Contact Details
Applicant
Name:
Address:

Phone (home):
Phone (day):
Phone (cell):
Email:
GST Number
(if registered):
Owner, if different from applicant
Name:
Address:

Phone (home):
Phone (day):
Phone (cell):
Email:
Site Details
Address:

Eco Region:
Eco District:
Tier: Tier 1 - Confirmed Significant Natural Area
Tier 2 - Existing native vegetation remnants remain and would benefit from management
Tier 3 - No remnant native vegetation, or any remaining are insignificant, creating a new 'site'
Grid Refs (NZTM): Easting (X)
Northing (Y)
Is the site an SNA? Yes it's a Significant Natural Area as determined by the SDC
No, or I don't know
If yes, please supply details
Site Description
Project Details
Project Name:
Project Site Located: In Selwyn
Outside of Selwyn
Project Start Date: (d/m/yy)
Project Goals and Objectives:
Site Area: ha
Legal Protection:
Project Details:
Fencing Pest Control Weed Control Replanting
Create New Site Enhancement Site Protection of Site Maintenance
Education Research

Ecosystem:
Riparian Planting Swamp/Wetland Kahikatea/Matai Forest
Totara/Matai Forest Beech & Podocarp Forest Dry Woodland
Grass/Shrubland Coastal Saltmarsh Coastal Sand Dune
Lowland Stream Intermontane Stream Braided River
Artificial/Modified Watercourse/Wetland Hill Country High Country Lakes
Hapua Lagoons & Estuaries Groundwater/springs Artificial Replanting

Primary Habitat:
Project Specific Notes:
Future Management:
Environmental Benefits:
Existing Work:
Timeframe:
Monitoring:
Funding Required
Fencing Material: Value: $
Comment:
Native Plants: Value: $
Comment:
Labour: Value: $
Comment:

(Only in exceptional circumstances will we be able to fund labour)
Combi Guards: Value: $
Comment:
Other Costs: Value: $
Comment:
Total: $ (A)
Other Funding Options:
Funding from other sources: $ (B)
Applicant-provided funds: $ (C)
Funding sought from SNEF: $ (A minus B, minus C)
CHECK
Have you filled in everything you need to?

When you Submit your application it will be sent to Selwyn District Council. If you supplied an email address in the 'Applicant Email' field above, a copy of your application will be sent to that address.

Supporting Files: Please email any supporting files to biodiversity@selwyn.govt.nz. Remember to include the 'Applicant Name' so that we can match it to your application.

Human-check: What is two times three? (as a numeral - ie 0 not zero)
BEFORE SUBMITTING
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