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COLORADO <br /> Colorado Water Water Project !_.Eaan Program <br /> Conservation Board <br /> P. <br /> requatification (Attuch J years of fhiandur statements) W oan Approval, (Attodi Luc-an porn ihNity Study) <br /> Company / Borrower Name:Town of Wiggins <br /> Authorized Agent fiTitle:Paul Larino - Town Administrator <br /> Address:304 Central Ave <br /> Phone: (970 )483-6161 Emait:larino@wigginsco.com <br /> Organization Type: itch Co, istrictZunicipality incorporated? ES <br /> Cher: <br /> County:Morgan Number of Shares/Taps:370 <br /> --------------------------- ----- — <br /> Water District:Town of Wiggins Avg.Water Diverted/Yr200 acre-feet <br /> Number of Shareholders/Customers Served: 864 Current Assessment per Share$ (Ditch Co) <br /> Federal ID Number:84-0704236 Average monthly water bill$ 98.00 (Municipality) <br /> Project Representative:Paul Larino, Town Administrator <br /> Phone:$70 ) 483-6161 Email:larino@wigginsco.com <br /> Engineer:Andrew Case- Leanard Rice Engineers <br /> Phone: ( 303 )455-9586 Email:andrew.case@lrewater.com <br /> Attorney:Melinda Culley- Light Kelly PC <br /> Phone: ( 303 )298-1601 x 212 j Email:mculley@lightkelly.com <br /> Project Information <br /> Project Name:Wiggins Water Recharge Project <br /> Brief Description of Project: (Attach separate sheets if needed) <br /> Please see attached summary. <br /> General Location: (Attach Map of Area) <br /> Estimated Engineering Costs:115,000 Estimated Construction Costs:1,000,000 <br /> Other Costs (Describe Above):1,270,000 Estimated Total Project Costs:2,385,000 <br /> Requested Loan Amount:2,385,000 30 <br /> Loan Term (10, 20, or 30 years): <br /> 30 Years <br /> Project StartDate(s) Design:_03/2011 _.__. Construction: 002017 <br /> Signature <br /> Return to:�Finance Section Attn: Anna Mauss <br /> 1313 Sherman St#718 <br /> Denver,CO 80203 <br /> Ph. 303/866,3449 <br /> d4✓^ �� _ e-mail: anna.rnausscistate,co,us <br /> Sig / Title Date <br />