1 February 2017
DCF Form_0005
DIVISION OF COMMUNITY FORESTRY
METRO HALL 527 WEST JEFFERSON STREET, SUITE 606 LOUISVILLE, KENTUCKY 40202
Bulk Planting Permit Application
For Planting 10 or More Trees in the
Louisville Metro Right of Way
Directions:
1. Submit application along with required planting plan information to
CommunityForestry@louisvilleky.gov. Emails need to be titled as follows:
Bulk Planting Permit Application: [name of organization]”,
ex: Bulk Planting Permit Application: South Hampton HOA.
Applications must be submitted thirty (30) calendar days prior to planting date(s) for review and
permit awarding.
2. The Division of Community Forestry has twenty (20) calendar days from the date application is
received via email to review application along with required information and request additional
information.
3. The Division of Community Forestry has twenty-five (25) calendar days to issue permit if applicable.
Permits are only valid for the planting season that they are issued. If planting season ends prior to
work being performed, person and/or organization are required to re-apply for a valid permit.
(Planting season is from September to April yearly.)
Required information:
1. Application information (page 2).
2. List of Tree Locations (page 3):
Addresses adjacent to the public right of way with property owners printed name,
Location of tree (ex. tree well, ROW in front of house, ROW side of house),
Species and caliper size to be planted,
Overhead utility conflicts, and
Length and width of green verge (curb to sidewalk) or tree well. (If the green verge meets the
private property without presence of an impervious surface, state “Continuous).
3. Signed Division of Community Forestry Third Party Memorandum of Agreement (DCF Form_0006)
which acknowledges city ordinance and abutting property owner’s liability.
4. Map of area planting is to take place in. Each map needs to visibly show streets, property addresses
numbers, and proposed tree site (Recommend using LOJIC Online Map:
http://apps.lojic.org/lojiconline/).
2 February 2017
DCF Form_0005
DIVISION OF COMMUNITY FORESTRY
METRO HALL 527 WEST JEFFERSON STREET, SUITE 606 LOUISVILLE, KENTUCKY 40202
Bulk Planting Permit Application
For Planting 10 or More Trees in the
Louisville Metro Right of Way
SECTION 1: APPLICANT INFORMATION
PROJECT NAME: ____________________________________________________________________________
TOTAL # OF TREES TO BE PLANTED IN PUBLIC RIGHT OF WAY: _______ PLANTING DATE(S): ________________
ORGANIZATION NAME: ________________________________________________________________________________________
REPESENTATIVE OF ORGANIZATION OR APPLICANT: _________________________________________________________________
ORGANIZATION MAILING ADDRRESS: _____________________________________________________________________________
_______________________________________________________________________ STATE: ________ ZIP CODE: _____________
TELEPHONE: __________________________________ ALTERNATIVE TELEPHONE#: ________________________________________
EMAIL: ______________________________________________________________________________________________________
REPRESENTATIVE OF ORGANIZATION OR APPLICANT CONTACT INFORMATION:
TELEPHONE: ____________________________EMAIL ________________________________________________________________
C
OLLABORATING ORGANIZATION NAME (3
RD
PARTY): ________________________________________________________________
3
RD
PARTY CONTACT NAME: _________________________________________ TELEPHONE: _________________________________
EMAIL: __________________________________________________________
SI
GNATURE:
_____________________________________________________ ___________________________________ ___________________________
Director of Organization Print Name Date
3 February 2017
DCF Form_0005
DIVISION OF COMMUNITY FORESTRY
METRO HALL 527 WEST JEFFERSON STREET, SUITE 606 LOUISVILLE, KENTUCKY 40202
SECTION 2: LIST OF TREE LOCATIONS
*copy and paste information into excel worksheet below or insert directly
Adress:
Street
Number
Adress:
Street
Name
Location
of tree
(ex. tree
well,
ROW
f
ront of
house,
ROW
side of
house)
Species
Caliper
(in)
Presence
of
Overhea
d
Utilities
(
Yes/No)
Length of
Green
Verge or
Tree
Well (ft)
Width of Green
Verge or Tree
Well (ft); *if
green verge
meets the private
p
roperty without
presence of an
impervious
surface state
"Continuous"
Signed DCF Third Party MOA (Yes or No); insert
attachment here or attach separately
For DCF
Use
only:
Acccep
ted or
R
ejecte
d
EXAMPLE OF SPREADSHEET
4 February 2017
DCF Form_0005
DIVISION OF COMMUNITY FORESTRY
METRO HALL 527 WEST JEFFERSON STREET, SUITE 606 LOUISVILLE, KENTUCKY 40202
SECTION 3: PLANTING AND MAINTENANCE PLAN
TREE INSTALLERS (check all that apply): ___ Volunteers ___ Neighborhood Association
___ Contractors ___ Organization ___ Property Owners
AGREEMENT WITH DIVISION OF COMMUNITY FORESTRY (DCF):
*Please check mark next to statement
____ Property owner has read and understands tree based Louisville Metro Ordinances 96.02, 96.03, 96.99,
97.051, 97.076.
____ Organization or applicant will install trees according to the DCF Standards for Right of Way Trees (DCF
Form_0001). Organization will instruct tree installers of planting standards.
____ Organization or applicant will install tall mulch rings to according to the DCF Right of Way Trees (DCF
Form_0001). Organization will instruct tree installers of mulching standards.
____ Organization or applicant will inform property owner to follow the three year Tree Watering Regimen
(DCF Form_0002).
SECTION 4: MAP OF PLANTING AREA
*Please insert map of planting area below or attach as separate file.
5 February 2017
DCF Form_0005
DIVISION OF COMMUNITY FORESTRY
METRO HALL 527 WEST JEFFERSON STREET, SUITE 606 LOUISVILLE, KENTUCKY 40202
Division of Community Forestry (DCF) use only:
Date Application Received: ________ DCF Inspection Date: _________ Inspected by: ____________________
DCF Inspection Notes:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Permit Application (Accepted or Rejected):____________ Permit Type: ________________________________
Date of Permit Authorization: _______________
SR #:__________________________________________
_____________________________________________________ ___________________________________ ___________________________
DCF Staff Signature Print Name Date
Bulk Planting Permit #: _________________________________
click to sign
signature
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