---------------------------------------------------- --------------------------------------- ----------------------------------------------------
  ![](media/image1.png){width="1.3541666666666667in"   Department of the Interior\             ![](media/image2.png){width="1.4166666666666667in"
  height="1.3541666666666667in"}                       Bureau of Land Management               height="1.2291666666666667in"}

  ---------------------------------------------------- --------------------------------------- ----------------------------------------------------

**COMMUNICATIONS SITE PLAN**

**LOW MOUNTAIN**

**ARIZONA STRIP FIELD OFFICE**

**Prepared by the United States Bureau of Land Management**

**Arizona Strip Field Office**

**State of Arizona**

**Approved by:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Field Manager Date**

**LOW MOUNTAIN COMMUNICATIONS SITE PLAN**

[I. INTRODUCTION 3](#introduction)

[A. Terms and Definitions 3](#terms-and-definitions)

[B. Purpose 4](#purpose)

[C. Site Description 4](#site-description)

[D. Area Served 4](#area-served)

[E. Access 5](#access)

[F. Site History and Development 5](#site-history-and-development)

[G. Goals and Objectives of Site Management Plan
5](#goals-and-objectives-of-site-management-plan)

[II. AUTHORITY AND DIRECTION 6](#authority-and-direction)

[A. Authority 6](#authority)

[B. Relationship to Communications Site Lease
6](#relationship-to-communications-site-lease)

[III. GENERAL RESPONSIBILITIES 6](#general-responsibilities)

[A. The Bureau of Land Management
6](#the-blm-retains-the-responsibility-for)

[B. Facility Owners and Facility Managers
7](#facility-owners-and-facility-managers-or-their-designated-representatives-are-responsible-for)

[C. FCC and NTIA/IRAC 8](#fcc-and-ntiairac-are-responsible-for)

[IV. AUTHORIZED USES AND USERS WITHIN A FACILITY
8](#authorized-uses-and-users-within-a-facility)

[A. Exclusive Use of a Facility By a Single User
8](#exclusive-use-of-a-facility-by-a-single-user)

[B. Use by Multiple Users 8](#use-by-multiple-users)

[V. FEES 9](#fees)

[VI. General Operation and Maintenance Direction
9](#general-operation-and-maintenance-direction)

[A. Unique Resource Considerations at this Communication Site
9](#unique-resource-considerations-at-this-communication-site)

[B. Wiring and Grounding 9](#wiring-and-grounding)

[C. Communications Equipment 10](#communications-equipment)

[D. Cables and Transmission Line (Wave Guides)
12](#cables-and-transmission-line-wave-guides)

[E. Radiation 13](#radiation)

[F. Utilities-Availability of and Requirements for:
13](#utilities-availability-of-and-requirements-for)

[G. Sanitary Facilities 14](#sanitary-facilities)

[H. Security and Law Enforcement 14](#security-and-law-enforcement)

[I. Site Maintenance 14](#site-maintenance)

[J. Inspections 15](#inspections)

[K. Fire Prevention and Hazard Reduction Requirements
16](#fire-prevention-and-hazard-reduction-requirements)

[L. Access Maintenance and Restrictions
16](#access-maintenance-and-restrictions)

[VII. CONDITIONS FOR CONSTRUCTION, MODIFICATIONS OR EXPANSION
17](#conditions-for-construction-modifications-or-expansion)

[A. New Facility Owner Responsibilities
17](#new-facility-owner-responsibilities)

[B. Construction Methods and Resource Protection
18](#construction-methods-and-resource-protection)

[C. Construction Inspection 19](#construction-inspection)

[D. New or Remodeled/Expanded Buildings
19](#new-or-remodeledexpanded-buildings)

[E. New or Remodeled/Expanded Towers
20](#new-or-remodeledexpanded-towers)

[VIII. SITE ASSOCIATION/ADVISORY GROUP
20](#site-associationadvisory-group)

[IX. APPENDICIES 21](#appendicies)

[A. Site Map 21](#site-map)

[B. Authorized Facilities 21](#authorized-facilities)

[C. Site Photographs 21](#site-photographs)

[D. Inspection Checklist 21](#inspection-checklist)

+-----------------------------------------------------------------------+
| # INTRODUCTION                                                        |
+-----------------------------------------------------------------------+

## Terms and Definitions

The terms used in this communications site management plan conform to
the definitions listed in the April 22, 2005, Federal Register notice
"Rights-of-Way, Principles, and Procedures: Rights-of-Way Under the
Federal Land Policy and Management Act and the Mineral Leasing Act"

and clarifications provided in Bureau of Land Management (BLM) Handbook
2860-1 and the Title 32 Code of Federal Regulations (CFR) 2800. In the
event of a conflict, between the plan and these sources, the Federal
Register notice and the BLM Handbook will govern.

The words "lease" and "lessee" as used in this plan refer to the
relationship between the BLM and the communications use leaseholder, the
lessee. The words "customer" and "tenant" refer to the relationship
between the lessee and the occupants in the lessee's facilities.

LEASE -- A right-of-way (ROW) authorization issued to a communication
Facility Owner or Facility Manager, allowing for the use of Public Lands
to construct and or operate a communications facility and unless
specifically prohibited, to sublease to occupants in that facility.

LEASEHOLDER OR LESSEE -- Facility Owner/Facility Manager

CUSTOMER -- Entities that pay a Facility Owner, facility manager or
tenant for communications services and are not re-selling or
broadcasting communications services to others

TENANT -- A communications user who rents space in a communications
facility and operates communication equipment for the purpose of
re-selling, or broadcasting communications services to others for
profit.

COMMUNICATIONS SITE -- An area of BLM-managed public land designated
through the land and resource management planning process as being used
or as suitable for communications uses. A communications site may be
limited to a single communications facility, but most often encompasses
more than one. Each site is identified by name; usually a local
prominent landmark, such as Low Mountain Communications Site.

FACILITY MANAGER -- The holder of a BLM communications use authorization
who leases space for other communication users. A facility manager does
not directly provide communications services to third parties.

FACILITY OWNER -- Individuals, commercial entities, organizations, or
agencies that, own a communications facility on Federal land; own and
operate their own communications equipment; and hold a communications
use authorization.

NON-BROADCAST -- This category includes Commercial Mobile Radio Service
(CMRS), Facility Managers, Cellular Telephone, Private Mobile Radio
Service (PMRS), Microwave, Local Exchange Network, and Passive
Reflector.

BROADCAST -- This category includes Television Broadcast, AM and FM
Radio Broadcast, Cable Television, Broadcast Translator, Low Power
Television, and Low Power FM Radio.

