_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 ACCEP
GEOSYNTH~IC INSTALLER
COMPANY: t ok,r FieF t ~t.,~Slr l.v.
ADDRESS: 2cce- :.:: ~~"~cw~,i..~,;~,( ~~.-~
•
I •
TANCE OF SOIL SURFACE
PROJECT
LOCATION ;7 ~,{,1t t t,'
PROJECT Cw! QLti~ ili ,^. •,,tn ~? c4 y I C~;
OWNER ~~#t,~
I, the Undersigned, the duly authorized representative of '_,, ° ~,,., , ,y,,,,-.,~ u,
do hereby accept the area of soil surface bounded by :.._1,^+c, t: G,w -, s n +~ 6,
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.
.-~. ;
.+`~ ;'
~-,sli"'
GNATU@E ,1 TISt'E DATE
CERTIFICATE OF ACCEPTANCE RECEIVED BY CQFi ENGINEER
C' P?, W 'vw C e . f ' f=- : N M.o.D. ~ ~ • x ) .
NAME SIG ATURE TITLE DATE
Reviewed by:
.Approved by:
File No:
Date:
Date:
GOLDER ASSOCIATES