_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: i~pl~~r/FX ~-,j~~__lhC_ LOCATION ,Dfj~r~ ~7
ADDRESS: .?ae~ y, ~^/~c_,^Sl~a/-( Or. PROJECT LC1 /~IJ~ASE i/L%n'E/z CG3A~Co
C~.-~^d G,^c,~.~, TX ~S~SI OWNER CC ~ /
1, the Undersigned, the duly authorized representative of ~ e~ ~~ ~.o
do hereby accept the area of soil surface bounded by rnr„t.D Vo+~-~ L~ ati~l d-ti,,... ~-}`~f,
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.
CERTIFfCATE OF ACCEPTANCE RECEIVED BY CQA ENGINEER
S. M~
NAME
TITLE
Reviewed by: Date:
Approved by: Date:
File No:
GOLDER ASSOCIATES