OE PDA 04000000045 Application

• Contract/PO #: OE PDA 04000000045
• Contractor Name: Upper Arkansas Water Conservancy District
• Contract Type: Grant
• Loan Projects - Doc Type: Application

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GRANT 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)866-3441.
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.
1. Name of applicant(s): Upper Arkansas Water Conservancy District
Mailing address: PO Box 1090, Salida,CO 81201
Taxpayer l)# 84-0817067
email address: [e-mail]
Telephone numbers: RILcin c. [phone]
Home N/A
Eax [phone]
2. Person to contact regarding this application,if different from above:
Name: Ralph L. Scanga,Jr.
Position/title: General Manager
Mailing address: P.O.Box 1090, Salida,CO 81201
Telephone number: Business [phone]
Home N/A
3. Type of organization(Ditch Co.,Irrigation District,Municipality,Private Owner,etc.):
A Water Conservancy District
4. Is the organization incorporated in the State of Colorado? YES NO xx
(If"YES", please include a copy of the articles of incorporation, and the Bylaws with this
application form.)