**FAA Form 7460-1**

*Please Type or Print on This Form* Form Approved OMB No. 2120-0001

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| height=      |   | Information May  |          |      | O |     |    |
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| 66666667in"} |   | of Your Notice*  |          |      | F |     |    |
|              |   |                  |          |      | A |     |    |
| U.S.         |   | **Notice of      |          |      | A |     |    |
| Department   |   | Proposed         |          |      | U |     |    |
| of           |   | Construction or  |          |      | S |     |    |
| Tr           |   | Alteration**     |          |      | E |     |    |
| ansportation |   |                  |          |      | O |     |    |
|              |   |                  |          |      | N |     |    |
| **Federal    |   |                  |          |      | L |     |    |
| Aviation     |   |                  |          |      | Y |     |    |
| Admi         |   |                  |          |      | * |     |    |
| nistration** |   |                  |          |      | * |     |    |
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|              |   |                  |          |      | y |     |    |
|              |   |                  |          |      | N |     |    |
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|              |   |                  |          |      | m |     |    |
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|              |   |                  |          |      | - |     |    |
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|              |   |                  |          |      | - |     |    |
+--------------+---+------------------+----------+------+---+-----+----+
| **1.**       |   |                  | **9.     |      |   |     |    |
| **Sponsor**  |   |                  | Lat      |      |   |     |    |
| *(person,    |   |                  | itude:** |      |   |     |    |
| company,     |   |                  | **\_\_   |      |   |     |    |
| etc.         |   |                  | \_\_\_\_ |      |   |     |    |
| proposing    |   |                  | \_\_\_   |      |   |     |    |
| this action) |   |                  | \_\_\_\' |      |   |     |    |
| :*           |   |                  | \_\_\    |      |   |     |    |
|              |   |                  | _\_\_\_. |      |   |     |    |
| Attn. of:    |   |                  | \_\_\_\_ |      |   |     |    |
|              |   |                  | \_\_\"** |      |   |     |    |
| Name:        |   |                  |          |      |   |     |    |
|              |   |                  | **10.    |      |   |     |    |
| Address:     |   |                  | Lo       |      |   |     |    |
|              |   |                  | ngitude: |      |   |     |    |
| City: State: |   |                  | \_\_     |      |   |     |    |
| Zip:         |   |                  | \_\_\_\_ |      |   |     |    |
|              |   |                  | \_\_\_   |      |   |     |    |
| Telephone:   |   |                  | \_\_\_\' |      |   |     |    |
| Fax:         |   |                  | \_\_\    |      |   |     |    |
|              |   |                  | _\_\_\_. |      |   |     |    |
| **2.         |   |                  | \_\_\_\_ |      |   |     |    |
| Sponsor\'s   |   |                  | \_\_\"** |      |   |     |    |
| Repr         |   |                  |          |      |   |     |    |
| esentative** |   |                  | **11.    |      |   |     |    |
| *(if other   |   |                  | Datum:** |      |   |     |    |
| than #1) :*  |   |                  | NAD 83   |      |   |     |    |
|              |   |                  | NAD 27   |      |   |     |    |
| Attn. of:    |   |                  | Other    |      |   |     |    |
| [**     **]  |   |                  |          |      |   |     |    |
| {.underline} |   |                  | **12.    |      |   |     |    |
|              |   |                  | Ne       |      |   |     |    |
| Name:        |   |                  | arest:** |      |   |     |    |
| [**     **]  |   |                  | City:    |      |   |     |    |
| {.underline} |   |                  | State:   |      |   |     |    |
|              |   |                  |          |      |   |     |    |
| Address:     |   |                  | **13.    |      |   |     |    |
| [**     **]  |   |                  | Nearest  |      |   |     |    |
| {.underline} |   |                  | Publ     |      |   |     |    |
|              |   |                  | ic-use** |      |   |     |    |
| [**     **]  |   |                  | (not     |      |   |     |    |
| {.underline} |   |                  | priv     |      |   |     |    |
|              |   |                  | ate-use) |      |   |     |    |
| City:        |   |                  | or       |      |   |     |    |
| [**     **]  |   |                  | Military |      |   |     |    |
| {.underline} |   |                  | Airport  |      |   |     |    |
| State:       |   |                  | or       |      |   |     |    |
| [**     **]  |   |                  | Heliport |      |   |     |    |
| {.underline} |   |                  | :**[     |      |   |     |    |
| Zip:         |   |                  |  ]{.unde |      |   |     |    |
| [**     **]  |   |                  | rline}** |      |   |     |    |
| {.underline} |   |                  |          |      |   |     |    |
|              |   |                  | **14.    |      |   |     |    |
| Telephone:   |   |                  | Distance |      |   |     |    |
| [**     **]  |   |                  | from     |      |   |     |    |
| {.underline} |   |                  | #13.**   |      |   |     |    |
| Fax:         |   |                  | to       |      |   |     |    |
| [**     **]  |   |                  | St       |      |   |     |    |
| {.underline} |   |                  | ructure: |      |   |     |    |
|              |   |                  |          |      |   |     |    |
| **3. Notice  |   |                  | **15.    |      |   |     |    |
| of:** New    |   |                  | D        |      |   |     |    |
| Construction |   |                  | irection |      |   |     |    |
| Alteration   |   |                  | from     |      |   |     |    |
| Existing     |   |                  | #13.**   |      |   |     |    |