RIGHT-OF-WAY -- The public lands authorized to be used or occupied
pursuant to a ROW grant.

RIGHT-OF-WAY GRANT -- An instrument issued pursuant to Title V of the
Federal Land Policy and Management Act of October 21, 1976 (U.S.C. 1701
*et seq.*) or issued on or before October 21, 1976, pursuant to then
existing statutory authority, authorizing the use of a ROW over, upon,
under or through public lands for construction, operation, maintenance
and termination of a project.

HOLDER -- Any applicant who has received a ROW grant or temporary use
permit.

## Purpose

This plan will be used by BLM officials, administering communications
uses at Low Mountain, existing lessees, holders, and applicants desiring
a lease, grant, or an amendment to an existing lease or grant. The plan
will be kept updated by amending pages or sections of the plan rather
than issuing a revised edition of the plan. When a revision is
necessary, a letter from the Arizona Strip Field Office enclosing a copy
of revised pages or sections will amend the plan. The amendments will be
consecutively numbered.

Overall management direction for the administration of communications
sites is outlined in the CFR and the BLM Handbook and applicable BLM
Instructional Memoranda. Specific direction for site management planning
on designated communications sites is contained in BLM Handbook 2860-1.
Primary regulations and policy pertaining to issuance of ROW
authorizations by the BLM are found in Title 43, CFR, 2801- 2803 and BLM
Handbook 2860-1.

This site was not identified in the Arizona Strip District Resource
Management Plan (RMP), which was approved January 1992. The site will be
identified in the revised RMP for low-power, non-broadcast uses. The
senior use is two-way radio and point-to-point microwave. Other current
uses include cellular.

No communications site plan has ever been prepared for this site. This
Site Plan has technical standards for better management of the Low
Mountain Communications Site. This plan governs development and
management of Low Mountain and will be modified in the future as needs
and conditions warrant. Any future such uses must be designed,
installed, operated, and maintained to be compatible and not interfere
with the senior uses. This site-specific plan is administrative in
nature and is Categorically Excluded from further review under the
National Environmental Policy Act (NEPA) (516.DM2, Appendix 1,1.7). Any
additional development of the site will be addressed in a site-specific
NEPA document.

## Site Description

The site is located on a mesa south of St. George, Utah and adjacent to
the Paiute Wilderness Area in the Black Rock Mountains overlooking the
Virgin River corridor. The area is managed by the Arizona Strip Field
Office and the site is specifically located in portions of Section 36,
T. 41 N., R. 14 W., Gila and Salt River Meridian at approximately 36º
54' 38" North Latitude and 113º 45' 40.5" West Longitude. The elevation
at the Low Mountain Communications Site is approximately 5,412 feet
above mean sea level. A site map is provided as Appendix A.

## Area Served

This site serves does not serve a Ranally Metro Area, RMA. The
population zone served is between 25,000 and 49,999 (Zone 8). These
zones may be adjusted in the future as population change. This
information will be used for fee determination.

## Access

Access to Low Mountain is from Interstate 15 south of St. George to the
Black Rock Road exit 27 and then south on the graded haul road to the
gypsum mine. From the gypsum mine, the road narrows and proceeds south
and then west to the top of the ridge for approximately 3.6 miles to the
site. Except for portions of State land, then entire road is on BLM
lands.

## Site History and Development

The first communications facility ROW on Low Mountain was issued to
Arizona Public Service for two-way radio repeater facilities. This ROW
was issued in 1974. The site supports highway maintenance and law
enforcement primarily along the I-15 corridor from the Stateline port of
entry down the Virgin River corridor. In 1999, Western Wireless was
authorized a lease for a cellular facility at this location.

Space appears to be available in the existing buildings and towers to
serve this area for the current demand. Lack of commercial power is the
most limiting factor for expansion of this site. It is located adjacent
to a designated wilderness area, however, additional facilities could be
developed east of the existing structures. The wilderness lies entirely
below the rim of the mesa to the north and west. Any modifications to
existing facilities or proposals for new facilities must be approved by
the Arizona Strip Field Office according to the process described in
this document.

## Goals and Objectives of Site Management Plan

1\. Manage the Low Mountain Site as a low power, two-way radio,
point-to-point microwave, and cellular communications site. All uses
must be designed, operated and maintained so as not to materially or
electronically interfere with the senior uses.

2\. Manage communication equipment on the Low Mountain Site to maintain
the RF hazard to be within the Public Standard as defined by the FCC.

3\. Systematically develop the site to maximize the number of compatible
uses while ensuring safety and protection of resources. Development of
new towers or buildings within each of the authorized owner's facilities
will be authorized only after their respective tower or building space
area is filled to near capacity.

4\. Present a program for future growth, development and operation
within the site.

5\. Help fulfill the public need for adequate communications sites.

6\. Protect the interests of leaseholders and site users by preserving a
safe and electronically "clean" environment.

7\. Encourage the efficient development and use of space and facilities
within the designated site, subject to the BLM's goal to provide the
best possible public service at reasonable cost.

8\. Achieve visual quality objectives by requiring design standards that
are unobtrusive and utilizing earth tone colors and non-reflective
surface material and stringent site maintenance requirements.

9\. Describe the BLM's policy for authorizing road use and maintenance.

10\. Develop new facilities only after the appropriate site-specific
NEPA analysis and coordination with current leaseholders and users. This
future development must also be consistent with the revised Arizona
Strip Field Office RMP when approved.

11\. Amend this Communications Site Plan as necessary to be consistent
with the revised Arizona Strip Field Office RMP when it is approved.

+-----------------------------------------------------------------------+
| # AUTHORITY AND DIRECTION                                             |
+-----------------------------------------------------------------------+

## Authority

The BLM authority to authorize communications uses on Public Land
(administered by the BLM) is granted by the Federal Land Policy and
Management Act of 1976, 90 Stat. 2776 (43 U.S. C. 1761-1771) and is
reflected in 43 CFR 2801- 2803 and Washington Office Information
Bulletin 98-23.

The BLM authority for communications site management planning is
contained in BLM Handbook 2801-1, Plan of Development. Direction on, and
policy for communication use authorizations is contained in BLM Manual
2860.

Authority for the issuance of authorizations and/or licenses for the
transmission and reception of electronic radiation for communication
purposes is granted by Congress and administered by the Federal
Communications Commission (FCC) and/or the National Telecommunication
and Information Administration -- Interagency Radio Advisory Committee
(NTIA/IRAC).

