Laserfiche WebLink
COG500000 Permit Application www.coloradowaterpermits.com <br /> B. CONTACT INFORMATION (cont.) <br /> 3. Site/Local Contact (contact for questions relating to the facility&discharge authorized by this permit.) <br /> o Same as 1) Permittee <br /> Responsible Position (Title): Owner/Operator <br /> Currently Held By (Person): George L. Quist <br /> Telephone No: 719-337-2067 <br /> Email address:gquist@hotmail.com <br /> Organization: George L. Quist <br /> Mailing Address: 1849 Trail Creek Road <br /> City: Lake George State: Colorado Zip: 80827 <br /> 4. Operator in Responsible Charge a Same as 1) Permittee o Same as 3)Site/ Local Contact <br /> Responsible Position (Title): <br /> Currently Held By (Person): <br /> Telephone No: <br /> Email address: <br /> Organization: <br /> Mailing Address: <br /> City: State: Zip: <br /> 5. Billing Contact a Same as 1) Permittee <br /> Responsible Position (Title): <br /> Currently Held By (Person): <br /> Telephone No: <br /> Email address: <br /> Organization: <br /> Mailing Address: <br /> City: State: Zip: <br /> 6. Other Contact Types (check below) Add pages if necessary: <br /> Responsible Position (Title): Permitting Contact <br /> Currently Held By (Person): Jennifer S. Quist <br /> Telephone No: 435-979-1475 <br /> Email address:gquist@hotmail.com <br /> Organization: <br /> Mailing Address: 1849 Trail Creek Road <br /> City: Lake George State: Colorado Zip: 80827 <br /> ❑ Environmental Contact a Other Spouse <br /> o Facility Inspection Contact <br /> ❑Consultant <br /> o Compliance Contact <br /> o Property Owner <br /> Page 3 of 8- Revision 2/2021 <br />