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TREE Permit Application (REV. 7-2014) CASE: ______________________________ 14-Tree Preservation/Permit Application Rev.d 07-2014 Page 1 of 4 CITY OF SCHERTZ TREE PRESERVATION/REMOVAL PERMIT APPLICATION ***No Site Work Can Be Initiated Until This Application is Approved*** Name of Subdivision/Development: ________________________________________________________________ Lot: ______________ Block: ______________ Address: _________________________________________ Residential Commercial Multi-Family Other Survey Name: _________________________________________ Abstract#: _____________ Tract # ________ Location/Address of Property:_______________________________________________________________________ Is property platted (Circle One) Yes No Recording Information: Total Acreage Is Property Outside City Limits? (in ETJ) (Circle One) Yes No Owner’s Name: ____________________________________________________________________________________________ Street Address, City, State, Zip: ________________________________________________________________________________ Ph#: ___________________________ Fax#: __________________________ E-Mail: ______________________________ Landscape Architect: ________________________________________________________________________________________ Street Address, City, State, Zip: ______________________________________________________________________________ Ph#: __________________________ Fax#: __________________________ E-Mail: ______________________________ Contractor: ____________________________________________________________________________________________ Street Address, City, State, Zip: ______________________________________________________________________________ Ph#: __________________________ Fax#: __________________________ E-Mail: ______________________________ APPLICATION REQUEST FOR: SITE WORK (prior to platting) includes surveying, clearing, grading and filling (Expires in 180 days) FINAL PLAT APPROVAL BUILDING PERMIT CASE: ______________________________ 14-Tree Preservation/Permit Application Rev.d 07-2014 Page 2 of 4 CITY OF SCHERTZ TREE PRESERVATION/REMOVAL PERMIT APPLICATION TREE AFFIDAVIT: I am aware of the requirements of the City of Schertz Unified Development Code, Section 21.9.9 regarding Tree Preservation/Removal. This affidavit verifies that to the best of my knowledge that said property:  1. Has no Protected or Heritage trees,  2. Will in no way cause the destruction of or damage to any Protected or Heritage tree(s). Any wounded or damaged tree(s) will be repaired immediately,  3. Will involve the removal of Protected (8" DBH) and/or Heritage trees (24" DBH). OWNER ACKNOWLEGEMENT THE STATE OF TEXAS § COUNTY OF ________________________________ § BEFORE ME, a Notary Public, on this day personally appeared _________________________________________________ the undersigned owner, who, under oath, stated the following: “I hereby certify that I am the owner of this property and authorize the applicant and/or the representative to represent this property on my behalf; that all information submitted herein is true and correct.” _______________________________________________________ Owner SUBSCRIBED AND SWORN TO before me, this ___________ day of _______________________________, 20________. (SEAL) _______________________________________________________ Notary Public in and for the State of Texas Office Use Only Permit # Mitigation Fee Plan Review Fee Tree Preservation Permit Fee Approved to Issue Permit Inspected by Date Date CASE: ______________________________ 14-Tree Preservation/Permit Application Rev.d 07-2014 Page 3 of 4 CITY OF SCHERTZ TREE MITIGATION CHECKLIST THE FOLLOWING MATERIALS SHALL ACCOMPANY TREE APPLICATION: Tree Mitigation Affidavit and Permit Application This competed checklist Two (2) sets of a completed Tree Preservation Inventory worksheet Any information required by this application or by the Unified Development Code. Two (2) folded copies of (18"X 24") or (24" x 36") tree plan containing the following information One (1) CD containing digital copies of the tree plan in pdf. format Ap p l i c a n t St a f f No t A p p l i c a b l e TECHNICAL REQUIREMENTS 1 Title block located in lower right corner with subdivision name or survey name and abstract number, and preparation date 2 Names, addresses, and phone numbers of owner, applicant and surveyor 3 North arrow, scale, and location/vicinity map (1"=50' or 1"=100') 4 Legend, if abbreviations or symbols are used 5 Property boundary and dimensions 6 Location and width of planned and existing thoroughfares, streets, or county roads within and adjacent to the property 7 Building setback lines 8 Building layout and dimensions 9 Identify 100-year flood plain 10 Identify all tree groupings 11 Identify all individual trees eight (8) inches DBH and larger 12 A summary of methods used for protecting saved trees TREE MITIGATION EXAMPLE City of Schertz # OF TREES ON SITE TYPE OF TREE TOTAL INCHES # OF TREES SAVED INCHES SAVED # OF TREES REMOVED INCHES REMOVED INCHES TO BE MITIGATED 3 Heritage - Oak 84 2 60 1 24 72 17 Protected - Oak 136 13 104 4 32 32 20 220 15 164 5 56 104 Percent of trees save: 75% Total Inches to be Mitigated: 104 Total Payment in Lieu of Replacement: 104 x $100.00 =$10,400 Heritage Tree (24" or greater) Protected Tree (8" or greater) Mitigated at 3" per 1" Mitigated at 1" per 1" CASE: ______________________________ 14-Tree Preservation/Permit Application Rev.d 07-2014 Page 4 of 4 TREE INVENTORY WORKSHEET NOTE: (DBH) is Diameter at Breast Height measured 4.5 feet above ground level No. TYPE/SPECIES TREE DBH REMOVE PRESERVE Exempt Mitigate Replace 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 50 51 52 Total