## Relationship to Communications Site Lease

This site plan will be incorporated into all leases, grants, and
reservations issued (now and/or in the future) for this communications
site and must be used in conjunction with the granting authorization.
**PROVISIONS OF THE SITE PLAN ARE ENFORCED THROUGH THE GRANTING
AUTHORIZATION.** Each lessee or holder is expected to include the
requirements of the authorization and the site plan into any documents,
which describe the business relationship between the lessee or holder
and their tenants and customers. The lessee or holder is responsible for
enforcing those provisions.

+-----------------------------------------------------------------------+
| # GENERAL RESPONSIBILITIES                                            |
+-----------------------------------------------------------------------+

## The BLM retains the responsibility for:

Issuing and amending authorizing instruments to Facility Owners and
Facility Managers, only for the areas actually occupied by the
authorized improvements. Granting occupancy and use of Public Lands
rests exclusively with the BLM, 43 CFR 2801- 2803. The issuance of a FCC
license (authorization), or frequency assignment, does not authorize
occupancy of Public Lands.

1.  Approving any new/modified facility(ies) at the site.

2.  Approving amendments or assignments to leases and grants to
    qualified buyers of facilities on the site.

## Facility Owners and Facility Managers (or their designated representatives) are responsible for:

1.  Complying with their authorization and all sections of this Site
    Management Plan.

2.  Ensuring that all new facilities, expansions, or improvements are
    consistent with the Arizona Strip Field Office Planning Documents;
    any environmental document(s)/decisions for the site; and, this Site
    Plan.

3.  Ensuring facilities/equipment not complying with Federal/State/local
    laws/regulations/ ordinances will be removed or modified within one
    year of the approval of this plan. Any modification needs
    pre-approval by the BLM.

4.  Keeping all facilities within the established limits of their
    authorized area.

5.  Providing the BLM, with the name, address and phone number for a
    local contact person. The Facility Owner and Facility Manager and
    the contact person may be the same individual. The contact person
    will be available for emergencies and will have the authority to
    make decisions about construction issues, facility maintenance and
    all equipment within the facility.

6.  Adhering to the Facility Owner/Manager Lease/ROW as follows:

    a.  Facility Owners and Facility Managers with Communications Use
        Leases are authorized to rent building/tower space to tenants
        and/or customers without prior written approval from the BLM.

    b.  Tenants and/or customers may not construct their own equipment
        shelter (building, shelter or cabinet) or antenna support
        structure (tower or mast). The Facility Owner must own all
        communication shelters and towers under their lease or grant.
        \[If that is not possible, a separate SF-299 application,
        cost-recovery deposit, analysis, and authorization are required.
        This will also result in the use being a tenant/customer of the
        original lease/holder in additional to being a separate facility
        for billing purposes.\]

    c.  Tenants and/or customers using a facility covered by a Facility
        Lease/ROW will not have separate BLM Leases/ROWs to authorize
        the use except in situations where regulations or policy require
        them.

    d.  Facility Owners and Facility Managers are responsible for
        complying with the terms and conditions of the Facility
        Lease/ROW. Facility Owner/Managers are also responsible for
        ensuring that their tenants and customers are in compliance with
        the terms and conditions of the Lease/ROW, and applicable FCC or
        NTIA/IRAC license terms and conditions.

    e.  The Facility Owner and Facility Manager may not place any
        unreasonable restrictions nor any restriction restraining
        competition or trade practices on tenants and/or customers, or
        potential tenants and/or customers.

7.  Ensuring that all communications equipment is properly installed,
    operated, and maintained.

8.  Ensuring that all communication equipment meets ANSI, FCC and BLM
    regulations, guidelines and standards concerning radiation
    limitations by:

    a.  Monitoring radiation levels at their facility and;

    b.  Immediately correcting any radiation levels that are, or could
        be a hazard to human health. (FCC 47CFR sections 1.1307(b),
        1.1310 and 2.1093) and FCC OET Bulletin 54, August 1999.

9.  Providing a certified copy of their use and the category of use
    along with the current phone numbers and addresses of all tenants
    and customers as of September 30th each year. This report is due by
    October 15^th^.

10. Keeping the premises around their buildings free of trash and
    debris.

11. Placing the BLM Lease/ROW numbers on the door of their
    communications building. The holder's name, address, and phone
    number are optional on the door of their communications site
    building.

12. Correcting interference problems.

## FCC and NTIA/IRAC are responsible for:

Frequency Management. The FCC and NTIA/IRAC are not normally responsible
for the resolution of conflicts when the licensees or agencies are
operating within the limits of the authorizations.

+-----------------------------------------------------------------------+
| # AUTHORIZED USES AND USERS WITHIN A FACILITY                         |
+-----------------------------------------------------------------------+

##  {#section .unnumbered}

## Exclusive Use of a Facility By a Single User

Both currently have no tenants or customers. Unless unexpected demand
occurs, these facilities will be allowed to remain as single users
facilities at the Low Mountain Site.

## Use by Multiple Users

Use of new facilities and improvements by more than one user
[will]{.underline} [be]{.underline} required except where the Facility
Owner is a government agency. Site applicants will take the lead in this
area and design their proposals to accommodate multiple uses of
facilities and improvements. This includes multiple uses of buildings,
towers, back-up generators, grounding systems, fuel containers, access
ways and parking areas.

Due to the availability of building and tower space at the site, new
facilities, or major modifications to existing facilities will generally
not be approved until the empty space is utilized even if other users
are, or could be, competitors.

Facility Owners and Facility Managers are not required to lease facility
space to others if they can prove to the BLM authorized officer that:

1.  Space is not available;

2.  The use is incompatible with the existing facilities;

3.  Additional space is needed by the Facility Owner/Manager;

4.  Additional users would violate system security needs; or,

5.  Potential interference is not resolvable.

+-----------------------------------------------------------------------+
| # FEES                                                                |
+-----------------------------------------------------------------------+

The BLM will charge Facility Owners and Facility Managers annual fees
based on the Fee Schedule for Communications Uses on Public Lands as
adjusted annually. These fees will be fair market value for the use of
Public Lands. This site serves does not serve a Ranally Metro Area, RMA.
The population zone served is between 25,000 and 49,999 (Zone 8) which
will be used for these calculations unless something else is
specifically agreed to in writing by the authorizing officer or until
populations change.

Fees that Facility Owners and Facility Managers may charge their tenants
and "customers" are to be:

> Reasonable (consistent with, and not in excess of, other fees for
> similar facilities) and commensurate with the uses and occupancy of
> the facilities and services provided to tenants and "customers".

