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Page 5 of5 <br /> Division records indicate the following permittee contact information. Ifthis information is not current,please type or print <br /> current contact information: <br /> Permittee Contact: David Bieber <br /> Permittee Company: Rocky Mountain Materials and <br /> Asphalt, Inc. <br /> Address: C/o Martin Marietta Materials, <br /> Inc. <br /> 10170 Church Ranch Way, Suite <br /> 201 <br /> Westminster,CO 80021 <br /> Phone Number: 719)473-3100 720) 245-6423 <br /> Fax Number: <br /> Email Address: avid.bieber@martinmarietta.com <br /> 1,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 /> dl(��? 09/26/2016 <br /> Signature of Permittee, Corporate Officer,Owner, or Documented Designee Date <br /> M-AF <br />