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PRINCE GEORGE'S COUNTY, MARYLAND ~/
TELECOMMUNICATIONS TRANSMTS N FACILITY fl h/ y -
COORDINATING COMMITTEE CC). 7/ <-((! / )!'
APPLICATION FOR WIRELESS COMM
SITE COORDINATION (fJ
.
"TTFCC"
c/o Department of Environmental Resources
Prince George's County Government
9400 Peppercorn Place, Suite 600
Largo, Maryland 20774
For Countv Use Onlv
Re: Application for Minor Modification toan Existing Telecommunication Site
Action Proposed:
~Add/replace antennas at existing antenna mounts (microwave dishes placement limited to no
more than 2' 611 in width and no more than 5' above or below the carrier's existing RAD center
platform.
~Add/replace equipment at existing site
0Change in frequencies
0Change in mounting design
0Install atemporary cell-on-wheels (COW)
PRINCEGEORGE'SCOUNTY
I TTFCC
I
q/ ~to / 1 { _
Carrier Name: Verizon Date
Carrier site name: Benamin Task~r Middle ~chool Milestone /Babbit Ve on) /
Property Address (fromPGAtlas). 4901 Collington Rd ~lo Reservations
City, State, Zip Code Bowie, MD 20716
Land Owner Name: Prince George's County Board of Education Dw/Reservations
Tax identification number (from PGAtlas): 0660936 I ~ : ; 5
Support StructureInformation I I ~
Structure Type: Monopole:~ Building:O Water Tank: D Tower: DC~or electrical transmission line
tower, state tower#): __
Latitude/ Longitude (decimal degrees fromPGAtlas): Lat: 38.95874 Long: -lf6:..:..:..74.;...;6;..;0.;;...6.:....l_
Site ground level elevation (AMSL in feet): 141.5'.
Support structure height (in feet): 151.00
Name of owner of the supporting structure: Milestone Communications
Contact Name: Maureen Kane Smith Phone: 703-298-5093 Fax: 703-668-0418
E-mail: maurcen@milestonecorp.com
Complete Street Address, City, State, and ZIP Code: 12110 Sunset Hills Road, Suite 100, Reston, VA
20190
Application Summary
J n the space provided, write abrief description of thereason for the modifications, including adescription
of the existing antennas, equipment, equipment shelters or cabinets, and any screening for the equipment
that may beinplace: Verizon Wireless proposes the installation of 15panel antennas and necessary ground
equiptment on apreviously recommended 151' tall monopole to bebuilt at 490l Collington Road, Bowie,
MD 20716. A 11'- 6" x 16'-10.5'' eguiptment shelter and generator will be installed on the ground.
Signature: ~- L,
Applicant NamC:Bestone Communications
Date: _1- l ..{- 'LO/l f
Ihereby certify that:
I. All the radio- frequency (Rf<) information and the statements submitted in this application and any
and all subsequent RF submissions or amendments to the application are true, complete and
accurate to the best of my knowledge and belief, and are made in good faith.
2. The RF engineering has been pe1 formed to the best industry and engineering standards.
3. The geographical terrain data in determining the expected radio coverage is that provided by the
US. Geological Survey , and is based on three (3) second or better terrain data.
4. No alteration or modification of data has been pe1 for1 1 1 edin the preparation of the coverage
maps, unless stated in the application package. (i.e., adjust for obshuctions unique to the area,
foliage loss, etc.)
5. The individual signing below is authorized to act on behalf of the Applicant regarding this
certification.
Name: LukeNeiswander
Title: RI<' Engineer
Antenna Information
Type and quantity of antennas: OMNI __ PANELli DISH __ OTIIER(describe) _ _
For each ty pe of a11te 1111a:
Manufacturer: CSS model number(s)X?-FR0-860(2) X7-880(1); S/\ 15-78(6)
Frequencies to beused: Tx: 746-757, 880-894, MHz Rx: 776-787, 835-849
Antenna Size: H:9~4" w: 14.6;12.5;14.5" H: 8;7.1;9"
Maximum EffectiveRadiated Power (ERP): 500.00-1000.00Watts
Elevation of antenna (RAD AGL): 150'
Manufacturer: CSS model number (s) AXP !8-80 .().
