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Page 5 cif 5 <br /> Division records indicate the following permittee/landowner contact information (blank fields indicate that we do not have <br /> information on record). If this information is blank or not cw-rent, please t}pe or print 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 /> 1627 Cole Boulez ard, Suite 200 <br /> Lakewood. CO 80401 <br /> Phone Number: (720) 245-6423 <br /> Fax Number: <br /> Email Address: David.bieber%ci in art inmarietta.coni <br /> Permitting Contact: Dax-id Bieber <br /> Company: Rocky Mountain Materials, Inc. <br /> Address: c/o Martin Marietta Materials, <br /> Inc. <br /> I627 Cole Boulevard, Suite 200 <br /> Lakewood, CO 80401 <br /> Phone Number: (7i9)473-3100 (720) 245-6423 <br /> Fax Number: <br /> Email Address: David.bieberRdmartinmarietta.coni <br /> Inspection Contact: David Bieber <br /> Company: Rocky Mountain Materials, Inc. <br /> Address: c/o Mai-tin Marietta Materials, <br /> Inc. <br /> 1627 Cole Boulevard, Suite 200 <br /> Lakewood, CO 80401 <br /> Phone Number: (719)473-3100 (720) 245-6423 <br /> Fax Number: <br /> Email Address: David.bieberRtnniartinmarietta.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 co duct i accordance "th the Division approved mining and reclamation plans. <br /> 9't— September 22,2017 <br /> Signature of Permittee,Corporate Officer, Owner, or Documented Designee Date <br /> M-:�_1)a <br />