Version 2018
Application for tree works: works to trees subject to a preservation order (TPO)
and/or notification of proposed works to trees in conservation areas (CA).
Town and Country Planning Act 1990
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:
If you would rather make this application online, you can do so on the Welsh Government website:
www.gov.wales/planningapplications
Local Planning Authority details:
Upon receipt of this form and any supporting information, it is the responsibility of the Local Planning Authority to inform you of its
obligations in regards to the processing of your application. Please refer to its website for further information on any legal, regulatory and
commercial requirements relating to information security and data protection of the information you have provided.
Please be aware that once you have downloaded this form, Planning Portal and Welsh Government will have no access to the form of the
data you enter into it. Any subsequent use of this form is solely at your discretion, including the choice to complete and submit it to the Local
Planning Authority in agreement with the declaration section.
Privacy Notice
This form is provided by Planning Portal and based on the requirements provided by Welsh Government for the sole purpose of submitting
information to the Local Planning Authority in accordance with the legislation detailed on this form and other relevant items of primary and
subordinate legislation.
It is important that you read the accompanying guidance notes and help text as incorrect completion will delay the processing of your
application.
If printed, please complete using block capitals and black ink.
Please ensure that the information you submit is accurate and correct and does not include personal or sensitive information. If you require
any further clarification, please contact the Local Planning Authority directly.
Publication on Local Planning Authority websites
Information provided on this form and in supporting documents may be published on the authority's planning register and
website.
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3. Trees Location
Full address/location of the site where the tree(s) stand (including
full postcode where available)
If there is not a full postal address, describe as clearly as possible
where it is (for example, 'Land to the rear of 12 to 18 High Street' or
'Woodland adjoining Main Road') or provide a grid reference:
Easting:
Northing:
Description:
County:
Town:
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):
Mobile number (optional):
Country code:
Extension
number:
National number:
Country code:
Telephone numbers
First name:Title:
Last name:
Postcode:
Country:
County:
Town:
Address 2:
Address 1:
House
suffix:
House
number:
Unit:
Company
(optional):
House
name:
Do you know the title of the Tree Preservation Order (TPO)?
Yes No
If Yes, please provide the title of the TPO:
6. Tree Preservation Order Details
Are you wishing to carry out works to tree(s) in a Conservation Area (CA)?
NoYes
Are you seeking consent for works to tree(s) Subject to a Tree Preservation Order (TPO)?
NoYes
7. Identification Of Tree(s) And Description Of Works
Please provide a full and clear description of:
- The proposed works
- The trees affected including species and location
Before answering these questions you might find it helpful to consult a tree surgeon to clarify what needs to be done.
Trees protected by TPO should be numbered according to the First Schedule of the Tree Preservation Order. For example - T3 oak; two
beech and one birch in G2.
You must identify the trees on a sketch plan showing the location in relation to building(s), named roads and boundaries.
Please state the reference number you have given the plan (as described above):
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8. Trees - Reasons For Works
This section only needs to be completed if you are seeking consent for proposed works to trees under a Tree Preservation Order (TPO)
Please state the reasons for carrying out the proposed works on the tree(s):
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 documents specified.
Health or safety of the tree(s) - e.g. it is diseased, fears that it might break or fall:
If Yes, information required - report by a tree professional (e.g. arboriculturist, horticultural
adviser).
Yes No
Alleged subsidence damage:
Yes No
If Yes, Information required: Full report by an engineer or surveyor, together with one from a tree professional - to include date and
description of property damage; sub-soil type and shrinkage potential; location of any roots found and their identification; history of
ground and building movement through a distortion survey and/or level or crack monitoring over suitable period; other vegetation in
the vicinity and its management since discovery of the damage.
9. Trees - Additional Information
Are you providing additional information in support of your application?
NoYes
If Yes, please provide the reference numbers of plans, documents, professional reports etc in support of your application:
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10. Application For Tree Works - Checklist
Please use this checklist to ensure that the form has been completed correctly and that all relevant information is submitted.
For works to trees protected by a Tree Preservation Order, failure to supply sufficiently precise and detailed information may result in your
application being rejected or delay in dealing with it. In particular, you MUST provide the following:
The original and 3 copies of a completed and dated application form.
The original and 3 copies of a sketch plan showing the location of all tree(s).
The original and 3 copies of a full and clear specification of the works to be carried out.
The original and 3 copies of a statement of reasons for the proposed work.
- evidence in support of statement of reasons. In particular, you should provide:
The original and 3 copies of a report by a tree professional (e.g. arboriculturist or
horticultural adviser) if your reasons relate to the health and/or safety of the tree(s).
The original and 3 copies of a report by an engineer or surveyor, together with
one from a tree professional (arboriculturist) if you are alleging subsidence damage.
For works to trees in conservation areas, it is important to supply precise and detailed information on your proposal. You may, therefore,
wish to provide the following:
The original and 3 copies of a completed and dated form, with all questions answered.
The original and 3 copies of a sketch plan showing the precise location of all tree(s).
The original and 3 copies of a full and clear specification of the works to be carried out.
Whether the trees are protected by a TPO or in a conservation area, please indicate which of the following
types of additional information you are submitting (the original and 3 copies of each need to be provided):
- photographs.
- report by a tree professional (arboriculturist) or other.
- details of any assistance or advice sought from a Local Planning Authority officer prior to submitting this form.
11. Declaration - Trees
I/we hereby apply for planning permission as described in this form and the accompanying plans/drawings and additional information. I
confirm that, to the best of my knowledge, any facts stated are true and accurate and any opinions given are the genuine opinions of the
persons giving them.
Or signed - Agent:Signed - Applicant:
Date (DD/MM/YYYY):
(date cannot be
pre-application)
12. Applicant Contact Details
Telephone numbers
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Email address (optional):
13. Agent Contact Details
Telephone numbers
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Email address (optional):