20181449 Ver 1_401 Application_20181025

October 25, 2018
4700 Falls of Neuse Road, Suite 300
Raleigh, NC 27609
[phone] Fax [phone]
Ms. Karen Higgins
N.C. Division of Water Resources
401 and Buffer Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
Dear Ms. Higgins:
20181449
Please find attached a check for $240.00 for the application fee for a Minor Certification for the
Trinity Ridge retaining wall repair project on Trinity Road in Raleigh. Application for this 401
Certification and Riparian Buffer approval is under separate cover, delivered to your office
simultaneously. Since the check is a personal check (#6018, dated October 18, 2018), we
request a written receipt for the check in order to facilitate reimbursement by our company. A
note and signature on this letterhead should suffice as a receipt if there is no other receipt
available.
Sincerely,
inJoI R. Dorney
offatt & Nichol
Senior Environmental Scientist
M&N Project Number: 10076

October 25, 2018
North Carolina Department of Environmental Quality 1J
Division of Water Resources, 401 & Buffer Permitting Unit O C T ' 2 5 2018
1617 Mail Service Center
Raleigh, North Carolina 27699 DEQ -
19 -q _ R t
ATTN: Ms. Karen Higgins
Dear Madam:
SUBJECT: Request for Riparian Buffer Authorization for Trinity Ridge Retaining Wall,
Trinity Ridge Apartments off Trinity Road, Raleigh, Wake County
Moffatt & Nichol (M&N) environmental staff, on behalf of Trinity Ridge Apartments, has
completed the Pre -Construction Notification (PCN) for the above referenced project. M&N is
requesting a riparian buffer authorization for this project. Ms. Stephanie Goss from DWR's
Raleigh Regional Office visited the site on October 3, 2018. The check for the certification fee has
been delivered simultaneously, under separate cover.
Please sec the attached supporting documents for each bridge:
1) Pre -Construction Notification (PCN) Form including photographs
2) Vicinity Map
3) Soils Map
4) Topographic Map
5) Site Plan/Design
If you have any questions or require additional infornlation, please contact me at 984-239-2765 or
[e-mail].
Sincerely,
Rebeckah Hollowell,
Environmental Scientist
cc: Matt Peterson
919-645-0644
m etep rson(cD,moffattnichol.com
cc: Stephanie Goss
DWR — Raleigh Regional Office (one copy under separate cover)
hAN
MOFFATT & NICHOL
VIOFAll & NICHOI
4700 FALLS OF NEUSE ROAD, SUITE 300
R.AI.E.IGH NC 27609
TELEPHONE: [phone]
FAX: [phone]
WEBSITE: IIrrP, //WWW. VfOFFa 7TNrcn0t.CO&e

October 25, 2018
Raleigh Regulatory Field Office
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
ATTN: Ms. Tasha Alexander
Dear Madam:
SUBJECT: Request for Riparian Buffer Authorization for Trinity Ridge Retaining Wall,
Trinity Ridge Apartments off Trinity Road, Raleigh, Wake County
Moffatt & Nichol (M&N) environmental staff, on behalf of Trinity Ridge Apartments, has
completed the Pre -Construction Notification (PCN) for the above referenced project. Since the
length of streambank impact is less than 150 linear feet, we believe that this project should be
authorized under Nationwide Permit 13 (non -reporting). Ms. Stephanie Goss from DWR has
visited the site and is processing its approval under the Neuse River Riparian Protection Rules.
Please see the attached supporting documents for each bridge:
1) Pre -Construction Notification (PCN) Form including photographs
2) Vicinity Map
3) Soils Map
4) Topographic Map
5) Site Plan/Design
If you have any questions or require additional information, please contact me at 984-239-2765 or
[e-mail].
Sincerely,
cc: Matt Peterson
919-645-0644
[e-mail]
hid",
MOFFATT & NICHOL
Rebeckah Hollowell,
Environmental Scientist
MOFFAI f& NICHOI
4700 F u.I.S OF NFL'SF ROAD, suint 300
RA F.IC H NC 27609
FF,I.HPHONF.: 919-781-4626
FAX: [phone]
WEN,i171i: 1177'P'

