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Non-Reimbursable Application - CWCB Construction Fund <br /> Form Revised August 2004 <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: $169,089 <br /> Estimated Engineering Costs: $1,100 (actual drainage district <br /> dollar contributions) <br /> Estimated Construction Costs: $10,000 (estimated drainage district <br /> in-kind contributions) <br /> Estimated Total Costs: $18 0, 18 9 <br /> 9. How much funding are you requesting? $16 9, 0 8 9 <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 <br /> benefits a wide range of people. Provide copies of the two most recent annual reports, <br /> financial statements, corporate reports or other current documentation of fmancial <br /> condition and operations with this application. <br /> 2. Provide a brief narrative description of potential sources of funding(in addition to the <br /> CWCB)which have been explored or which will be explored for the proposed project <br /> or study. (Examples would be Local County and Town Governments, Water <br /> Conservancy Districts, USDA Rural Development, The Natural Resources <br /> Conservation Service. The U.S. Environmental Protection AQencv.Commercial Banks. <br /> The above statements are tru- e best of my <br /> knowledge: <br /> Signature of Applicant: ��,, ���z7// ` �✓ <br /> Print Applicant's Na . John Wilkins-Wells <br /> Project Title: Drainage System Rehabilitation in the Arkansas Valley <br /> ' Date: August 13,2004 <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 />