NOMINATION FOR SIGNIFICANT TREE REGISTRATION FORM

Complete the below form to nominate a single significant tree.

Title* - required

First name* - required

Surname* - required

Address

Contact number* - required

Email address* - required

FOR A SINGLE TREE - DESCRIPTION OF TREE

Scientific Name

Common Name

Size: Height (Estimate metres)

Width of Crown (Estimate metres)

Trunk Diameter cm (at breast height)

FOR A GROUP OF TREES - DESCRIPTION OF TREES

1. Scientific (species):

Common Name:

2. Scientific (species)

Common Name:

3. Scientific (species):

Common Name:

4. Scientific (species):

Common Name:

5. Scientific (species):

Common Name:

7. Scientific (species):

Common Name:

6. Scientific (species):

Common Name:

8. Scientific (species):

Common Name:

9. Scientific (species):

Common Name:

CATEGORY UNDER WHICH NOMINATION IS BEING MADE(single tree)* - required

It may be a remnant of a previous landscape. It may have been planted by a famous person. It may be rare, old or magnificent etc. It may be a particularly fine representation of its species. It may be a specimen of an endangered species. It may be of cultural value eg: may have Aboriginal markings or early survey markings etc. It may be of a particular aesthetic value. It may have biological value to the environment.

CATEGORY UNDER WHICH NOMINATION IS BEING MADE(Group of trees)* - required

They collectively fulfil any of the criteria for single trees. They may for an integral part of the landscape of a heritage building or precinct. They may be a group of trees which have some historical significance. The trees should co-exist or support another feature of the natural environment that would face extinction if this association was to cease. The trees should provide a fundamental understanding of the customs or lifestyles of previous generations, either alone or in association with other elements. The trees are an integral component of the watershed and drainage system (including the aquifer recharge system). The trees provide habitat for native wildlife.

THIS NOMINATION IS SUPPORTED BY THE FOLLOWING INFORMATION: (LIST RELEVANT INFORMATION WHICH MAY SUPPORT YOUR NOMINATION IN TERMS OF THE CATEGORY NOMINATED ABOVE).

LOCATION OF TREE (Provide details on the location of the tree. For example: situated 2 metres south of the front fence and 5 metres east of the western fence on the block at No. 315 Some Street. Attach a map if necessary).

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NOMINATION FOR SIGNIFICANT TREE REGISTRATION FORM

NOMINATION FOR SIGNIFICANT TREE REGISTRATION FORM

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