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MCUP 08-18A; VERIZON YARROW; Administrative Permits (ADMIN)
CCity of LAND USE REVIEW Development Services Planning Division Carlsbad APPLICATION 1635 Faraday Avenue P-1 (760) 602-4610 www.carlsbadca.gov APPLICATIONS APPLIED FOR:(CHECK BOXES) Development Permits (FOR DEPT. USE ONLY)Legislative Permits (FOR DEPT. USE ONLY) 0 Coastal Development Permit Minor Ej General Plan Amendment 171 Conditional Use Permit MC -19 ©Minor Extension (-)6-12)(ei El Local Coastal Program Amendment ED Day Care (Large)0 Master Plan El Amendment Cl Environmental Impact Assessment El Specific Plan 0 Amendment Habitat Management Permit Minor El Zone Change 0 Hillside Development Permit Minor 0 Zone Code Amendment Ei Nonconforming Construction Permit South Carlsbad Coastal Review Area Permits Planned Development Permit 0 Minor Review Permit 111 Residential Non-Residential 111 Administrative Li Minor El Major Planning Commission Determination Ej Reasonable Accommodation Village Review Area Permits Site Development Plan Minor El Review Permit CI Special Use Permit Ei Administrative Minor CI Major 0 Tentative Parcel Map (Minor Subdivision) 0 Tentative Tract Map (Major Subdivision) 0 Variance Minor NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30 P.M.A PROPOSED PROJECT REQUIRING ONLY ONE APPLICATION MUST BE SUBMITTED PRIOR TO 4:00 P.M. ASSESSOR PARCEL NO(S).:213-020-18 PROJECT NAME:Verizon Wireleess eelecommunication Facility Yarrow BRIEF DESCRIPTION OF PROJECT:Amendment to MCUP 08-18, see attached P-1(B) BRIEF LEGAL DESCRIPTION:City: Carlsbad Public Land Palomar Airport* Contract#17088-R in City/Muni/Twp: Carlsbad LOCATION OF PROJECT:2192 Palomar Airport Rd., Carlsbad, CA 92008 STREET ADDRESS ON THE:North SIDE OF Palomar Airport Road (NORTH, SOUTH, EAST, WEST)(NAME OF STREET) BETWEEN El Camino Real AND Camino Vida Roble (NAME OF STREET)(NAME OF STREET) ° P-1 Page 1 of 6 cPGV Novised 03/16 ., .%eilld '.41111 OWNER NAM E (Print):San Diego County APPLICANT NAME (Print):RLS Representing Verizon MAILING ADDRESS:1960 Joe Crosson Dr MAILING ADDRESS: 1745 W. Orangewood Ave., Suite 103 CITY, STATE, ZIP:El Cajon ,CA 92020 CITY, STATE, ZIP:Orange, CA 92868 TELEPHONE 619-956-4808 TELEPHONE:714-685-0123 EMAIL ADDRESS:EMAIL ADDRESS: I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO KNOWL •E.I ".AS GAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE. SET -••Ay -A.AUTHORIZED REPRESENTATIVE FOR PU--.E_.V.P '4.01' LI'•TION. .'1.../AgigaiffaV...a.." ie :./474.V1/.t.‘ATTAC-4-1°L''' D E SIGNATURE DATE APPLICANT'S REPRESENTATIVE (Print):Stella Shih of Reliant Land Services MAILING ADDRESS:1745 West Orangewood Ave., Suite 103 CITY, STATE, ZIP:Orange, CA 92868 TELEPHONE:714-396-0459 EMAIL ADDRESS:stellashih@r1susa.corn I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ---. SIGNATURE DATE/0 IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF,PLANNING COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS APPLICATION.I/WE CONSENT TO ENTRY FOR THIS PURPOSE. NOTICE OF RESTR 10 :P PERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING REC N T TI T HIS PROPERTY IF CONDITIONED FOR THE APPLICANT.NOTICE OF RESTRICTIONS RUN WITH TH D 1 SU LESSORS IN INTER ST. ,0 PRO TY NER SIG ATU(7 FOR CITY USE ONLY 77,4.ui Ec.-.:jvf 70 JUN 21 2016 CITY 'Ur (../sRLSE.P.D DATE BIANIPAROLtATIONTRECEIVED RECEIVED BY: (1_1(4A.4)ACI --- P-1 Page 2 of 6 Revised 03/16 '.40101 City of PROJECT DESCRIPTION Development Services Planning Division Carlsbad P-1(8)1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov PROJECT NAME:Verizon Wireless Telecommunication Facility Yarrow APPLICANT NAME:Reliant Land Services representing Verizon Wireless Please describe fully the proposed project by application type.Include any details necessary to adequately explain the scope and/or operation of the proposed project.You may also include any background information and supporting statements regarding the reasons for,or appropriateness of, the application.Use an addendum sheet if necessary. Description/Explanation:Amendment to MCUP 08 -18: Remove and replacing (3)existing 4'panel antenns with (3)new 6'antennas for Verizon Wireless. The total number of antennas at this location will remain at (12).All antennas will be mounted behind new 7'FRP extended screening on the roof. This project has no traffic or noise impact. P-1(8)Page 1 of 1 Revised 07/10 0.... verizonv 15505 Sand Canyon Ave., #D-1 Irvine,CA 92618 March 30, 2016 RE: RELIANT LAND SERVICES ("RLS")as representative for Verizon Wireless To Whom It May Concern: Reliant Land Services ("RLS") and its employees are authorized representatives ofVerizon Wireless and have been contracted to perform cellular site development (such as real estate leasing, land use entitlements, materials procurement, architectural