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Project Type: ^ New installation/construction/renovation (i..e,,, emergency operations centers, docks, piers, <br />security guard buildings, etc..) <br />Project Location (physical project address or latitude/longitzzde of project location): <br />Color site photos and other visual documentation (i.e ,maps, technical drawings) attached? ^ Yes ^ No <br />Will ground disturbance be required? ^ Yes ^ No <br />. If yes, please give total extent (depth and length): <br />Has the ground been. previously disturbed? ^ Yes ^ No <br />Please.describe pr•eVious ground disturbing activities (e.g ,parking lot, farming, commercial development, <br />etc }: <br />Will any equipment or structures need to be installed? ^ Yes ^ No . <br />lf'yes, please explain how and where this is proposed to be done (please include site-specific _ photographs, and <br />attach additional pages, if needed}: <br />Please state the date of construction of'the bui[ding(s) or structures} (e.g., bridge) involved in the proposed project: <br />Project Type: ^ Renovationslupgrades/modifications to structures 50 years old or older <br />Project Location (physical project address or latitude/longitude of project location): <br />Co[or site photos and other visual documentation {i e., maps, technical drawings) attached? ^ Yes ^ No <br />bVill ground disturbance be required? ^ Yes ^ No <br />If~yes, please give total extent (depth and length): <br />Has the ground been previously disturbed? ^ Yes ^ No <br />Please describe previous ground disturbing activities (e g ,parking lot, farming, commercial development, <br />etc ): <br />Will any equipment or structures need to be installed? ^ Yes ^ No <br />If yes, please explain how and where this is proposed to be done (please include site-.spec•ific photographs, and <br />attach additional pages, if needed): <br />Please state the date of construction of the building(s) or structure(s) (e g ,bridge) involved in the proposed project: <br />Project Iype: ^ Communication towers, related equipment, and equipment shelters <br />Project Location (physical project address or latitude/longitude of project location): <br />Color site photos and other visual documentation (i.ey maps, technical drawings) attached? ^ Yes ^ No <br />Please state the total height (in ft.) of'the tower or structure, including any antennae to be mounted: <br />If~the proposed tower height is greater than 199. feet above ground level, please state why this is needed to meet the <br />requirements ofthe project: <br />Will the tower be free-standing or require guy wires? ^ Free standing ^ Guy wires <br />if guy wires are required, please state how many: <br />Please state why a guyed tower is needed to meetthe rr;quiremerits.of'this project: <br />Has an FCC License been obtained for this tower? ^ Yes ^ No License #: <br />If yes, please attach all relevant environmental documentation submitted as part of'the licensing process, including use of'the <br />Tower Construction Notification System (TCNS), if applicable. <br />tiVil[ ground disturbance be required? ^ Yes ^ No <br />If yes, please give total extent (depth and length): _ <br />Page 38 <br />