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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: David Bieber <br /> • <br /> • <br /> Permittee Company: Martin Marietta <br /> • <br /> Address: 10170 Church Ranch Way <br /> Westminster, CO 80021 <br /> Phone Number: (916) 870-6635 <br /> Fax Number: <br /> Email Address: david.bieber(a)martinmarietta.com j <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 /> ,6((u). <br /> May 5,2016 <br /> Signature of Permittee. Corporate Officer, Owner, or Documented Designee Date <br /> M-AE-01 <br />