engineering, equipment installation, design, construction, building permits and other permits as needed, etc.) on behalfof Verizon Wireless in connection with their telecommunication facilities. As an authorized representative of Verizon Wireless, RLS may submit/order (land use applications and permits, utilities, real estate leasing, etc.) on behalfofVerizon Wireless. Sincerely, 'A (Jane Collier Verizon Wireless Southern California Network Real Estate 15505 Sand Canyon Ave., Building D1 Irvine, CA 92618 jane.collierverizonwireless.com Desk Phone: 949-286-8712 Development Services(City of DISCLOSURE STATEMENT Planning Division Carlsbad P-1(A)1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov Applicant's statement or disclosure of certain ownership interests on all applications which will require discretionary action on the part of the City Council or any appointed Board, Commission or Committee. The following information MUST be disclosed at the time of application submittal.Your project cannot be reviewed until this information is completed. Please print. Note: Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, in this and any other county, city and county, city municipality, district or other political subdivision or any other group or combination acting as a unit." Agents may sign this document; however, the legal name and entity of the applicant and property owner must be provided below. 1.APPLICANT (Not the applicant's agent) Provide the COMPLETE,LEGAL names and addresses of ALL persons having a financial interest in the application. If the applicant includes a corporation or partnership, include the names,titles,addresses of all individuals owning more than 10%of the shares.IF NO INDIVIDUALS OWN MORE THAN 10%OF THE SHARES,PLEASE INDICATE NON-APPLICABLE (N/A)IN THE SPACE BELOW.If a publicly-owned corporation,include the names,titles,and addresses of the corporate officers.(A separate page may be attached if necessary.) Person Corp/Part Verizon Wireless Title Title Address Address 2.OWNER (Not the owner's agent) Provide the COMPLETE,LEGAL names and addresses of ALL persons having any ownership interest in the property involved.Also,provide the nature of the legal ownership (i.e.,partnership,tenants in common,non-profit,corporation,etc.).If the ownership includes a corporation or partnership, include the names, titles, addresses of all individuals owning more than 10% of the shares.IF NO INDIVIDUALS OWN MORE THAN 10%OF THE SHARES,PLEASE INDICATE NON-APPLICABLE (N/A)IN THE SPACE BELOW.If a publicly-owned corporation,include the names,titles,and addresses of the corporate officers.(A separate page may be attached if necessary.) Person Corp/Part County of San Diego Title Title Airports Director Address Address 1960 Joe Crosson Dr. El Cajon, CA 92020 P-1(A)Page 1 of 2 Revised 07/10 3.NON-PROFIT ORGANIZATION OR TRUST If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust, list the names and addresses of ANY person serving as an officer or director of the non- profit organization or as trustee or beneficiary of the. Non Profit/Trust Non Profit/Trust Title Title Address Address 4.Have you had more than $500 worth of business transacted with any member of City staff,Boards,Commissions,Committees and/or Council within the past twelve (12) months? Yes No If yes, please indicate person(s): NOTE:Attach additional sheets if necessary. I certi t t all e in rmation is true and correct to the best of my knowledge. gC%l'aila)Sig ure of o date Signature o applicant/dateinte Jitge.744. clr/fhigfieigir_5 Print or type name of owner Print or type name of applicant Signature of owner/applicant's agent if applicable/date S-1-tn-fPrint or type name of owner/applicant's agent P-1(A)Page 2 of 2 Revised 07/10 EIA INFORMATION City of FORM Development Services Planning Division Carlsbad P-1(D)1635 Faraday Avenue (760) 602-4610 www.carlsbadca.gov INSTRUCTION SHEET FOR COMPLETING AN ENVIRONMENTAL IMPACT ASSESSMENT INFORMATION FORM This Environmental Information Form will be used to assist staff in determining what type of environmental documentation (i.e.,Environmental Impact Report,Mitigated Negative Declaration,Negative Declaration or Exemption)will be required to be prepared for your application,per the California Environmental Quality Act (CEQA)and Title 19 of Carlsbad's Municipal Code.The clarity and accuracy of the information you provide is critical for purposes of quickly determining the specific environmental effects of your project. Any environmental studies (i.e.,biological,cultural resource,traffic,noise)that are necessary to substantiate a "no impact"or "yes impact"determination should be submitted as an attachment to this Environmental Information Form.This is especially important when a Negative Declaration is being sought.The