HomeMy WebLinkAbout026-939-17-1105-LUP-2023-105 SUBMIT COMPLETED APPLiCATION AND
FEEro: APPLICATION FOR LAND USE PERMIT
SawyerCounty SAWYER COUNTY,WISCONSIN r,
Zoning&ConservatanDepart. �� �' u,i�see a(Rc�+veM 1�'-- '1af°� s � �3 ]•
10610 Main St Suite 49 � , �.� i , , � �: � � ._. . ``
Hayward,W154843 1 � � �. . � V"
(715)634-8288 0'i � ,��'.��� .�.•_ . . . , .
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��'�� Rcpt#
INSTRUC710N5:No permks will he issued unHl all/ees ere paid. 1 �`�� L/
Checks are made payabk to:Sawyer County Zo�in6 Department. 1 h
V�
0o NoT Sraar Covsraucriory:rNm ntt aFernirs Hnv=e[eN!sSUE inal.Appfjcation MUST be submitte LL OUT IN iNK (NO PENCIL�
submitta�of tnlz apv�lcabon or�e<�Ipt of fees doei�o,cor'tbture o� �nc�P,��� ����
�... ��
OwneHs)Name: Contncror�s)Name
lanc� C��h�Y :
Verizon Wireless / 3�r��rG� k���� TBD
Mailing nddrcss: Mailing Address: �
49030 Pontiac Trail Suite 100 Wixom, MI 48393
'n'�e. 952-607-1439 �n��:
Em,;,: dknapek@smj-Ilc.com �
Email:
skeaddrass: 6411N HWY 27 STONE LAKE,WI 54876 oroateapp�kdtor:
leguyPlNN a - �3 - � - � os Ta,��: s� � �.
PermitdelWeryMethod u Call Owne� �q�llail Owner n Gall Contnctor ❑Mail Contractor
/\
�- Is Property/Land within 300 feet of River,Stream i��a. Distance Structure Is from Shoreline: ts your Property
i�:r.m�tte�e) � Are Wetlands
feet in floodplain
CrE¢kotlandwards{deofFloodplain? Ifyes-�continue Present? ;
]Shorelaod zonet
- Is Pro g '�,' Yes Ycs ��.
perty/land within 1000 feet of Lake,Pond or Fbwa e DisWnce Structurc is from Shoreline:
I°yes--con[��nur --� feet '� '�'� .a .'.
� Non-Shoreland �
__ I
Describe Projed
Value at Time of Total#of
Project rype Foundation What 7ype&Capacity is the
Completion Number bedrooms
,� (House,garage,shed,deck, (Basement, Sewer/Sanitary System(sJ
� � � , Addition,etc...� of Stories Crawls ace. P^st
r�.ni.!K a�,.�'rn.�' p mnstruction
List separotely Slab)
5
owellin`
S
Acnasory Bld�
5 25000 vzwn�te��a nnoa�noaeo�
Addrtlon/ateralbn
He(ght:
Total Square Lowest
Footage Gradeto
Proposed Use � Proposed Strudure Dimensions (mukiply per Highest
rtory) Veak
Residence ( x �
Ft.
with 2nd story or loft � x �
Ft.
with Basement � x �
Ft.
Attached Garage � x �
❑ Residential Use Ft.
Aecessory Strueture�expiain� ( X �
� Agrieulturel (detacMdpn�es,shede,boat�ws�s,etc) Ft.
Use � x �
Temporery Guest Quarters or Bunkhouse(circie c�pe> Ft
( X )
Commercial/ Deck/Porch/Patfo Ft.
in ustrial Use ( x )
(2nd)Deck/Porch/Patio Ft.
C Municipal Use ( x �
�C Other le.via��1 ��J � m0� Ft.
r
J Other ( x 1
PfI�CIp01 SLfUCIU�C�Agricultural,Commercial,Municipal,Etc.) Ft.
� x )
Addition/Alteretlon�expia�n� ft.
Total Non-habitable square feet:
Total habitable square feet:
�decks,patios,garages,sheds,storege area&other shuctures)
Original Application MUST be submitted
Attach a Plan or Ske[ch your Property on 8.5"z 11"or 8.5"x 14"paper:'Must'Include lotatlon and tetbaek of proposed�nd ezistin`structuros,roads,
drlvwv�y,s�n�hry components,weli,l�ke.rlver,strcam,and wetbnds.
pe���� Setback ���Pt�o� Setback
Measuraments Meawrements
Setback from the Centerline of Platted Road and/or Feet Setback from the Lake(ordinary hlgh-water mark) Feet
Setback from the Established Rlghbof•Way Feet Setback from the Rlver,Stream,Creek Feet
Setbatk from the Bluff��+,00i���ab�e Feet
Setback from the North Lot Line Feet
Setbatk from the South Lot Line Feet Setback from Wetland Feet
Setback from the West Lot Line Feet Slope within area of construction/disturbance %Slope
Setback from the East Lot Line Feet Elevation of Floodplain Feet
Setback to Septic Tank or Holding Tank Feet Setback to Well Feet
Setback to Drain Field feet
Se[back to Privy(Portable,Composting) Feet
,. _,,._ ,;.,,...,. _ � . �.��.�i�,�t��.� �.�� . .,�, .,� ,�e
.r.�,,.,. � . ,.-, er.� ,. �,� � ��,.�r;�� ..,,,ck.t'�e 6o�na�ry ne lio�.wh cf�,he se!oack r-us�be n,c re�l musr be v���b�� r
._. . .. .. .. .. .- .. . i..�.�r ,,.��i . .-.�1�Y� ,... ., - :'thrc.v:��rs2xpersr
�' ,:�t::�r.�.�c�ne,torr„n,t,���ciot�_ u:t�'en,e,t..�nf�ve 5�.`e�th�tl<��, �-t i,-„ _rt'�on�h�r � .,� �., .�d'-_. . .nzbo�raary r�f.c� w���.�ht'c�-t�ack��::o:
.��e�s�redm�s[bevisC'.e(romonePre, . � � ..':edcornei!c!he.,t�erpreva �I.s iv�v2�c �._�._. ,_ .. .. .,,.i.ii .�� e:fa..crn-crrA�.,,�pn_�sl� _ �..�.c��sr
within SGC fec[oi tl�.z pr�p;sed z'e o�tl� .,.�re,u�mu5!�e markEd o�a IiCe�;ec���eyoi at ��� e .���t���.�
Calculate impervious surfaces.(Roofed,concrete,paved,and other wrfaces that water cannot penetrete.The Zoning Offlce can help you determine If a
surface is consldered impervious)
Calculate lot area:
Indicate lot size from CSM or NOWS(cirde one): Acres;Multiply by 43,560=�ot area: Square Footage
I
! Caltulate impervious wrface area:
i
! Determine the total size,in square feet,of your projects listed above(include eaves): sq ft.
�etermine the total size,in square feet,of all existing roofed st�uctures(Include eaves�: sq ft.
Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: sq ft.
Add these measurements to determine total impervious surfaces: sq ft.
Calculate impervious lot percentage
Total impervious surface: a Lot area: Sq h.X 100=impervious surface Y
(M'rtlgation is required if ro[al ezceeds 15%)
•••Notice a separate grading permit needs[o be ob[ained if disturbed area is within the Shoreland district as inditated on previous page and meets criteria 6elow'••
Gradin on a slope reater than 20% Grading of more than 1,OOQ Sq.Ft.on 12Y-204�slo s
Gradin of more than 2,000 Sq.F[.on Slopes lesz than 12Y Grading is in excess of 10,000 Sq.Ft.
�. . ..,._ e �.�i��. . Ni,.eC��ti'�rn �� -., . ,;,i��� r .�..�.� _., ,.�_. ..
i(we�dedare that this application(induding any acwmpanying information)has been examined by me(us)and to[Ae best�of my(our)knowledge anG belief it is true,mrrect and
complete. I(we)acknowledge that I�we)am(are)responsible for the detail and accuracy of all information I�we)am(are)providing and that it will be relied upon by Sawyer
County in determining whether to issue a permit.i(we)further accept Ilabllity which may be a result of Sawyer County relying on this information i(we�am(are)providing in or
with this application.I(we)mnsent to counry officials charged with administering county ordinances to have access to the above described property at any reasonable time for the
purpose of inspection.Additionally,[he undersigned person�s)hereby give permission for attess to the property for onsite inspection by Municipal Officials.
Owner ��� Owner orew K�apekiaqeoe ror ve��o�w�reiess 04/27/2023
Signature � Printed name Date
_ , � � «�i,� . P.u��a']
Nt)Til_[ ..II , ... � �.. , ..� . 1'. .�-fr�^t�-r�l.'.�1�=- . i.ii,.
I . _ ._ i, .i. .i . .. i .-.. f � ..__.. . __..i ,..I..-... H :. .�� , t� �w f�:, .ri. ....� ...,
, . , .. ,.. , . ., .. .i�.. ...
_.;T _..._ f_IC'r::�:E . .-� . . . , i,_.
Vou are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances�and law and regulations of the State of Wisconsin.Vou are also responsible for
complying with State and Federal laws concerning construc[ion near or on wetlands,lakes,and streams.Failure to comply may resutt in removal or modification of construction
that violates the law or other penalties or costs.For more information,visit the department of natural resources wetlands identifiwtion web page or contact a department of
natural resourres service center(608)2673125
Issuance Information(County Use Only) Sanitary Number: a of bedrooms:
Permit Denied(Date): Reason for Denial:
Permit M; Issuing agent: Date:
�� '" ' � J � � `� a3
Is Parcel a Sub-Standard Lo[ '-Yes (�eed of Record) ° itiga[ion Requi�ed '�.!Yes ��No
Is Parcel in Common Ownership .'Ya (Fused/Contiguous Lot�sl) �.N
Is StruRure Non-Conforming �Yes ; N Mitigation Attached !�Yas ,No
Granted by Variance(B.O.A.) Granted 6y Conditional Use
��'Ves �'�No Case M: �.Yes "�No Gse N:
Was Parcei legally Created Yes Na Were Propetty Lines Represen[ed by Owner -.Ya _.No
Was Proposed Building Site Delineated Ves No Was Property Surveyed �.Yes ��;No
O�ce Comments: Zone District: Fee:
C kS � moc�� � c.6� tr� -- S�U�
Hold For Sa�itary: Hoid For TBA: Holc+I or l�ff�davrt�. riold For Fees
oJon2020 — .
Real Estate Sawyer County Property Listing Property5tatus: Current
7oday's Date:5/9/2023 Created On:2/6/2007 7:55:48 AM
.i
�'Description Updated:3/26/2010 '�Ownership Updated:3/26/2010
Tax ID: 28600 BERNARD P KADLEC STONE LAKE WI
PIN: 57-026-2-39-09-17-1 01-000-000050
Legacy PIN: 026939171105 Billing Address: Mailing Address:
Map ID: .1.5 BERNARD P KADLEC BERNARD P KADLEC
Municipality: (026)TOWN OF SAND LAKE 6465N KADLK W 6465N KADLEC LN
STR: 517 T39N R09W STONE LAKE WI 54876 STONE LAKE WI 54876
Destriptian: PRT NENE to
Recorded Acres: 23.220 r Site Address *indicates Private Road
Calculated Acres: 21.498 N/A �-��� �
Lottery Claims: 0
First Dollar: No J proper[y Assessment Updated:7/6/2022
Zoning: (A-1)Agricultural One 2023 Assessment Detail ����
ESN: 423 Code Acres Land Imp.
G4-AGRICULTURAL 22.220 2,300 0
�Tax Districts Updated:2/6/2007 GS-UNDEVELOPED 1.000 100 0
1 State of Wisconsin
57 Sawyer County 2-Year Comparison 2022 2023 Change
026 Town of Sand Lake Land: 2,400 2,400 0.0%
572478 Hayward Community School District Improved: 0 0 0.0%
001700 Technical College Total: 2,400 2,400 0.0%
• Recorded Documentr Updated:9/19/2014 �y
WARRANTY DEED C�Property History
Date Recorded:9/25/1981 1796D0 333/444 N/A
SMJINTER:�IATIO [VAL
c,-;��
49030 Pontiac Trail, Suite 100 �-„���'J;< i C'_'-� ��
Wixom, MI 48393 D 5' ' `'�".� `t� �:'
ww�v.smj-llc.com ^Lo�1
April27, 2022
�A� � 1 �
�o���
Sawyer County SA��M�N�STRAS��
ZO��{.lG
Attn: Zoning Department
10610 Main St. Suite 49
Hayward, WI 54843
715-638-3224
Re: Verizon's Proposed Upgrade 2022 project at:
6411N HWY 27 STONE LAKE, WI 54876
Encl: 1 Zoning / Building Application
1 Set Construction Drawings
1 Set Structural Analysis
Building and Inspection:
I have previously been in touch with your department regarding Verizon's proposed upgrade at 6411N HWY 27
STONE LAKE, WI 54876, to improve wireless communication services in your area. Verizon's proposed
installation is an upgrade that will consist of adding, removing, and replacing antennas and associated equipment
on the tower an on the ground.
