HomeMy WebLinkAboutCUP 08-22A; Verizon Carlsbad HS WCF; Conditional Use Permit (CUP)t_ Cityof
Carlsbad
LAND USE REVIEW
APPLICATION
P-1
Development Services
Planning Division
1635 Faraday Avenue
(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(*) 0 Minor 0 General Plan Amendment
D Conditional Use Permit(*) 4 i sp 1)((-"Q.lr D C -' 1.-D .;7i· •r Local Coastal Program Amendment (*) D Minor 0 Extension
0 Day Care (Large)
D Environmental Impact Assessment
D Habitat Management Permit 0 Minor
0 Hillside Development Permit (*) 0 Minor
0 Nonconforming Construction Permit
0 Planned Development Permit 0 Minor
D Residential D Non-Residential
0 Planning Commission Determination
0 Site Development Plan
0 Special Use Permit
0 Minor
0 Tentative Parcel Map (Minor Subdivision)
0 Tentative Tract Map (Major Subdivision)
0 Variance 0 Minor
0 Master Plan
0 Specific Plan
0 Zone Change (*)
D Amendment
D Amendment
0 Zone Code Amendment
South Carlsbad Coastal Review Area Permits
0 Review Permit
0 Administrative D Minor 0 Major
Village Review Area Permits
0 Review Permit
0 Administrative D Minor 0 Major
(*) = eligible for 25% discount
NOTE: A PROPOSED PROJECT REQUIRING MULTIPLE APPLICATIONS MUST BE SUBMITTED PRIOR TO 3:30P.M. A PROPOSED PROJECT REQUIRING ONLY ONE
APPLICATION MUST BE SUBMITTED PRIOR TO 4:00P.M.
ASSESSOR PARCELNO(S).: ~~~-~~~--~~~~-~~~~~~· ~~~~~~~~~~~~~~~~~~~~~~~~
PROJECT NAME: &/st~d tlN~I1e) .!Jehcol ])1's.frh f -Cu{S D Lttn3oM UJC:~P
BRIEF DESCRIPTION OF PROJECT: "21-14.;:;) ((ii,) E,IL/s-IJ'Nf 'l?t!foe/ ~.#li.5 .fP,--(Q,ut'..:; Me>w(cu~ ;rc?#f//
/&)uit!J RR.u'>,., ;,.--:Js.:/.p,f/ t.J) t-Ie::; De .s~')-e ~jl«SS<tr, :P-Ls~/1 ?v~w 8.6 C"r Ayir,;; t:'af,le s
BRIEF LEGAL DESCRIPTION:
LOCATION OF PROJECT:
STREET ADDRESS
ON THE: SIDE OF
(NORTH, SOUTH, EAST, WEST) (NAME OF STREET)
BETWEEN AND
(NAME OF STREET) (NAME OF STREET)
P-1 Paoe 1 of 6 Revised 04/15
OWNER NAME dcv-bJJ ~~·e:_~~,t .$c/w"-L APPLICANT NAME (Print): .-~ ~ m. ~-€Jtt/..f o.f-(Print):
6.~~~~!.vo z~r 'Z.n-r ,... ; •'e l'f!'~' MAILING ADDRESS: MAILING ADDRESS: ve-_;:13 q.a 'De. I ob\5~0 .5<J.. ::tf 1\~
CITY, STATE:, ZIP: &I'I~J_ ?*' t921Jd~ CITY, STATE, ZIP: ~J JWiN CJ1~~~~ t'.A, ?Z6f5
TELEPHONE: TELEPHONE: t'/?..r-7-Jf"" ... 59-Z-r
EMAIL ADDRESS: EMAIL ADDRESS: 'ft1111@? ./ -ri.;Jt!O/oJ,S;;...f f.-,~~ I '..v<_• •i'!oyz,t...-
"71
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESE ATIVE OF THE OWNER
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION I RUE AND CORRECT TO
KNOWLEDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT AS THE BEST OF MY KNOWLEDGE.
SET FORTH HEREIN IS MY AUTHORIZED REPRESENTATIVE FOR
~URPOSES OF THIS APP~I?N. . ~ --n.. ~ ~ /r..i!§l-/!F 7t'/HA s:a: ~, /() r·29,-/~ u
SIGNATURE ---:-~ ~~.J".LJ DATE SIGNATURE I DATE
# ,/
APPLICANTS REPRESENTATIVE (Print): 1/t:"'' "<2; ~ t'J).'"(;:/~.2.~ ·-//lex {311·+~ rrCI V
MAILING ADDRESS: ;;-:;os-.:?w<,./ 6-t.A) !LeJ:l /7£.
