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ZON2015-00001
• JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: VERIZON WIRELESS CASCADIA PM 5501 NE 109TH COURTA-2 VANCOUVER WA 98662 DATE ISSUED: March 18, 2015 DATE EXPIRES: March 18, 2016 MLA NUMBER: MLA15-00001 PROJECT PLANNER: Joel Peterson PROJECT DESCRIPTION: TO BE REVIEWED WITH ZON 15-00001 INSTALLATION OF A 15X 30 WIRELESS TELECOMMUNICATION FACILITY THAT WILL BE OUTSIDE THE EXISTING FENCED COMPOUND. INSTALLATION OF 12 PANEL ANTENNAS LOCATED ON THE EXISTING 168' LATTICE TOWER. Land Use and Building Permits for the installation of a 15'x 30'wireless telecommunication equipment enclosure outside of the existing fenced compound. Ground-mounted equipment includes wireless equipment cabinets and generator that will be mounted to separate concrete pads. Installation of 12 panel antennas are to be located on the existing 168' lattice tower. The application is subject to review under the State Environmental Policy Act (SEPA). PROJECT LOCATION: Parcel#901-231-004. S23 T29 R1 W. Site Address: 1219 Center Road, Chimacum, WA. CONDITIONS: 1.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 2.) Wireless communications facilities including attached or colocated antennas, towers, and equipment enclosures shall be painted a non-reflective color that blends with the surroundings. Appropriate colors may include earth tones and muted grays, blues, and greens in broken patterns. 3.) Noise generated by a wireless facility shall not exceed the maximum environmental noise levels set forth in Chapter 173-60 WAC as it is now in effect or hereafter amended. 4.) Existing vegetation that conceals or screens a proposed facility from view(including antennas, towers, and equipment enclosures) shall be preserved to the greatest extent feasible consistent with the operation of the facility. If existing vegetation is not adequate to screen the facility, additional vegetation shall be planted in order to adequately screen the facility. For all screening, the use of trees with significant height and fullness upon maturity shall be required. 5.) Security lighting for equipment enclosures shall be minimized. It shall be oriented downward and shielded so that the light falls only within the boundaries of the property and shall be triggered only by a motion sensor. 6.) jmp FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) The application was reviewed by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the project area DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 3.) The wireless telecommunication facility project was reviewed under the State Environmental Policy Act(SEPA) by Jefferson County acting as lead agency. A Determination of Non-Significance (DNS)was issued on March 18, 2015. 4.) The site plan as submitted with the Chimacum Installation of Wireless Telecommunication Facility application, CPM Project No. 7740, on January 6, 2015 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated March 18, 2015 shall be resubmitted for review and approval by Jefferson Coun Department of Community Development. • 5.) This approval is for the Chimacum Installation of Wireless Telecommunication Facility, CPM Project No. 7740 only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 6.) Due to the remoteness of the site and no other closely adjacent uses where screening may be required, the density of existing vegetation is sufficient to meet landscaping and screening requirements for the proposed facility. 7.) NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. Portions of Jefferson County, including marine environments are included as "critical habitat"for listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile)of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a"take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. APPEALS: Pursuant to RCW 36.70C,the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one (21) calendar days of the date of issuance of this land use decision. For more information related to judical appeals see JCC 18.40.340. The Threshold Determination for this Type I Permit may not be appealed to the Hearing Examiner. For more information related to SEPA appeals see JCC 18.40.810. a _,rte% 3/i`S/' /i UDC Administra or M LA15-00001 \\tidemark\data\forms\F_MLT_IssuePermit_U.rpt 3/18/2015 Page 2 of 2 m z 7J 0 m 0 m 13 0 hm - m Z m Apo- n >0> °Z r ®0 4D �yo ®0 40 Hz_- m mz �m N 0 Ji 40 m< z DN- c p K- 0 z7 r °z m m z 7 -I < -mM r m z mMOm cb H 00 100 2m x o r -, ----_ / cnru= ADO �� yv mb b -OZ m0 iom nib DO �m� D� �O X�Z, Z° �D Z fATI Z r N Z 0Dm Om pm bum _ r coOm -im -+Z \. / -4Zfn F_ co 00mN rm-Z co T x m -1O or T °O zcnz cnZ Dm x \ / C)D o m3, `n mn 0 r D3 .< mo- -G) mm r — m m v- m C m G)D O r , 410 4D Z OG) rZr Zm �m ------x--- .__._.. i ,. x ......_-_ - ------ ----- ,: ----, --- - -__,;... m -0-1 m D -D• % m= �T Doan mg mm �) E ,i z m ---.. I c-ON ° I1� �.. `-__._ o x ZS m m 0 ;� . �-Wmc^ x \ / i U zcn ° \l �� m m Do _ m N c. J 0 m m D S m 2 s a �� D� r _O m (ID X �A '0 / mO(mn nZ >0 mo DO / D"g m� X, V h Co 55 Tm ° Z mz, C =m !, m m mSD D?7 x m ,� ,_^ . mcn rmz >Z m DAm a,p< 6 m m mz z DT. 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INSTALLATION OF 12 PANEL ANTENNAS LOCATED ON THE EXISTING 168'LATTICE TOWER. PRJ15-00001 ZON15-00001 I Land Use Permit and Building Permit for the installation of a l5' x 30'wireless telecommunication equipment enclosure outside of the existing fenced compound Ground-mounted equipment includes wireless equipment cabinets and generator that will be mounted to separate concrete pads.Installation of 12 panel antennas are to be located on the existing 168'lattice tower. The application is subject to review under the State Environmental Policy Act(SEPA). Primary: TIMBERLANDS HOLDING COMPANY Site Address: 1901 ISLAND WALKWAY 1219 CENTER RD FERNANDINA BEACH FL 32034-4732 CHIMACUM WA, 98325 REP VERIZON WIRELESS/CASCADIA PM 5501 NE 109TH COURT, A-2 VANCOUVER WA 98662 Project Location: Parcel Number: 901231004 S-T-R: 23-29N-1W Total Acreage 240 Legal Description S23 T29 R1W SW NE, SE1/4(LS W1/2 W1/2 W1/2 NW Land Use: 8800 SE)TX 4, TAX 10(LS TX 12) Flood District: _ Fire District: 0 Planning Area: Flood Map (FIRM) Panel No: chool D 49 Zoning: (F'Q COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans ] Plot plan states "property line" [ ] Assessor's Map (Property lines on submitted plot plan must match the pnperty lines as identified on theAssessor's 1/4 map) [1] Legal Access to Property & N NI] Parcel Tags or Scanned Documents �S NO FP,4 in ;1, 1,,rns CJ4I'k,i.d(. �} ESA's: Special Reports Nearby YES i`i Designated Ag YES [ Shoreline Designation: YES Shoreline Slope St. .'lity: YES 410, Stream Type:YES NO Q(sci,k.erst e,,,A eacc-ti FWHCA: YES iab Wetlands: YES Rare Plants:YES c9 Seismic: YES Landslide: NO No) %.0 idargye n, -e c\ Flood: YES Erosion: 44) NO (Yc ;,i �J Aquifer Recharge Area NO , ,q- r / d py f _ SIPZ: none At Ris High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site elan submitted: Yew [�] Forest Lands: NO CF8b Adjoining Forest Lands: ____ Commercial/ Rural/ Inholding Mineral Lands: YES Agricultural Lands:`--mss [ Archaeology: YES No Shooting Zone: YES 1] Stormwater: New Impervious Surface 9550 Land Disturbing Activity'f" Stb,yd fp1 ESA's Stormwater Req's: Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ y Notice Provisions/Disclosure:Airport YES C MRL YEs Crib Forest Lands YES NO -1-1 Landscaping Required: YesjN /$ y 2, 4, 9e7 0-0 CO ) Parking Spaces Required 2 Other N-11 Building Height: 35' UBC Standard 1 Impervious Surface coverage percentage: c:;e2e9/ °rd Resource Lands&Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% / Area of Building Coverage:60%in Rural Industrial Lands only [--N Total Building(s) Size: A/ RVC:20,000 SF CC 5,900 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified j1] Setbacks: Front/ M Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [----I, Road Classification: iCalk, Road Approach: li , NOT REQ'D RAP SEPA Required: EXEMPT —+ Flood Certificate: Nip [�] Existing Case(s)&Condition(s): `ill 5 Violations: Yes (N —] Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance r-,1 Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO fl UGA No Protest Agreement YES NO, submitted: YES NO [ s-} Site Visit conducted YES dot ��] Require Final Zoning Approval YES �] ADMIN: Setbacks entered in Permit Plan case / YES New Parcel Tags entered in Permit Plan YES Special Reports Scanned e YES il� Title Notes Updated Parcel tags found for parcel 901231004 1.) 6yr Mor. on FPA2611860 application approved on 7/22/12. Moratorium 7/24/12 Non-Forest Permits expires 7/22/18. JCC18.20.160(5)(b) "Mandatory six year development moratorium. For six years after the date of the application the county shall deny any and all applications for permits and approvals, including building permits and subdivision approvals, relating to or for non forestry uses of land subject to the application. Parcel tags found for parcel 901231004 2.) 6yr Mor. on FPA2611961 application approved on 8/22/12. Moratorium 8/27/12 Non-Forest Permits expires 8/22/18. JCC18.20.160(5)(b) "Mandatory six year development moratorium. For six years after the date of the application the county shall deny any and all applications for permits and approvals, including building permits and subdivision approvals, relating to or for non forestry uses of land subject to the application. Parcel tags found for parcel 901231004 3.) WSRC Coaching - 2011-11-16, SG 8/27/13 Other Parcel tags found for parcel 901231004 4.) 6yr Mor. on FPA2611860 application approved on 7/22/12. Moratorium 7/24/12 Non-Forest Permits expires 7/22/18. JCC18.20.160(5)(b) "Mandatory six year development moratorium. For six years after the date of the application the county shall deny any and all applications for permits and approvals, including building permits and subdivision approvals, relating to or for non forestry uses of land subject to the application. Parcel tags found for parcel 901231004 5.) 6yr Mor. on FPA2611961 application approved on 8/22/12. Moratorium 8/27/12 Non-Forest Permits expires 8/22/18. JCC18.20.160(5)(b) "Mandatory six year development moratorium. For six years after the date of the application the county shall deny any and all applications for permits and approvals, including building permits and subdivision approvals, relating to or for non forestry uses of land subject to the application. Parcel tags found for parcel 901231004 6.) WSRC Coaching - 2011-11-16, SG 8/27/13 Other Parcel tags found for parcel 901231004 7.) 6yr Mor. on FPA2611860 application approved on 7/22/12. Moratorium 7/24/12 Non-Forest Permits expires 7/22/18. JCC18.20.160(5)(b) "Mandatory six year development moratorium. For six years after the date of the application the county shall deny any and all applications for permits and approvals, including building permits and subdivision approvals, relating to or for non forestry uses of land subject to the application. Parcel tags found for parcel 901231004 8.) 6yr Mor. on FPA2611961 application approved on 8/22/12. Moratorium 8/27/12 Non-Forest Permits expires 8/22/18. JCC18.20.160(5)(b) "Mandatory six year development moratorium. For six years after the date of the application the county shall deny any and all applications for permits and approvals, including building permits and subdivision approvals, relating to or for non forestry uses of land subject to the application. Parcel tags found for parcel 901231004 9.) WSRC Coaching - 2011-11-16, SG 8/27/13 Other Associated CASES status issued finaled description 901231004 BLD01-00070 F 2/1/2001 2/20/2001 Propane Tank BLD12-00414 S 12/27/2012 MODIFICATION TO CELL TOWER-INSTALL 3 PANEL ANTENNAS, 1 MICROWAVE ANTENNA,2 EQUIPMENT CABINETS& REMOVE 6 PANEL ANTENNAS AND 3 EQUIPMENT CABINETS BLD14-00423 A 12/12/2014 CELL TOWER MODIFICATION INSTALL 3 ANTENNAS,3 RRH'S AND 6 JUNCTION CYLINDERS TO EXISTING TOWER CAM 14-00409 M 7/23/2014 cell tower co-locate CAM 14-00579 M 10/24/2014 Proposed expansion of compound area by 600 s.f./co-locate? FPA2611860 F 7/22/2012 7/24/2012 Five culvert removals and six culvert installations FPA2611961 F 8/22/2012 8/27/2012 39.1-acre timber harvest and 225 feet of road construction. MLA01-00379 BLD01-00400 F 8/1/2001 12/12/2001 CO LOCATION OF COMMUNICATIONS FACILITY ON EXISTING TOWER MLA02-00253 BLD02-00259 F 11/15/2002 5/2/2003 CO LOCATION WITH 15'EXTENSION ZONO2-00073 F 8/13/2003 8/13/2003 EXTEND EXISTING 145-FOOT TOWER BYADDINGA 15' EXTENSION. THE NEW TOWER HEIGHT WILL BE 160-FEET.A NEW ANTENNA ARRAY WILL BE COLOCATED ON THE TOWER.LIGHTING OF THE TOWER MAY BE REQUIRED BY THE F.A.A. MLA05-00635 BLD05-00682 F 1/18/2006 8/8/2006 REPLACE 6 EXISTING ANTENNAS&ADD 2 NEW RADIO EQUIPMENT CABINETS MLA08-00319 BLD08-00287 F 8/13/2008 10/6/2009 ADDING 3 ANTENNAS AND 2 EQUIPMENT CABINETS TO EXISTING TOWER WITHIN AN EXISTING LEASED AREA MLA11-00209 BLD11-00268 C 10/26/2011 REPLACE 1 MICROWAVE DISH-PERMIT CANCELLED DUE TO NON-PYMNT UNDER AMNESTY PROG MLA12-00025 BLD12-00042 S 11/21/2012 ADD 4'MICROWAVE DISH ON EXISTING TOWER & NEW CABINET ON EXISTING SLAB MLA12-00195 BLD12-00272 F 9/24/2012 4/16/2013 ADD(3)NEW PANEL ANTENNAS&ADD CABINET ON EXISTING CONCRETE PAD MLA15-00001 BLD15-00004 P TO BE REVIEWED WITH ZON15-00001 INSTALLATION OF A 15X 30 WIRELESS TELECOMMUNICATION FACILITY THAT WILL BE OUTSIDE THE EXISTING FENCED COMPOUND.INSTALLATION OF 12 PANEL ANTENNAS LOCATED ON THE EXISTING 168'LATTICE TOWER. PRJ15-00001 P ZON15-00001 P Land Use Permit and Building Permit for the installation of a 15'x 30'wireless telecommunication equipment enclosure outside of the existing fenced compound Ground-mounted equipment includes wireless equipment cabinets and generator that will be mounted to separate concrete pads.Installation of 12 panel antennas are to be located on the existing 168'lattice tower. The application is subject to review under the State Environmental Policy Act(SEPA). PRE99-00050 F 10/5/1999 Voice Stream Wireless proposes to construct a 150'lattice tower to support a three-sector antenna array with(3)antennas per sector(9 antennas total). Voice Stream may elect to mount two microwave dishe antennas(1 @ 4'diameter& 1 @ 8'diameter) onto the tower in the future. ZON99-00057 F 10/6/2000 7/26/2001 Voice Stream Wireless proposes to construct a 150'lattice tower to support a three-sector antenna array with(3)antennas per sector(9 antennas total). Voice Stream may elect to mount two microwave dishe antennas(1 @ 4'diameter& 1 @ 8'diameter) onto the tower in the future. The tower will be located within a 40-ft.by 40-ft.lease area along with a small radio equipment cabinet to be placed on a concrete pad.Emergency power to this equipment will be provided via a Backup Battery System.A second concrete pad will also be constructed for placement of a portable generator in the event the BBS capacity is reached. This lower power minor communications facility will transmit and receive signals for digital wireless(PCS)communications. BLD00-00359 F 11/17/2000 2/20/2001 VOICE STREAM WIRELESS TOWER Map Output Page 1 of 1 ArcIMS HTML Viewer Ma• -ter • wa= , gis ■ D „., ,,,, . , . , , ,.. ,ti ' - it, .., .• , • , ,,,, . ,, , . , , , ,. , _r'i Art w Legend f Township Lines ,r ; /1/ Major Roads f ' J c' 2013 Aerial Photos a. >> , Je.ferson �. 4 ,asp r A 1 +i ■ --1 I. fi J 4. d Ma:It:x...r.dod ap-cdarsan Co 1y Cans SavIces C IS FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its ollection. 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Data contained in this map is limited by the method and accuracy of its collection. Fri Feb 20 15:37:05 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 2/20/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map I r ‘,t,A. , -8 J I '� II f I 1f Legend I f Township Lines, .6. J ® I / Major Roads f Wetlands"li erson I I� I' I I i 1 :Ir. '. f . 0 Naps uvndod trr•.c^t:,.ri_chit.;,''-._a Screces GIS ∎. .0 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Feb 20 15:38:13 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 2/20/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map • , (..1 .. 4,.., i . . ,, . \ • 0.„ , \ I it I Legend t- I r f Township Lines 49 N?I f Major Roads Landslide Hazard Slides Jefferson''' I r nigh r 29N`t ks,,, kh Moderate L .0, „. Sight I 1. Erosion Hazard ,q` r lit k Nto.04 5 . A J maps W a sded try-cFSSan Carty C st*rat SCYY1026 GIS 0 2 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Feb 20 15:38:57 2015 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 2/20/2015 Map Output Page 1 of 1 ArcIMS HTML Viewer Map 1 ll II r r Ilk I 741.i I 0 I I Legend k I f/ Township Lines I t 4 49‘'''''' /6/ Major Roads ;cç;; rRechar9e '-'---\-k : C#1), 4- 1 pi ` El I SU SC SARPA El SARPA+UNK i . r) ;-01. Maim wcrmied tyJegarsan Carty Cain*Samoa GtS FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. 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CD Cp C, CJ .;-.7 0 T -7 Co CD o a W.N — Z co Z o n o o m y a O o- CI m co m o c� `L ui <i o `2' n? o 7 5-o"3 c 3 co 0 CD �' �O L7 _ o o <.o o 0 0 3 D o 0 co c m o o ➢ m N m o 0 0 0 13 g•o'.ti a'� 01 n o ' m n o z 0 3 n N co rn m? co m S'�.o g =.�c° m N x �z� � °� °. � o co O U,-0 o 3 3 o CO N 0. 