11-1-3: FORMS AND CERTIFICATES:
The following forms and certificates are also kept on file in the offices of the village clerk and the building and zoning department:
   APPENDIX I
   CERTIFICATES
1.   The following certificates are to be indicated, where applicable, on all Final Plats. Certification on final plats of subdivision located in the unincorporated areas within one and one-half miles beyond the Wayne Village limits shall be those required by the DuPage County or Kane County Subdivision Regulations, except when Village of Wayne Subdivision Regulations are more restrictive, the applicable Village of Wayne Subdivision Certifications shall also be required.
   a.   Surveyor's certificate
      STATE OF ILLINOIS)
      COUNTY OF DUPAGE) SS
      COUNTY OF KANE)
This is to certify that I,              , an Illinois Registered Land Surveyor, have surveyed the following described property:
         (Legal Description)
as shown by the attached plat, which is a correct representation of said survey and subdivision- All distances are shown in feet and decimal parts thereof. I further certify that all regulations enacted by the Village Board relative to plats and subdivisions have been complied with in the preparation of this plat.
Given under my hand and seal at          , Illinois, this            day of            A.D., 20          .
Illinois Registered Land Surveyor No.:       
(SEAL)
   b.   Owner's certificate
      STATE OF ILLINOIS)
      COUNTY OF DUPAGE) SS or
      COUNTY OF KANE)
This is to certify that the undersigned is the owner of land described in the annexed Plat and has caused the same to be surveyed, subdivided and platted as shown by the Plat for uses and purposes as indicated therein, and does hereby acknowledge and adopt the same under the style and title thereon indicated.
Dated at          , Illinois, this                 day of                   , A.D. 20          .
                  Owner
                  Address
   c.   Notary's Certificate
      STATE OF ILLINOIS   )
      COUNTY OF      ) SS
I,           , Notary Public in and for the State and County aforesaid, do hereby certify that                      , personally known to me to be the same persons whose names are subscribed to the foregoing certificate, appeared before me this day in person and acknowledged the execution of the annexed plat and accompanying instruments for the uses and purposes therein set forth as his or their free and voluntary act.
Given under my hand and Notarial Seal this            day of                      , A.D., 20            .
                  Notary Public
      My Commission expires       
   d.   County Superintendent of Highway Certificate
(If applicable)
      STATE OF ILLINOIS   )
      COUNTY OF      ) SS
Accepted this            day of    , A.D., 20           .
               County Superintendent of Highways
   e.   County Health Officer Certificate
      STATE OF ILLINOIS   )
      COUNTY OF      ) SS
      Accepted this            day of     A.D. 20           .
                  (Title)
   f.   County Clerk Certificate
      STATE OF ILLINOIS   )
      COUNTY OF      ) SS
I,          , County Clerk of                      County, Illinois, do hereby certify that there are no delinquent general taxes, no unpaid forfeited taxes and no redeemable tax sales against any of the land included in the annexed plat.
Given under my hand and seal at (Wheaton or Geneva) , (Kane or DuPage) County, Illinois this            day of             , A.D., 20           .
                  County Clerk
   g.   Certificate as to Special Assessments
STATE OF ILLINOIS)
      COUNTY OF KANE) SS
      COUNTY OF DUPAGE)
I,          , Village Treasurer of the Village of Wayne, do hereby certify that there are no delinquent or unpaid current or forfeited special assessments or any deferred installments thereof that have been apportioned against the tract of land included in the plat.
Dated at Wayne, Illinois, this            day of                 , A.D., 20           .
                  Village Treasurer
   h.   Village Engineer's Certificate
STATE OF ILLINOIS)
      COUNTY OF DUPAGE) SS
      COUNTY OF KANE)
I,           , Village Engineer of the Village of Wayne, do hereby certify that the required improvements have been installed, or the required guarantee collateral has been posted for the completion of all required land improvements.
Dated at Wayne, Illinois, this            day of                 , A.D., 20           .
                  Village Engineer
   i.   Plan Commission Certificate
STATE OF ILLINOIS)
      COUNTY OF DUPAGE) SS
      COUNTY OF KANE)
Approved this            day of                      , A.D., 20           .
                  WAYNE PLAN COMMISSION
                  Chairman
   j.   Village Clerk's Certificate
      STATE OF ILLINOIS)
      COUNTY OF DUPAGE) SS
      COUNTY OF KANE)
I,           , Village Clerk of the Village of Wayne, Illinois, do hereby certify that the annexed plat was presented to and by resolution duly approved by the Village Board of the Village of Wayne, at its meeting held on                      , A.D., 20           .
In witness whereof I have hereunto set the seal of the Village of Wayne, Illinois.
                  Village Clerk
   k.   Recorder's Certificate
As required by the Recorder's Office of the County of DuPage or the County of Kane, as applicable.
   l.   Illinois Department of Transportation
To be stamped on the final plat and signed by the Illinois Department of Transportation when applicable.
2.   The following certificate shall be shown on the topographic and profile study (drainage overlay):
   STATE OF ILLINOIS)
   COUNTY OF      ) SS
To the best of our knowledge and belief the drainage of surface water will not be changed by the construction of such subdivision or any part thereof, or that if such surface water drainage will be changed, reasonable provision has been made for collection and diversion of such surface waters into public areas, or drains which the subdivider has a right to use, and that such surface waters will be planned for in accordance with generally accepted engineering practices so as to reduce the likelihood of damage to the adjoining property because of the construction of the subdivision.
Dated this            day of                      , A.D., 20           .
                               