As such, the proposed installation:
Will not extend the height of the structure;
Will not expand the existing fenced compound;
Will not add any lighting to the tower; and
Will not change the existing use of the Wirefess Communication Tower.
Accordingly, please find enclosed a completed application package for building approval along with the above-
listed materials.
If approved, please remit a copy of the completed permit and fee via scan/email or fax to:
Attn: Drew Knapek Phone: (952) 607-1439
49030 Pontiac Trail, Suite 100 Fax: (888) 745-4719
Wixom, MI 48393 Email: dknapek@smj-llc.com
As always, feel free to contact me with any questions or concerns. I look forward to hearing from you.
All the best,
�i�rm ���v,�
Drew Knapek
SM� INTERS:APIO:V:A'
49030 Pontiac Trail + Suite 100 • Wixom • Michi�an + C.S.A • a8393 ', P: (616) 7�5-�1777 ��, F: (888) 74�-4719
691 Ouellette Avenue • Windsor • Ontario • Canada • N9A 4J4 � P: (519) 915-1349 � F: (888) 745-4719
SMJINTERNATIONAL
49030 Pontiac Trail,Suite 100
Wixom,MI 48393
www.smj-llc.com
May 4,2023
Sawyer County
Attn:Zoning Department
10610 Main St.Suite 49
Hayward,WI 54843
715-638-3224
Re: Verizon's Proposed Upgrade 2023 project at:
6411N HWY 27 STONE LAKE,WI 54876
Encl: 1 Check for($500.00)
Building and Inspection:
I have previously been in touch with your department regarding Verizon's proposed upgrade at 6411N HWY 27
STONE LAKE,W!54876,to improve wireless communication services in your area. Verizon's proposed
installation is an upgrade that will consist of adding,removing,and replacing antennas and associated equipment
on the tower an on the ground.
As such,the proposed installation:
Will not extend the height of the structure;
Will not expand the existing fenced compound;
Will not add any lighting to the tower;and
Will not change the existing use of the Wireless Communication Tower.
Accordingly,please find enclosed a completed application package for building approval along with the above-
listed materials.
If approved,please remit a copy of the completed permit and fee via scan/email or fax to:
Attn:Drew Knapek Phone: (952)607-1439
49030 Pontiac Trail,Suite 100 Fax: (888) 745-4719
Wixom,MI 48393 Email: dknapek@smj-llc.com
As always,feel free to contact me with any questions or concerns.I look forward to hearing from you.
All the best,
���w����
Drew Knapek
SMJTN'CL-RNATIONAL
-19030 Pontiac Trail� Suitc 100*Wiaom•Michigan•t;.S.A•48393 � P: (616)745-d777 `�� F: (888)7d5-4719
691 Oucllette Avenue•V�%indsor•Ontario• Canada•N9A 4J4 I P: (519)915-1349 I F: (888)745-4719
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AMERICAN TOWER`
C O R P O R A T I O N
LETTER OF AUTHORIZATION FOR PERMITTIVG
ATC SITE#/�1AME/PROJECT: 417188/STONE LAKE,WI WI/ 14430084
SITE ADDRESS: 6411 N HWY 27,STONE LAKE,W"I 54876
APN: 026-939-17-llOS
LICENSEE:WISCONSIV RSA#2 dba VERIZON WIRELESS
SITE ACQG'ISITIOV VENDOR (APPLICANT REPRESENTATIVE): SMJ CONSULTING
SERVICES LLC
f, Margare� Robinson, Vice President, UST Lcgal for American Tower*, owner/operator of the tower
facility located at the address identified above (the "Tower Facility"), do hereby authorize WISCONSIN
RSA #2 dba VERIZOV WIRELESS, SMJ CONSULTING SERVICES LLC their successors and
assigns, and/or their agent, (collectively, the "Licensee") to act as American Tower's non-exclusive agent
for the sole purpose of filing and consummating any land-use, building, or electrical permit application(s)
as may be required by the applicable permitting authorities for WISCONSIN RSA#2 te(ecommunications'
installation on tlle Tower Facility.
I understand that these applications may approved with conditions. The above authorization is limited to
the acceptance by Licensee only of conditions related to Licensee's installation and any such conditions of
approval or modifications will bc Licensee's sole responsibility.
Signature:
d �
i
%�� ffi�
�
�
Print Name: Margaret Robinson
Vice President,UST Legal
American Tower*
NOTARY BLOCK
Commonwealth of MASSACHUSETTS
County of Middlesex
This instrument was acknowledged before me by Margaret Robinson, Vice President, UST Legal for
American Tower*, personally kno��n to me (or proved to me based on satisfactory evidence of
identification) to be the person whose name is signed on the preceding or attached document and
acknowledged to me that they signed it voluntarily for its stated purpose.
WTTNESS my hand and ofticial seal,this 10`�day of April,2023
Vtif:�iC�t� Si .\€ it'.
.��..�..-_:-�-
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10 Prezideniial Way •Wobum,MA 0180! • 781.926.4500 Office • 781.926.4555 Fax • www.americantoweccom
AMERICAN TOWER�
C O R P O R A T i O N
" American Tower is defined as American Tower Corporation and any of its affiliates or subsidiaries.
10 Presidential Way •Wobum,MA D180! • 781.926.4540 Of�iw• 781.926.4555 Fax • www,americantower.com
Duluth
SC
t Claud
� I .
VICINITY MAP
COMPLIANCE CODE
ALL WORK SHALL BE PERFORMED AND MATERIALS INSTALLED
IN ACCORDANCE WITH THE CURRENT EDITIONS OF THE
FOLLOWING CODES AS ADOPTED BY THE LOCAL
GOVERNMENT AUTHORITIES. NOTHING IN THESE PLANS IS
TO BE CONSTRUED TO PERMIT WORK NOT CONFORMING TO
THESE CODES.
1. INTERNATIONAL BUILDING CODE (IBC)
2. NATIONAL ELECTRIC CODE (NEC)
3. LOCAL BUILDING CODE
4. CITY/COUNTY ORDINANCES
UTILITY COMPANIES
POWER COMPANY: XCEL ENERGY
PHONE: (800) 895-4999
TELEPHONE COMPANY: UNKNOWN
PHONE: N/A
qa1.Kn
AMERICAN TOWER°
ATC SITE NAME: STONE LAKE, WI WI
ATC SITE NUMBER: 417188
VERIZON SITE NAME: STONE LAKE
VERIZON SITE NUMBER: 5000021601
VERIZON FUZE PID: 16979208
SITE ADDRESS: 6411 N HWY 27
STONE LAKE, WI 54876
PROJECT SUMMARY
SITE ADDRESS:
6411 N HWY 27
STONE LAKE, WI 54876
COUNTY: SAWYER
GEOGRAPHIC COORDINATES'
LATITUDE: 45.86755927
LONGITUDE:-91.5041966
GROUND ELEVATION: 1333' AMSL
PROJECT TEAM
TOWER OWNER:
AMERICAN TOWER
10 PRESIDENTIAL WAY
WOBURN, MA 01801
ENGINEER:
ATC TOWER SERVICES, LLC
3500 REGENCY PKWY STE 100
CARY, NC 27518
PROPERTY OWNER:
BERNARD KADLEC
6411N HWY 27
STONE LAKE. WI 54876
VERIZON AMENDMENT DRAWINGS
APPLICANT:
VERIZON WIRELESS
PROJECT DESCRIPTION
THE PROPOSED PROJECT INCLUDES MODIFYING GROUND BASED
AND TOWER MOUNTED EQUIPMENT AS INDICATED PER BELOW:
TOWER WORK:
REMOVE (9)ANTENNA(s), (3) TTA(s), AND (12) 1-5/8" COAXCABLE(s)
INSTALL (9) ANTENNA(s), (9) RRH(s), (2) OVP(s), AND (2) 1-W FIBER
CABLE(s)
GROUND WORK:
REMOVE (6) TRIPLEXER(s) AND (15) RRU(s)
INSTALL (1) OVP(s)
PROJECT NOTES
1. THE FACILITY IS UNMANNED.
2. A TECHNICIAN WILL VISIT THE SITE APPROXIMATELY ONCE A
MONTH FOR ROUTINE INSPECTION AND MAINTENANCE.
3. THE PROJECT WILL NOT RESULT IN ANY SIGNIFICANT LAND
DISTURBANCE OR EFFECT OF STORM WATER DRAINAGE.
4. NO SANITARY SEWER, POTABLE WATER OR TRASH DISPOSAL
IS REQUIRED.
5. HANDICAP ACCESS IS NOT REQUIRED.
6. THE PROJECT DEPICTED IN THESE PLANS QUALIFIES AS AN
ELIGIBLE FACILITIES REQUEST ENTITLED TO EXPEDITED
REVIEW UNDER 47 U,S.C. § 1455(A) AS A MODIFICATION OF AN
EXISTING WIRELESS TOWER THAT INVOLVES THE
COLLOCATION, REMOVAL, AND/OR REPLACEMENT OF
TRANSMISSION EQUIPMENT THAT IS NOT A SUBSTANTIAL
CHANGE UNDER CFR § 1.61000 (13)(7).
PROJECT LOCATION DIRECTIONS
GO WEST ONTO 1-94 FROM MILWAUKEE FOR 69.5 MILESTAKE RAMP
RIGHT ONTO 1-39 FOR 29.1 MILESAT EXIT 108A-B, ROAD NAME
CHANGES TO 1-90 FOR 63.4 MILESAT EXIT 45, ROAD NAME CHANGES
TO 1-94 FOR 76.1 MILESAT EXIT 70, TURN RIGHT ONTO RAMP FOR 0.2
MILESTAKE RAMP RIGHT ONTO US-53 FOR 50.6 MILESAT EXIT 135.
KEEP RIGHT ONTO RAMP FOR 0.3 MILESGO EAST ONTO US-8 FOR 1.7
MILESTURN RIGHT ONTO US-8 [E MAIN ST) FOR 22.6 MILESGO NORTH
ONTO WI-40 FOR 1.3 MILESBEAR RIGHT ONTO WI-40 FOR 22.7
MILESROAD NAME CHANGES TO CR-H FOR 7.5 MILESGO WEST ONTO
W BLUEBERRY AVE FOR 0.4 MILESTURN LEFT TO STAY ON W
BLUEBERRY AVE FOR 0.6 MILESTURN LEFT ONTO LOCAL ROAD FOR
BIRD WATCH SITE:
PLEASE CONTACT BIRD,WATCH@AMERICANTOWER.COM OR
AMERICAN TOWER NOC AT 877-518-6937 FOR ASSISTANCE
SHEETINDEX
SHEET
NO: DESCRIPTION:
REV: DATE:
BY:
G-001
TITLE SHEET
0
04/25/23
JLR
G-002
GENERAL NOTES
0
04/25/23
JLR
EXISTING SURVEY
C-101
DETAILED SITE PLAN
0
04/25/23
JLR
C-102
DETAILED SHELTER PLAN
0
04/25/23
JLR
C-201
TOWER ELEVATION
0
04/25/23
JLR
C401
ANTENNA INFORMATION & SCHEDULE
0
04/25/23
JLR
C-501
CONSTRUCTION DETAILS
0
04/25/23
JLR
E501
GROUNDING DETAILS
0
04/25/23
JLR
R-601
SUPPLEMENTAL
SUPPLEMENTAL
MOUNT ANALYSIS SHEETS
Authorized by " E O R"
26 Apr 2023 08:29:49
)
-
Cl
R-602
CONTRACTOR PMI REQUIREMENTS
PMI ACCESSED AT: HTTPS://PMI.VZWSMART.COM
SMART TOOL VENDOR PROJECT NUMBER: 10189009
VZW LOCATION CODE (PSLC): 5000021601
PMI AND REQUIREMENTS ALSO EMBEDDED IN MOUNT ANALYSIS REPORT
MOUNT MODIFICATION REQUIRED: NO
VZW APPROVED SMART KIT VENDORS: REFER TO MOUNT MODIFICATION DRAWINGS
PAGES FOR VZW SMART KIT APPROVED VENDORS
A&
AMERICAN TOWER°
ATC TOWER SERVICES LLC
3500 REGENCY PARKWAY
SUITE 100
CARY, NC 27518
PHONE: (919) 468-0112
4069.11
THE USE AND PUBLICATION OF THESE DRAWINGS
SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR
WHICH THEY ARE PREPARED. ANY USE OR
DISCLOSURE OTHER THAN THAT WHICH RELATES
TO AMERICAN TOWER OR THE SPECIFIED CARRIER
IS STRICTLY PROHIBITED. NEITHER THE ARCHITECT
NOR THE ENGINEER WILL BE PROVIDING ON -SITE
CONSTRUCTION REVIEW OF THIS PROJECT.