Frequencies to beused: Tx: 2120-2135 ; 1945-1950; 1975-1985Rx: 1720-1735 ; 1865-1870 ; 1895-1905
Antenna Size: H69" W6.7" D1"
Maximum Effective Radiated Power (ERP): I OOOWatts
Elevation of antenna (RAD AGL): 150'
FCC and FAA Rules &Regulations
Will the antenna installation beincompliance with the maximumpermissible RF exposure limits set forth
inSec.l.1310 of theFCC Rules and Regulations? Yes cg] No 0
Jf 110, pleaseattach anexplanation.
Type of compliance study required under Sec. l.1307 of the FCC Rules and Regulations:
Categorically Excluded I Z J
Routine Environmental Evaluation 0
Environmental Assessment 0
State if an application for an FAA review has been submitted. If an FAA determination for the site has
been issued, please attach acopy. fssued (attached)
Engineering Certification
Every application for a new tower, monopole or other type supp011 structure must have a
statement ce11ified by a Professional Engineer registered in the State of Maryland affirming that
the structure meets the most recent TIA/EIA structural standards (presently revision G) tosupport
the proposed antennas, cabling, and equipment to beattached.
Applicant Certification
I J ct: 'O R le. M~R flI~ 0 A-/
Applicantname: _
Title: 2- a1J I / J 6- Y'"l A IJ A G-.I(._
I hereby certify that the information and the statements submitted in this application and supporting
documentation are true, complete and accurate to the best of my knowledge and belief, and are made in
good faith, and that the individual signing below has authority to act on behalf of the Applicant
Applicantsign'-att;l,J ;;~ --{ 1 -., oai ~ Date: 9/l!c//f-
CompanyName: S ~ S ~J J ,/
0
V &: .~/7./ .I w J Ke..t:E. s S
Address: ~ ? > 1' 5' t; - ./f..l J / l 1..A > J C. Sv I '1'E. M C.. C>J ... v ...,_ ~I .q, 1"1--\ p d.. I O """'
Phone:__ Fax:__ E-mail:____h....,1ui ~.l'\ ~ ~ ce.er"f c..-o~
4-1 "~ -6"'l-o-O"t1J 4-
Incomplete or incorrect applications will not be accepted for review. Applicants resubmitting modified
or revised applications must follow the same process used for filing the initial TTFCC application (IS
outlined below. Resubmitted applications "re subject to a Resubmission Fee of a mi1 1 im1 1 1 1 1 of $250 for
each application.
The County reserves the right to require that the Applicant provide additional information as
the County may reasonably request. The Applicant agrees to cooperate with the County in
supply ing such additional information as requested.
Filing Instructions: Complete the formbelow, sign the applicant and engineer's certifications,
attach acheck for the amount of $500 per site payable to Prince George's County Government.
Applications submitted without the fee will not be processed. Submit an original with original
signatures andonecopy to theCounty, andsubmit two copies to theFacility Coordinator:
Prince George's County
Department of Environmental Resources
Permits Office
9400 Peppercorn Place, Suite600
Largo, MD 20774
TIFCC Facility Coordinator
Columbia Telecommunications Corp.
10613Concord Street
Kensington, MD 20895
Aerial Map
ZoningMap
Aerial Map
Zoning Map
Aerial Map (Close-Up)
Zoning Map (Close-Up)
R-55
'"
Latitude: 38.95874 ongitude: -76.746061
Aerial Map Coordinates
Of!'~ Iii
~~
PRINCE GEORGE'S COUNTY, MARY D
9A
.
