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COLORADO c c'�s ,� <br /> �r COLO1 tO WATER CONSERVATION OARD ' <br /> t r , <br /> SEVERANCE TAX TRUST FUND OPERATIONAL ACCOUNT •d 4A <br /> DEPAKI MEN r o 2012-2013 GRANT APPLICATION ° • <br /> NATURAL ' 11 ,. <br /> RESOURCES <br /> Project Name: <br /> The CWCB Severance Tax Trust Fund Operational Account exists primarily to provide grants for regional <br /> water resources planning studies and associated demonstration projects,within mineral impacted areas of <br /> the State. Grants are approved when the study or demonstration project benefits a wide range of people <br /> and organizations,and/or a large geographical area. <br /> *Application Deadline=January 31,2012 for Funds Available July 1,2012. <br /> *Funding recommendations will be considered at the March 2012 CWCB Board Meeting. <br /> Instructions: This application form should be emailed, typed, or printed neatly. You may attach <br /> additional sheets as necessary to fully answer any question,or to provide additional information that you <br /> feel would be helpful in evaluating this application. I.f you have difficulty with any part of the application, <br /> please contact the Colorado Water Conservation Board's Steve Biondo for assistance at(303) 866-3441, <br /> ext.3205 or email Steve at steve.biondo@state.co.us. <br /> Part A.-Description of the Applicant(Project Sponsor or Owner): <br /> I a. Applicant Name(s): Bull Creek Reservoir, Canal and Power Company <br /> Mailing Address: PO Box 25 <br /> Molina, CO 81646 <br /> Taxpayer ID No: 84-0729190 Email Address: jwgworld@yahoo.com <br /> Phone Numbers-Business: 970-268-5561 <br /> Cell: 970-985-0355 <br /> Fax: 970-268-5561 <br /> 2a. Person to contact regarding this application if different from above: <br /> Name: John W. Groo <br /> Position/Title: Secretary/Treasurer <br /> Mailing Address: Same as above <br /> Grant Application—Severance Tax Trust Fund Operational Account-Fiscal Year 2011-2012 <br />