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Home My WebLink About022-738-14-3103-LUP-2024-125 SUBMIT COMPIETED APPLICATION ANO FEETo: APPLICATION FOR LAND USE PERMiT Sawyer County SAWYER COUNTY,WISCON5IN Zoning&Conservation Depart. D [� �R�y�,�p'7d h' 10610 Main St Suite 49 � 1°/ �1 Hayward,WI 54843 - � " � - ��°`.� �N �.e..�..s � (715)634-5288 � � APR 2 5 2024 � ,-�b-c�� _5�`'1.d._..�.a._...�_�_.___ .,_._ ._ iNS?R;;Cii0t�5 No permiu will6e Issued u�til all fees are paid. SAWY r n Checks are made payable to:Sawyer County Zoning DepartmeM. v � #dG ADMINI�T��'� t � DO NOT 57qR7 CONSTRUC?IOtv UNT;L Al:PfRM!'S HAVE BEEN'SSUED TO APPUCANI f� cation MUST be submitted FILI OUT IN INK NO PENCIL Submitta�o�`hi5 app6cat�cn�ar rece;pt of fees does not const�Ri.e permlt a<uanc�. � Owner(sj Name: Contrector(s)Name ; Verizon Wireless I � ' Mailing Address: � I Mailing Address: � 49030 Pontiac Trail Suite 100 Wixom, MI 48393 � s Pn°"e: 952-607-1439 I Phone: I � � Ema;,: dknapek@smj-Ilc.com Email: I Skeaddress: I 10424W STATE HWY 70127 RADISSON,WI 54867 OrDateappliedfor: ! � Legacy PIN# �- , . -—)�j�S - �`i— �1 � �� `>�C i� � Town of: ��'� L Permit delivery Method _�Call Owner �Vlail Owner -Call Contractor -i Mail tontractor Iz Property/Land within 300 feet of River,Stream l��d. � i Distance Structure is from Shoreline: Is your Property In:e-mitte�t) � Are Wetlands � feet in floodplain treek or Landward side of Floodplain? If yes--continue � Present? ' Shoreland zo�e? Yes Is Property/La�d within 1000 feet of lake,Pond or Flowage � Distance Svucture is hom Shoreline: Yes ` , ( � xNo I'yes--cantmue —� feet O I '7i(Non-Shoreland Describe Project Total#of Value at Time of project type Foundation What Type&Capaciry is the Completion Number bedrooms `include donated iHouse,garage,shed,deck, (Basement, Sewer(Sanitary System(s) nddition,etc...) of Stories Crawlspace, Post time&material List separately 51�b construction } S Dwelling 5 Accessory Bldg 5 25000 Verizon Equipment Modific tion additionlAlteration Height: Total Square Lowest Proposed Use ✓ Proposed Strudure Dimensions Footage Grade to (multiply per Highest story} Peak Residence ( x , Ft. with 2"d story or loft t x � Ft. ( X ) with Basement Ft, R(C,r�.�cr.t / 1 � Dnci'1nnYi�l I lco ��a�� Cj)a�jS �. r �f/a1'�^ ` X J Ft Original A}�plica�ion t�ti9��"kze sut�n�iiiEc� Attach a P4an or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:'�Must'Mclude lotation and setback of proposed and existing structures,roads, ; driveway,sanitary components,well,lake,river,siream,and wetlands. i ________. _.. Description Setback Description Setback Measurements Measurements i Setback from the Centerline of Platted Road and/or i � Feet ' Setback from ihe Lake{��a��a-v h e�-w-r�E.m2�h) _ Feet `; � Setback from the Established Right-of-Way Feet i 5etback from the River,Stream,Creek ; Feet j � Setback from the Bluff t�cv ca�E � Feet � j Setback from the North Lot Line � Feet �� —�—. � Setback from the South Lot Line Feet ', Setback from Wetland � Feei ; Setback from the West Lot Line feet Slope within area of constructionJdisturbance 9'o Sfope i Setback from the East Lot Line Feet Elevation of F�oodplai� Feet � ; ' Setback to Septic Ta�k or Holding Tank Feet i Setback to Well Feet i Setback to Drain Field Feet ; � Setback to Privy(Portable,Composting) Feet G�' .. .� . - � ., ..�.. ..t,; ,.r ,�[- .'er- .thr� 1-i' rq��c ..+'�'�dEG.ihc:b.ur" . . ., . �. �. _, n . .tt ,. �. . ,�r .. _.. .. � . . - y .. .� .°�i:er- . - .. .-.EC .- . � _ _ . ..`.1'�� ..r °exp--�� r �r CG.hE pIdCE�tPftt Of CO�SttJC4i0l1 Of d 5�[U:�ta t770tf tho�(ivr i�rJ.�e21 b�t IZ55 thdn!E�, _','E2t fiCtT'hP m�f�if^.um �. .. . r- . � _ :� . ' i'.�:': .. , ,. ,, .., ,...'. . �n., f,�.-±rns.. n�SsrG, f x.vrr.t'�`,. - ,;�, �, -.,rd ,u, r-;^��ecther�±��ior '.�:+,r.c, .�:cc�n... er r�rzf b e.., . ... .. _..i. ,- . . . >, �;' .,. _ .. • � • � • �r' • • ' �' • • �• � iCalculate impervious surfaces.