+-----------------------------------------------------------------------+
| # General Operation and Maintenance Direction                         |
+-----------------------------------------------------------------------+

## Unique Resource Considerations at this Communication Site

The site is located adjacent to the Paiute Wilderness Area. The
wilderness boundary follows the topographic break of the mesa to the
north and west of the site. There are no other special or unique
resource considerations at this communications site at this time. If any
are identified in the future through the NEPA and or RMP process the
appropriate coordination standards will be amended to this plan.

The site is within secondary release habitat of the California Condor.
At this time no special management or mitigation stipulations are
required. If found to become necessary, anti perching and other measures
to discourage condors from using these facilities and from potentially
being harmed by loose wires and cables shall be added to this plan.

## Wiring and Grounding 

> 1\. All equipment is to be installed within existing buildings and on
> equipment racks that are grounded and shielded. Grounding is to be
> installed in accordance with accepted standards.
>
> 2\. All electrical wiring and grounding must meet the "National
> Electrical Code" and applicable estate codes. All permanent wiring
> shall be installed in metallic conduit. Surge protection shall be
> installed on all power distribution panels.
>
> 3\. Lightening protection "down" conductors installed upon
> communications towers shall be treated as "Transmission lines."
> Therefore, they shall have an insulating jacket. Periodic bonding of
> the down conductor to the tower (Galvanized) steel shall be made with
> proper bonding connectors that are tin plated or made of brass.
>
> 4\. Each building is to have its own separate grounding system for all
> users in that structure. Wherever practical, interconnection of
> individual grids and/or the simultaneous placement of a large sized
> copper ground wire with any new grounding systems that are buried on
> the site will be required.
>
> 5\. Site or facility grounding must be constructed of copper, with #2
> AWG or larger wire or 2" or larger solid copper strap, connected to an
> adequate site/facility ground electrode system. The site/facility
> ground electrode system shall be bonded to the power service entrance
> grounding electrode conductor. Guy wires should also be grounded using
> manufacturers approved methods to preclude bi-metallic junction and
> corrosion. All equipment on the site (buildings, towers, power units,
> transmitters, receivers, antennas, combiners, telephone systems, power
> cabinets, HVAC units, etc) must be connected to the site/facility
> ground by direct connection. Electrical system ground wiring is
> required for electrical ground fault protection and circuit breaker
> coordination. High power operations should use copper strap bonding in
> accordance with manufacturers specifications. The grounding systems
> shall comply with applicable laws, codes and in accordance with
> standard engineering practice. Below ground connections must use
> either an exothermic welding process (i.e. Cadweld, Thermoweld, etc.),
> copper wedge pressure devices (i.e. Ampact, Wrench-lock, etc.), or
> brazed copper connections in conjunction with a mechanical UL listed
> connector (to be used as a physical strength enhancement component).
> Brazing by itself is not an acceptable method of bonding below earth
> grade (buried).

## Communications Equipment 

[Equipment Ownership]{.underline}

All equipment shall be labeled with:

1.  The owner's name;

2.  Transmitter frequency(ies);

3.  A valid FCC, or IRAF, authorization;

4.  Transmitting power output(s); and

5.  A current 24-hour phone contact number.

[Transmitting Equipment]{.underline}

All transmitters will have protective devices (shields, filters,
isolation components), designed into or externally installed, to prevent
interference to other users. All transmitters shall be FCC type accepted
or meet type acceptance criteria.

Re-radiation of intercepted signals from any unprotected transmitter and
its associated antenna system will be prevented by the use of
appropriate filters (wide band and narrow band broadcast transmitters).

The direct radiation of out-of-band emissions (i.e. noise or spurious
harmonics) will be reduced to a level such that they may not be
identified as a source of interference as defined in the FCC Rules and
Regulations (e.g. Part 90.209(e)). If site noise (electromagnetic noise)
becomes an issue, noise threshold limits will be established, and
amended into the Site Plan.

Direct radiation of out-of-bound emissions, (i.e. transmitter wide band
noise, spurious emissions, harmonics, etc.) shall be reduced to a
noninterference level by using bandpass, lowpass, and/or harmonic
filtering. Band-reject filtering may be required in certain
applications.

Re-radiation of signals from a transmitter and its associated antenna
system shall be prevented by installing appropriate devices (i.e.
ferrite isolators), with minimum return loss of 25 db.

All transmitters not in immediate use and not specifically designated as
standby equipment shall be removed. Loads connected to circulators are
to be capable of dissipating the total power output of the transmitter.

[Receiving Equipment]{.underline}

All receivers shall comply with all applicable parts of the FCC rules,
including Parts 2 and 15.

All receivers shall have sufficient "front end" pre-selection to prevent
receiver spurious response. The use of bandpass, band-reject cavity or
crystal filters may be required to prevent receiver-produced
intermodulation or adjacent-channel interference is recommended at the
input of all receiving devices.

Where duplexing is used, use of a notch type device should be avoided.
In situations where a notch type device is used, a bandpass filter must
be used with the transmitter.

[Tower]{.underline}

1.  Generally only one tower is authorized for each Facility Owner.
    Facility Owners and Facility Managers may obtain permission to
    construct a second tower only after submitting evidence that
    demonstrates that their existing tower is completely filled and full
    use has been made of combining systems.

2.  All towers will be left unpainted, if they are dull, galvanized
    steel. If paint is required, the BLM will approve only
    non-reflective colors from the Munsell Soil Color Chart, Standard
    Environmental Colors.

3.  Maximum tower height (including antennas) for this site is 120 feet.

4.  To avoid possible impacts to birds or bats, follow the most current
    version of the U.S. Fish & Wildlife Service's Interim Guidelines on
    the Siting, Construction, Operation and Decommissioning of
    Communication Towers (available at
    http://migratorybirds.fws.gov/issues/towers/comtow.html).

5.  Anti-climb devices, removable steps, or other means to discourage
    unauthorized climbing, are highly recommended to reduce or avoid
    liability claims.

[Antennas]{.underline}

1.  The maximum antenna height (including tower) will be 120 feet.

2.  Microwave (dish) antennas (other than ground mounted satellite
    dishes) will be limited to a maximum of ten (10) feet in diameter.
    The smallest diameter dishes are preferred if technically feasible.

3.  All antennas must meet all OSHA safety standards. If an antenna
    exceeds FCC public or occupations standards (see FCC OET Bulletin
    57), it will be remedied within 24 hours after measures are taken or
    isolated (e.g., fencing, signing, relocation, lowering power levels
    are all possible remedies). Ground measurements of RFR levels will
    be taken before mitigation measures are implemented.

