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HomeMy WebLinkAboutWQ0035809_Setback Waiver_20190925Type: CONSOLIDATED REAL PROPERTY Recorded: 2/26/2018 4:36:24 PM Fee Amt: $26.00 Page 1 of 5 Onslow County, NC Rebecca L. Pollard Reg. of Deeds BK 4742 VU 479 - 483 a . ° � State of North Carolina . ; Department of Environmental°Quality Division of Water Resources NON -DISCHARGE WASTEWATER SYSTEM WAIVER AGREEMENT TO WAIVE SETBACKS AS REQUIRED BY 15A NCAC 02T .0506(a), .0506(b), :0606(a), Neu06(a) AND .1006(a) ON I I, The Board of Trustees of the Endowment Fund'of.North Carolina State Lfniversity at Raleigh, an entity created and existing pursuant to N.C.G.S. § 116-3o of the laws of the State of North Carolina, certify that I am a deeded owner of the property located at, Address: 105 Forestry Center. Circle =Parcel No.: 44810.0404531 City: Maysville State: NC Zip Code; 28555 County: Onslow I, NC State Natural Resources Foi ndation % Inc., a North Carolina non-profit corporation, .certify that hold a reversionary interest in the property located at: E Address: 105 Forestry Center Circle Parcel No.: 448100404531VON : ' • ;; ON City. Maysville State, NC Zip Code: 28555 County: Onslow Furthermore, I certify that I am authorized to make decisions regarding this property, and that I do hereby agree that the setback distances cited below be granted to the ApplicantJPermittee listed on the following page• ® I understand the setback requirements set forth in 15A NCAC 02T. For the parcel identified above, I consent to a reduced setback from 100 feet to 50 feet, thereby allowing the application of wastewater effluent as near as 50 feet from my property line. �U00260591) FORM: NDWSW 03- 17 Page 2 of 2 RALEIGH 519140,1 submitted electronically by "zanier, in compliance with North Carolina Fountain & ceruzzi" statutes governing recordable documents and the terms of the submitter agreement with the onslow County Register of Deeds. Book: 4742 Page: 479 Page 1 of 5 ❑ I understand the setback requirements set forth in 15A NCAC 02T. For the parcel identified above, I consent to a reduced setback from feet to feet, thereby allowing the application of wastewater effluent as near as feet from my residence. I understand the setback requirements set forth in 15A NCAC 02T. For the parcel identified above, I consent to a reduced setback from. feet to -.feet, thereby allowing the construction of wastewater treatment and storage units as near as _ feet from my property line. ❑ I understand the setback requirements set forth in 15A NCAC 02T. For the parcel identified above, I consent to a reduced setback from feet to feet, thereby allowing the construction of wastewater treatment and storage units as near as feet from my residence. Signature: Date: On behalf of The Board of Trustees of the Endowment Fund of North Carolina State University at Raleigh NORTH CAROLINA, COUNTY I, 1, iL�(�0���� �• r'' 1-Vw Notary Public for Vy County, North Carolina, to hereby certify that 5� �personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness m hand and official seal, this the day of y A MARGARET A DAVIS NOTARY PUBLIC WAKE COUNTY, NC My Commission Expires S-1 •201l (N0026059.1J Signature of Natary Public I (�� My commission expires I `"` o U Book: 4742 Page: 479 Page 2 of 5 Signature: On behalf of NC State Natural Resources Foundation, Inc. f Date: NORTH UA�ROLINA, W A i Ne, COUNTY 1, Vi G IS , /ta d ey a Notary Public for / Iq � �V County, North Carolina, do hereby certify that _ �� S P of -�a r personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and official seal, this the /,3 day of r 2017. SEAL �L{'+► aVB41G (N002fi059.1) �; Signature of Notary Public r My commission expires 6 old Book: 4742 Page: 479 Page 3 of 5 Applican[/Pei7nittee: OId North State Water (amx�any. LLC AdcJress: 4700 Homewood Ct.. Ste. 108 City; Ralei h State: NC7.,ip Code: 27609 County: Wake Signature; Un behalf of Uld North State Vb'ater Comptuiy, LLC NORTH CAROI,INA1 0 W - GOUN'1'Y (, �Aw_l 1 a IACI &4 Notary Public for County; North Carolina, do hereby certify that 1 11 �1J11f1VJ personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and official seal, this the Mnday of , 2017. Notary Public Wake d County My Comm. Exp. 2 10-29-2022 %0'QTh CAWO�'�aP�` Sigita�i�re of No�ar�� Public My commission cepires Once notarized, this fof'6`l'�1ia11 be recorded at the Register of Deeds in the county or counties in which the described properties are located. A copy of the recorded waiver shall be sent to the following address: Division of Water Resources Water Quality Permitting Section 1617 Mail Service Center Raleigh, North Carolina 276994617 1N0026059.1� Book: 4742 Page: 479 Page 4 of 5 '�� c 1 '` 1 FY• ft WON, �' - - mow,PIN 49 r t] r + "4q. f JAL VN•r.u.r.r This map may not be a certified survey and has been reviewed by a local government agency for ' compliance with any applicable land development regulations and has not been reviewed for compliance with recording requirements for plats. t& Kor" fM.fhrr.w kra-h+rr' o pcm�r. _ i STAIBNE WAS[EWXhB LIFa71�ld[Farn VkiNlFSYd� 1 I , I 2 ot39