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, . <br />J <br />III IIIIIIIIIIIII III <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Webster Sand & Gravel <br />PERMIT NO.: M-81-235 <br />OPERATION NAME: West Tennessee* <br />ANNIVERSARY DATE: Apri122, 1999 <br /> <br />RECEIVE® <br />APR 2 01999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $SSO.OO~~~~s~on of ~aine21S8G1101o9Y <br />COUNTY: Lake <br />~,~' <br />~o <br />In order to ensure that our records are up to date, please attach your revised annual report map and written <br />report to [his annual report. Note that ?. written report is not nececsary if the.map addresses all the <br />items listed in the attached instructions concerning mining disturbance and reclamation update. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />rr ~p / /~ <br />Contact Name~~f'7"~Q~(,~p,/7_S~(°,,p` Company:7.~~.n~ S~ fP_SA'n/t i~/,~/`ff~e{~ <br />Address::/~-(,(/~Sd.,p~~~~II~,(,,~.4~P PhoneNo.:(7/g) ~~~y--~`~"~~ <br />~~~-~ f~ (!! ~<o6t~GE t.~ Fax No.: () / ~ ~~ D ~°Z' <br />Signature of tporate Officer, or Owner <br />Date <br />M.IDN RMLV.IASTER DVN-AF-01 <br />~~ ~ ~~ <br />