      Engineer         Owner or Attorney
   APPENDIX II
   SAMPLE EASEMENT LANGUAGE
   DRAINAGE AND WETLANDS CONSERVATION EASEMENT
An easement for conservation of wetlands over and upon those areas of land designated "Drainage and Wetlands Conservation Easement" on the plat hereon drawn is hereby granted to the Village of Wayne, the County of                      , and their successors and assigns for the following purposes:
   - to accept and conduct surface water discharges from adjacent upstream property;
   - to maintain said land in its natural, scenic and open condition, and;
   - to enter said land at all reasonable times for the purpose of inspecting said land to determine if the grantor, or his heirs or assigns, is complying with the covenants and purposes of this grant.
In furtherance of the foregoing affirmative rights, the grantor makes the following covenants on behalf of himself, his heirs and assigns, which covenants shall run with said land in perpetuity:
   - there shall be no dredged or fill material placed upon said land;
   - there shall be no fences, buildings or structures, including signs constructed upon said land;
   - there shall be no mowing nor removal or destruction of trees and plants on said land;
   - there shall be no plowing of said land nor shall there be any mining, removal of topsoil, sand, rock, gravel, minerals or other material from said land;
   - there shall be no grazing or keeping of livestock or domestic animals of any kind on said land, and;
   - there shall be no operation of snowmobiles, dune buggies, motorcycles, all-terrain vehicles or any other types of motorized vehicles on said land.
Said "Drawings and Wetlands Conservation Easement" may be changed, modified or abrogated only upon written approval of said Village or County. Except as expressly limited herein, the grantor reserves for himself, his heirs and assigns, all rights as owner of said land, including the right of use of said land for all purposes not inconsistent with this grant.
   UTILITY EASEMENT
A permanent non-exclusive easement is hereby reserved for and granted to the Village of Wayne and the County of (hereinafter collectively referred to as "the Grantee"), and to all public utility and other companies of any kind operating including, but not limited to the following companies: Illinois Bell Telephone Company, Commonwealth Edison Company, and Northern Illinois Gas Company and to their successors and assigns in, upon, across, over, under and through the areas shown by dashed lines and labeled "Utility Easement" on this plat of subdivision, or where otherwise noted in the above legend for the purpose of installing, constructing, inspecting, operating, replacing, renewing, altering, and enlarging, removing, repairing, cleaning, and maintaining electrical, cable television, communications, gas, telephone or other utility lines and connections as may be required to furnish public utility service to adjacent areas, and such appurtenances and additions thereto as said Grantee may deem necessary, together with the right of access across the real estate platted hereon for the necessary personnel and equipment to do any or all of the above work. No permanent buildings or trees shall be placed on said easements, but the premises may be used for gardens, shrubs, landscaping, and other purposes that do not then or later interfere with the aforesaid uses and rights. Fences shall not be erected upon said easements in any way which will restrict the uses herein granted except where specifically permitted by the written authority of the Grantee. The right is also hereby granted to said Grantee to cut down, trim or remove any trees, fences, shrubs, or other plants that interfere with the operation of or access to said utility installation in, on, upon, across, under or through said easements. The Grantee shall not be responsible for replacement of any such improvements, fences, gardens, shrubs, or landscaping removed during exercise of the herein given rights. Replacement of items so removed shall be the responsibility of the then lot owner.
   DRAINAGE EASEMENT
