| 
| What is your request (Please select one) |  
|  | Order Water |  
| Order water at this rate (C.F.S) |  
|  | 2.00 |  
| Order water turn on date |  
|  | 04/16/2022 |  
| Order water turn off date |  
|  | 04/22/2022 |  
| Lateral |  
|  | 34 |  
| Turnout for Laterals starting with 34 |  
|  | 38 |  
| Contact information |  
| Name |  
|  | Michael Scott |  
| Email |  
|  | MIKE.SCOTT2008@GMAIL.COM |  
| Phone # |  
|  | (720) 412-1244 |  |