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coL�.' COLORADO WA�'ER CONSERVATION BOARD <br />CONSTRUCTION FUND <br />DEP�T�rrr oF 2005-2006 NON-REIMBURSABLE PROJECT APPLICATION <br />NATURAL <br />RESOURCES <br />_ __ ___ __ _ _ __ _ __. _ _ _ __ _ <br />' Rebublican River Compact Compliance Initiative <br />_ _ ___ (Project Name) _ <br />i� ��� 1•.� i• � � II� � �� ,i II <br />� i i � � i i i i • � � . � i � . � • � i � • • � � • ► � • i i � • 1 I � . : : � . � ► l • • � � � <br />Tnctructionc: This application form should be emailed, typed, or printed neatly. You may attach additional <br />sheets as necessary to fully answer any question, or to provide additional information that you feel would be <br />helpful in evaluating this application. Include with your application a cover letter summarizing your request <br />for a non-reimbursable investment. If you have difficulty with any part of the application, contact Mike <br />Serlet of the Water Supply Planning and Finance Section (Colorado Water Conservation Board) for <br />assistance, at (303) 866-3426 or email Mike at mike_serlet�statT c�_>>c. <br />Generally, the applicant is also the prospective owner and sponsor of the proposed project. If this is <br />not the case, contact the Mike Serlet before completing this application at (303) 866-3426. <br />Part A. - Description of the Applicant (Project Sponsor or Owner); <br />_. _ _ <br />_ __ __. <br />1. Applicant Name(s): Dennis Coryell, President, Republican River Water Conservation Dist. <br />Mailing address <br />_ <br />_. <br />54263 Cty Rd X <br />Burlington, CO 80807 <br />Taxpayer ID#: <br />__ ._ _. <br />Phone Numbers: Business: <br />Home: <br />Fax: <br />_. _ <br />_ _ __ _ _.. <br />_ _ __ _ ___ <br />' Email address: dcor@starband.net <br />719-346-8319 <br />__ _ <br />719-346-8487 <br />_ _ __ <br />2, Person to contact regarding this application if different from above: <br />Name: Ken Knox, 303-866-3581 x8202 <br />__ _. _ _ <br />Position/Title ' Chief Deputy State Engineer <br />