(Roofed,concrete,paved,and other wrfaces that water cannot penetrate.The Zoning Offite can help you determine if a surface is considered impervious) I Calculate lot area: � Indicate lat size from CSM or NOVUS(circle one): Acres;Multiply by 43,Sb0=Lot area: Square Footage � ; Calculate impervious surface area: j i ` Determine the total size,+n square feet,of your projects listed above�include eaves): sq ft. ; � i r Determine the total size,in square feet,of aIl existing roofed structures(include eaves): sq ft. (' I Determine the total size,in square feet,of all existi�g paved/bricked/blocked surfaces: sq ft. � � � Add these measurements to determine total impervious surfaces: sq ft. $ � � Calculate impervious lot percentage � 4 } Total impervious surface:_ �Lot area: Sq ft.X 100=impervious surface % � iM'tiga[ion is requ!red if total ex;.eeds IS%i � i "'Notice a separate grading permit needs to be obtained if disturbed area is within ihe Shoreland district as indicated on previous page and meets criteria below"� � � Grading on a slope greater than 20% Grading of more than 1,000 Sq.Ft.on 12%20%slopes � j ;_ Grading of more than"�000 Sq Ft on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft. � �,�. � ,. _ r ., _ : _ I . ,�F;r: .C'�. .. �,r:.. _ ;ii-�r r r.e .. � . .. _ - � .., �r;t,�� . .. . �' , _ .._ i(we)declare tha[this appilcation(inciuding any acco^�panying nforma!ron}has been examined by me(us)and to the best o'my�our)knowiedge and beiief it is true,correct and comp�ete. i(we)acknowiedge that i(we)am(are)*esponsible for the detaif and accuracy of all i�formation i(we)am�are)prowding and that it wiil be relied upon by Sawyer County in determ�ning whethe�to issue a permit. 1(we)further accep?iiability which may be a�esul:o`Sawyer County reiy�ng on this iofermat'on {w=)am�are)providing ic or wlth this application.I(we)consent Lo rounty officials charged with administering county ordlnances to have access te the above described property at any reasonable:ime for the � purpose ef-nspec�ion.Additionally,:he�ndersig�e�personls)herebv g ve per�isslor for access te the property for onsite inspedion by Municpal Offic'ais. i � Owner 7� ,(/ Owner Drew Knapek 04/23/2024 !/�-�(�1t'/ l�Ls�� Printed name Date Signature — � s r�.(•;��;_ .. . , - .. � .. . �.. . � .. - - , , _.4-� w �w_•Fr .�r'a . � ..�. . ._� You are responsibie for comp!ying wi;h the reqairements of the Sawyer Counting Zoning Ordinances and'aw and regu'ations of the State of W;scensin.You are aiso resp�nsible!or complyirg wi;h State and Federa�laws co�cernirg const�uc'ion near or or wetlands,lakes,and streams.Failure?o comp�y may result in�emoval or modif;cation of consiruc'.icn that vtelates the 1aw cr other penalfie�or costs. For mere information,visit the d�par".ment of naturl resources wetiands identification web page er contact a department of -�arural resources sz��ice center(608)267-3i25 ! 1 Issuance information(County Use On{y) Sanitary Number: it of bedrooms: � Permit Denfed(Date): Reaso�for Denial: j SUBMIT COMPLETED APPLICATION AND Feero: APPLICATION FOR LAND USE PERMIT Sawyer County SAWYER COUNTY,WISCONSIN Zoning&Conservation Depart. DatE Stamp(Received) 30610 Main St Suite 49 Hayward,WI 54843 (715)634-8288 INSTRUCTIONS: No permits wili be issued until ail fees are paid. Checks are made payable to:Sawyer County Zoning Department. DO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE_BEEN ISSUED 70 APPLICANT Originai Application MUST be submitted FIIL OUT IN 1NK (NO PENCIL) Submittal of this application or receipt of fees does not constitu[e permit issuance. Owner(s)Name: Contractor(s)Name Maiiing Address: Mailing Address: �� ^y Sl�c�- Phone: Phone: Email: Emaii: Site address: Or Date applied for: Legacy PIN# Town of: Permit delivery Method r�Call Owner o Mail Owner o Call Contractor ❑Mail Contrector �.' Is Property/Land within 300 feet of River,Stream {toci. Distance Structure is from Shoreline: Is your Property Intermittent) Creek or Landward side of Flood lain? It es---continue � feet in Floodpiain Are Wetiands P V Prrsent. :�) Shoreland zone? Yes Yes Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: No If yes--continue � feet No J Non-Shoreland Desc�ibe Project value at Time of Total#of Project type Foundation What Type&Capacity is the Compietion (House,garager,shed,deck, Number bedrooms "include donated of Stories (Basement, Post Sewer/Sanitary System(s) Addition,etc.,.) Crawispace, tim�&matcrial construction List separately Slab) $ �welling $ Accessory 81dg $ Addition/Alteration Hefght: Total Square Lowest Proposed Use ✓ Proposed Strudure Dimensions footage Grade to (multfply per Highest story) Peak Residence f x ) Ft. with 2nd story or loft � x � Ft. with Basement � X � Ft. Attached Garage � x � C7 Residential Use Ft. ACCOSSOry$truCtu�C(explaln) � x � ❑ Agrieultural (detachad geragas,sheda,boat houses,etc� Ft. Use Temporary Guest Quart¢rs or Bunkhouse(arcie cype) � X � Ft. ❑ Commercial/ Deck/Porch/Patio � X � Ft. Industrial Use � - X � (2^d)Deck/Porth/Pstio pt, l� Municipal