TELECOMMUNICATIONS TRANSMISSIO L Y ~~G
COOPDINATING COMMITTEE (TTFCC r
SITE COORDINATION
1i I ~ r- c : .... , - - ~I --
"TTFCC"
c/o Department of Environmental Resources
Prince George's County Government
9400 Peppercorn Place, Suite 600
Largo, Maryland 20774
r or L- 11u111v Use 011/v
Case No.: 3Cf1s)- ;J o1'- / Date: 9// J/ ; {
Re: Application for Minor Modification to an Existing Telecommunication Site
Action Proposed:
[8J Add/replace antennas at existing antenna mounts (microwave dishes placement limited to no
more than 2' 6" in width and no more than 5' above or below the carrier's existing RAD center
platform.
i:8J Add/replace equipment at existing site
0Change in frequencies
0Change inmounting design
0Install atemporary cell-on-wheels (COW)
Carrier Name: Verizon
Carrier site name: Charles Herbert Flowers High School(Milestone Comm]
Property Address (fromPGAtlas): 10001 Ardwick Ardmore Road
City, State, Zip Code Upper Marlboro, MD 20774
Land Owner Name: Prince George's County Board of Education
Tax identification number (fromPGJ \tlas): 1391390
w/o Reservations
B~.
Support Structure Information
Structure Type: Monopole:[8J Building:O Water Tank: D Tower:
tower, state tower#): __
Latitude/ Longitude (decimal degrees fromPGJ \.tlas): Lat: 38.933718 Lo1: -76.837648
Site ground level elevation (AMSL in feet): 131.25. ----------
Support structure height (in feet): 125.00
Name of owner of the supporting structure: Milestone Communications
Contact Name: Maureen Kam: Smith Phone: ] J )J -298-5093 Fax: 703668-0'1l8
E-mail: maureen@milestonecorp.com
Complete Street Address, City, State, and ZIP Code: 12110 Sunset Hills Road, Suite 100, Reston, VJ \
20190
For electrical transmission !in
Application Summary
In the space provided, write abrief description of the reason for the modifications, including adescription
of the existing antennas, equipment, equipment shelters or cabinets, and any screening for the equipment
that may be inplace: Verizon Wireless proposes theinstallation of 12panel antennas and nccessa1y ground
equiptment on apreviously recommended 125' tall monopole to be built at 1000l Ardwick Ardmore Road,
Upper Marlboro, MD 20774. A 12'-0" x 17'-0" equipment shelter and generator will be installed on the
ground.
Antenna Information
Type and quantity of antennas: OMNI __ PANELJ 1 DI SH__ OTHEk(describe) _ _
For e ach (vpe of a11te 1111a:
Manufacturer: Amphenol Antel model number (s) BXA-70063-SCF-2-750 BXA-70063-SCF-2-850
Frequencies tobe used: Tx: 746-757: 880-894R.x: 776-787, 835-849
Antenna Size:H94.6" W.l.Ll" D4.S"
Maximum Effective Radiated Power (ERP): l 000.00/500.00Watts
Elevation of antenna (RAD AGL): 125'
Manufacturer: Amphenol model number (s) BXA-l 7l063-l 2Cf-ED1N-2 __
Frequencies to beused: Tx: 2120-2135; 1945-1950: 1975-1985Rx: 1720-1735: 1865-1870: 1895-1905
Antenna Size:Hlbf5' WJ ." Dtl"
Maximum Effective RadiatedPower (ERP): 1000.00Watts
Elevation of antenna (RAD AGL): 125'
FCC and FAA Rules &Regulations
Will the antenna installation bein compliance with the maximum permissible RF exposure limits set forth
in Sec. I .1310 of the FCC Rules andRegulations? Yes !8J No D
If 1 1 0,please attachanexplanation.