CONTRACTOR(S) MUST VERIFY ALL DIMENSIONS
AND ADVISE AMERICAN TOWER OR THE SPECIFIED
CARRIER OF ANY DISCREPANCIES. ANY PRIOR
ISSUANCE OF THIS DRAWING IS SUPERSEDED BY
THE LATEST VERSION.
REV. DESCRIPTION BY DATE
0 FOR CgN5TRl1CT10N. JLR 04J_ & P32 t _
ATC SITE NUMBER:
417188
ATC SITE NAME:
STONE LAKE, WI WI
VERIZON SITE NAME:
STONE LAKE
SITE ADDRESS:
6411 N HWY 27
STONE LAKE, WI 54876
SEAL:
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SANTHOSHA
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ATC JOB NO:
14430084 G5
CUSTOMER ID:
STONE LAKE
CUSTOMER k
5000021601
TITLE SHEET
SHEET NUMBER:
EVISION
G-001
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SURVEYED FOR:
I: ". CO*KA PACIFIC TELECOM C:Et-LULAR, INC.
i Tt a 4600 WES f COLLEGE AVENUE
- l;' _ APPLETON. W 54915
- (414) 841-1264
ti
(PROJECT; LAKE HALLIE)
r� AND
SURVEYED FOR-.
G.M. SELB Y & ASSOCIATES
6200 GISHOLT DRIVE. SUITE 207
MADISON, WI 53713
(608) 223-9640
� •r
PROPERTY DOWNER:
STEWARDS OF SOUND Inc.
2396 U.S,H. "53"
CHIPPEWA FALLS, WI 54729
PROPERTY ADDRESS:
2396 U.S.H. '*53' CHIPPEWA FALLS, WJ
TAX KEY NO 22809-2641-6455-0008
A
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SC CORNER
dCTKN 26
T ','tw, , It ;Pk
1• a;roiq A. Ksach, herAby certify that none 41 the
property detCrd).p hefoon is wilh•n a PoQd plcn4:
Or w{t'ands nreo as defined by f EMA or Wisconsin VNR.
SUAVEYM'S CERTWICATE
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Thr Bur-erw octepts no rear+3"lir for
ruin -angina, c4pnrs of chit dwur'+rnt.
t, Crdoq A. K*aCh, W+scan3in Registered Lana Surveyor of Arro—Wetkic
:nlior,poroted, certrly that J hove surveyed Ih* dC-ueibed properly and
tnal tr+e mop rhawrt i9 O true Ond *C"rZ1* rtloresentation
theteof to the btst of My Mnowledge and belief
Dotej_Pl a f M If,�M139d
*A.-Coks-m R[ TERCO LPwp "VE TCR
Cams A K-1, S-21!3
SITE NAME:
LAKE HALLIE
SITE NUMBER:
W40306
SITE ADDRESS
-
2396 U.S.m '33"
CHIPPEWA FALLS. VA
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SITE PLAN NOTES:
1. THIS SITE PLAN REPRESENTS THE BEST PRESENT
KNOWLEDGE AVAILABLE TO THE ENGINEER AT THE
TIME OF THIS DESIGN. THE CONTRACTOR SHALL
VISIT THE SITE PRIOR TO CONSTRUCTION AND
VERIFY ALL EXISTING CONDITIONS RELATED TO
THE SCOPE OF WORK FOR THIS PROJECT.
2. ICE BRIDGE, CABLE LADDER, COAX PORT, AND
COAX CABLE ARE SHOWN FOR REFERENCE ONLY.
CONTRACTOR SHALL CONFIRM THE EXACT
LOCATION OF ALL PROPOSED AND EXISTING
EQUIPMENT AND STRUCTURES DEPICTED ON THIS
PLAN. BEFORE UTILIZING EXISTING CABLE
SUPPORTS, COAX PORTS, INSTALLING NEW PORTS
OR ANY OTHER EQUIPMENT, CONTRACTOR SHALL
VERIFY ALL ASPECTS OF THE COMPONENTS MEET
THE ATC SPECIFICATIONS.
NO ELECTRICAL SCOPE IS INCLUDED IN THIS
PROJECT.
LEGEND
®
GROUNDING TEST WELL
ATS
AUTOMATIC TRANSFER SWITCH
B
BOLLARD
CSC
CELL SITE CABINET
D
DISCONNECT
E
ELECTRICAL
F
FIBER
GEN
GENERATOR
G
GENERATOR RECEPTACLE
HH, V
HAND HOLE, VAULT
IB
ICE BRIDGE
K
KENTROX BOX
LC
LIGHTING CONTROL
M
METER
PB
PULL BOX
PP
POWER POLE
T
TELCO
TRN
TRANSFORMER
CHAINLINK FENCE
PROPOSED CABLE NOTES:
1 ESTIMATED LENGTH OF PROPOSED CABLE IS 370'.
ESTIMATED LENGTH OF CABLE WAS PROVIDED BY
CUSTOMER OR CALCULATED BY ADDING THE RAID
CENTER AND THE DISTANCE FROM THE SHELTER
ENTRY PLATE TO THE TOWER (ALONG THE ICE
BRIDGE) AND A SAFETY FACTOR MEASUREMENT OF
15 % (OF THE TWO PREVIOUS VALUES), CDS DEFER
TO GREATEST CABLE LENGTH.
2. ROUTE PROPOSED CABLES ALONG SAME PATH AS
EXISTING CABLES AND IN ACCORDANCE WITH
STRUCTURAL ANALYSIS. WHERE POSSIBLE UTILIZE
EXISTING CABLE SUPPORT STRUCTURES AS
PROVIDED FOR CARRIER TO ADEQUATELY SECURE
CABLES, USING EITHER APPROPRIATELY SIZED
STAINLESS STEEL SNAP -INS OR MOUNTING
HARDWARE AND BRACKETS AS SPECIFIED BY CABLE
MANUFACTURER. OTHERWISE, ATTACH CABLES TO
HORIZONTAL OR DIAGONAL TOWER MEMBERS
USING PROPOSED STAINLESS STEEL ADAPTERS (DO
NOT ATTACH TO TOWER LEG).
X
EXISTING VER/ZON
11 '-3 " X 14 "-1 " SHELTER
WITHIN A
432 SQ. IT. GROUND SPACE
X
1
1
1
i
x
1 I AVV
i isurr
VERIZON
ACE
4'X8'
GEN. PAD
DETAILED SITE PLAN
GRAPHIC SCALE
10 0 5 10
(IN FEET)
1 UNIT = 10 FEET
20POSED (2) 1-5/8" FIBER CABLE(s)
TOUTED PER PROPOSED CABLE LENGTH NOTE 2)
;EFER TO PROPOSED CABLE LENGTH NOTE ON
CIS PAGE)
2) 1-5/8" COAX CABLES
0 BE REMOVED)
VAULT
Authorized by "EOR"
26 Apr 2023 08:29:49 cj.s
AL
AMERICAN TOWER®
ATC TOWER SERVICES LLC
3500 REGENCY PARKWAY
SUITE 100
CARY, NC 27518
PHONE: (919) 468-0112
4069-11
THE USE AND PUBLICATION OF THESE DRAWINGS
SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR
WHICH THEY ARE PREPARED. ANY USE OR
DISCLOSURE OTHER THAN THAT WHICH RELATES
TO AMERICAN TOWER OR THE SPECIFIED CARRIER
IS STRICTLY PROHIBITED. NEITHER THE ARCHITECT
NOR THE ENGINEER WILL BE PROVIDING ON -SITE
CONSTRUCTION REVIEW OF THIS PROJECT.
CONTRACTOR(S) MUST VERIFY ALL DIMENSIONS
AND ADVISE AMERICAN TOWER OR THE SPECIFIED
CARRIER OF ANY DISCREPANCIES. ANY PRIOR
ISSUANCE OF THIS DRAWING IS SUPERSEDED BY
THE LATEST VERSION.
REV. DESCRIPTION BY DATE
A0 _ _Fo CONSTRUCTIOv JLR _04125123.
0
7
A
ATC SITE NUMBER:
417188
ATC SITE NAME:
STONE LAKE, WI WI
VERIZON SITE NAME:
STONE LAKE
SITE ADDRESS:
6411 N HWY 27
STONE LAKE, WI 54876
SEAL:
{{1{{IIIIIIIllr1�I
_= SANTHOSHA
SHANBHOGUE
E-49097 OfCARY
NC
�''►r►Innnu�'a
gn
vo%rizonJ
ATC JOB NO:
14430084 G5
CUSTOMER ID:
STONE LAKE
CUSTOMER M
5000021601
DETAILED SITE PLAN
SHEET NUMBER: i REVISION:
C-101 0
EXISTING VERIZON
1 1 '-3 " X 14'— 1 " SHELTER
WITHIN A
432 SO- FT. GROUND SPACE
EXISTING VERIZON WIRELESS
(6) CBC7821-DF TRIPLEXER(s),
(3) RRUS12 B5 RRU(s), AND
(12) RUL01 B13 RRU(s)
(TO BE REMOVED)
PROPOSED VERIZON WIRELESS
(1) RVZDC-4520-RM-48 OVP(s)
(TO BE INSTALLED)
f
of
VERIZON i
4' X 8'
GEN, PAD
PROPOSED GROUND EQUIPMENT LAYOUT
GRAPHIC SCALE
5 u 2.: N
( IN FEET)
1 UNIT = 5 FEET
PROPOSED (2) 1-5/8" FIBER CABLE(s)
(12) 1-5/8" COAX CABLES
(TO BE REMOVED)
Authorized by "EOR"
26 Apr 2023 08:29:50
if
AMERICAN TOWER°
ATC TOWER SERVICES LLC
3500 REGENCY PARKWAY
SUITE 100
CARY, NC 27518
PHONE: (919) 468.0112
4069-11
THE USE AND PUBLICATION OF THESE DRAWINGS
SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR
WHICH THEY ARE PREPARED, ANY USE OR
DISCLOSURE OTHER THAN THAT WHICH RELATES
TO AMERICAN TOWER OR THE SPECIFIED CARRIER
IS STRICTLY PROHIBITED. NEITHER THE ARCHITECT
NOR THE ENGINEER WILL BE PROVIDING ON -SITE
CONSTRUCTION REVIEW OF THIS PROJECT.
CONTRACTOR(S) MUST VERIFY ALL DIMENSIONS
AND ADVISE AMERICAN TOWER OR THE SPECIFIED
CARRIER OF ANY DISCREPANCIES. ANY PRIOR
ISSUANCE OF THIS DRAWING IS SUPERSEDED BY
THE LATEST VERSION.
REV. DESCRIPTION BY DATE
0 F R_f C#4 TRUCTIGdJ, JLR 041/s+73
A
0
ATC SITE NUMBER:
417188
ATC SITE NAME:
STONE LAKE, WI WI
VERIZON SITE NAME:
STONE LAKE
SITE ADDRESS:
6411 N H WY 27
STONE LAKE, WI 54676
SEAL,
tNjill/.,�
.•�'� jSyC 0
=, •'
SANTHOSHA
SHANBHOGUE
E-49097
CARY 41=
o
:.� NC
8n
venzon%l
ATC JOB NO:
14430084 G5
CUSTOMER ID:
STONE LAKE
CUSTOMER #:
1 5000021601
DETAILED SHELTER
PLAN
SHEET NUMBER:
REVISION:
C-102
0
2 1 EXISTING AND
C 40 C0 PROPOSED VERIZON
EQUIPMENT
EXISTING VERIZON
EQUIPMENT
(TO REMAIN)
PROPOSED (2) 1-5/8" FIBER
(12) 1-5/8" COAX
(TO BE REMOVED)
TOP OF EXISTING
HIGHEST APPURTENANCE
Ff EY 31 Z 65'
TOP OF EXISTING' TOWER EXISTING VERIZON
FLEV 300' RAD CENTER @ 301'
EXISTING TOWER
TOWER ELEVATION
SCALE: N.T.S-
EXISTING VERIZON
RAD CENTER @ 263'
E.I15T16itr lop
0+✓ BASE PLATE
PER MOUNT ANALYSIS COMPLETED BY PAUL J.
