Appalachian Native Botanical Sanctuary

Certification Application

The following application form is designed to be filled in using word processing. Items requesting information are “fill-in fields.” Simply click on the blank and add the information requested. The field will expand to hold the information entered. To work on the application over time, download it to your computer and save after each session. When you have completed the application, please print it out and follow the mailing directions at the end of the application.

NAME: ___

ADDRESS: _____

CITY: ____

COUNTY: ___

STATE: ___ ZIP CODE: ___

TELEPHONE: (home) ___ (cell) ____

E-MAIL ADDRESS: ___

TERRAIN:

To qualify as an Appalachian Native Botanical Sanctuary a significant portion of the property should be maintained in its natural state.

Total property size: ___

Approximate percentage of that area dedicated to Appalachian Native Plants: ___

Check those terrain features which apply:

__ Level ground __ Gentle slopes __ Steep slopes __ Primarily open/sunny

__ Primarily mixed __ Primarily wooded

NATIVE PLANTS:

A native landscape must have representation in 6 of the 11 plant categories for certification.

All plants listed must be native to Appalachia. Please include botanical names if possible.

1. Canopy trees: _____

2. Understory trees (less than 40 feet): _____

3. Shrubs: ___

4. Ferns: ___

5. Woodland flowers (shade)

a. Spring blooming: ___

b. Summer blooming: ___

c. Fall blooming: ___

6. Garden or meadow flowers (sun)

a. Spring blooming: ___

b. Summer blooming: ___

c. Fall blooming: ___

7. Native grasses: ___

8. Vines (herbaceous or woody): ___

9. Ground covers: ___

10.Mosses /lichens: ___

11. Water / bog plants: ___

CONSERVATION PRACTICES:

Applicant must practice at least 5 of the following 11 conservation practices for certification. Please check those that apply.

__ 1. Removal of invasive pest plants __ 2. Composting __ 3. Mulching __ 4. Avoiding

chemical use

__ 5. Using soaker hoses __ 6. Controlling pests naturally by encouraging beneficial insects

__7. Capturing/utilizing rainwater __ 8. Minimizing oreliminating lawn areas
__ 9. Allowing leaves to remain where they fall, or shredding as mulch
__ 10. Reducing the use of fossil-fueled maintenance equipment, e.g. lawn mowers, weed-eaters, etc.

__ 11. Leaving snags, log piles, and standing deadwood

SPECIAL FEATURES: Check if applicable to your landscape

__ Moss garden __ Native grass lawn __ Pond/lake __ Rock garden __ Rock retaining walls

__ Rock outcroppings __ Sitting / viewing areas __ Stream /creek __ Garden paths

__ Wildflower meadow __ Arbors __ Rain garden

Please forward your completed application andrepresentative photo(s) to:

Attention: Clare Johnston

Preservation Committee

GeorgiaMountain Research and EducationCenter

2564 Georgia Mountain Experiment Station Road
Blairsville, GA30512

Telephone: 706-745-2655
E-mail address:

This information will be maintained in the files of the Preservation Committee of the GeorgiaMountain Research and EducationCenter and will not be distributed without your permission.