5".0 F. 0 6 0,N O 0 -, co 5 co �Y N Q.N�• N 5' -- O_co Ci co S 3�,ENO Ad ID: 138770 Pre-Bill stir!'raclrr,„ 226 Adams Street • Port Townsend, WA 98368 • 360-385-2900 Bill to: Sold to: Account ID: 15833 Jodi Adams Joel Peterson JeffCo Dept of Community Development JeffCo Dept of Community Development 621 Sheridan Street 621 Sheridan Street Port Townsend, WA 98368 Port Townsend, WA 98368 Please pay from this Pre-Bill. Return stub with payment I Rep ID: DR Terms: Net 30 Description Classification of Ad: 460—County Notices Zone: A PO: MLA15-00001 Text: JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLI... Charges from 2/25/2015 to 2/25/2015 Date Pub Type Description Price Discount Applied Due 2/25/15 I PTL lAd I LEGALS: JEFFERSON COUNTY- I $76.00 I -$76.00 $0.00 $76.00 -$76.00 $0.00 Please return this portion with your payment. Pre-Bill Remit Payment to: Port Townsend Leader Amount Due $0.00 226 Adams Street Port Townsend,WA 98368 Phone: 360-385-2900 Amount Enclosed Fax: 360-385-3422 Issue Date: 2/25/2015 Jodi Adams Pre-Bill Date: 3/24/2015 JeffCo Dept of Community Development 621 Sheridan Street Ad # 138770 Port Townsend, WA 98368 Account# 15833 Affidavit of Publication STATE OF WASHINGTON) SS COUNTY OF JEFFERSON) I, Donna J. Rosmaier, an employee of the Port Townsend& Jefferson County Leader, a weekly newspaper which has been established, pub- lished in the English language and circulated continuously as a weekly newspaper in the town of Port Townsend in said County and State, and for general circulation in said county for more than six(6) months prior to the date of first publication of the Notice hereto attached and that the said Port Townsend& Jefferson County Leader was on the 27th day of June 1941 approved as a legal newspaper by the Superior Court of said Jefferson County and annexed is a true copy of the Ad# 1 5%11C) SEE ATTACHED NEWSPAPER CLIPPING As it appeared in the regular and entire issue of said paper itself not in a supplement thereof for a period of I week'', beginning on the a,5 day of ejpm U , 2015, ending on the a5 day of re 8,f4 , 2015, that said newspaper was regularly distributed to their subscribers during all of this period. That the full amount of $ 16.00 has been paid in full, at the rate of $8.00 per column inch for each insertion. Subscribed and sworn to before me this ,gy day of ( 1W(\ 2015. D a J. Rosmaier ROS/y4� Notary Public in and for the State of Washington.Residing at Port Townsend. NT F-}o F9 /© vp1ARy �Am Q- rn /-(/BL\G � c-1ToBER0\�\ti OF w � JEFFERSON COUNTY PERMIT CENTER CASE NO. 0..)9/S--(K Oo/ ZvPYJS-- Q� CERTIFICATION OF MAILING I make the following certification: I am competent to testify and make this certification based uson personal knowledge. On this -- l Q,n2q i I day of c-r C► \ , 2015, I . :: : !fir u .it with faatsla,s.s postage affixed,true and correct copies of F r' l O r r)c v i Ov, 4) (i .S)�I1 i ff(tj/)1 04 (tow:tit Apiky 3946 in the above matter, addressed to: ❑ Adjacent Property Owners: See attached list. (Notices Only) Agencies: See attached list. ❑ Interested Parties: See attached list. / j PafS o �Q 194?) Applicant/Representative - ' ; •: '• : _1 . 'rig sheets des: - _ • d-a.copy of Notice. ❑ Newspapers (Notices Only) ❑ Official Posting Places (x3) ❑ Other: I declare under penalty of perjury under the laws of the State of Washington that the foregoing certification is true and correct. XECU D this Jh day of ,4 6Y/l , 2015 at Port Townsend, Washington. Declarant G:\PLNCNTR\PLNCLERK\Forms& Form Language\FRM Certification of Mailing updated 01-2015.docx Joel Peterson From: Joel Peterson Sent: Wednesday, March 18, 2015 10:13 AM To: SEPA Review-WDFW(SEPADESK @DFW.WA.GOV); SEPA Unit(sepaunit @ecy.wa.gov); Aaron Manley; DNR SEPA Center('sepacenter @dnr.wa.gov'); Zimmerman, Donald CIV NAVFAC NW, AM; 'Angela Raymond' Subject: SEPA Final DNS Threshold Determination--Verizon Project at Chimacum Attachments: SEPA Final DNS Threshold Determination MLA15-00001.pdf Attached is the Final DNS Threshold Determination for Verizon Wireless Cascadia PM for land use and building permit review of the installation of a 15' x 30' wireless telecommunication equipment enclosure and installation of panel antennas, 1219 Center Road, Chimacum, WA. Joel Peterson Associate Planner,Jefferson County Department of Community Development 621 Sheridan Street * Port Townsend, WA 98368 Phone 360-379-4457 * Fax 360-379-4451 jpeterson@co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW SAVE PAPER - Please do not print this e-mail unless absolutely necessary 1 w4soN co JEFFERSON COUNTY tik G" DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend,WA 98368 I Web: www.co.jefferson.wa.us/communitydevelopment �9SN o Tel: 360.379.4450 I Fax: 360.379.4451 I Email: dcd(c�co jefferson.wa.us SquareONE Resource Center I Building Permits & Inspections I Development Review I Long Range Planning FINAL DETERMINATION OF NON-SIGNIFICANCE AND LEAD AGENCY STATUS DATE: March 17, 2015 File Number: MLA15-00001/ZON15-00001 PROPONENTS: Verizon Wireless Cascadia PM 5501 NE 109th Court A-2 Vancouver, WA 98662 PROPOSAL: Land Use and Building Permits for the installation of a 15' x 30' wireless telecommunication equipment enclosure outside of the existing fenced compound. Ground-mounted equipment includes wireless equipment cabinets and generator that will be mounted to separate concrete pads. Installation of 12 panel antennas are to be located on the existing 168' lattice tower. The application is subject to review under the State Environmental Policy Act(SEPA). Jefferson County noticed the Pending SEPA Determination in the paper of record on February 25, 2015. Adjacent property owners as well as federal, tribes, state and local agencies, including but not limited to, Washington Department of Ecology, Washington Department of Fish and Wildlife, Washington Department of Natural Resources, JEFFCOMM 911 Communications, and Olympic Region Clean Air Agency have been notified and have had an opportunity to comment on the proposal. PROPERTY LOCATION: Site Address: 1219 Center Road,Chimacum, WA. LEGAL DESCRIPTION: Parcel#901-231-004. S23 T29 R1W. NOTICE OF LEAD AGENCY: Jefferson County has determined that it is the lead agency for the above- described proposal. NOTICE OF NON-SIGNIFICANCE: Jefferson County has determined that the above described proposal, conducted in conformance with the applicable Jefferson County Codes and Ordinances, would not have a probable significant adverse impact on the environment, and an environmental impact statement is not required under RCW 43.21C.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the Jefferson County Development Review Division. COMMENT PERIOD: This DNS is issued after using the optional DNS process in WAC 197-11-355. Jefferson County has considered comments on its preliminary determination of nonsignificance. There is no further comment period on the DNS. APPEAL: There is no Administrative Appeal process under the Jefferson County Code for Type I permit decisions as specified by JCC 18.40.260 and JCC 18.40.810(1). Appeal of a Type I permit requires Judicial Appeal as specified by Section 18.40.340 of the JCC. �/ _ ,... A 3// f/2z/5- Carl Smith, SEP-'esponsible Official Date AFFIDAVIT OF POSTING PUBLIC NOTICE JEFFERSON COUNTY UNIFIED DEVELOPMENT CODE ORDINANCE#03-0702-01 State of Washington) County of Jefferson) I. H90421,n , being duly sworn of oath say that I have posted one(1) public notice P osfer oh or near th te ide tified in the following development description PROPOSAL: Land Use and Building Permits for the installation of a 15'x 30'wireless telecommunication equipment enclosure outside of the existing fenced compound. Ground-mounted equipment includes wireless equipment cabinets and generator that will be mounted to separate concrete pads. Installation of 12 panel antennas are to be located on the existing 168' lattice tower. The application is subject to review under the State Environmental Policy Act (SEPA). This notice was posted in full compliance with UNIFIED DEVELOPMENT CODE on: 7 the ,.,, day ofcQ ik.GA ,f 2015. A .1. . • _.� _ (Signature of person:.sting notice) Subscribed and sworn to before me on this day off:ge2s�. 2015. Acknowledgement <-:::::-.2.,_._. _ ,,........„.a. Notary Public in a d for the State of Washington, I Notary Public residing in �Po�4.�fe- V ashington. State of Washington RYAN S HULQUIST My commission expires: to y �Di % MY COMMISSION EXPIRES October 05,2017 NOTARY STAMP MLA Number: MLA15-00001 Proponent(s): VERIZON WIRELESS CASCADIA PM \\tidemark\datalforrns\F_MLT_NtcApp 14_APO_U.rpt 2/20/2015 5,v�£s PoSr'10F DEPT COMMUNITY DEVELOPMENT .rrl 2,4 4 49 / "'�� A 'vELOP`rIENT 'M1 a' I JEFFERSON 71 *,h�7"7 5 PITNEY 80WES COUNTY Y $ 000.48° 621 SHERIDAN ST. ' � r th': '� 02 1 P ,t� T ^� ^��i .1•:j• i 00008271 50 MAR 06 2015 TOWNSEND, WA 98368 -t-013:'!•i: iF MAILED FROM ZIP CODE 98368 �, � 1 L � � ssK �a�� , ? ..-- -----n(5-4- ,Q,,,, , ,.- , ra1 , (Y1- 0 -F- T� .. S�A��Sr _ oL DEPT C") •'1:. INTYDEVELOPMENT 'Y '- 1 JEFFERSON COUNTY � {�r� '�� 621 S z �oPITNEY BOWES { yERIDAPJ ST. r-• ...r-�•F-, a PORT TOWNSEND, W'��' r. { 02 1P $ 000.480 WA 98368 r i :�'•i�,,i,• 00008271 50 MAR 06 2015 s rein="7. MAILED FROM ZIP CODE 98368 1V9 ()cc-----1-+e- 1, b u�-1 e vl1 Ire , , A c(11 ' ‘1.-i 1 044' Si.-- i Aji c i W, 8/33 z --1 a ,-I I =-- ,..1 VI W _ il () 0 -- &t, I ! ft 174 . in 01 --, C<C''r 40 St ea to - __ g 6 LI) 0 ,-- 0 AD=— 1/11 (S) : 8 ,k s, a. 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I r- ,,,,F Ad ID: 138770 Pre-Bill Oil 0,-he Ketther 226 Adams Street• Port Townsend, WA 98368 • 360-385-2900 Bill to: Sold to: Account ID: 15833 Jodi Adams Joel Peterson JeffCo Dept of Community Development JeffCo Dept of Community Development 621 Sheridan Street 621 Sheridan Street Port Townsend, WA 98368 Port Townsend, WA 98368 Please pay from this Pre-Bill. Return stub with payment Rep ID: DR Terms: Net 30 Description Classification of Ad: 460—County Notices Zone: A PO: MLA15-00001 Text: JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLI... Charges from 2/25/2015 to 2/25/2015 Date Pub Type Description Price Discount Applied Due 2/25/15 PTL lAd LEGALS: JEFFERSON COUNTY- I $76.00 $76.00 $76.00 $76.00 Please return this portion with your payment. Pre-Bill Remit Payment to: Port Townsend Leader Amount Due $76.00 226 Adams Street Port Townsend,WA 98368 Phone: 360-385-2900 Fax: 360-385-3422 Amount Enclosed Issue Date: 2/25/2015 Jodi Adams Pre-Bill Date: 2/25/2015 JeffCo Dept of Community Development 621 Sheridan Street Ad # 138770 Port Townsend, WA 98368 Account# 15833 Please publish one time. PUBLISH DATE: February 25, 2015 BILL: Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 ACCOUNT: 15833 JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION MLA15-00001 APPLICANT: VERIZON WIRELESS CASCADIA PM 5501 NE 109TH COURTA-2 VANCOUVER WA 98662 Application Received Date:January 6,2015 Application Complete Date:February 3,2015 Application Notice Date:February 25,2015 SITE ADDRESS AND PROJECT LOCATION: Parcel#901-231-004.S23 T29 R1 W.Site Address: 1219 Center Road,Chimacum,WA. PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: Land Use and Building Permits for the installation of a 15'x 30'wireless telecommunication equipment enclosure outside of the existing fenced compound. Ground-mounted equipment includes wireless equipment cabinets and generator that will be mounted to separate concrete pads. Installation of 12 panel antennas are to be located on the existing 168'lattice tower.The application is subject to review under the State Environmental Policy Act(SEPA). COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to(a)comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comment(s)/request(s)to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend,WA 98368, (360)379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on March 11, 2015. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental impacts. Additional conditions or mitigation measures may be required under SEPA. Project Planner:Joel Peterson,360-379-4450 For further information,please visit the Jefferson County Department of Community Development web page at www.co.iefferson.wa.us/commdevelopment/ \\tidemark\data Worms\F_M LT_NtcApp 14_Pub_U.rpt 2/23/2015 Please publish one time. PUBLISH DATE: February 25, 2015 BILL: Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION MLA15-00001 APPLICANT: VERIZON WIRELESS CASCADIA PM 5501 NE 109TH COURTA-2 VANCOUVER WA 98662 Application Received Date: January 6, 2015 Application Complete Date: February 3, 2015 Application Notice Date: February 25, 2015 SITE ADDRESS AND PROJECT LOCATION: 1219 CENTER RD Parcel# 901-231-004. S23 T29 R1 W. Site Address: 1219 Center Road, Chimacum, WA. PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: Land Use and Building Permits for the installation of a 15' x 30' wireless telecommunication equipment enclosure outside of the existing fenced compound. Ground-mounted equipment includes wireless equipment cabinets and generator that will be mounted to separate concrete pads. Installation of 12 panel antennas are to be located on the existing 168' lattice tower. The application is subject to review under the State Environmental Policy Act (SEPA). COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to (a) comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comment(s)/request(s) to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend, WA 98368, (360) 379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on March 11, 2015. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental impacts. Additional conditions or mitigation measures may be required under SEPA. Project Planner: Joel Peterson, 360-379-4450 For further information, please visit the Jefferson County Department of Community Development web page at www.co.iefferson.wa.us/commdevelopmentl \\tidemark\data\forms\F_MLT_NtcApp 14_Pub_U.rpt 2/23/2015 VIII Joel Peterson From: Legals-Donna <legals @ptleader.com> Sent: Monday, February 23, 2015 10:16 AM To: Joel Peterson Subject: Re: Legal Notice for February 25, 2015 Leader Publication Joel, Your legal publication request has been received. Should we have further questions regarding the specifics of the submission we'll contact you to clarify them prior to the first publish date. Any correction or change requests need to be made by our deadline for that specific issue. We publish on Wednesdays and the standard deadline is 1:00 pm on the Monday prior, unless a holiday necessitates an earlier deadline. Those under a specific publication contract, your dates and times will follow those contract guidelines. We are setting the referenced ad for publication on the dates requested, however we will only be able to provide an estimate of costs until the notice has actually published and been measured. Generally our estimates will give you a figure very close to the actual cost. Cost is determined by the length and type of notice to be published. The 2015 rate for public and legal notices with the Leader will be $14.50 per column inch. Special rates apply to specific agencies under contract with the Leader. Important Note: Affidavits are issued only after full payment has been received. After the notice is first published and measured you will be sent a Pre-bill to assist you with your payment for our services and publication of the notice. As always, thank you for your business. We strive to serve our customers and their publication needs with the utmost care and professionalism. Thank you and have a wonderful day, Donna Rosmaier Legal Coordinator The Leader 226 Adams St. Port Townsend, WA 98368 (360)385-2900 legals(aptleader.com On Feb 23, 2015, at 10:15 AM, Joel Peterson<JPeterson @co.jefferson.wa.us> wrote: Leader Legal Notices: Please publish the attached Notice MLA15-00001NOA, one time in the Wednesday, February 25, 2015 edition of The Leader. Please respond to this email to confirm that you have received and will publish the Notice. Thank you. Joel Joel Peterson Associate Planner,Jefferson County Department of Community Development 621 Sheridan Street * Port Townsend,WA 98368 Phone 360-379-4457 * Fax 360-379-4451 jpeterson c co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW SAVE PAPER - Please do not print this e-mail unless absolutely necessary <MLA15-00001NOA.rtf> 2 JEFFERSON COUNTY PERMIT CENTER CASE NO. 01 LA /5--o n co/ CERTIFICATION OF MAILING I make the following certification: I am competent to testify and make this certification based upon personal knowledge. On this y day of c-.f,t,(IAA y , 2015, I deposited into the U.S. Mail with first class postage affixed, true and correct copies of NO Y-'c-Q of Apid iC l�!¢�L`�+ n��L-, )24x,01.4/1 in the above matter, addressed to: VAdjacent Property Owners: See attached list. (Notices Only) Pr--- Agencies: See attached list. E.in 61 I -h 11 ale-ow 3 ❑ Interested Parties: See attached list. 1(c 1� Applicant/Representative - Posting Packet: 1 set of laminating sheets with Notices, Posting Instruction, Affidavit, and a copy of Notice. e' Newspapers (Notices Only) ?DWY f Lec. e r c c".4 ©n FLAill , ink, se me,;i i 1-,e 6 Af ■1 Not'►cz_ ptA1o1'1 c.4.Y14:/1 r0r" Official Posting Places (x3) ❑ Other: I declare under penalty of perjury under the laws of the State of Washington that the foregoing certification is true and correct. EXECUTED this day of a, , 2015 at Port Townsend, Washington. Decl.rant G:\PLNCNTR\PLNCLERK\Forms&Form Language\FRM Certification of Mailing updated 01-201 5.docx ,416 Cjs-t 901231008 901232003 MICHAEL P BRAUN ANDREW W PERNSTEINER KATHLEEN E BRAUN JTWROS MELISSA E PERNSTEINER PO BOX 627 PO BOX 87 CHIMACUM, WA 98325-0627 PORT HADLOCK, WA 98339-0087 901231015 901233004 GARY R FROGNER RICHARD D PURNELL CINDY L FROGNER DONNA L PURNELL 1031 CENTER RD PO BOX 928 CHIMACUM, WA 98325-9771 CHIMACUM, WA 98325-0928 901232006 901144002 JASON KESGARD LINDA SEXTON KIRSTEN M BARROWS 431 CENTER RD PO BOX 386 CHIMACUM, WA 98325-8716 PORT HADLOCK, WA 98339-0386 901243003 901232019 KURT LAMBERTON JAMES D SHAW TRUSTEE 2456 SEAVIEW DR REV LIVING TR JAMES SHAW PORT TOWNSEND, WA 98368-1013 PO BOX 273 CHIMACUM, WA 98325-0273 901233012 901231006 JOHN MCKEAN RODD STINGLE PO BOX 95 PAULA STINGLE CHIMACUM, WA 98325-0095 PO BOX 219 CHIMACUM, WA 98325-0219 901231003 901231004 JAMES W NIQUETTE TIMBERLANDS HOLDING COMPANY JUNE A NIQUETTE 1901 ISLAND WALKWAY NIQUETTE LIVING TRUST FERNANDINA BEACH, FL 32034-4732 GIG HARBOR, WA 98332-6848 901231009 901231001 HARVEY OLSON TRUSTEE GEORGE TOWLE MARY LOU OLSON TRUSTEE PATRICIA L GREENY H & ML OLSON LIVING TRUST 581 TORKELSON RD CHIMACUM, WA 98325-9710 CHIMACUM, WA 98325-8778 901233001 VALLEY VIEW N&L FAMILY TRUST A SHORT/M BUCHANAN JK SHORT/LD NATION UN INT PORT TOWNSEND, WA 98368-9606 901231011 MICHELLE M WEST PO BOX 880 CHIMACUM, WA 98325-0880 901231005 KEVIN J WIDELL GERALDINE A WIDELL PO BOX 69 CHIMACUM, WA 98325-0069 7-Tcki4-,cAr A013 ZON15-00001 ZON15-00001 TIMBERLANDS HOLDING COMPANY VERIZON WIRELESS CASCADIA PM 1901 ISLAND WALKWAY 5501 NE 109TH COURT A-2 FERNANDINA BEACH, FL 32034-4732 VANCOUVER, WA 98662 ZON15-00001 ZON15-00001 VECTOR STRUCTURAL ENGINEERS "CHIMACUM SCHOOL DISTRICT 49 9138 S STATE ST.