1798 Atlantic Beach Dr RES17-0080 Form Board Elevation Cert. FORM BOARD ELEVATION CERTIFICATE
Duval County I Clay County
Left copy on site F-1 No box
y
Lot and Subdivision: 6 It icnf c t a ac
DATE:
PERMIT
NUMBER: --
ADDRESS: l7gg �f��c G per.
REQUIRED SLAB ELEVATION ON CITY
APPROVED SITE PLAN:
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE:
SURVEY COMPANY
NAME: Bartram Trail Surveying, Inc.
1601 CR 316, Suite 106
Green Cove Springs, FL 32043
SIGNATURE OF SURVEYOR:.(Paity Chiefl
Field Compaction for 22306 Report 15 Page I Df 2
MEDFR REPORT 15
Field Compaction Summary,ASTM D6938
Project Atlamic Beach Country Club- Date: 09/15/17
jPmject22306 Name:480130014Test Method ASTM D6938
Riverside Homes NuclearGMake: Troxler Density Std: 0
None Listed Model: 3430 MoistureStd: 0
Adam Daniel Jackson Serial No: 66373
Pl s,unple.,. Pt' Cests. and Specif e Orax ily will NUI print
Sample Descri tion Proctor Method Uncorrected Max. Uncorrected Opt. Spec. ource
No F Density MC Grm.
115208 Brown Fine Sand ASTM D 155 1103.60 114.60 2.65 nsite
Test Station/Location Corrected Corrected Test Data Comments
T
est Lot Made % Maximum Optimum
Oversize Dry Moisture Wet Dry Moisture Percent
Probe Lih/Elev Density Content Death Density Content Comp. P/FDeptk � (Pc0 (%) ( Q ( c0 (%) 1798
Atlantic
DT �oWhnc+t C'anur 0.00 103.60 14.60 108.1 99.8 8.4 96.3 Beach
Drive
12 House Pad Sam le No 115208 P
1798
Atlantic
DT Nwa777ahcasl Comer 0.00 10}.60 14.60 108.4 100geach
2 (; Drive
12 House Pad SamleNo 115208 P
1798
Atlantic
DT t enter 0.00 103.60 14.60 108.2 100.3 7.9 96.8 Beach
3
6;
12 House Pad Sam leNo 115208 Drive
P
Test Mode: DT=Direct Transmission BS Back Scatter
*Latitude and longitude data will NOT print out in the final report.*
Corrected Max. DryDensity = Lincorr"ted Max. Dry Density * Specific Gravity * 62.43 /('%
Oversize * llncorrected Max. Dy Density +( 1- % Oversize) * Specific(;ravity' 162.43) * **
rounded 2 decimal places **
* Corrected Optimum Moisture Content=( % Oversize * 0.02+(1 - '%* Oversize )
( Uncorrected Opt. Moisture Content/ 100) ) * 100 * ** rounded 2 decimal places **
* Percent Compression =((Dry I)ensih * 100)/Corrected Max. Dry Density ) * "* rounded I
decimal places *x
httD://fred35/index.cfm?fuseaction=PrlutedRenorts.CrenerateForm&maid=12565&heieht=... 9/18/2017
EHIMAssociateslac. "'I'm
1111/ 7064 Davis Geek Road,Jacksonville,FL 32256 P:(904)860.0960 F:(904)880-0970
!EGroup of Companies Branch Lo anon:
Ge etechr al a Conah,xdon MMMals a Fmnronmental a Fadl6ec Brunswick: 134 h1evnnan Drive,Brunswick,GA 31520 P:(912)279-ODDS F:(912)279-0096
Daytona: 2706 S.Rtlgewnud Ave.,Suite 2 P:(386)94-9586 F:(386)94-9569
ellisassoc.com South Daytona,FL 32119
Work Order
REPORT OF IN PLACE DENSITY RESIDENTIAL Project#: z2 �,0�0
Subdivision: A-( C- C Reported to: Report At:
Unit or Pai # Location By: U T Gauge#:
Lot#BI
lock: dtrI bs Contractor: Date Tested: F-/55
Street Address: 1798 017LK 47,c 7ZvAc Ll 7V . City: -z-av-
Method: '�` J� Course: F^L�
MghErial: V".TvSn^�� 'Specific Requirements: �75
ass/ lev/ Base/LR/ Dry Max.Dry % or Max Moist
Feil/ Location Asphaltl Density Density* Density %
Retest /Lift Thickness
Y �w —'z /� I .X /J3.ki Sb -3 <
t CrN 7ER /O� z. ip ? 5•
0
*So o for(Project#and/or Work Order#)
P- est Meets Specification Re,�ruremmts F-Test Fails To Meet Specification Requirements R-Retest
To Be Comoketed In Field
Employee Name d
�-, Stand- Approval
Time _ 1 Superintendent Printed Native
Smit/Stop Travel Standby 10$ -
Superintendent Signature 1
(O lce we)
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