|              |   |                  | to       |      |   |     |    |
| **4.         |   |                  | St       |      |   |     |    |
| Duration:**  |   |                  | ructure: |      |   |     |    |
| Permanent    |   |                  |          |      |   |     |    |
| Temporary    |   |                  | **16.    |      |   |     |    |
| (**          |   |                  | Site     |      |   |     |    |
|    **months, |   |                  | Ele      |      |   |     |    |
| **   **days) |   |                  | vation** |      |   |     |    |
|              |   |                  | *        |      |   |     |    |
| **5. Work    |   |                  | (AMSL):* |      |   |     |    |
| Schedule:**  |   |                  | **ft.**  |      |   |     |    |
| Beginning    |   |                  |          |      |   |     |    |
| End          |   |                  | **17.    |      |   |     |    |
|              |   |                  | Total    |      |   |     |    |
| **6. Type:** |   |                  | S        |      |   |     |    |
| Antenna      |   |                  | tructure |      |   |     |    |
| Tower Crane  |   |                  | Height** |      |   |     |    |
| Building     |   |                  | *(AGL):* |      |   |     |    |
| Power Line   |   |                  | **ft.**  |      |   |     |    |
|              |   |                  |          |      |   |     |    |
| Landfill     |   |                  | **18.    |      |   |     |    |
| Water Tank   |   |                  | Overall  |      |   |     |    |
| Other        |   |                  | height   |      |   |     |    |
|              |   |                  | (#16. +  |      |   |     |    |
| **7.         |   |                  | #17.)**  |      |   |     |    |
| Mark         |   |                  | *        |      |   |     |    |
| ing/Painting |   |                  | (AMSL):* |      |   |     |    |
| and/or       |   |                  | **ft.**  |      |   |     |    |
| Lighting     |   |                  |          |      |   |     |    |
| Preferred:** |   |                  | **19.    |      |   |     |    |
|              |   |                  | Previous |      |   |     |    |
| Red Lights   |   |                  | FAA      |      |   |     |    |
| and Paint    |   |                  | Aero     |      |   |     |    |
| Dual - Red   |   |                  | nautical |      |   |     |    |
| and Medium   |   |                  | Study    |      |   |     |    |
| Intensity    |   |                  | Number** |      |   |     |    |
| White        |   |                  | (if      |      |   |     |    |
|              |   |                  | appl     |      |   |     |    |
| White -      |   |                  | icable): |      |   |     |    |
| Medium       |   |                  |          |      |   |     |    |
| Intensity    |   |                  | \- OE    |      |   |     |    |
| Dual - Red   |   |                  |          |      |   |     |    |
| and High     |   |                  | **20.    |      |   |     |    |
| Intensity    |   |                  | Des      |      |   |     |    |
| White        |   |                  | cription |      |   |     |    |
|              |   |                  | of       |      |   |     |    |
| White - High |   |                  | Loc      |      |   |     |    |
| Intensity    |   |                  | ation:** |      |   |     |    |
| Other        |   |                  | (Attach  |      |   |     |    |
|              |   |                  | a USGS   |      |   |     |    |
| **8. FCC     |   |                  | 7.5      |      |   |     |    |
| Antenna      |   |                  | minute   |      |   |     |    |
| Structure    |   |                  |          |      |   |     |    |
| Registration |   |                  | Qu       |      |   |     |    |
| Number**     |   |                  | adrangle |      |   |     |    |
| *(if         |   |                  | Map with |      |   |     |    |
| a            |   |                  | the      |      |   |     |    |
| pplicable):* |   |                  | precise  |      |   |     |    |
|              |   |                  | site     |      |   |     |    |
|              |   |                  | marked   |      |   |     |    |
|              |   |                  | and any  |      |   |     |    |
|              |   |                  | c        |      |   |     |    |
|              |   |                  | ertified |      |   |     |    |
|              |   |                  | survey.) |      |   |     |    |
+--------------+---+------------------+----------+------+---+-----+----+
| **21.        |   |                  |          |      |   | Fre |    |
| Complete     |   |                  |          |      |   | que |    |
| Description  |   |                  |          |      |   | ncy |    |
| of           |   |                  |          |      |   | /Po |    |
| Proposal:**  |   |                  |          |      |   | wer |    |
|              |   |                  |          |      |   | (   |    |
|              |   |                  |          |      |   | kW) |    |
+--------------+---+------------------+----------+------+---+-----+----+
|              |   |                  |          |      |   |     |    |
+--------------+---+------------------+----------+------+---+-----+----+
|              |   |                  |          |      |   |     |    |
+--------------+---+------------------+----------+------+---+-----+----+
| Notice is    |   |                  |          |      |   |     |    |
| required by  |   |                  |          |      |   |     |    |
| 14 Code of   |   |                  |          |      |   |     |    |
| Federal      |   |                  |          |      |   |     |    |
| Regulations, |   |                  |          |      |   |     |    |
| part 77      |   |                  |          |      |   |     |    |
| pursuant to  |   |                  |          |      |   |     |    |
| 49 U.S.C.,   |   |                  |          |      |   |     |    |
| Section      |   |                  |          |      |   |     |    |
| 44718.       |   |                  |          |      |   |     |    |
| Persons who  |   |                  |          |      |   |     |    |
| knowingly    |   |                  |          |      |   |     |    |