A permanent non-exclusive, easement is hereby reserved for and granted to the village of Wayne and the County of                      (hereinafter collectively referred to as "the Grantee"), and to its successors and assigns in, upon, across, over, under, and through the areas shown by dashed lines and labelled "Drainage Easement" on this plat of subdivision, or where otherwise noted in the above legend for the purpose of installing, constructing, inspecting, operating, replacing, renewing, altering, enlarging, removing, repairing, cleaning and maintaining storm sewers, drainageways, stormwater detention and retention facilities and appurtenances and any and all manholes, pipes, connections, catch basins, and without limitations, such other installations as said Grantee may deem necessary, together with the right of access across the real estate platted hereon for the necessary personnel and equipment to do any or all of the above work. No permanent buildings or trees shall be placed on said drainage easements, but the premises may be used for landscaping, and other purposes that do not then or later interfere with the aforesaid uses and rights. Fences shall not be erected upon said drainage easements in any way which will restrict the uses herein granted. The right is also hereby granted to said Grantee to cut down, trim or remove any trees, fences, shrubs, or other plants that interfere with the operation of or access to such drainage facilities in, on, upon, across, under or through said drainage easements. The Grantee shall not be responsible for replacement of any such improvements, fences, gardens, shrubs, or landscaping removed during exercise of the herein given rights. Replacement of items so removed shall be the responsibility of the then lot owner. Where drainage easement areas are also used for electric, telephone or gas distribution systems or components, such other utility installations shall be subject to the prior approval of the Village of Wayne or the County of                      so as not to interfere with the maintenance of gravity flow and stabilization of vegetative ground cover on the above-mentioned drainage facilities.
   LANDSCAPING EASEMENT
A            foot-wide landscaping easement across that part of lots            is hereby reserved for and granted to (owner/developer) and to its successors and assigns, and is restricted to the placement of trees, shrubs, bushes, lawns, and other forms of vegetation. No permanent buildings or structures shall be constructed or maintained on, across, over, or through said "Landscaping Easement" nor shall such vegetation be removed, except to replace dead or diseased vegetation of like species without the written authority of the Village of Wayne. Nothing contained in this paragraph shall preclude the exercise of rights hereinabove granted for utility easements.
   CURTAIN DRAIN EASEMENT
A non-exclusive easement is hereby reserved for and granted to the Village of Wayne and the County of                      in and under those areas shown hereon as "curtain drain easement" and shall be used for installation, maintenance and repair of drain tiles placed therein for the benefit of adjacent lot owners so as to facilitate lowering ground water in the proximity of septic filter fields now or hereafter situated on said lots. The surface of said "curtain drain easement" areas may be used for any other purpose which will not or does not interface with the effective operation or maintenance of said drain tiles. Said maintenance shall be performed by any of said lot owners benefitted thereby and may include the removal of any vegetation, roots and debris which may block the flow of water through said tiles.
   EQUESTRIAN EASEMENT
A            foot wide equestrian easement is hereby reserved for and granted to the Village of Wayne and to its successors and assigns. No permanent buildings or structures shall be constructed or maintained on, across, over or through said easement, nor shall trees, shrubs, bushes or other vegetation be planted or removed without the written authority of the Village of Wayne. Use of the equestrian easement is limited to equestrian activities, and no vehicles of any kind shall be permitted to use the easement except for authorized maintenance.
   APPENDIX III
   AGENDA/RECORD
   PRECONSTRUCTION MEETING
PROJECT NAME          DATE   
      1.   Present:            24 hr Phone Nos.
   Owner/Developer             work
   Contact Person             home
   Address      
   General Contractor             work
   Contact Person             home
   Address      
   Project Engineer             work
   Contact Person             home
   Address      
   Municipal Engineer             work