more information provided in this form,the easier and quicker it will be for staff to complete the Environmental Impact Assessment Form —Initial Study. P-1(D)Page 1 of 4 Revised 07/10 4001St ‘4601W. ENVIRONMENTAL INFORMATION FORM (To be Completed by Applicant) Date Filed:(To be completed by City) Application Number(s): General Information 1.Name of project:Verizon Wireless Telecommunication Facility Yarrow 2.Name of developer or project sponsor:Verizon Wireless Address:15505 San Canyon Ave.,D1 City, State, Zip Code:Irvine, CA 92618 Phone Number:949-286-7000 3.Name of person to be contacted concerning this project:Stella 511111 Address:1745 West Orangewood Ave., Suite 103 City, State, Zip Code:Orange, CA 92868 Phone Number:714-396-0459 4.Address of Project:2192 Palomar Airport Rd., Carlsbad, CA 92008 Assessor's Parcel Number:213-020-18 5.List and describe any other related permits and other public approvals required for this project, including those required by city, regional, state and federal agencies: MCUP 08-18 6.Existing General Plan Land Use Designation:Regional Airport 7.Existing zoning district: 8.Existing land use(s):Wireless Telecommunicatin 9.Proposed use of site (Project for which this form is filed):Unchanged Project Description 10.Site size:NA 11.Proposed Building square footage:NA 12:Number of floors of construction:NA 13.Amount of off-street parking provided:NA 14.Associated projects:Wireless Telecommunication P-1(D)Page 2 of 4 Revised 07/10 15.If residential, include the number of units and schedule of unit sizes:NA 16.If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities:Site is existing regional airport.Verizon Wireless has an existing facility on top of the the roof of an existing office building within the airport property line. 17.If industrial, indicate type, estimated employment per shift, and loading facilities:NA 18.If institutional, indicate the major function, estimated employment per shift, estimated occupancy, loading facilities, and community benefits to be derived from the project: 19.If the project involves a variance, conditional use or rezoning applications, state this and indicate clearly why the application is required:Amendment to MCUP 08-18 to replace existing antennas and screening on roof. P-1(D)Page 3 of 4 Revised 07/10 Are the following items applicable to the project or its effects?Discuss all items checked yes (attach additional sheets as necessary). Yes No 20.Change in existing features of any bays, tidelands, beaches, or hills, or substantial alteration of ground contours. 21.Change in scenic views or vistas from existing residential areas or public lands or roads. 22.Change in pattern, scale or character of general area of project. 23.Significant amounts of solid waste or litter. 24.Change in dust, ash, smoke, fumes or odors in vicinity. 25.Change in ocean,bay,lake,stream or ground water quality or quantity,or alteration of existing drainage patterns. 26.Substantial change in existing noise or vibration levels in the vicinity. 0 27.Site on filled land or on slope of 10 percent or more. 28.Use of disposal of potentially hazardous materials,such as toxic substances, flammables or explosives. 29.Substantial change in demand for municipal services (police, fire, water, sewage, 0 etc.). 30.Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.).1:1 31.Relationship to a larger project or series of projects. Environmental Setting Attach sheets that include a response to the following questions: 32.Describe the project site as it exists before the project, including information on topography, soil stability, plants and animals, and any cultural, historical or scenic aspects.Describe any existing structures on the site, and the use of the structures.Attach photographs of the site.Snapshots or Polaroid photos will be accepted. 33.Describe the surrounding properties,including information on plants and animals and any cultural, historical or scenic aspects.Indicate the type of land use (residential, commercial, etc.), intensity of land use (one-family, apartment houses, shops, department stores, etc.), and scale of development (height,frontage,set-back,rear yard,etc.).Attach photographs of the vicinity. Snapshots or polaroid photos will be accepted. Certification I hereby certify that the statements furnished above and in the attached exhibits present the data and information required for this initial evaluation to the best of my ability, and that the facts, statements, and information presented are true and correct to the best of my knowledge and belief. Date:Signature: For: P-1(D)Page 4 of 4 Revised 07/10 On11.h e0.'""N ..11010 Verizon Executive Leadership: Lowell C.McAdam, Chairman and Chief Executive Officer Roy H. Chestnutt, Executive Vice President and Chief Strategy Officer Tami Erwin, Senior