4.  Color(s) for dish antennas, or covers, must be pre-approved by the
    BLM. White dish antennas and/or covers will not be approved.
    Existing white dishes and covers must be repainted or replaced with
    dishes of approved color, as repairs or replacement become
    necessary.

5.  Antennas will be treated for low to non-reflectance.

[Interference]{.underline}

The responsibility for correcting interference problems is a matter for
resolution between the Lease/ROW holder of the facility(ies), the user
causing the interference, and the affected party(ies). First users on a
site have seniority with respect to the resolution of interference
complaints. Senior holders have an obligation to maintain their
equipment to industry standards, to operate their systems in accordance
with the terms of both the FCC license and NTIA/IRAC frequency
authorization, and to comply with the BLM authorization.

New users on a site must correct, at their expense, interference
problems that they create. They may be required to furnish an
intermodulation study or other interference-related data and agree to
accept financial responsibility for elimination or prevention of any
interference caused by the facility before their application can be
evaluated. They must cease operation of the suspect equipment until the
problem is corrected. If interference problems cannot be resolved or
corrected within a reasonable time, the new use that is causing the
interference may be terminated and the equipment removed.

All users shall cooperate with the Association and the Bureau in
identification and correction of any interference. The BLM does not have
authority for correcting interference problems, but can act as a
mediator to help all affected parties. Interference problems must be
coordinated with the FCC or NTIA/IRAC whichever is appropriate.

Interference with law enforcement and/or emergency communications must
be corrected immediately. The operation of equipment covered by this
Site Plan shall not interfere with United States Government radio or
electronic operations already in existence on public land within two (2)
miles of the site to which this authorization refers. The user causing
this interference, shall, at its own expense, take all action necessary
to prevent or eliminate such interferences. If it does not eliminate
such interference within ten (10) days after receipt of notice from the
BLM to do so, this use will be terminated.

If electromagnetic noise becomes an issue, noise thresholds will be
established and this Site Plan will be amended accordingly.

## Cables and Transmission Line (Wave Guides)

All new cabling will be jacketed and shielded and shall either be
flexible or semi-rigid type. Existing substandard cables will be
upgraded as repairs or replacement become necessary.

Cables will be properly installed and will be strapped and fastened
down. Use of ports at building entrance points will be kept to a minimum
by use of combiners.

When attaching cables onto a tower, conduits should be used and cable
runs should be equally divided among all tower legs.

All transmission lines (wave guides) are to be supported in accordance
with manufacturer's specifications.

Double shielded braided, or solid shielded cable will be used. No RG-8
type cable is permitted. No connector-type adapters will be used on
transmission lines. Only correct connectors that will mate to connected
devices are to be used.

Conduits will be shared when they service common areas and will be
buried where possible.

## Radiation

All communications uses must meet ANSI, FCC and BLM regulations
guidelines and standards concerning radiation limitations.

Monitoring radiation levels at the site is the responsibility of all
site users and will occur at intervals to comply with FCC regulations
and guidelines. A copy of the monitoring report will be provided to the
BLM within 30 days of its completion.

Onsite RFR measurements will be taken using appropriate equipment that
can adequately measure both on-tower and on the ground levels before
mitigation measures related to RFR are implemented.

Security fences with RFR notice signs are required around areas that
exceed public use levels. Raising higher power transmitting antenna on
the tower or adding a taller tower may be necessary to eliminate RFR
hazards. Reducing power may also be required if other alternatives are
not feasible. All fencing location and design or new tower construction
must be pre-approved by the BLM.

Warning signs will comply with ANSI C95.2 color, symbol, and content
conventions. Contact information including name and telephone number
will also be included on warning signs.

Lowering power levels for on-tower access during maintenance will be
coordinated between affected users.

Any identified RFR radiation problems that are, or could be, a human
health hazard must be corrected within 24 hours after measurement tests
have been completed or be removed from the site by the site user(s). If
the proposed corrective action involves any new ground disturbance, it
must be pre-approved by the BLM.

## Utilities-Availability of and Requirements for:

[Commercial Electrical Power]{.underline}

No commercial power is provided to the site. Due to the remote nature of
the site all power is provide via a combination of solar, wind turbine,
and propane generators.

[Telephone Service]{.underline}

There is no commercial telephone provided to the site.

If additional service is ever deemed necessary, site users will pay for
the cost of:

1.  The necessary resource surveys and reports for service connections;
    and

2.  The cost of constructing service connections.

For visual reasons, overhead utility poles may not be authorized.

[Fuel Tanks]{.underline}

All Facility Owners are responsible for providing fuel storage (propane
and diesel) and emergency power for their tenants. No tenants will be
authorized to have separate fuel tanks and/or generators. Each Facility
Owner will preferably consolidate fuel storage into a tank large enough
in size to accommodate all tenants. At a minimum, tanks will be grouped
together in a consolidated area adjacent to their facilities. All fuel,
storage tanks (e.g. LPG, propane and diesel) must meet current fire
department, Federal, State and County safety and hazardous materials
requirements. Propane is the preferred fuel for future generators

1.  All tanks will be:

> a\. Signed in red letters, "SMOKING OR OPEN FLAME PROHIBITED WITHIN 20
> FEET";
>
> b\. In conformance with National Fire Protection Association (NFPA)
> requirements; and,
>
> c\. Painted an approved color, or screened by an enclosure to blend in
> with the natural environment. If an enclosure is used, it must be
> pre-approved and painted an approved color from the Munsell Soil Color
> Chart, Standard Environmental Colors.
>
> 2\. Diesel tanks will also be:
>
> a\. Enclosed in BLM and fire department approved secondary containment
> vaults that are painted a BLM approved color from the Munsell Soil
> Color Chart, Standard Environmental Colors.
>
> b\. Constructed with underground fuel lines. Fuel line must be
> constructed of black, treated pipe and fittings, and must be posted.

## Sanitary Facilities

> 1\. Plans for any new sanitary facilities must be pre-approved by the
> BLM. If it is determined by the BLM that the users need such
> facilities, they will be provided by the Lease/ROW holder in a manner
> and location satisfactory to the BLM and within the requirements of
> the County Health Department.

## Security and Law Enforcement 

The County Sheriff's Department is the key law enforcement agency for
the area. They are responsible for most civil and criminal matters. The
BLM will be responsible for enforcing matters related to uses of BLM
lands (e.g. resource protection issues).

