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1895 Atlantic Beach Dr - Form Board Elevation Cert FORM BOARD ELEVATION CERTIFICATE Date --3, - ig - Permit Number: lt /-?- o &o Address: � s All American Surveyors Work Order # zz 3y Required Slab Elevation on City Approved Site Plan: /2 . -'/v 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) UNIVERSAL UES Project No: 0910.1400187.0000 Workorder No: 201401-1 ENGINEERING SCIENCES Report Date: 4/9/2018 Consultants In:Geotechnical Engineering-Environmental Sciences Geophysical Services-Construction Materials Testing-Threshold Inspection ED Building Inspection-Plan Review-Building Code Administration 5561 Florida Mining Blvd So.,Jacksonville, 32257 • P: 904-296-0757 - F: 904-296-0748 �S / _ c)iG S In-Place Density Test Report v Client: UES Technician: Talley Tomlin 160 Cape May Avenue Ponte Vedra, FL 32081 Date Tested: 04/09/2018 Project: Atlantic Beach Country Club Area Tested house pad 57 ) - 4 /I �c/ ^�r Type of Test; Material: �— t! /� 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 ptimum Field Dry Field Soil Fill Test Density Moisture Density Moisture Compaction Depth Pass(inch) or Fail No. Location of Test Range (pcf) (%) (pcf) ("dot' (%) 1 15 ft. from south corner 0-1 ft 103.3 14.3 97.9 4.8 95 N/A Pas: 2 10 ft. from north corner 0-1 ft 103.3 14.3 98.7 3.7 96 N/A Pas- 3 15 ft. from east corner 0-1 ft 103.3 14.3 98.2 4.3 95 N/A Pas: 4 10 ft. from west corner 0-1 ft 103.3 14.3 98.5 4.0 95 N/A Pas