Typeof compliance study required under Sec. 1.1307 of theFCC Rules and Regulations:
Categorically Excluded 1 8 1
Routine Environmental Evaluation D
Environmental Assessment D
State if an application for an FAA review has been submitted. If an FAA detern1ination for the site has
been issued, please attach acopy. M
. Enginee1 ing Certification
I hereby certify that:
1. All the radio- frequency (RF) information and the statements submitted in this application and any
and all subsequent RF submissions or a1 1 1 e1 1 d1 1 1 e1 1 ts to the application are true, complete and
accurate to the best of my knowledge and belief. and are made. in good faith
2. The RF enghteerlng has been pe1 for1 1 1 edto the best industry and engineering standards.
3. The geographical terrain data in determining the expected radio coverage is that provided by the
U.S. Geological Survey , and is based on three (3) second or better terrain data.
4. No alteration or 1 1 1 odi.ficatio1 1 of data has been pe1 for1 1 1 edin the prepamtio1 1 of the coverage
maps, unless stated in the application package. (i.e., adjust for obstmctio1 1 s unique to the area,
foliage loss, etc.)
5. The i1 1 divid1 1 alsigning below is authorized to act 01 1 behalf of the Applicant regarding this
certificatio1 1 .
Name: Bogue Fial
Title: RF Engineer
Date:
:i- / 11/ 14
Sign~ture: 1vw ,J V\\. ( 'ti)'
71-----
Applicant Name:
Every application for a new tower, monopole or other type support structure must have a
statement certified by a Professional Engineer registered in the State of Maryland affil'ming that
the structure meetsthemost recent TIA/EIA structural standards (presently revision G) to support
the proposed antennas, cabling, and equipment to beattached.
Prince George's County
Department of Environmental Resources
Permits Office
9400 Peppercorn Place, Suite 600
Largo, MD 20774
TIFCC Facility Coordinator
Columbia Telecommunications Corp.
I 0613 Concord Street
Kensington. MD 20895
Applicant Certification
J ackAndrews, Z oningManager
Applicant name: __ Title: __
l hereby certify that the information and the statements submitted in this application and supporting
documentation are true, complete and accurate to the best of my knowledge and belief, and are made in
good faith, and that the individual signing below has authority to act on behalfof the App/ iconl
Applicant signature: , rf!iJ ~~., . Date: 9/1 6/201 4
CompanyName: Venzo ire e
Address: 9020 Mendenhall'Ct., ~lumbl- D21 046
Phone: 443-677-01 44 Fax: 41 0-290-91 32 E-mail: jack.andrews@mastec.com
Incomplete or incorrect applications will not be accepted for review. Applicants resubmitting modified
or revised applications must follow the same process used for filing the initial TTFCC application as
outlined below. Resubmitted applications are subject to a Resubmission Fee of 11 minimum of $250for
e achapplication.
The County reserves the right to require that the Applicant provide additional informution as
the County may reasonably request. Tile Applicant agrees to cooperate with tile County in
supply ing such additional information as requested.
Filing Instructions: Complete the form helow, sign the applicant and engincers certifications,
attach a check for the amount of $500 per site payable to Prince George's Co1 1 n1 y Government,
Applications submitted without the fee will not be processed. Submit an original with original
signatures and one copy to the County, and submit two copies to the Facility Coordinator:
I\,' u4~
PRINCE GEORGE'S COUN1Y, MARYL:i:Ni;>j, jf/ ~ "( c.,
TELECOMMUNICATIONS TRANSMTSSION FACII:1T-'.Y ~j/' - v~
COORDINATTNGCOMMITTEE(TTFCC) __, ,'.
APPLICATION FOR WIRELESS COMMUNlCATlONS -. ~C"'.
SITE COORDINATION 1: - : ...,,
.~ : "!
.-
"TTFCC"
c/o Department of Environmental Resources
Prince George's County Govermnent
9400 Peppercorn Place, Suite 600
Largo, Maryland 20774
For Countv Use Onlv
CaseNo.: 3'f7yr)UI~/ Date: t/ 1 1 ! 1 < /
Re: Applicationfor Minor ModificationtoanExistingTelecommunicationSite
ActionProposed:
~Add/replace antennas at existing antennamounts (microwavedishes placement limitedto no
morethan2' 6" inwidthandno morethan 5' aboveor belowthecarrier's existingRADcenter
platform.
