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HomeMy WebLinkAbout20190610_ApplicationCommunr Development Department Planning Permit Application (gA'ZD 19-11:,ioF~~,i$B~iH 1 00 Civic Center Drive Newport Beach, California 92660 1-3200 )ment 1. Check Permits Requested: 019-033 (SLC 1243) PA2019-114 for UP2 320 superior Avenue . i ht-of-Way Near ·Jt A 0 Approval-in-Concept -AIC # 0 Lot Merger pubhc ~ 9 Wireless, LLC. ---·-'1 New cingu\ar -.-..--· ..,yc;i, 0 Coastal Development Permit D Limited Term Permit• D Waiver for De Minimis Development D Seasonal D < 90 day 0>90 days 0 Coastal Residential Development O Modification Permit D Condominium Conversion D Off-Site Parking Agreement 0 Comprehensive Sign Program O Planned Community Development Plan 0 Development Agreement O Planned Development Permit D Tract Map D Traffic Study 0 Use Permit -li!Minor □Conditional D Amendment to existing Use Permit 0 Variance 0 Development Plan O Site Development Review -D Major D Minor 0 Amendment -□Code □PC □GP OLCP 0 Other: D Lot Line Adjustment D Parcel Map 2. Proje_ct...A~~r~~~(~s)f~s~~~~<>r'.!l._i=>c1r.c;~J.N~(~l ... [CS] Superior Ave. (SLC1243), Newport Beach, CA 92663 / Adjacent to APN: 425-111-07 (AT&T OCCST _008) 3. Pr<>jE!~t _Descri tion -~nd Justific~tion (A~tact_l additionc1I -~heets if ne<;e~sary): AT&T to remove and replace existing concrete streetlight; install a single omni-directional antenna with related radio equipment within a radome shroud mounted at the top of the new streetlight within the public right of way. See attached . . . . 4 _ Applicant/Company Name New Cingular Wireless, LLC d/b/a AT&T Mobility c/o Ericsson, Inc. -·-··-·· .. . Mailing Address j33o Commerce I Suite/Unit i .... ~ ....... oo ...... _ _._ '"'"' ___ _.. ____ ..... _ ---] City jirvlne StatejcA .I Zip] -~--~6-~_2 ....... ___________ -......,J Phone t. .l Fax 1 J Email [ --... -.. --... -I J 5. Contact/Company Nam(t !Franklin Orozco/M Squaffid Wireless M .1. Add j~ 387 Calle Avanzado a1 m~ ress I . City ls~n Clemente Phone 1~1 ~-63.2~~~6 ~ 6. Owner Name ]"cit}' ~f :N~~port.Beach . . .. J Mailin Address Fo~ ~ivicCenterDr;v~ l Suite/Unit: ..... J_-'-'-=------..... -..... -----..... ~--.... =·::::f rg . .. . .... . .. . . .. . . . . .. I State i-·CA ___ ·_ ~~~"""'""'j ___ ... z .... _i __ p ._]_ 9 __ 2_._6_60 ........... _··.·.· · _______ ] City[Ne,::::::11. · ... ·. ·. j •1-· --.. ......... ------,....----~---------..... -_--::.'-:..--::..--=.-:::. .......... __________ : Phone~ . ..... . .. , Fax .. I Emaill ..... ~._ ........... '"'"'-'-"-______ ............. __ ~ ............. ......,_.,l 7. Property Owner's Affidavit*: (I) (We) See ~ttac~ed AT~Tand C~ty of Newport ~~ac~ Master Lic~ns~ Agreement_ depose and say that (I am) (we are) the owner(s) of the property (ies) involved in this application. (I) (>Ne) further certify, under penalty of perjury, that the foregoing statements and answers herein contained and the information herewith submitted are i II respects tru d correct to the best of (my) (our) knowledge and belief. Signature(s): ______________ Title: "--j...-....... ____ _...__~------j Date: _1· ~-=-----............. I *May be signed by the lessee or by an authorized agent if written authorization from 1 the owner of record is filed concurrently with the application. Please note, the owner(s)' signature for Parcel/Tract Map and Lot Line Adjustment Application must be notarized. F:\Users\CDD\Shared\Admin\Plannlng_Divislon\Applications\Application_Guidelines\Planning Permit Application -CDP added.docx Rev: 01/24117 PA2019-114 Community Development Department Planning Permit Application CITY OF NEWPORT BEACH 100 Civic Center Drive Newport Beach, California 92660 949 644-3200 newportbeachca.gov/communitydevelopment F:\Users\CDD\Shared\Admin\Planning_Division\Applications\Application_Guidelines\Planning Permit Application - CDP added.docx Rev: 01/24/17 1.Check Permits Requested: Approval-in-Concept - AIC # Lot Merger Staff Approval Coastal Development Permit Limited Term Permit - Tract Map Waiver for De Minimis Development Seasonal < 90 day >90 days Traffic Study Coastal Residential Development Modification Permit Use Permit -Minor Conditional Condominium Conversion Off-Site Parking Agreement Amendment to existing Use Permit Comprehensive Sign Program Planned Community Development Plan Variance Development Agreement Planned Development Permit Amendment -Code PC GP LCP Development Plan Site Development Review - Major Minor Other: Lot Line Adjustment Parcel Map 2.Project Address(es)/Assessor’s Parcel No(s) 3.Project