Colorado Rural Water Association

Energy Efficiency Questionnaire

To get started TODAY with your EEA, it is important we get the information below. Please send the following information to kstone@crwa.net

Billing information (scan as JPG file)
List of Electric Motors/Pumps/Mixers, etc. and respective hp rating (1hp or more).

First Name *

Last Name *

Email *

Phone *

What is the name of your organization? Type of organization? *

What is size of population served? *

What systems/units would you like an assessment of Energy Efficiency?
(Water/Wastewater/Collection/Distribution/Non-Potable/Office/Facility) *

Type of System?
(Ground Water, Surface Water, Aerated Lagoon, Evaporative, Mechanical, etc.) *

What is the capacity of each system if applicable (millions of gallons per day)? *

What is the name of your electric/gas service provider(s)? *

Are system upgrades initiated/planned or recently completed?
(if applicable, please describe upgrades that utilize energy) *