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COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FUND LOAN APPLICATION <br />Instructions: This application should be typed or printed neatly with black ink. Attach <br />additional sheets as necessary to fully answer any question or to provide additional information <br />that would be helpful in the evaluation of this application. When finished, please return this <br />application to: <br />THE COLORADO WATER CONSERVATION BOARD <br />Water Supply Planning and Finance Section <br />1580 Logan St., Suite 750 <br />Denver, CO 80203 <br />Attn: Kirk Russell, P.E. or Bruce Johnson, P.E. <br />Phone Number 303/866-3449 -Fax Number 303/894-2578 <br />e-mail: kirk.russell@state.co.us or bruce.Johnson@state.co.us <br />Part A. Description of the Applicant (Generally, the applicant is also the prospective <br />owner and sponsor of the proposed project. If this is not the case, please contact the CWCB <br />staff before completing this application.) <br />1. Name of applicant: <br />Pagosa Area Water and Sanitation District (PAWSD) (though not a direct applicant, the <br />San Juan Water Conservancy District (SJWCD) may provide funds for loan repayment <br />' and could be a joint owner) <br />Mailing Address: PO Drawer 4610 Pagosa Springs, CO 81157 (PAWSD); POB 4632 <br />Pagosa Springs, CO 81157 (SJWCD) <br />Business Phone Number: (970) 731-2691 Fax Phone Number: (970) 731-2693 <br />Federal ID Number: 84-6094944 (PAWSD) <br />e-mail Address: carrie@pawsd.org <br />' 2. Person to contact re ardin this application: <br />Name: Carrie Weiss <br />' Position/Title: Manager, PAWSD <br />Address: PO Drawer 4610, Pagosa Springs, CO 81157 <br />Business Phone Number: (970) 731-2691 <br />' Type of organization: Title 32 Special District <br />Date of Annual Meeting: Regular meetings are the second Tuesday of each month <br />Is the organization incorporated in the State of Colorado? YES <br />' (If YES, please include a copy of the articles of incorporation, and the bylaws with this <br />application form.) <br />Attachment 1 -PAWSD Court Decree, Bylaws, and Rules and Regulations <br />' Attachment 2 -SJWCD Court Decree and Bylaws <br />