TND-SAR 1 (4)

Sar - Site Acquisition Report

Site code: Site Name: Date:

Agency: Vendor Contact:

Site Address:
Owner' s name and address:
Tel: Fax:
Contact person' s name and address:
Tel: Fax: Contact1Fax

Base Station Location

Base Station Size
Antenna Location

Co-ordinates

Longitude E Latitude N Altitude m

Land Use Permits Required

Zoning Responsible Agency
Zoning Opposition Information
Zoning Special Conditions
Building Permits Responsible Agency
Building Permits Opposition Information
Building Permits Special Conditions
 TND-SAR 2 (4)

Site Type Electricity

on Site
Ownership Where
Building Telephone
Use on Site
Building Age Where
Building Grounding
Height on Site
# of Floors Where
Room Fencing
Location Required
Shelter Rainwater
Location Drainage
Required
Shelter Size Keybox
Installed
Access
Details

Access Key box

Normal contacts: 1. Tel.

Hours Fax.
Other contact: 2. Tel.
Hours Fax.
Directions to Site:
 TND-SAR 3 (4)

Comments / restrictions

Lift Size
Lift Capacity (kg)
Stair Size
Rooftop Access Size

Access:

List of neighbouring sites/ LOS Possible:

Lease Status LeaseStatus

Lease given to owner for review?

Remarks : Other telecom installations, obstructions, sensitive issues ( neighbours ) etc.

ENCLOSURES

1. SARF map with candidate marked

2. Scale map 1: 25 000 with site marked
3. Site sketch. showing access & directions
4. Building - Structural roof plan
5. Architectural roof plan
6. BTS Site Sketch to included Cable routing proposal
7. Photographic view report, 360 degrees
8. Photographs to verify the condition of the roof and structures (underneath/BTS room)
9. Sketch showing location of the proposed electricity and 2M PCM sources

Date and signature :

 TND-SAR 4 (4)

DIAGRAM OF OBSTACLES 360

North
345 15
330 30

315 45

300 60

285 75

100 200 300 400

West East

255 105

240 120

225 135

210 150
195 South 165

Number all the obstacles clockwise starting from north, use the same reference numbers in
photographic or videographic reports.

Legend: A = Building E = Airport

B = Tower/chimney F = Power/gas line
C = Public building/school G = Other
D = Natural obstacle

Height of the obstacle in respect of site antenna level

Nr Obstacle type H (m) Nr Obstacle type H (m)