity: <br />The fiends TN(' is requesting from the South Platte Roundtable total S19,984. These fiends are requested <br />contingent upon receiving another 579,936 in support from state-wide fiends for this same proposal from the <br />CWCB at its September 2008 meeting. The fiends we are requesting from the South Platte Roundtable are <br />shown in the table below as "Other Direct Costs. " The state-wide fiends are shown as "Matching Fiends. " All <br />of the funds shown for Task 2 will go directly to incentivize well retirements. The funds shown for Task 2 will <br />go directly to contractors to assess additional well permit retirement opportzenities. <br />TM 'will not retain any fiends, for operations or overhead or to recoup labor, materials, travel, or other costs. <br />The funds requested under this proposal will be matched by nearly 5472,000 in,fends from federal and local <br />Republican River sources. <br />Total Costs <br /> <br />Labor <br />Other Direct Costs Matching Funds <br />(If Applicable) <br />Total Project <br />Costs <br />Task 1 - Method development - - - - <br />Task 2 - Recruiting and <br />contracting - $18,984 $79,936 CWCB + <br />$471,920 USDA & <br />RRWCD $570,840 <br />Task 3 - Well stu& - $1,000 $4,000 CWCB $5,000 <br />In-Kind Contributions $8,335 TNC $u3,5 <br /> <br />Total Costs: $19,984 $564,191 $584,175 <br />1) Identifi- specific source and amount by° task. <br />17