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COMPANY: Ames Construction, Inc. <br />ADDRESS: 18450 E. 28 Ave. <br />Aurora, CO 80011 <br />I, the Undersigned, the duly authorized representative of Ames Construction, Inc. do hereby accept <br />the area of soil surface bounded by <br />and shall be responsible for maintaining its integrity and suitability in accordance with the project <br />specifications from this date to the completion of the installation. <br />I, the Undersigned, the duly authorized representative of the CQA Engineer do hereby accept the <br />area of soil surface bounded by <br />CERTIFICATE OF ACCEPTANCE OF SOIL SURFACE <br />BASED UPON VISUAL OBSERVATION ONLY <br />GEOSYNTHETIC INSTALLER PROJECT <br />LOCATION: CC & V Gold Mine <br />PROJECT: Phase 5 Berm Raise <br />OWNER: Cripple Creek and Victor Gold <br />7 <br />f 7 n, f 3 <br />X7j9 6 -2 % /? <br />S NATURE TITLE DATE <br />