~Add/replace equipment at existingsite
0Change infrequencies
0Change inmountingdesign
0Install atemporarycell-on-wheels(COW)
Carrier Name:AT&T
PRJ .l'<CEGIOR(,[ ~COL; N fl:
TT FCC
Date
Carrier sitename:KenrnoorMS (MilestoneComm.)/DodgcPark (AT&T
PropertyAddress(fromPGAtlas): Landover Rd(AKA 2500Kemnoor D&v
City, State, ZipCodeLandover, MD20785
LandOwner Name:Boardof Education
Taxidentificationnumber (fromPGAtlas): 1391358
w/o Reservatio.is
I Dw/ Reservations
~
Support Structure Information
StructureType: Monopole:IZJ Building:O Water Tank:DTower: iFor electrical transmissionlin
tower, statetower#): __
Latitude/ Longitude(decimal degreesfromPGAtlas): Lat: 38.924146Lor :-76.867114
Site ground level elevation (AMSL infeet): 139.5'.
1 ...::_:::-_-_-_::---:._-:_-_-_::-_::-===--
Supportstructureheight (infeet): 125.00
Nameof owner of thesupportingstructure:MilestoneCommunications
Contact Name:MaureenKaneSmith Phone: 703-298-5093 Fax. 703-668-0418
E-mail:maureen@milestonecom.com
CompleteStreetAddress, City, State, andZIP Code: 12110SunsetHillsRoad. Suite100.Reston, VA
20190
ApplicationSummary
Inthespaceprovided, writeabrief descriptionof thereasonfor themodifications, includingadescription
of theexistingantennas, equipment, equipment sheltersor cabinets, andany screeningfor theequipment
thatmay beinplace: AT&T proposestheinstallationof 12antem1asandnecessarygroundequiptmenton
already approved 125'tall monopineat theaddress 2500Kenmoor Road, Landover, MD 20785. An l l '-
5"x12'-0"equipmentshelter andgeneratorwill beinstalledontheground.
I hereby certify that:
J . All the radio- jl- equency (RF) information and the statements submitted in this application and any
and all subsequent RF submissions or amendments to the application are true, complete and
accurate to the best of my knowledge and belief, and are made i11 good faith.
2. The RF engineering has been performed to the best industry and engineering standards.
3. The geographical terrain data in determining the expected radio coverage is that provided by the
U.S. Geological Survey , and is based on three (3) second or better terrain data.
4. No alteration or modification of data has been pe1 formed in the preparation of the coverage
maps, unless stated in the application package. (i.e., adjust for obstructions unique to the area,
foliage loss, etc.)
5. The individual signing below is authorized to act on behalf of the Applicant regarding this
certification.
Name: l,.A1 1 J ff(l !'J H1 ~i All1 H
Title: RF Enaineer, AT&T ~
Signatuw : A~- " . Date: 00\ Dl f\2fl \ L\
Apphca t ~'M'l!es\one Commnn1cat1ons
Antenna Information
Type and quantity of antennas: OMNI __ PANEL12 DISH __ OTHER(describe) _ _
FCC and FAA Rules &Regulations
Will the antennainstallation beincompliance with themaximumpermissible RF exposure limits set forth
in Sec.l.1310 of theFCC Rules andRegulations? Yes t2J No 0
If no, please attach anexplanation.
