2020-06-02_PERMIT FILE - M2020030

• Permit No: M2020030
• IBM Index Class Name: PERMIT FILE
• Doc Date: 6/2/2020
• Doc Name: Application
• From: Salisbury Gladstone LLC
• To: DRMS
• Email Name: PSH
• Email Name: JLE
• Email Name: AWA
• Media Type: D
• Archive: No

-2-
9. Correspondence Information:
APPLICANT/OPERATOR(name,address,and phone of name to be used on permit):
Contact's Name: Jeff A Carter Title: Manager
Company Name: Salisbury Gladstone LLC
Street: 15954 Jackson Ck Pkwy B281 P.O.Box:
City: Monument
State: CO Zip Code: 80132
Telephone Number: (719 ) - 237-5914
Fax Number: ( ) -
PERMITTING CONTACT(if different from applicant/operator above):
Contact's Name: Same Title:
Company Name:
Street: P.O.Box:
City:
State: Zip Code:
Telephone Number: Z Fax Number: (GladstonEd) -
INSPECTION CONTACT:
Contact's Name: Same Title:
Company Name:
Street: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER if any):
Agency: None
Street:
City:
State: Zip Code:
Telephone Number: 1 ) -
CC: STATE OR FEDERAL LANDOWNER if any):
Agency: None
Street:
City:
State: Zip Code:
Telephone Number: ( ) -