1894 Atlantic Beach Dr - Form Board Elevation Cert FORM BOARD ELEVATION CERTIFICATE
Date 3- 8 Permit Number: 72Z-�- IP
Address; �T <a [k�NT �r
All American Surveyors Work Order # /C.;zt&q
Required Slab Elevation on City Approved Site Plan:
Actual Elevation of Form Board or Gide 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: 201010-1
ENGINEERING SCIENCES Report Date: 4/9/2018
Consultants In:Geotechnical Engineering•Environmental Sciences
Geophysical Services•Construction Materials Testing•Threshold Inspection
03 Building Inspection•Plan Review•Building Code Administration
5561 Florida Mining Blvd So., Jacksonville, 32257 - P: 904-29&0757 - F: 904-29"748
In-Place Density Test Report
Client: 160 Cape May Avenue UES Technician: Talley Tomlin
Ponte Vedra, FL 32081 r Date Tested: 04/09/2018
Project: Atlantic Beach Country Club
Area Tested: house pad 58 F S / �- DU 3 7 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 ptimum Field Dry Field Soil Fill
Test Density Moisture Density Moisture Compaction Depth
Pass
No. Location of Test Range (pcf) (/0o1 IPcf o o(/ol (inch) or Fail
) (/01
1 15 ft. south corner 0-1 ft 103.3 14.3 99.3 5.5 96 N/A Pas-
2 10 ft. north corner 0-1 ft 103.3 14.3 99.0 6.2 96 N/A Pas:
3 15 ft. east corner 0-1 ft 103.3 14.3 98.3 6.8 95 N/A Pas.
4 17 ft. west corner 0-1 ft 103.3 14.3 97.8 6.6 95 N/A Pas:
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