2017-09-22_REPORT - M1980193

• Permit No: M1980193
• IBM Index Class Name: REPORT
• Doc Date: 9/22/2017
• Doc Name: Annual Fee/Report/Map
• From: Rocky Mountain Materials and Asphalt, Inc.
• To: DRMS
• Annual Report Year: 2017
• Email Name: TC1
• Media Type: D
• Archive: No

Page 5 of 5
Division records indicate the following permittee/landowner contact information (blank fields indicate that we do not have
information 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]
Fax Number: [phone]
Email Address: David.bieber(�martinmarietta.com
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] vi
Fax Number: [phone]
V
Email Address: Dnr drmsminadmin�c),state.co.us [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]
v
Fax Number: [phone]
Email Address: Dnr dnnsminadmin(aJstate.co.us David.bieher(r niartinmarietta.com
I,the andyrsigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being c duc in cor nce wi e 'vision approved mining and reclamation plans.
September 22,2017
Signature of Permittea C_oroorate officer, Owner, or I)ocumented Designee Date
M-AF-OI