Statement for Disposal of Excess Lands Or Rights

Statement for Disposal of Excess Land or Rights

Route Project Sectio Job No. County Parcel Unit

Legislative District Representative

1. ACQUISITION HISTORY:

a. Acquired as (part of) Parcel No.(s): Under Right-of-Way Job #: R-9

b. Owner(s) from whom acquired:

c. Title Acquired By: Warranty Deed Trustee’s Deed Dedication of Right of Way Other – Specify type of conveyance:

d. Freeway Status: Freeway Non-freeway

e. Recording Data: Date of conveyance: Document No.: or Book , Page(s) Date recorded: Eminent domain proceeding Case No.: Date order vesting title: Date final judgment order:

(Attach one copy of executed conveyance document(s), or Petition for Condemnation and Final Judgment Order with plat of acquired parcel(s); and one copy of Title Insurance Policy or Commitment for Title Insurance with exceptions under Schedule "B" satisfied.)

(NOTE: If more than one parcel was involved in acquisition of excess land parcel, attach ACQUISITION HISTORY, Items a, b, c, d and e for each additional parcel.)

f. Total Area(s) Acquired: Acres Access Rights Only Total Acquisition Payment(s): $

g. Acquired Area(s): Improved Vacant Land

h. Federal Participation: In Excess Land Cost In Construction Cost

i. Construction Status: Not Started Under Construction Completed

Printed 4/5/2018 Page 1 of 5 LA 692 (Rev. 01/27/17) Project Abandoned

Printed 4/5/2018 Page 2 of 5 LA 692 (Rev. 01/27/17) 2. EXCESS LAND OR RIGHTS DATA:

Total area of land to be a. disposed of: Acres Total length of access rights to be disposed of: ft.

b. List existing improvements, if any:

c. Freeway status: Freeway before to non-freeway status Freeway before – no change Non-freeway before – no change Non-freeway before to freeway status Date of Order Rescinding Freeway: (Plat must delineate and identify both existing and proposed access control lines)

d. Recommended method of disposal:

e. If by exchange: name of grantee(s) If sale to former owner: name of owner(s) If by legislative release: interested party If by jurisdictional transfer: requesting agency If by Legislative Directed Sale: name of interested party

f. Present highest and best use: Probable use: as a unit for assemblage

g. Current appraised value of excess land or rights: $

See attached copy of appraisal(s) (not required for jurisdictional transfers or conveyance under 605 ILCS 5/4-508(d)). If by exchange, total consideration for acquisition of land needed for highway purposes $; and, difference in values to be by the state $. The proposed of the subject excess land parcel shall be for no less than its current appraised value.

3. REASON FOR DISPOSAL:

Said parcel was acquired for the improvement of the subject route and section.

Said parcel has been determined to be no longer needed for highway purposes, now or in the foreseeable future, because and the disposal will not adversely affect highway facilities or traffic thereon, and said disposal will be in the public interest.

Furthermore, the lands or rights to be disposed of are not required for retention to preserve or improve any scenic qualities adjacent to the highway facilities consonant with the intent of the highway beautification requirements.

Said parcel of land considered to have present or potential use for .

(The appropriate federal, state and local conservation or park agencies will be notified of the state's intentions to dispose of said excess parcel and of the method of disposition as required by law.)

Printed 4/5/2018 Page 3 of 5 LA 692 (Rev. 01/27/17) 4. CONDITIONS OF DISPOSAL:

a. Conveyance or legislative release must recite a restriction of access rights. Yes No

b. The conveyance must recite the reservation of use to the state. Yes No

c. The transaction shall be subject to the requirement that the purchaser must grant, by separate conveyance, the right of an easement to for the purpose of . Yes No (If yes, see attached legal description of easement.)

5. Compliance with 605 ILCS 5/4-508(c):

The person from whom the subject parcel was acquired has continuously owned land abutting the parcel since the Department’s acquisition.

"This District has investigated the requirements set forth in 605 ILCS 5/4-508(c) and finds that the provisions of this law are not applicable to this disposal request because (check only ONE reason)

The person from whom the subject parcel was acquired has not continuously owned land abutting the parcel since the Department’s acquisition OR The person from whom the subject parcel was acquired has continuously owned land abutting the parcel and said person has not accepted, in writing, the Department’s offer to re-purchase the parcel at the current appraised value within 60 days of the Department’s written offer.

6. Hazardous material:

"District personnel have physically inspected the land covered by this disposal request (Parcel No. ) and have found no obvious signs that the land in question contains any hazardous substances.

There is no evidence to the district's knowledge that the prior owner of this parcel was involved in any activity associated with the generation, storage, transport or disposal of hazardous substances."

7. Wetlands: This parcel is not, nor does it contain a wetland.

8. If this excess land parcel was acquired as part of an interstate project, the environmental effects of this proposed disposal have been evaluated and a categorical exclusion provided for in 23 CFR Part 771 has been approved by the FHWA at the coordination meeting held on . (If not a CE explain action on a separate sheet).

Printed 4/5/2018 Page 4 of 5 LA 692 (Rev. 01/27/17) 9. Disposal of the subject parcel has been reviewed and concurred in by the following:

Operations Engineer Date

Project Implementation Engineer Date

Program Development Engineer Date

Approval Recommended:

Regional Engineer Date

Approved:

Bureau Chief of Land Acquisition Date

Printed 4/5/2018 Page 5 of 5 LA 692 (Rev. 01/27/17)