Tree Application Site Assessment

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Application details

• Applicant name

• Sketch showing location of trees

  Drawing

Tree 1

• Tree species 1

• Photograph of tree 1

  Media

• Determination Tree 1

  Remove

  Retain

Tree 1 assessment

• Is the tree in decline?

  Yes

  No

  N/A

• Has the tree been incorrectly pruned in the pasts?

  Yes

  No

  N/A

• Is the tree not growing true to form?

  Yes

  No

  N/A

• Is the tree causing property damage?

  Yes

  No

  N/A

• Is the tree interfering with sewer pipes?

  Yes

  No

  N/A

• Is the tree overcrowded by surrounding trees?

  Yes

  No

  N/A

• Has the tree been in appropriately planted?

  Yes

  No

  N/A

• Does the tree display weak branch structure?

  Yes

  No

  N/A

• Does the tree display a history of branch failure?

  Yes

  No

  N/A

• Is the tree interfering with overhead powerlines?

  Yes

  No

  N/A

• Does the tree display evidence of Bracket Fungi which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree display evidence of decay which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree contain cavities which may affect the structural integrity?

  Yes

  No

  N/A

• Is the tree a multi-trunked specimen which is prone to failure?

  Yes

  No

  N/A

• Does the tree include bark between stems/branches which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree display evidence of extensive termite activity which may affect structural integrity?

  Yes

  No

  N/A

• Is the tree dead and consent from Council not required for removal?

  Yes

  No

  N/A

• Is the tree exempt from Council's Tree and Bushland Management Provisions and therefore can be removed?

  Yes

  No

  N/A

Pruning recommendations

• Is to be retained as it was in healthy condition at time of inspection.

  Yes

  No

  N/A

• Pruned to shape by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and selectively thinned by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and pruned to shape by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and pruned to reduce end weight by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Conifers should be reduced in height by removing no more than 1/4 of the canopy.

  Yes

  No

  N/A

• To provide a 500mm clearance from overhead power lines.

  Yes

  No

  N/A

• Your neighbour must be notified prior to undertaking any pruning works on their tree.

  Yes

  No

  N/A

• To reduce the wind sail effect.

  Yes

  No

  N/A

• This will alleviate your concerns regarding branch drop.

  Yes

  No

  N/A

• The matter will be re-assessed once a plumbers/structural engineers/pest report is submitted, substantiating that the tree is causing damage to property.

  Yes

  No

  N/A

• Should you wish to submit a report from an independent, suitably qualified AQF Level 5 Arborist, to establish the viability of the tree/s, such a report will be reviewed by Council staff and a re-inspection carried out.

  Yes

  No

  N/A

Tree 2

• Does the application include a second tree?

  Off

  On

• Tree species 2

• Photograph of tree 2

  Media

• Determination Tree 2

  Remove

  Retain

Tree 2 assessment

• Is the tree in decline?

  Yes

  No

  N/A

• Has the tree been incorrectly pruned in the pasts?

  Yes

  No

  N/A

• Is the tree not growing true to form?

  Yes

  No

  N/A

• Is the tree causing property damage?

  Yes

  No

  N/A

• Is the tree interfering with sewer pipes?

  Yes

  No

  N/A

• Is the tree overcrowded by surrounding trees?

  Yes

  No

  N/A

• Has the tree been in appropriately planted?

  Yes

  No

  N/A

• Does the tree display weak branch structure?

  Yes

  No

  N/A

• Does the tree display a history of branch failure?

  Yes

  No

  N/A

• Is the tree interfering with overhead powerlines?

  Yes

  No

  N/A

• Does the tree display evidence of Bracket Fungi which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree display evidence of decay which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree contain cavities which may affect the structural integrity?

  Yes

  No

  N/A

• Is the tree a multi-trunked specimen which is prone to failure?

  Yes

  No

  N/A

• Does the tree include bark between stems/branches which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree display evidence of extensive termite activity which may affect structural integrity?

  Yes

  No

  N/A

• Is the tree dead and consent from Council not required for removal?

  Yes

  No

  N/A

• Is the tree exempt from Council's Tree and Bushland Management Provisions and therefore can be removed?

  Yes

  No

  N/A

Pruning recommendations

• Is to be retained as it was in healthy condition at time of inspection.

  Yes

  No

  N/A

• Deadwooded and selectively thinned by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and selectively thinned by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and pruned to shape by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and pruned to reduce end weight by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Conifers should be reduced in height by removing no more than 1/4 of the canopy.

  Yes

  No

  N/A

• To provide a 500mm clearance from overhead power lines.

  Yes

  No

  N/A

• Your neighbour must be notified prior to undertaking any pruning works on their tree.

  Yes

  No

  N/A

• To reduce the wind sail effect.

  Yes

  No

  N/A

• This will alleviate your concerns regarding branch drop.

  Yes

  No

  N/A

• The matter will be re-assessed once a plumbers/structural engineers/pest report is submitted, substantiating that the tree is causing damage to property.

