| 
| What is your request |  
|  | Order Water |  
| Order Water – At this C.F.S. rate Required |  
|  | 2.00 |  
| Order Water – Turn on date Required |  
|  | 09/13/2022 |  
| Lateral Selection |  
|  | 46.5 |  
| Turnouts for Lateral 46.5 |  
|  | 128 |  
| Contact information |  
| Name |  
|  | Rich Keller |  
| Email |  
|  | richkeller54@gmail.com |  
| Phone # |  
|  | (970) 985-3336 |  |