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Water Supply Reserve Account - Grant Application Form <br />Fonn Revised May 2007 <br />years? 14,434. <br />What is the source of the <br />Government Demography Section <br />2. Financial Information <br />a. Assessed Valuation (Year 2005) <br />b. Mill levy / Annual Revenue <br />projection? Division of Local <br />c. <br />d. Sales Tax Rate (%) Annual Revenue <br />e. Long-Term Debt, by Type/Amount <br />Certificates of Participation <br />f. Annual Budget <br />Total (Year 2006) <br />Total Amount (as of 1/1/06) <br />Fund Cash Balance (as of 1/1/06) <br />Moffat County <br />$273,184,482 <br />18.401 / <br />$7,182,678 <br />2.0%/ $1,812,727 <br />$17,514,997 <br />(General Fund) <br />$10,042,586 <br />$46,844,330 <br />$3,542,095 <br />4. If the Contracting Entity is different then the Applicant (Project Sponsor or Owner) please describe the <br />Contracting Entity here. <br />Colorado Geological Survey <br />Part B. - Description of the Water Activity - Please Refer to Criteria and Guidance <br />Document for Eligibly Requirements <br />1. Naive of water activity-/project: <br />Sand Wash Basin Coalbed Methane Production Depletive Effects on Water Resources <br />Study <br />3