I
CITY, STATE, ZIP: -:r;IL.it:::J:.., ~4--92(olg
TELEPHONE: Z.!Ifl-lf1-2 -Cfol{8
EMAIL ADDRESS: A feY-:\-? 6\:\-~A-C"O\J~ Ve-t'~'UVI.w tre-(~~ '5 -c?:.bW\.
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
~0 /()r2"J-IS"'
SIGNATURE DATE
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. INVE CONSENT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORDED ON THE TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH
THE LAND AND BIND ANY SU~lSORS IN INTEREST. c:::xf~"-MUU'tJ;~ -/))~ ~L/J/)
PR RTY OWNER GNATURE
FOR CITY USE ONLY
OCT 3 0 2015
DATE STAMP APPLICATION RECEIVED
RECEIVED BY:
I~
P-1 Page 2 of 6 Revised 04/1 5
Cicyof
Carlsbad
DISCLOSURE STATEMENT
P-1(A)
Planning Division
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,frillo\Ming ltnformation,MUSTbe disclosed aUhe.,time of application sttbmiiftal Yoi!Jr 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 c1ub, 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 lega1 name and entjty of the applicant and property owner
mustbe 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. lf the applicant includes a corporation or partnership,
include the names, titles, addresses of all individuals owning more than 10% of the
shares. ·1f NO tN01V1DUA'LS 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 Vert zm.., IAI/a;:.le H: ~
Title Title _____________ _
Address. _________ _
2. OWNER (Not the owner's agent)
P-t(A)
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
ownersrnp 'includes a vorporatkm or partnership, include the names, titles, addresses of
aU lndMdlua~s .owning .more ,'than ,10% of :tbe .~hares. ;tF NO ilNDNltDUALS 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, __________ _
Title ___________ _
Address _________ _
Corp/Part ,Sjit Csi@BJU> lJNrftl!> Sc:tJDD'-D67RICT
Titre:.__ ____________ _
Address h 2.1.~ {/ C~~; ,.,(1 l!ea)
C.,,-/sW~ Qf 11-oo{
Page 1 :of2 .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-
proftt organization ow as tlrustee o:r bef:l:eftciat:y. Glfi the~
Non Profit/Trust Non Profit/Trust _________ _
Title __________ _ Title _____________ _
Address _________ _ Address ___________ _
4. Have ynu had mor-e than $500 ·worth of 'business transacted with ·any member of City
staff, Boards, Commissions, Committees and/or Council within the past twelve (12)
months?
0 Yes I KINo If yes, please indicate person(s): __________ _
I certify that all the above information is true and correct to the best of my knowledge.
c .. . (':''(" . ( "'-)U, ~!.. V) V\.:E ~· ... (:l\\ V\"-{? L
Print or type name of owner Print or type name of applicant
Print or type name of owner/applicant's agent
P-1 (A) Page 2 of 2 Revised 07/10
(City of
Carlsbad
HAZARD;OUS WASTE
AND SUBSTANCES
STATEMENT
P-1(C)
Consultation of Lists of Sites Related to Hazardous Wastes
(Certification of Compliance with Government Code Section 65962.5)
PfanningDMsfon
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Pursuant to State of California Government Code Section 65962.5, I have consulted the
Hazardous Waste and Substances Sites List compiled by the California Environmental
Protection Agency and hereby certify that (check one):
· 11] The development project and any alternatives proposed in this application are no\ contained on 'the
lists compiled pursuant to Section 65962.5 of the State Government Code.
D The development project and any alternatives proposed in this application !m contained on the lists
compiled pursuant to Section 65962.5 of the State Government Code.
APPUCAN'f
Name: Tom Johnson on behalf ofVertzon Wi'rel:'ess
Address: 31878 Del Obispo St. #118-454
San Juan Capistrano, CA. 92675
Phone Number: 925-785-3727
Address of Site: 1849 Basswood Ave
PROPERTY OWNER
Name: f~r/r;boiJ tkafr-eJ 5<-lP~~"/
Address: (p:zA f' £/ Cfx441AA) I~
C~~lu:R 44 7'2oo9 .
Local Agency (City and county):_C_i-=ty_o_f _C_a_r_ls_b_a_d _____________ _
Assessor's book, page, and parcel number:_2_0_5_-_1_4_0_-2_5 _____________ _
Specffy list(s}: ___________________________ _
Regulatory Identification Number: _____________________ _
Date of List: ____________________________ _
The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local
agencies and developers to comply with the California Environmental Quality Act requirements
in providing information about the location of hazardous materials release sites.
