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<br />. <br />eWeB Emergency Repair Account Loan Application <br />'Revised June 8, 1993 <br /> <br />. <br /> <br />./ <br /> <br />3. <br /> <br />Is the organization incorporated in the State of Colorado? YES x <br /> <br />NO <br /> <br />(If yes, please include a copy of the articles of incorporation, and the Bylaws with this <br />application form.) <br /> <br />4. Person to contact regarding this application, if different from above: <br />Name: Donald C. Peach <br />Position/title: Town Mana~er <br />Mailing address: ?,09 ERRt MRin Strp.p.t <br /> <br />Ran~elv. co 81648 <br />Telephone number: Business (303) 675-8472 <br /> <br />Home <br /> <br />( <br /> <br />) <br /> <br />s. Please provide a brief description of the owner's existing water supply facilities and <br />describe any existing operational or maintenance problems. (Attach separate sheets, and <br />a map, if needed.): <br /> <br />6. For your water supply facility, please indicate: <br />(a) the number of shareholders_, or (b) the number of customers served_. <br /> <br />Part B. - Description oC the Emergency <br />1. What type of facility requires the emergency repair? <br />L Raw Water Storage System; Dam or Reservoir <br />_ Raw Water Transmission System; Canal, Ditch, Pipeline <br />Diversion dam or Headworks <br /> <br />Other <br /> <br />Please describe the facility: <br /> <br />2 <br />