Title Page
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Conducted on
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Completed by
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First Name Last Name
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Email address
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Phone Number
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Location
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Postal address
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Suburb
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Number of trees to be removed
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Age of trees to be removed (estimate)
- <20 years
- 20 - 50 years
- 50 - 80 years
- > 80 years
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Species & Photo
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Species & Photo
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Species & Photo
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What is the vegetation to be removed?
- Endemic
- Planted
- Threatened
- Endangered Ecological Community
- Critically Endangered Ecological Community
- Unknown
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What is the reason for removal?
- Falling branches
- Damaged
- Near Powerlines
- Covering solar panels
- Damaging infrastructure
- Sick
- Within 3m of a dwelling (exempt from permit)
- Dead or dying (exempt from permit)
- Weed(exempt from permit)
- Development preparation (needs separate assessment and consent)
- Other
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Is there evidence of this need for removal?
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Application Refused
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What is the habitat value (hollow, nest, food resources)?
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Requires Manager's Approval
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Landscape value (are there other similar trees in the area)?
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Requires Manager's Approval
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Is there evidence of wildlife using it (scratches, scats, nests, animals observed)?
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Requires Manager's Approval
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Is there possible evidence of cultural use or scarring?
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Is there an opportunity to replace it with a like or similar species on the same property?
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Requires Manager's Approval
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Results
- Approval to be granted
- Requires Manager's Approval before proceeding
- Application to be rejected