Vice President & Group President-Consumer & Mass Business (CMB) Sales & Service Christopher Formant, Senior Vice President and Global President -Verizon Enterprise Solutions James J.Gerace, Chief Communications Officer Roger Gurnani, Executive Vice President and Chief Information and Technology Architect Daniel S.Mead, Executive Vice President and President of Strategic Initiatives Robert Mudge, Executive Vice President and President —Verizon's Wireless Network Operations Marc C.Reed, Executive Vice President and Chief Administrative Officer Diego Scotti, Executive Vice President and Chief Marketing Officer Francis J.Shammo, Executive Vice president and Chief Financial Officer Craig Silliman, Executive Vice President-Public Policy and General Counsel David Small, Executive Vice President-Wireless Operations Verizon Wireless John G.Stratton, Executive Vice President and President of Operations Marni M. Walden, Executive Vice President and President of Product Innovation and New Businesses 000"lkiA 'SkitAO" verizorti Radio Frequency Exposure FCC Compliance Assessment El Pre-Activation 0 Post-Activation SITE-SPECIFIC-IN FORMATION Site Name Yarrow Multi-Licensee Facility No Street Address 2192 Palomar Airport Road Is Verizon a Significant City, State, Zip Carlsbad, California 92008 Contributor To Co-Locator Areas Requiring Mitigation? No Verizon's Max % MPE N/A Verizon's Max % MPE 580.5000 (Measured -Occupational)(Predictive -Occupational)Occupational Structure Type Rooftop Assessment Date August 9, 2016 Broadcast (AM/FM/TV)No Assessment Purpose ModificationCo-Locators Total Access Points Unknown Total Report Revisions 0 Original Report Date August 9, 2016 Report Revision Date N/A Compliance Status Mitigation Required VERIZON'S WORST-CASE RE EMISSIONS IN ACCESSIBLE AREAS AT THIS FACILITY 12 BELOW the General Population MPE limit ID ABOVE the General Population MPE limit and BELOW the Occupational MPE limit 1:3 ABOVE the Occupational MPE limit and BELOW 10x the Occupational MPE limit Ei ABOVE 10x the Occupational MPE limit Final A MOW 'N0.••••••....1 NOTICE 641 UTiai la --- Compliant 2V Configuration —' GUIDELINES NOTICE CAUTION WARNING NOC INFO BARRIER/MARKER Access Point(s)(ZI [1]0 0 0 [1 ]o Alpha [1]0 El [1 ]0 0 12' Beta El [3]0 El [3]0 0 20' x 5' Gamma El [3]0 [3]0 0 15' x 5' NOTE: The table above represents EVERY compliance item that MUST be implemented at this location; Also in Sec. 4 (B) Additional Compliance Requirements: Barriers may be recommended for installation to block access to the areas in front of the antennas that exceed the FCC general public and/or occupational limits. Barriers are recommended for installation in front ofthe Verizon antennas. Exceedances at the lower roof level near Sector B do not extend to the adjacent lower roof levels,so barriers are not required on the lower roof levels. Signage is recommended at the access points and/or the Verizon antennas as noted in the table above. Consultant Legal Name EBI Consulting Phone/Fax 781-273-2500 Address 21 B Street, Burlington,MA 01803 4*.Irs 'vase Contents 1.Introduction 2 2.Existing Site Characteristics 3 a.Structure 3 b.Accessibility 3 c.Existing Verizon Observations 4 d.Antenna Inventory 4 3.Analysis 5 a.Predictive Model: Verizon 5 b.Predictive Model: Significant Contribution ofVerizon 9 4.Conclusion 10 a.Conclusion Narrative 10 b.Signage/Barrier Diagram 11 c.Signage/Barrier Installation Detail 12 5.Appendix C: RF Consultant Certifications 13 a.Preparer Certification 13 b.Reviewer Certification 13 6.Appendix D: Reference Information 14 a.FCC Rules &Regulations 14 b.Occupational Safety and Health Administration (OSHA) Requirements 14 c.RF Signage 15 d.Physical Barriers 15 e.Indicative Markers 15 1 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.I Verizon Wireless 1.Introduction Verizon Wireless has contracted with EBI Consulting, an independent Radio Frequency consulting firm, to conduct a Radio Frequency Exposure (RFE) FCC Compliance Assessment of the Yarrow cell site. The following report contains a detailed summary ofthe Radio Frequency environment as it relates to Federal Communications Commission (FCC) and Occupational Safety &Health Administration (OSHA) Rules and Regulations for all individuals. The Verizon Wireless antenna data was provided by: Name Fernando Carranza Title RF Engineer Date 12/23/2014 Sub-Market San Diego This compliance assessment and report has been prepared and reviewed by: Preparer Reviewer Name Thanh Estevam Jos Schorr Title Environmental Scientist Senior Scientist Date August 2, 2016 August 9, 2016 This report utilizes the following for predictive modeling of the ambient RF environment: MPE Modeling Program::Roofview® 4.15 Required Modeling Assumptions: 100% Duty Cycle and Maximum Total Power Output. Additional Modeling