Finance Committee Meeting 2007

• Board Meeting Date: 9/18/2007
• Description: Finance Sub-Committee Meeting September 18, 2007
• Board Meetings - Doc Type: Meeting

Non-Reimbursable Application- CWCB Construction Fund
Form Revised June 2006
•
8. What is the estimated cost of the study/demonstration project? Please include estimated Study,Planning,
Engineering,and Construction costs, if known:
Estimated Planning/Study Costs: -0-
Estimated Engineering Costs: $5,000
Estimated Construction Costs: $92,050
Estimated Total Costs: $97,050
9. How much funding are you requesting? 1 $48,525 1
1
Part C.-Project Sponsor Financial Information
1. The CWCB Construction Fund is primarily a revolving loan fund. Non-reimbursable
investments are approved only when the project or study is of statewide interest and benefits a
wide range of people. Provide copies of the two most recent annual reports, financial
• statements, corporate reports or other current documentation of fmancial condition and
operations with this application.
2. Provide a brief narrative description of potential sources of funding(in addition to the CWCB)
which have been explored or which will be explored for the proposed project or study.
(Examples would be Local County and Town Governments, Water Conservancy Districts,
USDA Rural Development, The Natural Resources Conservation Service, The U.S.
Environmental Protection Agency,Commercial Banks,etc.)
The above statements are true to best my knowledge:
Signature of Applicant: e.� - f , •
Print Applicant's Name: t1,.° .�'�Ct` " i t�- y +
1 , " t: �_'�- 1r\i°°L �0! A 4`\ t'f,1 C'!
Project Title: ' 14
Date: C 13�► r . `h- ,i nie , Wt..) YO t-i
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Return this application to:
Mr.Mike Serlet,P.E.,Chief
Water Supply Planning and Finance Section
COLORADO WATER CONSERVATION BOARD
1580 Logan Street, Suite 750
ill Denver,CO 80203
To submit applications by Email,send to: mike_serlet@state_cn us
To submit applications by Fax,send to: [phone]
For questions,call Telephone No.: [phone]