Ws� - __ ___ _ _ _ _ _ _ _ _ OthQr(explaln) C�KS` � �'(x��.y,jl� C x ' Ft. d Other -- - . -- _ _ __ _ --- - ( x 1 Principal Structure(Aarlcultural,Commcrclal,Municlpel,Etc.) Ft� — _ _ __ _ -- - Addition/Alteration(expiain) ( x � Ft. Total habitable square feet: Total Non-habitable square feet: (decks,patios,garages,sheds,storage area&other structures) Original Applfcetion NiUST be sub�i�itied Attach a Plen or Sketch yo�r Property on 8.5"x 11"or 8.5"x 14"paper:•Must"Include location and setback of proposed and existing strudures,road� driveway,sanitary components,well,lake,river,stream,and wetlands. Description 5etback � Description Setback Measurements Measurements � �. - � - 1 � - Setback from the Centerline of Platted Road and/or Feet Setback from the Lake(ordinary high-water mark� Feet� Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet Setback from the BIufF if applica6le Feet Setback from the North Lot Line Feet Setback from the South Lot I_ine Feet Setback from Wetland Feet Setback from the West Lot Line Feet Siope within area of constructionJdisturbance 90 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 Setback to Privy(Portable,Composting) Feet Prior to the placement or construction of a structure within five(5)feet of the minimum reyuired setback,the boundary line from whith the setback must be meawred must be visible from one previousfy surveyed corner to ihe other prevlously surveyed comer or marked by a licensed surveyor at the owner's expense. Prior to the placement or consvuction of a structure more than five(5�feet b�t less than ten(10)feet from the minimum required set6ack,the boundary Iine from which the setback must be measured must be visible from one previously surveyed rornerto the other previously surveyed comer,or verifiable by the Department by use of a corrected compass from a known comer within 500 feet of the proposed site of the structure,or must be marked by a�icensed surveyor at the owner's expense. . � � • •.- � . - .- . •- . Calculate impervious surfaces.(Roofed,concrete,paved,and other surFaces that water cannot penetrate.The Zoning Office can help you determine if a surface is considered impervious) Calculate lot area: Indicate lot size from CSM or NOVUS(circle one): Acres;Multip�y by 43,560=Lot area: Square Footage Calculate impervious surface area: Determine the total size,in square feet,of your projects listed above(include eaves): sq ft. Determine the total size,in square feet,of all existing roofed structures(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: =Lot area: Sq ft.X 100=impervious surface % (Mitigation is required if total exceeds 15%) "'Notice a separate grading permit needs to be obtained if disturbed area is within the Shoreland district as indicated on previous page and meets criteria be�ow'•` Grading on a slape greater than 20% � Grading of more than �000 Sq.Ft.on 12%-20%slopes � Grading of more than 2,000 Sq.Ft.on Slopes less than 12% Grading is in excess of 10 000 Sq Ft FF�ILURL I(?Ol�TrtlN A PkRMiI ,�r 5TAR1 INi,CC�PJ�TttU�1�lON�NI I hi;�,il l i1 4'i�HMI I WIL�kL�ii�I�IN'rEN��LIIES I(we)declare that this application(including any accompanyi�g information)has been examined by me(us)and to the best of my(our)knowledge and belief it is true,correct 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 wi�l be relied upon by Sawyer County in determining whether to issue a permit. I(we)further accept liability which may be a result of Sawyer County relying on this information I(we)am(are)providing in or with this application.I(we)consent to county officials charged with administering county ordinances to have access to the above described property at any reasonable time for the purpose of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officials. Owner � ,f.n�1- �� / Owner Signature � Printed name Date (�i�;naturr ana Piinled Name reyuired) tVOTICE: All Land Use Pemiits Expire One(1)Year frorn the Date ot Issu,ance. For the Construction Uf New One&Two Family Dwelling: ALL Municipalities Are Required To[niurce The Uniform Dwelling Code. The local Town,State or Federal agencies may also require pernuu. You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin.You are also responsible for complying with State and Federal laws concerning construction near or on wetlands,lakes,and streams.Failure to comply may result 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 identification web page or contact a department of natural resources