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<br />,~ <br /> <br />. <br /> <br />. <br /> <br />e <br /> <br />. <br /> <br />Non-Reimbursable Application - CWCB Construction Fund <br /> <br />Form Revised August 2004 <br /> <br />8. <br /> <br />What is the estimated cost of the study/demonstration project? Please include estimated Study, Planning, <br />Engineering, and Construction costs, if known : <br /> <br />Estimated Planning/Study Costs: <br /> <br />Land Acquisition <br />Estimated Engineering Costs: <br /> <br />$ 898,000.00 <br />500;000;00........ <br />300,000.00 <br /> <br /> <br />14,098,000.00 <br /> <br />Estimated Construction Costs: <br /> <br />12,400,000.00 <br /> <br />Estimated Total Costs: <br /> <br />9. <br /> <br />How much funding are you requesting? <br /> <br />$200,000.00 <br /> <br />Part C. - Project Sponsor Financial Information <br /> <br />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 docwnentation of financial <br />condition and operations with this application. 2002,2003 Audi t Reports (Exhi bi t J) <br />Financial statement 7/31/04 (Exhibit K) <br />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 />rnn~PrU~t1nn ~PrVi("P Thf" TT ~ FnvirnnmP'nu.l PrntpC'.hnn AoPnl".v rnmmprr:i~l R~nkc;;: <br />___ S-fLen.clll.s~EXbjJillJl.'!..-~ <br /> <br />i The above statements are true ~ of r'r.rrc:.wledge. <br /> <br />I Signature of Applicant: I 01\ r\A,1}.t..\l.Vv'~Ui <br /> <br />! Print Applicant's Name: Tom Piltingsrud \ <br /> <br />! Project Title: Oak Creek Reservoi r Feasi bil ity Study <br />I <br />I Date: 8/26/04 <br /> <br />I. <br /> <br />2. <br /> <br />I <br /> <br />! <br />I <br />i <br />I <br />i <br />I <br />I <br />_____-1 <br /> <br />Return this application to: <br /> <br />Mr. Mike Serlet, P.E., Chief <br />Water Supply Planning and Finance Section <br />COLORADO WATERCONSERV ATION BOARD <br />1580 Logan Street, Suite 750 <br />Denver, CO 80203 <br /> <br />To submit applications by Email, send to: mike serlf't@stnte co 11< <br />To submit applications by Fax, send to: (303) 894-2578 <br />For questions, call Telephone No.: (303) 866-3426 <br />