| and          |   |                  |          |      |   |     |    |
| willingly    |   |                  |          |      |   |     |    |
| violate the  |   |                  |          |      |   |     |    |
| notice       |   |                  |          |      |   |     |    |
| requirements |   |                  |          |      |   |     |    |
| of part 77   |   |                  |          |      |   |     |    |
| are subject  |   |                  |          |      |   |     |    |
| to a civil   |   |                  |          |      |   |     |    |
| penalty of   |   |                  |          |      |   |     |    |
| \$1,000 per  |   |                  |          |      |   |     |    |
| day until    |   |                  |          |      |   |     |    |
| the notice   |   |                  |          |      |   |     |    |
| is received, |   |                  |          |      |   |     |    |
| pursuant to  |   |                  |          |      |   |     |    |
| 49 U.S.C.,   |   |                  |          |      |   |     |    |
| section      |   |                  |          |      |   |     |    |
| 46301 (a).   |   |                  |          |      |   |     |    |
+--------------+---+------------------+----------+------+---+-----+----+
| **I hereby   |   |                  |          |      |   |     |    |
| certify that |   |                  |          |      |   |     |    |
| all of the   |   |                  |          |      |   |     |    |
| above        |   |                  |          |      |   |     |    |
| statements   |   |                  |          |      |   |     |    |
| made by me   |   |                  |          |      |   |     |    |
| are true,    |   |                  |          |      |   |     |    |
| complete,    |   |                  |          |      |   |     |    |
| and correct  |   |                  |          |      |   |     |    |
| to the best  |   |                  |          |      |   |     |    |
| of my        |   |                  |          |      |   |     |    |
| knowledge.   |   |                  |          |      |   |     |    |
| In addition, |   |                  |          |      |   |     |    |
| I agree to   |   |                  |          |      |   |     |    |
| mark and/or  |   |                  |          |      |   |     |    |
| light the    |   |                  |          |      |   |     |    |
| structure in |   |                  |          |      |   |     |    |
| accordance   |   |                  |          |      |   |     |    |
| with         |   |                  |          |      |   |     |    |
| established  |   |                  |          |      |   |     |    |
| marking and  |   |                  |          |      |   |     |    |
| lighting     |   |                  |          |      |   |     |    |
| standards as |   |                  |          |      |   |     |    |
| necessary.** |   |                  |          |      |   |     |    |
+--------------+---+------------------+----------+------+---+-----+----+
| Date         | T |                  |          | S    |   |     |    |
|              | y |                  |          | igna |   |     |    |
|              | p |                  |          | ture |   |     |    |
|              | e |                  |          |      |   |     |    |
|              | d |                  |          |      |   |     |    |
|              | o |                  |          |      |   |     |    |
|              | r |                  |          |      |   |     |    |
|              | P |                  |          |      |   |     |    |
|              | r |                  |          |      |   |     |    |
|              | i |                  |          |      |   |     |    |
|              | n |                  |          |      |   |     |    |
|              | t |                  |          |      |   |     |    |
|              | e |                  |          |      |   |     |    |
|              | d |                  |          |      |   |     |    |
|              | n |                  |          |      |   |     |    |
|              | a |                  |          |      |   |     |    |
|              | m |                  |          |      |   |     |    |
|              | e |                  |          |      |   |     |    |
|              | a |                  |          |      |   |     |    |
|              | n |                  |          |      |   |     |    |
|              | d |                  |          |      |   |     |    |
|              | T |                  |          |      |   |     |    |
|              | i |                  |          |      |   |     |    |
|              | t |                  |          |      |   |     |    |
|              | l |                  |          |      |   |     |    |
|              | e |                  |          |      |   |     |    |
|              | o |                  |          |      |   |     |    |
|              | f |                  |          |      |   |     |    |
|              | P |                  |          |      |   |     |    |
|              | e |                  |          |      |   |     |    |
|              | r |                  |          |      |   |     |    |
|              | s |                  |          |      |   |     |    |
|              | o |                  |          |      |   |     |    |
|              | n |                  |          |      |   |     |    |
|              | F |                  |          |      |   |     |    |
|              | i |                  |          |      |   |     |    |
|              | l |                  |          |      |   |     |    |
|              | i |                  |          |      |   |     |    |
|              | n |                  |          |      |   |     |    |
|              | g |                  |          |      |   |     |    |
|              | N |                  |          |      |   |     |    |
|              | o |                  |          |      |   |     |    |
|              | t |                  |          |      |   |     |    |
|              | i |                  |          |      |   |     |    |
|              | c |                  |          |      |   |     |    |
|              | e |                  |          |      |   |     |    |
+--------------+---+------------------+----------+------+---+-----+----+

