Colorado Water Conservation Board
Emergency Funding for Damaged River Diversions/Dams
from the September 2013 Flood Event
Emergency Loan Application and Feasibility Study
Prepared for:
[BORROWER ORGANIZATION]
[ADDRESS]
[ADDRESS]
[PHONE]
Prepared by:
[ORGANIZATION]
[ADDRESS]
[ADDRESS]
[PHONE]
Signature
Completed By/Title (Print)
Signature/Date
Application Deadlines:
October 16, 2013(noon)
November 1, 2013(noon)
December 2, 2013 (noon)
Return a signed hard copy and an electronic copy to:
CWCB Finance Section
1580 Logan, Suite 600
Denver, CO 80203
Attn: Anna Mauss
Ph. 303.866.3441x 3224
e-mail: anna.mauss@state.co.us
Emergency Loan Application and Feasibility Study
[BORROWER]
Agency/Company Information
Name:
Address:
Phone: (
)
Email:
Organization Type: [ ] Ditch Co, [ ] Irrigation District, or ______________
Incorporated: YES or NO
Incorporation Date:
In good standing with the Secretary of State: YES or NO
Number of acres irrigated
Number of [ ] Shares/ [ ] Taps
Avg. Water Diverted/Yr______________ acre-feet
Number of Shareholders?
Current Assessment $
/share
Projected Assessment $
/share
Contact Information
Contact/Title:
Address:
Phone: (
)
Email:
)
Email:
)
Email:
Engineer:
Phone: (
Attorney:
Phone: (
Project Location Information
County:
Water District:
River Basin:
Water Source:
Project Summary
Project Type: (circle one or more) Diversion Structure / Dam / Well / Ditch Rehabilitation / Other
Estimated Engineering Costs:
Estimated Construction Costs:
Other Costs (Describe Above):
Estimated Total Project Costs:
Requested Loan Amount:
Date Funding is Needed?
Possible other funding sources:
Attachments
[ ]
Last two years Financial Statements
[ ]
Shareholders List
[ ]
Articles of Incorporation/ By-laws
[ ]
Location Map/Service Area
[ ]
Shareholder Resolution (submit prior to contracting)
[ ]
Attorney Opinion Letter (submit prior to contracting)
Emergency Loan Application and Feasibility Study
[BORROWER]
Project Background
During the unprecedented flood of September 2013 in the tributaries to the South Platte River, a
significant number of diversion structures and dams along the river corridor were damaged. The
Project repair/rehabilitation proposed in this Feasibility Study received significant damage as a
result of the flood.
[Describe: history, pre-flood condition post-flood condition, typical flows, areas irrigated by the
structure, number of shareholders depending on the structure, and operational uses of the
structure]
Water Rights
The water rights impacted by this project include:
Name
Water
Court Case
Appropriation
Date
Adjudication
Date
Amount
(cfs or AF)
Avg. Annual
Yield (AF)
Project Description
Describe the desired project’s goals. State whether the Borrower has or will retain a
Professional Engineer for design services. Note that all structural projects funded through the
CWCB loan program will require a Professional Engineer.
Alternative 1 – Do Nothing: This alternative is considered unacceptable. (Add one sentence as to
why (i.e. “Failure to replace the headgate would prevent the diversion of the company’s water
rights leading to the abandonment of the water rights and the ditch”).
Alternative 2 – Rebuilding Collaboratively with Improvements:. (Add brief description as to how
the project could be rebuilt to better serve multiple users or multiple interests than the original
structure. Where possible, a stream reach approach to rebuilding the damaged system may
result in a better solution if additional funding assistance were available.
Selected Alternative 3 – [Project]: Describe the selected alternative and the method of
implementation. Note: structures should allow for accurate and improved measurements and
administration of the river.
Cost Estimate
The Project cost estimate, provided by ___________, is $___________ and is further broken
down as follows:
(Note: Additional cost breakdown should be provided as an attachment.)
Emergency Loan Application and Feasibility Study
Task
Design
Permitting
Construction
Other
Contingency
Total
[BORROWER]
Cost
[Borrower] is applying for a loan not to exceed $___________.
(Note: Depending on project scope, this may need to be an Engineer’s Estimate of Probable Cost
or a contractor’s estimate. We understand damage assessments may still be ongoing and some of
these cost will be rough estimates. Depending on project scope, a more detailed cost analysis
may be required prior to contracting.)
Financial Analysis
The [Borrower] has $_________ in existing debt as summarized below:
Lender
Original
Balance
Current
Balance
Annual
Payment
Maturity
Date
Collateral
The [Borrower’s] sources of income include:
Note: Be sure to attach
 Two years of financial statements (required)
 Shareholder list (showing owner name, # of shares owned, and identify each owner as
agricultural or municipal)
 Articles of Incorporation/By-laws
Schedule
Construction of the Project is expected to commence [month], [year]. Project completion is
estimated to occur by [month], [year]. Add any pertinent schedule notes such as if the schedule is
‘rushed’ due to a need to divert winter reservoir rights or to prevent further damage.
Economic, Social, and Environmental Effects
List the anticipated economic, social, and environmental effects of the proposed project. (eg. # of
lost irrigated acres, # of lost farms, degraded river channel conditions, loss of recreational
activities etc.)
Emergency Loan Application and Feasibility Study
[BORROWER]
Permits
List any permits that will be required or applicable exemptions. Specifically provide the project
status in relation to the US Army Corps of Engineers permit requirements (agriculture
exemption, nationwide permit, individual permit).