#101 P 0 BOX 278 SANDY, UT 84070 CHIMACUM, WA 98325 ZON15-00001 ZON15-00001 PT GAMBLE S'KLALLAM TRIBE "JEFFCOMM 911 COMMUNICATIONS 31974 LITTLE BOSTON RD. CHIC STOUT KINGSTON, WA 98346 81 ELKINS RD PORT HADLOCK, WA 98339 ZON 15-00001 *JCFPD#1 40 SETON ROAD SUITE A PORT TOWNSEND, WA 98368 Joel Peterson �� �tS f ktt 11.,n etAgiC1 From: Joel Peterson Sent: Tuesday, February 24, 2015 11:03 AM To: Aaron Manley; bgraham @jeffpud.org; crossi @pnptc.org; DNR SEPA Center ('sepacenter @dnr.wa.gov'); Eric Kuzma; Gretchen.Kaehler ('Gretchen.Kaehler @DAHP.wa.gov); Jim Pavarnik, Port of PT; Kris Miller(shlanayl @skokomish.org); Leanne Jenkins, Jamestown S'Klallam; SEPA Review-WDFW (SEPADESK @DFW.WA.GOV); SEPA Review-WSDOT(OR-SEPA- REVIEW @wsdot.wa.gov); SEPA Unit(sepaunit @ecy.wa.gov); stodd @Suquamish.nsn.us; Zimmerman, Donald CIV NAVFAC NW, AM Cc: Charlie Bermant(charlie.bermant @peninsuladailynews.com); njohnson @ptleader.com Subject: Notice of Application and SEPA Review for Verizon Wireless, Chimacum, WA Attachments: / MLA15-00001 Drawings.pdf; MLA15-00001 Notice of Application.pdf; MLA15-00001 SEPA Checklist.pdf; Project Narrative JCC 18.42.090.pdf Notice of Application and SEPA Review: Attached is a Public Notice of Application for a Type 1 Land Use and Building Permits for the installation of a 15' x 30' wireless telecommunication equipment enclosure outside of the existing fenced compound. Ground-mounted equipment includes wireless equipment cabinets and a generator.They will be mounted to separate concrete pads. Installation of 12 panel antennas are to be located on the existing 168' lattice tower.The application is subject to review under the State Environmental Policy Act (SEPA). A site plan, SEPA Checklist and Project Narrative is attached. The comment period runs through March 11,2015. Thank you for your review and any comments you may have. Joel Joel Peterson Associate Planner,Jefferson County Department of Community Development 621 Sheridan Street * Port Townsend, WA 98368 Phone 360-379-4457 * Fax 360-379-4451 jPeterson i co.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW SAVE PAPER - Please do not print this e-mail unless absolutely necessary 1 O 3 1 ' , 1 ,,,‘, .4.(ot—t—' 5 - e.• 1 lr ' i kn --.—* ,.,„, v....) r.... -4.° ..,... (-• A k f''Q' i illy ) ._, , ,_., ci , .y.,„( 4 1 4 1.:.-_-_, 1! 4, -4, ,,.., ,; , - I-D .. t--,,,:t.„-;.- ' 4‘, 4 ,, .,,) . , c.. 1 , , .,,,, sz., - m k ---- g. , ea.,-.. , 4 4 • C i CA kij L / Cl. r—v/ I,..5 ,f) cx- " "zci- ,-J _vim d V) \7 ' 4 9\ (at "t''' rIT "7 _ • 'I. z .14' - . ---i .3..„ 4. 1 . I ' 1 f .S ,E1 if S. 4 . '-''''' d & s., , .- • t'4"--#t'4"--# _1 . Ps 4., l `c - I• • i -4— .4* ..1 P C 4, ,, -, 1 _ ,.. , 1 cl - r ) I a . 4,-: ..w i z t.t. . i . f." 2-0- li kii '%74:-. :"."c"' kiA ui A , 1.2.,:v„ A... -,6 , ,`" e I ' "4 i_______ :., (= v -,---4 , i y .sue•__=__ , , it,,, ,,, , I -a. , , ct., i,„, 1/4.)-- . (z? p .-e-, cr. 'rn a =,.. cz, , a . ,g,,- , i‘ ,L \. L -(/,...)\ : JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION MLA15-00001 APPLICANT: VERIZON WIRELESS CASCADIA PM 5501 NE 109TH COURT A-2 VANCOUVER WA 98662 Application Received Date: January 6, 2015 Application Complete Date: February 3, 2015 Application Notice Date: February 25, 2015 SITE ADDRESS AND PROJECT LOCATION: 1219 CENTER RD Parcel#901-231-004. S23 T29 R1 W. Site Address: 1219 Center Road, Chimacum, WA. PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: Land Use and Building Permits for the installation of a 15' x 30' wireless telecommunication equipment enclosure outside of the existing fenced compound. Ground-mounted equipment includes wireless equipment cabinets and generator that will be mounted to separate concrete pads. Installation of 12 panel antennas are to be located on the existing 168' lattice tower. The application is subject to review under the State Environmental Policy Act(SEPA). COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to (a) comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comment(s)/request(s) to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend, WA 98368, (360) 379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on March 11, 2015. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION AND PRELIMINARY DETERMINATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The proposal may include mitigation measures under applicable development regulations, and the project review process may incorporate or require mitigation measures regardless of whether an EIS is prepared. A copy of the subsequent threshold (final) determination may be obtained upon request, and will be mailed to any person commenting upon the notice of application. The SEPA Official has determined that: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental impacts. Additional conditions or mitigation measures may be required under SEPA. This will be the only opportunity to make comments related to SEPA. There will not be another comment period after the threshold (final) SEPA determination is made. In addition, since this is a Type I permit application, the threshold determination cannot be appealed except to Superior Court. PUBLIC HEARING INFORMATION: This is a Type I Permit Application and there will be no public hearings. The final permit decision for this Type I permit application will be made by the Administrator. The decision cannot be appealed except to Superior Court. APPEALS: Appeals of SEPA decisions are described above in the SEPA Information and Preliminary Determination section. Project Planner: Joel Peterson, 360-379-4450 For further information, please visit the Jefferson County Department of Community Development web page at www.co.jefferson.wa.us/commdevelopment/ AFFIDAVIT OF POSTING PUBLIC NOTICE JEFFERSON COUNTY UNIFIED DEVELOPMENT CODE ORDINANCE#03-0702-01 State of Washington) County of Jefferson) , being duly sworn of oath say that I have posted one(1) public notice poster on or near the site identified in the following development description: PROPOSAL: Land Use and Building Permits for the installation of a 15'x 30'wireless telecommunication equipment enclosure outside of the existing fenced compound. Ground-mounted equipment includes wireless equipment cabinets and generator that will be mounted to separate concrete pads. Installation of 12 panel antennas are to be located on the existing 168' lattice tower. The application is subject to review under the State Environmental Policy Act (SEPA). This notice was posted in full compliance with UNIFIED DEVELOPMENT CODE on: the day of , 2015. (Signature of person posting notice) Subscribed and sworn to before me on this day of , 2015. Acknowledgement: Notary Public in and for the State of Washington, residing in , Washington. My commission expires: NOTARY STAMP MLA Number: MLA15-00001 Proponent(s): VERIZON WIRELESS CASCADIA PM \\tidemark\data\forms\F_M LT_NtcApp l 4_APO_U.rpt 2/20/2015 JEFFERSON COUNTY PUBLIC NOTICE OF TYPE I LAND USE APPLICATION AND PENDING SEPA DETERMINATION MLA15-00001 APPLICANT: VERIZON WIRELESS CASCADIA PM 5501 NE 109TH COURT A-2 VANCOUVER WA 98662 Application Received Date: January 6, 2015 Application Complete Date: February 3, 2015 Application Notice Date: February 25, 2015 SITE ADDRESS AND PROJECT LOCATION: 1219 CENTER RD Parcel# 901-231-004. S23 T29 R1 W. Site Address: 1219 Center Road, Chimacum, WA. PROJECT DESCRIPTION AND REQUIRED PERMITS/STUDIES: Land Use and Building Permits for the installation of a 15' x 30' wireless telecommunication equipment enclosure outside of the existing fenced compound. Ground-mounted equipment includes wireless equipment cabinets and generator that will be mounted to separate concrete pads. Installation of 12 panel antennas are to be located on the existing 168' lattice tower. The application is subject to review under the State Environmental Policy Act (SEPA). COMMENT PERIOD AND WHERE TO VIEW DOCUMENTS: The application and any studies may be reviewed at the Jefferson County Department of Community Development. All interested persons are invited to (a) comment on the application; (b) receive notice of and participate in any hearings; and (c) receive a copy of the decision by submitting such written comment(s)/request(s) to the Jefferson County Department of Community Development, Development Review Division, 621 Sheridan Street, Port Townsend, WA 98368, (360) 379-4450. Comments concerning this application should be submitted to the Department by 4:30 p.m. on March 11, 2015. If the last day of the comment period falls on a weekend or holiday, then the comment period shall be extended to the first working day after the weekend or holiday. Comments submitted after this date may not be considered in the staff report. SEPA INFORMATION AND PRELIMINARY DETERMINATION: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The proposal may include mitigation measures under applicable development regulations, and the project review process may incorporate or require mitigation measures regardless of whether an EIS is prepared. A copy of the subsequent threshold (final) determination may be obtained upon request, and will be mailed to any person commenting upon the notice of application. The SEPA Official has determined that: The optional DNS process of WAC 197-11-355 is being used. This may be the only opportunity to comment on the environmental impacts of the proposal. The Department expects to issue a DNS for this proposal. If the proposal is approved, policies and performance standards found in the Jefferson County Code and the Jefferson County Comprehensive Plan will be used to form permit conditions intended to mitigate adverse environmental impacts. Additional conditions or mitigation measures may be required under SEPA. This will be the only opportunity to make comments related to SEPA. There will not be another comment period after the threshold (final) SEPA determination is made. In addition, since this is a Type I permit application, the threshold determination cannot be appealed except to Superior Court. PUBLIC HEARING INFORMATION: This is a Type I Permit Application and there will be no public hearings. APPEALS: Appeals of SEPA decisions are described above in the SEPA Information and Preliminary Determination section. The final permit decision for this Type I permit application will be made by the Administrator. The decision cannot be appealed except to Superior Court. Project Planner: Joel Peterson, 360-379-4450 For further information, please visit the Jefferson County Department of Community Development web page at www.co.jefferson.wa.us/commdevelopment/ [ JEFFERSON COUNTY Dcn NO. 154014 DATE ectscactsc, PilUt LLL BARS# AMOUNT RECEIVED FROM Q il-8Li `°° DESCRIPTION CURRENCY Pi\a trik.V! ^1 SM • ii° COIN 1 aaci). c) 1)101CQt'**6" CcHECK)S 2.0N/(61\)/12-" (3. '00 c0 cicr. 0 8 ? ci .. RI ici 2- El ik ,. Scc,,,,, Arki LI •5-0 0 CloilnW i CO '1-thC e' ' - (6 Toy (1,,, I jer S 1 q 1C) •00 c):1 liikilit Mi 1 t PA- ? ' 0 1 , rikry,1 ovicAttvk ' Cepiel Y--0 1 A " , , -! "i` _ 10 591-1 . , . , r RECEIVED BY TOTAL 11) SON DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 "-C Tel:360.379.-1-150 = Fax-360 3.94451 Web:www.co.iefferson.wams/communitydevelopment d �1 1-snail:do d ct:;co.tefferson.w•a.us TSN1 NGCp SUPPLEMENTAL APPLICATION RESIDENTIAL OR COMMERCIAL BLDG PERMIT For Department Use Only Receipt#: Date: Related Application#s: Payment#: Site Information Owner Name: Timberlands Holding Company Assessor Tax Parcel#: 901231004 Type of Building New _ Replacement Relocated _ Addition ✓ Repair Demolition *A separate permit is required Select One: Single Family Residence Modular Other Commercial Proposed Building/Project Number of floors 1 # new bedrooms existing total bed N/A #new bathrooms existing total bath N/A Heat Source Select all that apply: Electric / Heating Oil Wood Propane Enter the square footage(sq/ft)that applies in each field: Structure Existing Sq/Ft Proposed Sq/Ft Residential/Commercial Main Floor 1,600 leased area 450 leased area Residential/Commercial Second Floor Additional Floors- heated/unheated Basement-unfinished Basement-finished space or habitable Detached Garage-heated/unheated Attached Garage - heated/unheated Garage 2nd fl -unfinished storage Garage 2nd fl -finished space or habitable Carport - 2 walls or less Deck- uncovered Covered porch or deck Other(shed, barn, pole bldg, etc.) Estimated Cost of Project (Required): $ 350,000 7 ON '- COCO 1 15 (10 000 �( LM SeC 0 • • List existin: buildin:s on •ro•ert i.e. house :ara:e accessor dwellin: unit shed barn mobile home other : All Existing Buildings on Property Use Existin. 168' Lattice tower alon. with related 'round e•ui.ment within a 1,600 s•/ft leased area. Commercial Public Health Information Water Source Existing Proposed Attach Copies of: Private well 1) Well Logs (if no log report on file, a 1 hr stabilization test may be substituted.) 2) Lab analysis tested within 3 years of application. -Total Coliform, Nitrate-N, Chloride 2-Party Well — Items above AND recorded Operations & Maintenance agreement and recorded Easement. Alternative Provide justification and design per Jefferson County System: Environmental Health policy 97-01 http://www.jeffersoncountypublichealth.org/pdf/Policy_97- 01_Rainwater– Collection.pdf Valid Water Right Permit: Generally applies to springs, attach copy. Public Water: — — Name of Water Provider: -Submit Water Availability Notification form completed by your water purveyor. NOTE: If any of the above utilities need to be installed and disturbance will occur in a public maintained or unmaintained County road and/or Right-of-Way easement,then a Right-of-Way application will be needed. Resolution#99-90 requires building permit applications to provide evidence of an adequate potable water supply per the conditions of RCW 19.27.097 and the Guidelines for Determining Water Availability for New Buildings.http://www.co.Jefferson.wo.us/commissioners By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and correct to the best of his, her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Applicant may request notice of the County's intent to enter upon the property for visits related to tl '4s application and subsequent permit issuance. Signature: i _� . , . Print Name 12,.arj� - .V`�t �� Date: I FOR OFFICE USE ONLY 1) Water Right Permit# 3)Individual Well 2)Public Water Supply WS ID# Meets Water Quality Standards? Yes No In Compliance Yes No WRIA 17 Subbasin Based upon information provided by the applicant,it a SIPZ -Coastal/Moderate/High Yes No ppears that the potable water supply: Meets Conditionally Meets Does not Meet • "al SON c� DEPARTMENT OF COMMUNITY DEVELOPMENT G 621 Sheridan Street,Port"I t,w'nsend,Al_A 98 368 y �� ['el:36f). 9 45() Ft :36113 9.4 4�l \l eb:���tw�co.ic$ertion.wa uti,coinn .ut�;devel pment &-2-.7 - I mail:do dfit co.ictterr',on.v a u' ID I �✓ �`�� r 0 1 r ESN r .� ___.._jl) PERMIT APPLICATION a L' D I'' 1/ Steps in the Permit Process: ::---�i -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application;it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit# Related Application#s: MLA# Site Information Assessor Tax Parcel Number: 901231004 Site Address and/or Directions to Property:1219 Center Road, Chimacum, WA 98325 Access(name of street(s)) from which access will be gained: Access off Center Road Present use of property: Forest and Commercial Description of Work (include proposed uses): Installation of a 15' X 30' wireless telecommunication facility that will be outside the existing fenced compound. Installation of 12 panel antennas located on the existing 168' lattice tower. see construction drawings for more detail. Wastewater-Sewage Disposal This property is served by Port Townsend of Port Ludlow sewer system? YES _ NO _ ✓ If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: — Septic Septic Permit#: _ _ Community Septic Name of System: Case#: Are other residences connected to the septic system? Additions or repairs to sewage system: Is it a complete or partial system installation: Complete _ _ Partial Has a reserve drainfield been designated? Yes _ No Date of Last Operations& Maintenance check: Attach last report to application Describe or attach any drainfield easements, covenants or notices on title,which may impact the property: See Construction drawings. ONoAr 0000 t — () ( r- — CAL kit LA ) 5t ObCf)i i 0 • The authorized agent/representative is the primary contact for all project-related questions and correspondence. The County will mail / e-mail requests and information about the application to the authorized agent/representative and will copy (cc) the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e.,County email is not blocked or sent to "junk mail'". Applicant/Property Owner Information Property Owner: Name: Timberlands Holding Company Address: 1901 Island Walkway, Fernandina Beach, FL 32034 Phone#: 904.357.9842 E-mail Address: ✓ _ Please contact Authorized Agent/Representative with project info. (select only one). Property Owner Signature: Date: Note: For projects with multiple owners,attach a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative (If other than owner) Name: Verizon Wireless / Cascadia PM Address: 5501 NE 109th Court, A-2, Vancouver, WA 98662 Phone#: 509.998.9015 E-mail Address: angela.raymond©cascadiapm.com Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer ✓ Architect Surveyor Contractor Consultant Name: Vector Structural Engineers Address: 9138 S State St, #101, Sandy, UT, 84070 Phone#: 801.990.1775 E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Attach additional pages if necessary Builders Statement The signer of this statement certifies that they are the Owners of the parcel referenced herein, that they are not licensed contractors and hat theN,5will beat ming the responsibility/o?