FORD AND COMPANY, DATED 01/25/2023. THE
EXISTING MOUNT CAN ADEQUATELY SUPPORT
THE PROPOSED LOADING,
HYBRID CABLE INFO
QUANTITY FROM ENTRY PANEL
2
LENGTH FROM SHELTER SURGE
PROTECTOR TO ENTRY PANEL (FEET)
10
LENGTH FROM ENTRY PANEL TO TOWER
(FEET)
11
LENGTH FROM T.O.C. TO TOWER SURGE
PROTECTOR CIL (FEET)
301
TOTAL HYBRID CABLE LENGTH + 15%
(FEET)
370
POWER SHIFT NEEDED DUE TO HYBRID LENGTH OVER
200 FEET
TOWER NOTE:
1. IT IS THE CONTRACTOR'S RESPONSIBILITY TO
CONFIRM WITH THE PROJECT MANAGER THAT
THEY HAVE THE MOST RECENT VERSION OF THE
STRUCTURAL ANALYSIS BEFORE COMMENCING
WORK. EXISTING AND PROPOSED TOWER
APPURTENANCES, MOUNTS, AND ANTENNAS ARE
SHOWN BASED ON THE STRUCTURAL ANALYSIS.
2. WHERE APPLICABLE, ALL NEW ANTENNAS,
EQUIPMENT, MOUNTS, CABLING, ETC. SHALL BEPAIN
N ACCEOR OTHER AA�R ITlji� 7[J j] �IjC }6i�j�' QN(D}1108
3. ROUTE PRpP1)SEb A=%l3(;`6AfjjE p II AS
EXISTING CABLES AND IN ACCORDANCE WITH
STRUCTURAL ANALYSIS. WHERE POSSIBLE UTILIZE
EXISTING CABLE SUPPORT STRUCTURES AS
PROVIDED FOR CARRIER TO ADEQUATELY SECURE
CABLES, USING EITHER APPROPRIATELY SIZED
STAINLESS STEEL SNAP -INS OR MOUNTING
HARDWARE AND BRACKETS AS SPECIFIED BY
CABLE MANUFACTURER. OTHERWISE, ATTACH
CABLES TO HORIZONTAL OR DIAGONAL TOWER
MEMBERS USING PROPOSED STAINLESS STEEL
ADAPTERS (DO NOT ATTACH TO TOWER LEG).
4. TOWER ELEVATION$ARE MEASURED FROM TOP
OF BASE PLATE TO MATCH STRUCTURAL
ANALYSIS. ELEVATIONS DO NOT REFLECT TRUE
ABOVE GROUND LEVEL (A.G.L.)
5. TOWER ELEVATION DEPICTION MAY NOT REFLECT
ALL EQUIPMENT INCLUDED IN STRUCTURAL
ANALYSIS. REFER TO STRUCTURAL ANALYSIS FOR
FULL TOWER LOADING.
A&
AMERICAN TOWER•
ATC TOWER SERVICES LLC
3500 REGENCY PARKWAY
SUITE 100
CARY, NC 27518
PHONE: (919) 468-0112
4069-11
THE USE AND PUBLICATION OF THESE DRAWINGS
SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR
WHICH THEY ARE PREPARED. ANY USE OR
DISCLOSURE OTHER THAN THAT WHICH RELATES
TO AMERICAN TOWER OR THE SPECIFIED CARRIER
IS STRICTLY PROHIBITED. NEITHER THE ARCHITECT
NOR THE ENGINEER WILL BE PROVIDING ON -SITE
CONSTRUCTION REVIEW OF THIS PROJECT.
CONTRACTOR(S) MUST VERIFY ALL DIMENSIONS
AND ADVISE AMERICAN TOWER OR THE SPECIFIED
CARRIER OF ANY DISCREPANCIES. ANY PRIOR
ISSUANCE OF THIS DRAWING IS SUPERSEDED BY
THE LATEST VERSION.
REV, DESCRIPTION BY DATE
0 F GQN$TRUCT(QN JLR 04125/23
0
— . .
ATC SITE NUMBER:
417188
ATC SITE NAME:
STONE LAKE, WI WI
VERIZON SITE NAME:
STONE LAKE
SITE ADDRESS:
6411 N HWY 27
STONE LAKE, WI 54876
SEAL:
i u u u r r►NI7j
���ttt
SANTHOSHA
SHANBHOGUE
E-49097
CARY
o
.� NC �R+►
��rhr
r u n (ntt►��
Sn
J
verizon
ATC JOB NO:
14430084_G5
CUSTOMER ID:
STONE LAKE
CUSTOMER #:
5000021601
TOWER ELEVATION
SHEET NUMBER: REVISION
C-201 0
EXISTING PLATFORM
EXISTING TOWER
II
Q
II
Q
II Q
Q
Q
Q
EXISTING ANTENNA (TYP.)
(REFER TO CHART FOR
DETAILED INFORMATION)
EXISTING TTA (TYP.)
(REFER TO CHART FOR
DETAILED INFORMATION)
q?.
�2p
�a
� EXISTING ANTENNA PLAN N
SCALE: N,T S
LOCATION
EXISTING ANTENNA SCHEDULE
ANTENNA SUMMARY
SECTOR
RAD
AZ
POS
ANTENNA
BAND
ALPHA
301
10'
Al
RWA-80016
850 COMA
A2
DBXNH-6565E-VTM
700 LTE1850 LTE
A3
RWA-80016
850 CDMA
TA
301'
120'
B 1
RWA-80016
850 CDMA
B2
D8XNH-6565E-VTM
700 LTE1850 LTE
B3
RWA-80016
850 CDMA
MMA
301'
240'
Cl
RWA-80016
850 CDMA
C2
DBXNH-6565B-VTM
700 LTE1850 LTE
C3
RWA-80016
850 CDMA
PER MOUNT ANALYSIS COMPLETED BY PAUL J.
FORD AND COMPANY, DATED 01/25/2023, THE
EXISTING MOUNT CAN ADEQUATELY SUPPORT
THE PROPOSED LOADING.
EXISTING PLATFORM
0 2 0 2 0
A3 y�
..,._. Al � A7 r✓it�
q �p0 Cr3M
EXISTING TOWER �Yf
C2 G
NON ANTENNA SUMMARY
NOTES
1. CONFIRM WITH VERIZON REP
FOR APPLICABLE
UPDATES/REVISIONS AND
MOST RECENT RFDS FOR NSN
CONFIGURATION (CONFIG). GC
TO CAP ALL UNUSED PORTS.
2, CONFIRM SPACING OF
PROPOSED EQUIP DOES NOT
CAUSE TOWER CONFLICTS
NOR IMPEDE TOWER CLIMBING
PEGS.
- -
LOCATION
STATUS
ADDITIONAL TOWER MOUNTED
EQUIPMENT
STATUS
SECTOR
RAD
AZ
POS
RMV
-
_
ALPHA
301'
10"
Al
RMV
AWC-TTMA-70OC-VG
RMV
RMV
-
A2
RMV
-
-
A3
RMV
AWC-TTMA-70OC-VG
RMV
BETA
301'
120'B2
B1
RMV
-
RMV
-
-
STATUS ABBREVIATIONS
RMV
AWC-TTMA-70OC-VG
RMV
RMV: TO BE REMOVED
RMN: TO REMAIN
REL: TO BE RELOCATED
ADD: TO BE ADDED
B3
RMV
-
-
GAMMA
301'
240"
Cl
C2
EXISTING FIBER DISTRIBUTION/OVP BOX EXISTING CABLING SUMMARY
MODEL NUMBER STATUS CABLE QTY, SIZE, TYPE STATUS
- (12) 1-518" COAX RMV
CABLE LENGTHS FOR JyMHERS
JUNCTION BOX TO RRU: 15'
RRU TO ANTENNA: 10'
S EQUIPMENT SCHEDULES
yp� Cl
PROPOSED ANTENNA (TYP.) 2
(REFER TO CHART FOR 2
DETAILED INFORMATION)
PROPOSED RRU (TYP.) 3
(REFER TO CHART FOR C 60
DETAILED INFORMATION)
PROPOSED ANTENNA (TYP.) G
(REFER TO CHART FOR
DETAILED INFORMATION)
6 12p,
PROPOSED OVP BOX
- (REFER TO CHART FOR
B2 �- DETAILED INFORMATION) 50
9 2p,
83
�a
6 72p,
FINAL ANTENNA PLAN N
SCALE: N.T S
FINAL ANTENNA SCHEDULE
ANTENNA SUMMARY NON ANTENNA SUMMARY
ANTENNA
BAND
STATUS
ADDITIONAL TOWERSTATUS
MOUNTED EQUIPMENT
NHH-65C-R2B
700 LTE/850 LTE/1900 LTE/AWS
ADD
RADIO 4449 - B138B5
ADD
LTE/AWS3 LTE
NHH-65C-R2B
700 LTE/850 LTE/1900 LTE/AWS
ADD
8843 REV 2
ADD
LTE/AWS3 LTE
AIR 6449 B77D/ C-BAND
LSUB6 5G
ADD
8843 REV 2
ADD
NHH-65C-R213
700 LTE/850 LTE/1900 LTE/AWS
ADD
RADIO4449 - B13&B5
ADD
LTE/AWS3 LTE
NHH-65C-R2B
700 LTE/850 00 LTE/AWS
ADD
8843 REV 2
ADD
LTE/AWS3 LTE
AWS3
AIR 6449 B77D/ C-BAND
L-SUB6 5G
ADD
8843 REV 2
ADD
NHH-65C-R2B
700LTE/850LTE/1900LTE/AWS
ADD
RADIO 4449-B13&B5
ADD
LTE/AWS3 LTE
�r
Dr1Z 2'E0}�
NHH-65C-R2B
700 LTE/850 LTE/1900 LTE/AWS
LTE/AWS3 LTE
R�7V
20
AIR 6aa9 B77D/ C-BAND
L-SUB6 5G
Apr
FINAL FIBER DISTRIBUTION / OVP BOX FINAL CABLING SUMMARY
MODEL NUMBER STATUS CABLE QTY, SIZE, TYPE STATUS
(2) RVZDC-3315-PF-48 ADD (2)1-5/8" FIBER ADD
A&
AMEWCAIV TOWER•
ATC TOWER SERVICES LLC
3500 REGENCY PARKWAY
SUITE 100
CARY, NC 27518
PHONE: (919) 468-0112
4069-11
THE USE AND PUBLICATION OF THESE DRAWINGS
SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR
WHICH THEY ARE PREPARED. ANY USE OR
DISCLOSURE OTHER THAN THAT WHICH RELATES
TO AMERICAN TOWER OR THE SPECIFIED CARRIER
IS STRICTLY PROHIBITED NEITHER THE ARCHITECT
NOR THE ENGINEER WILL BE PROVIDING ON -SITE
CONSTRUCTION REVIEW OF THIS PROJECT,
CONTRACTOR(S) MUST VERIFY ALL DIMENSIONS
AND ADVISE AMERICAN TOWER OR THE SPECIFIED
CARRIER OF ANY DISCREPANCIES. ANY PRIOR
ISSUANCE OF THIS DRAWING IS SUPERSEDED BY
THE LATEST VERSION_
REV. DESCRIPTION BY DATE
A0 ^—EQ,R EONSTHUGTION _ JLR _ 0412.5M2 .
d
ATC SITE NUMBER:
417188
ATC SITE NAME:
STONE LAKE, WI WI
VERIZON SITE NAME:
STONE LAKE
SITE ADDRESS:
6411 N HWY 27
STONE LAKE, WI 54876
SEAL:
�1j1{111111111���
c ON
•'s
SANTHOSHA
SHANBHOGUE
E-49097
= CARY
�0 NC
a
1
A 1
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8n
rizon**'-
ATC JOB NO:
14430084 G5
CUSTOMER ID:
STONE LAKE
CUSTOMER #:
5000021601
ANTENNA INFORMATION
& SCHEDULE
SHEET NUMBER REVISION:
C-401 0
EXISTING LOW -PROFILE PLATFORM
PROPOSED ANTENNA
EXISTING MOUNTING PIPE
PROPOSED ANTENNA MOUNTING DETAIL - TYPICAL
�I SCALE: N.T.S.
