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Non-Reimbursable Application -CWCB Construction Fund <br /> Form Revised January 2009 • <br /> 8. What is the estimated cost of the study/demonstration project? Please include estimated Study, Planning, <br /> Engineering,and Construction costs, if known: <br /> Estimated Planning/Study Costs: S700,000(estimate of local funding winter 09/10 <br /> Estimated Engineering Costs: <br /> Estimated Construction Costs: <br /> Estimated Total Costs: $700,000 (estimate of local funding winter 09/10 <br /> 9. How much funding are you requesting? $175,000 <br /> Part C.-Project Sponsor Financial Information <br /> 1. The CWCB Construction Fund is primarily a revolving loan fund. Non-reimbursable <br /> investments are approved only when the project or study is of statewide interest and benefits a <br /> wide range of people. Provide copies of the two most recent annual reports, financial <br /> statements, corporate reports or other current documentation of financial condition and <br /> • <br /> operations with this application. Provide a signed W-9 form. <br /> 2. Provide a brief narrative description of potential sources of funding(in addition to the CWCB) <br /> which have been explored or which will be explored for the proposed project or study. <br /> (Examples would be Local County and Town Governments, Water Conservancy Districts, <br /> USDA Rural Development, The Natural Resources Conservation Service, The U.S. <br /> Environmental Protection Agency,Commercial Banks,etc.) <br /> The above statements are true to the best of my knowledge: <br /> Signature of Applicant: <br /> Print Applicant's Name:Joe Busto <br /> Project Title: Weather Modification Program— Water User Cost Share Assistance <br /> Date: August 1',2009 <br /> Return this application to: <br /> Mr. Mike Serlet,P.E.,Chief <br /> Water Supply Planning and Finance Section <br /> COLORADO WATER CONSERVATION BOARD <br /> 1580 Logan Street,Suite 750 <br /> Denver,CO 80203 <br /> • <br /> To submit applications by Email,send to: mike.serletta)state.co.us <br /> To submit applications by Fax,send to: (303) 894-2578 <br /> For questions,call Telephone No.: (303)866-3441,ext.3234 <br />