BOARD00888

• Board Meeting Date: 11/16/2004
• Description: CF Section - Additional Non-Reimbursable Investments - Conservation Reserve Enhancements Fund ‎(CREF)‎
• Board Meetings - Doc Type: Memo

Non-Reimbursable Application - CWCR Construction Fund

Form Revised August 2004

8. What is the estimated cost of the study/demonstration project? Please include estimated Study, Planning,
Engineering, and Construction costs, if known : see attached for budget explanation

Estimated Planning/Study Costs:

Estimated Engineering Costs:

Estimated Construction Costs:

Estimated Total Costs:

9.

How much funding are you requesting?

Seventy five thousand dollars ($75,000)

Part C. - Project Sponsor Financial Information

1. The CWCB Construction Fund is primarily a revolving loan fund. Non-reimbursable
investments are approved only when the project or study is of statewide interest and benefits a
wide range of people. Provide copies of the two most recent annual reports, financial
statements, corporate reports or other current documentation of financial condition and
operations with this application.

2. Provide a brief narrative description of potential sources of funding (in addition to the CWCB)
which have been explored or which will be explored for the proposed project or study.
(Examples would be Local County and Town Governments, Water Conservancy Districts,
USDA Rural Development, The Natural Resources Conservation Service, The U.S.
Environmental Protection Agency, Commercial Banks, etc.) see attached

The above statements are true to the best of my knowledge:
Signature of Applicant:
Print Applicant's Name: Hmc" McC-:lo.k"y
Project Title: Colorado Conservation Reserve Enhancement support project
Date: 1 0/04/04

I
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Return this application to:

Mr. Mike Serlet, P.E., Chief
Water Supply Planning and Finance Section
COLORADO WATER CONSERVATION BOARD
1580 Logan Street, Suite 750
Denver, CO 80203

To submit applications by Email, send to: mik" .""]",@,,",,, co ,,,
To submit applications by Fax, send to: [phone]
For questions, call Telephone No.: [phone]