1644 Park Terrace W - In-place density and Form Board Cert 0 160-PA401k rell
L E G A C Y In-Place Density Tests:
ENGINEERING, INC Subdivision / Lot Number: 6ew
Geotechnical&Materials Engineering and Testing (Address if no lot number)
Location Lift/Depth % Max Density
x 49,7.9P
J_ 9�r-- 30
The above tests meet the specification requirements — PasrfT' Fail 11 (if fail.see notes belo%%)
Notes:
This report has not been reviewed by an eng'
ineer,
the final report can be f0Und at Legacy Reports.coin LEGACY
Date Tested: REPORTS.COM
Tested By: _no�� FAST & EASY ONLINE ACCESS
6424 Beach Boulevard, Jacksonville. FL 32216 - 904-721-1100
FORM BOARD ELEVATION CERTIFICATE
DATE :
PERMIT NUMBER : Acc li'- Coi
ADDRESS : 16 �iLl rv)� r-
REQUIRED SLAB ELEVATION ON
CITY APPROVED SITE PLAN :
ACTUAL ELEVATION OF FORM
BOARDS OR GRADE STAKE : cl)
SURVEY COMPANY NAME : PERRET and ASSOCIATES, INC.
SIGNATURE OF SURVEYOR : —, p 4
NATHAN P.PERRET#6900
�-04 - 16
a,
6424 Beach Boulevard
LE G A C Y Jacksonville, FL 32216
ENGINEERING., INC 14#,1- ewk 904-735-1100 Dispatch
Geotechnical&Materials Engineering and Testing
Report Of: Moisture Density Relationship of Soils (Proctor) Lab No: 20021
Report No: 001
Project No: 18-2256 41 Page 1 of 1
Client: Miller Construction Group Project: Gramling Residence-Atlantic Beach P.O.
Bud Cox #2236
265 Carolina Jasmine Lane
Suite 101
St. Johns, FL 32259 Report Date: 04/05/2018
Sample Date: 04/02/2018
Location: Backfill for Footings Sampled By: Bill McCoy
By Order Of: Bud
Client PO: 2236
Maximum Laboratory Dry Density, pcf: 100.2
Optimum Moisture Content, W 17.1
l00%saturation
SG 2.65 Soil Properties Sieve Analysis
Esti�mated
Description: Gray Fine SAND
z'1uU
A
Group Symbol: SP
AASHTO: A-3
Afterberg Limits
Liquid Limit: NP
Plastic Limit: NP
Plasticity Index: NP
16 21
Moisture Content(%)
Date Compacted: 04/03/2018
Tested By: is
Test Method: ASTM D-1 557
Ong:Miller Construction Group Attn:Bud Cox
(1-ec copy) Respectfully Submitted,
1-oc Laboratory Legacy Engineering, Inc.
Jared Pitts,Lab Manager
THIS REPORT APPLIES ONLY TO THE STANDARDS OR PROCEDURES INDICATED AND TO THE SAMPLE(S)TESTL ANDIOR OBSERVED AND ARE NOT NECESSARILY INDICATIVE OF
THE QUALITIES OF APPARENTLY IDENTICAL OR SIMILAR PRODUCTS OR PROCEDURES,NOR DO THEY REPRESENT AN ONGOING QUALITY ASSURANCE PROGRAM UNLESS SO
NOTED.THESE REPORTS ARE FOR THE EXCLUSIVE USE OF THE ADDRESSED CLIENT AND ARE NOT TO BE REPRODUCED VATHOUT WRITTEN PERMISSION.