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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: Martin Marietta, David Bieber <br /> Permittee Company: Rocky Mountain Materials and <br /> Asphalt,Inc. <br /> Address: 10170 Church Ranch Way <br /> Suite 201 <br /> Westminster, CO 80021 <br /> Phone Number: (720)245-6400 (720) 245-6423 <br /> Fax Number: (719)473-3109 <br /> Email Address: david.bieber@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 /> �16((,,,2 <br /> gj_ <br /> May 23, 2016 <br /> Signature of Permittee.Corporate Officer,Owner,or Documented Designee Date <br /> MAF.01 <br />