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