Description and Justification (Attach additional sheets if necessary): 4.Applicant/Company Name Mailing Address Suite/Unit City State Zip Phone Fax Email 5.Contact/Company Name Mailing Address Suite/Unit City State Zip Phone Fax Email 6.Owner Name Mailing Address Suite/Unit City State Zip Phone Fax Email 7.Property Owner’s Affidavit*: (I) (We) depose and say that (I am) (we are) the owner(s) of the property (ies) involved in this application. (I) (We) further certify, under penalty of perjury, that the foregoing statements and answers herein contained and the information herewith submitted are in all respects true and correct to the best of (my) (our) knowledge and belief. Signature(s): ________________________________ Title: Date: DD/M0/YEAR Signature(s): ________________________________ Title: Date: *May be signed by the lessee or by an authorized agent if written authorization from the owner of record is filed concurrently with the application. Please note, the owner(s)’ signature for Parcel/Tract Map and Lot Line Adjustment Application must be notarized. AT&T to remove and replace existing concrete streetlight; install a single omni-directional antenna with related radio equipment within a radome shroud mounted at the top of the new streetlight within the public right of way. See attached project plans and description for additional details. Exhibit A PA2019-114 F:\Users\PLN\Shared\Staff_Dir\Garciamay\Ruby\desktop\DESKTOP_\CUT_PASTE_DRAG_COPY\Office Use Only.docx Updated 08/15/17 FOR OFFICE USE ONLY\ Date Filed: _______________________ 2700-5000 Acct. APN No: __________________________ Deposit Acct. No. ________________________ Council District No.: _________________ For Deposit Account: General Plan Designation: ____________ Fee Pd: _______________________________________ Zoning District: _____________________ Receipt No: ____________________________ Coastal Zone: Yes No Check #: __________ Visa MC Amex # ____________ CDM Residents Association and Chamber Community Association(s): _______________________ Development No: __________________________ _____________________________________________ Project No: ________________________________ _____________________________________________ Activity No: _______________________________ Related Permits: ___________________________ APPLICATION Approved Denied Tabled: _________________________ ACTION DATE Planning Commission Meeting Zoning Administrator Hearing Community Development Director Remarks: __________________________________________________________________________________________ __________________________________________________________________________________________ APPLICATION WITHDRAWN: Withdrawal Received (Date): ________________________ APPLICATION CLOSED WITHOUT ACTION: Closeout Date: ________________________ Remarks: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ PA2019-114 Exhibit E PA2019-114   M  Squared  Wireless   1387  Calle  Avanzado,  San  Clemente,  CA  92673   June  10,  2019   Via  Hand  Delivery     City  of  Newport  Beach   100  Civic  Center  Drive   Newport  Beach,  CA    92660     RE:  AT&T  Application  for  a  Minor  Use  Permit  to  place  a  Small  Cell  Wireless  Facility  at  the  following  location:     396  [CS]  Superior  Ave.  (SLC1243);  AT&T  Site  ID  OCCST_008  and  FA  No.  14823522     Dear  Ms.  Makana  Nova:   New  Cingular  Wireless  PCS,  LLC  d/b/a  AT&T  Mobility  (“AT&T”)  submits  the  enclosed  application  materials  to  obtain  all  necessary   authorizations  to  construct  small  cell  wireless  facility  at  the  above  referenced  location.  If  any  additional  applications  or   information  are  needed  for  any  phase  of  this  project,  please  let  me  know.  Small  cells  are  low-­‐power,  low-­‐profile  wireless   communications  facilities  that  improve  signal  quality  and  capacity  within  AT&T’s  existing  wireless  network.  The  proposed  small   cell  facility  will  help  AT&T  provide  and  improve  critical  wireless  services  in  this  area.       Application  Contents   Pursuant  to  Newport  Beach  Municipal  Code  Section  20.50.040  B  Application  Contents,  this  application  includes  the  following   materials  and  information:     1. Minor  Use  Permit  Application  (Exhibit  A)   2. Project  Description  and  Justification  (Exhibit  B)   3. Public  Noticing  Materials  (Exhibit  C)   4. Plans;  one  (1)  set  of  24”  x  36”  and  four  (4)  sets  of  11”  x  17”  drawings  (Exhibit  D)   5. Letter  of  Authority  (Exhibit  E)     6. Pole  ownership  information,  construction  responsibilities  and  maintenance:   o The  subject  pole  is  owned  and  operated  by  City  of  Newport  Beach  (“City”).   