P-1 (C) Page 1 of 2 Revised 02/13
Cicyof
Carlsbad
PROJECT DESCRIPTION
P-1(8)
PROJECT NAME: Carlsbad High School
APPLICANT NAME: Verizon Wireless
Planning Di;vision
1635 Faraday Avenue
{760) 602-4610
www.carlsbadca.gov
Please describe 'fu~iy the proposed project by application type. '1nclude any detatls necessary to
adequately exp~ain the 'Scope and1or operation of the proposed project. Yoo 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:
i(~tt:Ue. (Co) ~)(.\~4-1 s.i') o....>·\e.,Hl~ ~ vJ I ~l ( l.) f-Je<-.J I'V'O!Q..f s
ro~h\\ tJ.~) IJ·ew '\C-\Z.\,\.' c; be~\~~l 'tk V'e.-p\~e"l ~,..:.~~"-":::,
If0 ~~\\ L\) 1-)~1.} b~ -s~~ ~IA..p~"l'eS<:.or ~e...~»cl +ht..
e)(_\~ "\-l"'~ CAI0 ~,...~.H'-S:.
INs~~l (""L) f-.\~ hyb"'.J-·cc. Pov.>~/~\~(' .,"1,\A"'" ~b~~
P-1 (B) Page 1 of 1 Revised 07/10
TI,ME LIMITS ON
DISCRETIONARY
PROJECTS
P-1(E)
PLEASE NOTE:
Pfanning Division
1635 Faraday Avenue
{760) 602-4610
www.carlsbadca.gov
Time limits on the processing of discretionary projects established by state law do not start until a
project application is deemed complete by the City. The City has 30 calendar days from the date of
application submittal to determine whether .an application is complete or \tncomplle1e. W\thjn 30 days of
submittal of this ap,p,licatAoo ,you will receh;e a Jetter statiqg whether this application js compJete or
incomplete. 1f it is incompiete, the letter wiH state what is· needed to make thrs :appHc:ation complete.
When the application is complete, the processing period will start upon the date of the completion letter.
If you have any questions regarding application submittal requirements (i.e., clarification
regarding a specific requirement or whether all requirements are necessary for your particular
application) please call {760) 602-4610.
Applicant Signature:
Staff Signature:
Date:
To be stapled with receipt to the application
P-1 (E) Page 1 of 1 Revised 07/10
ENVIRONMENTAL INFORMATION FORM
(To be Completed by Applicant)
Date Filed\ -----------{To I:J<e com'Preted by Ci{y}i
Appffcatfon Number(s): -------------------------
General Information
1. Name of project: Carlsbad High School
2. -'l'l!a:me·mdevetQper nr project '5ipo:f\l'sor: _V_e_x_i_zo_n_W_. _i_r_e_Je_s_s _________ _
Address: 15505 Sand Canyon Ave
City, state, Zip code: Irvine, CA. 92618
Phone Number: 925-785-3727
3. Na~Cne of p:ettson to ID:e co.madle.d concevn~lflrg ~h&:s proJect; Tom Johnson
Address: 31878 Del Obispo St #118-454
City, state, Zip Code: San Juan Capistrano, CA. 92675
Phone Number: 925-785-3727
4. Address ofProject 1849 Basswood Ave.
Assesoorls Parcel :Number: 205-140~25 -------------------------
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:
6. Existing Genera~ Plan Land'llJse Desfgnatfolili: ------------------
7. Existing zoning district: --------------------------
8. Existing land use(s): _S_c_h_o_o_l ___________________ _
9. Proposed use of site (Project for which this form is filed): _C_e_II_S_it_e _______ _
Project Description
10. Sitesize: ---------------------------
11. Proposed Building square footage: _n_l_a _________________ _
Ntl!lruTib'e'f of flool\S' of·.C011Structionc o/ a --------------------------------12:
13. " . nla Amount of on-street parking provided: ------------------
14. Associated projects: _n_l_a _____________________ __
P-1 (D) Page 2 of 4 Revised 07/10
15. If residential, include the number of units and schedule of unit sizes: _n_/_a ________ _
16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage
of sales area, and loading facilities: _n,_a ____________________ _
17. If industrial, indicate type, estimated employment per shift, and loading facilities: _n_f_a ___ _
18. If institutional, indicate the major function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the project:
~ 9. ~f the ~project involves a variance, conditional use or rezoning applications, state this and indicate
c1ear1y why the application is required:
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. Ck\ang~ in existir1gr fea~l!M'es of aArt¥ bays, tidelands, beaches, o:t: l1ills, or stUQ5tantial 0 EtJ
alteration of ground contours.
21. Change in scenic views or vistas from existing residential areas or public lands or D 0
roads.
22. Change in pattern, scale or character of general area of project. 0 0
23. S'(gniificanl a:ooom,rrts of solid wast:e or'Utter. 0 0
24. Change in dust, ash, smoke, fumes or odors 1n vicinity. 0 0
25. Change in ocean, bay, lake, stream or ground water quality or quantity, or 0 0
alteration of existing drainage patterns.