Assumptions: EBI has performed theoretical modeling using RoofView® software to estimate the worst-case power density at the site rooftop-level resulting from operation ofthe antennas.RoofView® is a widely-used predictive modeling program that has been developed by Richard Tell Associates to predict both near field and far field RF power density values for roof-top and tower telecommunications sites produced by vertical collinear antennas that are typically used in the cellular, PCS, paging and other communications services. The models utilize several operational specifications for different types of antennas to produce a plot of spatially-averaged power densities that can be expressed as a percentage of the applicable exposure limit. The modeling is based on worst-case assumptions for the number of antennas and transmitter power. The assumptions used in the modeling are based upon information provided by Verizon and information gathered from other sources. Modeling results were generated based on information from the following materials: •RFDS —Yarrow dated 12/23/2014 •CDs —YARROW100CD_05.23.16 dated 5/23/2016 2 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.I Verizon Wireless 2.Existing Site Characteristics a.Structure This project involves the installation of twelve (12) wireless telecommunication antennas on a rooftop in Carlsbad, California. The site is a two-story office building. Physical Description There are no adjacent structures that could potentially be impacted by the antennas at this site. Single-Family Home YES [E)NO Latitude (NAD 83)33° 7'31.79"N Longitude (NAD 83)-117° 16'33.31" W Total Analyzed Elevations 3 (See antenna table below) (Roof Levels) b.Accessibility Did the property owner or agent of the property owner (e.g. a security guard)N/Agrant you access to the rooftop? If not -were you required to be escorted by Verizon personnel in order to gain N/Aaccess? Were you required to provide any proof of identity to gain access?N/A What specific documents were required in order to gain access?N/A All access points locked at time of assessment?N/A All access points alarmed at time of assessment?N/A Were there any broken locks or inoperable alarms on any of the access points to the N/Arooftop? Were there any access issues caused by either the property owner or agent of the N/Aproperty owner? Additional Notes: This assessment is a pre-activation report. No site visit was conducted. 3 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.Verizon Wireless ... c.Existing Verizon Observations (-± - ":r...u..5-%NOTICE (ACAUTION )INFORMATION •-...-,i,..,...7.1;777=7:7.t.nisi < masstornse.r.;mavetAra...mown.Existing (c.i).1.....„.....-.A.',,...7. -ift --:-......._()17-z.--___..--...,..„,.,- I IA._....._..............._, Observationsg•'-----r-----7--'1---'-.....•-----''------•--^-I i 411110.z--'E7.,„.,,........-7-1 '7 2;c...7 .....^K. GUIDELINES NOTICE CAUTION WARNING NOC INFO BARRIER/MARKER Access Point(s)0 0 0 0 0 0 Alpha 0 0 0 0 0 0 Beta 0 0 0 0 0 0 Gamma 0 0 0 0 0 0 NOTE: The table above represents EXISTING compliance items implemented at this location. Are Verizon signs posted on the front, back and sides of antenna arrays where possible?N/A Are Verizon signs visible from all areas of approach?N/A Are there any broken, damaged or illegible Verizon signs?N/A Are there any broken or damaged Verizon physical barriers?N/A Are there any Verizon indicative markers in need of repair or replacement?N/A d.Antenna Inventory Z-height represents the distance from the nearest El Bottom 0 Centerline 0 Top walking surface to the of the antenna. NON-Verizon Co-locator Data 0 Estimates 0 Actual Data Ani (MHZ)Trans Trans Coax Coax Otller Input Caic rtt):'"(5)i (t)(104 BWcIrri Hun 0 iiame Fret Power Courr Len Type Loss Power Power M19 Model ON/pc Aper GaIn PI DT 1 VZW Al CDMA 350.00 90i 18.0 8 Zu 40 9 Arsph-erloi FiXA-8(.1062..W.F:97.0 49 0 2 .:4.0 13 63 150i 2 VZW A2 LTE 700.000001 60.0 2 2.0 75.7 Commscope SBNHH-11D656 1 98.0 50.0 1.9i 6.1 12.4 63 1201 3' VZW A3 EVDO 1900.00000 I 18.0 3 3.0 27.1 Amprienol BM-18506'318p 100.0 52.0 2.91 4.0 14.25 63 1501 4. VZW A4 LTE 1900.000001 40.0 4 0.5 142.6 Commscope SBNHH-1D658 1 nact 53.0 2.61 -4.7 15.35 65 1201 i 5.V2W A4 LTE 2100.000001 60.0 2 0.5 107.0 Ericsson AIR 21 1102.0 53.0 2.61 4.7 15.35 65 1201 8, VZW B1 CDMA 850.000001 18.0 8 2.0 90.9 Amphenol BXA-80063/40Fi 39.0 28.0 291 4.0 13 63 2301 7 VZW B2 LTE 700.000001 60.0 2 2.0 75.7 Commscope SBNHH-1D6513 i 41.0 25.0 111.6.1 12.4 63 2201 8 VZW B3 EVDO 1900.000001 18.0 3 3.0 27.1 Amphenol BXA-185063/8CF,43.0 22.0 2.91 4.0 14.25 63 2301 11v-zw B4 LTE 1900.000001 40.0 4 0 5 1426 Commscope SEINF111-10650 1 45.0 18.0 2.61 4.7 15.35 65,2201 10IVZW B4 LTE 2100.000e1 60.0 2 0.5 107.0 Ericsson AIR 21 i 45.0 18.0 2.61 4.7 15.35 65:2201 11 ;VZW C1 CDMA 850.000001 18.0 8 2.0 90.9 Amphenol BXA-80063/4CF1 41.0 55.0 2.91 4.0 13 63;0 1 1211/2W C2 LTE 700.00000i 60.0 2 2.0 75.7 Commscope SBNHH-1D6513 1 39.0 54.0 1.91 6.1 12.4 63:3401 . 