Fillable Find a Certified Arborist Chapter 21A.37 SMC Prevent (City of Sammamish)

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Find a Certified Arborist Chapter 21A.37 SMC Prevent (City of Sammamish)

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801 228
th
Ave NE
Sammamish, WA 98019
425-295-0500 | www.sammamish.us
2020-01-HZTR Page 1 of 3
HAZARD TREE REMOVAL
REQUEST FORM
ABOUT HAZARD 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
A hazardous tree is a significant tree that has a structural defect, or a disease
that creates a structural defect, which will:
• Damage a property
• Damage a road or utility facility
• Prevent emergency access
DETERMINING IF YOUR TREE QUALIFIES AS A HAZARD
You will need to have a TRAQ certified Professional Arborist licensed by the
International Society of Arboriculture evaluate your tree(s) for the following:
• Tree health and condition.
• Proximity to a “target” that could be impacted by tree failure.
• Ability to abate the risk by managing the tree’s condition through
pruning, cabling, or other preventative measures.
If the Arborist determines the tree is a hazard and should be removed, you
will complete and submit this form. Be sure the Arborist provides you with
documentation of their certification and an ISA Basic Tree Risk Assessment
Form, which is a required submittal item.
If the Arborist finds that the tree is not a hazard, 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 Hazard 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 hazard tree removal.
2020-01-HZTR Page 2 of 3
HAZARD TREE REMOVAL REQUEST FORM
1
4
3
2
OWNER INFORMATION
Company:
(if applicable)
E-Mail:
APPLICANT/REPRESENTATIVE INFORMATION
Company:
(if applicable)
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 Hazard 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. ISA Basic Tree Risk Assessment Form
− Provided by a TRAQ certified Licensed Arborist
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
Complete & save this form before uploading it in the “File Upload” section along with the required
submittal documents.
2020-01-HZTR Page 3 of 3
HAZARD TREE REMOVAL REQUEST FORM
HAZARD 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. To the best of my knowledge:
☐
The tree(s) have been
evaluated by an International Society of Arboriculture Certified
Arborist qualified as a Tree Risk Assessor (TRAQ) and have been determined to be
h
azardous.
☐
A copy of the ISA Basic Tree Risk Assessment Form is included with this submittal.
☐
The risk or hazard cannot be abated by managing the tree(s) condition through
pruning, cabling, or other preventative measures and the potential target(s) cannot
be moved.
☐
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 th
e
requirements of SMC 21A.37.280.
D. I w
ill be removing _________ tree(s) and planting ___________ tree(s).
E. I u
nderstand that I must not remove any tree deemed a hazard until the statements above
have been verified and a permit exemption under SMC 21A.37.230 has been issued.
F. 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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Find a Certified Arborist Chapter 21A.37 SMC Prevent (City of Sammamish)

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Completed 26 February 2021

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