Fillable ABOUT UNHEALTHY TREE REMOVAL Code Reference Chapter 21A.37 (City of Sammamish)

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ABOUT UNHEALTHY TREE REMOVAL Code Reference Chapter 21A.37 (City of Sammamish)

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801 228
th
Ave NE
Sammamish, WA 98019
425-295-0500 | www.sammamish.us
2020-01-UTR Page 1 of 3
UNHEALTHY TREE REMOVAL
REQUEST FORM
ABOUT UNHEALTHY TREE REMOVAL
Code Reference
Development Standards - Trees
Chapter 21A.37 SMC
Resources
Tree Management Webpage
Find a Certified Arborist
King County iMap
Sammamish Property Tool
Questions?
Email the Tree Removal team
City of Sammamish
801 228th Ave SE
Sammamish, WA 98075
www.sammamish.us
Unhealthy trees are those that are dead or dying (lacking enough live
branches or green leaves to sustain life) and not simply dormant, as
determined by a certified Arborist.
Unhealthy trees cannot be partially saved or managed through pruning,
cabling, or other measures. You are encouraged to partially retain trees
through the creation of a snag whenever possible.
Note that properties with critical areas or critical area buffers will need to
contact the Tree Removal Team for more information on what is possible.
DETERMINING IF YOUR TREE IS UNHEALTHY
Unless you can show in a photo that the tree is dead, you will need a
qualified Licensed Arborist by the International Society of Arboriculture (ISA)
to evaluate your tree and provide an arborist report with the following:
• Tree health and condition & if the tree is unhealthy, the reason why
• Recommendations to improve the tree’s health, if possible
• If unhealthy & non-recoverable, if the tree can be converted to a snag
• If unable to convert to a snag, a finding that removal is necessary
If the Arborist finds that the tree is unhealthy and should be removed, you
will complete and submit this form. Be sure to have the Arborist to provide
their ISA certification number for the Unhealthy Tree Affidavit.
If the Arborist finds that the tree is healthy but you’d still like to remove it,
you will need to complete a Healthy Tree Removal Permit Application.
APPLICATION REVIEW PROCESS
Once you submit the Unhealthy Tree Removal Request Form and
accompanying documentation, it will be reviewed by staff. If everything
looks okay, then the City will provide a receipt of confirmation and you can
proceed with the tree removal. Please see
MyBuildingPermit.com for
current processing times.
FEES
There are no fees for unhealthy tree removal.
2020-01-UTR Page 2 of 3
UNHEALTHY TREE REMOVAL REQUEST FORM
1
4
3
2
OWNER INFORMATION
Name:
Address:
Phone:
E-Mail:
APPLICANT/REPRESENTATIVE INFORMATION
Name:
Address:
Phone:
E-Mail:
PROPERTY INFORMATION
Property Address:
Parcel Number(s):
SUBMITTAL CHECKLIST
A PDF of each document is required at time of submittal. Please label files as numbered and listed below:
(For example: 02 Site Plan)
☐
01. Signed City Application Form (including the Unhealthy Tree Affidavit on page 3)
☐
02. Site Plan (see example
)
− Provide a sketch showing the location of tree to be modified/removed and replacement trees
☐
03. Arborist Report
− Must include documentation of the tree(s) conditions and make a recommendation on actio
n.
ONLINE SUBMITTAL INSTRUCTIONS
Create an account on MyBuildingPermit.com.
Select “Apply For Permit” and then select “Sammamish” as the jurisdiction.
Select the following:
Application Type
Clearing & Grading
Project Type
Any Project Type
Activity Type
Trees or Vegetation Only
Scope of Work
Tree Removal & Pruning
C
omplete & save this form before uploading it in the “File Upload” section along with the required
submittal documents.
2020-01-UTR Page 3 of 3
UNHEALTHY TREE REMOVAL REQUEST FORM
UNHEALTHY TREE AFFIDAVIT
NO notary is required for this affidavit.
The
undersigned, being first duly sworn on oath deposes and says:
A. I am over the age of eighteen (18) years and competent to be a witness herein.
B
. I am the property owner of ___________________________________________________
_
in Sammamish, Washington.
C. I have hired ___________________________ as my ISA Certified Arborist. Their
certification number is _________________________________.
D. To the best of my knowledge:
☐
The tree(s) have been evaluated by an International Society of Arboriculture
Certified Arborist and have been determined to be unhealthy.
☐
A copy of the Arborist report that includes documentation of the tree(s) conditions
and recommending action is included with this submittal.
☐
The tree(s) cannot be converted to a wildlife habitat snag and removal is necessary.
☐
A recommendation for replanting has been provided by the Arborist meeting the
r
equirements of SMC 21A.37.280.
E. I w
ill be removing _________ tree(s) and planting ___________ tree(s).
F. I u
nderstand that I must not remove any tree deemed unhealthy until the statement
s
a
bove have been verified and an exemption determination of a non-significant tree h
as
b
een made.
G. I understand that tree removal in violation of the City’s tree preservation standards is
c
onsidered a criminal misdemeanor.
I
certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Print Name(s):
Signature(s):
Date:
Place:
(City and State)
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ABOUT UNHEALTHY TREE REMOVAL Code Reference Chapter 21A.37 (City of Sammamish)

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Completed 26 February 2021

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