  Yes

  No

  N/A

• Should you wish to submit a report from an independent, suitably qualified AQF Level 5 Arborist, to establish the viability of the tree/s, such a report will be reviewed by Council staff nada re-inspection carried out.

  Yes

  No

  N/A

Tree 3

• Does the application include a third tree?

  Off

  On

• Tree species 3

• Photograph of tree 3

  Media

• Determination Tree 3

  Remove

  Retain

Tree 3 assessment

• Is the tree in decline?

  Yes

  No

  N/A

• Has the tree been incorrectly pruned in the pasts?

  Yes

  No

  N/A

• Is the tree not growing true to form?

  Yes

  No

  N/A

• Is the tree causing property damage?

  Yes

  No

  N/A

• Is the tree interfering with sewer pipes?

  Yes

  No

  N/A

• Is the tree overcrowded by surrounding trees?

  Yes

  No

  N/A

• Has the tree been in appropriately planted?

  Yes

  No

  N/A

• Does the tree display weak branch structure?

  Yes

  No

  N/A

• Does the tree display a history of branch failure?

  Yes

  No

  N/A

• Is the tree interfering with overhead powerlines?

  Yes

  No

  N/A

• Does the tree display evidence of Bracket Fungi which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree display evidence of decay which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree contain cavities which may affect the structural integrity?

  Yes

  No

  N/A

• Is the tree a multi-trunked specimen which is prone to failure?

  Yes

  No

  N/A

• Does the tree include bark between stems/branches which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree display evidence of extensive termite activity which may affect structural integrity?

  Yes

  No

  N/A

• Is the tree dead and consent from Council not required for removal?

  Yes

  No

  N/A

• Is the tree exempt from Council's Tree and Bushland Management Provisions and therefore can be removed?

  Yes

  No

  N/A

Pruning recommendations

• Is to be retained as it was in healthy condition at time of inspection.

  Yes

  No

  N/A

• Pruned to shape by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and selectively thinned by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and pruned to shape by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and pruned to reduce end weight by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Conifers should be reduced in height by removing no more than 1/4 of the canopy.

  Yes

  No

  N/A

• To provide a 500mm clearance from overhead power lines.

  Yes

  No

  N/A

• Your neighbour must be notified prior to undertaking any pruning works on their tree.

  Yes

  No

  N/A

• To reduce the wind sail effect.

  Yes

  No

  N/A

• This will alleviate your concerns regarding branch drop.

  Yes

  No

  N/A

• The matter will be re-assessed once a plumbers/structural engineers/pest report is submitted, substantiating that the tree is causing damage to property.

  Yes

  No

  N/A

• Should you wish to submit a report that includes findings of an aerial inspection and supporting photographs from an independent, suitably qualified, AQF Level 5 Arborist to establish the viability of the tree/s, such a report will be reviewed by a council staff and re- inspection carried out.

  Yes

  No

  N/A

Tree 4

• Does the application include a fourth tree?

  Off

  On

• Tree species 4

• Photograph of tree 4

  Media

• Determination Tree 4

  Remove

  Retain

Tree 4 assessment

• Is the tree in decline?

  Yes

  No

  N/A

• Has the tree been incorrectly pruned in the pasts?

  Yes

  No

  N/A

• Is the tree not growing true to form?

  Yes

  No

  N/A

• Is the tree causing property damage?

  Yes

  No

  N/A

• Is the tree interfering with sewer pipes?

  Yes

  No

  N/A

• Is the tree overcrowded by surrounding trees?

  Yes

  No

  N/A

• Has the tree been in appropriately planted?

  Yes

  No

  N/A

• Does the tree display weak branch structure?

  Yes

  No

  N/A

• Does the tree display a history of branch failure?

  Yes

  No

  N/A

• Is the tree interfering with overhead powerlines?

  Yes

  No

  N/A

• Does the tree display evidence of Bracket Fungi which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree display evidence of decay which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree contain cavities which may affect the structural integrity?

  Yes

  No

  N/A

• Is the tree a multi-trunked specimen which is prone to failure?

  Yes

  No

  N/A

• Does the tree include bark between stems/branches which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree display evidence of extensive termite activity which may affect structural integrity?

  Yes

  No

  N/A

• Is the tree dead and consent from Council not required for removal?

  Yes

  No

  N/A

• Is the tree exempt from Council's Tree and Bushland Management Provisions and therefore can be removed?

  Yes

  No

  N/A

Pruning recommendations

• Is to be retained as it was in healthy condition at time of inspection.

  Yes

  No

  N/A

• Pruned to shape by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and selectively thinned by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and pruned to shape by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and pruned to reduce end weight by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Conifers should be reduced in height by removing no more than 1/4 of the canopy.

  Yes

  No

  N/A

• To provide a 500mm clearance from overhead power lines.

