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Home My WebLink AboutGreen Development Waterloo, LLC-5/17/2010(RECORDED)11 111 m Ilill 111 Ililll II 010 II0 II0 II0 11 11 Doc ID: 009502240001 Type GEN Recorded: 03/12/2019 at 01:02:55 PM Fee Amt: $12.00 Page 1 of 1 Revenue Tax: $0.00 Black Hawk County Iowa SANDIE L. SMITH RECORDER F11e2019-00013562 !2 Prepared by David R. Zellhoefer, City Attorney, 715 Mulberry, Waterloo, IA, 50703, telephone (319) 291-4327 TAX STATEMENT: CIE Properties, P.O. Box 2690, Iowa City, IA 52244 SPACE ABOVE THIS LINE FOR RECORDER QUIT CLAIM DEED For the consideration of ($1.00) One and no/100 Dollar(s) and other valuable consideration, plus costs CITY OF WATERLOO, IOWA does hereby Quit Claim to Green Development Waterloo LLC all our right, title, interest, estate, claim and demand in the following -described real estate in Black Hawk County, Iowa: Lot No. Fifteen (15) in Block No. One (1) in Shilliam's Subdivision to the City of Waterloo, Black Hawk County, Iowa; known locally as 738 Mobile Street, Waterloo, Iowa. This transaction exempt from Documentary Stamp and Declaration of Value per Iowa Code §428A.2(6) (2009). Each of the undersigned hereby relinquishes all rights of dower, homestead and distributive sharein and to the real estate. Words and phrases herein, including acknowledgment hereof, shall be construed as in the singular or plural number, and as masuline or feminine gender, according to the context. Dated: March 12. 2019 CITY OF WATERLOO, IOWA Quentin Hart, Mayor ATTEST: .# # I.e11ey F.e1c1 .4 ity Clerk :STATE,OB 1QWA, COUNTY OF BLACK HAWK ) ss / Jn''ITTTis 1�°%dti ay of March, 2019, before me, the undersigned, a Notary Public in and for the State of Iowa, perseiially ap-e;e( Quentin Hart and Kelley Felchle, to me personally known, and who, being by me duly sworn, did ,say .tJiat the; -arM e the -Mayor and City Clerk, respectively, of the City of Waterloo, Iowa; that the seal affixed to the foregoing instalment is the corporate seal of the corporation, and that the instrument was signed and sealed on behalf of the corporation by authority of its City Council as contained in the Resolution adopted by the City Council, under Council Action No. 131064 of the City Council on the 17th day of Ma, , 2010, and that Quentin Hart and Kelley Felchle, acknowledged the execution of the instrument to be their voluntary act and deed and the voluntary act and deed of the cors oration, by it voluntarily executed. ' 'p" : MICHELLE M. WESTPHAL - COMMISSiJN No. ?59063 .. / MY COMMlSSI� 'IRES JA1 Not. y Public in and for the State °flow, !2 :01 NUMMI ci cUoo3U N 0 b 0 6 $ DOA s,1otipny $ aad s,JapJooaU of Slack Hawk County Records. 0 it0 0. G 0 O 0 snp 1olipnV 0 0 Filed for record, indexed and delivered to County 0 a o. 0 m `G tri 0. 0 0 at. 0 43x4 LQIV'n ,LIf1O 1111111111 1111111 11 IIiiI I III Doc ID 009502250002 Type GWH Kind GROUND WATER HAZARD STATEMENT Recorded: 03/12/2019 at 01:03:08 PM Fee Amt: $0.00 Page 1 of 2 Black Hawk County Iowa SANDIE L. SMITH RECORDER F11e9998-00011580 REAL ESTATE TRANSFER -GROUNDWATER HAZARD STATEMENT TO BE COMPLETED BY TRANSFEROR TRANSFEROR: Name City of Waterloo, Iowa Address 715 Mulberry Street, Waterloo, Iowa 50703 Number and SUeet or RR CIIy. Town or P.O. State Zip TRANSFEREE: Name CJE Properties.. Address P. 0. Box 2690, Iowa City, Iowa 52244 Numoer an Street or RR Uty, town or P.O. State 4p Address of Property Transferred: Lot No. 15 in Block No. 1 in Shilliam's Subdivision in the City of Number anti Skeet or NH Lily. I own, or P.O. Stale pp Waterloo, Black Hawk County, Iowa (lot formerly 738 Mobile, Waterloo, Iowa) Legal Description of Property: (Attach if necessary) Lot No. 15 in Block No. 1 in Shilliam's Subdivision in the City of Waterloo, Black Hawk County, Iowa. 1. Wells (check one) XThere are no known wells situated on this property. ❑ There is a well or wells situated on this property. The type(s), location(s) and legal status are stated below or set forth on an attached separate sheet, as necessary. 2. Solid Waste Disposal (check one) sThere is no known solid waste disposal site on this property. ❑ There is a solid waste disposal site on this property and information related thereto is provided in Attachment #1, attached to this document. 3. Hazardous Wastes (check one) Xi There is no known hazardous waste on this property. ❑ There is hazardous waste on this property and information related thereto is provided in Attachment #1, attached to this document. 4. U derground Storage Tanks (check one) 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.) o There is an underground storage tank on this property. The type(s), size(s) and any known substance(s) contained are listed below or on an attached separate sheet, as necessary. FILE WITH RECORDER DNR form 542-0960 (July 18, 2012) 5. Private Burial Site (check one) XThere are no known private burial sites on this property. ❑ There is a private burial site on this property. The location(s) of the site(s) and known identifying information of the decedent(s) is stated below or on an attached separate sheet, as necessary. 6. Pri ate Sewage Disposal System (check one) All buildings on this property are served by a public or semi-public sewage disposal system. ❑ This transaction does not involve the transfer of any building which has or is required by law to have a sewage disposal system. O There is a building served by private sewage disposal system on this property or a building without any lawful sewage disposal system. A certified inspector's report is attached which documents the condition of the private sewage disposal system and whether any modifications are required to conform to standards adopted by the Department of Natural Resources. A certified inspection report must be accompanied by this form when recording. ❑ There is a building served by private sewage disposal system on this property. Weather or other temporary physical conditions prevent the certified inspection of the private sewage disposal system from being conducted. The buyer has executed a binding acknowledgment with the county board of health to conduct a certified inspection of the private sewage disposal system at the earliest practicable time and to be responsible for any required modifications to the private sewage disposal system as identified by the certified inspection. A copy of the binding acknowledgment is attached to this form. o There is a building served by private sewage disposal system on this property. The buyer has executed a binding acknowledgment with the county board of health to install a new private sewage disposal system on this property within an agreed upon time period. A copy of the binding acknowledgment is provided with this form. ❑ There is a building served by private sewage disposal system on this property. The building to which the sewage disposal system is connected will be demolished without being occupied. The buyer has executed a binding acknowledgment with the county board of health to demolish the building within an agreed upon time period. A copy of the binding acknowledgment is provided with this form. [Exemption #9] ❑ This property is exempt from the private sewage disposal inspection requirements pursuant to the following exemption [Note: for exemption #9 use prior check box]: ❑ The private sewage disposal system has been installed within the past two years pursuant to permit number Information required by statements checked above should be provided here or on separate sheets attached hereto: 1 HEREBY DECLARE THAT I HAVE REVIEWED THE INSTRUCTIONS FOR THIS FORM AND THAT THE INFORMATION STATED ABOVE IS TRUE AND CORRECT. o __ lhoefer, City Attorney FILE WITH RECORDER Telephone No.: (31 t ) c,9/ -93Z7 DNR form 542-0960 (July 18, 2012)