HomeMy WebLinkAboutA012 - Real Estate Transfer - Groundwater Hazard Statement REAL ESTATE TRANSFER -GROUNDWATERHAZARD 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)
TRANSFEROR Name Uthe Development Company, L.L.C.
Address 105 S. 16th Street, Ames, Iowa 50010
Number and Street or RR City,Town or P.O. State Zip
TRANSFEREE Name Northridge Heights Subdivision Fourth Addition
Address
Number and Street or RR City,Town or P.O. State Zip
Address of Property Transferred
Number and Street or RR City,Town,or P.O. State Zip
Legal Description ofProperty. See attached
1. Wells (check one)
0 There are no known wells situated on this property.
❑ There is awell or wells situated on this property.The type(s),location(s)and legal status are stated below.
2. Solid Waste Disposal (check one)
LN 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)ofthe site(s)is stated below.
3. Hazardous Wastes (check one)
L21 There is no known hazardous waste:on this:pr.operty.
❑ 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)
LM 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.
5. Private Burial Site (check one)
tX There are no known private burial sites on this property.
❑ There is a private burial site on this property.The location(s)ofthe site(s)is stated below.The known identifying information ofthe
decedent is stated below.
Information,if any,required by statements checked above:
Attachment for Additional Information' Y N If so,number of pages
I HEREBY rLA THAT THE INFORMATION CONTAINED IN PART I OF THIS STATEMENT IS TRUE AND CORRECT
Signature: ('& ZW- Telephone Number:
(Transreror or Agent)
-----------------------------------------------------------------------
PART 11 - TO BE COMPLETED BY RECORDER 02 - 12 3 7
Date of Instrument L 9Q`L d Z Book/I.D. Page/I.D.
04
Date of Recording `19 O Z ity o ownship
Deed A Contract ❑ County
-----------------------------------------------------------------------
DNR form(July 99) FILE WITH RECORDER 542-0960
(See Instruction#6)
t
A tract of land being a replat of Outlot X of Northridge
Heights Subdivision, Third Addition, City of Ames, Story
County, Iowa, described as follows: Beginning at the
Southeast Corner of said Outlot X; thence S89°50'58"W,
366.97 feet along the Northerly right-of-way line of
Bloomington Road to the Southeast Corner of Northridge
Heights Subdivision, Second Addition, said City of Ames;
thence N00°09'05"W, 627.00 feet along the Easterly line
of said Second Addition to the Northeast Corner thereof;
thence S89°45'57"W, 220.55 feet along the Northerly line
of said Second Addition; thence N82°09'32"W, 675.00 feet
along said Northerly line to the Northwest Corner of said
-Second-Addition,—a point on-the-Easterly ,h-ie of I&Ehridge
Heights Subdivision, First Addition, said City of Ames;
thence N00°07'32"W, 35.33 feet along the Easterly line of
said First Addition to the Northeast Corner thereof; thence
continuing N00°07'32"W, 199.42 feet along the Easterly
line of Lots 25 and 24 of said Third Addition to the
Northeast Corner of said Lot 24; thence N04°54'21"W,
95.75 feet along the Easterly line of Lot 23 of said Third
Addition to the Northeast Corner thereof; thence
S85024'10"W, 44.35 feet along the Northerly line of said
Lot 23 to a point on the Westerly line of said Outlot; thence
N00027'49"W, 211.80 feet along said Westerly line to the
Northwest Corner of said Outlot; thence N89044'39"E,
1307.33 feet along the Northerly line of said Outlot to the
Northeast Corner thereof; 'thence S00°14'04"E, 1261.46
feet along the Easterly line of said Outlot to the point of
beginning; containing 23.06 acres subject to easements of
record.