Type of compliance study required under Sec. 1.1307 of theFCC Rules and Regulations:
Categorically Excluded I X ]
Routine Environmental Evaluation D
Environmental Assessment D
State if an application for an FAA review has been submitted. If an FAA detennination for the sitehas
been issued, pleaseattach acopy.~
For e ach type of a11te 1111a:
Manufacturer: Commscope model number (s) SBNHH- 1D65C
Frequencies to beused: Tx: 869.04-879.99. 890.01-891.48, Rx: 824.04-834.99. 845.01-846.48,
Antenna Size: II 96" Wl 1.9"Dil"
Maximum EffectiveRadiated Power (ERP): 500Watts
Elevation of antenna(RAD AGL): 120'
Manufacturer: Alcatcl Lucent model number (s) 3J R52703AAA (9745 AA B25A 700P)
Frequencies tobeused: Tx: 1950-1965, 1985-1990. 734-740, 740-746,_Rx: ~1905-1910, 704-710, 710-
716, 716-72?,
Antenna Size: H 96.4" W12.211 D12.7"
Maximum EffectiveRadiated Power (ERP): 749.8 C..~c..S ~AN~)
.568.85 Watts (,100~~,....t>)
Elevation of antenna(RAD AGL): 120'
Engineerine Certification
Every application for a new tower, monopole or other type support structure must have a
c:ht<>mPnt ePrtified bv a Professional Enzineer registered in the State of Maryland affirming that
Applicant Certification
Applicantnanle: fh,- 1 5ff? 11v Title: r.c.,;J Lo,,d
1 hereby certify that the information and the statements submitted in this application and supporting
docu1 1 1 e1 1 tatio1 1 are true, complete and accurate to the best of my ! mow/ edge and belief, and are made in
good faith, and that the individ1 ; 9} signing below has authority to act 01 1 behalf nf the Applicant
Applicant signature: // Date:_ 'IJt_ i/11
Company Name: -=-:::::
Address: .
Phone: j{()- ]u't- : ('l'l( Fax: t((c; - ]0'1 - f775- F.-mail:rff- 8rf~@ )51/.f./,fl f.: ..,,,1r~(t> f,(c."'- -
Incomplete or incorrect applications will not be accepted Joi review. Applicants resubmitting modified
or revised app/ icatio1 1 s must follow til e same process used for filing tile initial TTFCC application (IS
outlined below. Resubmitted applications are subject to a Resubmission Fee of a minimum of $250for
each application.
The County reserves tlie right to require that the Applicant provide additional information as
the County may reasonably request. The Applicant agrees to cooperate with the County in
supply ing such additional information as requested.
Filing Instructions: Complete the form below, sign the applicant and engineer's certifications,
attach a check for the amount of $500 per site payable to Prince George's County Government.
Applications submitted without the feewill not be processed. Submit an original withoriginal
signatures and one copy to the County, and submit two copies to the Facility Coordinator:
PrinceGeorge's County
Department of Environmental Resources
Permits Office
9400 Peppercorn Place, Suite 600
Largo, MD 20774
TIFCC Facility Coordinator
Columbia Telecommunications Corp.
10613Concord Street
Kensington, MD 20895
0f/1Ci /? ,f e
@, , , : , , ; a
PRINCE GEORGE'S COUNTY, MARYLAN~4'!1 6- 9A: ~
TELECOMMUNICATIONS TRANSMISSION FACILIT~ ,,;f: ' ( L/
COORDINATING COMMITTEE (TTFCC) <V / t"'- :
APPLICATION FOR WIRELESS COMMUNICATIONS ~
SITECOORDINATION ~
"TIFCC"
c/o Department of Environmental Resources
Prince George's County Govenunent
9400 Peppercorn Place, Suite 600
Largo, Maryland 20774
For Countv Use Onlv
CaseNo.:3'- 1 1 SS- - ; u)/ '/ Date: < > iftz! tf
TaxID#:
-----
Re: Applicationfor Minor ModificationtoanExistingTelecommunicationSite
ActionProposed:
[g] Add/replacc antennas at existingantennamounts (microwavedishes placement limitedto no
more than 2' 61 1 inwidth and no more than S' above or below the carrier's existing RAD center
platform.