26. Substantial change in existing noise or vibration levels in the vicinity. 0 0
27. Site on filled rand or on srope of 10 percent or more. 0 0
28. Use of disposal of potentially hazardous materials, such as toxic substances, 0 0
flammables or explosives.
29. Substantial change in demand for municipal services (police, fire, water, sewage, D 0
etc.).
3:0. S!llbsltantially.;im•orease;OO>:s:sll'ifi,wel (!lOfilslllmpt\ioirn >(eleotliic;ity, rii!l, natural gas, etc.). 0 0
31. Relationship to a larger project or series of projects. 0 0
Environmental Setting
Attach sheets that include a response to the following questions:
32. Describe the project sime as tt exiists before th.e. project', ih.cl11!ldimg. ihfcrrl!lat-ibru:m~ towogfa@hy,. smt
stability, plants and animats, and any curturar, historical or scenic aspects. Describe any exrstihg
structures on the site, and the use of the structures: Attach photographs of tne sife. 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.
S1'lla,pslilots o.r,p.QiarorcLpllrotos wilhbe <1ilCOepted.
Certifreation
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: IP-Zt9-l2
P-1 (D) Page 4 of 4 Revised 07/10
~ ven ftwireless
Radio Frequency Exposure Pre-Installation
FCC Compliance Assessment
Site Specific Information
Site Name CARLSBAD CatC2"orically Excluded?' NO
Street Address 1849 BASSWOOD A VENUE 5% Contributor To Areas
Requiring Mitigation? YES
City, State, Zip CARLSBAD, CA 92008
Multi-Licensee Facility NO Max% MPE (Predictive) 1.3%
Structure Type LIGHT POLE Max % MPE (Measured) N/A
Broadcast Equipment YES Assessment Date N/A
# of Access Points N/A Assessment Purpose Site Modification
I Compliance Status I IN COMPLIANCE
1 'X 1 Worst--ease RF power density levels are BELOW the MPE for General Population/Uncontrolled Environments in aooessible areas.
0
0
Worst-case Rr power detlSI\Y }evels :are AB0\1.!::. the MPh t(l(·lu:nec.al Populatlollll.JtlOOatrolled t:.nvtromnems but B.I::JA>W til~
MPE for lied environments.
levels are ABOVE the MPE for Occupational/Controlled Environments but BELOW LOx the MPE
ronrnents.
o Worst-case RF power density levels are ABOVE I Ox the MPE for OccupationaVControlled environments.
-,
I
Compliance
Requirements ....... -.......-----........ I --: :=--.:=-:-:------,, .. ==-..... _.,.,.. ____ _ ·-·-...._._ .. _ ............. _ .. ..........,._ ..... ......,.__ . -.-.--....~-...-.
Access ns
No action required
Alpha Sector Location
No action required
Beta Sector Location
t~U dl.UUll lt::4UI)t::~
Gamma Sector Location
No action required
A cAUTION
Consultant Legal Name I Telnet lnc. I Phone/Fax
Address I 7630 Standish Place, Rockvi lle, MD 20855
INFORMATION
llllaloa--
""'""""sa
I 301-840-71 1 o
0
Confidential & proprietary material for authorized Verizon Wireless personnel only. Use. disclosure or
distribution of this material is not permitted to any unauthoriz.ed persons or third parties except by written
agreement I Verizon Wireless
Contents
1. Executive Summary ......................................................................................................................................................... 3
General Model Assumptions ................................................ "_ ................................. " ..... " ............................................... 3
U~4... Vi Vl:l,\..:f•l.. ~ii'\.l •. ''ff•lc..~..J ·······••••••••••••···························•••••••••••••••••••••••••••••••••••••••••········•••••••••••••••••••••••••••••••••••••••••••••••••...)
2. Proposed Site Characteristics ......................................................................................................................................... 4
a. Structure ..................................................................................................................................................................... 4
b. Accessibility ................................................................................................................................................................. 4
c. Verizon Wireless Sign age ............................................................................................................................................ 4
d. Antenna Inventory·-----·----"····---·-·--···---··--···-··-····--···--··-··--········· .. ················-·········· .. ············· 5
a. Predictive Model: All Transmitters at Ground Level ................................................................................................... 6
b. Predictive Model: Significant Contribution of Verizon Wireless at Ground Level ...................................................... 7
c. Predictive Model: All Transmitters at Light Level ....................................................................................................... 8
d. Predictive Model: Significant Contribution of Verizon Wireless at Light Level .......................................................... 9
4 . Conclusion ..................................................................................................................................................................... 10
a. Conclusion Narrative ................................................................................................................................................. 10
b. Compliance Req1J1rements ........................................................................................................................................ 11
Signage/Barrier Diagram ................................................................................................................................................... 11
Signage/Barrier Installation Detail .................................................................................................................................... 12
5. Appendix C: RF Consultant Certifications ..................................................................................................................... 13
a.
b.
