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1799 ATLANTIC BEACH DR - FORM BOARD ELEV FORM BOARD ELEVATION CERTIFICATE Date / . - 20 / 7 Permit Number: o23 z Address: / 7 2 9 . /c ii-7t c /11e‘--c-4 DiZ All American Surveyors Work Order # /C0,3 s"2 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) M.,. UNIVERSAL UES Project No: 0910.1400187.0000 11-r Workorder No: 197476-1 ENGINEERING SCIENCES Report Date: 1/31/2018 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: Kevin Gagnon 160 Cape May Avenue Ponte Vedra, FL 32081 Date Tested: 01/31/2018 Project: 1799 Atlantic Beach Dr, Atlantic Beach Country Club Area Tested: lot 41 Type of Test: Material: Fill Field: ASTM D-2937 Drive Cylinder Method 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. Fill Maximum Optimum Field Dry Field Soil Depth Test Density Moisture Density Moisture Compaction p Pass No. Location of Test Range (pcf) (%1 (pcf) (%1 (%1 (inch) or Fail 1 11' N 18' E of SW corner 0-1 ft 103.3 14.3 99.1 8.5 96 N/A Pas: 2 12' N 21'W of SE corner 0-1 ft 103.3 14.3 100.1 7.5 97 N/A Pas: 3 13' S 18'W of NE corner 0-1 ft 103.3 14.3 103.3 8.1 100 N/A Pas. 4 3' S 18' E of NW corner 0-1 ft 103.3 14.3 99.7 7.7 97 N/A Pas: To establish a mutual protection to Universal's clients,the Public and ourselves,all reports are submitted as confidential property of our clients and authorization