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<br />""" <br /> <br />. <br /> <br />. <br /> <br />Colorado Water Conservation Board <br />EMERGENCY INFRAsTRUCTIJRE REpAIR ACCOUNT <br />LOAN APPLICATION <br /> <br />Instructions: This loan application is for EMERGENCY REPAlRS to existing raw water dams <br /> <br /> <br />and distribution systems. If you are seeking a CWCB loan for non emergency rehabilitation or <br /> <br /> <br />construction of a raw water system, please use the standard CWCB Construction Fund Loan <br /> <br />Application. <br /> <br />If you are only seeking preliminary review of your application to determine if the repair <br /> <br />qualifies for an Emergency Repair Account Loan, complete only Part A and Part B. and sign <br /> <br />the application on the last page. A CWCB staff member will contact you for further information. <br /> <br />This application form should be typed, or printed neatly with black ink. You may attach <br />additional sheets as necessary to fully answer any question, or to provide additional information <br />which you feel would be helpful in evaluating this application. If you have difficulty with any <br />part of the application, please contact the Colorado Water Conservation Board office for <br />assistance, at (303) 866-3441. <br /> <br />Part A. - The Applicant (Project Sponsor or Owner); Generally, the applicant is also the <br />prospective owner and sponsor of the project or facility. If this is not the case, please contact <br />the CWCB staff before completing this application. <br /> <br />1. <br /> <br />Name of applicant(s): <br /> <br />Beaver Park Water, Inc. <br /> <br />Mailing address: <br /> <br />Troy Templeton. M~n~gpr <br />P.O. Box' 286, 401 Broadway <br /> <br />Penrose, CO 81240 <br /> <br />Telephone number: Business <br />Home <br /> <br />(719) 372-3664 <br /> <br />( <br /> <br />) Same <br /> <br />2. Type of organization (Ditch Company, Irrigation District, Municipality, Private Owner, <br /> <br />etc.): Ditch company and a supplier to the Penrose Water District <br />for domestic purposes. <br />