Gating and controlled access is the key to site security. Patrolling and
policing for security purposes is the holder's responsibility.

Gate and key access must be approved in advance by the BLM and must be
adequate for BLM and County Fire Department access needs.

## Site Maintenance 

The objective of maintenance activities is to present a clean, neat, and
orderly appearance at the site and have all of the authorized
improvements safe for workers and the public. All users will keep up the
overall appearance of the site.

Miscellaneous debris remaining after any construction and/or equipment
installation, removal or modification, is not only a hazard, but can
cause interference or intermodulation problems. In particular, all loose
wire or metal objects are to be removed from the site.

The users of the Site will remove all graffiti within 10 working days of
finding it. If graffiti is on natural features (e.g. rocks), the
graffiti will be removed in a method approved by the BLM authorized
officer.

Holders will not be permitted to leave or dispose of trash, garbage or
cut brush on BLM lands. No outside trash or litter containers will be
provided. Site users (i.e. holders) will remove litter from the site as
it is produced.

Policing of litter in common areas (i.e. areas between buildings and
developed sites) is the shared responsibility of those holders bordering
these areas.

During construction and/or maintenance, paintbrushes will not be cleaned
off on the rocks around the site and excess materials (e.g. cement) will
be removed from BLM land.

Peeling paint on buildings and/or towers will be re-painted within
thirty (30) days of discovery by the Facility Owner or within 10 days of
notification of the holder by the BLM.

## Inspections

Enforcement authority is vested in the BLM as the Communications Site
Administrator for Low Mountain via 43 CFR 2800.

The BLM may conduct an annual inspection of each primary user's
facility. This inspection will verify:

a.  Compliance with technical standards.

b.  Structural integrity.

c.  As-built plan accuracy.

d.  Electromagnetic compatibility.

e.  General site health, safety, and cleanliness.

The BLM shall provide written notice of the scheduled inspection date at
least 30 days in advance. Each primary user shall arrange to have
personnel available at the site at the time of the inspection.

Any non-compliance found shall be forwarded to the BLM and a written
copy of the report shall be forwarded to the violating party or
organization within 30 working days following the inspection. The report
shall include:

a.  A description of the violation.

b.  Corrective action required.

c.  Name, address, and organization of the responsible party.

d.  Time allowed for completion of corrective measures.

e.  Anticipation action in the event of noncompliance with remedial
    instructions.

f.  Method, manner and time allowed for appeal.

Copies of the violation reports and user responses shall be forwarded to
the Technical Standards Committee Chair-person for incorporation into
the annual report.

## Fire Prevention and Hazard Reduction Requirements 

Facility Owners and managers will be required to maintain to mineral
soil, a minimum of (10) feet clearance around their buildings and a
minimum of then (10) feet clearance around any propane tanks or as
specifically directed by the authorized officer to protect tortoise
habitat. Identified threatened, endangered, or sensitive plant species
must remain within the minimum clearance areas.

Smoking is prohibited in flammable vegetation areas.

Roof structure shall be kept reasonably clear of leaves, twigs, and
other debris at all times.

No explosives will be stored at this site. Flammable materials shall be
stored in conformance with the requirements of local fire regulations.
Flammables will be placed in closed containers and stored away from
sources of ignition and combustible materials. If flammables are stored
within a building, the building will be locked, properly signed and well
ventilated.

Approved spark arresters will be required and maintained on all internal
combustion engines.

At least one (1) U.L. rated 40 B:C dry chemical fire extinguisher is
required inside each building. Prior to each June, fire extinguisher(s)
shall be inspected by holders and refilled, if necessary.

Any fire will be immediately reported to "911," the nearest BLM office
and/or County Sheriff.

The BLM authorized officer will make periodic fire prevention
inspections. They will call to the holder's attention any lack of
compliance with the above regulations, plus any other existing hazards.
Compliance with these inspections is required within the time limits
specified in the inspection report.

[]{.mark}

## Access Maintenance and Restrictions

[Roads]{.underline}

Primary access is a graded road from Interstate 15 to within 2 miles of
the site. The first portion of the road to the gypsum mine is maintained
by the mine to a haul standard. Between the mine and the junction 2
miles south of the site is on BLM Road 1009. This road receives
maintenance as funds are available. The final 9,420 feet of road is
included in the ROWs to the Arizona Department of Public Safety and
Western Wireless.

Users who damage or disturb the access road, or any associated
structures, such as ditches, culverts, roadside vegetation, signs and/or
underground utilities or facilities, will be required to repair the road
or associated structures, to conditions equal to or superior to those
prior to any damage or disturbance. This work must be done according to
applicable BLM road maintenance standards and may require the
appropriate NEPA analysis.

[Interior Site Driveways/ Parking Areas]{.underline}

Roads within the communications site will be maintained by the site
users. Interior roads will be planned and approved during establishment
of new facilities. Interior roads will be maintained in a manner to
allow only one entrance to the site. Off-road vehicle use in and around
the site is discouraged.

[Road Closures]{.underline}

Roads on public land are subject to periodic closures to entry during
periods of extreme fire danger, inclement weather, or wet conditions.
Authorized site users may use the site during these general closures, if
advance approval is obtained from the BLM.

+-----------------------------------------------------------------------+
| # CONDITIONS FOR CONSTRUCTION, MODIFICATIONS OR EXPANSION             |
+-----------------------------------------------------------------------+

## New Facility Owner Responsibilities

## In addition to the responsibilities listed in Section III, New Facility Owners and Facility Managers are responsible for: {#in-addition-to-the-responsibilities-listed-in-section-iii-new-facility-owners-and-facility-managers-are-responsible-for .unnumbered}

> 1\. Submitting a complete application to the Arizona Strip Field
> Office prior to any new construction or modifications to existing
> improvements (ATTN: "Realty Specialist"). The application must
> include:

a.  The appropriate cost recovery and application fees.