6.
a.
b.
c.
d.
Preparer Certification ................................................................................................................................................ 13
Reviewer Certification ......................... " .................................................................................................................... 13
Aooendix D: Reference Information ............................................................................................................................. i4
FGC,Rales & .Regwations ........................................................................................................................................... 14
Occupational Safety and Health Administration (OSHA) Requirements .................................................................. 14
RF Sign age ................................................................................................................................................................. 15
Barriers ...................................................................................................................................................................... 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
1. Executive Summary
Verizon W ireless has contracted w ith Tel net lnc., an independent Radio Frequency consulting firm, to conduct a Radio
Frequency Exposure {JWE) 'Comp11ance Pre-tnstaHatiob Assessment of the CARLSBAD ceH site. The ftlliowing report
f"'Ant ,;nC' ~;a ~pt-:a;lp,l C llt'Y'In"''::a t'"'\1 n f'thllo l).,A;n 'f:rl'\f'liiDn l"'\1 ('lot"n rtrl"'\nl·"""'nt 'l'-" ;t rolo:~otoco t n l:'llorllloro:~J f""n 'f"'r"'t'rllln;r":lt;n n co r nrnt'Y'I;C'C';nn
(FCC) and Occupati~nal Safety & Health Administration (OSHA) Rules and Regulations for all inrufliduals.
Th V . e enzon w· 1 t tre ess an enna d t "d d b a a was prov1 e Jy:
Name Gary Ferrara
Title Program Director
Date 1.2/ l/20 IS
Regio.n TECTONIC
Thl s post-nsta II t at on compl ance assessment an d h b report as cf d an een prepare rev ew ecf b Jy:
Pre parer Reviewer
Name Gauri Jayasinghe Shafin Mohammed
Title RF Engineer RF Engineer
Date 12/03/20 IS 11/01/201S
-. MP.E ModeJing~.aJP: Roofvjew 4.JS
Required Modeling Assumptions: 100% Duty Cycle and Maximum Total Power Output.
General Model Assumptions
In thil'; n'!nnrt it il'; ;::!l';l';llmP.rl th;::~t ;:~It ;::~ntP.nn;::~l'; ;::~rP. nnP.r;::~tinn ;::~t f11ll nnwP.r ;::~t ;:~II timP.l'; ~nftw;::~rP. mnrlP.Iinn w;::~l'; nP.rfnrmP.rl fnr
all transmitting antennas locate<! on the s1te. 1 elnet, Inc. has turther assumed a 1 00~ aut~ cycle ana maximum raa1ated
power.
The site has been modeled with these assumptions to show the maximum RF energy density. Telnet Inc. believes this to
be a worst case analysis, based on best available data.
If at any time power density measurements weJe lo be made, Telnet Inc. believes the real time measurements would
indicate levels below1hose shown in "this report. £y modeling in 1his way, we have conservatively s l'lown exclusion a reas
,_,_..,.._ .......... ._ ---·· .. -·--........ __ .. -,..._ ..... ..,,._ ..... ···-····-·~ --···-·-·----···,::, ,... ....... ~. -· ,..-; .............. ~ ,-;;:;;;:;,, ...... o;:; ••• ";;;~.;;.-.; ••• ; .......... ....
SOOw real time-exposure levels).