   Contact Person             home
   Address      
   Others present            
      2.   Subcontractor information:
   Soils Engineer             work
   Contact Person             home
   Address      
   Earthwork             work
   Contact Person             home
   Address      
   Landscaping             work
   Contact Person             home
   Address      
   Surveyor             work
   Contact Person             home
   Address      
   Others            
      3.   Discussion:
Startup/notification    
   Changes to plans/specs   
   Liquidated damages   
   Inspection documents/payout process (lien waivers, affidavits, bills of sale)   
   Payment of fees   
   Other   
   PRECONSTRUCTION MEETING -- INSPECTION CHECKLIST
DATE:    
PROJECT:    
      Date            Final
If Inspection Required   Inspected      Comments      Inspection
   I.   GENERAL
Traffic control                  
Emergency communication                  
Street cleaning                  
Construction access                  
Dust control                  
Tree Protection                  
Utility locations                  
     Gas                  
     Telephone                  
     Electric                  
     Cable TV                  
     Water                  
     Sewer                  
     Other                  
Other                  
   II.   GRADING
     Mass grading                  
     Fine grading                  
     Stockpiles                  
     Construction drainage                  
     Erosion control                  
     Seeding/sodding                  
     Retention/detention                  
     Outlet Control structure                  
     Pumping station                  
     As-built survey                  
     Shoreline protection                  
     Other                  
   III.   SANITARY SEWERS
     Manholes                  
     Services                  
     Pipeline                  
     Risers                  
     Bedding                  
     Backfill                  
     Street crossing                  
     Air test                  
     Line & grade                  
     TV                  
     Deflection                  
     Other                        
   IV.   WATER MAIN
     Pipeline                  
     Valves                  
     Hydrants                  
     Services                  
     Pipeline                  
     Disinfection                  
     Leakage                  
     Sampling                  
     Sewer crossings                  
     Bedding                  
     Backfill                  
     Street crossings                  
     Disinfection                  
     Leakage                  
     Sampling                  
     Other                        
   V.   STORM SEWERS
     Pipeline                  
     Bedding                  
     Backfill                  
     Street crossing                  
     Manholes                  
     Catch basins                  
     Structures                  
     Clean Outs                  
     Sump pump lines                  
     Other                        
   VI.   STREETS
     Grading                  
     Binder course                  
     Sub base                  
     Surface course                  
     Curb & gutter                  
     Parkway restoration/
seeding                  
     Erosion control                  
     Culverts                  
     Stockpiles                  
     Other                        
   VII.   LANDSCAPING
     Trees                  
     Parkways                  
     Berms                  
     Fencing                  
     Entry signs                  
     Other                        
   VIII.   MISCELLANEOUS
     Signs                  
     Lights                  
     Pedestrian/equest. ways                  
     Sidewalks                  
     Other                        
Comments:    
         Completed by:    
   APPENDIX IV
   CHECKLIST FOR PRELIMINARY AND FINAL PLAN
   [to be promulgated by Building and Zoning Department]
   PAYOUT RECORD
SUBDIVISION:    
1.   Letter of Credit (to be submitted using Village format):
   a.   Date    
   b.   Expiration date          
   c.   Total amount       
   d.   Division amounts (90% can be released prior to acceptance of Division; 100% upon acceptance)
   DIVISION
   90%
   100%
"A" Grading/retention
 
