$Date:: 2012-07-17 #$ $Revision: 4636 $
Application for tree works: works to trees subject to a tree preservation order (TPO)
and/or notification of proposed works to trees in a conservation area.
Town and Country Planning Act 1990
You can complete and submit this form electronically via the Planning Portal by visiting www.planningportal.gov.uk/apply
Publication of applications on planning authority websites
Please note that the information provided on this application form and in supporting documents may be published on the
Authority’s website. If you require any further clarification, please contact the Authority’s planning department.
Please complete using block capitals and black ink.
You must use this form if you are applying for work to trees protected by a tree preservation order (TPO). (You may also use it to give
notice of works to trees in a conservation area).
It is important that you read the accompanying guidance notes before filling in the form. Without the correct information, your application /
notice cannot proceed.
1. Applicant Name and Address
Title: First name:
Last name:
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
Company
(optional):
House
number:
House
name:
House
suffix:
Unit:
2. Agent Name and Address
Title:
House
name:
House
suffix:
House
number:
Unit:
Company
(optional):
First name:
Last name:
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
$Date:: 2012-07-17 #$ $Revision: 4636 $
3. Trees Location
If all trees stand at the address shown in Question 1, go to Question
4. Otherwise, please provide the full address/location of the site
where the tree(s) stand (including full postcode where available)
If the location is unclear or there is not a full postal address, either
describe as clearly as possible where it is (for example, 'Land to the
rear of 12 to 18 High Street' or 'Woodland adjoining Elm Road') or
provide an Ordnance Survey grid reference:
Description:
County:
Town:
Address 3:
Address 2:
Address 1:
House
suffix:
House
number:
Unit:
House
name:
Postcode
(if known):
4. Trees Ownership
Is the applicant the owner of the tree(s):
If 'No' please provide the address of the
owner (if known and if different from the trees location)
NoYes
Email address (optional):
Fax number (optional):
Country code:
Mobile number (optional):
Country code:
Extension
number:
National number:
Country code:
Telephone numbers
First name:Title:
Last name:
Postcode:
Country:
County:
Town:
Address 3:
Address 2:
Address 1:
House
suffix:
House
number:
Unit:
Company
(optional):
House
name:
If you know which TPO protects the tree(s), enter its title or number
below.
6. Tree Preservation Order Details
Are you seeking consent for works to tree(s)
subject to a TPO?
Yes No
Are you wishing to carry out works to tree(s)
in a conservation area?
NoYes
5. What Are You Applying For?
7. Identification Of Tree(s) And Description Of Works
Please identify the tree(s) and provide a full and clear specification of the works you want to carry out. Continue on a separate sheet if
necessary. You might find it useful to contact an arborist (tree surgeon) for help with defining appropriate work. Where trees are
protected by a TPO, please number them as shown in the First Schedule to the TPO where this is available. Use the same numbers on
your sketch plan (see guidance notes).
Please provide the following information below : tree species (and the number used on the sketch plan) and description of works. Where
trees are protected by a TPO you must also provide reasons for the work and, where trees are being felled, please give your proposals for
planting replacement trees (including quantity, species, position and size) or reasons for not wanting to replant.
E.g. Oak (T3) - fell because of excessive shading and low amenity value. Replant with 1 standard ash in the same place.
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8. Trees - Additional Information
For all trees
A sketch plan clearly showing the position of trees listed in Question 7 must be provided when applying for works to trees covered
by a TPO. A sketch plan is also advised when notifying the LPA of works to trees in a conservation area (see guidance notes).
It would also be helpful if you provided details of any advice given on site by an LPA officer.
For works to trees covered by a TPO
Please indicate whether the reasons for carrying out the proposed works include any of the following. If so, your application
must be accompanied by the necessary evidence to support your proposals. (See guidance notes for further details)
Yes No
2. Alleged damage to property - e.g. subsidence or damage to drains or drives.
If YES, you are required to provide for:
Subsidence
A report by an engineer or surveyor, to include a description of damage, vegetation, monitoring data, soil, roots
and repair proposals. Also a report from an arboriculturist to support the tree work proposals.
Other structural damage (e.g. drains, walls and hard surfaces)
Written technical evidence from an appropriate expert, including description of damage and possible solutions.
Documents and plans (for any tree)
Are you providing separate information (e.g. an additional schedule of work for Question 7)?
Additional information may be attached to electronic communications or provided separately in paper format.
Yes No
NoYes
1. Condition of the tree(s) - e.g. it is diseased or you have fears that it might break or fall:
If YES, you are required to provide written arboricultural advice or other
diagnostic information from an appropriate expert.
If YES, please provide the reference numbers of plans, documents, professional reports, photographs etc in support of your application.
If they are being provided separately from this form, please detail how they are being submitted.
7. Identification Of Tree(s) And Description Of Works continued ...
$Date:: 2012-07-17 #$ $Revision: 4636 $
9. Authority Employee / Member
With respect to the Authority, I am:
(a) a member of staff (c) related to a member of staff
(b) an elected member (d) related to an elected member
Yes No
If Yes, please provide details of the name, relationship and role
Do any of these statements apply to you?
10. Application For Tree Works - Checklist
Only one copy of the application form and additional information (Question 8) is required. Please use the guidance and this checklist to
make sure that this form has been completed correctly and that all relevant information is submitted. Please note that failure to
supply precise and detailed information may result in your application being rejected or delayed. You do not need to fill out this section,
but it may help you to submit a valid form.
Sketch Plan
A sketch plan showing the location of all trees (see Question 8)
For all trees
(see Question 7)
Clear identification of the trees concerned
A full and clear specification of the works to be carried out
For works to trees protected by a TPO
(see Question 7)
Have you:
stated reasons for the proposed works?
provided evidence in support of the stated reasons? in particular:
if your reasons relate to the condition of the tree(s) - written evidence from an
appropriate expert
if you are alleging subsidence damage - a report by an appropriate engineer or surveyor
and one from an arboriculturist.
in respect of other structural damage - written technical evidence
included all other information listed in Question 8?
11. Declaration - Trees
I/we hereby apply for planning permission/consent as described in this form and the accompanying plans/drawings and additional
information. I/we confirm that, to the best of my/our knowledge, any facts stated are true and accurate and any opinions given are the
genuine opinions of the person(s) giving them.
Or signed - Agent:Signed - Applicant:
Date (DD/MM/YYYY):
(This date must not be before the date
of sending or hand-delivery of the form)
12. Applicant Contact Details
Telephone numbers
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address (optional):
13. Agent Contact Details
Telephone numbers
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address (optional):
Electronic communication - If you submit this form by fax or e-mail the LPA may communicate with you in the same manner.
(Please see guidance notes)
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