o The  City  will  retain  ownership  of  the  existing  structure  and  AT&T  will  be  responsible  for  the  replacement,   maintenance  and  repairs  of  such  structure.   o AT&T  and  the  City  will  finalize  the  site  license  agreement  upon  permit  issuance.   o AT&T  will  maintain  the  antenna  communication  portion  of  the  new  facility.   o AT&T  will  replace  the  existing  streetlight  as  shown  on  the  plans.     o Details  of  the  existing  and  new  pole  height,  diameter  and  antenna  equipment  is  provided  on  the  attached   plans.   o The  project  will  be  designed  without  a  meter  pedestal  subject  to  the  city’s  issuance  of  a  meter  denial  letter.       7. Evidence  of  compliance  with  FCC  RF  rules:  FCC  Appendix  A  –  categorically  excluded  (Exhibit  F)     8. Photo  simulations  (Exhibit  G)     9. Preferred  location/alternatives  analysis;  see  Exhibit  B  -­‐  Project  Description  and  Justification.   10. Maintenance  and  Monitoring;  see  Exhibit  B  -­‐  Project  Description  and  Justification.       Application  Review   Under  federal  law,  the  City  of  Newport  Beach  (“City”)  must  determine  whether  the  application  is  complete  within  10  days  and   take  final  action  on  the  application  within  90  days  from  this  submittal  (the  “shot  clock”).  See  47  C.F.R.  §  1.6003.  Within  the  same   period  of  time,  the  city  must  also  take  action  with  respect  to  all  necessary  authorizations  and  approvals  for  construction  and   operation  of  the  proposed  small  cell.  The  shot  clock  begins  today  and  runs  unless  or  until  it  is  tolled,  either  by  mutual  agreement   or  based  on  a  timely  and  proper  notice  that  the  application  is  materially  incomplete.  To  toll  the  shot  clock  for  incompleteness,   the  city  must,  within  ten  days,  identify  in  writing  the  missing  information  that  is  required  by  local  codes  or  other  published   PA2019-114 AT&T  Small  Cell  Application   City  of  Newport  Beach   Page  2  of  3   application  guidelines.  In  the  case  of  a  timely  and  proper  incomplete  notice,  the  shot  clock  stops  and  restarts  at  day  0  once  AT&T   submits  the  additional  information  required.  If  the  City  fails  to  act  before  the  shot  clock  expires,  the  City  will  be  in  violation  of   state  and  federal  laws.     • This  Application  was  filed  on  June  10,  2019.   • Notification  of  incompleteness  is  due  by  June  20,  2019.   • Absent  tolling,  the  City  must  take  final  action  by  September  9,  2019.       The  City  must  grant  all  necessary  authorizations  as  the  proposed  facility  is  consistent  with  applicable  law  and  there  is  no  basis  for   denial  under  the  local  code.       Applicable  Law   Approval  is  required  under  the  federal  Telecommunications  Act  of  1996,  47  U.S.C.  §§  253,  332  (“Act”).  The  Act,  which  was   enacted  to  prioritize  and  streamline  deployment  of  wireless  technologies,  limits  the  ability  of  state  and  local  governments  to   regulate  wireless  service.  The  Act  establishes  substantive  and  procedural  limitations  on  the  review  of  wireless  facility  siting   applications.  A  state  or  local  government  cannot  take  action  that  would  unreasonably  discriminate  against  AT&T  in  acting  on  the   application.  A  state  or  local  government  cannot  take  any  action  that  would  prohibit  or  effectively  prohibit  the  provision  of   wireless  services.  An  effective  prohibition  occurs  when  the  jurisdiction’s  denial  of  an  application  materially  limits  or  inhibits   AT&T’s  ability  to  provide  or  improve  wireless  services.  A  state  or  local  government  may  not  consider  the  effects  of  radio   frequency  emissions  when  considering  this  application.       The  city  must  review  this  application  within  a  reasonable  period  of  time,  as  defined  pursuant  to  the  shot  clock.  Any  decision  to   deny  the  application  must  be  in  writing  contemporaneously  with  the  decision  and  supported  by  substantial  evidence  contained   in  a  written  record.  The  written  denial  must  provide  the  basis  therefor  with  a  recitation  of  findings  of  fact  and  conclusions  of  law   supporting  the  denial.   