**FAA Form 7460-1** (2-99) Supercedes Previous Edition NSN:
0052-00-012-0008

**[ITEM #1]{.underline}.** Please include the name, address, and phone
number of a personal contact point as well as the company name.

**[ITEM #2]{.underline}.** Please include the name, address, and phone
number of a personal contact point as well as the company name.

**[ITEM #3]{.underline}.** New Construction would be a structure that
has not yet been built.

Alteration is a change to an existing structure such as the addition of
a side mounted antenna, a change to the marking and lighting, a change
to power and/or frequency, or a change to the height. The nature of the
alternation shall be included in **ITEM #21 "**Complete Description of
Proposal." Existing would be a correction to the latitude and/or
longitude, a correction to the height, or if filing on an existing
structure which has never been studied by the FAA. The reason for the
notice shall be included in **ITEM #21** \"Complete Description of
Proposal\".

**[ITEM #4]{.underline}.** If Permanent, so indicate. If Temporary, such
as a crane or drilling derrick, enter the estimated length of time the
temporary structure will be up.

**[ITEM #5]{.underline}.** Enter the date that construction is expected
to start and the date that construction should be completed.

**[ITEM #6]{.underline}.** Please indicate the type of structure. **DO
NOT LEAVE BLANK.**

**[ITEM #7]{.underline}.** In the event that obstruction marking and
lighting is required, please indicate type desired. If no preference,
check "other" and indicate "no preference." **DO NOT LEAVE BLANK. *NOTE:
****High intensity lighting shall be used only for structures over
500\'AGL.* In the absence of high intensity lighting for structures over
500\' AGL, marking is also required.

