Executed Tree Removal and Replacement Application submission

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