2016-10-21_REPORT - M1980244 ‎(21)‎

• Permit No: M1980244
• IBM Index Class Name: Report
• Doc Date: 10/21/2016
• Doc Name: SGVLF Phase I Cert Report - Soil Liner Fill Acceptance Forms
• From: CC&V
• To: DRMS
• Type & Sequence: TR87
• Email Name: TC1
• Email Name: AME
• Email Name: ERR
• Media Type: D
• Archive: No

S 1,F
lubgraft A
Client: Cripple Creek & Victor Mining Co.
Project: Squaw Gulch VLF
Project No.: 475.0106.006
Area/Location:Y,
Items Inspected: Firm and unyielding Surface
No visible low/ponding areas
Free of deleterious materials
Testing Performed: Visual Observations
Survey Complete
Kl\JrA&cr- he.Y-tSi
Deficient Items:
Remedial Actions:
Subgrade Accepted:
Comments:
Signatures:
NewFields:
Ames:
CC&V:
Other:
Other:
YES
ante Form
actor: Ames
ether:
Date:
NewFields
■ Perspective, Vision. Solutions.
16eA
a4J t- ,1i - ,ma tS�v,�,
me
Date: & 7 C 7 C
Date: - f -)4
Date: —7,/
Date:
Date: