| 
| What is your request (Please select one) |  
|  | Order Water |  
| Order water at this rate (C.F.S) |  
|  | 3.50 |  
| Order water turn on date |  
|  | 04/06/2022 |  
| Order water turn off date |  
|  | 04/09/2022 |  
| Lateral |  
|  | 46 |  
| Turnout for Laterals starting with 46 |  
|  | 118 |  
| Contact information |  
| Name |  
|  | Lynn Eby |  
| Email |  
|  | ebyfamilyfarms@gmail.com |  
| Phone # |  
|  | (970) 216-3630 |  |