�ff/�tthe General Contractor for the proposed pro"ect. / ' Signature: �� ..A/ - Print Name: Aq(2 /tu�y/ �/1d �/ew Date: ) z ('`� • 0 k�4 ON °e, JEFFERSON COUNTY W A 41 DEPARTMENT OF COMMUNITY DEVELOPMENT ,. > 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax �`SFIINrs„S http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as'`small." ''medium," or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E., SITE) Size of parcel 235.8 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 10,271,448 sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover (both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds, that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry, and salal; herbaceous plants such as sword fern, foam flower, and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded, filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert 3/.acres or more of Construction site for structures 450 sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank, etc. sq/ft Circle: Yes No Well, utilities, etc. sq/ft Does the project convert 21/2 acres or more of native vegetation to pasture? Driveway, parking, roads, etc. sq/ft Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 450 sq/ft Cut none Fill 5 (cu/yd) [over] stormwater calc worksheet—REV.11/1/2013 1 • • Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) 450 sq/ft Structures(all roof area) 1,600 sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc sq/ft Driveway, parking, roads, etc sq/ft Other sq/ft Other sq/ft Total New 450 sq/ft Total Existing 1,600 sq/ft TOTAL NEW+TOTAL EXISTING* 2050 sq/ft *This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: 0.0001 % Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stonnwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected prope . fro 6(yeiF-x IZal!� (LANDO ER OR . • HORIZED REPRESENTATIVE SIGNATURE) (DAT ) FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater calc worksheet—REV.11/1/2013 2 • C R O N Crown Castle CASTLE 8432154th Avenue NE Building C,2nd Floor Redmond,WA 98052 Crown Castle Letter of Authorization Jefferson County Community Development Dept. 621 Sheridan St. Port Townsend, WA 98368 Re: Application for Zoning/Building Permit Crown Castle Telecommunications Site at: 1219 Center Rd., Chimacum, WA 98325 Crown Communication, Inc., ("Crown Castle") hereby authorizes Verizon, including Its Agent(s), to act as our Agent(s) in the processing of all zoning applications, building permits and approvals through Jefferson County for the existing wireless communications site described below: Crown Site ID: 826841 - PT CHIMACUM Site Address: 1219 Center Rd., Chimacum, WA 98325 Verizon Site ID: WA1 296505 APN: 901231004 Crown Castle By: Date: /1 // * / 1 Veronica Sayer Real Estate Manager, West Area The Foundation for a Wireless World. CrownCastle.com • EXHIBIT D Memorandum of Lease and Option To the Site Lease with Option dated 3— I J ' ,between ANE Forests of Puget Sound Inc.,as Landlord,and VoiceStream PCS BTA I Corporation,as agent for Cook Inlet/VoiceStream PV/SS PCS,L.P., as Tenant. Memorandum of Lease and Option,with cover sheet,notary page(s)and Exhibit A. Document Attached Site Number. SIt6101 Site Name: Chimacurn Market•. Seattle Expansion p.1 J • • Return Address: VoiceStream PCS BTA I Corporation, as agent for Cook Inlet/VoiceStream PV/SS PCS,L.P. 19807 North Creek Parkway, Suite 101 Bothell,Washington 98011 Attention: PCS Lease Administrator MEMORANDUM OF LEASE AND OPTION Grantor: ANE Forests of Puget Sound Inc. Grantee: VoiceStream PCS BTA I Corporation, as agent for Cook Inlet/VoiceStream PV/SS PCS,L.P. Legal Description: PTNS NE&SE 23-29-1W Complete legal description is on page D-4 of document. Assessor's Property Tax Parcel Account Number(s): 901231004 II Site Number: SE-6101 Site Name: Chimacum Market: Seattle Expansion D-2 • • After recording,please return to: VoiceStream PCS BTA I Corporation, as agent for Cook Inlet/VoiceStream PV/SS PCS,L.P. 19807 North Creek Parkway,Suite 101 Bothell,Washington 98011 Attention: PCS Lease Administrator Site Identification: SE-6101-Chimacum Market: Seattle Expansion Memorandum of Lease and Option Between ANE Forests of Puget Sound Inc.("Landlord") and VoiceStream PCS BTA I Corporation,as agent for Cook Inlet/VoiceStrean PV/SS PCS,L.P.("Tenant") !vi A Site Lease with Option ("Lease") dated as of -W"al (� :WE by and between ANE Forests of Puget Sound Inc. ("Landlord") and VoiceStream PCS BTA I Corporation, as agent for Cook Inlet/ VoiceStream PV/SS PCS,L.P.("Tenant")was made regarding the following premises: See attached Exhibit A. Subject Lease is for a term of six(6) years and will commence on the date as set forth in the Lease (the "Commencement Date")and shall terminate at midnight on the last day of the month in which the 5th anniversary of the Commencement Date shall have occurred. Tenant shall have the right to extend this Lease for three(3)additional three-year terms. IN WITNESS WHEREOF,the parties hereto have respectively executed this memorandum on the �S day of Ma-✓C-4'1 , TENANT: VoiceStream PCS ETA I Corporation, -HANEL.ORD: : .:.- agent or oo 4.� P'VoiceStream PV/SS PCS, L.P. By: Its: t'c LANDLORD: ANE Forests of Puget Sound Inc., '14t4.4-AN4F: .. - By: Its: T'-,c ro err Site Number. SE-6101 Site Name: Chimacum Market: Sealtie Expansion 0-3 • • JJ if { [Notary block for Corporation,Partnership,Limited Liability Company) STATE OF ) )ss. COUNTY OF ) I certify that I know or have satisfactory evidence that 5o r n 4.7y1414rk is the person who appeared before me, and said person acknowledged that hthe signed this instrument,on oath stated that hefsire was authorized to execute the instrument and acknowledged it as Pre s 1'dea T of ANE Forests of Puget Sound Inc.to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. Dated: 41 f a a/00 Notary Public OFFICIAL SEAL • "ntName j) j,Dr'4J �. person �.r DEBORAH J. PIERSON y commission expires S"1I.010 J ` ` " NOTARY PUBLIC-OREGON \• COMMISSION NO.0622g MY COMMISSION EXFIRES MAY 10,20 1 (Use this space for notary stamp/seal) STATE OF WASHINGTON ) ss. cou N t )r�rY OF '�'" I certify that I know or have satisfactory evidence that 641 is the person who apacared before me, and said person acknowledged that he/ a signed this instrument,on o4 stated that he was authorized to execute the instrument and acknowledged it as the -)(t0'(AA V - poor e"C- of VoiceStream PCS BTA I Corporation,as agent for Cook Inlet /VoiceStream PV/SS PCS, L.P., to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. Dated: 3 j S -UL) � i 1. \ `\. ��.A-S. F�( '. Notary Public ��..•,-ctitENP c�•o O; Print Name Melinda S. Felton pOTA� My commission expires / Zz 03 :. PUBLIC :7 <<% lit WAS \�� (Use thus space for notary stamp/ seat) Site Number: SE-6101 Site Name: Chimacum Market: Seattle Expansion r^, • • j1 EXHIBIT A Legal Description To the Memorandum of Lease and Option dated ) 1 S�U between ANE Forests of Puget Sound Inc., as Landlord, and VoiceStream PCS BTA I Cotporation, as agent for Cook Inlet/VoiceStream PV/SS PCS,L.P.,as Tenant. The Property is legally described as follows: EXHIBIT A LEGAL DESCRIPTION FOR:CTC- ?5427 PARCEL 1: THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER, TEE NORTHEAST QUARTER ON THE SOUTHEAST QUARTER, TIE SOUTH HALF OF THE SOUTHEAST QUARTER, AND THE EAST SEVEN-EIGHTS [7/81 OF THE NORTHWEST QUARTER OF THE SOUTHEAST QUARTER IN SECTION 23, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., IN JEFFERSON COUNTY, WASHINGTON. • PARCEL 2; THAT PORTION OF THE NORTH HALF OF THE NORTHEAST QUARTER OF SECTION 23, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., JEFFERSON COUNTY, WASHINGTON, AND DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE NORTH LnIE OF SAID SECTION 23 WHICH POINT I5 NORTH 85°45'55" EAST 316.66 FEET FROM TEE NORTH QUARTER SECTION CORNER OF SAID SECTION 23, ANC IS LOCATED AT THE NORTHWEST CORNER OF TEE EAST HALF OF THE WEST HALF OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 23; THENCE FROM SAID POINT OF BEGINNING SOUTH 1°01'31' WEST, ALONG THE WEST LINE OF SAID EAST HALF OF THE WEST HALF OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER, A DISTANCE OF 1315,28 FEET TO THE SOUTHWEST CORNER THEREOF; THENCE NORTH 89°26'27^ EAST, ALONG THE SOUTH LINE OF THE NORTH HALF OF THE NORTHEAST QUARTER OF SAID SECTION 23, A DISANCE OF 1522.20 FEET, MORE OR LESS, TO Jas POINT OF INTERSECTION WITH TILE SOUTHWESTERLY LINE OF TILE RIGHT OF WAY OF THE "TORKELSON COUNTY ROAD", WHICH POINT OF INTERSECTION IS SOOTS 89°26'27" WEST 713.76 FEET FROM THE SOUTHEAST CORNER OF THE NORTHEAST QUARTER OF TAE NORTHEAST QUARTER OF SAID SECTION 23; THENCE FROM SAID POINT' OF INTERSECTION NORTH 53°30'25" WEST, ALONG THE SOUTHWESTERLY LINE OF SAID COUNTY ROAD RIGHT OF WAY, A DISTANCE OF 316.30 FEET; THENCE LEAVING SAID SOUTHWESTERLY RIGHT OF WAY LINE AND CONTINUING NORTH 88°49'06" WEST 79,05 FEET; THENCE NORTH 43°53'28" WEST 207.14 FEET; THENCE NORTH 40°12'59" WEST 114.59 FEET; THENCE NORTH 49°36'47' WEST 239.63 FEET; THENCE NORTH 72°55'51" WEST 120.44 FEET; ESSENCE NORTH 38°24'20" WEST 358.93 FEET; THENCE NORTH 18°22'25' WEST 402.83 FEET; THENCE NORTH 32°05'28^ EAST 76.99 FEET, MORE OR LESS, TO A POINT ON THE SOUTHWESTERLY LINE OF THE RIGHT OF WAY OF AFORESAID "TORKELSON COO:+TY ROAD.; THENCE HORTE 30°08'30" WEST, ALONG IM SOUTHWESTERLY LINE OF SAID COUNTY ROAD RIGHT OF WAY, A DISTANCE OF 86.87 FEET TO THE POINT OF INTERSECTION WITH THE NORTH LINE OF SAID SECTION 23; THENCE SOUTH 8S°45'55" WEST, ALONG THE NORTH LINE OF SAID SECTION 23, A DISTANCE OF 949.95 FEET TO TIM POINT OF BEGINNING; EXCEPT -TOREEI.SON COUNTY ROAD' RIGHT OF WAY; ALSO EXCEPT 7X01 FOLLOWING DESCRIBED PROPERTY; BEGINNING AT A POINT ON THE SOUTHERLY LINE OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 23, WHICH POINT BEARS NORTH 89°26'27" EAST 572.06 FEET FROM THE SOUTHWEST CORNER OF SAID SUBDIVISION; THENCE NORTH 53°30'25" WEST 116.30 FEET; THENCE NORTE 516°49'06' WEST 79.05 FEET; THENCE iContinusd) ...;e7 Site Number: SE-6101 Site Name: Chimacum Market: Seattle Expansion D-4 t'l • • • • ( EXHIBIT A continued Legal Description Page 2 NORTH 43°53'28" WEST 207.14 FEET; THENCE NORTH 40°12'59" WEST 114.59 FEET; THENCE NORTH 49°36'47" WEST 239.63 FEET; THENCE NORTH 72455'51" WEST 120.44 FEET TO THE TRUE POINT OF BEGINNLNG, SAID POINT BEING MARRED BY AN IRON ROD; THENCE SOUTH 49°28'40" WEST 144.99 FEET TO AN IRON ROD; THENCE NORTH 42°49°20" WEST 263.22 FEET TO AN IRON ROAD; THENCE NORTH 49°50'40" EAST 75.59 FEET TO AN :RON ROAD; THENCE NORTH 48°54'40" EAST 89.63 FEET TO AN IRON ROAD; THENCE SOUTH 38°24'20" EAST 263.78 FEET, MORE OR LESS, TO THE TRUE POINT OF BEGINNING. PARCEL 3: THAT PORTION OF THE NORTH HALF OF THE NORTHEAST QUARTER, SECTION 23, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., IN JEFFERSON COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS: BEGINNING AT A POINT WHICH BEARS NORTH 89°26'27" EAST 972.06 FEET AND NORTH 52°30'25" WEST 116.30 FEET FROM THE SOUTHWEST CORNER OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 23, SAID POINT BEING IN COMMON WITH THE SOUTHERLY EDGE OF THE "TORSCELSON=COUNTY ROAD"; THENCE NORTH 88°49'OE" WEST 79.05 FEET; THENCE NORTH 43°53'28" WEST 81.64 FEET TO AN IRON ROD; THENCE NORTH 01°46'35' EAST 80.56 FEET TO TRE SOUTHERLY EDGE OF SAID COUNTY ROAD; THENCE SOUTH 44°19'55" EAST ALONG SAID SOUTHERLY EDGE 191.16 FEET, MORE OR LESS, TO THE POINT OF BEGINNING. PARCEL 4: THAT PORTION OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 23, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M., IN JEFFERSON COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SAID SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 23; THENCE SOUTH 1320 FEET, MORE OR LESS, TO THE SOUTHWEST CORNER OF SAID SUBDIVISION; THENCE EAST 1320 FEET, MORE OR LESS, TO THE SOUTHEAST CORNER OF SAID SUBDIVISION; THENCE NORTHWESTERLY TO A POINT ON THE NORTH LINE OF SAID SUBDIVISION WHICH IS 891 FEET WEST FROM THE NORTHEAST CORNER OF SAID SUBDIVISION; THENCE WEST 429 FEET, MORE OR LESS, TO THE POINT OF BEGINNING. ALL SITUATE IN COUNTY OF JEFFERSON. STATE OF WASHINGTON. Site Number. SE-6101 Site Name: Cttimacum Market: Seattle Expansion D-5 • • CAS CAD IA` PM Precision Program Manaaem€ Joel Peterson Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 December 29, 2014 Below is a narrative addressing the Wireless Facility Design Standards in Section 18.42.090 (1), located in the Jefferson County Code. (a) Wireless communications facilities including attached or colocated antennas, towers, and equipment enclosures shall be painted a non-reflective color that blends with the surroundings. Appropriate colors may include earth tones and muted grays, blues, and greens in broken patterns. The Wireless Communication Facility(WCF)antennas will be attached to the existing lattice tower and shall be a non-reflective color that blends in with the surroundings and existing structure. (b) Tower Spacing. New wireless facility towers shall not be allowed within 2,000 feet of an existing tower, unless the applicant demonstrates through the colocation procedure set forth in JCC :; that colocation on the existing tower is not feasible. Such demonstration shall include but not be limited to a structural analysis of the existing tower provided by a structural engineer licensed in the state of Washington. The proposed WCF is being proposed on an existing 166'lattice tower and there are no existing towers located within 2,000 feet of the existing tower. (b) Tower lighting shall not be allowed except as required by the FAA. No new lighting on the existing tower is being proposed. (c) Setbacks. For all new towers that are 60 feet or less in height, the standard setbacks of the underlying zone shall apply. For all new towers that are greater than 60 feet in height, the standard setbacks of the applicable zone shall be increased by one foot for every one foot of additional height above 60 feet; provided, that this requirement may be waived by the director or hearing examiner, as appropriate, based on a finding that lesser setbacks and/or the use of additional screening are adequate to ameliorate aesthetic and visual impacts. All equipment shelters shall comply with setbacks of the applicable zone. The lattice tower is existing and meets the tower setback standards. The proposed leased area that will contain the ground equipment meet the zoning setback standards of Commercial Forest. See site plan, sheet A-1.0, for approximate setback to property line. (d) Fencing and Security. Wireless facility towers and accessory equipment shall be enclosed by a minimum six-foot high security fence, as required for public safety. The proposed leased area where the equipment will be placed shall be enclosed by a six- foot high chain link fence with an additional one feet of barbed wire. See sheet A-3.0 and sheet A-6.0 for details. Cdscada PM LLC Corporate Headquarters 3322 South Bay Road NE Olympia,WA 98506 3.30 N.Nirntz Hwy Suite A- 360 438 8002 Honolulu,Hi 96817 w°.r.cascadia n.cam Kirkland d WA 9 033 P 808 536/41.}0 X25 828 JON ih\ • • - CAS CAD IA' PM Precision Prourarn Manaoerne (f) Equipment Enclosures. (i) Ground-mounted equipment enclosures shall be the smallest size practicable. Ground-mounted equipment is proposed at a practical size, similar to the existing ground equipment on-site. See construction drawings for details. (ii) Equipment enclosures mounted on alternative structures shall not extend more than six feet above the height of adjacent portions of the structure that screen the equipment enclosure. If mounted on buildings, equipment enclosures shall be placed within the interior of buildings, whenever technically feasible. If located on the roof of a building, equipment enclosures shall either be concealed or camouflaged with a design that is architecturally compatible with the building. The proposed WCF antennas will not extend above the height of the existing lattice tower. (g) Noise generated by a wireless facility shall not exceed the maximum environmental noise levels set forth in Chapter 17,3-60 WAC as it is now in affect or hereafter amended. The generator will be the only source of noise with the proposed WCF. The generator will only turn on during power outages and periodically for testing. Please see specifications of the generator located in the construction drawings. (h) Landscaping and Screening. (i)A landscaping plan shall be submitted with all applications for towers and equipment enclosures in commercial and residential districts and in agricultural lands. Landscaping shall be placed outside the security fence and shall consist of fast-growing vegetation with a minimum planted height of six feet, placed so as to form a solid hedge within two years of planting. The proposed WCF is not proposed in a district where landscaping is required. The current zoning is Commercial Forest. (ii) Existing vegetation that conceals or screens a proposed facility from view(including antennas, towers, and equipment enclosures) shall be preserved to the greatest extent feasible consistent with the operation of the facility. If existing vegetation is not adequate to screen the facility, additional vegetation shall be planted in order to adequately screen the facility. For all screening, the use of trees with significant height and fullness upon maturity shall be required. All vegetation outside the proposed leased area will remain intact and not be removed. (iii) If it is not possible to achieve adequate screening by preserving vegetation on the site, the wireless facility provider shall lease or secure an easement for additional land to preserve existing significant vegetation or to allow the planting of additional vegetation. Additional landscaping is not required per Section 16.42.090(h)(i). (i) Camouflage and Concealment. Wireless communications facilities shall blend with and not disturb the visual character of their settings to the greatest extent practicable. The proposed WCF ground equipment shall be enclosed in a 6-foot high chain link fence with 1-foot of barbed wire. The proposed fence will match the existing fence. Cascadia PM,LLC Corporate Headquarters 3322 South Bay Road NE Olympia,WA 93506 130 N.Nimitz Hwy Suite A-200 1501 NE 109'" Ct Suit= 360 438 8002 Honolulu,HI 96817 ;Vancouver,WA,986E www.cascadiapm.com 808 530 7400 360 8g'. . • • CASCADIA PM Precision Pro learn Manaaemei (j) Security lighting for equipment enclosures shall be minimized. It shall be oriented downward and shielded so that the light falls only within the boundaries of the property and shall be triggered only by a motion sensor. All proposed lighting will be downward facing and only be used during periodic maintenance periods. (k) Signs and Symbols. Signs, symbols, flags, banners or other devices shall not be attached to or painted or inscribed upon any tower or antenna; provided, that the flags of the United States and the state of Washington may be flown from towers and antennas disguised as flag poles. A telephone number and person to call for information or in the event of an emergency shall be posted at the site. No signs or symbols are being proposed, except for ones that are required through permitting. (I) Security and Maintenance. The provider and co-applicants shall protect the facility from unauthorized access consistent with the purpose of protecting the public health, safety and welfare. The provider and co-applicants shall maintain the facility in a good and safe condition and preserve its original appearance and concealment or camouflage elements incorporated into the design at the time of approval. Such maintenance shall include, but not be limited to, such items as painting, structural repair, repair of equipment and maintenance of landscaping. The site will be fully secured with a locking gate. The original appearance will be maintained. (m)Antenna Mounting. (i) Roof-mounted antennas and/or antenna arrays located on alternative structures shall be concealed when viewed from ground level adjacent to the structure unless this is not technically feasible, in which case the antennas or antenna arrays shall be camouflaged to the extent practicable. Antennas will be mounted to an existing lattice tower. Respectfully, Angela Raymond Cascadia PM Site Acquisition Specialist Ph. #509.998.9015 angela.raymond@cascadiapm.com Cascadia PM,EEC Corporate Headquarters 3322 South Bay Road NE Olympia,WA 98506 130 N.Nu itz Hoy Suite A-200 360 438 8002 Ho:.. HI 96317 •.,wvv.cascadiapm.corn 8/s 330 Parcel Details Page 1 of 2 4O,!L Jefferson C , .,..,, i - —,v;` sexy. - n ! ,M.