2017-05-09_REPORT - M1985043

• Permit No: M1985043
• IBM Index Class Name: REPORT
• Doc Date: 5/9/2017
• Doc Name: Annual Fee/Report/Map
• From: Rocky Mountain Materials
• To: DRMS
• Annual Report Year: 2017
• Email Name: TC1
• Media Type: D
• Archive: No

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Division records indicate the following permittee/landowner contact information (blank fields indicate that we do not have
iinformation on record). If this information is blank or not current, please type or print current contact information:
Permittee Contact: David Bieber
Permittee Company: Rocky Mountain Materials and
Asphalt, Inc.
Address: C/o Martin Marietta Materials,
Inc.
1627 Cole Boulevard, Suite 200
Lakewood, CO 80401
Phone Number: [phone] [phone]
Fax Number:
Email Address: [e-mail]
Permitting Contact: David Bieber
Company: Rocky Mountain Materials, Inc.
Address: C/o Martin Marietta Materials,
Inc.
1627 Cole Boulevard, Suite 200
Lakewood, CO 80401
Phone Number: [phone] [phone]
Fax Number:
Email Address: [e-mail]
Inspection Contact: David Bieber
Company: Rocky Mountain Materials, Inc.
Address: C/o Martin Marietta Materials,
Inc.
1627 Cole Boulevard, Suite 200
Lakewood, CO 80401
Phone Number: [phone] [phone]
Fax Number:
Email Address: [e-mail]
1,the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.
�(/�j; 9j— May 1,2017
Signature of Permittee. Corporate Officer, Owner, or Documented Designee Date
M-AF-01