577 COASTAL OAK LN - FORM BOARD FORM BOARD ELEVATION CERTIFICATE
Date 7-/e//8 Permit Number:
Address: s ii
All American Surveyors Work Order #
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)
V N P V E R S A L UES Project No: 0910.1400187.0000
Il IP Workorder No: 201015-1
ENGINEERING SCIENCES Report Date: 4/6/2018
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: Talley Tomlin
160 Cape May Avenue
Ponte Vedra, FL 32081 Date Tested: 04/06/2018
Project: Atlantic Beach Country Club
Area Tested: house pad 87 57/ ( Q S 7 a I NiL Type of Test:
Material: Fillr'-e 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.
Fill
Maximum Dptimum Field Dry Field Soil Depth
Test Density Moisture Density Moisture Compaction Pass
No. Location of Test Range (pcf) (e ) (� )f e
(el (dol (inch) or Fail
�e �o
1 12 ft. from SE corner 0-1 ft 103.3 14.3 99.1 6.6 96 N/A Pas:
2 22 ft. from NE corner 0-1 ft 103.3 14.3 98.0 3.9 95 N/A Pas:
3 8 ft. from NW corner 0-1 ft 103.3 14.3 98.2 3.9 95 N/A Pas:
4 8 ft. from NW corner 0-1 ft 103.3 14.3 98.5 4.4 95 N/A Pas:
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