2020-06-23_PERMIT FILE - M2020030

• Permit No: M2020030
• IBM Index Class Name: PERMIT FILE
• Doc Date: 6/23/2020
• Doc Name: Completeness Response
• From: Salisbury Gladstone LLC
• To: DRMS
• Email Name: PSH
• Email Name: JLE
• Media Type: D
• Archive: No

295796 06/17/2020 10:27 AM B: 984 P: 606 PERMIT
Page 2 of 44 R $228.00 D $0.00 T $228.00 Clear Creek
-2- 1111
9. Correspondence Information:
APPLI ANT/OPE O (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: ( Z -
PERMITTIN CONTACT(if different from applicantloperator above):
Contact's Name: Same Title:
Company Name:
Street: P.O.Box:
City:
State: Zip Code:
Telephone Number: 1 )Fax Number: (Gladstoned)INSPECTION NTA T•
Contact's Name: Same Title:
Company Name:
Street: P.O.Box:
City:
State: Zip Code:
Telephone Number: )Fax Number: S ) -
CC: STATE OR FEDERAL LANDOWNER if any):
Agency: None
Street:
City:
State: Zip Code:
Telephone Number: Z -
CC_: STATE OR FEDERAL LANDOWNER if any):
Agency: None
Street:
City:
State: Zip Code:
Telephone Number: ( ) -