HomeMy WebLinkAboutA003 - Groundwater Hazard Statement r
REAL ESTATE TRANSFER-GROUNDWATER HAZARD STATEMENT
Please read the filing instructions on the reverse side BEFORE completing this form.
PART I -TO BE COMPLETED BY TRANSFEROR
(Please Type or Print Legibly)
Social Security No.
TRANSFEROR Name William C. Knapp Revocable Trust (or Federal I.D.No. )42-6426333
Address 5000 Westown Parkway, Suite 100, West Des Moines, IA 50266
Number and Street or RR City,Town or P.O. State Zip
Social Security No.
TRANSFEREE Name For Platting Purposes (or Federal I.D.No.) N/A
Address
Number and Street or RR City,Town or P.O. State Zip
Address of Property Transferred Bloomington Heights, Plat 7, Ames, IA
Number and Street or RR City,Town or P.O. State r Zip
Legal Description of Property See Exhibit"A"
1. Wells(check one)
X There are no known wells situated on this property.
❑ There is a well or wells situated on this property. The type(s), locations(s)and legal status are stated below.
2. Solid Waste Disposal(check one)
X There is no known solid waste disposal site on this property.
There is a solid waste disposal site on this property, but no notice has been received from the Department of Natural
Resources that the site is deemed to be potentially hazardous.
There is a solid waste disposal site on this property which has been deemed to be potentially hazardous by the
Department of Natural Resources. The location(s)of the site(s)is stated below.
3. Hazardous Wastes(check one)
X There is no known hazardous waste on this property.
There is hazardous waste on this property and it is being managed in accordance with Department of Natural Resources
rules.
4. Underground Storage Tanks(check one)
X There are no known underground storage tanks on this property. (Note exclusions such as small farm and residential
motor fuel tanks,most heating oil tanks,cisterns and septic tanks, in instructions.)
There is an underground storage tank or tanks on this property. The type(s), size(s) and any known substance(s)
contained are described below.
Information, if any,required by statements checked above:
Attachment for Additional Information? Y/N If so,number of pages j
I HEREBY DECLARE THAT THE INFORMATION CONTAINED IN PART I OF THIS STATEMENT IS TRUE AND
CORRECT.
Signature: -" Telephone Number:_(515)222-5201
(Tr ror r
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Q PART II-TO BE COMPLETED BY RECORDER 15945
Date of Instrument Q-�-� 7, Book/I.D. lotb" Page/I.D.
Date of Recording (- ��`I- 9ZS City or Township
Deed
Contract p
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DNR form(SEPT. 94) FILE WITH RECORDER
(See Instructions,#5)
hAwsm25905.98
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EXHIBIT "A"
OUTLOT"Z", BLOOMINGTON HEIGHTS PLAT 6, AN OFFICIAL PLAT, AND PART OF
THE NORTHEAST QUARTER OF SECTION 28, TOWNSHIP 84 NORTH, RANGE 24 WEST
OF THE 5TH P.M., CITY OF AMES, STORY COUNTY, IOWA, THAT IS MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHWEST CORNER OF SAID OUTLOT"Z"; THENCE
S00031'27"W, 500.16 FEET ALONG THE EAST LINE OF SAID SECTION 28 TO THE EAST
1/4 CORNER OF SAID SECTION 28; THENCE S89°46'30"W, 594.54 FEET ALONG THE
SOUTH LINE OF SAID NORTHEAST QUARTER OF SAID SECTION 28 TO A POINT,
SAID POINT BEING ON THE EAST RIGHT-OF-WAY LINE OF THE CHICAGO
NORTHWESTERN RAILROAD; THENCE N27°25'30"W, 2964.91 FEET ALONG SAID
EAST R.O.W. LINE TO A POINT. SAID POINT BEING ON THE,NORTH LINE OF SAID
SECTION 28; THENCE S89°41'32"E, 1984.12 FEET ALONG SAID NORTH SECTION LINE
TO THE NORTHEAST CORNER OF SAID SECTION 28, SAID POINT ALSO BEING THE
NORTHWEST CORNER OF SAID OUTLOT"Z'; THENCE S89°02'50"E, 35.00 FEET
ALONG THE NORTH LINE OF SAID OUTLOT"Z"TO THE NORTHEAST CORNER OF
SAID OUTLOT"Z"; THENCE S00°31'27"W, 672.46 FEET ALONG THE EAST LINE OF
SAID OUTLOT"Z"TO A POINT; THENCE S70°00'00"E, 4.11 FEET ALONG SAID EAST
LINE TO A POINT OF CURVATURE; THENCE SOUTHEASTERLY ALONG A CURVE TO
THE LEFT HAVING A RADIUS OF 450.00 FEET AND AN ARC LENGTH OF 125.01 FEET
ALONG SAID EAST LINE TO A POINT; THENCE SO4°04'58"W, 100.00 FEET ALONG
SAID EAST LINE TO A POINT; THENCE NORTHWESTERLY ALONG A CURVE TO THE
RIGHT HAVING A RADIUS OF 550.00 FEET,A CHORD BEARING OF N83°13'00"W,
AND AN ARC LENGTH OF 51.85 FEET ALONG SAID EAST LINE TO A POINT; THENCE
S09029'03"W, 68.04 FEET ALONG SAID EAST LINE TO A POINT; THENCE SI3°00'00"E,
188.52 FEET ALONG SAID EAST LINE TO A POINT; THENCE S00°00'00"W, 144.25 FEET
ALONG SAID EAST LINE TO A POINT; THENCE N79'01'46"W, 32.84 FEET ALONG
SAID EAST LINE TO A POINT; THENCE S05°20'02"W, 188.42 FEET ALONG SAID EAST
LINE TO A POINT; THENCE S84°39'58"E, 32.44 FEET ALONG SAID EAST LINE TO A
POINT; THENCE S 10°00'25"W, 99.01 FEET ALONG SAID EAST LINE TO A POINT;
THENCE S17001'25"W,201.76 FEET ALONG SAID EAST LINE TO A POINT; THENCE
S03002'23"W, 108.32 FEET ALONG SAID EAST LINE TO A POINT; THENCE
S02023'50"E, 181.16 FEET ALONG SAID EAST LINE TO A POINT; THENCE
SOUTHEASTERLY ALONG A CURVE TO THE RIGHT HAVING A RADIUS OF 570.00
FEET,A CHORD BEARING OF S88°49'07"E, AND AN ARC LENGTH OF 71.21 FEET
ALONG SAID EAST LINE TO A POINT; THENCE S00°22'33"W, 161.99 FEET ALONG
SAID EAST LINE TO THE SOUTHEAST CORNER OF SAID OUTLOT"Z"; THENCE
S89004'19"W, 124.77 FEET ALONG THE SOUTH LINE OF SAID OUTLOT"Z"TO THE
POINT OF BEGINNING AND CONTAINING 81.461 ACRES MORE OR LESS.
15945