„ata�ra,.T ,V ° Ufa wt a m- w; _____„�` �• __._ �.- Home County Info Departments Search Parcel Number: 901231004 SEARCH Parcel Number: 901231004 Printer Friendly Owner Mailing Address: TIMBERLANDS HOLDING COMPANY kl ' 1901 ISLAND WALKWAY FERNANDINA BEACH FL32034-4732 Site Address: ! 1219 CENTER RD , ` i r ' CHIMACUM 98325 V ' Section: 23 School District: Chimacum (49) A s Qtr Section: NE1/4 Fire Dist: None Township: 29N Tax Status: Taxable Range: 1W Tax Code: 0202 Planning area: South Chimacum/Inland Valleys/Center (6) Sub Division: Assessor's Land Use Code: 8800 - Designated Forest Land Property Description: S23 T29 R1W SW NE, SE1/4(LS W1/2 W1/2 W1/2 NW SE)TX 4, TAX 10(LS TX12) Tax,A/V, Sales, Photos, and Permit Data Bide Data Map Parcel Plats&Surveys Septic Monitoring Info /;°' Jefferson County HOME I COUNTY INFO l DEPARTMENTS 1 SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel N0=901231004 1/6/2015 , . ______ JEFFERSON TITLE COMPANY PO Box 256.2205 Washington Street,Port Townsend,WA 98368 Phone:(360)385-2000 Fax:(360)385-6967 Order No.: 80181 Customer Ref.No.: Prepared for: Charge: $ 300.00 Cascadia PM Sales Tax: $ 27.00 733 7th Avenue Suite 209 Total: $ 327.00 Kirkland,WA 98033 Attn: Devendra Maharaj RE: Property Address: 1219 Center Road Chimacum,WA 98325 By: Stacy Beckman,Title Officer For Service on this order call: (360)385-2000 (FAX)(360)385-6967 (Email: stacy @jeffersontitlecompany.com) LIMITED LIABILITY CERTIFICATE This is a report as of June 24, 2014, at 8:00 a.m., covering property hereinafter described. The information contained herein is made solely for the purpose of determining the status of the property described herein, is restricted to the use of the addressee, and not to be used as a basis for closing any transaction affecting title to said property. Liability is limited to the charge made for this certificate. LEGAL DESCRIPTION: Parcel A: The Southwest 1/4 of the Northeast'/,,the South '/2 of the Southeast'/,and the East 718th of the Northwest 1/4 of the Southeast Y all in Section 23,Township 29 North,Range 1 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson, State of Washington. p ,__ ____-2 ...-_____, , AN 1 fil! J ` 6 2015 j tuLi ; �°I r,CO tMMMUNIIY DEVELOPMENT Parcel B: That portion of the North 1/2 of the Northeast'/4 of Section 23,Township 29 North, Range I West, W.M., in Jefferson County, Washington, described as follows: Beginning at a point on the North line of said Section 23,which point is North 89°45' 55"East,316.66 feet from the North '/4 section corner of said Section 23,and is located at the Northwest corner of the East '/2 of the West '/2 of the Northwest'/4 of the Northeast'/.of said Section 23; thence from said Point of Beginning South I° 01' 31"West,along the West line of said East 1/2 of the West 1/2 of the Northwest 1/4 of the Northeast 1/4,a distance of 1315.28 feet to the Southwest corner thereof; thence North 89°26' 27"East,along the South line of the North '/2 of the Northeast 1/4 of said Section 23, a distance of 1522.20 feet,more or less,to the point of intersection with the Southwesterly line of the right of way of the"Torkelson County Road", which point of intersection is South 89°26' 27"West, 713.76 feet from the Southeast corner of the Northeast '/of the Northeast 1/4 of said Section 23; thence from said point of intersection North 53° 30' 25" West, along the Southwesterly line of said County Road right of way,a distance of 116.30 feet; thence leaving said Southwesterly right of way line and continuing North 88°49' 06"West,79.05 feet; thence North 43° 53' 28"West,207.14 feet; thence North 40° 12' 59"West, 114.59 feet; thence North 49°36' 47"West,239.63 feet; thence North 72° 55' 51"West, 120.44 feet; thence North 38°24' 20"West,358.93 feet; thence North 18°22' 25"West,402.83 feet; thence North 32°05' 28"East, 76.99 feet,more or less,to a point on the Southwesterly line of the right of way of aforesaid"Torkelson County Road"; thence North 30°08' 30"West,along the Southwesterly line of said County Road right of way,a distance of 86.87 feet to the point of intersection with the North line of said Section 23; thence South 89°45' 55"West,along the North line of said Section 23,a distance of 949.95 feet to the Point of Beginning; EXCEPT"Torkelson County Road"right of way; ALSO EXCEPT the following described property: Beginning at a point on the Southerly line of the Northeast '/of the Northeast 1/4 of said Section 23,which point bears North 89°26' 27"East, 572.06 feet from the Southwest corner of said subdivision; thence North 53°30' 25"West, 116.30 feet; thence North 88°49' 06"West, 79.05 feet; thence North 43°53' 28"West,207.14 feet; thence North 40° 12' 59"West, 114.59 feet; thence North 49°36' 47"West, 239.63 feet; thence North 72° 55' 51"West, 120.44 feet to the True Point of Beginning,said point being marked by an iron rod; thence South 49°28' 40"West, 144.99 feet to an iron rod; thence North 42° 49' 20"West,263.22 feet to an iron rod; thence North 49° 50'40"East, 75.59 feet to an iron rod; thence North 48° 54' 40"East, 89.63 feet to an iron rod; thence South 38°24' 20"East,263.78 feet,more or less,to the True Point of Beginning; TOGETHER WITH an easement for right of way as granted by instrument recorded March 3, 1959 under Auditors File No. 160607. Situate in the County of Jefferson,State of Washington. LPB Parcel C: That portion of the Southeast'/,of the Northeast'/4 of Section 23,Township 29 North,Range 1 West, W.M., in Jefferson County, Washington, described as follows: Beginning at the Northwest corner of said Southeast'/4 of the Northeast'A of said Section 23; thence South, 1320 feet,more or less,to the Southwest corner of said subdivision; thence East, 1320 feet, more or less,to the Southeast corner of said subdivision; thence Northwesterly to a point on the North line of said subdivision,which is 891 feet West from the Northeast corner of said subdivision; thence West,429 feet, more or less,to the Point of Beginning. Situate in the County of Jefferson, State of Washington. Parcel D: A permanent easement on a strip of land 30 feet in width for a right of way and road situated in the Southeast'/,of the Northeast 1/4 of Section 23,Township 29 North, Range I West,W.M., in Jefferson County,Washington,said strip of land being 15 feet in width on each side of the following described centerline: Beginning at a point marking the Southerly end of the centerline of the right of way of the Torkelson County Road on the North boundary of the Southeast 1/4 of the Northeast 1/4 of said Section 23,which point is North 89° 16' 45"West,720.00 feet from the Northeast corner of the Southeast 1/4 of the Northeast 1/4 of said Section 23; thence from said Point of Beginning, South 47°30' East,tracing the centerline of an existing road,a distance of 248.3 feet; thence on a 30°curve to the right,through a central angle of 43°45"a distance of 145.93 feet; thence South 3°45' East,454.5 feet a point,which point is North 639.38 feet and West 416.81 feet from the East'/4 corner of said Section 23,said point marking the terminus of the centerline of the 30 foot wide strip of land herein described. Situate in the County of Jefferson, State of Washington. VESTED IN: Timberlands Holding Company Washington Inc,a Washington Corporation LPB EXCEPTIONS: 1. General taxes for the year 2014 which have been paid. Amount: $319.28 Tax Account No.: 901 231 004 Property ID No,: 21957 Assessed value: $ 839,860.00 2. The lands described herein have been classified on the tax rolls as forest land pursuant to RCW 84.33,and the timber located thereon is not taxed as real property but will be subject to collection of a tax upon harvesting hereof. In the event that said property is removed from its present designation as forest land it may become liable to assessment of a compensating tax for prior years. Any sale or transfer of said property required completion of an application and submission to the county assessor within 60 days of such sale requesting that the classification be continued. Note: If the proposed transaction involves a sale of the property so classified or designated,there will be additional requirements regarding the real estate excise tax affidavit. Please contact Jefferson County Assessor or the company for additional information. 3. Easement and the terms and conditions thereof: Reserved by: Wauna Investment Company,a corporation Purpose: right of way Dated: December 10, 1912 Recording No.: 35818 in Volume 79 of Deeds,page 500 Affects: Portion of said premises and other property The legal description in said easement is not sufficient to determine its exact location within said premises. 4. Easement, including terms and provisions contained therein: Recorded: June 22, 1948 Recording No.: 114206 In favor of: Puget Sound Power and Light Company, a Washington Corporation For: Electric transmission and/or distribution system Affects: Portion of said premises and other property The legal description in said easement is not sufficient to determine its exact location within said premises. 5. Terms and conditions of Bargain and Sale Deed wherein Cavenham Forest Industries conveyed to Cavenham Energy Resources,Inc. all hydrocarbon minerals of any nature whatsoever including, but not limited to, gas, oil and related hydrocarbon and associated substances,and all geothermal steam,heat,hot water, brines and related energy-producing liquid or gaseous materials,as granted by instrument recorded November 30, 1987, under Auditor's File No. 311721. (All other materials were reserved by Cavenham Forest Industries). By Quit Claim Deed recorded May 15, 1996,under Auditor's File No. 391112,ALL minerals were conveyed to Crown Pacific Limited Partnership,a Delaware limited partnership. Affects: Portion of said premises and other property 6. Lease and the Terms and Conditions Thereof as Disclosed by Memorandum of Lease. Lessor: ANE Forest of Puget Sound, Inc. Lessee: Voicestream PCS BTA 1 Corporation Dated: March 15,2000 Recorded: August 29,2000 Recording No.: 436674 Memorandum of site lease acknowledgement imposed by instrument recorded on September 9, 2001,under Recording No.446537. Lease area exhibit imposed by instrument recorded on February 15, 2001,under Recording No. 441096. Assignment of Lease and the terms and conditions thereof: Lessor's interest assigned to: Rayonier Forest Resources,L.P.,a Delaware limited partnership, as to an undivided 14.48%interest,and EPC Holdings Rayonier ANE Forest, LLC,a Washington limited liability company,as to an undivided 85.52%interest Recording No.: 503934 Affects: Ptn of NE&SE 23-29-1W Memorandum of Master Prepaid Lease and Management Agreement imposed by instrument recorded on April 30,2014,under Recording No. 583467. End of Special Exceptions 578256 PGS : 39 DEED 08/12/2013 11;23 AM $110.00 JEFFERSON TITLE CO INC Jefferson County MA Auditor's Office - Donna Eldrldaa, Auditor 579670 PCS : 39 DEED AFTER RECORDING RETURN TO: 10110/2013 03:07 PM $110.00 JEFFERSON TITLE CO INC Jefferson County MA r's Office - Donna Eldridge, Auditor Attention: Legal Dept. 141564141110101160.114111114 11 II I Rayonier P. O. Box 723 Fernandina Beach, FL 32035 DOCUMENT TITLE(s): I. Bargain and Sale Deed REFERENCE NUMBER(s)OF DOCUMENTS ASSIGNED OR RELEASED None GRANTOR(s): RAYONIER FOREST RESOURCES, L.P. GRANTEE(s): TIMBERLANDS HOLDING COMPANY WASHINGTON,INC. Legal Description(abbreviated): See attached 3 pages T\v'1 (2. I 1 1-2M-12N"3 Assessor's Tax Parcel Nos.: See attached 3 pages Hifi. a ' THIS DOCUMENT 15 BEING RE-RECORDED TO CORRECT THE LEGAL DESCRIPTION e ri :-g 1 {F• .-4 613666 119758 *8/9/2013 10.00* 579670 Page 2 of 39 10/1012013 03:07 PM AFTER RECORDING RETURN TO: Timberlands Holding Company Washington, Inc. do Rayonier 1901 Island Walkway Fernandina Beach, FL 32034 BARGAIN AND SALE DEED Grantor. RAYONIER FOREST RESOURCES, L.P. Grantee: TIMBERLANDS HOLDING COMPANY WASHINGTON, INC. Legal Description (abbreviated): Assessor's Tax Parcel Nos.: See attached Exhibit B Reference Nos. of Documents Released or Assigned: N/A The Grantor, RAYONIER FOREST RESOURCES, L.P., a Delaware limited partnership(prior to name change f/k/a Rayonier Timberlands Operating Company, L.P., a Delaware limited partnership), duly authorized to do business in Washington, whose address is 1901 Island Walkway, Fernandina Beach, Florida 32034 for good and valuable consideration, the sufficiency and receipt of which is hereby acknowledged, bargains, sells and conveys to TIMBERLANDS HOLDING COMPANY WASHINGTON, INC., a Delaware corporation, all interest, including any hereinafter acquired interest, in the real property, situated in Jefferson County, Washington and legally described on Exhibit A attached hereto and incorporated herein. The Grantor does by these presents expressly limit the covenants of the deed to those herein expressed as set forth in RCW 64.04.040, and excludes all other covenants arising or to arise by statutory or other implication, and does hereby covenant that against all persons whomsoever lawfully claiming or to claim by, through, or under said Grantor and not otherwise, it will forever warrant and defend the said described real estate. The above property is subject to easements, restrictions, reservations and encumbrances of record. 579670 Page 3 of 39 10/10/2013 03:07 PM DATED THIS day of August, 2013. RAYONIER FOREST RESOURCES, L.P. By: Rayonier Timberlands Management, LLC Managing eneral Partner By: biArkir Alejandro arbeca ---- Its: Man er, Hunting and Recreation STATE OF FLORIDA ss. County of NASSAU I certify that I know or have satisfactory evidence that Alejandro Barbera is the person who appeared before me, and that said person acknowledged that he signed this instrument, on oath stated that he was authorized to execute this instrument and acknowledged it as the Manager, Hunting and Recreation of Rayonier Timberlands Management, LLC, Managing General Partner of Rayonier Forest Resources, L.P., to be the free and Xoluntary act of such party for the uses and purposes mentioned in the instrument. Given under my hand and official seal this day of August,2013. Al 1 ELIZABETH M.LOWS A ►� Print 'ame: lizabeth M�'o - NOTARY PUBLIC CJSTATE OF FLORIDA Notary Public in and for the 'Cmm#EE 136960 State of Florida Expires 10/10/2015 Commission No.: EE136960 My appointment expires: 10/10!15 2 579670 Page 4 of 39 10/10/2013 03:07 PM Exhibit A Legal Descriptions 3 579670 Page 5 of 39 1011012013 03:07 PM 412 011001 Government Lots 1,2,and 3;the Southeast'/.of the Northeast'/.;the Northeast' of the Southeast 1/4, all in Section 1,Township 24 North, Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson, State of Washington. 412 021001 Government Lot 2;the Southwest' of the Northeast'/;the Southwest'/.,all in Section 2,Township 24 North, Range 12 West,W.M.,Jefferson County,Washington; Excepting therefrom that certain strip of land conveyed to the State of Washington by deed recorded under Auditor's File No.213511. Situate in the County of Jefferson,State of Washington. 412 031001 All of Section 3,Township 24 North, Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington 412 041001 Government Lots 1 through 4 inclusive;the South 1 of the Northwest'/.;the West'h of the Southwest '/a of the Northeast '/.;the South V2,all in Section 4,Township 24 North, Range 12 West,W.M., Jefferson County,Washington; Except a 60-foot strip conveyed to the State of Washington in Volume I of Road Waivers,page 6. Situate in the County of Jefferson,State of Washington. 412 051002: The South 1/2 of the Northeast V4;the North l/2 of the South Vi;the Southeast'/.of the Southwest'/.;the South V2 of the Southeast '/, all in Section 5,Township 24 North,Range 12 West,W.M.,Jefferson County,Washington; Except a 60-foot strip conveyed to the State of Washington in Volume I of Road Waivers,page 7. Situate in the County of Jefferson,State of Washington. LPB-12 CD 0 Rev.816J2013 579670 Page 6 of 39 10/10/2013 03:07 PM 412 072 000 Government Lots 3 and 4 and the East one half of the Northwest'A of Section 7,Township 24 West, Range 12 West,W.M. Situate in the County of Jefferson,State of Washington. 412 081 000 The Northeast 1/4;the Southeast'A;the East %2 of the Northwest 1/4 and the East Vi of the Southwest 1/4 all in Section 8,Township 24 North, Range 12 West,W.M.,Jefferson County,Washington; Situate in the County of Jefferson,State of Washington. 