PROPOSED RRU (OPTION 2)
(MOUNT PER MANUFACTURER'S SPECS)
(ENSURE THAT BRACKET DOES NOT CONFLICT WITH
EXISTING OR PROPOSED EQUIPMENT)
EXISTING LOW -PROFILE PLATFORM
PROPOSED RRU (OPTION 1)
(MOUNT PER MANUFACTURER'S SPECS)
(ENSURE THAT BRACKET DOES NOT CONFLICT WITH
EXISTING OR PROPOSED EQUIPMENT)
EXISTING MOUNTING PIPE
PROPOSED RRU MOUNTING DETAIL - TYPICAL
SCALE: N.T.S,
EXISTING LOW -PROFILE PLATFORM
PROPOSED ANTENNA
EXISTING MOUNTING PIPE
2 PROPOSED 5G ANTENNA MOUNTING DETAIL - TYPICAL
SCALE: N T S
PROPOSED OVP
(MOUNT PER
MANUFACTURER'S SPECS)
(ENSURE THAT BRACKET DOES
NOT CONFLICT WITH EXISTING
OR PROPOSED EQUIPMENT)
PROPOSED MOUNTING
PIPE ATTACHED EXISTING
STAND-OFF SUPPORT
EXISTING TFORM Authorized by "EOR"
STAND-OFF ASUPPORT 26 Apr 2023 08:29:50
C1 PROPOSED OVP MOUNTING
4
J SCALE: N.T S
AMERICAN TOWER®
ATC TOWER SERVICES LLC
3500 REGENCY PARKWAY
SUITE 100
CARY, NC 27516
PHONE: (919) 468-0112
4069-11
THE USE AND PUBLICATION OF THESE DRAWINGS
SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR
WHICH THEY ARE PREPARED. ANY USE OR
DISCLOSURE OTHER THAN THAT WHICH RELATES
TO AMERICAN TOWER OR THE SPECIFIED CARRIER
IS STRICTLY PROHIBITED. NEITHER THE ARCHITECT
NOR THE ENGINEER WILL BE PROVIDING ON -SITE
CONSTRUCTION REVIEW OF THIS PROJECT.
CONTRACTOR(S) MUST VERIFY ALL DIMENSIONS
AND ADVISE AMERICAN TOWER OR THE SPECIFIED
CARRIER OF ANY DISCREPANCIES. ANY PRIOR
ISSUANCE OF THIS DRAWING IS SUPERSEDED BY
THE LATEST VERSION_
REV. DESCRIPTION BY DATE
Qnn FORCC#S7RIICTION JLR ._0412 23
ATC SITE NUMBER:
417188
ATC SITE NAME:
STONE LAKE, WI WI
VERIZON SITE NAME:
STONE LAKE
SITE ADDRESS:
6411 N HWY 27
STONE LAKE, WI 54876
SEAL:
,j1111N111111i1111j1j
CON
Z SANTHOSHA
SHANBHOGUE
E-49097 y
vo CARY
o NC �4►_
Z-
11111lilt 111L1
Sn
rizonv
ATC JOB NO:
14430084_G5
CUSTOMER ID:
STONE LAKE
CUSTOMER #:
5000021601
CONSTRUCTION
DETAILS
SHEET NUMBER:
REVISION:
C-501
0
EXISTING
ANTENNAS
TO EXISTING
ANTENNA MASTS
EXISTING COAX
GROUND KITS
PROPOSED #6 AWG
STRANDED CU
PROPOSED ANTENNA
PROPOSEDJUMPER
PROPOSED CONNECTOR AND
WEATHERPROOFING KIT
PROPOSED WEATHERPROO��FFI�ING KIT
— PROPOSED CABLE
GROUND KIT 501
WIRE WITH GREEN, 600V,
THWN INSULATION `
TO PROPOSED RRU ` Il ANTENNA CABLE TO
GROUND LUG (TYP.) CABINET (TYP.)
PROPOSED #6 AWG
STRANDED CU 1
WIRE WITH GREEN, 600V, \ 1 #6 AWG STRANDED CU
THWN INSULATION ��� \ j / WIRE WITH GREEN, 600V.
TO PROPOSED OVP BOX \ \ 1 THWN INSULATION
GROUNDING _' 1
CONNECTION TO 4
EXISTING TMAs
f 1 GROUND BAR MOUNTED
EXISTING GROUNDING NEAR/BELOW ANTENNA 3
CONNECTIONLIGHTNING (TO BE INSTALLED IF �1
PROTECTION SYSTEM I REQUIRED)
NOTES:
1. THIS DETAIL IS INTENDED TO SHOW THE GENERAL GROUNDING REQUIREMENTS. SLIGHT
ADJUSTMENTS MAY BE REQUIRED BASED ON EXISTING SITE CONDITIONS. THE
CONTRACTOR SHALL MAKE FIELD ADJUSTMENTS AS NEEDED AND INFORM THE
CONSTRUCTION MANAGER OF ANY CONFLICTS.
2. SITE GROUNDING SHALL COMPLY WITH VERIZON GROUNDING STANDARDS, LATEST
EDITION, AND COMPLY WITH VERIZON GROUNDING CHECKLIST, LATEST VERSION. WHEN
NATIONAL AND LOCAL GROUNDING CODES ARE MORE STRINGENT THEY SHALL GOVERN.
0 TYPICAL ANTENNA GROUNDING DIAGRAM
SCALE: N.T.S.
TO ANTENNA
318" X 1-1/2" SS BOLT
3/8" SS LOCK WASHER
(EACH SIDE)
(EACH SIDE)
ANTENNA CABLE 2 1/2"0 MAX
/ / Ar
i
/
A O OA
GROUNDING KIT PER CABLE
MANUFACTURER'S
/
O
RECOMMENDATIONS
(ANDREW OR APPROVED EQUAL)
-
O/O
O
/ /
O
#6 AWG STRANDED COPPER GROUND
WIRE (GROUNDED TO GROUND BAR)
/ (�
/
114" X 4" X 6' GROUND BAR
Ir
(ERICO P/N: EGBA14406CC OR EQUAL)
TWO -HOLE LUG, TO BE USED
O GROUND BAR
WITH #2 AWG BCW
(LOWER TOWER GROUND
BAR ONLY)
TO EQUIPMENT
GROUND KIT NOTES:
1. DO NOT INSTALL CABLE GROUND KIT AT A BEND AND ALWAYS DIRECT
GROUND WIRE DOWN TO GROUND BAR.
2. CONTRACTOR SHALL PROVIDE WEATHERPROOFING KIT (ANDREW PART
NUMBER 221213) AND INSTALLITAPE PER MANUFACTURER'S SPECIFICATIONS.
0 CABLE GROUND KIT CONNECTION DETAIL
SCALE: N.T.S.
GROUND BAR NOTES:
1. GROUND BAR KITS COME WITH ALL RMOWARE, NUTS, BOLTS,
WASHERS, ETC. EXCEPT THE STRUCTURAL MOUNTING MEMBER(S).
2. GROUND BAR TO BE BONDED DIRECTLY TO TOWER.
0 TOWER GROUND BAR DETAIL
SCALE, N T S.
Authorized by "EOR"
26 Apr 2023 08:29:51 cc
AMl Irmo
ATC TOWER SERVICES LLC
3500 REGENCY PARKWAY
SUITE 100
CARY, NC 27518
PHONE: (919) 468-0112
4069-11
THE USE AND PUBLICATION OF THESE DRAWINGS
SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR
WHICH THEY ARE PREPARED. ANY USE OR
DISCLOSURE OTHER THAN THAT WHICH RELATES
TO AMERICAN TOWER OR THE SPECIFIED CARRIER
IS STRICTLY PROHIBITED, NEITHER THE ARCHITECT
NOR THE ENGINEER WILL BE PROVIDING ON -SITE
CONSTRUCTION REVIEW OF THIS PROJECT.
CONTRACTOR(S) MUST VERIFY ALL DIMENSIONS
AND ADVISE AMERICAN TOWER OR THE SPECIFIED
CARRIER OF ANY DISCREPANCIES. ANY PRIOR
ISSUANCE OF THIS DRAWING IS SUPERSEDED BY
THE LATEST VERSION,
REV. DESCRIPTION BY DATE
FORC�QNSTRUCTIQN _ JLR
ATC SITE NUMBER:
417188
ATC SITE NAME:
STONE LAKE, WI WI
VERIZON SITE NAME:
STONE LAKE
SITE ADDRESS:
6411N HWY 27
STONE LAKE, WI 54876
SEAL:
,•��5 C 01NS'''',,,
, fff/
`t,11
•
•�=
=, SANTHOSHA
SHANBHOGUE
E-49097
CARY
o
NC
�0NA1-`��
)111111111������
8n
nzonl/
ATC JOB NO:
14430084 G5
CUSTOMER ID:
STONE LAKE
CUSTOMER #: 5000021601
GROUNDING DETAILS
SHEET NUMBER: REVISION
E-501 0
Added
700 850 1900 AWS AWS3 L-Sub6 Make Model
LTE LTE LTE LTE LTE COMMSCOPE NHH435C-R2B
51% Ericsson
Removed
700 850 1900 AWS AWS3 L-Sub6 Make
LTE LTE ANDREW
CDMA
ANTEL
Retained
700 850 1900 AWS AWS3 L-Sub6 Make
AIR6449
Model
DBXNH-656SB-VTM
RWA-80016
Antenna Summary
Centerline Tip Height Azimuth RET
10(01)
301 305 120(02) false
240(03)
10(0001)
301 302.3 120(0004 false
24((0003)
4xRx Inst. Type Quantity Item ID
false PHYSICAL 5 000DO000190005629z
false PHYSICAL 3
Centerline Tip Height Azimuth RET 4xRx Inst. Type Ouaritily hem ID
10(01)
301 304 120(02) false false PHYSICAL 3 000000001900056366
240(03)
IwOu
301 304 120(02) false false PHYSICAL 6
24D(03)
Model Centerllne Tip Heighl Azimuth RET 4xFOc Inst. Type Quantity hem 10
No datj a,ailaDe
Equipment Summary
Added
Equipment Type
Location
700
850
1900
AWS
AWS3
L-Sub6 Make
Model
Cable Length Cable Size
Instal Type
Quantity
Item ID
COMMSCOPE
Hybrid Cable
Tourer
TECHNOLOOES
HFT1206-24SV4-3300
1.11r
PHYSICAL
2
1900438M
LLC
RRU
Tower
LTE
LTE
Ericsson
4449
PHYSICAL
3
000DOOD01900068
RRU
Tower
LTE
LTE
LTE
Ericsson
am
PHYSICAL
6
0000000019000"
RRU
Tower
50 Ericsson
AIR8449
PHYSICAL
3
OVP Box
Tower
RAYCAP INC
RMC-33115-PF-48
PHYSICAL
2
1900005465
OVP Box
Shelter
RAYCAP NC
RY33DC-4520-RM-48
PHYSICAL
1
4900410978
Removed
Equipment Type
Location
700
850
1900
AWS
AWS3
L-Sub6 Make
Model
Cable Length Cable Size
Install Type
Quantity
Item ID
Coaxial Cables
Tower
Andrew
LDF7.50
1.5/8"
PHYSICAL
12
TMA
Tower
Westell
A90TTMA70085000
PHYSICAL
3
Triplexer
Shelter
Commaempe
CBC7821-DF
PHYSICAL
6
RRU
Shelter
LTE
Ericsson
RRUS12 85
PHYSICAL
3
RRU
Shelter
LTE
Ericsson
RUL01813
PHYSICAL
12
Retained
Equipment Type
Location
700
850
1900
AWS
AWS3
L-Sub6 Make
Model
Cable Length Cable Size
Install Type
Quantity
Item ID
�— -�—RFDS EQUIPMENT SUMMARY
J
NOTE: THIS SHEET WAS CREATED BY OTHERS
AND PROVIDED AT THE REQUEST OF THE
CUSTOMER WITHOUT EDIT. GENERAL
CONTRACTOR IS TO CHECK WITH THE
VERIZON CM TO ENSURE THIS IS THE MOST
RECENT VERISON OF THE RFDS.
SUPPLEMENTAL
SHEET NUMBER: REVISION:
R-601 0
W1604 A,Gwft
4111168" *a"
A WS1*3 PCS
Totlwh I'Srctar Jdniprt�
5i�rlistrr
N77 I I Alpha, Beta, Gamma
AW 51+3
�1 RFDS PLUMBING DIAGRAM
i for. ft
El
RET dC sVale xwjbir SRlrt
LvA7
�rrllx lirrlaa»r - eni[tr� r•�
ert=-d,r r It, band
Tyr
r fiber kmPt'.