> b\. A copy of the approved Site Plan Base Map showing all of the
> proposed (new) facilities including structures, towers, and auxiliary
> equipment;
>
> c\. Completed drawings/plans prepared by a registered engineer and
> approved by the BLM;
>
> d\. Identification of any microwave beam paths, a plot of their
> azimuth(s), and their proposed elevation(s) on the tower;
>
> e\. Documentation that shows that proposed facilities will not be
> obstructing, or interfering with, any existing fixed point to point
> antennas, omni directional broadcast antennas, or microwave beam paths
> in the directions of primary population targets. Proposed beam path
> needs must be shown on Site Plan Base Map; and,
>
> f\. Any needed recommendations, changes or modifications to their
> original proposal, based on any required resource surveys and/or
> reports.
>
> 2\. Demonstrating that their proposals will not cause undue
> interference with any existing uses before the BLM can approve new
> facilities. In addition, it is the applicant's responsibility to show
> that any new facilities will make the most efficient use of the
> limited amount of space at the site.
>
> 3\. Showing their proposals will provide for future users without
> additional construction.
>
> 4\. Providing engineering and geotechnical investigations for
> development of specific foundation designs and grading plans.
>
> 5\. Providing an Erosion Control Plan prior to construction
> activities. At a minimum, the Erosion Control Plan must include:
> sediment control, stipulations that cut/fill slopes will be graded and
> contoured to prevent erosion and/or excessive runoff, and
> recommendations for temporary erosion control measures, (e.g. netting,
> silt fences, swales, and/or sediment collection areas).
>
> 6\. Coordinating with other Federal (e.g., FCC and FAA), State, and
> County agencies and obtain all required approvals and/or permits.
>
> 7\. Providing 30-day notice to all Facility Owners/Managers at the
> site, as well as the BLM, of all new frequencies proposed for the
> site. A completed BLM technical data sheet or equivalent must be sent
> with the 30-day notice to allow for comment of potential interference.
> This would be for new frequencies for themselves and their tenants.
>
> 8\. Insuring that all written approvals have been obtained from the
> BLM prior to construction. In addition:

a\. Directional broadcast antennas (e.g. translators) will only be
protected within the arch between their licensed 3 dB points.

b\. New and/or modified facilities will not obstruct existing fixed
point-to-point antennas or omni-directional broadcast antennas in
directions of primary population targets.

## Construction Methods and Resource Protection

Plans submitted by an applicant for any new construction or
modifications shall specify provisions for soil rehabilitation measures
including, but not limited to, soil replacement and stabilization and
for proper handling of runoff from buildings, parking area, access
roads, and undeveloped common areas.

The following methods and resource protection measures will be required
to minimize impacts during construction:

> 1\. Avoid and protect sensitive resource areas, as identified by the
> BLM.
>
> 2\. Compliance with the Erosion Control Plan.
>
> 3\. During construction and/or maintenance, paintbrushes will not be
> cleaned off on rocks around site and no marks of any kind (including
> survey) marks will be permitted on rocks.
>
> 4\. Minimize ground disturbance and vegetation removal as much as
> possible during construction activities. All ground-disturbing
> activities require BLM pre-approval.
>
> 5\. Any extensive cut and fill slopes will be re-vegetated with native
> vegetation species pre-approved by BLM as soon as possible after
> construction. If necessary, reseeding will be required until
> vegetation is successfully established as determined by the BLM.
>
> 6\. No grading material will be cast off during
> construction/reconstruction activities. Excess soil can be used for
> fill material on road and/or building/tower pads.
>
> 7\. Temporary, on-site storage of construction materials will require
> pre-approval by the BLM.
>
> 8\. Construction materials and supplies, except for hazardous
> materials (see number 10. below) may be left unattended at the
> construction site at the end of each workday, but at the owner's risk.
>
> 9\. Hazardous materials, including, but not limited to all fuels,
> oils, and lubricants are not to be left unattended at the site at any
> time. During construction, these materials are to be removed from the
> site at the end of each workday, or temporarily stored inside a locked
> and signed building until the following workday.
>
> 10\. All surplus construction materials and/or waste debris must be
> removed from the site no later than thirty (30) days after
> construction has been completed.
>
> 11\. Any earth moving or heavy equipment (e.g. dozers, graders,
> cranes, backhoes, etc.) leaving the designated roadway and/or approved
> parking area(s) to perform authorized activities at the site, will be
> power washed prior to being brought onto public lands to prevent the
> introduction and spread of noxious weeds into the area.

## Construction Inspection

1\. All new construction, reconstruction, or major modification shall
conform to the established technical standards and accepted engineering
practices (i.e., the Uniform Building Code).

2\. Any construction inspections required by other applicable agencies
are the responsibility of the lessee/holder. Copies of completed
inspections are to be provided to the BLM authorized officer, either as
they occur or as part of the final as-built plan. Inspection information
shall become a permanent part of the proponent's Lease/ROW case file.

3\. The Lessee/Holder agrees that corrective work detailed in BLM, or
other agency required compliance inspections, would be completed by the
scheduled completion date. If the Lessee/Holder disagrees or has
questions about specific items, the Lessee/Holder must contact the BLM
in order that the disagreement or item may be resolved.

4\. A final set of as-built plans will be submitted to the BLM
authorized officer within 90 days of acceptance of structure (if
contracted) or of completion date.

## New or Remodeled/Expanded Buildings

1.  Any new buildings must be designed to accommodate multiple users
    along with fitting into the physical environment as defined in a
    site-specific environmental analysis developed at the time of the
    proposal.

2.  Buildings are required to be one-story, flat roofed. The roof must
    be metal or covered with metal to be fire resistant. Roofs can be
    equipped with antenna support structures, such as poles and railings
    that can extend up to 25-feet above ground level.

3.  Facility Owners and Facility Managers are encouraged to construct
    the interior of their buildings in a modular fashion, so that they
    can:

> a\. Sublease sections to others;
>
> b\. Provide tenants and customers with internal separation and
> security;
>
> c\. Reduce physical interference; and
>
> d\. Increase management effectiveness.

4.  The following materials are approved for construction of new
    facilities (i.e. buildings)

#### a. Floors -- Concrete slab with drainage. {#a.-floors-concrete-slab-with-drainage. .unnumbered}

> b\. Walls -- Concrete block, metal or pre-fabricated concrete.
>
> c\. Roof -- Metal, or concrete, if painted to eliminate shiny
> surfaces, or other fireproof material as approved by the BLM.
> Proposals for wooden roofs will not be approved.
>
> d\. Partitions -- If it is felt partitions are necessary in buildings,
> ensure they are constructed with fire resistant material (e.g.,
> concrete block, reinforced concrete, or properly grounded fencing).
>
> e\. Color -- Proposed color for use on all exterior building surfaces
> must be pre-approved by the BLM. The goal of the color selection for
> the facilities is to make the building as inconspicuous as possible
> and make buildings located on the skyline look inconspicuous when
> viewed from a distance. The intent is to reduce or eliminate glare
> from reflective and/or illuminated surfaces such as windowpanes,
> sheeting and reflective paints. Non-reflective, BLM approved colors
> will be used on equipment buildings; the standardized color for Low
> Mountain is Slate Gray, Munsell Soil Color No. 5Y 6/1 or Shale Green,
> Munsell Soil Color No. 5Y 4/2.