service center(608)267-3125 Issuance Information(County Use Only) Sanitary Number: i3 of bedrooms: Permit Denied(Date): Reason for Denial: Permit#: Issuing agent: Date: � `� � � �c' ' �6 � Is Parcel a Sub-Standard Lot I i Yes (Deed of Record) ! o Is Parcel in Common Ownership I.I Yes (Fused/Gontiguous Lot�s)) � itigation Required C!Yes G No Is Structure Non-Conforming !i Yes Mitigation Attached L'�Yes I:�No Granted by Variance(B.O.A.) Granted by Conditional Use �i Yes i No Case H: `!Yes �!No Case#: Was Parcel Legally Created ;:;Yes :'No Were Property Lines Represented by Owner f;Yes Ho Was Proposed Building Site Delineated '.'Yes I�No � Was Property Surveyed ':Yes No Office Comments: Zone District: Fee: C�aC.S S ��/O Gp I 1 OG^,�� I � �� ( ' Hold For Sanitary: _ Hold For TBA: Hold For Affidavit: ' Hold For Fees: �Feb2021 R2dl EStdte Sawyer County Property Listing PropertySWtus: Current Today's Date:4/26/2024 Created On:2/6/2007 7:55:37 AM �'Description Updated:S/29/2017 '�Ownership Updated:8/29/2017 7ax ID: 22414 HIGHWAY DEPARTMENT SAWYER HAYWARD WI PIN: 57-022-2-38-07-14-3 O1-000-000030 COUNTY Legacy PIN: 022738143103 Map ID: .93 Billing Address: Mailing Address: Municipality: (022)TOWN OF RADISSON HIGHWAY DEPARTMENT HIGHWAY DEPARTMENT STR: 514 T38N R07W SAWYER COUNTY SAWYER COUNTY 10610 MAIN ST STE 10 10610 MAIN ST STE 10 Description: PRT NESW RADISSON HNlY SHOP HAYVJARD WI 54843 HAYWARD WI 54643 Recorded Acres: 13.660 Calculated Acres: 11.375 Lottery Claims: 0 w Site Address *indicates Private Road First Dollar: No 10386W STATE HWY 27/70 RADISSON 54867 Zoning: (Gl)Commercial One 10424W STATE HWY 27/70 RADISSON 54867 ESN: 426 -�Proper[y Assessment Updated:2/6/2007 �Tax Districts Updated:2/6/2007 z024 Assessment Detail 1 State of Wisconsin �ode Acres Land Imp. 57 SawyerCounty X3-EXEMPT COUNTY 13.660 0 0 022 Town of Radisson 576615 Winter School District Z"Year Comparison 2023 2024 Change 001700 Techni�al College �and: 0 0 0.0°ro Improved: 0 0 0.0°0 Total: 0 0 0.0% .�Recorded Documents Updated:1/21/2011 WARRANTY DEED Date Recorded:7/28/1992 230156 490/133 � �Property History PLAT OF SURVEY � Date Recorded:2/16/2010 14387-8 N�A SMJINTERNATIONA [. 49030 Pontiac Trail, Suite 100 Wixom, MI 48393 www.smj-llc.com April23, 2024 Sawyer County Attn: Zoning Department 10610 Main St. Suite 49 Hayward, WI 54843 715-638-3224 Re: Verizon's Proposed Upgrade 2023 project at: 10424W State Highway 27/70 EncL• 1 LUP Application 1 Set Construction Drawings 1 Set Structural Analysis 1 LOA 1 Check for $500 Zoning and Inspection: I have previously been in touch with your department regarding Verizon's proposed upgrade at 10424W State Highway 27/70, 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. 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. l look forward to hearing from you. All the best, ,a,,-„� X�,�,-,� Drew Knapek SMJ �rrT�arvnrroN.��. �9030 Ponti.ic Trail • Suite 100 � lX'itom • 1�iichigan • U.S.A • �8393 ' P: (616) 7��-�777 '� F: (888) 74�-�3719 691 Ouellctte Avenue • Windsur • Ontario • Canada • N9A �3Jd �. P: (519) 91�-13�39 � F: (888) 745-4719 , �----•.�.�:- - AMERICAN TOWER� C O R P O R A F I O N LETTER OF AUTHORIZATION FOR PERM[TTING ATC SITE#/NAME/PROJECT: 311284/CHIPPEVI'A Wi/ 14759843 SITE ADDRESS: 10386 W Omaha St#70,Radisson,WI 54867 APN: 022-738-14-3103 LICENSEE: VERIZON WIRELESS SITE ACQUISITION VENDOR: SMJ CONSULTING SERVICES LLC I, Margaret Robinson, Vice President, UST Legal for American Tower*, owner of the tower facility located at the address identified above (the "Tower Facility"), do hereby authorize VERIZON 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 ofi filing and consummating any land-use, building, or electrical permit application(s) as may be required by the applicable permitting authorities for Licensee's telecominunications' installation on the Tower Facility. American Tower understands that this application may be denied, modified or 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 be Licensee's sole responsibility. , � �� Si nature: � � Margaret Robinson,Vice President,UST Legal US Tower Division NOTARY BLOCK COMMONWEALTH OF MASSACHUSETTS County of Middlesex This instrument was acknowledged before me by Margaret Robinson, Vice President, UST Legal of American Tower (Tower Facility owner and/or operator), personally known to me (or proved to me based on satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same. WITNESS my hand and official seal,this 25t�'day of March 2024. N(�Tr1RY SEAL � �iERARG T.HEFFNON Nokary Pt�blic � �-- �; ��p��`�� My('nmmission E�pires:August 9`n �02� �h, �U� My Ca-�missi�n Expires AuBtat 9,2u2:2 ' American Tower as used herein is defined as American Tower Corporation and any of its affiliates or subsidiaries. 