13 YZW C3 EVDO 1900.00000i 18.0 3 3.0 27.1 Amphenol BXA-185063180E 37.0 53.0 2.9j 4.0 14.25 63:0 1 14 VZW C4 LTE 1900.000001 40.0 4 0.5 142.6 Commscope SBNH11-113650 1 35.0 52.0 2.61 4.7 15.35 65;3401 15'VZW C4 LTE 2100.000001 60.0 2 0.5 107.0 Ericsson AIR 21 1 35.0 52.0 2.61 4.7 15.35 65:3401 Z-Height Main Z-Height Lower Z-Height . ID NAME X Y Z-Height Ground Roof Adjacent Roof Lowest Roof 1 VZW 97 49 2.9 7.9 14.0 24.0 2 VZW 98 50 1.9 6.9 13.0 23.0 3 VZW 100 52 2.9 7.9 14.0 24.0 4 VZW 102 53 2.6 7.6 13.7 23.7 5 VZW 39 28 2.9 7.9 14.0 24.0 6 VZW 41 25 1.9 6.9 13.0 23.0 7 VZW 43 22 2.9 7.9 14.0 24.0 8 VZW 45 18 2.6 7.6 13.7 23.7 9 VZW 41 55 2.9 7.9 14.0 24.0 10 VZW 39 54 1.9 6.9 13.0 23.0 11 VZW 37 53 2.9 7.9 14.0 24.0 12 VZW 35 52 2.6 7.6 13.7 23.7 4 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.1 Verizon Wireless 3.Analysis a.Predictive Model: Verizon Is the area being modeled completely INACCESSIBLE to members of the YES ®NO general population (including untrained maintenance workers)? Reference Plane: Main Roof #.4 Osi 10 0 10 20 40 II 0%-20% Occ. MPE 120%-100% Occ. MPE •Verizon Antennas >100% Occ. MPE 111 >1000% Occ. MPE 5 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.I Verizon Wireless Reference Plane: Lower Adjacent Roof Roof 10 0 10 20 40 I.MI 1111111111111111111111111MMIMINM= .0%-20% Occ. MPE 20%-100% Occ. MPE•Verizon Antennas >100% Occ. MPE >1000% Occ. MPE 6 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.I Verizon Wireless Reference Plane: Lower Roof 10 0 10 20 40 0%-20% Occ. MPE 20%-100% Occ. MPE•Verizon Antennas >100% Occ. MPE >1000% Occ. MPE 7 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.I Verizon Wireless Reference Plane: Ground Level 30 0 10 20 40 .0%-20% Occ. MPE 20%-100% Occ. MPE•Verizon Antennas >100% Occ. MPE >1000% Occ. MPE 8 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.I Verizon Wireless b.Predictive Model: Significant Contribution of Verizon Reference Plane: Main Roof, Lower Adjacent Roof, Lower Roof and Ground Level 30 0 10 10 80 •Verizon Antennas 0%-1% Occ. MPE >1% Occ. MPE 9 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement.I Verizon Wireless 4.Conclusion a.Conclusion Narrative Description of MPE-Limit Exceeding Areas: Based on worst-case predictive modeling, the worst-case emitted power density may exceed the FCC's general public limit within approximately 22 feet ofVerizon's antennas on the main rooflevel. Modeling also indicates that the worst-case emitted power density may exceed the FCC's occupational limit within approximately 9 feet of Verizon's Sector A antennas and 8 feet of Verizon's Sector B and C antennas on the main roof level. Exceedances at the lower roof level near Sector B do not extend to the adjacent lower roof levels,so barriers are not required on the lower roof levels. Modeling also indicates that the worst-case emitted power density does not exceed the FCC's general population or occupational limit in front of Verizon's antennas on the ground level. Additionally, all surrounding buildings and structures were analyzed and the maximum emitted power density modeled on these surfaces is less than 5%of the FCC's general public limit. Potentially Non-Compliant Co-Locator Areas: Verizon Responsibility Thefollowing table represents potentially non-compliant co-locatorsfor which Verizon is a 5% General Population MPE (1% Occupational MPE) contributor. AT&T T-Mobile Sprint US Cellular Unknown Other Based on review of construction drawings and aerial photographs, no collocators were identified onsite. 10 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement Verizon Wireless -,... b.SignagetBarrier Diagram :\ ,,,,•111'r"\ .•0 \ Roof Hatch ,F....igielIL.:_vmgliC Verizon "4 #11.'467 Sector C 7 —S\_f I ,e .....•\ 0:71111 .sir )4.4:\t 12' Barrier 15' x 5'...".00„.•47 ee:..reite ,01...Ik Main Roof e'4.‘ 10%,1) s0*4.%Barrier .\*'- 11%,.... •4-elk:/...." 77 'N.,_,.•. -1—....._..4.Aka.111. .•.....r•claw.,,lik....••_--•.r.„..".....# ;\0 .1.1".. t E•1-.."°4 ."..Verizon 7 .11.,tt VIPerldiee ••• •_•_•._•: 7 0 Sector A *'--------: ,77" 1 • 1 :si ----44r..-$ i...it.4:VA %QV- Barrier Verizon Sector B ..„... Lower to 0 SO 20 atoRooftops ISIWINIP Existing Sign Existing Barrier•Verizon Antennas • •E Proposed Sign Proposed Barrier ip ,:21....ta..""... =.- .......2i N(;2.4.cr.d2mi ._.40.1 r.-irFinal .....1 Compliant i eley........=I A IT:— :, --,.....,-. -‘"---- .7.7,i 71----''''— 1E--... - ___._• - ....;"; ............._Configuration "------.•••-------'--- GUIDELINES NOTICE CAUTION WARNING NOC INFO BARRIER/MARKER Access Point(s)0 [1]0 0 0 El [1]0 Alpha El [1 ]0 El [1 ]0 0 121 12' Beta El [3]0 El [3]0 0 CEI 20' x 5' Gamma El [3]0 0 [3]0 0 El 15' x 5' NOTE: The table above represents EVERY compliance item that MUST be implemented at this location. 