Pursuant  to  the  California  Constitution  and  Section  7901  of  the  California  Public  Utilities  Code,  AT&T  has  a  statewide  franchise   right  to  construct  telecommunications  facilities  and  place  poles  within  the  public  rights-­‐of-­‐way  so  long  as  it  does  not  incommode   the  public  way.  AT&T’s  right  is  subject  only  to  the  municipality’s  authority  to  impose  reasonable  and  equivalent  time,  place  and   manner  restrictions  pursuant  to  Section  7901.1  of  the  California  Public  Utilities  Code.  AT&T’s  proposed  small  cell  facility  does  not   incommode  the  public  way.       Payment  of  an  application  deposit  totaling  $2,631.00  is  enclosed  with  this  letter.     The  FCC  set  a  standard  for  fees  such  that  only  objectively  reasonable  cost-­‐based  fees  may  be  imposed  on  a  nondiscriminatory   basis.  The  FCC  established  a  safe  harbor  for  presumptively  reasonable  fees:  $500  for  non-­‐recurring  fees  for  an  application   including  up  to  five  small  cells,  plus  $100  for  each  small  cell  beyond  five,  or  $1,000  for  non-­‐recurring  fees  for  a  new  pole  to   support  small  cells.  In  addition,  California  Government  Code  50030  limits  permit  fees  for  telecommunications  installations  to  the   reasonable  cost-­‐based  fees.  The  city  requires  a  deposit  for  application  fees,  which  is  subject  to  a  future  invoice  after  the   application  is  reviewed  and  processed.  AT&T  is  concerned  that  the  city’s  fees  may  be  excessive  and  may  violate  the  FCC’s   standard  and  the  state-­‐law  standard  for  lawful  fees.  AT&T  is  submitting  its  application  and  its  initial  deposit  for  application  fees  in   order  to  avoid  disruption  to  its  business,  but  it  does  so  under  protest  and  explicitly  reserves  its  rights  to  pursue  any  and  all  legal   remedies  for  excessive  fees.     Questions  or  notices  related  to  this  Application  may  be  directed  to:      Franklin  Orozco          Michele  Vernotico    forozco@interlinkpg.com        michele@interlinkpg.com    (619)  632-­‐2569          (949)  922-­‐1334       PA2019-114 AT&T  Small  Cell  Application   City  of  Newport  Beach   Page  3  of  3   We  look  forward  to  working  with  you  to  complete  this  wireless  communications  project  in  Newport  Beach.       Sincerely,     Franklin  Orozco,   Agent  on  behalf  of  AT&T  and  Ericsson       PA2019-114 M SQUARE~~ New Cingular Wireless PCS, LLC d/b/a AT&T Mobility AT&T Site ID: OCCST_00S and FA#14823522 In the Public Right-of-Way near 320 [CS] Superior Ave. (SLC1243}, Newport Beach Project Narrative Exhibit B New Cingular Wireless PCS, LLC d/b/a AT&T Mobility ("AT&T") is proposing to install new small cell wireless telecommunications facility to serve residents and businesses in this portion of the community. Small cells are low-power, low-profile wireless communications facilities that improve signal quality and capacity within AT&T's existing wireless network. The proposed small cell facility will help AT&T provide and improve critical wireless services in this area. AT&T estimates that since introduction of the iPhone in 2007, mobile data usage has increased 470,000% on its network. AT&T forecasts its customers' growing demand for mobile data services to continue. Customer needs require AT&T to design and maintain its network to provide and improve wireless signal quality and to increase data rates sufficient to stream video. Areas that do not meet this minimal standard, or where wireless service is otherwise compromised, represent service issues that must be addressed. Specifically, this proposed small cell facility will help improve AT&T's wireless services by offloading network traffic carried by existing macro facilities in the area. In addition, faster data rates allow customers to get on and off the network quickly, which produces more efficient use of AT&T's limited spectrum. By placing the small cell facility in areas where AT& T's existing wireless telecommunications facilities are constrained and where AT&T experiences especially high network traffic, AT&T can address the existing and forecasted demand and support SG speeds in the near future. Improving signal quality and Increasing data speed is critical to providing the mobile experience customers demand and to manage the unprecedented increase in mobile data usage on AT& T's network. The Center for Disease Control