  Yes

  No

  N/A

• Your neighbour must be notified prior to undertaking any pruning works on their tree.

  Yes

  No

  N/A

• To reduce the wind sail effect.

  Yes

  No

  N/A

• This will alleviate your concerns regarding branch drop.

  Yes

  No

  N/A

• The matter will be re-assessed once a plumbers/structural engineers/pest report is submitted, substantiating that the tree is causing damage to property.

  Yes

  No

  N/A

• Should you wish to submit a report that includes findings of an aerial inspection and supporting photographs from an independent, suitably qualified, AQF Level 5 Arborist to establish the viability of the tree/s, such a report will be reviewed by a council staff and re- inspection carried out.

  Yes

  No

  N/A

Tree 5

• Does the application include a fifth tree?

  Off

  On

• Tree species 5

• Photograph of tree 5

  Media

• Determination Tree 5

  Remove

  Retain

Tree 5 assessment

• Is the tree in decline?

  Yes

  No

  N/A

• Has the tree been incorrectly pruned in the pasts?

  Yes

  No

  N/A

• Is the tree not growing true to form?

  Yes

  No

  N/A

• Is the tree causing property damage?

  Yes

  No

  N/A

• Is the tree interfering with sewer pipes?

  Yes

  No

  N/A

• Is the tree overcrowded by surrounding trees?

  Yes

  No

  N/A

• Has the tree been in appropriately planted?

  Yes

  No

  N/A

• Does the tree display weak branch structure?

  Yes

  No

  N/A

• Does the tree display a history of branch failure?

  Yes

  No

  N/A

• Is the tree interfering with overhead powerlines?

  Yes

  No

  N/A

• Does the tree display evidence of Bracket Fungi which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree display evidence of decay which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree contain cavities which may affect the structural integrity?

  Yes

  No

  N/A

• Is the tree a multi-trunked specimen which is prone to failure?

  Yes

  No

  N/A

• Does the tree include bark between stems/branches which may affect the structural integrity?

  Yes

  No

  N/A

• Does the tree display evidence of extensive termite activity which may affect structural integrity?

  Yes

  No

  N/A

• Is the tree dead and consent from Council not required for removal?

  Yes

  No

  N/A

• Is the tree exempt from Council's Tree and Bushland Management Provisions and therefore can be removed?

  Yes

  No

  N/A

Pruning recommendations

• Is to be retained as it was in healthy condition at time of inspection.

  Yes

  No

  N/A

• Pruned to shape by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and selectively thinned by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and pruned to shape by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Deadwooded and pruned to reduce end weight by removing no more than 15% of the canopy. No cut shall be more than 150mm in diameter.

  Yes

  No

  N/A

• Conifers should be reduced in height by removing no more than 1/4 of the canopy.

  Yes

  No

  N/A

• To provide a 500mm clearance from overhead power lines.

  Yes

  No

  N/A

• Your neighbour must be notified prior to undertaking any pruning works on their tree.

  Yes

  No

  N/A

• To reduce the wind sail effect.

  Yes

  No

  N/A

• This will alleviate your concerns regarding branch drop.

  Yes

  No

  N/A

• The matter will be re-assessed once a plumbers/structural engineers/pest report is submitted, substantiating that the tree is causing damage to property.

  Yes

  No

  N/A

• Should you wish to submit a report from an independent, suitably qualified AQF Level 5 Arborist, to establish the viability of the tree/s, such a report will be reviewed by Council staff nada re-inspection carried out.

  Yes

  No

  N/A

Replacement trees

• Backhousia citriodora (Lemon Scented Myrtle)

  Yes

  No

  N/A

• Corymbia eximia (Yellow Bloodwood)

  Yes

  No

  N/A

• Corymbia gummifera (Red Bloodwood)

  Yes

  No

  N/A

• Corymbia maculata (Spotted Gum)

  Yes

  No

  N/A

• Elaeocarpus reticulatus (Blueberry Ash)

  Yes

  No

  N/A

• Eucalyptus crebra (Narrow Leaved Ironbark)

  Yes

  No

  N/A

• Eucalyptus leucoxylon (Yellow Gum)

  Yes

  No

  N/A

• Eucalyptus microcorys (Tallowwood)

  Yes

  No

  N/A

• Eucalyptus saligna (Sydney Blue Gum)

  Yes

  No

  N/A

• Eucalyptus sideroxylon (Red Ironbark)

  Yes

  No

  N/A

• Hymenosporum flavum (Native Frangipani)

  Yes

  No

  N/A

• Lophostemon confertus (Brush Box)

  Yes

  No

  N/A

• Syncarpia glomulifera (Turpentine)

  Yes

  No

  N/A

• Syzyigium leuhmannii (Riberry)

  Yes

  No

  N/A

• Tristaniopsis laurina (Water Gum)

  Yes

  No

  N/A

• Waterhousia floribunda (Weeping Lilly Pilly)

  Yes

  No

  N/A

• Additional tree species