Information
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Document No.
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Significant Tree Assessment - Suburb
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Site - eg. park name if applicable
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Location
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Conducted on
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Prepared by
Photo of the Significant tree & Description
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Botanical Name
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Common Name
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Planted street tree
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Origin
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Photo
Height & Age
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Height mt
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Spread mt
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DBH mm
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Est. Age
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Immature, Semi-mature, Mature or Over mature
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Photo
Location within the site & land use
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Distance to buildings mt
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What is the current land use of the site?
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Photo
Health Assessment
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Overall condition
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Comment
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What extent does the the tree impact upon hard assets?
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Is any associated risk with targets able to be mitigated?
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Photo
Environment and Ecological Assessment
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Is the slope greater than 20% (1 in 5)?
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Is the tree within 30m of a watercourse?
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Does the tree provide significant shade?
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Does the tree contribute to a vegetation corridor or link?
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Will removal of the tree/s significantly impact the corridor or link?
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Is the tree used by native fauna? Number of hollows and diversity of species?
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Photo
Biological Significance
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Is the tree of unusual biogeographical, taxonomic or ecological occurrence?
What is the geographical significance of this tree species?
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Site, Local, State and National
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Photo
Amenity and Cultural
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To what degree does the tree contribute to the landscape amenity of the neighbourhood or street?
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Does the tree hold cultural significance?
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Photo
Action Report
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Select Action to be taken
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If Monitor / reinspect is required - _____ months?
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Comment
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Request Data entry
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Request Data entry
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Photo
Financial Value
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Est. Cost of any associated hazard or remedial works $
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Revised Burnley Tree Valuation of Tree $ - Refer Docs 613504
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Comments
Approval for Significant Tree Register
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Approved?
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Date completed
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Comments
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Request Data entry
- Add to significant tree register
- Add to MyData - Asset
- Create CRM
- No data entry required
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Photo
Office Use
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Signature required
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Date required
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Significant Tree Register entry created?
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MyData entry completed?
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CRM entry completed?