 
"B" Sanitary sewers
 
 
"C" Water system
 
 
"D" Storm Sewers
 
 
"E" Streets
 
 
"F" Landscaping
 
 
"G" Miscellaneous
 
 
 
2.   Payout documents (using standard forms):
   a.   Application for payment
   b.   Sworn statement by contractor to owner
   c.   General contractor's affidavit
   d.   Lien waivers from contractors and subcontractors
   e.   Recommendation for payment signed by Developer's Engineer
3.   Partial acceptance documents/requirements:
   a.   Payment of all outstanding fees to Village
   b.   Final inspection of Division improvements by Village Engineer
   c.   Adoption of acceptance resolution for Division by Village Board
   d.   Bills of sale (sewer & water) when required.
4.   Final acceptance of all improvements (release of all collateral):
   a.   Compliance with Items 3 a, b, c & d above for all improvements
   b.   Submittal of record drawings
   c.   Submittal of 1 yr. (11/2 yr. for landscaping) guarantee @ 15% of cost of improvements
   d.   Final acceptance or approval of improvements by resolution adopted by Village Board.
   RECORD OF PAYOUTS:
DIVISION
AMOUNT REQUESTED
CONTRACTOR
DATE APPROVED
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   APPENDIX V
   Examples of Calculation of Required Dedication of Land
   or Cash Contributions in Lieu Thereof
The following examples illustrates the operation of the formulas for dedication of a school and park sites or payment of fees in lieu thereof.
The examples are broken down as follows:
      1.   Where the housing characteristics, type and size, are known:
Land will be dedicated for parks and schools.
         a.   Park and recreation
         b.   School site
Cash will be paid in lieu of land.
         c.   Park and recreation
         d.   School
      2.   Where type and size of dwelling units is not known: (The Table of Population per Dwelling Unit-4 bedroom, single family detached data will be used)
Land will be dedicated for parks and schools.
         a. Park and recreation
         b. School site
Cash will be paid in lieu of land.
         a. Park and recreation.
         b. School site
1.   Where housing characteristics and bedrooms are known: (Assuming a development or subdivision consisting of 100 detached single-family houses, consisting of 50 three-bedroom houses and 50 four-bedroom houses.)
   a.   Park and Recreational-land dedication:
 
3 bedroom
4 bedroom
Total
Persons per unit:
3.308
4.134
 
Units
50
50
 
Total population
165.4
206.7
372.1
Acres at .0055 acres
per capita
 
 
 
2.05
 
   b.   School site-land dedication
3 bedroom
4 bedroom
Total
3 bedroom
4 bedroom
Total
Students per unit:
 
 
 
Elementary
.455x50=22.8
.705x50=35.2
58.0
Junior High
.137x50=6.8
.299x50=15.0
21.8
High School
.106x50=5.3
.252x50=12.6
17.9
 
 
 
 
 
Students
Acres per
student
Total
acres
Land required:
 
 
 
Elementary
58.0
.0183
1.06
Junior High
21.8
.0242
.53
High School
17.9
.0220
.39
Total acres
 
 
1.98
 
   c.   Park and recreation-cash in lieu of land
2.05 acres x $30,000 per acre = $61,500
   d.   School-cash in lieu of land
1.98 acres x $30,000 per acre = $59,400
2.   Where housing characteristics and bedrooms are not known:
   a.   Park and recreation-cash per lot in lieu of land:
4.134 persons x .0055 acres = .227 acres per dwelling unit.
   b.   School contribution-cash in lieu of land:
 
School Type
Acres per
student
Students
per Unit
Acres per
unit
Elementary
.0183
.705
.0129
Junior High
.0242
.299
.0072
High School
.0220
.252
.0055
Total acres per dwelling unit
 
