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Permit Number: <br />Project Name: <br />Control Structure(s) <br />St, Johns River Water. Management District <br />Annual Status Report for <br />Surface Water Management -System Construction <br />(Required whenever construction duration exceeds one (1) year) <br />St. Johns River Water Management District <br />Post Office Box 1429 <br />Palatka, FL 32178-1429 <br />Percent of <br />Completion <br />Benchmark Description (one per major control structure) <br />Lake(s)' <br />Ditch(es) <br />Swale(s) <br />Exfiltration <br />Trench <br />Dry Area(s) <br />Berm(s) <br />Surface Water <br />Management <br />Works <br />Print Name <br />Permittee's or Authorized <br />Agent's Signature <br />H:\PDS\FORMS\EN-56.DOC <br />form 40C-4.900(4) <br />Percent of <br />Completion <br />Phase: <br />Date of Anticipated <br />Comaletion <br />Phone <br />Date of <br />Anticipated <br />Completion <br />Title and Company <br />Address <br />FORM EN - 56 <br />Date of <br />Completion <br />Date of . <br />Completion <br />Date <br />