Executed Tree Removal and Replacement Application submission

Permit No: Date Issued: WEST ORANGE Township of West Orange Application for Tree Removal and Replacement Permit ALL questions must be answered for the Applications to be considered COMPLETE. Application Date: x t ae This Application for a Tree Removal and Replacement Permit is made with reference to and the intent to comply with all applicable laws, rules, and regulations, including the General Revised Ordinances of the Township of West Orange. 1. Name of Applicant_Mavis Tire Supply, LLC (atin: James Micik, Director of Entitlements) Street Address: 100 Hillside Avenue City/State/Zip:_White Plains, NY 10603 Home Phone: Work/Cell Phone:_914-984-2500 x5213 Emait_jmicik@mavis.com ?. Location of Property Subject to Proposed Tree Removal Activity Street Address: 460 Prospect Avenue Block:_105. tot:_ 64.04 3. Property Owner(s) of Record Name of Owner_460 Prospect Street, LLC (attn: Cheri Bungard) Street Address:_1625 Route 10 City/State/Zip:_Morris Plains, NJ 07950 Home Phone:, Work/Cell Phone:_973-490-8209 Email:_cbungard@weichertdevelopment.com 4. Status of Applicant (Check One) Tenant __ Owner _v Contract Purchaser __ Other: *If the Applicant is not the owner, attach hereto the notarized consent of the owner.* 5. Has this property been the subject of an application and/or otherwise involved in a matter before the West Orange Planning Board and/or Board of Adjustment? Yes__ No___ Ifyes, please state the dates and action taken or pending, identify the Township Agency who or is handling the matter, and enclose a copy of the resolution conserved by the Agency, if applicable: 6. Has the property received a construction permit and/or is there a construction permit pending? Yes__ Nov__ If yes, please state the reason for and the date of application or the date of the issuance of the permit: ‘Tree Removal Application 4-13-15

Permit No: Date Issued: 7. Describe or attach the landscaping replacement planting plan, if applicable, including the number, size and species of trees to be replaced. Attach additional sheets if necessary: Please see the Landscape Plan (Sheet 8 of 20), and Landscape Notes & Details (Sheet 9 of 20) included within the Preliminary and Final Site Plan. 8. Describe or attach grading plan if more than six (6) inches of soil will be removed or added within the drip line of a tree or trees on the site: Please see the Grading Plan (Sheet 6 of 20) included within the Preliminary and Final Site Plan. 9. Map, drawing or diagram must be attached hereto. List the names, address, phone number i and email of the preparer of the map drawing or diagram attached: Preparer of plans: Dynamic Engineering Consultants - 5 Greentree Centre, Suite 406, Marlton NJ 08053 (Rod Ritchie, PE PP - rritchie@dynamicec.com 856-334-2000) (Marla A. Roller, Landscape Architect - inroller@dynmamicec.com) 2 10. List the number, species, and diameter of each tree to be removed:_Please see the Planting Schedule located on the Landscape Plan (Sheet 8 of 20), and Landscape Notes & Details (Sheet 9 of 20) included within the Preliminary and Final Site Plan. 11. State reason for tree removal:_Necessary for proposed grading on site 12. Identity contractor who will be providing tree removal services: Name:_unknown at this time Address:, City/State/Zip: Work Phone:, Cell Phone: Email: 13. Proposed dated to commence tree removal: Proposed dated to complete tree removal: David Sorbaro, Co-CEO Mavis Tire Supply LLC +‘ [ 1+ / Sr 3 Applicaht's Signature Print Name Legibly Date Tree Removal Application 4-13-15