.0256
 
   c.   Park and recreation-cash per dwelling unit in lieu of land
.0227 acres x $30,000 = $682.11
   d.   School-cash per dwelling unit in lieu of land
.0256 acres x $30,000 = $768.00
   APPENDIX VI - LETTER OF CREDIT FORM
                     (Date)
      FIRST NATIONAL BANK OF WAYNE
      IRREVOCABLE LETTER OF CREDIT NO.                
Village of Wayne
5 N 430 Railroad Street
P.O. Box 532
Wayne, Illinois 60184
   Re:   [Name of Subdivision], Wayne Illinois
      Beneficiary: Village of Wayne
      Applicant:         
      Amount:         
      Expiration: January 31, 1992
Gentlemen:
   We hereby establish in your favor, and at the request and for the account of [Developer/Owner] our Irrevocable Letter of Credit No.                 in the amount of [One Hundred Sixty Thousand Dollars ($160,000.00)], effective immediately, expiring at the close of business in our main office, Wayne, Illinois 60184 on January 31, 1992.
   Funds under this letter of credit are available to you by your sight drafts executed by the President of the Village of Wayne or the Clerk of the Village of Wayne on us, in substantially the form attached hereto, if negotiated on or prior to the termination date as set forth herein. Partial drafts are allowed, and all drafts must be marked "Drawn Under First National Bank of Wayne Letter of Credit No.                 ".
   It is understood that First National Bank of Wayne will not inquire into the propriety of the demand for any full or partial payment on this letter, provided that the draft states that the funds being requested are being used for or in connection with subdivision improvements to or fees or expenses in connection with the subdivision known as [name of subdivision], Wayne, Illinois.
   This Letter of Credit is valid for negotiation at the counters of the main office of First National Bank of Wayne, as provided above, from the date above stated through the close of business, January 31, 1992. Your draft shall be deemed received upon either personal delivery or upon mailing, properly addressed and with proper postage prepaid, by certified mail, return receipt requested five (5) days prior to the termination date, addressed as follows:
            First National Bank of Wayne
            P.O. Box 760
            Wayne, Illinois 60184-0760
            Attn: [name]
             Vice President
   Each draft presented for payment under this letter shall state the dollar amount of the draft and the dollar amount of the balance remaining under this Letter of Credit.
   This Letter of Credit shall be governed by the laws of the State of Illinois, including the Uniform Commercial Code as in effect in the State of Illinois.
   This Letter of Credit sets forth in full our undertaking, and such undertaking shall not in any way be modified, amended, amplified or limited by reference to any document, instrument or agreement referred to herein except only the drafts referenced herein; and any such reference shall not be deemed to incorporate herein by reference any document, instrument or agreement except for such drafts. However, except as otherwise expressly stated herein, this Letter of Credit is subject to the Uniform Customs and Practice for Commercial Documentary Credits (1983 Revision) of the International Chamber of Commerce, Publication No. 400.
               Very truly yours,
               FIRST NATIONAL BANK OF WAYNE
            By:      
               [Authorized Signatory]
   SIGHT DRAFT
               DATE:      
               AMOUNT: $   
To:   First National Bank of Wayne
   P.O. Box 760
   Wayne, Illinois 60184-0760
   Attn:   [name]
      Vice President-Treasurer
   Re:   Irrevocable Letter of Credit
      No.          
   AT SIGHT pay to the order of Village of Wayne, 5 N 430 Railroad Street, Wayne, Illinois 60184 the Sum of                      ($          ).
   The Sum is drawn under Irrevocable Letter of Credit Number                  , dated                 ,            .
   The funds being requested hereunder are being used for or in connection with subdivision improvements to the subdivision known as [name of subdivision], Wayne, Illinois.
   The dollar amount of the balance remaining under the Letter of Credit prior to this draft is $                       .
   The dollar amount of the balance remaining under the Letter of Credit after this draft will be $                       .
            (Signed):      
               President
               Village of Wayne
      OR
            (Signed):      
               Clerk
               Village of Wayne
(Ord. 91-21, 8-6-1991)