412 091000 All of Section 9,Township 24 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 412 101 001 The North 1/2 of the Northeast 'A;the Northwest'/.and the Southwest 1/4 all in Section 10,Township 24 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 412 171 001 The North 1/2; the North 1/2 of the South ''/s;the Southeast'/4 of the Southeast'/,all in Section 17, Township 24 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 412 181 001 The East Vi of the Northeast%and the East V2 of the Southeast 1/4 all in Section 18,Township 24 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. LPB-12 © ®Rev.8/6/2013 579670 Page 7 of 39 10/10/2013 03:07 PM 412 201 001 The Northeast 1/4 of the Northeast '/,;the South' of the Northeast'A; the Southwest'/.and the Southeast 1/4,all in Section 20,Township 24 North, Range 12 West,W.M.,Jefferson County, Washington; Excepting therefrom a 60-foot strip of land conveyed to the State of Washington in Volume 1 of Road Waivers,pages IS, 16, and 17. Situate in the County of Jefferson,State of Washington. 412 211 000 All of Section 21,Township 24 North, Range 12 West, W.M.,Jefferson County,Washington; Excepting therefrom a 60-foot strip of land conveyed to the State of Washington in Volume 1 of Road Waivers,pages 15 and 16. Situate in the County of Jefferson,State of Washington. 412 281000 The North '/2 of the Northwest 'A;the Northwest'/.of the Northeast 1/4; Except the Southeast%of the Northwest'/.of the Northeast'/,all in Section 28,Township 24 North, Range 12 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 412 291 000 The Northeast'/,of the Northwest'A;the North 1/2 of the Northeast'/,,all in Section 29,Township 24 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 412 354 001 The Northeast'/.of the Northeast 1/4;the South 1/2 of the Northeast 1/4; the Southeast'4 of the Northwest 1/4; and Government Lots 1 through 4 inclusive,all in Section 35,Township 24 North, Range 12 West, W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 413 011 001 Government Lots 1 through 4 inclusive;the South'/of the Northwest'/;the West V2 of the Southeast '4 and all of the Southwest 'A all in Section 1,Township 24, Range 13 West,W.M.,Jefferson County, Washington. LPB-12 ®Rev.8/6120)3 579670 Page 8 of 39 1011012013 03:07 PM Situate in the County of Jefferson,State of Washington. LPB-12 ® 0 Rev.R/6/2013 579670 Page 9 of 39 10/10/2013 03:07 PM 413 021 001 Government Lots 1 through 3 inclusive;the South'/:of the Northeast 1/4;the South 1/2 of the Southwest '/e and all of the Southeast'/.,all in Section 2,Township 24 North,Range 13 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 413 111 000 All of Section 11,Township 24 North,Range 13 West, W.M.,Jefferson County,Washington. Situate in the County of Jefferson, State of Washington. 413 121 002 The Northeast 1/4;the Northwest'/.;the Southwest 1/4 and the West 1/2 of the Southeast'/4,all in Section 12,Township 24 North,Range 13 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 413 131 000 The Southwest 1/4;the Northwest'A;the West% of the Northeast'/s and the West% of the Southeast '/•,all in Section 13,Township 24 North,Range 13 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 413 141 000 Section 14,Township 24 North,Range 13 West,excepting therefrom the Southwest'/of the Southwest 1/4. Situate in the County of Jefferson,State of Washington. 413 232 001 The East''/:and the East V2 of the West 1 of Section 23,Township 24 North,Range 13 West,W.M., Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 413 241000 All of Section 24,Township 24 North, Range 13 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. t.PB•12 ® A Rev.8/6/20 I 3 579670 Page 10 of 39 10110/2013 03:07 PM 413 251 001: Government Lots I through 4 inclusive,in Section 25,Township 24 North,Range 13 West,W.M., Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 413 261002 Government Lots I through 4 inclusive,in Section 26,Township 24 North,Range 13 West,W.M., Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 512 011 001 Government Lots 1 and 2;the Southeast'/4 of the Northeast 1/4 and the Northeast'A of the Southeast'/., all in Section 1,Township 25 North,Range 12 West,W.M.,Jefferson County,Washington; Except that certain strip of land conveyed to the State of Washington by deed recorded under Auditor's File No.213511. 512 021000 Government Lot 1 in Section 2,Township 25 North,Range 12 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 512 032 000 and 512 032 001 All of Government Lot 3 in Section 3,Township 25 North,Range 12 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 512 042 001 Government Lots 3 and 4;the Southwest 1/4 of the Northwest'A;the Southeast'A of the Northwest'/. and all of the Southwest 1/4;in Section 4,Township 25 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. LPB.t2 Cr/ 0 Rev.8/6/2013 579670 Page 11 of 39 10/10/2013 03:07 PM 512 051 001 Government Lot 3 and 4;the Southwest'/4 of the Northwest'/4; and the Southeast'/4 of the Northwest '/s; in Section 5,Township 25 North,Range 12 West,W.M.,Jefferson County, Washington; L .-.-.. ..�......... -. ---- . , • .'- Th • - • ' I' t 34.:• eet; .-'• 1"_.y;;;` of said `orthwest t/a,417.42 feet; t to said South to , Government Lots 1 and 2; the South 1/2 of the Northeast 1/4;and the South 1 of the Southwest 1/4,less that portion of the South V2 of the Southwest%lying Southerly of creek, in Section 5,Township 25 North, Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 512 062 001 Government Lots 1 through 7 inclusive;the Southwest'/.of the Northeast%; the Northeast'/4 of the Southwest 1/4; the Northwest 1/4 of the Southeast's the Southeast 1/4 of the Northwest 1/4;the Southeast %of the Northeast'/4;and the South ''/s of the Southeast 1/4;all in Section 6,Township 25 North, Range 12 West,W.M.,Jefferson County,Washington; Together with that portion of the South I/of the Southwest 1/4 lying Southerly of creek in Section 5, Township 25 North, Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 512 192 001 Government Lots 1,2,and 3 in Section 19,Township 25 North, Range 12 West,W.M.,Jefferson County, Washington; Excepting therefrom a 100-foot strip conveyed to the State of Washington for highway purposes by deed dated July, 1961 and recorded under Auditor's File No. 169117. 512 303 000 Government Lots 3 and 4 in Section 30,Township 25 North, Range 12 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. LPB-12 CO 0 Rev.8/6/2013 579670 Page 12 of 39 10/10/2013 03:07 PM 512 312 000 Government Lots 1 and 2,of Section 31,Township 25 North,Range 12 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 513 011001 Government Lots I and 2;the Southeast I/4 of the Northeast'A;and the Northeast'A of the Southeast 'A; all in Section 1,Township 25 North,Range 13 West, W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 513 022 001 Government Lots 3 and 4,and the South'h of the Northwest 1/4,all in Section 2,Township 25 North, Range 13 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 513 031001 Government Lots 1 through 4 inclusive;the South''A of the North 1/2;and all of the Southeast 1/4;all in Section 3,Township 25 North,Range 13 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson, State of Washington. 513 041001 Government Lot 2;the South I/2 of the Northeast'/;and the North%:of the Southeast' ;all in Section 4,Township 25 North,Range 13 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 513 091001 The Northeast I/4,excepting therefrom the Northeast I/4 of the Northeast I/4;and all of the Southeast'h; in Section 9,Township 25 North,Range 13 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 513 101 000 All of Section 10,Township 25 North,Range 13 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. LPB-12 161 Rev.8/6/2013 579670 Page 13 of 39 10/10/2013 03:07 PM 513 111 001 The Northwest 4,except the Northeast /4 thereof;and the Southwest 1/4 of the Northeast'A;all in Section 11,Township 25 North,Range 13 West, W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 513 133 000 The Southwest'A of the Southwest'/.,in Section 13,Township 25 North,Range 13 West,W.M., Jefferson County,Washington, Situate in the County of Jefferson,State of Washington. 513 151 000 The Northeast'A,except the Southeast 1/4 thereof;the Northwest'h and the Northwest IA of the Southwest'/.;all in Section 15,Township 25 North,Range 13 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 513 231000 The Northeast'/,except the Southeast'/4 of the Northeast 1/4 thereof;and the Southeast'/•of the Northwest%;all in Section 23,Township 25 North,Range 13 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 513 241001 The Northeast'/,excepting therefrom the Northwest'A of the Northwest 1/4 of said Northeast'A;the Northwest 1/4,excepting therefrom the North 1/2 of the Northeast'A of said Northwest 1/4 and the North '/z of the Southeast 1/4;all in Section 24,Township 25 North,Range 13 West,W.M.,Jefferson County, Washington; Except a 100-foot strip of land conveyed to the State of Washington by deed recorded August 4, 1961 under Auditor's File No. 169117. Situate in the County of Jefferson,State of Washington. 513 253 000 The South%z of Section 25,Township 25 North,Range 13 West, W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington LPB-t2 CO 0 Rev.R/6/2013 579670 Page 14 of 39 10/10/2013 03:07 PM 513 261 001 The Southwest'A of the Northeast'A;and the Northwest 1/4,excepting therefrom the Northeast'A of the Northwest 'A;all in Section 26,Township 25 North,Range 13 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 513 352 000 The Northwest'/of Section 35,Township 25 North,Range 13 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 513 363 000 Government Lots 3 and 4;the Northwest'/;and the North'4 of the Southwest'A;all in Section 36, Township 25 North,Range 13 West,W,M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 602 011 002 Government Lot 2 and the Southwest'/4 of the Northeast V4 of Section 1,Township 26 North,Range 2 West,W.M. Situate in the County of Jefferson,State of Washington LPB-12 © ©Rev.S/6J2013 579670 Page 15 of 39 10/10/2013 03:07 PM 602 111 001 The East 1/2 and the East 1/2 of the Southwest 1/4 of Section 1 I,Township 26 North,Range 2 West, W.M. EXCEPT the new State Highway No. SR 101 right of way as conveyed by instruments recorded June 16, 1932 in Volume 102 of Deeds, page 183,recorded January 13, 1938 under Auditor's File No. 82913 and recorded January 24, 1969 under Auditor's File No. 199023. ALSO EXCEPT Mt.Walker County usage road right of way. EXCEPTING ALSO that portion of the Southwest'A of the Northeast'/.of said Section 11 described as follows: Beginning at the Southwest corner of said Subdivision; thence Easterly on the South line of said Subdivision 200 feet,more or less,to a point 50 feet distant Northeasterly, when measured at right angles,from the center line survey of old Pacific State Highway No.9;thence North I9°08' West, parallel with and 50 feet distant Northeasterly from said center line survey,420 feet,more or less,to a point measured at right angles Northeasterly from said center line survey at Highway Engineer Survey Station 283+00;thence North 70° 52' East 250 feet;thence North 19°08' West 147.1 feet;thence Northwesterly on a curve to the right with a radius of 2,565 feet for a distance of 510 feet;theeee.said- &;thence Southerly along said West line of said Subdivision 1,080 feet, more or less,to the Point of Beginning. Situate in the County of Jefferson,State of Washington 602 120 000 All of Section 12,Township 26 North,Range 2 West,W.M. Situate in the County of Jefferson, State of Washington 612 012 001 Government Lots 3 and 4,and the South'/z of the Northwest'A,all in Section 1,Township 26 North, Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 612 031 001 Government Lots 1 and 2;the South 1/2 of the Northeast'A;and all of the Southwest'A;all in Section 3,Township 26 North,Range 12 West, W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. *thence South SO degrees 55' West 130 feet , more or less , to the West line of said Sutdivision; LPB-12 © ®Rev.t1/6/2(113 579670 Page 16 of 39 10/10/2013 03:07 PM 612 062 002 Government Lots 2 through 5 inclusive;the East' of the Southwest 1/4;and the Northwest 1/4 of the Southeast 1/4; Excepting therefrom Oil City Road,all in Section 6,Township 26 North, Range 12 West,W.M., Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 612 081000 The Northeast 1/4 and the Southwest 1/4,excepting therefrom the Northwest 1/4 of the Southwest 1/4; Also except Highway 101,all in Section 8,Township 26 North,Range 12 West, W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 612 091001 The North'/,of Section 9,Township 26 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 612 102 000 The Northwest'/.,and the Northwest 'A of the Southwest 1/4,all in Section 10,Township 26 North, Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson, State of Washington. 612 144 000 The East'/z of the Southeast'/,in Section 14,Township 26 North,Range 12 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson, State of Washington. 612 171 002 The Northeast '/,excepting therefrom the Northeast 'A of the Northeast 1/4;the Northwest 1/4,excepting therefrom the Southeast 1/4 of the Northwest 1/4;the Southwest 1/4,excepting therefrom the Northeast 1/4 of the Southwest 1/4;and all of the Southeast 1/4;all in Section 17,Township 26 North,Range 12 West, W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. t,PB-12 0 Rev.8/6/2013 579670 Page 17 of 39 10/10/2013 03:07 PM 612 182 001 That portion of Government Lot 1 lying Southerly of Highway 101;Government Lot 2;the Northeast '/4 and the East'h of the Northwest'/4;all in Section 18,Township 26 North,Range 12 West, W,M., Jefferson County,Washington; Excepting therefrom any portion lying within Highway 101. Situate in the County of Jefferson,State of Washington. 612 231 001 The Northeast'/;the East 1/2 of the Northwest'/,;the East 1/2 of the Southwest'A;and all of the Southeast'A;all in Section 23,Township 26 North,Range 12 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 612 241 000 All of Section 24,Township 26 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 612 251000 All of Section 25,Township 26 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 612 263 000 The Southwest'A,excepting therefrom the Northeast'A of the Southwest'/.;and all of the Southeast '/4;all in Section 26,Township 26 North, Range 12 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson.State of Washington. 612 272 001 The Northwest'A,excepting therefrom the Southeast'/ of the Northwest'A;the Southwest'A;and the South 1/2 of the Southeast 1/4;all in Section 27,Township 26 North,Range 12 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 612 281000 All of Section 28,Township 26 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. LPa.12 C1 Rev.8/6/2013 579670 Page 18 of 39 10/10/2013 03:07 PM 612 291 000 The South 1/2 of the Northeast'A;the Southwest'/;and the Southeast'/.;all in Section 29,Township 26 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 612 311000 The Northeast'A,excepting therefrom the Northeast'/ of the Northeast'A;the East'/:of the Northwest 1/4;the Northeast 1/4 of the Southwest 1/4;and the Northeast' of the Southeast'/.;all in Section 31,Township 26 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 612 321 001 The Northeast'A,excepting therefrom the Southwest 'A of the Northeast 1/4;the West 1/2 of the Northwest'A; and the Northeast'/,of the Southeast'/.;all in Section 32,Township 26 North,Range 12 West,W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 612 331 000 and 612 331 001 All of Section 33,Township 26 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 612 341 000 and 612 342 001 All of Section 34,Township 26 North,Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 612 351 000 All of Section 35,Township 26 North, Range 12 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 613 012 011 The South V.2 of the Southwest 1/4 of the Northwest 1/4,in Section 1,Township 26 North,Range 13 West,W.M.,Jefferson County,Washington. Situate in the County of Jefferson,State of Washington LPB-I2 CO 0 Rev.8/0!2013 579670 Page 19 of 39 10/10/2013 03:07 PM 613 021 010 The Southeast%of the Northeast'A;the Southwest'/,,excepting therefrom the Northwest'A of the Southwest '/;and all of the Southeast 1/4; all in Section 2,Township 26 North,Range 13 West, W.M., Jefferson County,Washington. Situate in the County of Jefferson,State of Washington. 613 031001 Government Lots I through 4,inclusive;the South ''/s of the North 1/2 of the section;the Southwest 1/4, except the Northeast '/.of the Southwest '/ thereof and the South V2 of the Southeast 114 all in Section 3,Township 26 North, Range 13 West, W.M.,Jefferson County, Washington. Situate in the County of Jefferson,State of Washington. 613 042 001 Government Lots 1 through 4 inclusive;the South' of the North'/:of the section and the Southeast '/,except the Southwest'/.of said Southeast 1/4,all in Section 4,Township 26 North,Range 13 West, W.M. Situate in the County of Jefferson,State of Washington 613 051001 Government Lots 1 through 4 inclusive and the South'/:of the North'/:all in Section 5,Township 26 North,Range 13 West,W.M. Situate in the County of Jefferson,State of Washington 613 061001 Government Lots 1 through 5 inclusive;the South '/z of the Northeast' and the Southeast '/.of the Northwest 1/4,all in Section 6,Township 26 North.Range 13 West,W.M. Situate in the County of Jefferson,State of Washington 613 101001 The Northeast 1/4,excepting therefrom the Southeast'/4 of the Northeast 1/4;the East'/:of the Northwest'/.;and the Southeast 1/4,excepting therefrom the Northeast'/e of the Southeast'/.;all in Section 10,Township 26 North, Range 13 West,W.M.,Jefferson County.Washington. Situate in the County of Jefferson, State of Washington. LPR-12 © c Rev.8/6/2013 579670 Page 20 of 39 10/10/2013 03:07 PM 613 111000 The Northeast'/;the Northwest'/,,excepting therefrom the Southwest 'A of the Northwest'/,;the South V2 of the Southwest'A;and the Southwest 1 of the Southeast 1/4;all in Section 11,Township 26 North.Range 13 West,W.M.,Jefferson County,Washington; Excepting therefrom Oil City Road. Situate in the County of Jefferson,State of Washington. 613 121 002 Government Lots 1 and 2; the West' of the Northeast'/;and all of the Northwest 1/4;all in Section 12,Township 26 North,Range 13 West,W.M.,Jefferson County,Washington; Excepting therefrom Oil City Road. Situate in the County of Jefferson,State of Washington. 