Board Meeting Memorandum 09/10/2003 ‎(A)‎

• Board Meeting Date: 9/10/2003
• Description: Non Reimbursable Investments Document Imaging Program
• Board Meetings - Doc Type: Meeting

NON-REIMBURSABLE INVESTMENT APPLICATION
Colorado Water Conservation Board-CONSTRUCTION FUND •
Instructions: This application form should be typed, or printed neatly with black ink. You may
attach additional sheets as necessary to fully answer any question, or to provide additional
information that you feel would be helpful in evaluating this application. If you have difficulty with
any part of the application, please contact the Water Supply Planning and Finance Section
(Colorado Water Conservation Board)for assistance, at(303) 866-3426.
Generally,the applicant is also the prospective owner and sponsor of the proposed project. If this is
not the case,please contact the CWCB staff before completing this application.
Part A.-Description of the Applicant(Project Sponsor or Owner);
1.Name of applicant(s): Colorado Water Conservation Board
Mailing address 1313 Sherman,Room 721,Denver, CO 80203
email address: [e-mail]
Telephone numbers: Business [phone]
Fax [phone]
2. Person to contact regarding this application, if different from above:
Name: Susan Lesovsky •
Position/title: Project Manger
Mailing address: 1313 Sherman,Room 721,Denver, CO 80203
Telephone number: Business [phone]
3. Type of organization: State Agency
4. Is the organization incorporated in the State of Colorado? YES NO X
(If"YES", please include a copy of the articles of incorporation, and the Bylaws with this
application form.)
5. Please provide a brief description of the owner's existing water supply facilities.
(Attach separate sheets and a map,if needed.): N/A
6. For existing facilities indicate: N/A
(a)The number of shareholders , or (b) the number of customers served
(c)Current Assessment per share$ (d)Number of shares
Part B.-Description of the Project
1. Name of the project or study: CWCB Imaging Project(Continuation)
2. What is the purpose of this grant application? Check one. •
_Demonstration project