616 TIMBER BRIDGE LN FORM BD ELEV & DENSITY 4
per MI � IS SF6�r-- / ,15 Y �
FORM BOARD ELEVATION CERTIFICATE
DATE:
PERMIT
NUMBER:
Co IC.�
ADDRESS: lw#�
A.A.S. WORK ORDER NO.
REQUIRED SLAB ELEVATION ON CITY
APPROVED SITE PLAN: /. .00
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE: � 's ,�. 1' ` 1 z °L`
SURVEY COMPANY
NAME: ALL AMERICAN SURVEYORS OF FLORIDA INC.
6820 SOUTHPOINT PARKWAY, SUITE 4 JAX, FL 32216 (904) 279-0088
SIGNATURE OF SURVEYOR: (Party Chief
UUES ProjNIVERSAL WorkordereNo: o. 159407-00187.0000
ENGINEERING SCIENCES Report Date: 8/24/2015
Consultants In:Geotechnical Engineering•Environmental Sciences
Geophysical Services•Construction Materials Testing•Threshold Inspection09
Building Inspection•Plan Review•Building Code Administration
5561 Florida Mining Blvd So.,Jacksonville, 32257 - P:904296-0757 • F:904296-0748 _15, -Y S7
In-Place Density Test Report IU mlDt,1'' B" (/
Client:
UES Technician: Jody Swathwood �'
160 Cape May Avenue
Ponte Vedra, FL 32081 Date Tested: 08/24/2015
Project: Atlantic Beach Country Club
Area Tested: Atlantic Beach Country Club Lot#167 Type of Test:
Material: Fill Field: ASTM D-6938 Nuclear Gauge Metho
Reference Datum: 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.
aximum Field D Fill
ptimum Dry Field Soil Depth Pass
Test Density Moisture Density Moisture Compaction (inch) or Fail
No. Location of Test Range (Pd) (%) (per m (%)
1 South comer of pad 0-1 ft 105.3 14.0 100.1 16.9 95 N/A Pas:
2 North comer of pad 0-1 ft 105.3 14.0 102.4 18.7 97 N/A Pas:
3 East comer of pad 0-1 ft 105.3 14.0 101.7 17.9 97 N/A Pas:
4 West comer of pad 0-1 ft 105.3 14.0 100.8 19.5 96 N/A Pas:
5 Center of pad _ 105.3 14.0 101.2 19.4 96 N/A Pas:
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