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Non-Reimbursable Application- CWCB Construction Fund <br /> Form Revised June 2006 <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: $903,835 <br /> Estimated Engineering Costs: <br /> Estimated Construction Costs: <br /> Estimated Total Costs: <br /> 9. How much funding are you requesting? $100,000 <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 /> operations with this application. (See Exhibit E). <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.) (See Exhibit F). <br /> The above statements are true to - - • .of y knowled e: <br /> Signature of Applicant: ///S-6 <br /> Print Applicant's Name: 117m Skramstad,CMC Director of Purchasing <br /> Project Title: Rocky Mountain Fen Research Project <br /> Date: 10/20/06 <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 /> To submit applications by Email, send to: mike.serlet @state.co.us <br /> To submit applications by Fax, send to: (303) 894-2578 <br /> For questions,call Telephone No.: (303) 866-3426 <br />