Application for LCH Program

Your Name(Required)

First Last

Applying on behalf of (optional)

Email(Required)

Phone(Required)

Habitat Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Certified Habitat Map Agreement(Required)

I'm ok with my habitat + address being shown on a map.

I'm ok with the general location of my habitat being shown on a map.

Please don't include my habitat on any maps.

Habitat Images

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 25 MB.

Is it ok for us to use images of your habitat?(Required)

Yes

What year did you begin work on your habitat?

How would you describe your surroundings?

Rural

Suburbs

Urban

How big is your habitat site? (Approximate lot size or acreage) *(Required)

Don't forget your unit of measurement!

If your habitat has been certified by another organization, list it here.

Name of organization and certification.

Tell us about your site!

My habitat provides(Required)

Food (nectar, fruit, seeds, leaves)

Water (mister, birdbath, naturally wet areas)

Shelter (unmown areas, fallen branches, shrubs/trees)

Check all that apply. 2 of 3 are required for certification.

I rarely use herbicides and insecticides except to spot manage invasive plants or destructive insects. I do not use mosquito repellant systems and nor do I use weed killer liberally in ditches and edging, as these chemicals harm other insects and helpful plants and end up in our watershed.(Required)

Agree

Disagree

To increase habitat area, I only mow limited areas of my property. I use best practices to protect pollinators like keeping my mower blade set high (about 4 inches) and I leave dried grass and leaves in place through winter where possible.(Required)

Agree

Disagree

I rarely leave soil bare and vulnerable to erosion and weeds. Instead, I use native plants as ground cover or I mulch with leaves or responsibly sourced material such as pine bark or pine straw NOT purchased, unsustainably harvested cypress mulch.(Required)

Agree

Disagree

Does your site contain any rare plant or animal species?(Required)

Yes

If yes, your site may qualify for additional protection from the state and for higher-level certification from us.

Rare Species Description

List any rare species here.

Is your site being restored to natural habitat from agricultural or other use?(Required)

Yes

Submit Your Native Plant List

You must download the Certified Habitat Program Plant List, mark the plants in your property and upload it to this application.

Download the Certified Habitat Program Plant List here.

Upload Your Plant List File

Max. file size: 50 MB.

Or list the native plants on the property here

How many native plant species are on the property?(Required)

What percent of the property is native plants?(Required)

Habitat Certification Level(Required)

Bronze: 25 native plant species or 25% of plants are native

Silver: 50 native plant species or 50% of plants are native

Gold: 75 native plant species or 75% of plants are native

Which level are you applying for? To be eligible, all plants must be on your site. An upgrade in certification level is available at any time at no additional cost.

Name

This field is for validation purposes and should be left unchanged.

LCH Program Application - North Region

Submit Your Native Plant List

Native Plant Info

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