Use of Generic Antennas
For the purposes of this report, the use of 'Generic' as an antenna model, or 'Unknown' for a wireless carrier, means that
the information aboot the carrier, their FCC license and/ or antenna information. was not provided and could not be
., o ,. ~ 1 • ·n t' • • _,
antenna models and transmit power to model the site. If more specific information can be obtained for the unknown
measurement criteria, remodeling of the site is recommended. If no information is available regarding the transmitting
service associated with an unidentified antenna, using the antenna manufacturer's published data regarding the antenna's
physical characteristics makes more conservative assumptions
Co nfidential & 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. Proposed Site Characteristics
Site Longitude {N A..P .83) -1 )7.330782
Site Elevation (AMSL) N/A
Structure Height (AGL) 68'
Overall Structure Height 100 '
b. Accessibility
I Arrpc;c; tn c;itC' vi::t rn::tri
c. Verizon Wireless
Existing
Signage
Access Points
.. ::-.:--=:----...--«~ ... .,.._ _____ _ ........ _ .... ................. __
·~------......... ·--·--..__-.. _ . .._..........,.-. . -....-..-----...--... -...--.....---.,.._...,._..._ ~=:::= =---====-:::.--·:=:--~=-
INFORMATION
Thlolo·--~-
•
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
d. Antenna Inventory
9
1
2
3
3
4
4
5
6
7
I
8
8
9
9
10
.lU
11
12
---• N w; • g ., g ... :J: ., --o g 0 ::E ::: ~ tV-X y .. ... z; ... • -.. • c:.,. "0 .. Q. ! "0 z; ... o, c: ... ... > r:r 0 :::J :::J .z: ., ., ... t: N_ tiC Q. 1-::E ::J -.:: ~ 0 ... Q. E ., (ft) (ft) ... ::J 0 u. a: Q. ~ E ~ X ..... ~ c( N
J-tV N ., en
Verizon Pane) 850 2873.18 Antel BXA-80063/4Cf ' 130 4.0 '63 61 61 66 -29
Verizon Panel 1900 6153.47 Antel BXA-185063/8CF 130 4.0 63 58 62 66 -29
Verizon Panel 746 1406.54 SBNHH-106565C 130 8.0 65 55 63 64 -31
Verizon Panel 1900 6443.47 SBNHH-106565C 130 8.0 63 55 63 64 -31
Verizon Panel 746 1406.54 SBN H H-106565C 130 8.0 65 52 63 64 -31
Verizon Panel 2100 6443.47 SBNHH-106565C 130 8.0 35 52 63 64 -31
Verizon Panel 850 2873.18 Antel BXA-80063/4CF 250 4.0 63 51 67 66 -29
Verizon Panel 1900 6153.47 Antel BXA-185063/8CF 250 4.0 63 53 69 66 -29
Verizon Panel 746 1406.54 SBNHH-io65G5C 250 8.0 65 56 7~ 64 -3~
------'--·--'--
Verizon Panel l!:IUU· b44::L4/ !).BN H H -lU b!>bb L i.!>U ~.u b.:S !>b· 11 b4 -.:Sl
Verizon Panel 746 1406.54 SBNHH-106565C 250 8.0 65 58 73 64 -31
Verizon Panel 2100 6443.47 SBNHH-10656SC 250 8.0 35 58 73 64 -31
Verizon Panel 746 1406.54 SBNHH -106565C 10 8.0 65 62 72 64 -31
Verizon Panel 1900 6443.47 SBNHH-106565C 10 8.0 63 62 72 64 -31
v~rizon Panel 746 375.08 5BN HH-106565.£: 10 .8.0 65 62 69 64 -31
v.er~on t'ane1 .l..lVU 0'+'+.:>.'+ I .:>tmrnn-J. uo.::rco L. J.U o.v .:>::> O.L 0:!:1 0'+ -.:>.l
Verizon Panel 1900 6153.47 Antel BXA-185063/8CF 10 4.0 63 63 66 66 -29
Verizon Panel 850 2873.18 Antel BXA-80063/4CF 70 4.0 63 64 63 66 -29
Confidentjal & proprietafY 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
3. Arr'31vsis
:a. Pr.edictiiV>e Model: A:ll :r!Mtlsmitters ;at >Ground Level
4:::
IJl 00
I
CARRIER
ANT~NA.:
8
4
3
2
1
I + 91ft - -
Max Verizon Simulation Level: 1.3%
9
10
11
12
lalo.rl<w Wall -
TELNET, INC., 7630 Standish Place, Rockville, MD 20855; Phone: 888-883-5638/ Fax: 301-84().()162; Web: www.Telnet-lnc.com
Confidential & proprietary material for authorized Verizon Wireless personnel onfy. 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: S.ignifieant Contribution ofVerizoD Wireless at Ground Level
CARRIER
ANTENNA:
8
7
4
3
6
5
2
1
e
91ft-------------------r
Max Verizon Simulation level: 1.3%
&tmorWillll
ftooftop Object
AE.sa-
cableTray
llarrierAru
I
----
Confidential & proprretary materta~ for authortzed Verizon Wi-reless personnel onJy. Use, disclosure or
distribution of this material is not permitted to any unauthorized persons or third parties except by written
agreement t Verizon Wireless
c. Predictive Model: AD Transmitters at Light Level
¢:
Ll")
00
CARRIER
ANTOINA:
8
7
6
5
4
3
2
1
91ft
Max Verizon Simulation Level: 5. 7%
l:d8torWoll
llooflop OIIJKt
llfSUHn
c:HieT"'J --· Anchot Point
9
10
11
G
TELNET, INC., 7630 Stan<f!Sh Plact!, Rockville, MD 208SS; ~: 888-883-5638/ Fax: 301-84().()162; Web: www.Tt!lnet-lnc.com
Confidential & proprietary material for authorized Verizon Wireless personnel only. Use, disclosure or
distribution of this material ts not permitted to any unauthorized persons or third parties except by written
agreement I Verizon Wireless
d. Predictive Modet: Sigaificant Collfributioa ofVerizon Wireless at Light Levd
4
3
2
1
-+----------91ft
9
10
11
Max Verizon Simulation Level: 5.7%
LEGEND:
CARRIER
ANTENNA: SPRINT AT&.T
Elcteri« Wall
RFScteen
cable tray
Barrier An•
----
Anc:hor Point [!]
