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2009-07-15_REVISION - M1980244 (31)
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2009-07-15_REVISION - M1980244 (31)
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Entry Properties
Last modified
6/15/2021 5:52:21 PM
Creation date
7/21/2009 11:12:28 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980244
IBM Index Class Name
REVISION
Doc Date
7/15/2009
Doc Name
LOB Relocate- Appendix G- Subgrade Acceptance Forms
From
CC&V
To
DRMS
Type & Sequence
AM9
Media Type
D
Archive
No
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• amecO <br />Earth & Environmental <br />CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />BASED UPON VISUAL OBSERVATION ONLY <br />GEOSYNTHETIC INSTALLER <br />COMPANY: Lonestar <br />ADDRESS: <br />PROJECT <br />LOCATION: Cresson Project <br />PROJECT: CC&V CWi Phase 5 <br />OWNER: Cripple Creek and Victor Gold <br />1, the Undersigned, the duly authorized representative -- <br />of <br />Aral. L <br />do hereby accept the area of soil surface bounded by (Northing/Easting) <br />'PatiQ, i A --t1i z,j I-L A . <br />and shall be responsible for maintag its ilrtfegrrity and suitability in accordance with the project <br />• specifications from this date to the completion of the installation. <br /> <br />NAME <br />l=f10 5"4 s Zr:9 /nq <br />TITLE DATE <br />1, the Undersigned, the duly authorized representative of the CQA Engineer do hereby accept the <br />area of soil surface bounded by (Northing/Easting) <br />Reviewed by: <br />• Approved by: <br />Date: <br />Date: <br />AMECEkrM and Environmental
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