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
El Section 404 Permit ❑Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 13 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ® Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
® Yes ❑ No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1 g.
Is the project located in any of NC's twenty coastal counties? If yes, answer
1 h below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Trinity Ridge Retaining Wall Repair
2b.
County:
Wake
2c.
Nearest municipality / town:
Raleigh
2d.
Subdivision name:
Trinity Ridge Apartments
2e.
NCDOT only, T.I.P. or state
project no:
Not Applicable
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Trinity Ridge LLC
3b.
Deed Book and Page No.
008166, 01707
3c.
Responsible Party (for LLC if
applicable):
Dennis Mullins
3d.
Street address:
5620 Trinity Road
3e.
City, state, zip:
Raleigh, NC 27607
3f.
Telephone no.:
919-816-0503
3g.
Fax no.:
3h.
Email address:
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑ Other, specify:
4b.
Name:
4c.
Business name
(if applicable):
4d.
Street address:
4e.
City, state, zip:
4f.
Telephone no.:
4g.
Fax no.:
4h. Email address:
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Rebeckah Hollowell
5b.
Business name
(if applicable):
Moffatt & Nichol
5c.
Street address:
4700 Falls of Neuse Road, Suite 300
5d. City, state, zip:
Raleigh, NC 27609
5e.
Telephone no.:
919-781-4626 (Office), 984-239-2765 (Direct)
5f.
Fax no.:
919-781-4869
5g. Email address:
[e-mail]
Page 2 of 12

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
0774876873
1b. Site coordinates (in decimal degrees):
Latitude: 35.804028 Longitude: - 78.734815
1 c.
Property size:
2.54 acres
2.
Surface Waters
2a.
Name of nearest body of water (stream, river, etc.) to
UT to Richland Creek
proposed project:
2b.
Water Quality Classification of nearest receiving water:
C; NSW
2c.
River basin: map is available at
Neuse
http://h2o.enr.state.nc.us/admin/maps/
3.
Project Description
3a.
Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The project site is at a residential apartment complex within a highly urbanized and residential area between Raleigh and
Cary, North Carolina. The project site includes a retaining wall for the apartment complex that is currently deteriorating
due to impacts from stream flow (see attached photo). The wall has settled, and pieces of the wall have fallen on to the
stream bank.
31b.
List the total estimated acreage of all existing wetlands on the property:
There are no wetlands on the property.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
-214 linear feet of stream are within the property boundaries.
3d.
Explain the purpose of the proposed project:
The purpose of the proposed project is to stabilize the retaining wall to save it from collapsing and the associated parking
lot and stabilize the streambank to protect it from the high stream flows from the surrounding urbanized landscape.
3e.
Describe the overall project in detail, including the type of equipment to be used:
Soil nails will be installed underneath the existing wall to stabilize the soil the wall sits upon. A square hole will be cut,
removing currently falling pieces, that will then be filled with grout. Pieces that have already fallen will be removed from
above utilizing a crane that is parked at the top of the wall. Limited clearing of mainly exotic woody species such as
mimosa and privet may occur on the land adjacent to the streambank utilizing a dozer to assist in streambank clearing of
fallen material and installation of streambank stabilization material. The clearance area is 500 square feet in Zone 1 and
150 square feet in Zone 2. Then the streambank will be stabilized utilizing 850 square feet of riprap in Zone 1. Fabric will
be placed underneath the riprap, without vegetation being re -planted.
Page 3 of 12
PCN Form - Version 1.3 December 10, 2008 Version

4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
Comments: Stream determination done by Steve Mitchell in
1999, Raleigh Project #NBRRO 99-086.
® Yes ❑ No ❑ Unknown
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
El Preliminary El Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
4d.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
Yes ® No ❑ Unknown
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ® No
6b.
If yes, explain.
Page 4 of 12

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ® Streams - tributaries ® Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ❑ T
Streambank
UT to Richland
® PER
® Corps
—19
65
stabilization
Creek
❑ INT
® DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
I ❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
65
3i. Comments:
Page 5 of 12

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indii idually list all open water impacts below.
4a.
Open water
impact number —
Permanent (P)
or Temporary
T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody type
4e.
Area of impact (acres)
01 ❑P❑T
02 ❑P
03 ❑P
04 ❑PEIT
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
Pond ID
number
5b.
Proposed use or purpose
of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
Page 6 of 12

