_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

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CERTIFICATE OF ACCEPTANCE OF SOlL SURFACE
GEOSYNTHETIC INSTALLER PROJECT
COMPANY: ~c4„r ~ie.F i'~-:~Str L::. LOCATION ;~l~~ tU
ADDRESS: 2t`~.e. ;,;; rLLC.ti,~,,,,~;'f t1,.~. PROJECT `i_y/ PL~nCiJ ;.~,,,~,i~_;~~=jr/tp
[-.; ra.tict I~~~_«,.~ t X ~c:~ j I OWNER ~C:$trr
I, the Undersigned, the duly authorized representative of Pol,,i. r 4~ C~~, '4,
do hereby accept the area of soil surface bounded by r~~ n.o ~„[e~-.t ,,,,,s,! ,,,,,,~L„~
m K67 -~ M ~~ SO o-v. 9 0-.~ ~o.
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.
..._, . °-
r' ; ,, ..
• ~.'L,VfI~" C Tic=-J C'_ /'i~~ i'' G•~[' . >C~/n7',~
NAME SI~C,NdTURE/~ TITLE
CERTIFICATE OF ACCEPTANCE RECEIVED BY CQA; ENGINEER
NAME SI NATURE TITLE
• Reviewed by: Date:
.Approved by: Date:
File No:
r ~ V V
DATE
DATE
GOLDER ASSOCIATES