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<br />Colorado Water Conservation BoanI <br />Pre-Application Form for Construction Fund Loan <br /> <br />RECEIVE", <br /> <br />SEP ~ '997 <br />eoCalorlld9 )~i~ <br />11SAftI" ,i _~. "ref <br />--~&a)~ <br /> <br />.... <br />. . <br /> <br />.. <br /> <br />.... <br /> <br />This form is intended for pre-application purposes to provide the Colorado Water <br />Conservation Board (CWCB) staff with preliminary information regarding a proposed water <br />projeet and the project sponsor. This form may also be used to apply for a feasibility study <br />loan from the CWCB. <br /> <br />When completing this pre-application, please type or print with blaek ink. You may attaeh <br />additional pages, maps, drawings, etc. which you feel would be helpful in describing your <br />project or explaining your water supply problem. If you have questions about this form or <br />about the application process please call the Project Planning and Construction Section of the <br />CWCB at 303-866-3441. - <br /> <br />Information regarding Construction Fund loans and the loan application and funding proe~ss <br />can be found in the Guidelines for Financial A ssistance through the Colorado Water <br />Conservation Board Constroction Fund copies of which are available by calling the CWCB. <br /> <br />Generally, the loan applicant is also the prospective owner or sponsor of the project. If this is <br />not the ca<>e, please provide an explanation with this pre-application form. <br /> <br />1. Name and address of applicant: <br />DeHaas e Dye Di t~h Pot' RA~ATt\Tn; 7' gnm!1::l'l1Y <br />1631 Chestnut Street <br />Canon City, Colorado 81212 (719) 275 8495 <br /> <br />Fax Number ( <br /> <br />) n/a <br /> <br />Telephone number ( (llJ) 2"{~ 84lJ;; <br /> <br />President <br />1411 Walnut St~eet <br />Canon City, Colorado 81~lc <br /> <br />. Telephone number ( 719) 275 3733 Fax Number ( <br /> <br />2. Person to contact regarding this application: <br />Name: Ronald Dorn <br />Position/Title: <br />Mailing address: <br /> <br />) n/a <br /> <br />3. Type of organization (diteh company, irrigation district, municipality, special distriet, <br />private owner, etc.): Di tch Company <br /> <br />4. Please provide a brief description of existing water supply faeilities and describe any <br />existing operational or maintenance problems. Attach separate sheets and a map if needed: <br /> <br />Om'\ nompany Olms a concrete d::lm ui 1:1, 4020 A.. F. of gtorage c~D~oi ty <br />and 1S miles of main ditch and Jnteral1': to di1':tpibute HRt.A"I" to th€ <br />sLareholders. Shareholders pay for maintenance and operational <br />costs ror the system. <br />'1'he;concrete dam must be repaired by 1999. <br />