_REVISION - M1980244 ‎(29)‎

• Permit No: M1980244
• IBM Index Class Name: Revision
• Doc Name: Appendix F
• From: Cripple Creek & Victor Gold
• To: DMG
• Type & Sequence: AM8
• Media Type: D
• Archive: No

CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE
GEOSYNTHETICINSTALLER PROJECT
COMPANY: ;r~p[~ ~ LOCATION
r >L~F/E'X Lon :~' 1,~C ~l7.hN.rE ~{
ADDRESS: ;~oD h? d~~.^54~~,.+.( Qr. PROJECT `C s J >>N~fc i/G%n'rir CG~A~Co
(~.-c..d ~.^e,r,•e, T.~ ~SOsI OWNER CC /
I, the Undersigned, the duly authorized representative of w ~ Fzi an Ca.~ns'Fr C~~ .
do hereby accept the area of soil surtace bounded by t~~ y ~we..~f ti L_ Z 7 L r` Inrai (,- ~ 30 .
and shall be responsible for maintaining its integrity and suitability in accordance with the project
specifications from this date to the completion of the installation.
CERTIFICATE OF ACCEPTANCE RECEIVED BY CQA ENGINEER
TITLE
Reviewed by: Date:
Approved by: Date:
File No:
26•i
DATE
GOLDER ASSOCIATES