_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: ;~~[,L t jf x ~fi~ the LOCATION ~~A.fE ~
v o
ADDRESS: _~s~ y, ,nom,-~F.n.c( 4r. PROJECT `C~/ >>f/AJE //1%NEir CcvA~~o
fR~^e..d Flt.r,~e,T~C -ISOst OWNER CC ~ /
1, the Undersigned, the duly authorized representative of 3~.y(,,.~ (,,.F C.w....F,~ C„ .
do hereby accept the area of soil surface bounded by H..oz~ i,..ti...a ,,,~„ 3 ~7 coc -~
S sr t-.- 3 r, ~ t vw~. L - 3R5 .
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.
L~
~ ~,
NAME SI NATURE TITLE DATE
CERTIFICATE OF ACCEPTANCE RECEIVED BY COA ENGINEER
NAME SI
lo•c
TITLE
C
Reviewed by:
Approved by: _
File No:
Date:
Date:
DATE
COLDER ASSOCIATES