Morl'"-
Ante ,r yjrw k horn thr bec6 cif the artvnn&I
CObrS Uf canr,attioe wo just 10► cWjs,ratloo
Fnbw RiI c-61krp standard fur nrrn-Smnmi fiiat•T►brit
Man IV path ele—rr•ts Mw 00114T'A beii and Hybe cs a�z� rrat A%O wln
Sift f tlbiv"-, +r otiir *f "k sn't rcfk-c cQwpn+srT trw %*r+enstvn
NOTE: THIS SHEET WAS CREATED BY OTHERS
AND PROVIDED AT THE REQUEST OF THE
CUSTOMER WITHOUT EDIT. GENERAL
CONTRACTOR IS TO CHECK WITH THE
VERIZON CM TO ENSURE THIS IS THE MOST
RECENT VERSION OF THE RFDS.
SUPPLEMENTAL
SHEET NUMBER: REVISION:
R-602 0
AMERICAN TOWER�
C O R P O R A T 1 O N
� � • �
Structure . 300 ft Guyed Tower
ATC Asset Name . Stone Lake, WI WI
ATC Asset Number : 417188
Engineering Number . 14430084_C3_01
Proposed Carrier . VERIZON WIRELESS
Carrier Site Name . STONE LAKE
Carrier Site Number . 5000021601
Site Location . 6411N Hwy 27
Stone Lake, WI 54876
45.8676, -91.5042
County . Sawyer
Date : April 10, 2023
Max Usage . 91%
Analysis Result . Pass
Prepared By: Reviewed By:
Tomas Sosa Frederic G. Bost, PE
ETS ETS Job No. 23118053.STR.4464
... ��«tn-tS ��9'$'c"'. age��)"g93��O8�Fn�
��*�.
. , �e������ee<__�,!�J ��r"
�.ea.�\J ,,�"
�a' '�^'y` ,
�,� 8��>dED��C �
o � S�ST p���
�..�� �2396-� "
��a i2AtEIGH �� .:
�a�o�ohrHc�ou�ar�`��10/23
� � � �
�^s���a�,e.�°°`'��` ,,�''
�Q�f�f�l R L ��eo°e
�br:�a2Eil�i��.'�,g��'
ATC Tower Services LLC--3500 Regency Parkway,Suite 100,Cary,NC 27518—Office 919-468-0112--Fax 919-466-5414--www.americantower.com
� Eng. Number 14430084_C3_01
April 10, 2023
AMERICANTOWER' ��p� �
b
introduction
The purpose of this report is to summarize results of a structural analysis performed on the 300 ft Guyed
tower to reflect the change in loading by VERIZON WIRELESS.
Supporting Documents
Tower Drawing: Pirod File#A-114879,dated September 28, 1998
Foundation Drawing: Pirod File#A-114879, dated September 28, 1998
Geotechnical Report: Terracon Report#W40310, dated April 10, 1998
Analysis
The tower was analyzed using American Tower Corporation's tower analysis software.This program considers
an elastic three-dimensional model and second-order effects per ANSI/TIA-222.
Basic Wind Speed: 107 mph (3-second gust)
_. __ _ _ _
Basic Wind Speed w/Ice: 50 mph (3-second gust) w/1.50" radial ice concurrent
Code(s): AN51/TIA-222-H/2015 IBC/Wisconsin Commercial Building Code
Exposure Category: C
Risk Category: _ . I I __ - --
--_-_ ---- ___ --- —
Topographic Factor Procedure: Method 1 __ _ _
Topographic Category: 1
Spectral Response: Ss=0.04,S,=0.02 '
__
Site Class: D-Stiff Soil - Default
___ _
_ _
Conclusion
Based on the analysis results, the structure meets the requirements per the applicable codes listed above.
The tower and foundation can support the equipment as described in this report.
If you have any questions or require additional information, please contact American Tower via email at
Engineering@americantower.com Please include the American Tower site name, site number, and
engineering number in the subject line for any questions.
ATC Tower Services LLC--3500 Regency Parkway,Suite lOQ Cary,NC 27518--Office 919-468-0112—Fax 919-466-5414—www.americantower.com
� Eng. Number 14430084_C3_01
April 10, 2023
AMERIGANTOWER' Page 3
Proposed Carrier Final Loading
__ _ _
Elev.* Qty Equipment Lines Carrier �
2 Raycap RVZDC-3315-PF-48
3 Ericsson AIR 6449 677D/C-Band
301.0' 3 Ericsson Radio 4449-613&B5
6 Commscope NHH-65C-R2B �2) 1 5/8" (1.63"-41.3mm) Fiber VERIZON WIRELESS
6 Ericsson 8843 Rev 2
300.0' 1 VZW Unused Reserve(24000 sqin)
268.7' 1 18'Omni (1)7/8"Coax VERIZON WIRELESS
263.0' 1 15'Omni - VERIZON WIRELESS
(If[able breaks across pages,please see previous page for data in merged cells)
*Controcted elevations are shown for appurtenances within contrac[ed installotion tolerances.Appurtenances ou[side of controct limits are shown at installed elevations.
Install proposed lines alongside existing VERIZON WIRELESS lines.
Other Existing/Reserved Loading
Elev.* Qty Equipment Lines Carrier i
300.0' 1 Low Profile Platform - VERIZON WIRELESS
__._,
255.0' 1 Side Arm - VERIZON WIRELESS '
_ __—i---_ _-----+-- _ -�
238.0' 1 Torque Arms - -
(If table breaks across pages,please see previous page for data in merged ce11sJ
'Contracted elevations are shown for appurtenantes within contracted installation[olerances.Appurtenantes outside of cantract limits are shown at ins[alled eleva[ions.
ATC Tower Services LLC--3500 Regency Parkway,Suite 100,Cary,NC 27518--Office 919-468-0112--Fax 919-466-5414--www.americantower.com
� Eng. Number 14430084_C3_01
April 10, 2023
AMERICANTOWER' Page 4
Structure Usages
Structural Component Usage Pass/Fail
Legs 89% Pass
Diagonals 57% Pass
Horizontals 38% Pass
Guys 58% Pass
Leg Bolts 57% Pass
Foundation Reactions& Usa�es
Analysis
Reaction Component Reactions Usage
Base Axial (k) 155.5 91%
- - �
Anchor 1 Uplift(kips) 29.6 52% '
Anchor 1 Shear(kips) 44.2 46%
_ __ .
The structure base reactions resulting from this analysis were found to be acceptable through analysis based on
geotechnical and foundation information,therefore no modification or reinforcement of the foundation will be required.
ATC Tower Services LLC--3500 Regency Parkway,Suite 100,Cary,NC 27518--Office 919-468-0112—Fax 919-466-5414--www.americantower.com
� Eng. Number 14430084_C3_01
April 10, 2023
AMERIGANTOWER' �7�g��
Standard Conditions
All engineering services performed by ATC Tower Services LLC are prepared on the basis that the information
used is current and correct. This information may consist of, but is not limited to the following:
• Information supplied by the client regarding antenna, mounts, and feed line loading
• Information from drawings, design and analysis documents, and field notes in the possession of ATC
Tower Services LLC
It is the responsibility of the client to ensure that the information provided to ATC Tower Services LLC and
used in the performance of our engineering services is correct and complete.
All assets of American Tower Corporation, its affiliates, and subsidiaries (collectively "American Tower') are
inspected at regular intervals. Based upon these inspections and in the absence of information to the contrary,
American Tower assumes that all structures were constructed in accordance with the drawings and
specifications.
Unless explicitly agreed by both the client and ATC Tower Services LLC, all services will be performed in
accordance with the current revision of ANSI/TIA-222.
All services are performed, results obtained, and recommendations made in accordance with generally
accepted engineering principles and practices. ATC Tower Services LLC is not responsible for the conclusions,
opinions and recommendations made by others based on the information supplied herein.
ATC Tower Services LLC--3500 Regency Parkway,Suite 100,Cary,NC 27518--Office 919-468-0112—Fax 919-466-5414--www.americantower.com
ASSET: 417188, Stone Lake,WI WI CODE: ANSI/TIA-222-H
CUSTOMER: VERIZON WIRELESS PROJECT: 14430084
ANALYSIS PARAMETERS TOWER SECTION PROPERTIES
Nominal Wind: 107 mph Ice Wind: 50 mph w/ 1.5"ice Service Wind: 60 mph Section Leg Members Diagonal Members Horizontal Members
Risk Category: II Exposure: C S,:0.042 S,:OA21 1-1 2 SOL 50 ksi 1 3i4"SOL SOL 36 ksi Si8"SOLID SOL 50 ksi 7�8"SOLID
Topo Category: 1 Topo Factor: Method 1 Topo FeaWre: 1 3 SOL 50 ksi 1 3/4"SOL SOL 50 ksi 3/4"SOLID SOL 50 ksi 7l8"SOLID
Structure Height: 300 ft Base Elevation: 0 ft Shape: Triangle �4 SOL 50 ksi 1 3l4"SOL SOL 50 ksi 3l4"SOLID SAE 36 ksi 2X2X0.1875
1 5 SOL 50 ksi 1 3/4"SOL SOL 50 ksi 3!4"SOLID SOL 50 ksi 7/8"SOLID
Base Width: 3 fl Top Width: 3 ft Base Type: Pivot
16-1 7 SOL 50 ksi 1 1l2"SOL SOL 50 ksi 3/4"SOLID SOL 50 ksi 7/8"SOLID
Tower Elevation View SECONDARY BRACING MEMBERS
c�aa�3��,
z�� Section Sub Diagonal 1 Sub Diagonal 2 Sub Diagonal 3
_..... � - - '
sect+� �a EH s��as.2 2-17 - _ _
PSU.Cll I�=16%
Section Sub Horizontal 1 Sub Horizontal 2 Sub Horizontal 3
Sect 16
1 S7I8"SOLID - -
aeox 2-17 - - -
Sect t5
2�x ;z� v�e++s�zas o DISCRETE APPURTENANCE LINEAR APPURTENANCE
2:S:OU. �'� IT=t054�
Elev Elev To
sKe.3 ...' ..�.
(ft) Description (ft) Description
224 DQ
� 301 D (6)Encsson 8843 Rev 2 301 A (2)1 5/B"(1.63"-41.3mm)�=iber
secc�� ,\ 301.0 (6)Commscope NHH-65C-R2B 268A (1)7i8"Coax
iao oa. \�� ��\ 301.0 (3)Ericsson Radio 4449-B13&BS
�� ��
�t ,\,,� 301.0 (3)Ericsson AIR 6449 677D/C-Band
�sa_on ��2 EH s�ne.s'�.. 301.0 (2)Raycap RVZDC-3315-PF-48
�T=�� �'\� 300.0 (1)Round Low Profile Platform
s�e w •\
tsa.oa \ 300.0 (1)VZW Unused Reserve(24000 sqin
-- � � � \� 2687 (1)Genenc 18'Omni
s�:s , 263A (1)Genenc 15'Omni
++o-oo � �♦ 255A (1)SideArm
�� �
�a 238A (1)Torque Arms
`�,,.....�
120.60 1f2EHS�114.6\� \\
� �T=+� � GUY ANCHOR REACTIONS
s�, �\._ �,.�.
