1762 ATLANTIC BEACH DR - FORM BOARD • ScabP1eaCc 4) Perkrj- 4F;(-e_
FORM BOARD ELEVATION CERTIFICATE
Date // J// / l Permit Number: /h. - C;
Address: /7&2 1/�►`/. &c h O%ve 6o./ 7/
All American Surveyors Work Order # ,g ,
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)
lipUNIVERSAL UES Project No: 0910.1400187.0000
Workorder No: 194428-1
ENGINEERING SCIENCES Report Date: 11/14/2017
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
Y
160 Cape May Avenue
Ponte Vedra, FL 32081 Date Tested: 11/14/2017
Project: 1762,Atlantic Beach Dr, Atlantic Beach Country Club
Area Tested: of 71 / 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.
Maximum Optimum Field Dry Field Soil Fill
TestDepth Pass
Density Moisture Density Moisture Compaction
No. Location of Test Range (pcf) (%) (pcf) p m (%1 (inch) or Fail
1 4' N X 4' E FROM SWC 0 -1 ft 102.3 14.6 98.8 12.0 97 N/A Pas
2 4' S X 4' E FROM NWC 0 -1 ft 102.3 14.6 100.0 12.0 98 N/A Pas
3 4' N X 4' E FROM SWC 0 -1 ft 102.3 14.6 98.8 12.4 97 N/A Pas.
4 4' N X 4' W FROM NEC 0 -1 ft 102.3 14.6 102.1 13.9 100 N/A Pas.
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