TELNET, INC.. 7630 Standish Place, Rodlville. MD 20&55; Phone: 888-883-5633/ Fax: 301.-84&0162; Web: www.Telnet:-lnc..com
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-Limlt E"llreeding Areas: (Ground level)
VZW A~ha sector is not exceeding 2&% Occupationat population limits
VZW Beta sector is not exceeding 20 % Occupational population li mjts
VZW Gamma sector is not exceeding 20% Occupational population limits
Verizon Significant Contribution Areas: (Ground level)
VZW Alpha seotor is exceeding 1% OCCl>lpati()nal po!)ulation limits
VZW Beta sector is exceeding 1% Occupational population limits
VZW Gamma sector is exceeding 1% Occupational population limits
Description of MPE-Limit Exceedine Areas:. (Lieht level)
VZW Alpha sector is not exceeding 20% Occupational population limits
VZW Beta sector is not exceeding 20 % Occupational population Jimjts
VZW Gamma sector is not exceeding 20% Occupational population limits
Verizon Significant Contribution Areas: (Light level)
VZW Atpha sector ~s exceeding i %·0ccuparlonalpopillatlon Jtmits
VZW Beta sector is exceeding 1% Occupational population limits
VZW Gamma sector is exceeding 1% Occupational population limits
Confidential & proprietary material for authorized Veriz.on 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. Compliance. Re.qukements
Sip.age/Baxrier Diagram
~
1./'l 00
4
3
2
1
No action required
-----11
Tr.Klk
.... t--:20ftft--11-~~-----------------------91ft------------------------+1--
LEGEND:
CARRIER
ANTENNA: A'RlT
&teriorWan
., · METRO PCS
TELNET, INC., 7630 Standish Place, Rockville, MD 20855; Phone: 888-883-5638 {Fax: 301-840-0162; Web: www.Telnet-lnc.com
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
Compliance
Requirements A NOTICE£ ~ .. -~. --
Access Points
Gam
.. ==:-...::::::--........... -· .. ..... --.....---·--·-·-----...........-..... -......-. .._._, .... ...._.,_...,....._ ....... .........,...._ ______ ....._......_
Signage/Barrier Installation Detail
Site Access Locations
No action required
Alpha Sector Location
No action required
Beta Sector Location
No action reQuired
Gamma Sector Location
No action required
.CAUTION
(< .. >) !A --------·--~-... -:::::::== ----=--• 1'1:£..=:::"' ----
INFORMATION
... __ ---
0
0
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 Wirefess
5. Appendix C: RF Consultant Certifications
a. Preparer Certification
I, Gauri Jayasinghe, the preparer ofthis report, am fully aware of and familiar with the Rules and Regulations ofboth the
teaerat Commurucatwns LolliiillSswns (l'LL) and the Uccupatt~aJ. ~a~ety and Healtb Adn:urustratton (U~li.A) w1th
regard to Human Exposure to Radio Frequency Radiation. f am also fuHy aware of anct famniar 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 of my knowledge.
b. Reviewer Certification
l, Shafin Mohammed, the reviewer and approved ofthis report, am fu\\y 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 Si~ge & Demarcation Policy. l have reviewed thls Radio Frequency Exposure
Assessment report and believe it to be both true and accurate to the best of my kn:--o_w_le_d_.,ge"-=. --=-----:--:--:;:-----=-----. I S~M~
Confidentiar &. proprietary material for authorized Veriz.on Wireless personnel only. Use, disclosure or
distribution of this material is not permitted to any unauthorized persons or third parties e-xcept by written
agreement I Verizon Wireless
6. Appendix D: Reference Information
a. FCC Rules & Regulations
The Federal Comp1unica1ions Commission (~CC) bas established safety guidelines rela1ing to RF exposure from ceiL 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 Hea!U\ Administcation-. The standM~ were developed by expert scientists and: ell.gi.neers after exteGSive reviews ot: the
scientific literature related to RF biological effects. The FCC explains that its standards "incorporate prudent margins of safety."
