| What is your request (Please select one) | 
|  | Order Water | 
| Order water at this rate (C.F.S) | 
|  | 1.75 | 
| Order water turn on date | 
|  | 04/15/2022 | 
| Order water turn off date | 
|  | 04/22/2022 | 
| Lateral | 
|  | 43-B | 
| Turnout for Laterals starting with 43 | 
|  | 26 | 
| Contact information | 
| Name | 
|  | Frederick Busch | 
| Email | 
|  | fabusch@alumni.colostate.edu | 
| Phone # | 
|  | (970) 201-4837 | 
| Remarks | 
|  | Water meter reading 539.198 |