Form 17.3	VIRGINIA DEPARTMENT OF FORESTRY
04/19/2017	Virginia Trees for Clean Water Grant Program Inspection

Inspector:	Project Number (VDOF Use Only):
SECTION 1 – Project Information
Project Title:	Grantee Name:
Project Address/Location:
Site Type (median, park, tree well, etc.):	Tree Type (bare-root, caliper size, etc.):
SECTION 2 – Inspection
Inspection Date:
Inspection Items	Yes/No	Comments (tree species with defect, etc.)
Woody Plant Material Quality
Plants are in healthy growing condition	Yes	No
Plants match approved species list	Yes	No
Dead and broken branches/suckers have been removed	Yes	No
Plants exhibit no signs of disease or pests	Yes	No
Trunk is straight and free from wounds that penetrate the wood	Yes	No
Tree has one central leader unless different form is specified in planting list	Yes	No
Plant Installation
Plants correctly spaced and planted according to design plan	Yes	No
Trees are free from conflict (powerline, light pole, etc.)	Yes	No
Trees are planted at or within 2 in. above existing grade (root collar is exposed)	Yes	No
Trees have a 2 – 4 in. layer of mulch on planted area	Yes	No
No mulch is touching the trunk of the tree	Yes	No
Trees staked only if appropriate and flat, flexible ties were used	Yes	No
All labels, tags, shipping wrap and twine have been removed (if ball and burlap, then burlap and top ⅓ to ½ of basket removed)	Yes	No
All visible stem girdling roots have been removed	Yes	No
Tree protection structures/guards installed if required	Yes	No
Maintenance
Planting areas do not have weeds or debris	Yes	No
Irrigation/water bags in place or applicant has watering plan	Yes	No
Corrective Actions Needed (if any)	Comments
1.
2.
3.
4.
Maintenance Recommendations/Additional Comments: