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CITY OF ROLLINGWOOD GOOD NEIGHBOR PLANTING CONSENT FORM
1
GOOD NEIGHBOR PLANTING
CONSENT FORM
(CITY CODE 3.05.007(f))
Instructions
This form is to be used when you are required to replant REPLACEMENT TREES as a
condition of a Tree Removal Permit and you wish to replant one or more
REPLACEMENT TREES on another property.
1. Identify the types and sizes of REPLACEMENT TREES you would like to replant
on a property that is not your own.
2. Talk to your direct neighbors to ask permission for a space to plant one or more
REPLACEMENT TREE(s) of the type and size required on one or more
properties or ask the City for a list of areas within the City identified by the City
Arborist for accepting REPLACEMENT TREES of the type and size required.
3. Once you have selected the species of REPLACEMENT TREE to plant, fill this
form out completely and legibly. All information is required. Incomplete
forms will be subject to delay.
4. Fill out a separate Good Neighbor Planting Consent Form for each neighbor
property where a REPLACEMENT TREE will be planted.
5. Submit the completed Good Neighbor Planting Consent Form(s) to the City
with your Tree Removal Permit application.
Tree Planting Standards
- REPLACEMENT TREE planting must comply with all applicable requirements
of City Code 3.05, Division 2.
- Tree species should be selected for the type of REPLACEMENT TREE
REQUIRED (either the Protected Tree List or 20ft Tree List), that is applicable
for the planting space. For example, for a REPLACEMENT TREE species to be
selected from the 20ft Tree List for planting in a neighbor’s space, the space
must be within 20 ft of an above-ground utility line. For a REPLACEMENT
TREE species to be selected from the Protected Tree List, the space must be
farther than 20 ft from an above-ground utility line.
- Newly planted REPLACEMENT TREES must be watered during the dry summer
months (May to October) for at least the first three years after planting,
depending on type of tree. Trees should be watered slowly to penetrate the
soil deeply.
- Trees must survive for at least three years after planting or must be replaced by
the permit holder as agreed to below.
CITY OF ROLLINGWOOD GOOD NEIGHBOR PLANTING CONSENT FORM
2
Neighbor Planting Consent Form
TREE REMOVAL PERMIT APPLICATION INFORMATION
Total number of trees for neighbor to plant _______
TREE REMOVAL PERMIT APPLICANT INFORMATION
Name ________________________________________________________
Mailing Address_________________________________________________
Email ______________________________ Phone_____________________
NEIGHBOR INFORMATION (must be the neighbor property owner or city representative)
Property Owner Name____________________________________________
Mailing Address_________________________________________________
Email ______________________________ Phone_____________________
REPLACEMENT TREE PLANTING SERVICE PROVIDER
Applicant Landscaper or other __________________________________
TREE INFORMATION (ATTACH ADDITIONAL PAGES AS NEEDED)
Tree #
Tree Species and Size
1
2
3
Tree Planting
&
Establishment Agreement
Write in the name of the responsible party for each line below.
I, _____________________ (Permit Applicant), agree to purchase and plant the tree(s)
listed above at the location listed above.
I, _____________________ (Permit Application or Neighbor) agree to ensure the
tree(s) survival for at least three years.
I, _____________________ (Permit Applicant), agree to replace the tree(s) as my
expense with the same species tree if the tree(s) dies within three years of the permit date.
I,______________________ (Neighbor), agree to the long-term maintenance and care
of the tree(s) for at least three years. I will get the proper permits from the City before
pruning or removing the tree(s).
CITY OF ROLLINGWOOD GOOD NEIGHBOR PLANTING CONSENT FORM
3
NOTICES
Statement of Fact:
By signing or initialing, I certify that the facts and information set forth
in this application are true and complete to the best of my knowledge. I understand that
any falsification, misrepresentation or omission of fact (whether intentional or not) in this
application or any other required document, as well as any misleading statement or
omission, may be cause for revocation of permit, regardless of how or when discovered.
Statement of Compliance with City Code:
By signing or initialing, I agree to comply with
the City of Rollingwood Code 3.05, Division 2. I understand that the Applicant submitting
a Tree Removal Permit Application including this Good Neighbor Planting Consent Form
does not entitle the Applicant to a permit, and the Applicant must have the permit in hand
before beginning any work. Failure to obtain a permit or violating the terms of a permit
may result in civil penalties of up to $2000.00 per violation per City Code Title 3.05.014;
additional fines may also apply. I agree to hold harmless the City of Rollingwood, its
agents, officers, and employees for any damage or injury caused by reason of planting,
placement, maintenance, or removal of trees.
Statement of Intent to Plant and Establish Trees:
By signing or initialing, I understand
that replanting is a condition of a Tree Removal Permit. I agree to meet the City of
Rollingwood’s planting standards under City of Rollingwood Code 3.05, Division 2. I
understand that I am responsible for the successful establishment of the replanted
replacement trees for at least 3 years.
Tree Removal Permit Applicant Name: _________________________________
Signature: _____________________________ Date: __________________
Neighbor/City Rep Name: _________________________________________
Signature: _____________________________ Date: __________________
Must be the owner or authorized representative of the property where the trees will be planted
Initials are acceptable in lieu of signature if submitting electronically
Don
’
t forget to call the TEXAS 811 HOTLINE before
digging a hole to plant your tree!
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Completed 16 July 2020

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