1643 Atlantic Beach Dr form board elevation certificate FORM BOARD ELEVATION CERTIFICATE
Date /0' Permit Number: 1��41
Address: xj'e*-�
All American Surveyors Work Order #
Required Slab Elevation on City Approved Site Plan:
Actual Elevation of Form Board or Grade Stake:
Survey Company:
ALL AMERICAN SURVEYORS OF FLORIDA INC.
3751 San Jose Place, Suite 15
Jacksonville FL 32257 Work Phone: 904-279-0088
Signature of Surveyor: (PartyChief)
UES Project No: 0910.1400187.0000
UNIVERSAL Workorder No: 178495-1
ENGINEERING SCIENCES Report Date: 11/1012016
Consultants In:CeotKIhnical Engineering,Environmental Sciences
Geophysical Services-Coretwoon Materials Testing,Threshold Inspestion
g Inspection,Plan 11"im,Building Code Admhastrtitu,
5561 Florida Mining Blvd So,Jacksonville, 32257 - P:904-29"757 -F:904.29"748
Irt-Place Density Test ReDo
Client: JES Technician: Michael Zimmerman
160 Cape May Avenue DateTested: 11/10/2016
Ponte Vedra, FL 32081
Project: Atlantic Beach Country Club
Area Tested: House pad Type of Test
Material: Fill Field: ASTM D-6938 Nuclear Gauge Metho
Reference Datuffr. 0= Top of Fill Laboratory: ASTM D1557 Modified Proctor
The tests below meet the minimum 95%relative soil compaction requirement of Laboratory Proctor maximum dry density.
4"imum:)ptimum FieldDrY Field Soil Fill
Test Density Moisture Dans Depth Pass
ity Moisture Compaction (inch) or Fall
No Location of Test Range (Pcf) 1%) (Pei) 1%1 (%)
1 W N X 4'E fron SW comer 0- Ift 103.3 14.3 98.8 6.2 96 NIA Pas
2 WS X WE fron NW comer 0-1ft 103.3 14.3 97.8 7.5 95 N/A Pas:
3 4'S X WW from NE comer 0-1 it 103.3 14.3 100.5 6.6 97 MIA Pav
4 4'N X WW from SE comer 0-1ft 103.3 14.3 97.8 8.2 95 N/A Pa&
z 6 c
W m
0 0
E
m I =
0 c
0 0
.E C o m M,