and Prevention (CDC) tracks the rates at which American households are shifting from landlines to wireless telecommunications. According to the CDC's latest Wireless Substitution Report, more than 70 percent of Americans rely exclusively or primarily on wireless communications in their homes.1 In additior:i, the FCC estimates that 70 percent of all 911 calls are made from wireless devices.2 And with AT&T's selection by FirstNet as the wireless service provider to build and manage the nationwide first responder wireless network, each new or modified facility will help strengthen first responder communications. AT&T selected the proposed facility as the best available means to address its service objectives in this portion of the city. The overall site location and design will comply with applicable code provisions, General Plan, and other published siting guidelines. The proposed small cell facility will be located in the public right- of-way, where AT&T has a right to place its equipment pursuant to Section 7901 of the California Public Utilities Code. The proposed node is a Micro cell site and will provide 4G services to the surrounding area. The project will involve the placement of a small antenna and associated small cell equipment on a replacement streetlight. For this small cell, AT&T proposes to install an omni-directional antenna at the top of a replacement streetlight and radios fully concealed within the shroud. The concealment will be painted to match the final color of the aggregate concrete light pole. The facility will not obstruct pedestrian or vehicular traffic. It will not adversely affect the surrounding properties and will have a minimal physical and aesthetic 1 See Wireless Substitution: Early Release of Estimates From the National Health Interview Survey, January-June 2018, available at _!:ittp://www .cdc.gov/nchs/data/nhis/earlyrelease/wireless201812 J1-9t. 2 See 911 Wireless Services, available at https://www.fcc.go'{/s:onsuiriers/guit vvi reiess--services. PA2019-114 Exhibit B Page 2 of 3 footprint in this area. In addition, the proposed facility fully complies with applicable design criteria. Therefore, the City can easily make the necessary findings for approval for this small cell facility. The project scope will consist of the following: • Removal and replacement of a streetlight. • Installation of a single omni-directional antenna. • Installation of four remote radio units and raycap disconnect switch within a shroud. • Installation of below grade power and fiber handholds. Project Code Compliance The subject project complies with the City of Newport Beach's Wireless Telecommunications Facilities Ordinance in the Public Right-of-Way, Chapter 21.49 in the following ways: 1. The proposed wireless facility is a small cell installation to be installed on a replaced streetlight in the public right-of-way to match the existing pole. 2. The project is allowed subject to the city's approval of a Minor Use Permit. The proposed installation will not interfere with the use of the existing right-of-way. 3. The proposed facility is a low powered antenna designed to work in conjunction with other small cell sites in the area and to off-load capacity from an existing macro facility. The installation will comply with applicable regulations of the Federal Communications Commission as demonstrated in the enclosed FCC Local Official Guide to RF -Appendix A. 4. The replacement streetlight is consistent with the size, shape, style, and design of the existing pole, including the attached light arm. 5. The replacement streetlight, placed within the public right-of-way, does not exceed thirty-five (35) feet in height above the finished grade. 6. No above ground mounted equipment is proposed, and the support equipment is proposed to be placed in underground handholes. 7. All transmission equipment, including remote radio units and the raycap disconnect switch, are fully concealed within the shroud. 8. Signage displayed on the wireless facility will be in the smallest permissible size. There will be no advertising signage. 