\ \ Radius(ft) Drop(ft) Azimuth(") Uplift(k) Shear k
�cc.u� - �`� \
� 240.0 0.00 0 22.56 34.98
�ib � �' 240.0 0.00 120 26.05 39.97
�-�' \ '�?, ,��,
�-� �� �'` '• 240.0 O.DO 240 29.56 4420
- - �� `� `:� \
�
66.06 1!2 EH 5�54.8 �� •.`���,
IT=10% \ \��.
sec�a ��� �
}o ou_ —�'�_ \
� ���
s�a '�__
zo 00_ _` �
� �.
s�<z \
5.o0
'_.. — R-.210.00
BASE REACTIONS
Axial(k): 155.47
Shear(k): 0.50
Tower Plan View
R=24Q.D0' � ry� E-0.0'�'
E=Q.0' �,._,
I/
��;
� R=24Q.00'
E=O.a'
�O 2007-2022 by ATC LLC.All rights reserved. Page 1 of 1 Model ID:84315 Scenario ID:273240 4/10/2023 7:07:53
ASSET: 417188,Stone Lake,WI WI CODE: ANSIIfIA-222-H
CUSTOMER: VERIZON WIRELESS PROJECT: 14430084 C3 01
ANALYSIS PARAMETERS
Location: Sawyer County,WI Height: 300 ft
Type and Shape: Guyed,Triangle Base Elevation: 0.00 ft
Manufacturer: Undetermined Bottom Face Width: 3.00 ft
Kd 0.85 Top Face Width: 3.00 ft
Ke: 0.95
ICE&WIND PARAMETERS
Exposure Category: C Design Wind Speed Without Ice: 107 mph
Risk Category: II Design Wind Speed with Ice: 50 mph
Topographic Factor Procedure: Method 1 Operational Windspeed: 60 mph
Topographic Category: Flat Design Ice Thickness: 1.50 in
Crest Height: 0 ft HMSL: 1333 ft
SEISMIC PARAMETERS
Analysis Method: Equivalent Lateral Force Method
Site Class: D-Stiff Soil Period Based on Rayleigh Method(sec): 1.03
T�(sec): 12 P: 1.3 Cs: 0.030
Ss: 0.042 S�: 0.021 Cs,Max: 0.030
Fa: 1.600 F,,: 2.400 Cs,Min: 0.030
Sds: 0.045 Sd�: 0.034
LOAD CASES
1.2D+1.OW Normal 1.2D+1.OW Normal-107 mph Wind with No Ice
1.2D+1.OW 60° 1.2D+1.OW 60'-107 mph Wind with No Ice
1.2D+1.OW 90° 1.2D+1.OW 90°-107 mph Wind with No Ice
1.2D+1.ODi+1.OWi Normal 1.2D+1.ODi+1.OWi Normal-50 mph Wind with 1.5"Radial Ice
1.2D+1.ODi+1.OWi 60° 1.2D+1.ODi+1.OWi 60°-50 mph Wind with 1.5"Radial Ice
1.2D+1.ODi+1.OWi 90° 1.2D+1.ODi+1.OWi 90°-50 mph Wind with 1.5"Radial Ice
1.2D+1.OEv+1.OEh Normal 1.2D+1.OEv+1.OEh Normal-Seismic
1.2D+1.OEv+1.OEh 60° 1.2D+1.OEv+1.OEh 60°-Seismic
1.2D+1.OEv+1.OEh 90° 1.2D+1.OEv+1.OEh 90'-Seismic
1.OD+1.OW Service Normal 1.OD+1.OW Service Normal-60 mph Wind with No Ice
1.OD+1.OW Service 60° 1.OD+1.OW Service 60°-60 mph Wind with No Ice
1.OD+1.OW Service 90° 1.OD+1.OW Service 90°-60 mph Wind with No Ice
002007-2022 byATC IP LLC All rights reserved. Page 1 of 22 Model ID'84315 Scenario ID'273240 4/10/2023 07'08 12
ASSET: 417188,Stone Lake,WI WI CODE: ANSI/TIA-222-H
CUSTOMER: VERIZON WIRELESS PROJECT: 14430084 C3 01
TOWER LOADING-DISCRETE APPURTENANCE
Discrete Appurtenance Properties for LC:1.2D+1.OW
Elev Wt. EPA Length Width Depth Orient. Vert. M� Q� Fa(WL) P,(DL)
(fl) Description Qty (Ib) (sf) (ft) (in) (in) Ka Facior Eca(ft) Qb-ft) (psf) (Ib) Qb)
301.0 Ericsson Radio 4449-B13&BS 3 70 1.6 1.3 13.2 9.3 0.80 0.50 0.0 0.00 37.89 64 252
301.0 Ericsson 8843 Rev 2 6 75 1.6 1.3 13.2 11.1 0.80 0.50 0.0 0.00 37.89 128 540
301.0 Raycap RVZDC-3315-PF-48 2 21 2.5 1.6 15J 10.3 0.80 0.67 0.0 0.00 37.89 87 51
301.0 Ericsson AIR 6449 B77D/C-Band 3 82 4.0 2.5 15.9 10.6 0.80 0.70 0.0 0.00 37.89 218 294
301.0 Commscope NHH-65C-R2B 6 52 11.4 8.0 11.9 7.1 0.80 0.70 D.0 0.00 37.89 1232 372
300.0 Round Low Profile Platform 1 1500 21.7 0.0 0.0 0.0 1.00 1.00 0.0 0.00 37.86 698 1800
300.0 VZW Unused Reserve(24000 sqin 1 2000 166.7 0.0 0.0 0.0 0.80 0.90 0.0 0.00 37.86 3862 2400
268.7 Generic 18'Omni 1 55 5.4 18.0 3.0 3.0 1.00 1.00 0.0 0.00 37.00 170 66
263.0 Generic 15'Omni 1 40 4.5 15.0 3.0 3.0 1.00 1.00 0.0 0.00 36.83 141 48
255.0 Side Arm 1 75 2.5 0.0 0.0 0.0 1.00 1.00 0.0 0.00 36.59 78 90
238.0 Torque Arms 1 500 15.0 0.0 0.0 0.0 1.00 1.00 0.0 0.00 36.06 460 600
Totals 26 5,427 316.1 7,137 6,513
Discrete Appurtenance Properties for LC:1.2D+1.ODi+1.OWi
Elev Ice Wt Ice EPA Length Width Depth Orient. Vert. M„ Qr F,(WL) P,(DL)
(ft) Description Qty (Ib) (sf) (ft) (in) (in) Ka Factor Eca(ft) (Ib-ft) (psf) Qb) Ib
301.0 Ericsson Radio 4449-613&BS 3 130 2.6 1.3 13.2 9.3 0.80 0.50 0.0 0.00 8.27 22 433
301.0 Ericsson 8843 Rev 2 6 141 2.6 1.3 13.2 11.1 0.80 0.50 0.0 0.00 8.27 43 939
301.0 Raycap RVZDC-3315-PF-48 2 107 3.6 1.6 15.7 10.3 0.80 0.67 0.0 0.00 8.27 27 222
301.0 Ericsson AIR 6449 B77D/C-Band 3 206 5.5 2.5 15.9 10.6 0.80 0.70 0.0 0.00 8.27 65 668
301.0 Commscope NHH-65C-R2B 6 296 14.8 S.0 11.9 7.1 0.80 0.70 0.0 0.00 8.27 351 1839
300.0 Round Low Profile Platform 1 2193 42.2 0.0 0.0 0.0 1.00 1.00 0.0 0.00 8.27 297 2493
300.0 VZW Unused Reserve(24000 sqin 1 3491 290.9 0.0 0.0 0.0 0.80 0.90 0.0 0.00 8.27 1472 3891
268.7 Generic 18'Omni 1 199 122 18.0 3.0 3.0 1.00 1.00 0.0 0.00 8.08 84 210
263.0 Generic 15'Omni 1 160 10.2 15.0 3.0 3.0 1.00 1.00 0.0 0.00 8.04 70 168
255.0 Side Arm 1 130 4.3 0.0 0.0 0.0 1.00 1.00 0.0 0.00 7.99 29 145
238.0 Torque Arms 1 865 26.0 0.0 0.0 0.0 1.00 1.00 0.0 0.00 7.87 174 965
Totals 26 10,888 521.7 2633 11,974
Discrete Appurtenance Properties for LC:1.OD+1.OW Service
Elev WL EPA Length Width Depth Orient. Vert. M� Q, Fa(WL) Pa(DL)
(ft) Description Qty (Ib) (sf) (ft) (in) (in) Ka Factor Ecc.(ft) (Ib-ft) (psf) (Ib) (Ib)
301.0 Ericsson Radio 4449-B13&BS 3 70 1.6 1.3 13.2 9.3 0.80 0.50 0.0 0.00 11.91 20 210
301.0 Ericsson 8843 Rev 2 6 75 1.6 1.3 13.2 11.1 0.80 0.50 0.0 0.00 11.91 40 450
301.0 Raycap RVZDC-3315-PF-48 2 21 2.5 1.6 15.7 10.3 0.80 0.67 0.0 0.00 11.91 27 43
301.0 Ericsson AIR 6449 B77D/C-Band 3 82 4.0 2.5 15.9 10.6 0.80 0.70 0.0 0.00 11.91 69 245
301.0 Commscope NHH-65C-R2B 6 52 11.4 8.0 11.9 7.1 0.80 0.70 0.0 0.00 11.91 388 310
300.0 Round Low Profile Platform 1 1500 21.7 0.0 0.0 0.0 1.00 1.00 0.0 0.00 11.91 220 1500
300.0 VZW Unused Reserve(24000 sqin 1 2000 166.7 0.0 0.0 0.0 0.80 0.90 0.0 0.00 11.91 1214 2000
268.7 Generic 18'Omni 1 55 5.4 18.0 3.0 3.0 1.00 1.00 0.0 0.00 11.63 53 55
263.0 Generic 15'Omni 1 40 4.5 15.0 3.0 3.0 1.00 1.00 0.0 0.00 11.58 44 40
255.0 Side Arm 1 75 2.5 0.0 0.0 0.0 1.00 1.00 0.0 0.00 11.51 24 75
238.0 Torque Arms 1 500 15.0 0.0 0.0 0.0 1.00 1.00 0.0 0.00 11.34 145 500
Totals 26 5,427 316.1 2,244 5,427
�02007-2022 by ATC IP LLC. All rights rese�ved. Page 2 of 22 Model ID 84315 Scenario ID 273240 4/1012023 07:OS 12
ASSET: 417188,Stone Lake,WI WI CODE: ANSIlTIA-222-H
CUSTOMER: VERIZON WIRELESS PROJECT: 14430084 C3 01
TOWER LOADING—LINEAR APPURTENANCE
Linear Appurtenance Properties
Elev From Elev To Width Weight %In Spread On Cluster Dia Out of Spacing Orient. Ka
(ft) (ft) Description Qty (in) Qb/ft) Wind Faces Bundling (in) Zone (in) Factor Override
0.0 301.0 1 5/8"(1.63"-41.3mm)Fiber 2 1.63 1.61 100 1 Individual 0.00 N 1.00 1.00 0.00
0.0 268.0 7/8"Coax 1 1.09 0.33 100 1 Individual 0.00 N 1.00 1.00 0.00
002007-2022 byATC IP LLC. All rights reserved. Page 3 of 22 Model ID 84315 Scenario ID 273240 4/10/2023 07 OE:12
/`
V��'�0�� ��� PAU L J. F O R D
� c�o r�^ ?a r��v
Paul J. Ford and Company
250 East Broad Street Suite 600
Columbus, OH 43215
(614)221-6679
PJ Fmount(a�pauljford.com
Antenna Mount Analysis Report and PMI Requirements
Mount Analysis
SMART Tool Project#: 10189009
Paul J. Ford Project#: 24323-0103.002.8190
January 25, 2023
Site Information Site ID: 195714-VZW/STONE LAKE
Site Name: STONE LAKE
Carrier Name: Verizon Wireless
Address: 6411 N HWY 27
STONE LAKE, WISCONSIN 54876, SAWYER
County
Latitude: 45.867544°
Longitude: -9 9.504208°
Structure Information Tower Type: 300-Ft Guyed
Mount Type: 16.25-Ft Low Profile Platform
FUZE ID# 16979208
Analysis Results
16.25-Ft Low Profile Platform: 82.5% Pass*
*Antennas and equipment to be instalied in compliance with PMI Requirements of this mount analysis.
***Contractor PMI Requirements:
Included at the end of this MA report ��������,
Available 8 Submitted via portal athttps://pmi.vzwsmart.com `�y1S��NS��,i
For additional questions and support, please reach out to: . ••
pmisupport@pauljford.com ; ��. REBEKAH M.•��''���
DORRIS �
Report Prepared By: Samuel Havlis _ ; E-47595 :
� .�; COLUMBUS, . •
� �J: OHtO � �:
'OFS' .... �����`
, •• G .
'�,5��NA;,EN.��
Ol/25/2023
Mount Structural Analysis Report January 25, 2023
(1) 16.25-Ft Low Profile Platform Site ID: 195714-VZW/STONE LAKE
Page � 2
Executive Summary:
The objective of this report is to determine the capacity of the antenna support mount at the subject facility for the
final wireless telecommunications configuration, per the applicable codes and standards. Any modification listed
under Sources of Information was assumed completed and was included in this analysis.
This analysis is inclusive of the mount structure only and does not address the structural capacity of the supporting
structure. This mounting frame was not analyzed as an anchor attachment point for fall protection. All climbing
activities are required to have a fall protection plan completed by a competent person.