[g] Add/replaceequipmentat existingsite
0Change infrequencies
0Change inmountingdesign
0Tnstall atemporarycell-on-wheels(COW)
PR.l}.CE GEORGE'S COUNTY
TTFCC
Carrier Name: Verizon
Carrier sitename:Carroll MiddleSchool (MilestoneCommunications
Property Address(fromPGAtlas): 6130LamontDrive
City, State, ZipCodeNewCarrollton, MD20784
LandOwner Name: Boardof Education
Taxidentificationnumber (fromPGJ \tlas): 2176816
D
Support Structure Information
StructureType: Monopole:[gj Building:O WaterTank: 0 Tower:0<1or eleetri:Caftransmissionline
tower, statetower#): __
Latitude/ Longitude(decimal degreesfromPGAtlas):Lat: 38.967433
Sitegroundlevel elevation(AMSL infeet): 105.0'.
Support structureheight(infeet): 110'
Name of owru=rof'the supporting structure:MilestoneCommunications
ContactName: MaureenKaneSmith Phone: 703-268-5093 Fax: 703-668-0418
E-mail: maureen(Ci{milestonecorp.com
CompleteStreetAddress, City, State, andZIPCode: 12110SunsetHillsRoad, Suite100,Reston, VA
20190
Application Summary
Inthespaceprovided, writeabrief descriptionof thereasonfor themodifications, includingadescription
of theexistingantennas, equipment, equipment sheltersor cabinets, andany screeningfor theequipment
thatmaybeinplace: VerizonWirelessproposestheinstallationof 12panel antennasandnecessaryground
eguiptment onanalreadyrecommended 110'tall monopoletobebuilt at theaddress6130LamontDrive,
NewCarrollton, MD 20784. A 11'-6" x20'-0" equiptment shelter andgenerator will beinstalledonthe
ground.
Antenna Information
Typeandquantity of antennas: OMNI __ PANEL12 DISH_ OTHER(describe)_
Fol' each ty pe of antenna:
.Manufacturer: Anld model number (s) 13XA-70061-8CP-2-750 DXA-70061-8CF-2-85Q
frequencies lobeused: Tx: 746-757; 880-894Rx: 776-787. 835-842.
Anlt:1111aSize: H94.6" Wl 1.2" D4.5''
MaximumEffe.ctivellittfo1lccl Power (ERP): l 000.00 500.00Wntts
blevation of antenna (RAI) AGL): 110'.
Manufacturer: Ante1model number (s) 13XA-l71063-12CF-EDIN-2 _
Frequencies to be used: T~x:?-120-2135 : 1945-1950: 1975-1 IJ XSKx: 1720-1735 ; 1865-1 870 ; US95-I905
Antenna Size: H 72.4" W6,.1"D:Ll"
Maximum Effective Radiated Power (ERP): _l00.0.QWarts
Elevation of antenna(RAD AGJ .):_110'.
FCC anu FAA Rules &Regulations
Will theantennainstallution beincompliance with themaximumpermissible RF exposure limits set forth
inSec.l .1310of theFCC Rules andRegulations'! Yes I X ] No 0
l f 110,pleaseattachanexplanation.
Typeof compliance study required under Sec, J . J 307 ul' 1 l1 tJ FCC Rules andRcgulatilm.'l:
Categorically Excluded I Z J
Routine Environmental Evalualiu11D
Environmental Assessment. D
Slate ifan application for cmFAA review has been submitted. If an FAA determination for the site has
been issued, please attach acopy. __
Eugineerinl! Certification
I hereby certiJ.i;that:
l. All the radio/ requency (RF) tnfonncaion and the statements subtnitted i11 this applicatlou and atty
and all subsequent RF submissions or wnendments to the application are true, complete and
accurale tu the best of my lmowledge and belief and are made in gouclfailh.
2. 1 1 1 eRF engineering has been pe1 fon1 1 ed to the best industry and engineering standards. ,
3. The geographical terrain data in determining the e.xpf.'c:tedradio coverage is that provided by the
U.S. Geolo[iical Sun1 ey , and is based 011 three (3) secnnd or better terrain data.
4. No alteratiun or modification of data has been pe1 for1 1 1 ed in the prepumtion of the coverage
maps, unless stated in the application package. (i.e., adjust fur obstructions untque to the area,
foliage loss, etc.)