613 141 002 The West 1/:of the Northeast'/4,and the Northwest'/,all in Section 14,Township 26 North, Range 13 West, W.M.,Jefferson County,Washington; Excepting therefrom Oil City Road. Situate in the County of Jefferson,State of Washington. 613 151 000 The Northeast 1/4,the Northwest 1/4,and the Southwest 1/4,all in Section 15,Township 26 North,Range 13 West,W.M.,Jefferson County,Washington; Except the portion conveyed to Jefferson County,Washington by deed recorded under Auditor's File No. 155299. Situate in the County of Jefferson,State of Washington. 613 201003 Government Lot 5 in Section 20,Township 26 North.Range 13 West,W.M. Situate in the County of Jefferson,State of Washington 613 242 003 Government Lots 6 and 7;the West V2 of the Southeast'/;and the Southwest'A of the Southwest 1/4; all in Section 24,Township 26 North, Range 13 West,W.M.,Jefferson County,Washington. LPA-12 CO ®Rev.8/6/2013 PAUL J. FORD AND COMPANY ' I STRUCTURAL ENGINEERS � ! ' z ,l JAN - 62015 250 East Broad Street • Suite 600 • Columbus, Ohio 43215-3708 I U i l N W I ?T.Of 1ttFERSOPi� CCt 'iUNiTY CCU DEVELOPMENT TY I Date: October 1,2014 i Lauren Brown Paul J Ford and Company Crown Castle 250 E. Broad Street Suite 600 5350 North 48th Street, Suite 305 Columbus, OH 43215 1 Phoenix, AZ 85226 mbuske @pjfweb.com Subject: Structural Analysis Report � Carrier Designation: Verizon Wireless Co-Locate Carrier Site Number: 296505 Carrier Site Name: WA1 Chimacum Crown Castle Designation: Crown Castle BU Number: 826841 Crown Castle Site Name: PT Chimacum 1 ANE Crown Castle JDE Job Number: 302492 Crown Castle Work Order Number: 931551 Crown Castle Application Number: 260207 Rev. 0 Engineering Firm Designation: Paul J Ford and Company Project Number: 37514-1233.003.8800 Site Data: 1219 Center Rd.,Chimacum,Jefferson County,WA Latitude 47°59'11.85", Longitude-122°45'40.42" 160 Foot-Self Support Tower ■ Dear Lauren Brown, Paul J Ford and Company is pleased to submit this "Structural Modification Report" to determine the structural integrity of the above mentioned tower. This analysis has been performed in accordance with the Crown Castle Structural 'Statement of Work' and the terms of Crown Castle Purchase Order Number 706687, in accordance with application 260207, revision 0. The purpose of the analysis is to determine acceptability of the tower stress level. Based on our analysis we have determined the tower stress level for the structure and foundation, under the following load case, to be: e LC4.7: Modified Structure w/Existing + Reserved+ Proposed Sufficient Capacity i Note:See Table I and Table II for the proposed and existing/reserved loading,respectively. This analysis has been performed in accordance with the 2012 International Building Code based upon an ultimate 3-second gust wind speed of 110 mph converted to a nominal 3-second gust wind speed of 85 mph per section 1609.3.1 as required for use in the TIA-222-G Standard per Exception#5 of Section 1609.1.1. Exposure Category C with a topographic category 1 and crest height of 0 feet, and Risk Category II were used I in this analysis. All modifications and equipment proposed in this report shall be installed in accordance with the attached drawings for the determined available structural capacity to be effective. We at Paul J Ford and Company appreciate the opport • ',:•g our continuing professional services to you and Crown Castle. If you have any questions o ° 4'' Maw"'= ce on this or any other projects AN please give us a call. ' qt WA Hrt, rY0' Respectfully submitted by: h A ottl.: % ,,,c% Matthew Buske, E.I.T. °3 4 '', Structural Designer & 490090. ',� .�h!RA fi'' 1 tnxTower Report-version 6.1.4.1 ` , ,y A` Cs OCT 0 z 2014 r alli PAUL J. FORD AND COMPANY S T R U C T U R A L E N G I N E E R S 250 East Broad Street • Suite 600 • Columbus, Ohio 43215-3708 Date: October 1, 2014 Lauren Brown Paul J Ford and Company Crown Castle 250 E. Broad Street Suite 600 5350 North 48th Street, Suite 305 Columbus, OH 43215 Phoenix, AZ 85226 mbuske @pjfweb.com Subject: Structural Analysis Report Carrier Designation: Verizon Wireless Co-Locate Carrier Site Number: 296505 Carrier Site Name: WA1 Chimacum Crown Castle Designation: Crown Castle BU Number: 826841 Crown Castle Site Name: PT Chimacum /ANE Crown Castle JDE Job Number: 302492 Crown Castle Work Order Number: 931551 Crown Castle Application Number: 260207 Rev. 0 Engineering Firm Designation: Paul J Ford and Company Project Number: 37514-1233.003.8800 Site Data: 1219 Center Rd., Chimacum,Jefferson County,WA Latitude 47°59'11.85", Longitude-122°45'40A2" 160 Foot-Self Support Tower Dear Lauren Brown, Paul J Ford and Company is pleased to submit this "Structural Modification Report" to determine the structural integrity of the above mentioned tower. This analysis has been performed in accordance with the Crown Castle Structural 'Statement of Work' and the terms of Crown Castle Purchase Order Number 706687, in accordance with application 260207, revision 0. The purpose of the analysis is to determine acceptability of the tower stress level. Based on our analysis we have determined the tower stress level for the structure and foundation, under the following load case, to be: LC4.7: Modified Structure w/ Existing + Reserved + Proposed Sufficient Capacity Note:See Table I and Table II for the proposed and existing/reserved loading,respectively. This analysis has been performed in accordance with the 2012 International Building Code based upon an ultimate 3-second gust wind speed of 110 mph converted to a nominal 3-second gust wind speed of 85 mph per section 1609.3.1 as required for use in the TIA-222-G Standard per Exception #5 of Section 1609.1.1. Exposure Category C with a topographic category 1 and crest height of 0 feet, and Risk Category II were used in this analysis. All modifications and equipment proposed in this report shall be installed in accordance with the attached drawings for the determined available structural capacity to be effective. We at Paul J Ford and Company appreciate the opportunity of providing our continuing professional services to you and Crown Castle. If you have any questions or need further assistance on this or any other projects please give us a call. Respectfully submitted by: Matthew Buske, E.I.T. Structural Designer tnxTower Report-version 6.1.4.1 f October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800,Application 260207, Revision 0 Page 2 TABLE OF CONTENTS 1) INTRODUCTION 2)ANALYSIS CRITERIA Table 1 - Proposed Antenna and Cable Information Table 2- Existing and Reserved Antenna and Cable Information 3)ANALYSIS PROCEDURE Table 3-Documents Provided 3.1)Analysis Method 3.2)Assumptions 4)ANALYSIS RESULTS Table 4—Section Capacity(Summary) Table 5-Tower Component Stresses vs. Capacity 4.1) Recommendations 5)APPENDIX A TNX Tower Output 6)APPENDIX B Base Level Drawing 7)APPENDIX C Additional Calculations II, tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 3 1) INTRODUCTION This tower is a 160 ft Self Support tower designed by Valmont/Microflect in March of 2000. The tower was originally designed for a wind speed of 100 mph per TIA/EIA-222-F. Tower was extended from 145 ft tall to 160 ft tall. The tower modifications designed by PJF, dated 10/1/14, were considered installed in this analysis 2)ANALYSIS CRITERIA The structural analysis was performed for this tower in accordance with the requirements of TIA-222-G Structural Standards for Steel Antenna Towers and Antenna Supporting Structures using a 3-second gust wind speed of 85 mph with no ice, 30 mph with 0.25 inch ice thickness and 60 mph under service loads, exposure category C with topographic category 1 and crest height of 0 feet. Table 1 -Proposed Antenna and Cable Information Center Number Number Feed Mounting Line Antenna Level (ft) Elevation of Manufacturer Antenna Model of Feed Line Note (ft) Antennas Lines Size(in) 12 amphenol CWX063X25G00 w/ Mount Pipe RRUS 12 W/SOLAR 111.0 111.0 6 ericsson SHIELD 2 1-13/32 6 ericsson RRUS A2 MODULE 1 raycap RCMDC-3315-PF-48 1 tower mounts Sector Mount[SM 407-3] Table 2- Existing and Reserved Antenna and Cable Information Mounting CL n enter Number Antenna Number Feed Level (ft) Elevation of Manufacturer Antenna Model of Feed Line Note (ft) Antennas Lines Size (in) 6 andrew TMBXX-6516-R2M w/ 164.0 Mount Pipe UMWDP-06516-R2DH w/ 160.0 6 andrew 24 1-5/8 1 Mount Pipe 12 andrew ETW190VS12UB 160.0 1 tower mounts Platform Mount[LP 713-1] 3 kathrein 742265 w/Mount Pipe 6 kathrein 800 10122 w/Mount Pipe 18 kathrein 860 10025 3 kmw AM-X-CD-17-65-00T-RET communications w/Mount Pipe 9442 Remote Radio Head 12 1-5/8 150.0 150.0 3 lucent (700 MHz) 1 3/8 1 2 1/2 3 lucent 9442 Remote Radio Head I 1 1/4 (AWS) 3 powerwave TT19-08BP111-001 technologies 1 raycap DC6-48-60-18-8F 1 tower mounts Sector Mount [SM 502-3] tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800,Application 260207, Revision 0 Page 4 Center Number Number Feed Mounting Line of Antenna Antenna Model of Feed Line Note Level (ft) Elevation Antennas Manufacturer Lines Size (in) (ft) 1 dsbj DSSS2006A 3 kmw ET-X-WM-18-65-8P w/ communications Mount Pipe 3 samsung 2.5GHz 8T8R RRH telecommunications - - 2 137.0 3 samsung OPTIC FIBER JUNCTION telecommunications CYLINDER 135.0 3 samsung POWER JUNCTION telecommunications CYLINDER 1 andrew VHLP1-23 3 ifs celwave APXVRRI3-C-A20 w/ Mount Pipe 1 dragonwave Horizon DUO 3 11114 1 135.0 3 samsung RRH-P4 telecommunications 1 tower mounts T-Arm Mount[TA 602-3] 130.0 130.0 1 andrew HP4-102 1 7/8 1 1 tower mounts Pipe Mount[PM 601-1] 125.0 1 andrew VHP4-105 124.0 1 7/8 1 124.0 1 tower mounts Pipe Mount[PM 601-1] 122.0 122.0 1 andrew HP4-102 1 7/8 1 1 tower mounts Pipe Mount[PM 601-1] 118.0 118.0 1 andrew P4F-52-N7A 1 EW90 1 1 tower mounts Pipe Mount[PM 601-1] 104.0 104.0 1 andrew P2-57W-P7A 1 1/2 1 1 tower mounts Pipe Mount[PM 601-1] 102.0 102.0 1 gps G PS_A 1 1/2 1 1 tower mounts Pipe Mount[PM 601-1] 1 ericsson ANT2 0.3 28 HP (TR) 95.0 95.0 1 1/2 1 1 tower mounts Pipe Mount [PM 601-1] 63.0 63.0 1 gps GPS_A 1 1/2 1 1 tower mounts Pipe Mount[PM 601-1] Notes: 1) Existing Equipment 2) Reserved Equipment tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 5 Table 3 - Documents Provided r Document Remarks Reference Source 1 GEOTECHNICAL REPORTS ADaPT Engineering 3564639 CCISITES TOWER FOUNDATION PSM Inc 3564638 CCISITES DRAWINGS/DESIGN/SPECS TOWER MANUFACTURER Microflect 3753004 CCISITES DRAWINGS STRUCTURAL ANALYSIS Semaan Engineering I 3564627 CCISITES STRUCTURAL ANALYSIS GPD, 9/26/12 �I 3753002 CCISITES TOWER REINFORCEMENT PJF, 10/1/14 I 37514- PJF DRAWING 1233.003.8800 3.1) Analysis Method tnxTower(version 6.1.4.1), a commercially available analysis software package, was used to create a three-dimensional model of the tower and calculate member stresses for various loading cases. Selected output from the analysis is included in Appendix A. 3.2) Assumptions 1) Tower and structures were built in accordance with the manufacturer's specifications. 2) The tower and structures have been maintained in accordance with the manufacturer's specification. 3) The configuration of antennas, transmission cables, mounts and other appurtenances are as specified in Tables 1 and 2 and the referenced drawings. 4) The tower reinforcement drawings designed by PJF, dated 10/1/14, were considered installed in this analysis. This analysis may be affected if any assumptions are not valid or have been made in error. Paul J Ford and Company should be notified to determine the effect on the structural integrity of the tower. 4)ANALYSIS RESULTS Table 4!Elevation-Section Capacity (Summary) Section (ft) Component Type Size I Critical I P K SF*P_allow No. Element ( ) (K) 1Capacity l Pass!Fail - T1 160-155 Leg Pipe 3.5"x 0.216"(3 STD) 2 i -3.84 77.15 5.0 Pass T2 155-140 Leg Pipe 4.5"x 0.237"(4 STD)1 14 ' -25.38 118.16 i 21.5 Pass T3 140-120 i Leg Pipe 4.5"x 0.237"(4 STD) 34 -76.82 108.78 I 70.6 Pass T4 120-100 Leg Pipe 6.625"x 0.280"(6 g STD) 55 -158.03 212.16 74.5 Pass T5 100-80 Leg Pipe 8.625 STD) 322 (8 77 -213.85 330.75 64.7 Pass Pipe 10.75"x 0.365"(10 T6 80-60 Leg STD) 98 -248.59 458.75 54.2 Pass I Pipe 10.75"x 0.365"(10 T7 f 60-40 Leg STD) 113 -283.88 458.75 61.9 Pass Pipe 10.75"x 0.365"(10 T8 40-20 Leg STD) 128 -316.61 458.75 69.0 Pass T9 20-0 Leg Pipe 12.75"x 0.375"(12 143 -346.79 573.72 60.4 Pass T1 160-155 Diagonal L 1.75 x 1.75 x 3/16 7 -1.45 9.06 16.0 Pass tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CC/BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 6 Section Elevation(ft)(Component Type Size ( i' t P(K) (SF" ow Pass t Fail (K) Capacity T2 155-140 Diagonal ' L 2.5 x 2.5 x 3/16 16 -4.25 18.54 22'9 Pass 30.0(b) T3 140-120 Diagonal T L 2.5 x 2.5 x 3/16 38 -8.40 16.75 50'2 Pass 1 57.3(b) 1 75.1 T4 120-100 Diagonal T---Li 2.5 x 2.5 x3/16 59 -12.91 17.18 85.4(b) Pass T5 100-80 Diagonal L 2.5 x 2.5 x 3/16 92 -6.56 16.22 40.4 Pass 40.8(b) T6 80-60 Diagonal L 3 x3 x 3/16 101 -6.97 15.02 46.4 Pass T7 60-40 Diagonal L 3 x3 x3/16 116 -6.82 11.64 58'6 Pass 68.6(b) T8 40-20 Diagonal L 3 x 3 x 1/4 131 -6.98 14.17 T 49.2 Pass T9 20-0 Diagonal L 3.5 x 3.5 x 1/4 145 -8.77 18.64 II 47.0 Pass T1 160-155 Top Girt L 2.5 x 2.5 x 3/16 5 -0.64 11.46 110 8(b) Pass •Summary Leg(T4) 74.5 Pass Diagonal 85.4 Pass (T4) Top Girt 10.8 Pass (T1) Bolt Checks 85.4 Pass Rating= 85.4 Pass Table 5-Tower Component Stresses vs. Capacity r Notes ( Component I Elevation (ft) l %Capacity I Pass/Fail 1 Anchor Rods - 51.9 Pass Base Foundation ' 1 Structural - 14.4 Pass 1 Base Foundation _ 46.6 Pass Soil Interaction Structure Rating (max from all components)= I 85.4% Notes: 1) See additional documentation in"Appendix C-Additional Calculations"for calculations supporting the%capacity consumed. 4.1) Recommendations • Reinforce the tower in accordance with the attached modification drawings designed by PJF, dated 10/1/14. tnxTower Report-version 6.1.4.1 i I October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800,Application 260207, Revision 0 Page 7 APPENDIX A TNXTOWER OUTPUT tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CC!BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 8 Tower Input Data The main tower is a 3x free standing tower with an overall height of 160.00 ft above the ground line. The base of the tower is set at an elevation of 0.00 ft above the ground line. The face width of the tower is 6.00 ft at the top and 16.00 ft at the base. This tower is designed using the TIA-222-G standard. The following design criteria apply: 1) Tower is located in Jefferson County, Washington. 2) ASCE 7-10 Wind Data is used(wind speeds converted to nominal values). 3) Basic wind speed of 85 mph. 4) Structure Class II. 5) Exposure Category C. 6) Topographic Category 1. 7) Crest Height 0.00 ft. 8) Nominal ice thickness of 0.250 in. 9) Ice thickness is considered to increase with height. 10) Ice density of 56 pcf. 11) A wind speed of 30 mph is used in combination with ice. 12) Deflections calculated using a wind speed of 60 mph. 13) A non-linear(P-delta)analysis was used. 14) Pressures are calculated at each section. 15) Stress ratio used in tower member design is 1. Options Consider Moments-Legs Distribute Leg Loads As Uniform Treat Feedline Bundles As Cylinder Consider Moments-Horizontals Assume Legs Pinned Use ASCE 10 X-Brace Ly Rules Consider Moments-Diagonals Assume Rigid Index Plate d Calculate Redundant Bracing Forces Use Moment Magnification Use Clear Spans For Wind Area Ignore Redundant Members in FEA 4 Use Code Stress Ratios V Use Clear Spans For KL/r SR Leg Bolts Resist Compression 4 Use Code Safety Factors-Guys Retension Guys To Initial Tension 41 All Leg Panels Have Same Allowable Escalate Ice Bypass Mast Stability Checks Offset Girl At Foundation Always Use Max Kz V Use Azimuth Dish Coefficients VI Consider Feedline Torque Use Special Wind Profile 4 Project Wind Area of Appurt. V Include Angle Block Shear Check 4 Include Bolts In Member Capacity Autocalc Torque Arm Areas Poles Leg Bolts Are At Top Of Section 4 SR Members Have Cut Ends Include Shear-Torsion Interaction d Secondary Horizontal Braces Leg V Sort Capacity Reports By Component Always Use Sub-Critical Flow Use Diamond Inner Bracing(4 Sided) Triangulate Diamond Inner Bracing Use Top Mounted Sockets Add IBC.6D+W Combination Use TIA-222-G Tension Splice Capacity Exemption tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCl BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 9 Wind 180 i • Leg A Wind 90 ► o Mme Leg C , Leg B • Face C • Wind Normal Triangular Tower Tower Section Geometry Tower Tower Assembly Description Section Number Section Section Elevation Database Width of Length Sections ft ft ft T1 160.00-155.00 6.00 1 5.00 T2 155.00-140.00 6.00 1 15.00 T3 140.00-120.00 6.00 1 20.00 T4 120.00-100.00 6.00 1 20.00 T5 100.00-80.00 6.00 1 20.00 T6 80.00-60.00 8.00 1 20.00 T7 60.00-40.00 10.00 1 20.00 T8 40.00-20.00 12.00 1 20.00 T9 20.00-0.00 14.00 1 20.00 Tower Section Geometry (cont'd) Tower Tower Diagonal Bracing Has Has Top Girt Bottom Girt Section Elevation Spacing Type K Brace Horizontals Offset Offset End ft ft Panels in in T1 160.00-155.00 5.00 X Brace No No 0.000 0.000 T2 155.00-140.00 5.00 X Brace No No 0.000 0.000 T3 140.00-120.00 6.67 X Brace No No 0.000 0.000 T4 120.00-100.00 6.67 X Brace No No 0.000 0.000 T5 100.00-80.00 6.67 X Brace No No 0.000 0.000 T6 80.00-60.00 10.00 X Brace No No 0.000 0.000 T7 60.00-40.00 10.00 X Brace No No 0.000 0.000 T8 40.00-20.00 10.00 X Brace No No 0.000 0.000 T9 20.00-0.00 10.00 X Brace No No 0.000 0.000 Tower Section Geometry (cont'd) tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CC!BU No 826841 Project Number 37514-1233.003.8800,Application 260207, Revision 0 Page 10 Tower Leg Leg Leg Diagonal Diagonal Diagonal Elevation Type Size Grade Type Size Grade ft T1 160.00- Pipe Pipe 3.5"x 0.216"(3 STD) A500-46 Equal Angle L 1.75 x 1.75 x 3/16 A36 155.00 (46 ksi) (36 ksi) T2 155.00- Pipe Pipe 4.5"x 0.237"(4 STD) A500-46 Equal Angle L 2.5 x 2.5 x 3/16 A36 140.00 (46 ksi) (36 ksi) T3 140.00- Pipe Pipe 4.5"x 0.237"(4 STD) A500-46 Equal Angle L 2.5 x 2.5 x 3/16 A36 120.00 (46 ksi) (36 ksi) T4 120.00- Pipe Pipe 6.625"x 0.280"(6 A500-46 Equal Angle L 2.5 x 2.5 x 3/16 A36 100.00 STD) (46 ksi) (36 ksi) T5 