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Page 5 of 5 <br />Division records indicate the following permittee contact information. If this information is not current, please type or print <br />current contact information: <br />Permittee Contact: <br />Julie Mikulas <br />Permittee Company: <br />Martin Marietta Materials, Inc. <br />Address: <br />1800 N. Taft hill Road <br />Fort Collins, CO 80521 <br />Phone Number: <br />(970) 227-4041 <br />Fax Number: <br />(970) 407-3900 <br />Email Address: <br />Julie.mikulas@martinmarietta.com <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being conducted in accordance with the Division approved mining and reclamation plans. <br />M -AF -0 1 <br />i//02D/ice <br />ture of Permittee, Corporate Officer, Owner, or Docuffâ–șented Designee Date <br />