Sources of Information:
Document Type Remarks
Radio Frequency Data Sheet(RFDS) Verizon RFDS, 16979208, dated January 17, 2023
Desktop Mount Mapping Report Paul J. Ford, Project#24323-0103.001.8911, dated January 23,
2023
Mount Specification Pirod, P/N# 127798-8
Analysis Criteria:
Codes and Standards: ANSI/TIA-222-H
Wind Parameters: Basic Wind Speed (Ultimate 3-sec. Gust), V��T: 107 mph
Ice Wind Speed (3-sec. Gust): 50 mph
Design Ice Thickness: 1.50 in
Risk Category: II
Exposure Category: D
Topographic Category: 1
Topographic Feature Considered: N/A
Topographic Method: N/A
Ground Elevation Factor, Ke: 0.953
Seismic Parameters: Ss: 0.042 g
S�: 0.021 g
Maintenance Parameters: Wind Speed (3-sec. Gust): 30 mph
Maintenance Live Load, Lv: 250 Ibs.
Maintenance Live Load, Lm: 500 Ibs.
Analysis Software: RISA-3D (V17.0.3)
Mount Structural Analysis Report January 25, 2023
(1) 16.25-Ft Low Profile Platform Site ID: 195714-VZW/STONE LAKE
, Page � 3
Final Loadinq Confiquration:
The following equipment has been considered for the analysis of the mount:
Mount Equipment
Elevation Elevation Quantity Manufacturer Model Status
ft ft
6 Commsco e NHH-65C-R26
300.00± 301.00 3 Ericsson AIR 6449 Added
3 Ericsson 4449
6 Ericsson 8843
It is acceptable to install up to any three (3) of the OVP model numbers listed below as required at any location
other than the mount face without affecting the structural capacity of the mount. If OVP units are installed on the
mount face, a mount re-analysis may be required unless replacing an existing OVP.
Model Number Ports AKA
RHSDC-1064-PF-48 2 OVP-2
RC3DC-3315-PF-48 6 OVP-6
RC3DC-3300-PF-48 6 OVP-6
RC3DC-4750-PF-48 6 OVP-6
RHSDC-6627-PF-48 12 OVP-12
RHSDC-6600-PF-48 12 OVP-12
Standard Conditions:
1. All engineering services are performed on the basis that the information provided to Paul J. Ford and
Company and used in this analysis is current and correct.The existing equipment loading has been applied
at locations determined from the supplied documentation.Any deviation from the loading locations specified
in this report shall be communicated to Paul J. Ford and Company to verify deviation will not adversely
impact the analysis.
2. Mounts are assumed to have been properly fabricated, installed and maintained in good condition, twist
free and plumb in accordance with its original design and manufacturer's specifications.
Obvious safety and structural issues/deficiencies noticed at the time of the mount mapping and reported in
the Mount Mapping Report are assumed to be corrected and documented as part of the PMI process and
are not considered in the mount analysis.
The mount analysis and the mount mapping are not a condition assessment of the mount. Proper
maintenance and condition assessments are still required post analysis.
3. For mount analyses completed from other data sources (including new replacement mounts) and not
specifically mapped in accordance with the NSTD-446 Standard, the mounts are assumed to have been
properly fabricated, installed and maintained in good condition, twist free and plumb in accordance with its
original design and manufacturer's specifications.
4. All member connections are assumed to have been designed to meet or exceed the load carrying capacity
of the connected member unless otherwise specified in this report.
5. The mount was checked up to, and including, the bolts that fasten it to the mount collar/attachment and
threaded rod connections in collar members if applicable. Local deformation and interaction between the
mount collar/attachment and the supporting tower structure are outside the scope of this analysis.
Mount Structural Analysis Report January 25, 2023
(1) 16.25-Ft Low Profile Platform Site ID: 195714-VZW/STONE LAKE
. Page � 4
6. All services are performed, results obtained, and recommendations made in accordance with generally
accepted engineering principles and practices. Paul J. Ford and Company is not responsible for the
conclusion, opinions, and recommendations made by others based on the information supplied.
7. Structural Steel Grades have been assumed as follows, if applicable, unless otherwise noted in this
analysis:
o Channel, Solid Round, Angle, Plate ASTM A36 (Gr. 36)
o HSS (Rectangular) ASTM 500 (Gr. B-46)
o Pipe ASTM A53 (Gr. B-35)
o Threaded Rod F1554 (Gr. 36)
o Bolts ASTM A325
Discrepancies between in-field conditions and the assumptions listed above may render this analysis
invalid unless explicitly approved by Paul J. Ford and Company.
Analvsis Results:
Component Utilization % PasslFail
Face Horizontals 60.5% Pass
Gratin Su ort Members 23.9% Pass
Standoff Members 27.0% Pass
Corner Plates 18.8% Pass
Mount Pi es 51.6% Pass
Mount to Tower Connection 82.5% Pass
' Structure Rating—(Controlling Utilization of all Components) 82.5% '
Mount Steel (EPA)a per ANSI/TIA-222-H Section 2.6.11.2:
Ice Mount Pipes Excluded Mount Pipes Included
Thickness Front(EPA)a Side(EPA)a Front(EPA)a Side(EPA)a
(In) (Sq. Ft.) (Sq. Ft.) {Sq. Ft.) (Sq. Ft.)
0 19.5 19.5 35.3 35.3
0.5 29.9 29.9 52.5 52.5
1 37.3 37.3 66.7 66.7
Notes:
- (EPA)a values listed above may be used in the absence of more precise information
-(EPA)a values in the table above include 3 sectors
- Ka factors included in (EPA)a calculations
Mount Structural Analysis Report January 25,2023
(1)16.25-Ft Low Profile Plattorm Site ID: 195714VZW/STONE LAKE
Page�5
Requirements:
The existing mount is SUFFICIENT for the final loading configuration shown in attachment 2 and do not require
modifications.Additional requirements are noted below.
• Complete Mount Geometry Verification page.Contact EOR if these documents are not available to the �
� qeneral contractor.
The mount has been found structurally adequate for all steel and external connection capacities.Serviceability in
accordance with TIA-222-H Section 4.9.11.3 has not been considered.
If required,ANSI/ASSP rigging plan review services compliant with the requirements of ANSI/TIA 322 are available
for a Construction Class IV site or other.Separate review fees will apply.
Attachments:
1. Contractor Required Post Installation Inspection(PMI)Report Deliverebles
2. Antenna Placement Diagrams
3. Mount Photos
4. Mount Specification(for reference only)
5. Desktop Mount Mapping Report(for reference only)
6. Analysis Calculations
- �S�E ASCE 7 Hazards Report
AMFRICAVSOCIFP'�OFCIVII FNGINfFRS
Address: Standard: ASCE/SE17-16 Latitude: 45.867544
No Address at This Location Risk Category: �� Longitude: -91 .504208
SOiI CIaSS: D - Default (see Elevation: 1332.96 ft (NAVD 88)
Section 11 .4.3)
, ,
� ,
, �,� � , :
Q � ' ,.
�
� � s�,,. r - -
_, >
��,. '
:�
Wind
Results:
Wind Speed 107 Vmph
10-year MRI 73 Vmph
25-year MRI 79 Vmph
50-year MRI 85 Vmph
100-year MRI 91 Vmph
Data Source: ASCE/SEI 7-16, Fig. 26.5-1 B and Figs. CC.2-1—CC.2-4, and Section 26.5.2
Date Accessed: Wed Jan 25 2023
Value provided is 3-second gust wind speeds at 33 ft above ground for Exposure C Category, based on linear
interpolation between contours. Wind speeds are interpolated in accordance with the 7-16 Standard. Wind speeds
correspond to approximately a 7°/o probability of exceedance in 50 years (annual exceedance probability =
0.00143, MRI = 700 years).
Site is not in a hurricane-prone region as defined in ASCE/SEI 7-16 Section 26.2.
ht�ps.'�asce'�;azarctcol.orl ne- Page 1 of 3 Wed Jan 25 2023
- �SCE3
AMERii,AN S('::'�.FT'�=SPo91.F�i,IkfFRS
S@ISI'Y11C D - Default(see Section 11.4.3)
Site Soil Class:
Results:
SS : 0.042 So, : 0.033
S, : 0.021 T� : 12
Fa : 1.6 PGA : 0.019
F� : 2.4 PGA M : 0.031
SMS : 0.066 FP�A : 1.6
Snn, : 0.05 IQ : 1
Sps : 0.044 C� : 0.7
Seismic Design Category: A
���., MCER Response Spectrum ,;� . Design Response Spectrum
�
� ���-rttr
D 05 � ,.
�
� 0�35 sY +e
• �
J 0� �
� 0 f�"s0 '
0 01 �1 p�y,h �
�03 � Q O�t1 � .
0 Otry
�4�
0 f�t c�t
�Q1
�p•.:5
Uv , _ _ _ _ .J.�_.__w.4___ t� ' _ _ . _�_ __ "�._
0 __ � n , 10 12 `9 3 � 4 � � 30 12 ':-P
Sa(g)vs T(s) Sa(g)vs T(s)
���Y�_ MCER Vertical Response Spectrum ;�.,1� Design Vertical Response Spectrum
�,m�: .,r��:�
.��
�i)'s5 � � �
�+�r�u��s�fio�a +)fJ�� s�aNRr+rN#�s#�
!
a o3u �'� �a r,�a �
, .
7 t�13 ��� � 1R
0 025 ��� ♦
� }?01 h a�
i �
a�z� ' �'�,� �o�.� �
, +�
s �i�� �J U11 � !�1!
�015 �1� � �
s '�'�are♦ i}GiQ '�iit►!fr
A �k�l�
0 01 C� ,��,`, �
'� i i 1 5 = _ �: � '� Q 1 5 2�
Sa(g)vs T(s) Sa(g)vs T(s)
Data Accessed: Wed Jan 25 2023
Date Source:
USGS Seismic Design Maps based on ASCE/SEI 7-16 and ASCE/SEI 7-16 Table 1.5-2. Additional data for
site-specific ground motion procedures in accordance with ASCE/SEI 7-16 Ch. 21 are available from USGS.
t:��as�c,-�azar �'� ;n'���; Page 2 of 3 Wed Jan 25 2023
- �SCE
�1h9LAIf�1N:(lr�,F,v�_.'Rnl-\P.I�FfQS
I ce
Results:
Ice Thickness: 1.50 in.
Concurrent Temperature: -5 F
Gust Speed 50 mph
Data Source: Standard ASCE/SEI 7-16,Figs.10-2 through 10-8
Date Accessed: Wed Jan 25 2023
Ice thicknesses on structures in exposed locations at elevations higher than the surrounding terrain and in valleys
and gorges may exceed the mapped values.
Values provided are equivalent radial ice thicknesses due to freezing rain with concurrent 3-second gust speeds,
for a 500-year mean recurrence interval,and temperatures concurrent with ice thicknesses due to freezing rain.
Thicknesses for ice accretions caused by other sources shall be obtained from local meteorological studies.Ice
thicknesses in exposed locations at elevations higher than the surrounding terrain and in valleys and gorges may
exceed the mapped values.
The ASCE 7 Hazard Tool is provided for your convenience,for Informalional purposes only,and is provided"as is"and without warranties of
any kind.The location data included herein has been obtalned(rom information developed,produced,and maintained by Ihird party providers;
or has been extrapolated from maps incorporated in the ASCE 7 standard.While ASCE has made every effort to use data obtained from
reliable sources or methodologies,ASCE does no�make any representations or warranties as to Ihe accuracy,completeness,reliabifdy,
currency,or quality of any data provided herein.Any third-party links provided by thls Tool should not be construed as an endorsement,
aKllatioq reiationship,or sponsorship of such third-party content by or from ASCE.
ASCE does no[Intend,nor shou�d anyone interpret,the resWts provided by this Tool[o replace�he sound judgment of a compe[ent
protessional,having knowledge and ezperience in the appropriate feld(s)of practice,nor to substitute for the standard of care required of such
professionals in interpre[ing and applying[he contents of this Tool or the ASCE 7 standard.
In using this Tool,you expressly assume all risks associa[ed with your use.Under no circumstances shall ASCE or its officers,direc�ors,
employees,members,affiliates,or agents be liable to you or any other person for any direct,indirect,special,incidental,or consequential
damages arising from or rela�ed to your use of,or reliance on,the Tool or any informa�ion obtained therein.To the tullest extent permitled by
law,you agree to release and hold harmless ASCE from any and all liability of any nature arising out of or resulting from any use of data
provided by the ASCE 7 Hazard Tool.
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