2017-09-22_REPORT - M1980189

• Permit No: M1980189
• 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

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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 cw-rent, please t}pe 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 Boulez ard, Suite 200
Lakewood. CO 80401
Phone Number: [phone]
Fax Number:
Email Address: David.bieber%ci in art inmarietta.coni
Permitting Contact: Dax-id Bieber
Company: Rocky Mountain Materials, Inc.
Address: c/o Martin Marietta Materials,
Inc.
I627 Cole Boulevard, Suite 200
Lakewood, CO 80401
Phone Number: (7i9)473-3100 [phone]
Fax Number:
Email Address: David.bieberRdmartinmarietta.coni
Inspection Contact: David Bieber
Company: Rocky Mountain Materials, Inc.
Address: c/o Mai-tin Marietta Materials,
Inc.
1627 Cole Boulevard, Suite 200
Lakewood, CO 80401
Phone Number: [phone] [phone]
Fax Number:
Email Address: David.bieberRtnniartinmarietta.com
I,the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being co duct i accordance "th the Division approved mining and reclamation plans.
9't— September 22,2017
Signature of Permittee,Corporate Officer, Owner, or Documented Designee Date
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