9. The applicant will conform to all City of Newport Beach requirements. Conformance with FCC Regulations The proposed low powered antenna installation attached to the utility pole is considered categorical excluded by the FCC based on the analysis included in the FCC Optional Checklist for Determination of the Local Official's Guide to RF (attached). Installation that are categorically excluded are considered to meet or exceed the FCC standards for RF Emissions. Construction, Maintenance and Monitoring Construction of the proposed project will take approximately 30-days. All construction will be done in a manner that minimizes impact to residents and/or businesses in the area. Existing underground or overhead power and fiber connections will be used with minimal trenching. Directional boring will be used when deemed appropriate for each specific location. PA2019-114 Exhibit B Page 3 of 3 Maintenance of the subject facility is minimal. The telecom operator will be responsible for maintenance of the telecom facility including, but not limited to, any missing, discolored or damaged screening, all graffiti removed promptly, and the facility kept clean and free of litter. Monitoring is typically done from AT& T's switching offices. If needed, a site visit to change any radio equipment will be coordinated with the city through the appropriate process. Site Preferred Location and Alternative Analysis The City of Newport Beach Code Section 20.49.040 lists the preferred locations for telecommunication facilities to limit adverse visual effects and proliferation of new or individual telecom facilities in the City. Class 3 is defined as public right-of-way installations where the facility can be installed on a structure located in the public right-of-way. The proposed AT&T small cell facility falls under this category and is the third on the list of preferred locations. The proposed installation is consistent with the approved city designs under the master agreement between AT&T and the City. Due to the slim design, camouflage antenna, use of existing city structures within the right-of-way, AT&T believes that the changes to the existing streetlights are non-material or aesthetic changes that would impact the surrounding development of this area. The other preferred locations as listed by code relate to the use of existing non-residential buildings or other structures, which are stealth and fully screened not visible to the general public. These types of locations or structures are not feasible within the public right-of-way. AT&T is committed to providing wireless telecommunications services and faster data rates throughout the City of Newport Beach and is doing so by installing the least intrusive technology, with the least intrusive design at the least intrusive locations in the service coverage gap. Rather than construct traditional tower facilities in or near residential neighborhoods, AT&T is choosing to deploy very small facilities, called "small cells," that can be installed on utility infrastructure in the public right-of-way. A small cell is a low-powered cell site, which, when grouped with other small cells, can provide coverage in areas where traditional macro wireless facilities are discouraged. Although the signal from each small cell antenna covers a shorter range than a conventional tower site, small cells can be effective tools to help close significant gaps in service coverage with a minimal environmental and aesthetic footprint. Node OCCST_008 will help AT&T close a significant gap in service coverage in this area of the City by the least intrusive means, see attached coverage maps. The proposed Node is located on the south side of Superior Avenue approximately 345 feet southwest of Placentia Avenue within a commercially developed area. This Node location will use existing street infrastructure in the public right-of-way for installation of AT& T's small cell (Micro). Superior Avenue has existing streetlights on the south side of the street and wood utility poles on the north side. AT&T evaluated the following two nearby streetlight poles that are close to the proposed node as alternate locations: Streetlight #1 is located approximately 210 feet northeast-of the proposed node on the south side of Superior Avenue near the intersection with Placentia Avenue. Like the subject node, the streetlight could be a candidate for the Micro node. Streetlight #2 is located approximately 166 feet southwest of the proposed site. This candidate is also a streetlight owned by the city and is near a three-story office building. Like the subject node, this location could work for the proposed Micro node; however, it is away from the original target area. PA2019-114 Exhibit B Page 4 of 3 Node OCCST_008 is the best available means to help AT&T provide and improve critical wireless services in the surrounding areas, adding low-power, low-profile equipment to utility infrastructure in the public right-of-way. PA2019-114 FCC/LSGAC Local Official’s Guide to RF APPENDIX