1750 ATLANTIC BEACH DR - FORM BOARD CERT FORM BOARD ELEVATION CERTIFICATE
Date /7-1J— r7 Permit Number: /7- 00,F
Address: 2.¢T/.-, V7iC'_- D t2 i u
All American Surveyors Work Order # 4.576 /
Required Slab Elevation on City Approved Site Plan:
Actual Elevation of Form Board or Grade Stake:
l-'e /0
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)
drV V
RyUNIVERSAL UES Project No: 0910.1400187.0000
Workorder No: 193612-1
ENGINEERING SCIENCES Report Date: 10/20/2017
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 Sca ,- n rQSe_____
In-Place Density Test Report
Client: UES Technician: Brandon Grorud
160 Cape May Avenue Date Tested: 10/20/2017
Ponte Vedra, FL 32_ `081 ___.
Project: 1750 Atlantic Beach Dr, Atlantic Beach Country Mit
Area Tested: "(Ouse Pad Lot 73 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) l%1 (%) (inch) or Fail
1 4' N x 4' E of SW corner 0 - 1 ft 102.3 14.6 99.5 8.9 97 N/A Pas
2 4' N x 4'W of SE corner 0 -1 ft 102.3 14.6 98.4 8.8 96 N/A Pas:
3 4' S x 4' E of NW corner 0 - 1 ft 102.3 14.6 101.0 7.8 99 N/A Pas.
4 4' S x 4' W of NE corner 0 - 1 ft 102.3 14.6 101.2 8.9 99 N/A Pas
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