10 Presidential Way • Woburn,MA 01801 • 781.926.4500 Office • 781.926.4555 Fax • www.americantower.com T.+a.�k�.. '.r.,ti ' a' +"-� �{� i L=�� ,. �'1.��. L1 '�'�"r�,' �"�{r�`..'a �,:..r 5��;. ' �� g,.`ii' � ^+►,�,f�',�` �*�d� .��, ��9 � .� � .a +. J� '�� , � e'. 4 ; r _ .. '" .. =_ � _ �'. 1� e�c - Q ? �., ,�', .�:" ., � ,.� .-��; � ,. �',.�4i"� ��*++'�!„_�k#��^i, �� '{�,"`�' �M 2 1� ��,y,6� y� �'F� •:� � +� y � ��`' � a.. �;�� a�r �� .1 ■ - ... '.P. F ......�: . l�?b.�.'. )_ ��;��'�':..� i. �4:'�o'.Y'•�� }~ }... 1�"-R Ai4:�Li1�.. . YY �.... . � .. �. _._. .i. ... . 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Shell Lake N `' RiI' ce Lake Ladysmith Barron ery sa I Comell nd S� Menomonie Cll;ppeava Falls Eau Claire 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. 2015 IBC NATIONAL ELECTRICAL CODE (NFPA 70, NEC 2017 W/ AMND) 2015 WISCONSIN MECHANICAL CODE (IMC 2015 W/ AMND) 2018 WISCONSIN UNIFORM PLUMBING CODE (UPC) 2015 WISCONSIN ENERGY CONSERVATION CODE (IECC 2015 W/ AMND) 2015 WISCONSIN FIRE CODE (IFC 2015 W/ AMND) WISCONSIN COMMERCIAL BUILDING CODE WISCONSIN UNIFORM DWELLING CODE (UDC) 2015 WISCONSIN FUEL GAS CODE (IFGC 2015 W/ AMND) UTILITY COMPANIES POWER COMPANY: UNKNOWN PHONE: N/A TELEPHONE COMPANY: UNKNOWN PHONE: N/A_ KrAwwn�n low. Call bwm rp, ap AMERICAN TOWER° ATC SITE NAME: CHIPPEWA WI ATC SITE NUMBER: 311284 VERIZON SITE NAME: RADISSON VERIZON SITE NUMBER: 5000241034 VERIZON FUZE PID: 17120709 SITE ADDRESS: 10424W STATE HIGHWAY 27/70 OJIBWA,WI 54862 VERIZON ADDRESS:10424W STATE HWY 70/27 RADISSON, WI 54867 VERIZON AMENDMENT DRAWINGS PROJECT SUMMARY SITE ADDRESS: 10424W STATE HIGHWAY 27/70 OJ IB WA, W 154862 COUNTY: SAWYER GEOGRAPHIC COORDINATES: LATITUDE: 45' 46' 32.842" N LONGITUDE: 91° 12' 34.597" W GROUND ELEVATION: 1271' AMSL PROJECT TEAM TOWER OWNER: AMERICAN TOWER 10 PRESIDENTIAL WAY WOBURN, MA 01801 ENGINEER: ATC TOWER SERVICES LLC 1 FENTON MAIN, STE 300 CARY, NC 27511 PROPERTY OWNER: SAWYER COUNTY 10424W STATE HIGHWAY 27/70 OJ I BWA, W 154862 APPLICANT: VERIZON WIRELESS PROJECT DESCRIPTION THE PROPOSED PROJECT INCLUDES MODIFYING GROUND BASED AND TOWER MOUNTED EQUIPMENT AS INDICATED PER BELOW: REMOVE (6) ANTENNA(s), AND (6) 1-5/8" COAX CABLE(s) INSTALL MOUNT MODIFICATIONS, (9) ANTENNA(s), (6) RRH(s), (4) OVP(s), AND (2) 1-5/8" HYBRID CABLE(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 (B)(7). PROJECT LOCATION DIRECTIONS STARTING FROM US 53 AND US 8 AT CAMERON, WI 54822 START OUT GOING EAST ON US-8 TOWARD S 2ND ST. CONTINUE TO FOLLOW US-8, 23.6 MI. TURN LEFT ONTO WI-40, WI-40 IS 0.7 MILES PAST NACHTWEY RD, GRACE BIBLE CHURCH IS ON THE CORNER, 23.9 MI. TURN RIGHT ONTO WI-70/WI-27/OMAHA ST. VILLAGE KITCHEN RESTAURANT IS ON THE RIGHT, 0.4 MI. 10424W W STATE ROAD 27 AND SR 70, RADISSON, WI 54867-7084 54 YOUR DESTINATION IS 0.1 MILES PAST JOSEPH ST, (IF YOU REACH N ENDICOTT RD YOU'VE GONE ABOUT 0.8 MILES TOO FAR). SHEETINDEX SHEET NQ DESCRIPTION: REV: DATE: BY: G-001 TITLE SHEET 0 04/16/24 SLL G-002 GENERAL NOTES 0 04/16/24 SLL C-101 DETAILED SITE PLAN 0 04/16/24 SLL C-102 DETAILED EQUIPMENT PLAN 0 04/16/24 SLL C-201 TOWER ELEVATION 0 04/16/24 SLL C-401 ANTENNA INFORMATION & SCHEDULE 0 04116124 SLL C-501 CONSTRUCTION DETAILS 0 04/16124 SLL E-501 GROUNDING DETAILS 0 04/16/24 SLL R-601 SUPPLEMENTAL R-602 SUPPLEMENTAL R-603 SUPPLEMENTAL CONTRACTOR PMI REQUIREMENTS PMI ACCESSED AT: HTTPS://PMI.VZWSMART.COM SMART TOOL VENDOR PROJECT NUMBER: 10213053 VZW LOCATION CODE (PSLC): 5000241034 PMI AND REQUIREMENTS ALSO EMBEDDED IN MOUNT ANALYSIS REPORT MOUNT MODIFICATION REQUIRED: YES VZW APPROVED SMART KIT VENDORS: REFER TO MOUNT MODIFICATION DRAWINGS PAGES FOR VZW SMART KIT APPROVED VENDORS AMEMCAN7+OWER° ATC TOWER SERVICES LLC 1 FENTON MAIN SUITE 300 CARY, NC 27511 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 _ FpRCONSTRUCT(0N SLL _0411S+24 L ATC SITE NUMBER: 311284 ATC SITE NAME: CHIPPEWA WI VERIZON SITE NAME: RADISSON SITE ADDRESS: 10424W STATE HIGHWAY 27/70 OJ I B WA, W 154862 SEAL ,,`1111V1111111111111j 14 SANTHOSHA SHANBHOGUE E-49097 s 0 CARY ,e• NC =% yantho '�ra1��ta�'signed by Santhosha ')hanbhog Shanbhogue Date: 2024,04.17 vwlzonkl AIC JUB NO: 14759843 GO CUSTOMER ID: RADISSON CUSTOMER #: 5000241034 TITLE