A Optional Checklist for Determination Of Whether a Facility is Categorically Excluded Exhibit FPA2019-114 FCC/LSGAC Local Official’s Guide to RF Optional Checklist for Local Government To Determine Whether a Facility is Categorically Excluded Purpose: The FCC has determined that many wireless facilities are unlikely to cause human exposures in excess of RF exposure guidelines. Operators of those facilities are exempt from routinely having to determine their compliance. These facilities are termed "categorically excluded." Section 1.1307(b)(1) of the Commission's rules defines those categorically excluded facilities. This checklist will assist state and local government agencies in identifying those wireless facilities that are categorically excluded, and thus are highly unlikely to cause exposure in excess of the FCC’s guidelines. Provision of the information identified on this checklist may also assist FCC staff in evaluating any inquiry regarding a facility’s compliance with the RF exposure guidelines. BACKGROUND INFORMATION 1. Facility Operator’s Legal Name: 2. Facility Operator’s Mailing Address: 3. Facility Operator’s Contact Name/Title: 4. Facility Operator’s Office Telephone: 5. Facility Operator’s Fax: 6. Facility Name: 7. Facility Address: 8. Facility City/Community: 9. Facility State and Zip Code: 10. Latitude: 11. Longitude: continue PA2019-114 FCC/LSGAC Local Official’s Guide to RF Optional Local Government Checklist (page 2) EVALUATION OF CATEGORICAL EXCLUSION 12. Licensed Radio Service (see attached Table 1): 13. Structure Type (free-standing or building/roof-mounted): 14. Antenna Type [omnidirectional or directional (includes sectored)]: 15. Height above ground of the lowest point of the antenna (in meters): 16. Check if all of the following are true: (a) This facility will be operated in the Multipoint Distribution Service, Paging and Radiotelephone Service, Cellular Radiotelephone Service, Narrowband or Broadband Personal Communications Service, Private Land Mobile Radio Services Paging Operations, Private Land Mobile Radio Service Specialized Mobile Radio, Local Multipoint Distribution Service, or service regulated under Part 74, Subpart I (see question 12). (b) This facility will not be mounted on a building (see question 13). (c) The lowest point of the antenna will be at least 10 meters above the ground (see question 15). If box 16 is checked, this facility is categorically excluded and is unlikely to cause exposure in excess of the FCC’s guidelines. The remainder of the checklist need not be completed. If box 16 is not checked, continue to question 17. 17. Enter the power threshold for categorical exclusion for this service from the attached Table 1 in watts ERP or EIRP∗ (note: EIRP = (1.64) X ERP): 18. Enter the total number of channels if this will be an omnidirectional antenna, or the maximum number of channels in any sector if this will be a sectored antenna: 19. Enter the ERP or EIRP per channel (using the same units as in question 17): 20. Multiply answer 18 by answer 19: 21. Is the answer to question 20 less than or equal to the value from question 17 (yes or no)? If the answer to question 21 is YES, this facility is categorically excluded. It is unlikely to cause exposure in excess of the FCC’s guidelines. If the answer to question 21 is NO, this facility is not categorically excluded. Further investigation may be appropriate to verify whether the facility may cause exposure in excess of the FCC’s guidelines. ∗"ERP" means "effective radiated power" and "EIRP" means "effective isotropic radiated power PA2019-114 FCC/LSGAC Local Official’s Guide to RF TABLE 1 (cont.) SERVICE (TITLE 47 CFR RULE PART) EVALUATION REQUIRED IF: Personal Communications Services (part 24) (1) Narrowband PCS (subpart D): non-building-mounted antennas: height above ground level to lowest point of antenna < 10 m and total power of all channels > 1000 W ERP (1640 W EIRP) building-mounted antennas: total power of all channels > 1000 W ERP (1640 W EIRP) (2) Broadband PCS (subpart E): non-building-mounted antennas: height above ground level to lowest point of antenna < 10 m and total power of all channels > 2000 W ERP (3280 W EIRP) building-mounted antennas: total power of all channels > 2000 W ERP (3280 W EIRP) Satellite Communications (part 25) all included General Wireless Communications Service (part 26) total power of all channels > 1640 W EIRP Wireless Communications Service (part 27) total power of all channels > 1640 W EIRP Radio Broadcast Services (part 73) all included PA2019-114