_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: ~o~ Fle-F. ('~„~51,: 1, .. LOCATION ~ lu„l< 1 G`
ADDRESS: Ze c.c ~,,; Jyt,;,+j ~~ PROJECT C~ v j V~ iv ~.~,,~,,~ C 4 ~ I CL
~~.;~c~ 41,~_.,..~...+ ! X ~co j; OWNER f.~l,~

I, the Undersigned, the duly authorized representative of Pc~y -~~ ~¢/~„ ~,,
do hereby accept the area of soil
by Ma~1 6..4.., C- 346 .f~n,w L- ~{),"~
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.
PURE
CERTIF{CATE OF ACCEPTANCE RECEIVED BY CQA ENGINEER
:.A
t ~ 2.-
CA+~
I Reviewed by: Date:
• Approved by: Date:
File No:
GOLDER ASSOCL4TES
DATE
10,