SHEET SHEET NUMBER: REVISION: G-001 1 0 PROPOSED (2) 1-5/8" HYBRID - (SEE PROPOSED CABLE LENGTH NOTES ON THIS PAGE FOR LENGTH AND ROUTING GUIDELINES) EXISTING (6) 1-5/8" COAX (TO BE REMOVED) J DETAILED EQUIPMENT PLAN GRAPHIC SCALE 0 25 5 kl ( IN FEET ) �'1 1 UNIT = 5 FEET GEN, FILL POINT AMERICAN TOWIE W ATC TOWER SERVICES LLC 1 FENTON MAIN SUITE 300 CARY, NC 27511 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 obRmNsm-unON SLL 04116124 0 0 0__ I SEAL: ATC SITE NUMBER: 311284 ATC SITE NAME: CHIPPEWA WI VERION SITE NAME: RADISSON SITE ADDRESS: 10424W STATE HIGHWAY 27/70 OJ I B WA, W 154862 '��{}}{Illlllllflll SANTHOSHA ^I I l LIM [^^I Ir annnui ivvv�. -o E-49097 = CARY w ? l NC ONA Digitally Signed: 2024-04-17 verizonv'- ATC JOB NO: 14759843_GO CUSTOMER ID: RADISSON CUSTOMER #: 5000241034 DETAILED EQUIPMENT PLAN SHEET NUMBER: REVISION: C-102 0 TOP OF EXISTING HIGHEST APPURTENANCE ELEV 199.66' TOP OF EXISTING TOWER ELEV 195' EXISTING AND 1 2 PROPOSED VERIZON 44 EQUIPMENT AND MOUNT MODIFICATIONS EXISTING (6) 1-5/8" COAX (TO BE REMOVED) PROPOSED (2) 1-5/8" HYBRID �? EXISTING VERIZON J111 RAID CENTER @ 190' IRV TOWER ELEVATION SCALE: N.T.S. EXISTiNg CARMER ANTENNAS PAP rMTER 0 L EXISTING TOWER EU57INC GRADE' �. ELEV 0, PER MOUNT ANALYSIS COMPLETED BY ----, DATED ----, THE EXISTING MOUNT MUST BE MODIFIED TO ADEQUATELY SUPPORT THE PROPOSED LOADING. THE MOUNT MODIFICATION PROPOSED IN THE MOUNT ANALYSIS, INCLUDED AT THE END OF THIS PLAN SET, MUST BE INSTALLED PRIOR TO THE INSTALLATION OF THE PROPOSED ANTENNAS AND OTHER EQUIPMENT. 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 BE PAINTED/SOCKED TO MATCH EXISTING EQUIPMENT IN ACCORDANCE WITH FAA, JURISDICTION, AND/OR OTHER LOCAL REQUIREMENTS. 3. 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). 4. TOWER ELEVATION DEPICTION MAY NOT REFLECT ALL EQUIPMENT INCLUDED IN STRUCTURAL ANALYSIS. REFER TO STRUCTURAL ANALYSIS FOR FULL TOWER LOADING. A IMPMANTOWER• ATC TOWER SERVICES LLC 1 FENTON MAIN SUITE 300 CARY, NC 27511 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 AO FOR CONSTRUCTION _ SLL 04/16/24 0 A 0 ATC SITE NUMBER: 311284 ATC SITE NAME: CHIPPEWA WI VERIZON SITE NAME: RADISSON SITE ADDRESS: 10424W STATE HIGHWAY 27170 OJIBWA,WI 54862 SEAL: SANTHOSHA SHANBHOGUE E-49097 CARY NC .,,.,�'�rOI�fIA }l ',,�,' Digitally Signed: 2024-04-17 verizon%/ ATC JOB NO: 14759843 GO CUSTOMER ID: RADISSON CUSTOMERM 5000241034 TOWER ELEVATION SHEET NUMBER: REVISION: C-201 0 Added Location FOD 850 1900 AWS AWS3 Tower LTE LTE Tower LTE LTE Tower Taperer Ground (Outdouf Ground (Outdo-ar), Tower Tower Tower Ground w eraraaved Location 700 850 1900 AWS AWS3 Toweir LTE L-SubB Make Ericemn Erkwon 56 Ericsson RAYDAP INN Equipment Summary Model Item Description Install Type Quantity Item 119 49 PHYSICAL 3 118900 PHYSICAL 3 AIR6419_B77D PHYSICAL 0 862718600-UD-KJT JMA WIRELESS P&PSU-COV-HB JMA 1WIRELE P1EI-19I`-SVS-18-BB RAYCAPIN,C-001 33:16-ALW RS485 M MSCOPE F 001 HF rt24IL24SV4-xxxG JI41A WIRELESS PS -PSI- 182-BB L-Sub8 Make Model ERI SSO N [NC KRC11185611 � RFDS EQUIPMENT SUMMARY Universal Gland Kit for 6827t6600 PHYSICAL 2 1900409008 OVID SLOT BLANK DER PSU PHYSICAL 3 0000 00019DI I: 191 N Is OUTPUT DC BOOST PHYSICAL 7 00000000190040Y SHELF WOMM RETROFIT FOH THE 60VP GIST PHYSICAL 4 00000000190DI 710 BOX T1r1WER TDP AND BASE POWER PROTECTION PHYSICAL 4 OI 00000019D0422 EIBE PHYSICAL 2 BOOST MODULE 2 CH 1800 A PHYSICAL 5 00000000190040C Item Description Install Type Quantity Rem ID RUL I313 700 IMAHZ PHYSICAL 9 19DO138490 NOTE THIS SHEET WAS CREATED BY OTHERS AND PROVIDED AT THE REO JEST Or THE CUSTOMER WITHOUT EDIT. GENERAL CONTRACTOR IS TO CHECK WITH THE VERIZON CM TO ENsuRF ,THIS IS rHE MOST RECENT VERISON OF THE RFOS. SUPPLEMENTAL SHEET NUMBER: REVISION: R-602 0 I.o Bono N77 AWSl / AWS3 Tower (Sector Design) Shelter � RFrJS PLUMBING DIAGRAM Alpha, Beta, Gamma Legends 1-1 RET do signal capable port Coax Coax Jumper — colvrixed !f according to band Fiber Connection(s) Fiber Jumper Antenna view is from the back of the antennas Colors of connection are just for clarification Fallow RET Cabling standard for non -Smart Bias-T Ants Non•RF path elements like OVPJHTTA Box and Hybrid cables not shown SlEe of Objects in drawing doesn't reflect equipment true dimension NOTE. THIS SHEET WAS CREATED BY OTHERS AND PROVJOED Ar7HE REOUEST OF THE CUSTOMER WITHOUT EDIT. GENERAL CONTRACTOR IS TO CHECK WITH THE VERIZON CM TO ENSURE TWS IS THE MOST R CENT VERSTON OF THE RFDS, SUPPLEMENTAL I SHEET