Tree Pruning and Removal Permit Application form

TREE PRUNING AND REMOVAL PERMIT APPLICATION FORM

Made under the State Environmental Planning Policy (Biodiversity and Conservation) 2021

Please use this form only for private trees. If you are concerned about a Council nature strip tree, please write to council@canadabay.nsw.gov.au

Important: Before completing this form please ensure that you have a signed copy of consent for all tree owner (s)

For further information or questions regarding this form, please contact Council via 9911 6555.

Fees & Charges (GST exempt)

The fee for this application is as per the 'Tree Management' section of Council's Fees and Charges.

Number of trees to be inspected: *

Pension Card No:If you are an eligible pensioner

Pension Card expiry date:If you are an eligible pensioner

Development application

Is there a current Development Application (DA) lodged with Council which includes the removal of the subject tree(s)? *

YesNo

If YES, this form must not be lodged. This is part of the Development Application process.

Has there been a previous development consent issued with a condition requiring the retention of the subject tree(s)? *

YesNo

If YES, this form must not be lodged. A Section 4.55 application is required to modify the conditions of consent. Please refer to the Duty Planner for clarification.

Is the property identified as a Heritage Item or located within a Heritage Conservation Area under Schedule 5 of the Canada Bay Local Environment Plan, 2013? *

YesNo

If YES, this form must not be lodged. Development consent is required for pruning or removal of the subject tree(s), in accordance with the State Environmental Planning Policy (Vegetation in Non-Rural Areas) 2017 (Vegetation SEPP) and the City of Canada Bay Development Control Plan (DCP). Please refer to the Duty Planner for clarification.

Property details where tree(s) are located

Tree Address: *

Tree Postcode: *

DP NO:

Lot NO:

Vol/Folio:

Strata Plan:

Attachment of Map:

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Proposed Work

Proposed Work: *

Tree Removal OnlyTree Pruning OnlyTree Pruning and Removal

Reason for Request: Please Note: Permission is not generally granted to remove trees for leaf, twig, cone or fruit drop

Tree Species and work requested

The numbered tree list below, needs to correspond with the trees as they are numbered on your submitted site plan. Please specify if pruning or removal is needed for each line.

Tree 1: Species/Common Name

Tree 6: Species/Common Name

Tree 2: Species/Common Name

Tree 7: Species/Common Name

Tree 3: Species/Common Name

Tree 8: Species/Common Name

Tree 4: Species/Common Name

Tree 9: Species/Common Name

Tree 5: Species/Common Name

Tree 10: Species/Common Name

Photo(s) of the trees

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Note: You can upload multiple files to this field if required

Any notes regarding additional trees if necessary

Tree Pruning

Arborist's Details - (If works involve tree pruning ONLY)

All pruning works must be undertaken by a qualified Arborist with a Level 2 Grade in Arboriculture or Horticulture Level 3 T.A.F.E qualifications. All pruning work must comply with Australian Standard AS4373-2007 Pruning of Amenity Trees. All contractors must adhere to current Work Cover Standards

Surname / Company:

Address:

Postcode:

Phone No.

ABN:

Qualification:

Property Access

Will you be present during the inspection? *

YesNo

If yes, we will contact you to make an appointment.

Is there a dog at the property? *

YesNo

If so, please ensure dog is restrained.

Site Plan

The plan must show:

Existing building and structures on the site
The distance of the nearest two boundaries to the tree/s to be pruned or removed

Note: Where there is more than one tree to be pruned or removed, the trees are to be numbered to correspond with the table in the Tree Species/Common Name section above.

If you have a copy of an existing accurate survey plan, it is advised that you lodge a copy of the survey with the application form to speed up the assessment process.

Example of site plan provided here

Site Plan: *

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Please download example site plan above to use as a template

Other attachments

Additional material

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Please provide a description

Applicant Details and Declaration

Surname *

First Name *

Company Name

Address *

Postcode *

Email *

Phone (work):

Phone (mobile): *(e.g. 04XX XXX XXX)

I acknowledge that no work can be carried out until a permit has been issued by Council. I have read and fully understand all the information contained in this application and undertake that all information is true and correct.

Applicant Signature *

Draw signature|Type signatureClear

Date signed *

Consent of ALL Tree Owner(s)

Is the owner a company/strata company? *

YesNo

Full Company Name *

Company Owner Signature *

Draw signature|Type signatureClear

Please upload a copy of your strata seal *

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Owner 1 Full Name *

Owner 1 Signature *

Draw signature|Type signatureClear

Owner 2 Full Name *

Owner 2 Signature *

Draw signature|Type signatureClear

Owner 3 Full Name *

Owner 3 Signature *

Draw signature|Type signatureClear

Owner 4 Full Name *

Owner 4 Signature *

Draw signature|Type signatureClear

Owner 5 Full Name *

Owner 5 Signature *

Draw signature|Type signatureClear

Please upload a letter of consent with ALL names/signatures of owners *

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Rams

(For Internal Use Only)

TreePresPt, TreePresOt, TreePresAp