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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: Anna Mauss, P.E. <br />Phone (303) 866 -3441 - Fax (303) 894 -2578 <br />e -mail: anna.maussAstate.co.us <br />Kirk Russell P. E. <br />e -mail: Kirk.russell @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 East Mesa Water Company <br />Mailing Address 0979 County Road 101 Carbondale CO 81623 <br />Business Phone ( 970 ) 948 3587 Fax Phone (-910 <br />Federal ID Number 84- 1612324 e -mail Address <br />2. Person to contact regarding this application: <br />Name Marty Nieslanik <br />Position/Title President <br />Address 977 County Road 101, Carbondale, CO 81623 <br />Phone ( 970 ) 948 3587 Home Phone <br />e -mail Address <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Ditch Co. <br />Date of Annual Meeting - <br />Mid March each year <br />Is the organization incorporated in the State of Colorado? YES x_ NO (If YES, please <br />Include a copy of the articles of incorporation, and the bylaws with this application form.) <br />