**[ITEM #8]{.underline}.** If this is an existing tower that has been
registered with the FCC, enter the FCC Antenna Structure Registration
number here.

[**ITEM #9** and **#10**]{.underline}**.** Latitude and longitude must
be geographic coordinates, accurate to within the nearest second or to
the nearest hundredth of a second if known. Latitude and longitude
derived solely from **a hand-held GPS instrument is NOT acceptable.** A
hand-held GPS is only accurate to within 100 meters *(328 feet)* 95 per
cent of the time. This data, when plotted, should match the site
depiction submitted under **ITEM #20.**

**[ITEM #11]{.underline}.** NAD 83 is preferred; however,
latitude/longitude may be submitted in NAD 27. Also, in some geographic
areas where NAD 27 and NAD 83 are not available other datums may be
used. It is important to know which datum is used. **DO NOT LEAVE
BLANK.**

**[ITEM #12.]{.underline}** Enter the name of the nearest city/state to
the site. If the structure is or will be in a city, enter the name of
that city/state.

**[ITEM#13]{.underline}.** Enter the full name of the nearest public-use
(not private-use) airport (or heliport) or military airport (or
heliport) to the site.

**[ITEM #14]{.underline}.** Enter the distance **from** the airport or
heliport listed in **#13 to the structure.**

**[ITEM #15]{.underline}.** Enter the direction **from** the airport or
heliport listed in **#13 to the structure.**

**[ITEM #16]{.underline}.** Enter the site elevation above mean sea
level and expressed in **whole feet** rounded to the nearest foot (e.g.
17\' 3\" rounds to 17\', 17\'6\" rounds to 18\'). This data should match
the ground contour elevations for site depiction submitted under **ITEM
#20.**

**[ITEM #17]{.underline}.** Enter the total structure height **above
ground level** in **whole feet** rounded to the **next highest foot**
(e.g. 17\'3\" rounds to 18\'). **The total structure height shall
include anything mounted on top of the structure, such as antennas,
obstruction lights, lightning rods, etc.**

**[ITEM #18]{.underline}.** Enter the overall height above mean sea
level expressed in **whole feet.** This will be the total of **ITEM
#16 + ITEM #17.**

**[ITEM #19]{.underline}.** If an FAA aeronautical study was previously
conducted, enter the previous study number.

**[ITEM #20]{.underline}.** Enter the relationship of the structure to
roads, airports, prominent terrain, existing structures, etc. Attach an
8-1/2\" X 11\" non-reduced copy of the appropriate 7.5 minute U.S.
Geological Survey (USGS) Quadrangle Map MARKED WITH A PRECISE INDICATION
OF THE SITE LOCATION. To obtain maps, Contact USGC at 1-800-435-7627 or
via Internet at http://mapping.usgs.gov. If available, attach a copy of
a documented site survey with the surveyor\'s certification stating the
amount of vertical and horizontal accuracy in feet.

**[ITEM #21]{.underline}.**

-   For transmitting stations, include maximum effective radiated power
    (ERP) and all frequencies.

-   For antennas, include the type of antenna and center of radiation
    *(Attach the antenna pattern, if available).*

-   For microwave, include azimuth relative to true north.

-   For overhead wires or transmission lines, include size and
    configuration of wires and their supporting structures *(Attach
    depiction).*

-   For **each** pole/support, include coordinates, site elevation, and
    structure height above ground level or water.

-   For buildings, include site orientation, coordinates of **each**
    corner, dimensions, and construction materials,

-   For alterations, explain the alteration thoroughly,

-   For existing structures, thoroughly explain the reason for notifying
    the FAA *(e.g. corrections, no record of previous study, etc.).*

**Filing this information with the FAA does not relieve the sponsor of
this construction or alteration from complying with any other federal
state or local rules or regulations. If you are not sure what other
rules or regulations apply to your proposal, contact local/state
aviation and zoning authorities.**

**[Paperwork Reduction Work Act Statement]{.underline}:** This
information is collected to evaluate the effect of proposed construction
or alteration on air navigation and is not confidential. Providing this
information is mandatory for anyone proposing construction or alteration
that meets or exceeds the criteria contained in 14 CFR, Part 77. The OMB
control number for this collection is 2120-0001. FAA Form 7460-1 (2-99)