| 
| What is your request |  
|  | Order Water |  
| Order Water – At this C.F.S. rate Required |  
|  | 2.50 |  
| Order Water – Turn on date Required |  
|  | 09/08/2022 |  
| Lateral Selection |  
|  | 30.25 |  
| Turnouts for Lateral 30.25 |  
|  | MC |  
| Contact information |  
| Name |  
|  | Kim |  
| Email |  
|  | lyrad41@aol.com |  
| Phone # |  
|  | (970) 270-2880 |  |