Intermountain Conservation District Community Tree …

1 Intermountain Conservation District Community tree Program Application Form Please Print Name of Applicant: _____. Applicant's Mailing Address: _____. Town: _____ Province: _____ Postal Code: _____. Phone:_____ Cell: _____ Email: _____. Name of Landowner (if different from applicant): _____. Legal Address of Project Site: (Section/Township/Range or Street Address or Lot/Plan). _____. Municipality in which Project is Located: _____. Disclosure of trees to be planted: Distance to be planted: _____ meters Do you require plastic mulch (at cost) Y____N____.

2 RECOMMENDED tree AND SHRUB SPACING FOR SHELTERBELTS. Deciduous trees - at least m (8 ft) apart Deciduous shrubs - at least m (3 ft) apart Coniferous trees - at least m (15 ft) apart. Siberian Larch at least m (8ft). tree QUANTITY CALCULATION EXAMPLE. Distance of planting (m/ft) divided by selected species spacing equals total trees required Eg. 1000 m m (Green Ash) 400 trees Trees must be ordered in bundles of 25. Price includes GST and shipping from supplier. Full payment is required at time of application - cash or cheque is accepted. Application deadline January 30 th.

3 Deciduous Trees Price/ # of Total Coniferous Price/ # of Total & Shrubs Bundle bundles Trees Bundle bundles Hybrid Poplar cuttings $ White Spruce $ Willow Cuttings $ Colorado Spruce $ Green Ash $ Scots Pine $ MB Maple $ Siberian Larch $ Bur Oak $ Villosa Lilac $ Buffaloberry $ Sub-Total Dogwood $ GST (5%). Caragana $ Total owing Please read all conditions and responsibilities listed on the reverse side of this application form. I hereby declare that I have read the conditions and that I agree to abide by the terms. Signature of Applicant: _____ Date:_____.

4 Signature of registered Landowner: _____ Date:_____. (if different than applicant). (CTPA 2016). Terms and Conditions Objective: To provide young tree seedlings for large plantings in the area that will produce environmental benefits. IMCD recognizes the environmental benefits that trees can provide, but that larger tree planting projects can be expensive. IMCD will provide young tree seedlings as per the cost schedule in the application for Community trees; we are able to obtain cost savings by buying in bulk. Landowner is responsible for preparing the site, planting the trees, and all maintenance of trees and site.

5 IMCD also has larger trees available from our tree Nursery for Town & Community plantings (please contact our office). General Information: Planting site must be located within the Intermountain Conservation District (IMCD). Application deadline is January 30th each year, with pick-up of the trees for planting in the spring. Full payment must accompany the application. Cash or cheques are accepted. No change in orders or refunds are considered once the order has been placed by the IMCD with our tree supplier. tree seedlings are expected to be received between May 1 May 15.

6 Seedling pickup dates will be determined by the IMCD and all applicants will be notified. All seedlings/cuttings must be picked up at the IMCD yardsite (Hwy 274 just outside of Ethelbert). Any seedlings purchased but not picked up on the pickup dates, will revert to the property of the IMCD unless prior arrangements have been made. No refunds will be issued. IMCD does not provide warranty on stock. Due to the nature of the nursery business there may be instances where the IMCD is unable to supply the order requested. In these instances, the purchaser can either take a substitution of stock of equal value or a refund.

7 Additionally the IMCD is not liable for any direct or indirect, special incidental or consequential damages incurred or claimed by the purchaser. Applicant will indemnify and save harmless the IMCD, their agents, engineers, servants and /or employees from any liability that may result from this project. tree seedlings are usually 6 24 inches in height at time of delivery, depending on species. IMCD reserves the right for reasonable access to the project site for inspection and to promote the program. Machines for tree planting and plastic mulch application are available for rental.

8 Intermountain Conservation District Box 328, Ethelbert, MB R0L 0T0. Phone: (204) 742-3764 Fax: (204) 742-3721. Email: Website.