11 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement I Verizon Wireless c.Signage/Barrier Installation Detail sw (;iiiiiiii._,--„.NOTICE (AcAuTioN'\INFORMATION I_ Mitigation =-..rz--.....---I .-.ILA17 - -1.P.7.il .-."--7.---".. Actions =--I (010:17.--5-=.--.4.77.1= ir15ZF:-.7..-I 1 •...-I Fi :1._. Required/Taken 1/4;1-7--r:-----;.:7---7.;=-----7 t,::::::_-H.-\k':*_::4116 GUIDELINES NOTICE CAUTION WARNING NOC INFO BARRIER/MARKER Access Point(s)Eg [1] El [1] Alpha ®[1] ®[1] El 12' Beta El [3 ] El [3 ] (El 20' x 5' Gamma El [3] El [3] El 15' x 5' ADD REM ADD REM ADD REM ADD REM ADD REM ADD ONLY NOTE: The table represents either the signage/barriers installed / removed OR items required by the market (if mitigation is not installed by consultant/vendor). (SPECIAL MITIGATION INSTRUCTIONS Items to be Installed •Install GUIDELINES and NOC on roof hatch of main roof level. •Install 12' barrier behind antennas at Sector A at main roof level. •Install 20' x 5' barrier behind antennas at Sector B at main roof level. •Install 15' x 5' barrier behind antennas at Sector C at main roof level. •Install GUIDELINES and CAUTION signs on barrier behind antennas at Sector A at main roof level. •Install GUIDELINES and CAUTION signs on sides and back of barriers at Sectors B and C at main roof level. Items to be Removed N/A Items to be Repaired/Replaced N/A 12 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement I Verizon Wireless amok Swot 5.Appendix C: RF Consultant Certifications a.Preparer Certification I, Thanh Estevam, the preparer of this report, am fully aware of and familiar with the Rules and Regulations ofboth the Federal Communications Commissions (FCC) and the Occupational Safety and Health Administration (OSHA) with regard to Human Exposure to Radio Frequency Radiation.I am also fully aware of and familiar with the Verizon Wireless Signage &Demarcation Policy. I have reviewed this Radio Frequency Exposure Assessment report and believe it to be both true and accurate to the best ofmy knowledge. b.Reviewer Certification I,Jos Schorr, the reviewer and approved of this report, am fully aware of and familiar with the Rules and Regulations of both the Federal Communications Commissions (FCC) and the Occupational Safety and Health Administration (OSHA) with regard to Human Exposure to Radio Frequency Radiation.I am also fully aware of and familiar with the Verizon Wireless Signage &Demarcation Policy.I have reviewed this Radio Frequency Exposure Assessment report and believe it to be both true and accurate to the best ofmy knowledge. 13 Confidential & proprietary material for authorized Verizon Wireless personnel only. Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement I Verizon Wireless kwir .0 6.Appendix D: Reference Information a.FCC Rules &Regulations The Federal Communications Commission (FCC) has established safety guidelines relating to RF exposure from cell sites. The FCC developed those standards, known as Maximum Permissible Exposure (MPE) limits, in consultation with numerous other federal agencies, including the Environmental Protection Agency, the Food and Drug Administration, and the Occupational Safety and Health Administration.The standards were developed by expert scientists and engineers after extensive reviews ofthe scientific literature related to RF biological effects.The FCC explains that its standards "incorporate prudent margins ofsafety." The following represents explanations ofthe most applicable information: Two Classifications for Exposure Limits Occupational —Applies to situations in which persons General Population —Applies to situations in which are "exposed as a consequence of their employment"persons are "exposed as a consequence of their and are "fully aware ofthe potential for exposure and employment may not be madefully aware of the can exercise control over their exposure".potential for exposure or cannot exercise control over their exposure". Generally speaking, those without significant and documented RF Safety &Awareness training would be in the General Population classification. Environment Classification Controlled —Applies to environments that are restricted Uncontrolled —Applies to environments that are or "controlled" in order to prevent access from members unrestricted or "uncontrolled" that allow access from of the General Population classification.members of the General Population classification. Limitsfor Occupational/Controlled Exposure Frequency Power Density Averaging Time Range (S)1E12,11112,or S (MHz)(mW/cm2)(minutes) 300-1500 f/300 6 1500-100,000 5 6 Limitsfor General Population/Uncontrolled Exposure Frequency Power Density