.5. 111e individual signing below is authorized tu act 011 behalf of the App/ ica1 1 l 1 egardi1 1 g this
certifi.catiun.
Name: Ruqul.: Fial.
Title: RF Engh1eer. Veri:fo131Wirclcs~
Date: _ ! } II {J :L_
Signature:
Applicant. Nam
F.very application for a new tower, monopole ur other type support structure must have a
statement certified hy a P1ofessional Engineer egistcrcd in the State of Maryland affirming that
the structure meets the most recent TL4J EJ A structural standards (presently rcvtslon G) to suppo.rt
the proposed antennas, cabling, and equipment to beattached.
Applicant Certification
Hif/0~1 e: . t""'""l-0Rrt1 ~0"' .1 . ,2...oN1NfJ ... mAf\IPr&s~
Applicantname: TLt e.
I hereby certify that the information and the statements submitted in this application and supporting
documentation are true, complete and accurate to the best of my knowledge and belief. and are made in
good faith, and that the individual signing below has authority to act on behalf of the Applicant
Applicantsignature:~I o- i...; .., ..,p 11r ('('j "'- - Date:_ ! 1 / 1 k/ 1 1 - 0/ J ./ 0
CompanyName:Venzon L.
Address: '~ 0 S'" G-S:RWIC. .L..ft"\1 1 ~v1TE. M c-~ '"'.... ~'~fl'lD 0...1 04 - to
Phone;4-+; -5'..., "'- o -o/ '{- Fax: E-mail: hM. Ni ~. ./ ! J
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/' 'l l b dfi A u b~~~e..ivLwcd~""
ncontp ete or incorrect app icattons wt not e acce pte or review. pp icants resu mitttng 111ou1.11e
or revised applications must follow the same process used for filing the initial TTFCC application as
outlined below. Resubmitted applicatious are subje ct ton Resubmission Fee of a 111i11i11111111 of $250 for
each application.
The County reserves tile right to require that the Applicant provide additional information as
the County may reasonably request. The Applicant agrees to cooperate with the County in
supply ing such additional information as requested.
FilingInstructions: Completetheformbelow, sign theapplicant and engineer's certifications,
attach acheck for the amount of $500 per sitepayable to Prince George's County Government.
Applications submitted without the fee will not be processed. Submit an original with original
signatures andonecopy totheCounty, andsubmit two copies totheFacility Coordinator:
Prince George's County
Department of Enviromnental Resources
PermitsOffice
9400 Peppercorn Place, Suite600
Largo, MD 20774
TIFCC Facility Coordinator
Columbia Telecommunications Corp.
10613Concord Street
Kensington, MD20895
z
-
:ommunications Transmission Facility Coordinating Committee
(TTFCC) Meeting
Wednesday, J une 18, 2014
1:00 P.M.
9400 Peppercorn Place, Conference Room 124
Largo, Maryland 20774
Audio Conference Line: 301- 883- 6600: Pass code: 34
Agenda
~genda
se#13454-2014 Co-location - Presidential Towers Condo
ius XM 1836 Metzerott Road
Council 4
Hyattsville
e#14] 22-2014
~T
New - Kenmoor M.S.
2500 Kenmoor Drive
ouncil 5
Landover
ditioned on the noise from the generator meeting the limits in the County 's Noise
inance and on revised plans showing that the equipment area will be enclosed with
tr a board- on- board or stockadefence
tive Approvals*
e #10493-2014 Minor Modification - Patuxent (Laurel)
izon 6101 Sandy Spring Road
ouncil l
Laurel
e #11767-2014
nt
Minor Modification - Mitchell Tower
5600 SE Crain Highway
Council 9
pper Marlboro
!#13063-2014
~T
Minor Modification - 301 Commercial Center
7501 Cl yme r Drive
Council 9
Brandywine
~#13771-2014
Minor Modification - China Towers
Council 4
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