Lot
Property Location
SUM Diameter Replacement
Block
24" or greater but less than 48" 1 240" or greater but less than 264" 15
48" or greater but less than 72" 2 264" or greater but less than 288" 18
72" or greater but less than 96" 3 288" or greater but less than 312" 21
96" or greater but less than 120" 4 312" or greater but less than 336" 24
120" or greater but less than 144" 5 336" or greater but less than 360" 27
144" or greater but less than 168" 7 360" or greater but less than 384" 30
168" or greater but less than 192" 9 384" or greater but less than 408" 33
192" or greater but less than 216" 11 408" or greater but less than 432" 36
216" or greater but less than 240" 13 408" or greater but less than 432" 39
Parcel #
Replacement Tree Determination
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Fax: (631) 583-7597
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For activities in accordance with Village Code – Chapter 144 As per village code §144.5, a property owner may remove a tree on nonpublic property as of right, provided that:
  • The tree is removed under an actual or ongoing emergency when such tree removal is necessary for the protection and preservation of life or property, including adjoining parcels. The property owner shall give notice of said removal to the Village Engineer as soon as practical.

*****THIS IS AN APPLICATION ONLY*****
No trees may be removed or altered until a permit is issued
Property Address
Residual Aggregate DBH and # of Replacement Trees Required as per Village Code §281-5.
{[PNAME]}
Enter the address below:
SUM Diameter Removal
Unit #
  • Application
  • Tree Information
  • Attachments and Certification
State
Phone #
City
Licensed Contractor or Landscaper Information
Email
Full Name
Business Registration #
Licensed Tree Company Name
City
State
Name
Applicant is Property Owner?
Property Owner Information
Email
State
ZIP
Applicant Information
City
Title
Phone #
Registration #
Full Name
ZIP
Address
Address
Lookup Contractor by:
ZIP
Email
Address
Phone #
Phone #
Email
Residual Aggregate Diameter
Description of Project
Total Removal Diameter
  • 1 Tree with 10 inch diameter
  • 2 Trees with 5 inch diameters ea.
  • 5 Trees with 2 inch diameters ea.
  • 10 Trees with 1 inch diameters ea.
Date of Determination?
EXAMPLE: If you are removing a tree with a 10 inch diameter - you must replace with one of the following options:
Any Tree Removals performed in the past 3 years?
Any land use board determinations in the past 3 years?
Total Diameter of Proposed Removal of Live Trees
Diameter Analysis
Total Replacement Diameter
Tree Removal & Replacement Information
Total Diameter of all trees dead, dying, diseased or hazardous as determined by a tree expert
IMPORTANT: Total Diameter of replacement trees must be equivalent to the Total Diameter of the removed trees
Type Full Name :
Sign With Hand
Attachments
  • Please provide a survey of your property, if available, photographs, sketches, landscape plans and/or any other supporting documentation. TREES MUST BE MARKED WITH EITHER RIBBON, PAINT OR TAPE.

  • Color photos attached illustrating the existing conditions of the tree(s).


  • Additional pages attached include supporting documentation prepared by a tree expert that may provide assessment indicating the condition of dead, dying diseased or hazardous tree(s).
Certification
  • Replacement trees shall be native to the Appendix L, of a genus and species expected to grow to maturity at a similar size to the removed tree. Trees known to be invasive species are excluded for use as replacement trees. Replacement trees shall be selected by the property owner from the Village’s list of recommended native trees.

Signature
Fee Due
Fees