1758 MARITIME OAK LN - FORM BOARD FORM BOARD ELEVATION CERTIFICATE
Date /z-3O --/g Permit Number: zoo
Address: /7_,<-78 m4/ e24!< J:De111A
All American Surveyors Work Order # Z
Required Slab Elevation on City Approved Site Plan:
/ze SO
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)
U N I V E R S A L UES Project No: 0910.1400187.0000
Workorder No: 180862-1
ii p ENGINEERING SCIENCES Report Date: 1/16/2017
Consultants In:Geotechnical Engineering•Environmental Sciences
Geophysical Services•Construction Materials Testing•Threshold Inspection
Building Inspection•Plan Review•Building Code Administration
5561 Florida Mining Blvd So.,Jacksonville, 32257 • P:904-296-0757 • F: 904-296-0748
In-Place Density Test Report
Client: UES Technician: Michael Zimmerman
160 Cape May Avenue
Ponte Vedra, FL 32081 Date Tested: 01/16/2017
Project: Atlantic Beach Country Club
Area Tested: house pad 109 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.
Test
VlaximumOptimum Field Dry Field Soil Fill
No. Density Moisture Density Moisture Compaction (inch)th Pass
Location of Test Range (pcf) (%1 (pcf) (%) i%1 (inch) or Fail
1 4' S X 4' E from SWC 0 - 1 ft 103.3 14.3 98.1 10.2 95 N/A Pas:
2 4' S X 4' E from NWC 0- 1 ft 103.3 14.3 99.1 12.7 96 N/A Pas:
3 4' S X 4'W from NEC 0- 1 ft 103.3 14.3 98.5 9.9 95 N/A Pas:
4 4' N X 4'W from SEC 0- 1 ft 103.3 14.3 98.8 7.6 96 N/A Pas:
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