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
® Neuse E] Tar -Pamlico ❑Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason for
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P)
impact
Stream name
mitigation
(square feet)
(square feet)
or Temporary
required?
T
Existing
❑ Yes
B1 ®P ❑ T
structure:
UT to Richland Creek
® No
175.24
41.26
Retaining Wall
Existing
❑ Yes
B2 ®P ❑ T
structure:
UT to Richland Creek
® No
0
1,102.96
Parking Lot
B3 ❑ P ®T
Clearance Area
UT to Richland Creek
® Nos
500
150
B4 ® P ❑ T
Riprap Apron
UT to Richland Creek
® Nos
850
0
6h. Total buffer impacts
1525.24
1,294.22
6i. Comments: Stephanie Goss (DWR) recommended that this project could be approved under the regulatory provision for
"Protection of existing structures, facilities, and streambanks when this requires additional disturbance of the riparian buffer or
the stream channel" (15A NCAC 2B .0233(6) Table of Uses. This activity is listed as "Allowable" in the Table of Uses.
Page 7 of 12

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Design for project does not include any manipulation of the stream. Design for riprap stabilization will be less than 150
feet in length. Design for the project will not increase impervious surface on the property, nor change existing footprints
within the property.
b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Construction will, for the most part, take place above the retaining wall and stream, from the parking lot. Minimal clearing
of mostly exotic woody vegetation such as mimosa and privet will occur to remove debris and install the riprap apron. Any
minor clearing will be allowed to naturally revegetate from the adjacent trees and shrubs. Construction does not include
any manipulation of the stream (see attached site plan/design).
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes ® No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
El Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
Page 8 of 12
PCN Form — Version 1.3 December 10, 2008 Version

5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? If you will have to fill out this entire form — please
contact the State for more information.
❑ Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments: This activity is listed as "Allowable" in the Table of Uses and therefore does not require mitigation..
Page 9 of 12

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1a.
Does the project include or is it adjacent to protected riparian buffers identified
® Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
Comments: This project is covered under the "protection of existing structures"
❑ Yes ® No
category (15A NCAC 2B .0233(6)) and is not creating any new impervious surface
within the buffer. Therefore, a Diffuse Flow Plan is not required.
2.
Stormwater Management
2a.
-Plan
What is the overall percent imperviousness of this project?
53.17%
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why: This project is covered under the
"protection of existing structures" category (15A NCAC 2B .0233(6)). Therefore, a Stormwater Management Plan is not
required.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
Raleigh
❑ Phase II
® NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
El Yes E] No
attached?
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 10 of 12
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ❑ No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
® Yes ❑ No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fact permit application?
❑ Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s): The retaining wall
and parking lot were built in the early 2000's when the apartment complex was built. The DWR LaserFische system does not
contain information on written DWR (DWQ) approval for impacts to the riparian buffer.
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Sewage is handled by the City of Raleigh wastewater system.
Page 11 of 12
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
Yes ® No
impacts?
® Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
httosJ www.fws.goy/raleiah/soecies/cntvlist/wake.html
httnsJ/www.ricnhmomIdata
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
httos://www hatestat,noxa.gMd ffgW oiVefh/e}hmaomI
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7s. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
hI1wJ/www.ncnho.oMWata
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? https://msc.fema.gov/portal/home
Rebeckah HollowellYQIV;?alq9()N&W1
10/25/2018
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is rovided.
Page 12 of 12

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PURPOSE: MODULAR BLOCK
WALL REPAIR
DATUM: NAV08B
SITE PLAN
SCALE: N.T.S.
WAJ MANAGEMENT
RALEIGH, NC
TRINITY RIDGE APARTMENTS
RALEIGH, INC
APPLICATION BY: MOFFATT & NICHOL
SHEET 1 OF 2 DATE: 10/2018

TOP OF WALL
PURPOSE: MODULAR BLOCK
WALL REPAIR
DATUM: NAVD88
TYPICAL CROSS SECTION
SCALE: N.T.S
WAJ MANAGEMENT
RALEIGH, NC
IG
IG LOT
TRINITY RIDGE APARTMENTS
RALEIGH, NC
APPLICAT'ON BY: MOFFATT & NICHOL
SHEET 2 OF 2 DATE: 10; 2018

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO.
STREET ADDRESS:
Please print:
Property Owner:
Property Owner:
PARCEL ID' R12_+- r ` UM 3
The undersigned, registered property owners of the above noted property, do hereby authorize
LUJ WUI1Ly 'n 0Lk , L�_,, of L ��-- yakjyd Ii wmF 1
(ContracWr J Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and alt standard and spedal conditions attached.
Property Owner's Address (if different than property above):
- - .. -110lfi $JULV6 1901lIC
We hereby certify the above Information submitted in this application is true and accurate to the
best of our knowledge.
44"�217L -'rp - Z. � I - - -
AuthorIA nature Authorized Signature
Date: / 0 r 02 t-.201 Y Date: