_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: s~p[1/_,.~/FX Con-;I~~ lnc LOCATION ~~JHCE 7'7
ADDRESS: ,~~ :± d`/~c..~<,ha.t,C Or• PROJECT CCI / ~j7{[Jd.~E ~/LNE? CIJA~Co
Ce; ewd F~^c, r..~ , TX ~ SZ~sI OWNER CC ti
`J
I, the Undersigned, the duly authorized representative of Pz ~ ~ ~W (~~,~,~, ~ ,
do hereby accept the area of soil surface bounded by ~J1 „a ,. p __ (,. (' Io~Q,,,,.,~
tr'~-'°r ~.a.~
~r~.r...~ 1~-338 ~ ~- fret..
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.
n, r ,
e t . i s ti ~--"
NAME
Reviewed by:
Approved by:
File No:
GOLDER ASSOCIATES
I '
~ .,
t L~ ~r 2. `G
~, ,
~."Lit/~ r /
DATE
Date:
Date:
CERTIFICATE OF ACCEPTANCE RECEIVED BY COA ENGINEER