N~ REVISION: R-603 n AL AMERICANTOWER° ATC TOWER SERVICES LLC 1 FENTON MAIN SUITE 300 CARY, NC 27511 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 AD FOR CONSTRUCTION SLL 04/16/24 0 n A _ ATC SITE NUMBER: 311284 ATC SITE NAME: CHIPPEWA WI VERIZON SITE NAME: RADISSON SITE ADDRESS: 10424W STATE HIGHWAY 27/70 OJ I B WA, W 154862 SEAL: Afs SANTHOSHA�•� SHAN9HOGUE E-49097 CARY w s o NC II Oi''�r Digitally Signed: 2024-04-17 verizonv#/- ATC JOB N0: 14759843 GO CUSTOMER ID: RADISSON 5000241034 CUSTOMER #: DETAILED SITE PLAN SHEET NUMBER: REVISION C-101 1 0 TOP OF EXISTING N16HESI APPURI'F"NANi.F FLEV 1.99,6 6 ' rOP OF E.kuwlNr Tf]pw FLEV 195' EXISTING AND 1 2 PROPOSED VERIZON wi0 -dp EQUIPMENT AND MOUNT MODIFICATIONS EXISTING (6) 1-5/8" COAX (TO BE REMOVED) PROPOSED (2) 1-5/8" HYBRID 1 TOWER ELEVATION SCALE: N.T.S. EXISTING VERIZON /11111, RAID CENTER @ 190' lorl EXISTING CAR91ER ANTEINNAS jk RAD CCN7FR @ EL£V 179.3 EXISTING TOWER Ea/SIING CI?ADI ' ` ELEV 0" �� PER MOUNT ANALYSIS COMPLETED BY --, DATED ----, THE EXISTING MOUNT MUST BE MODIFIED TO ADEQUATELY SUPPORT THE PROPOSED LOADING. THE MOUNT MODIFICATION PROPOSED IN THE MOUNT ANALYSIS, INCLUDED AT THE END OF THIS PLAN SET, MUST BE INSTALLED PRIOR TO THE INSTALLATION OF THE PROPOSED ANTENNAS AND OTHER EQUIPMENT. I ALL ELEVATIONS REFLECT ABOVE GROUND LEVEL (A.G.L.) I 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 BE PAINTED/SOCKED TO MATCH EXISTING EQUIPMENT IN ACCORDANCE WITH FAA, JURISDICTION, AND/OR OTHER LOCAL REQUIREMENTS. 3. 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). 4. TOWER ELEVATION DEPICTION MAY NOT REFLECT ALL EQUIPMENT INCLUDED IN STRUCTURAL ANALYSIS. REFER TO STRUCTURAL ANALYSIS FOR FULL TOWER LOADING. AL AMEMCAN TOWERI ATC TOWER SERVICES LLC 1 FENTON MAIN SUITE 300 CARY, NC 27511 PHONE: (919) 46M112 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 DO FOR CONSTRUCTION SILL 04/16/24 0 0 0n _ l� ATC SITE NUMBER: 311284 ATC SITE NAME: CHIPPEWA WI VERIZON SITE NAME: RADISSON SITE ADDRESS: 10424W STATE HIGHWAY 27/70 OJIBWA,WI 54862 SEAL: 0%1111111111111/I/ SANTHOSHA SHANBHOGUE E-49097 CARY NC �,�``rrr JrI,%J / O 1 1j1jI 111111111�� Digitally Signed: 2024-04-17 J verIzO� B NO: 14759843GO RADISSON MER ID: r MER #: 5000241034 TOWER ELEVATION SHEET NUMBER: REVISION: C-201 0 verizon' fuzeinFDs MIDWEST > Upper Midwest > tllinois/VUisconsin > Wisconsin > RADISSON RF Submit by: Patel, Dhwdni - dhwdni pate le.�Overizonwireless.com - 11!2/2024, 10:38:35 AM EE Submit by: Reyes, Marcus B. - marcus.b.reyesCLDverizorwireless com - 1/1012024, 9.30:51 AM Project Details Location Information FUZE Project ID: 17120709 Project Name: 4G AWS3 - Carrier Add Project Alt Name: 5G L-Sub6 (Pending RFDS for Alt. Name) Project Type: Modification Modification Type: RF Designed Sector Carrier 4G: 26 Designed Sector Carrier 5G: N/A Additional Sector Carrier 4G: N/A Additional Sector Carrier 5G: N/A FP Solution Type & Tech Type: MOD IFICATION;4G_850,413AWS,4G_AWS3,4G_PCS, 5G_L- Sub6 Carrier Aggregation: false MPT Id: eCIP-0: false Suffix: Antenna Summary Added 700 aso 1900 AWS AWS3 L-Sub6 Make Model Rem Description HEX PORT, LTE LTE LTE LTE LTE COMMSCOPE NHH-66GR28 AWSJPCSf7o0JW%a FT. 85 HI W, 6G Ericsson Removed 700 86o 1900 AWS AWS3 L-Sub6 Make LTE KATHREIN KAATHREW AIR8419 Model 840 21170q 640 21170-00 Site ID: 650647 E-NodeB ID: 210783 MDG Location ID: 5000241034 PSLC: 221321 Switch Name: Appleton Tower Owner: Tower Type: Site Type: MACRO Site Sub Type: DRAN Street Address: 10424W State Hwy 70127 City: Radisson State: W I Zip Code: 54867 County: Sawyer Latitude: 45.7757531 450 46' 32.7108" N Longitude:-91.2096111 910 12' 34.5996" W Centerline Tip Height Azimuth 70(AAl 190 194 180(8) 2acl(C) 70(A) 120 191.2 IM13) 2BO(C) Item Desertion Centerline Tip Height Azimuth 70(t) 190 1943 180(2) 213001 700 190 1942 1800 2BOO RFDS EQUIPMENT SUMMARY RET 4xRx Inst. Type Quantity Item ID false i PHYSICAL 9 1900CM293 few PHYSICAL 3 RET 4xRx Inst Type Quantity Item ID false PHYSICAL 3 false SPARE 0 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 Added Location 700 IISO 1940 AWS AWS3 Tower LTE LTE Tower LTE LTE Tower Tower Ground (id") Ground (Outd") Tower Tower Tower Ground ({tdGar ) 14 er�r��ed Lac-ation 700 IIS#I 1900 AWS AWS3 Toles LTE L-SubF Make Eriesson Erlorwn 58 Erlcason RAYOAP INC Model 4490 48,90 AIR6419 B7713 662718600-UG-VJT JMA MREL-ESS PB-P'SU-OOV-BB JMA VIIIIRELESS PB-1-9-SYS-16-BB P A YOA PING-001 33:16-ALM-RS495 RAYCAPING-001 R9 DIC-33f-5-R'F-48 COM