_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_ ~/f x ~,:,;-~~ lnc LOCATION ,D,~ysE ~
ADDRESS: ~ ~~
-~+~ h± J~cr~hatL Or. PROJECT `C : ,/ ~7Ji//~JE i/~'iVE? CG7A~Co
C~.-end Flt.n~, 7< ~S~SI OWNER CG /

I, the Undersigned, the duly authorized representative of Po- - Fl~.w (~,,,,r~{r ~ ,
do hereby accept the area of soil surface bounded by ,~.,, r-L be,r~.+-~ L - ar z .-I~.-- L 3 3Y.
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.
~ ~ f ~
CERTIFICATE OF ACCEPTANCE RECEIVED BY CQA ENGINEER
NAME

n
„, ~~~~ ~ -L.-.
TIT E DATE
~1 y'i- Ma+-. l c.
TITLE
DATE
I. Reviewed by: Date:
Approved by: Date:
File No:
OOLDER ASSOCIATES