5.  Building entry lights must:

> a\. Only light the immediate area in the vicinity of the door;
>
> b\. Be motion activated and have a limited time duration (e.g., 3-5
> minutes); and
>
> c\. Have a shielded beam that is pointed at the building door.
>
> Requests for all-night (i.e. "dusk-to-dawn") lighting, or entry
> lighting that would be visible from outside of the site will not be
> approved.

## New or Remodeled/Expanded Towers

1.  All new construction, reconstruction, and modifications to towers
    will be pre-approved by the BLM prior to implementation.

2.  It is the applicant/holder's responsibility to assure that a new, or
    modified, structure will not unduly interfere electronically or
    physically with any existing equipment at the site. Towers must be
    spaced, so as to prevent ground level radiation and/or interference
    problems. This must be clearly demonstrated in writing to the BLM
    prior to issuance of a Lease/ROW or amendment.

3.  All new towers will comply with current structural and safety
    specifications and design standards, including safety-climbing
    devices. Towers should be as narrow and "open" as safety and
    structural integrity allow. New towers will be designed using
    maximum wind, snow, and/or tower loading anticipated for the site.

+-----------------------------------------------------------------------+
| # SITE ASSOCIATION/ADVISORY GROUP                                     |
+-----------------------------------------------------------------------+

A Site Users' Association is probably not needed at this time at this
site. If demand and additional facilities are approved in the future, a
Users Association may be desirable.

The goal of the Site User's Association will be to maximize the
effective use of the site. The objective of a sanctioned association
will be to represent all site users as a group when dealing with the
BLM, Arizona Strip Field Office on matters relating to the Site
administration. The association will be able to work in cooperation with
the BLM (BLM) to identify problems or opportunities and make
recommendations to the BLM for any changes in management strategies at
the site. The association could also provide input to the BLM regarding
the future addition of equipment and facilities at the site. While the
advice and recommendations of the association would not be binding on
the BLM, the BLM could use the input for administration of the site. The
BLM would be a member of such a group and would help jointly develop the
charter (i.e., the ground rules).

+-----------------------------------------------------------------------+
| # APPENDICIES                                                         |
+-----------------------------------------------------------------------+

## Site Map

## Authorized Facilities

## Site Photographs

## Inspection Checklist

**APPENDIX A**

**SITE MAP**

![](media/image3.wmf)

**APPENDIX B**

**LESEE FACILITY TABLE**

**(See associated User's Table on this Website)**

+------------+-------+---------+-------+------+-----------+---------+
|            | **A   | **Use** | **    | *    | **Access/ | **      |
|            | uth** |         | Build | *Tow | Parking** | Other** |
|            |       |         | ing** | er** |           |         |
|            | *     |         |       |      |           |         |
|            | *\#** |         |       |      |           |         |
+============+=======+=========+=======+======+===========+=========+
| **Facility | **    | *       | **8'x | *    | **Access  | **Solar |
| \# 1**     | AZA-6 | *PMRS** | 10'   | *60' | road and  | panels, |
|            | 609** |         | bl    | l    | parking** | Wind    |
| **AZ       |       |         | ock** | atti |           | tur     |
| Department |       |         |       | ce** | **50'x    | bine,** |
| of Public  |       |         |       |      | 9,420'    |         |
| Safety**   |       |         |       |      | RW**      | **Batt  |
|            |       |         |       |      |           | eries** |
+------------+-------+---------+-------+------+-----------+---------+
|            |       |         |       |      |           |         |
+------------+-------+---------+-------+------+-----------+---------+
| **Facility | **A   | **CEL** | *     | **   | **Access  | **60'x  |
| #2**       | ZA-30 |         | *10'x | 120' | and       | 8'      |
|            | 856** |         | 20'   | l    | parking** | solar   |
| **Western  |       |         | me    | atti |           | panel   |
| Wireless** |       |         | tal** | ce** |           | array** |
|            |       |         |       |      |           |         |
|            |       |         |       |      |           | **50'   |
|            |       |         |       |      |           | guyed   |
|            |       |         |       |      |           | tower   |
|            |       |         |       |      |           | wind    |
|            |       |         |       |      |           | tu      |
|            |       |         |       |      |           | rbine** |
|            |       |         |       |      |           |         |
|            |       |         |       |      |           | **1000  |
|            |       |         |       |      |           | gal     |
|            |       |         |       |      |           | pr      |
|            |       |         |       |      |           | opane** |
|            |       |         |       |      |           |         |
|            |       |         |       |      |           | **20kw  |
|            |       |         |       |      |           | gene    |
|            |       |         |       |      |           | rator** |
+------------+-------+---------+-------+------+-----------+---------+
|            |       |         |       |      |           |         |
+------------+-------+---------+-------+------+-----------+---------+

**APPENDIX C**

**SITE PHOTOGRAPHS**

![](media/image4.jpeg){width="2.91875in" height="3.8854166666666665in"}

![](media/image5.jpeg){width="3.0590277777777777in"
height="4.072916666666667in"}

**APPENDIX D**

**INSPECTION CHECKLIST**

"Low Mountain Annual Technical Inspection"

Date Inspected:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Time
Inspection:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Permit Holder:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Authorization \#
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Site Technician :
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Phone \#
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Number of Transmitters \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
License Posted
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

*Please mark the following Items as Acceptable (A) or Unacceptable (U).*

Electrical Wiring \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- (A) (U)
Grounding \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- (A) (U)

Equipment Installation \-\-\-\-\-\-\-\-\-\-\-- (A) (U) Housekeeping
\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- (A) (U)

Building Repair \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- (A) (U) Tower
Repair \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- (A) (U)

*Please mark the following Items as Yes (Y) or NO (N) or (NA)*

Isolators \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- (Y)
(N) (NA) Circulators \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- (Y) (N)
(NA)

Cavities \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- (Y)
(N) (NA) Terminators \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- (Y) (N)
(NA)

Filters \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--
(Y) (N) (NA) Lightning Protection \-\-\-\-\-\-\-\-\-- (Y) (N) (NA)

Comments:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Recommended Corrective Action:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Required Corrective Action To Be Taken:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Committee Representatives:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Bureau of Land Management Representatives:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

*Please make the required corrective action within the next 120 days.*

*Please make a written report of corrective action taken and submit to
the BLM in St George. If you should have any questions, please call the
BLM office.*