Averaging Time Range (S)1E12,11112,or S (MHz)(mW/cm2)(minutes) 300-1500 f/1500 30 1500-100,000 1 30 f =frequency in MHz Significant Contribution to the RF Environment Any carrier contributing an aggregate MPE percentage of5 or more (to the applicable RF Environment Classification) is defined as a significant contributor. This means that ifany area is determined to be out of compliance with FCC rules, all significant contributors are jointly responsible for correcting any deficiencies. b.Occupational Safety and Health Administration (OSHA) Requirements A formal adopter of FCC Standards, OSHA stipulates that those in the Occupational classification must complete training in the following: RF Safety, RF Awareness, and Utilization of Personal Protective Equipment. OSHA also provides options for Hazard Prevention and Control: Hazard Prevention Control •Utilization of good equipment •Employ Lockout/Tag out •Enact control ofhazard areas •Utilize personal alarms &protective clothing •Limit exposures •Prevent access to hazardous locations •Employ medical surveillance and accident •Develop or operate an administrative control response program 14 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement I Verizon Wireless c.RF Signage Areas or portions of any transmitter site may be susceptible to high power densities that could cause personnel exposures in excess of the FCC guidelines. These areas must be demarcated by conspicuously posted signage that identifies the potential exposure. Signage MUST be viewable regardless ofthe viewer's position. GUIDELINES NOTICE CAUTION WARNING This sign will inform This sign indicates that RF This sign indicates that RF This sign indicates that RF anyone of the basic emissions may exceed the emissions may exceed the emissions may exceed at least precautions to follow when FCC General Population FCC Occupational MPE 10x the FCC Occupational entering an area with MPE limit.limit.MPE limit. transmitting radiofrequency equipment. I de.NOTICE ex ... GeneralRaftheAsenevPi NOTICE IA CAUTION -\\111111111.1111-Ibromlliog...44 .......*0asi. Ali apopirabiaaor...•••••.•••••11..01....14.1rver.w....q...k...arAMONOf WM*1 ..“...P•ofiek••••ovx Oad.rze7c.c.rfrea.v.......041/14.117:04.1.10mil.... A COW 1....a.of...40.4.4......pigotion.d0.00.0•0Mem....Ob. &sum ral 4.4.4•(.60hismitan,0.4 :Mt...7:11.......(.4*.........ea 460.101.110.11•01. la .10......d1.0.4.MmlA1:44.140coif~4 41 Dem 44116.1.4.Om. wen...01.11.00.0.1.1111.1tlfft .......r........... 4 COinnlialk Otir..414...f........SNArt W.ant WM.PM .../elt 0.0owlualklinealAft4........04.r 44 ..4.um4 sirt4 MO lavaind•eft WM 1...MOCC W.A.*sena•Npet A Coma swimsowl.« togra.r...so........7)\ve\....\,.........rtagoom rizoni ./1 .verizoni -.11 NOC INFORMATION INFORMATION Information signs are used as a means to provide contact information for any questions or .........................„,..----- concerns. They will include specific cell site identification information and the Verizon Wireless ............=— 1 Network Operations Center phone number.*_".:: •=.7.;:_____.) d.Physical Barriers Physical barriers are control measures that require awareness and participation ofpersonnel. Physical barriers are employed as an additional administration control to complement RF signage and physically demarcate an area in which RF exposure levels may exceed the FCC General Population limit. Example: chain-connected stanchions e.Indicative Markers Indicative markers are visible control measures that require awareness and participation ofpersonnel,as they cannot physically prevent someone from entering an area ofpotential concern. Indicative markers are employed as an additional administration control to complement RF signage and visually demarcate an area in which RF exposure levels may exceed the FCC General Population limit. Example: paint stripes 15 Confidential & proprietary material for authorized Verizon Wireless personnel only.Use, disclosure or distribution of this material is not permitted to any unauthorized persons or third parties except by written agreement I Verizon Wireless %SP RF-EME Compliance Report Site No. MTX 541 BSC 22 EBI Project No.6216003417 2192 Palomar Airport Road, Carlsbad, California Reviewed and Approved by: itsCIFESsio‘. Q.<t (4.9 tt..A. 4f0/fle toe•,00 E 18898 Pm z—m d.• EX\44POr(** 4111..."OF CP sealed 11aug2016 Michael McGuire Electrical Engineer Note that EBI's scope of work is limited to an evaluation of the Radio Frequency —Electromagnetic Energy (RF- EME) field generated by the antennas and broadcast equipment noted in this report.The engineering and design of the building and related structures,as well as the impact of the antennas and broadcast equipment on the structural integrity of the building, are specifically excluded from EBI's scope of work. EBI Consulting