You must have JavaScript enabled to use this form. Name Postal address Address Address 2 City/Town State/Province - None -Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia ZIP/Postal Code Email Phone Road verge details Road verge details Road verge address Address Address 2 City/Town State/Province - None -Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia ZIP/Postal Code Brief description of proposed planting Requirements for City of Darwin Road Verge Planting Requirements for City of Darwin Road Verge Planting A. Before you begin Questions Yes No N/A I have contacted Before You Dig Australia (byda.com.au) and located any underground services. Yes No N/A The property owner / owners’ corporation of my strata scheme has provided written agreement to the road verge planting (attached). Yes No N/A I will submit a completed copy of this checklist to City of Darwin and will await confirmation of approval before commencing any works. Yes No N/A My road verge planting will be constructed and maintained in accordance with the City of Darwin Road Verge Planting Policy and the requirements stipulated in this Application Form. Yes No N/A B. General conditions Questions Yes No N/A The road verge, measured from my property boundary to the road, is at least 3 metres wide. Yes No N/A The road verge is between my property boundary and a formed road. Yes No N/A All works will be carried out by hand with no excavation deeper than 30cm. Mechanised excavation tools and equipment will not be used, and care will be taken around drainpipes. Yes No N/A Public street trees will be preserved and will not be pruned or removed. Yes No N/A Only bio-degradable mulches such as woodchip, leaves and compost will be used. Yes No N/A Run-off will be contained, including materials such as water, soil, mulch or debris onto the footpath, road or into drains. Yes No N/A Barriers for the purpose of establishing the road verge planting will only be used for a maximum three (3) month period. The barriers will be erected with the use of sturdy timber poles or timber stakes which are not easily knocked over. Yes No N/A The barrier poles / stakes, rope or string will be identified with an abundance of makers to ensure the safety of pedestrians. They will be capped and not have sharp edges. Yes No N/A Stakes, guide wires or protrusions which may cause a hazard to users of the footpath and road will not be used. Yes No N/A Structures or solid materials will not be used, including concrete or solid edging, star pickets, fencing, guide wires, or loose materials such as rocks, paving, pebbles or stones. Yes No N/A Artificial turf will not be used Yes No N/A Snail baits will not be used. Yes No N/A The use of herbicides and pesticides will be minimised, and only used in accordance with label directions. Yes No N/A The road verge planting will be maintained to ensure it is safe, tidy, and attractive. Yes No N/A C. Choosing plants (refer to section D for information on hedges) Questions Yes No N/A I will not use plants that are prickly, spiky, carrying heavy fruit, poisonous, or are a common cause of allergies, or are recognised | declared weeds. The use of water efficient plants and / or native plants are strongly encouraged. Yes No N/A I will maintain plants to not exceed 60cm in height at maturity, and not encroach on accessibility, circulation, and sightlines. Yes No N/A Where grassing takes place, the area will be excavated to 10cm and reinstated with topsoil to be no higher than the top of the kerb (and the top of the footpath if one is present) and be free draining. Yes No N/A D. Hedges Questions Yes No N/A Will be planted against the property boundary. Yes No N/A Will be maintained to not exceed 1.5m in height at maturity. Yes No N/A Will be maintained to not encroach further than 80cm from the property boundary. Yes No N/A Will have a minimum of 1.0m from both sides of the driveway left clear for sight lines Yes No N/A E. Irrigation Questions Yes No N/A If permanent sprinklers will be installed on the road verge, I will use the water meter from my property and the water source from within my property. Yes No N/A All water pipes will be placed in a conduit under the footpath. Where the footpath is not present the pipes will be buried under the verge with a minimum cover of 30cm. Yes No N/A Sprinkler heads will be the pop-up variety or drippers will be used. Yes No N/A High density pipes (i.e. high density polypipe) will be used. Yes No N/A I note that if council is notified of water leaking onto the road reserve, City of Darwin will attempt to contact the owner to have it repaired. Council will terminate the supply at the property line if no remedial action is taken within 24 hours. Yes No N/A Remember to be water wise – you have to pay for your water. Yes No N/A F. Vegetation Clear Zones Questions Yes No N/A Gardens must be set back from the road edge by 60cm. Yes No N/A Where there is no formed path on the road verge, a minimum 1.5m width must be left clear for pedestrians. Yes No N/A If there is an existing street tree in my verge, I will ensure that there is no damage to existing tree roots when conducting my planting. • For street trees with a trunk of 30cm or less, I will leave a radius of 1.5m around the tree. This exclusion area should be the mulch ring for your tree. • For street trees with a trunk of more than 30cm, I will leave a radius of 2.5m around the tree. This exclusion area should be the mulch ring for your tree. Yes No N/A Sightlines will be maintained, including for pedestrian, bicycle or vehicular traffic when using the road, and entering or exiting a driveway. Yes No N/A I have considered access for utility companies, Australia Post and other providers that may need to access infrastructure on my road verge, when undertaking my planting. Please ensure you do not plant over, or mulch over in ground fire hydrants. Power and Water will ask us to clear these if you do. Yes No N/A CoD Controlled Land Residents cannot plant trees on any City of Darwin Controlled Land. Residents can contact City of Darwin to request tree planting on the road verge and the request will be considered as part of Council's tree planting program. Privacy Statement I acknowledge that I have read and understand the City of Darwin Privacy Statement . Yes Declaration I agree to the following:I have read and agree to undertake and abide by the relevant conditions outlined in the City of Darwin Road Verge Planting Policy.I have completed the checklist accurately and honestly and confirm that the proposed road verge planting meets these requirements.I will notify Council if any of the details change.I will ensure that works within the road verge will not create a public risk.I will ensure that the road verge planting does not cause sight-line issues for vehicles, cyclists or pedestrians.I will pay all costs associated with the reinstatement of any damage caused to City of Darwin infrastructure or other public utilities as a result of the proposed activities associated with these works, including all work carried out on my behalf by any agent, sub-contractor or others engaged to deliver remove or carry out any part of the proposed work.I acknowledge that should future placement of City of Darwin or essential service infrastructure require the planting to be removed, no compensation will be due for the removal or disturbance of my road verge planting. I will maintain the road verge planting in accordance with the Road Verge Planting Policy and these requirements and acknowledge that City of Darwin may remove the works at any time if council is satisfied that it no longer complies with these requirements.I am aware that it is an offence to knowingly provide false or misleading information. Yes Type full name Date Leave this field blank