MSCOPET- �± 001 HF F t2OIL2ASV4-in.xxG J94tA WIRELESS PB-PSU-102-BB L-Sub6 Make Model ERICSSON INC KRC1185811 � RFDS EQUIPMENT SUMMARY Equipment Summary Item Description Install TXpe Quantityr Rem Ill PHYSICAL 3 PHYSICAL 3 PHYSICAL 0 UnIhmmal Olantl Kit for $$27,tG&00 PHYSICAL 2 1900409008 DVP SLOT BLANK PHYSICAL 3 00O00000190040C COVER, PSU 191 N IS OUTPUT LSO E£)OST PHYSICAL 7 000000M90ID40C SHELF WOMM RETROFIT FOR THE 60VP GIST PHYSICAL .4 0000000019000719 BOX TOWER TOP AND BASE POWER A 000000001900422 PROTECTIONPHYSICAL FIRE PHYSICAL 2 BOOST MODULE 2 CH 1600 A PHYSICAL 5 0000000019004 Item Description Install Type Quantity Item ID RUL B13 700 IMAHZ PHYSICAL 6 4QM36490 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-602 0 ■ ver�zO� �,F PAU L J. F O R D � �.{.�r�� =��a��.� Paul J. Ford and Company 250 East Broad Street Suite 600 Columbus, OH 43215 (614) 221-6679 pifmount(c�pauljford.com Antenna Mount Analysis Report with Hardware Upgrades and PMI Requirements Mount Analysis SMART Tool Project#: 10213053 Paui J. Ford Project#: 24323-1066.002.8190 February 7, 2024 Site Information Site ID: 5000241034-VZW/RADISSON Site Name: RADISSON Carrier Name: Verizon Wireless Address: 10424W STATE HWY 70/27 RADISSON, WISCONSIN 54867, SAWYER County Latitude: 45.775753° Longitude: -91.209611° Structure Information Tower Type: 195-Ft Self Support Mount Type: 12.00-Ft Sector Frames FUZE ID# 17120709 Analysis Results 12-ft Sector Frames: 77.3% Pass w/ Hardware Upgrades* *Antennas and equipment to be installed in compliance with PMI Requirements of this mount analysis. ***Contractor PMI Requirements: ��+��,, Included at the end of this MA report �•��gG�.Ns�ti•,� Available & Submitted via portal at https://pmi.vzwsmart.com , � �.�' ''••. ,a� For additional questions and support, please reach out to: ;�rr� KY�E : pmisupport@pauljford.com _ � �ORPE = - � E-100310 = Report Prepared By: Rebekah M. Dorris, PE ��q� C�� : .�' ti, ��,,6�.�� 5+'' ''�� a ,�. +t��?NA1�� Mount Structural Analysis Report February 7, 2024 (3) 12.00-Ft Sector Frames Site ID: 5000241034-VZW/RADISSON Page � 2 Executive Summarv: 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 Radro Frequency Data Sheet(RFDS) Verizon RFDS, 17120709, dated 1/10/2024 Mount Mapping Report Elite ICT, Project#311284, dated 1/23/2024 Analysis Criteria: Codes and Standards: ANSI/TIA-222-H Wind Parameters: Basic Wind Speed (Ultimate 3-sec. Gust), Vu�T: 107 mph Ice Wind Speed (3-sec. Gust): 50 mph Design Ice Thickness: 1.50 in Risk Category: II Exposure Category: C Topographic Category: 1 Topographic Feature Considered: N/A Topographic Method: N/A Ground Elevation Factor, Ke: 0.955 Seismic Parameters: Ss: 0.042 g Si: 0.022 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 February 7, 2024 (3) 12.00-Ft Sector Frames Site ID: 5000241034-VZW/RAD/SSON Page � 3 Final Loadinq Confiquration: The following equipment has been considered for the anafysis of the mounts: Mount Equipment Elevation Elevation Quantity Manufacturer Model Status ft ft 6 Commscope NHH-65C-R2B 3 Ericsson AIR 6419 192.0+/- 192.0 3 Ericsson Radio 4490 Added 3 Ericsson Radio 4890 4 Raycap RVZDC-3315-PF-48 The recent mount mapping did not report existing OVP units. However, 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. 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 and field observations. 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 beer 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. Mount Structural Analysis Report February 7,2024 (3)12.00-Ft Sector Frames Site ID:5000241034-VZW/RADISSON Page�4 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. 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. Structure ATC Asset Name ATC Asset Number Engineering Number Proposed Carrier Carrier Site Name AMERICAN TaWER" C O R P O R A T I O N : 195 ft Self Support Tower : CHIPPEWA WI : 311284 14759843 C3 02 VERIZON WIRELESS : RADISSON Carrier Site Number 5000241034 Site Location 10424W State Highway 27/70 OJIBWA, WI 54862-4130 45.7758° N, 91.2096° W County : Sawyer Date : March 6, 2024 Max Usage . 63% ` �\5G 0 N g�� Analysis Result Pass ' ' ESHA K. MODI 45601-6 Created By: -Q' CARS. ►e Tanner Lenning Structural Engineer I '910N V. E ►`� Esha l i j i l l rally signed by TC7iLlC A Z—e-Esha Modi �I n A O� I Date: 2024.03.07 I�/1 14:20:28-05'00' COA: 4069-11 ATC Tower Services LLC -- 1 Fenton Main Street, Suite 300, Cary, NC 27511 -- Office 919-468-0112 -- Fax 919-466-5414 -- www.americantower.com