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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 additional <br />sheets as necessary to fully answer any question or to provide additional information that would be <br />helpful in the evaluation of this application. When finished, please return this 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 Anna Mauss, P.E. <br />Phone Number 303/866-3449 -Fax Number 3031894-2578 <br />e-mail: kirk.russell(astate.co.us or anna.mauss(cr~state.co.us <br />Part A. -Description of the Applicant (Generally, the applicant is also the prospective owner and <br />sponsor of the proposed project. If this is not the case, please contact the CWCB staff before <br />completing this application.) <br />1. Name of applicant : CENTER OF COLORADO WATER CONSERVANCY DISTRICT <br />Mailing Address: P.O. BOX 1747, FAIRPLAY, CO 80440-1747 <br />Business Phone Number (303 838 0302 Fax Phone Number (303 83~ 0302 <br />Federal ID Number: 84-1449967 <br />E-mail Address: did(a~mailstation.com <br />2. Person to contact regarding this application: <br />Name: James W. Culichia, Esq. <br />Position/Title: Attorney for District <br />Address: c/o Felt, Monson &Culichia, LLC., 391 North Weber Street, Colorado <br />Springs, CO 80903 <br />Business Phone Number: 719- 471 1212 <br />Home Phone Number: 719-337-0054 <br />e-mail Address: jwc(a~fincwater.com <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): <br />Water Conservancy District <br />Date of Annual Meeting : nla -The Board of Directors of Center of Colorado meets <br />monthly on the first Wednesday of every month. <br />Is the organization incorporated in the State of Colorado? YES NO X. <br />4. Please provide a brief description of the owner's existing water supply facilities and describe <br />any existing operational or maintenance problems. Attach separate sheets if needed, and a map <br />1 <br />