The following represents explanations of the most applicable information:
Two Classifications for Exposure Limits
Occupational -Applies to situations in which persons
are "exposed as a consequence of their employment"
and are "fully aware &fthe potential for exposure and
can exercise control over their C'Xposurc".
General Population-Applies to situations in which
persons. are "exposed as a consequence of their
employment may not. be made fully awfUe of the
potential for C)olJOSure or cannot exercise contr€Jl 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 restr1cted
or "controfJed" in .order to prevent access from members
.o£ the General Population .classification.
Uncontrol\00 -Applies to environments that .are
unrestricted or "uncontrolled" that allow access from
members of the General Population d.assification .
Limits for Occupational/Controlled Exoosure
Frequency Power Density Averaging Time
Range (S) IEI2, IHI\ or S
(MHz) (mW/cm2) (minutes)
300-1500 t7300 6
1500-1 oo.ooo 5 6-
Limits for General Population/Uncontrolled Exposure
Frequency Power Density Averaging Time
Range (S) IEI2, IHI2, or S
(MHz) (mW/cm2) (minutes)
300-1 500 f/1500 30
I )500-)00,000 ' 1 ) 30
j= frequency in MH=
Si nificant Contribution to the RF Environment
Any carrier contributing an aggregate MPE percentage of 5 or more (to the applicable RF Environment
Classification) is defined as a significant contributor. This means that if any area is determined to be out of
com liance with FCC rules, all si nificant contributors are · ointl res onsible for correct in an deficiencies.
b. Occupational Safety and ~ealth A~.irustration (OSliA) ~eqwrements-
A fom1al adopter ofFCC Standards, OSHA stipulates that those in the Occupational classification must complete training in the
following: RF Safety, Rf Awareuess, and Ut!l!2ation of Personal Protective Equipment. OSHA also provides options for Hazard
Prevention arret Controk
•
•
• ..
Ha.zard Prevention Control
Utilization of good equipment • Employ Lockout!fag out
Enact control of hazard areas • Utilize personal alarms & protective clothing
Limi~·exposures • PPeventacoess t<!l hazardous ~ocati<m.S .
Employ medical surveillance and accident • Develop or ope.rate.an administrative control
response program
Confidential & proprietary material for authorized Verizon Wireless personnel only. Use, disclosure or
distribution ofthis material is not permitted to any unauthorized persons or third parties except by written
agreement I Verizon Wirefess
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 Yiewabfe regardfes5 ofthe·viewer's positttm.
GUIDELINES
Used anytime hazard signage is
employed to achieve FCC compliance.
This sign will inform visitors ofthe
basic precautions to follow when
working around radiofrequency
equipment.
&NOTICE A
~--f'OitWOMINGW
RAOIOJ'IECIUENCYEN~ ... =---------.. AI ................ -............. .,_ ... . ._ ......... _
""--eal .......... ~
.............. -.lllllllt ................... -__ ....._ __ l ..... ~liloM .. ..c..-
.. Oooot ............ .-..-.. ,. ..,..,.. ..... Rf...._.,...._,..._....._.... • ...._ .. .,. rrs-.ru...,....,_.......,~
.. Oonat~ ............................... ~
NOTICE
Used to distinguish the
boundary between the
General
Population/Uncontrolled
and the
Occupational/Controlled
ar.eas. The limits
associated with this
notification must be less
than the
Occupati onai/Controlled
MPE.
NOTICE
(C'I.>)
...... .....-y ......... ................. cc ......................
~z-=:....-
INFORMATION SIGN
CAUTION
Identifies RF controlled
areas where RF
exposure can exceed the
Occupational/Controlled
MPE but below 1 0 x the
Occupational/Controlled
MPE.
A cAUTION
£ ---R1161~......._ ..... _,.....,,ex,-.,. ..... _ ..
,.._,.,..,.....,. ............... ......................... -·-
Information signs are used as a means to provide oontact infonnation for any questions <>r
ooncems. They will include specific cell site identifteat:ion information and the Verizon Wireless
Network Operations Center phone number.
d. Barriers
WARNING
Denotes the boundary of
areas with RF levels
substantially above the
FCC limits, normally
de·fined as those greater
than ten ( 1 0) times the
OccupationaVControlled
MPE.
---...........,. ......... ... ....... rcc .... ,_..__ _ ..
ll.;o•::r• =~···J.!.1Il·--
llMI~ ............. ---· ,{it........._. ... --·~ 1lli
A barrier is any physical demarcation empJoyed as a preventative and/or notification measure that one is entering into
an area with Rf power density levels greatu than tbe General Populatioo/Uncoatrolled limit.
Confidential & propr-ietary material for authorized Verjzon Wjreless .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 Wireress