100.00- Pipe Pipe 8.625"x 0.322"(8 A500-46 Equal Angle L 2.5 x 2.5 x 3/16 A36 80.00 STD) (46 ksi) (36 ksi) T6 80.00-60.00 Pipe Pipe 10.75"x 0.365"(10 A500-46 Equal Angle L 3 x3 x3/16 A36 STD) (46 ksi) (36 ksi) T7 60.00-40.00 Pipe Pipe 10.75"x 0.365"(10 A500-46 Equal Angle L 3 x3 x3/16 A36 STD) (46 ksi) (36 ksi) T8 40.00-20.00 Pipe Pipe 10.75"x 0.365"(10 A500-46 Equal Angle L 3 x3 x 1/4 A36 STD) (46 ksi) (36 ksi) T9 20.00-0.00 Pipe Pipe 12.75"x 0.375"(12 A500-46 Equal Angle L 3.5 x 3.5 x 1/4 A36 STD) (46 ksi) (36 ksi) Tower Section Geometry (cont'd) Tower Top Girt Top Girt Top Girt Bottom Girt Bottom Girt Bottom Girt Elevation Type Size Grade Type Size Grade ft T1 160.00- Equal Angle L 2.5 x 2.5 x 3/16 A36 Equal Angle A36 155.00 (36 ksi) (36 ksi) Tower Section Geometry (cont'd) Tower Gusset Gusset Gusset GradeAdjust.Factor Adjust. Weight Mult. Double Angle Double Angle Elevation Area Thickness A, Factor Stitch Bolt Stitch Bolt (per face) A, Spacing Spacing Diagonals Horizontals ft ft2 in in in T1160.00- 0.00 0.375 A36 1 1 1.1 Mid-Pt Mid-Pt 155.00 (36 ksi) T2 155.00- 0.00 0.375 A36 1 1 1.1 Mid-Pt Mid-Pt 140.00 (36 ksi) T3 140.00- 0.00 0.375 A36 1 1 1.1 Mid-Pt Mid-Pt 120.00 (36 ksi) T4 120.00- 0.00 0.375 A36 1 1 1.1 Mid-Pt Mid-Pt 100.00 (36 ksi) T5 100.00- 0.00 0.375 A36 1 1 1.1 Mid-Pt Mid-Pt 80.00 (36 ksi) 16 80.00- 0.00 0.375 A36 1 1 1.1 Mid-Pt Mid-Pt 60.00 (36 ksi) T7 60.00- 0.00 0.375 A36 1 1 1.1 Mid-Pt Mid-Pt 40.00 (36 ksi) T8 40.00- 0.00 0.375 A36 1 1 1.1 Mid-Pt Mid-Pt 20.00 (36 ksi) T9 20.00-0.00 0.00 0.375 A36 1 1 1.1 Mid-Pt Mid-Pt (36 ksi) Tower Section Geometry (cont'd) tnxTower Report-version 6.1.4.1 ■ October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 11 K Factors' Tower Calc Calc Legs X K Single Girts Horiz. Sec. Inner Elevation K K Brace Brace Diags Horiz. Brace Single Solid Diags Diags Angles Rounds X X X X X X X ft Y Y - Y Y Y Y Y T1160.00- Yes No 1 1 1 1 1 1 1 1 155.00 1 1 1 1 1 1 1 T2 155.00- Yes No 1 1 1 1 1 1 1 1 140.00 1 1 1 1 1 1 1 T3 140.00- Yes No 1 1 1 1 1 1 1 1 120.00 1 1 1 1 1 1 1 T4 120.00- Yes No 1 1 1 1 1 1 1 1 100.00 1 1 1 1 1 1 1 T5100.00- Yes No 1 1 1 1 1 1 1 1 80.00 1 1 1 1 1 1 1 T6 80.00- Yes No 1 1 1 1 1 1 1 1 60.00 1 1 1 1 1 1 1 T7 60.00- Yes No 1 1 1 1 1 1 1 1 40.00 1 1 1 1 1 1 1 T8 40.00- Yes No 1 1 1 1 1 1 1 1 20.00 1 1 1 1 1 1 1 T9 20.00- Yes No 1 1 1 1 1 1 1 1 0.00 1 1 1 1 1 1 1 'Note:K factors are applied to member segment lengths.K-braces without inner supporting members will have the K factor in the out-of- plane direction applied to the overall length. Tower Section Geometry (cont'd) Tower Leg Diagonal 1 Top Girt Bottom Girt Mid Girt Long Horizontal Short Horizontal Elevation ft Net Width U Net U Net Width U Net U Net U Net U Net U Deduct Width Deduct Width Width Width Width in Deduct in Deduct I Deduct Deduct Deduct in in in in in T1160.00- 0.000 1 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 155.00 T2 155.00- 0.000 1 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 140.00 T3 140.00- 0.000 1 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 120.00 T4 120.00- 0.000 1 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 100.00 T5 100.00- 0.000 1 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 80.00 T6 80.00- 0.000 1 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 60.00 T7 60.00- 0.000 1 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 40.00 T8 40.00- 0.000 1 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 20.00 T9 20.00-0.00 0.000 1 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 0.000 0.75 Tower Section Geometry (cont'd) Tower Leg Leg Diagonal Top Girt Bottom Girt Mid Girt Long Horizontal Short Elevation Connection Horizontal ft Type Bolt Size No. Bolt Size No. Bolt Size No. Bolt Size No. Bolt Size No. Bolt Size No. Bolt Size No. in in in in in in in T1160.00- Flange 0.750 4 0.500 2 0.500 1 0.000 0 0.625 0 0.625 0 0.625 0 155.00 A325N A325N A325N A325N A325N A325N A325N tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 12 Tower Leg Leg Diagonal Top Girt Bottom Girt Mid Girt Long Horizontal) Short Elevation Connection Horizontal ft Type Bolt Size No. Bolt Size No. Bolt Size No. Bolt Size No. Bolt Size No. Bolt Size No. Bolt Size No. in in in in in in in T2155.00- Flange 0.750 4 0.625 2 0.000 0 0.000 0 0.625 0 0.625 0 0.625 140.00 A325N A325N A325N A325N A325N A325N i A325N T3 140.00- Flange 0.875 4 0.625 2 0.000 0 0.000 0 0.625 0 0.625 0 I 0.625 0 120.00 A325N A325N A325N A325N A325N A325N A325N T4 120.00- Flange 1.000 6 0.625 2 0.000 0 0.000 0 0.625 0 0.625 0 0.625 0 100.00 A325N A325N A325N A325N A325N A325N A325N T5 100.00- Flange 1.000 12 0.625 2 0.000 0 0.000 0 0.625 0 0.625 0 0.625 0 80.00 A325N A325N A325N A325N A325N A325N A325N T6 80.00- Flange 1.000 12 0.625 2 0.000 0 0.000 0 0.625 0 0.625 0 0.625 0 60.00 A325N A325N A325N A325N A325N A325N A325N T7 60.00- Flange 1.000 12 0.750 1 0.000 0 0.000 0 0.625 0 0.625 0 0.625 0 40.00 A325N A325N A325N A325N A325N A325N A325N T8 40.00- Flange 1.000 12 0.625 2 0.000 0 0.000 0 0.625 0 0.625 0 0.625 0 20.00 A325N A325N A325N A325N A325N A325N A325N T9 20.00-0.00 Flange 2.000 6 0.625 2 0.000 0 0.000 0 0.625 0 0.625 0 0.625 0 A615 A325N A325N A325N A325N A325N A325N Feed Line/Linear Appurtenances - Entered As Round Or Flat Description Face Allow Component Placement Face Lateral # # Clear Width or Perimete Weight or Shield Type Offset Offset Per Spacing Diameter r Leg ft in (Frac FW) Row in in p/f in LDF7-50A(1- C No Ar(CaAa) 160.00-0.00 0.000 0 24 12 1.000 1.980 0.82 5/8") 0.520 LDF1- B No Ar(CaAa) 150.00-0.00 0.000 -0.01 1 1 0.345 0.345 0.06 50A(1/4") LDF2- B No Ar(CaAa) 150.00-0.00 0.000 -0.02 1 1 0.440 0.440 0.08 50(3/8") LDF4- B No Ar(CaAa) 150.00-0.00 0.000 -0.03 2 2 2.420 0.630 0.15 50A(1/2") 0.630 LDF7-50A(1- B No Ar(CaAa) 150.00-0.00 0.000 0 12 4 1.000 1.980 0.82 5/8") 0.520 LDF6-50A(1- A No Ar(CaAa) 135.00-0.00 0.000 0 3 3 1.450 1.550 0.66 1/4") 1.550 9248(1/4) A No Ar(CaAa) 135.00-0.00 0.000 0.04 1 1 0.270 0.270 0.03 LDF5- C No Ar(CaAa) 130.00-122.00 0.000 0.09 1 1 1.890 1.090 0.33 50A(7/8") 1.090 LDF5- A No Ar(CaAa) 124.00-0.00 0.000 0.08 1 1 1.890 1.090 0.33 50A(7/8") 1.090 LDF5- C No Ar(CaAa) 122.00-0.00 0.000 0.09 2 2 1.890 1.090 0.33 50A(7/8") 1.090 EW90(ELLIP B No Ar(CaAa) 118.00-0.00 0.000 0.03 1 1 1.280 1.280 0.32 TICAL) LDF4- C No Ar(CaAa) 104.00-102.00 0.000 0.12 1 1 2.420 0.630 0.15 50A(1/2") 0.630 LDF4- C No Ar(CaAa) 102.00-95.00 0.000 0.12 2 2 2.420 0.630 0.15 50A(1/2") 0.630 LDF4- C No Ar(CaAa) 95.00-0.00 0.000 0.12 3 3 2.420 0.630 0.15 50A(1/2") 0.630 LDF4- A No Ar(CaAa) 63.00-0.00 0.000 0.06 1 1 2.420 0.630 0.15 50A(1/2") 0.630 1.5"flat A No Af(CaAa) 160.00-0.00 0.000 0 2 2 30.000 1.500 1.80 Cable Ladder 1.500 Rail 1.5"flat B No Af(CaAa) 160.00-0.00 0.000 0 2 2 30.000 1.500 1.80 Cable Ladder 1.500 Rail 1.5"flat C No Af(CaAa) 160.00-0.00 0.000 0 2 2 30.000 1.500 1.80 Cable Ladder 1.500 Rail 1.5"flat C No Af(CaAa) 160.00-0.00 -2.000 -0.44 2 2 12.000 1.500 1.80 tnxTower Report-version 6.1.4.1 ■ . October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 13 Description Face Allow Component Placement Face Lateral # # Clear Width or Perimete Weight or Shield Type Offset Offset Per Spacing Diameter r Leg ft in (Frac FW) Row in in plf in Climb Ladder 1.500 Rail Safety Line C No Ar(CaAa) 160.00-0.00 -2.000 -0.44 1 1 0.375 0.375 0.22 3/8 5/8"ladder C No Ar(CaAa) 160.00-0.00 -2.000 -0.44 1 1 0.625 0.625 1.04 rung(12" long 12"oc) RFF-16SM- C No Ar(CaAa) 111.00-0.00 0.000 -0.44 2 2 1.090 1.090 0.75 808-418- APE(1 3/32") L Discrete Tower Loads Description Face Offset Offsets: Azimuth Placement CAAA CAAA Weight or Type Horz Adjustmen Front Side Leg Lateral t Vert ft ft ft2 ft2 K ft ° ft Platform Mount[LP 713-1] C None 0.000 160.00 No Ice 31.27 31.27 1.51 1/2" 39.68 39.68 1.93 Ice Sector Mount[SM 502-3] C None 0.000 150.00 No Ice 33.02 33.02 1.67 1/2" 47.36 47.36 2.22 Ice T-Arm Mount[TA 602-3] C None 0.000 135.00 No Ice 11.59 11.59 0.77 1/2" 15.44 15.44 0.99 Ice Pipe Mount[PM 601-1] C From Leg 0.50 0.000 130.00 No Ice 3.00 0.90 0.07 0 1/2" 3.74 1.12 0.08 0 Ice Pipe Mount[PM 601-1] C From Leg 0.50 0.000 124.00 No Ice 3.00 0.90 0.07 0 1/2" 3.74 1.12 0.08 0 Ice Pipe Mount[PM 601-1] C From Leg 0.50 0.000 122.00 No Ice 3.00 0.90 0.07 0 1/2" 3.74 1.12 0.08 0 Ice Pipe Mount[PM 601-1] A From Leg 0.50 0.000 118.00 No Ice 3.00 0.90 0.07 0 1/2" 3.74 1.12 0.08 0 Ice Pipe Mount[PM 601-1] C From Leg 0.50 0.000 104.00 No Ice 3.00 0.90 0.07 0 1/2" 3.74 1.12 0.08 0 Ice Pipe Mount[PM 601-1] A From Leg 0.50 0.000 102.00 No Ice 3.00 0.90 0.07 0 1/2" 3.74 1.12 0.08 0 Ice Pipe Mount[PM 601-1] C From Leg 0.50 0.000 95.00 No Ice 3.00 0.90 0.07 0 1/2" 3.74 1.12 0.08 0 Ice Pipe Mount[PM 601-1] A From Leg 0.50 0.000 63.00 No Ice 3.00 0.90 0.07 0 1/2" 3.74 1.12 0.08 0 Ice Sector Mount[SM 407-3] C None 0.000 111.00 No Ice 20.49 20.49 0.96 1/2" 30.39 30.39 1.38 Ice 3/4"x 8 ft lightning rod C None 0.000 160.00 No Ice 0.60 0.60 0.01 1/2" 1.41 1.41 0.02 Ice (2)4'x 2"Pipe Mount A From Leg 4.00 0.000 135.00 No Ice 0.79 0.79 0.03 0 1/2" 1.03 1.03 0.04 0 Ice tnxTower Report-version 6.1.4.1 ■ October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800,Application 260207, Revision 0 Page 14 Description Face Offset Offsets: Azimuth Placement CAAA CAAA Weight or Type Horz Adjustmen Front Side Leg Lateral t Vert ft ft ft2 ft2 K ft ° ft (2)4'x 2"Pipe Mount B From Leg 4.00 0.000 135.00 No Ice 0.79 0.79 0.03 0 1/2" 1.03 1.03 0.04 0 Ice 4'x 2"Pipe Mount C From Leg 4.00 0.000 135.00 No Ice 0.79 0.79 0.03 0 1/2" 1.03 1.03 0.04 0 Ice wxx (4)ETW190VS12UB A From Leg 4.00 0.000 160.00 No Ice 0.66 0.37 0.01 0 1/2" 0.78 0.46 0.02 0 Ice (2)TMBXX-6516-R2M w/ A From Leg 4.00 0.000 160.00 No Ice 6.18 4.53 0.05 Mount Pipe 0 1/2" 6.65 5.20 0.10 4 Ice (2)UMWDP-06516-R2DH A From Leg 4.00 0.000 160.00 No Ice 3.89 3.51 0.03 w/Mount Pipe 0 1/2" 4.31 4.24 0.07 4 Ice (4)ETW190VS12UB B From Leg 4.00 0.000 160.00 No Ice 0.66 0.37 0.01 0 1/2" 0.78 0.46 0.02 0 Ice (2)TMBXX-6516-R2M w/ B From Leg 4.00 0.000 160.00 No Ice 6.18 4.53 0.05 Mount Pipe 0 1/2" 6.65 5.20 0.10 4 Ice (2)UMWDP-06516-R2DH B From Leg 4.00 0.000 160.00 No Ice 3.89 3.51 0.03 w/Mount Pipe 0 1/2" 4.31 4.24 0.07 4 Ice (4)ETW190VS12UB C From Leg 4.00 0.000 160.00 No Ice 0.66 0.37 0.01 0 1/2" 0.78 0.46 0.02 0 Ice (2)TMBXX-6516-R2M w/ C From Leg 4.00 0.000 160.00 No Ice 6.18 4.53 0.05 Mount Pipe 0 1/2" 6.65 5.20 0.10 4 Ice (2)UMWDP-06516-R2DH C From Leg 4.00 0.000 160.00 No Ice 3.89 3.51 0.03 w/Mount Pipe 0 1/2" 4.31 4.24 0.07 4 Ice 742 265 w/Mount Pipe A From Leg 4.00 0.000 150.00 No Ice 7.80 6.36 0.08 0 1/2" 8.38 7.56 0.14 0 Ice (2)800 10122 w/Mount A From Leg 4.00 0.000 150.00 No Ice 7.74 6.53 0.08 Pipe 0 1/2" 8.29 7.68 0.15 0 Ice (6)860 10025 A From Leg 4.00 0.000 150.00 No Ice 0.16 0.13 0.00 0 1/2" 0.22 0.19 0.00 0 Ice AM-X-CD-17-65-00T-RET A From Leg 4.00 0.000 150.00 No Ice 11.55 8.94 0.09 w/Mount Pipe 0 1/2" 12.27 10.45 0.18 0 Ice 9442 Remote Radio Head A From Leg 4.00 0.000 150.00 No Ice 3.53 1.60 0.04 (700 MHz) 0 1/2" 3.80 1.82 0.06 0 Ice 9442 Remote Radio Head A From Leg 4.00 0.000 150.00 No Ice 2.51 1.59 0.04 (AWS) 0 1/2" 2.75 1.80 0.06 0 Ice TT19-08BP111-001 A From Leg 4.00 0.000 150.00 No Ice 0.64 0.52 0.02 0 1/2" 0.76 0.62 0.02 0 Ice 742 265 w/Mount Pipe B From Leg 4.00 0.000 150.00 No Ice 7.80 6.36 0.08 0 1/2" 8.38 7.56 0.14 0 Ice (2)800 10122 w/Mount B From Leg 4.00 0.000 150.00 No Ice 7.74 6.53 0.08 Pipe 0 1/2" 8.29 7.68 0.15 0 Ice (6)860 10025 B From Leg 4.00 0.000 150.00 No Ice 0.16 0.13 0.00 0 1/2" 0.22 0.19 0.00 0 Ice tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800,Application 260207, Revision 0 Page 15 Description Face Offset Offsets: Azimuth Placement CAAA CAAA Weight or Type Hors Adjustmen Front Side Leg Lateral t Vert ft ft ft2 ftz K ft ° ft AM-X-CD-17-65-00T-RET B From Leg 4.00 0.000 150.00 No Ice 11.55 8.94 0.09 w/Mount Pipe 0 1/2" 12.27 10.45 0.18 0 Ice 9442 Remote Radio Head B From Leg 4.00 0.000 150.00 No Ice 3.53 1.60 0.04 (700 MHz) 0 1/2" 3.80 1.82 0.06 0 Ice 9442 Remote Radio Head B From Leg 4.00 0.000 150.00 No Ice 2.51 1.59 0.04 (AWS) 0 1/2" 2.75 1.80 0.06 0 Ice TT19-08BP111-001 B From Leg 4.00 0.000 150.00 No Ice 0.64 0.52 0.02 0 1/2" 0.76 0.62 0.02 0 Ice 742 265 w/Mount Pipe C From Leg 4.00 0.000 150.00 No Ice 7.80 6.36 0.08 0 1/2" 8.38 7.56 0.14 0 Ice (2)800 10122 w/Mount C From Leg 4.00 0.000 150.00 No Ice 7.74 6.53 0.08 Pipe 0 1/2" 8.29 7.68 0.15 0 Ice (6)860 10025 C From Leg 4.00 0.000 150.00 No Ice 0.16 0.13 0.00 0 1/2" 0.22 0.19 0.00 0 Ice AM-X-CD-17-65-00T-RET C From Leg 4.00 0.000 150.00 No Ice 11.55 8.94 0.09 w/Mount Pipe 0 1/2" 12.27 10.45 0.18 0 Ice 9442 Remote Radio Head C From Leg 4.00 0.000 150.00 No Ice 3.53 1.60 0.04 (700 MHz) 0 1/2" 3.80 1.82 0.06 0 Ice 9442 Remote Radio Head C From Leg 4.00 0.000 150.00 No Ice 2.51 1.59 0.04 (AWS) 0 1/2" 2.75 1.80 0.06 0 Ice TT19-08BP111-001 C From Leg 4.00 0.000 150.00 No Ice 0.64 0.52 0.02 0 1/2" 0.76 0.62 0.02 0 Ice DC6-48-60-18-8F C From Leg 4.00 0.000 150.00 No Ice 2.51 2.51 0.02 0 1/2" 2.74 2.74 0.04 0 Ice ... APXVRR13-C-A20 w/ A From Leg 4.00 0.000 135.00 No Ice 7.59 3.93 0.05 Mount Pipe 0 1/2" 8.11 4.68 0.10 2 Ice RRH-P4 A From Leg 4.00 0.000 135.00 No Ice 3.19 2.07 0.06 0 112" 3.44 2.29 0.08 0 Ice DSSS2006A A From Leg 4.00 0.000 135.00 No Ice 0.93 0.35 0.02 0 1/2" 1.07 0.46 0.03 2 Ice ET-X-WM-18-65-8P w/ A From Leg 4.00 0.000 135.00 No Ice 7.35 4.43 0.06 Mount Pipe 0 1/2" 7.92 5.32 0.11 2 Ice 2.5GHz 8T8R RRH A From Leg 4.00 0.000 135.00 No Ice 3.11 1.66 0.06 0 1/2" 3.35 1.85 0.08 2 Ice OPTIC FIBER JUNCTION A From Leg 4.00 0.000 135.00 No Ice 0.34 0.34 0.00 CYLINDER 0 1/2" 0.44 0.44 0.01 2 Ice POWER JUNCTION A From Leg 4.00 0.000 135.00 No Ice 0.47 0.47 0.00 CYLINDER 0 1/2" 0.59 0.59 0.01 2 Ice APXVRR13-C-A20 w/ B From Leg 4.00 0.000 135.00 No Ice 7.59 3.93 0.05 Mount Pipe 0 1/2" 8.11 4.68 0.10 2 Ice RRH-P4 B From Leg 4.00 0.000 135.00 No Ice 3.19 2.07 0.06 0 1/2" 3.44 2.29 0.08 0 Ice ET-X-WM-18-65-8P w/ B From Leg 4.00 0.000 135.00 No Ice 7.35 4.43 0.06 tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 16 Description Face Offset Offsets: Azimuth Placement CAAA CAAA Weight or Type Horz Adjustmen Front Side Leg Lateral t Vert ft ft ft2 ft2 K ft ° ft Mount Pipe 0 1/2" 7.92 5.32 0.11 2 Ice 2.5GHz 8T8R RRH B From Leg 4.00 0.000 135.00 No Ice 3.11 1.66 0.06 0 1/2" 3.35 1.85 0.08 2 Ice OPTIC FIBER JUNCTION B From Leg 4.00 0.000 135.00 No Ice 0.34 0.34 0.00 CYLINDER 0 1/2" 0.44 0.44 0.01 2 Ice POWER JUNCTION B From Leg 4.00 0.000 135.00 No Ice 0.47 0.47 0.00 CYLINDER 0 1/2" 0.59 0.59 0.01 2 Ice Horizon DUO C From Leg 4.00 0.000 135.00 No Ice 0.55 0.34 0.01 0 1/2" 0.65 0.43 0.01 0 Ice APXVRR13-C-A20 w/ C From Leg 4.00 0.000 135.00 No Ice 7.59 3.93 0.05 Mount Pipe 0 1/2" 8.11 4.68 0.10 2 Ice RRH-P4 C From Leg 4.00 0.000 135.00 No Ice 3.19 2.07 0.06 0 1/2" 3.44 2.29 0.08 0 Ice ET-X-WM-18-65-8P w/ C From Leg 4.00 0.000 135.00 No Ice 7.35 4.43 0.06 Mount Pipe 0 1/2" 7.92 5.32 0.11 2 Ice 2.5GHz 8T8R RRH C From Leg 4.00 0.000 135.00 No Ice 3.11 1.66 0.06 0 1/2" 3.35 1.85 0.08 2 Ice OPTIC FIBER JUNCTION C From Leg 4.00 0.000 135.00 No Ice 0.34 0.34 0.00 CYLINDER 0 1/2" 0.44 0.44 0.01 2 Ice POWER JUNCTION C From Leg 4.00 0.000 135.00 No Ice 0.47 0.47 0.00 CYLINDER 0 1/2" 0.59 0.59 0.01 2 Ice (4)CWX063X25G00 w/ A From Leg 4.00 0.000 111.00 No Ice 12.05 10.09 0.08 Mount Pipe 0 1/2" 12.78 11.64 0.17 0 Ice (2)RRUS 12 W/SOLAR A From Leg 4.00 0.000 111.00 No Ice 3.67 1.46 0.05 SHIELD 0 1/2" 3.92 1.64 0.07 0 Ice (2)RRUS A2 MODULE A From Leg 4.00 0.000 111.00 No Ice 1.87 0.42 0.02 0 1/2" 2.05 0.53 0.03 0 Ice RCMDC-3315-PF-48 A From Leg 4.00 0.000 111.00 No Ice 4.33 2.56 0.03 0 1/2" 4.61 2.79 0.06 0 Ice (4)CWX063X25G00 w/ B From Leg 4.00 0.000 111.00 No Ice 12.05 10.09 0.08 Mount Pipe 0 1/2" 12.78 11.64 0.17 0 Ice (2)RRUS 12 W/SOLAR B From Leg 4.00 0.000 111.00 No Ice 3.67 1.46 0.05 SHIELD 0 1/2" 3.92 1.64 0.07 0 Ice (2)RRUS A2 MODULE B From Leg 4.00 0.000 111.00 No Ice 1.87 0.42 0.02 0 1/2" 2.05 0.53 0.03 0 Ice (4)CWX063X25G00 w/ C From Leg 4.00 0.000 111.00 No Ice 12.05 10.09 0.08 Mount Pipe 0 1/2" 12.78 11.64 0.17 0 Ice (2)RRUS 12 W/SOLAR C From Leg 4.00 0.000 111.00 No Ice 3.67 1.46 0.05 SHIELD 0 1/2" 3.92 1.64 0.07 0 Ice (2)RRUS A2 MODULE C From Leg 4.00 0.000 111.00 No Ice 1.87 0.42 0.02 0 1/2" 2.05 0.53 0.03 0 Ice GPS A A From Leg 4.00 0.000 102.00 No Ice 0.30 0.30 0.00 tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 17 Description Face Offset Offsets: Azimuth Placement CAAA CAAA Weight or Type Hon Adjustmen Front Side Leg Lateral Vert ft ft ft2 ft2 K ft ft 0 1/2" 0.37 0.37 0.00 0 Ice GPS_A A From Leg 4.00 0.000 63.00 No Ice 0.30 0.30 0.00 0 1/2" 0.37 0.37 0.00 p Ice Dishes Description Face Dish Offset Offsets: Azimuth 3 dB Elevation Outside Aperture Weight or Type Type Horz Adjustment Beam Diameter Area Leg Lateral Width Vert ft ft ft ft2 K VHLP1-23 C Paraboloid w/o From 1.00 10.000 135.00 1.27 No Ice 1.28 0.01 Radome Leg 0 1/2"Ice 1.45 0.02 2 HP4-102 C Paraboloid From 1.00 10.000 130.00 4.00 No Ice 12.57 0.08 w/Shroud(HP) Leg 0 1/2"Ice 13.10 0.15 0 VHP4-105 C Paraboloid From 1.00 10.000 124.00 4.00 No Ice 12.57 0.13 w/Shroud(HP) Leg 0 1/2"Ice 13.10 0.19 1 HP4-102 C Paraboloid From 1.00 10.000 122.00 4.00 No Ice 12.57 0.08 w/Shroud(HP) Leg 0 1/2"Ice 13.10 0.15 0 P2-57W-P7A C Paraboloid w/o From 1.00 70.000 104.00 2.08 No Ice 3.41 0.05 Radome Leg 0 1/2"Ice 3.69 0.07 0 ANT2 0.3 28 HP C Paraboloid w/o From 1.00 10.000 95.00 1.25 No Ice 1.23 0.02 (TR) Radome Leg 0 1/2"Ice 1.40 0.02 0 P4F-52-N7A A Paraboloid w/o From 1.00 -50.000 118.00 4.00 No Ice 12.57 0.09 Radome Leg 0 1/2"Ice 13.10 0.16 0 Load Combinations Comb. Description No. 1 Dead Only 2 1.2 Dead+1.6 Wind 0 deg-No Ice 3 0.9 Dead+1.6 Wind 0 deg-No Ice 4 1.2 Dead+1.6 Wind 30 deg-No Ice 5 0.9 Dead+1.6 Wind 30 deg-No Ice 6 1.2 Dead+1.6 Wind 60 deg-No Ice 7 0.9 Dead+1.6 Wind 60 deg-No Ice 8 1.2 Dead+1.6 Wind 90 deg-No Ice 9 0.9 Dead+1.6 Wind 90 deg-No Ice 10 1.2 Dead+1.6 Wind 120 deg-No Ice 11 0.9 Dead+1.6 Wind 120 deg-No Ice 12 1.2 Dead+1.6 Wind 150 deg-No Ice 13 0.9 Dead+1.6 Wind 150 deg-No Ice 14 1.2 Dead+1.6 Wind 180 deg-No Ice 15 0.9 Dead+1.6 Wind 180 deg-No Ice 16 1.2 Dead+1.6 Wind 210 deg-No Ice tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCl BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 18 Comb. Description No. 17 0.9 Dead+1.6 Wind 210 deg-No Ice 18 1.2 Dead+1.6 Wind 240 deg-No Ice 19 0.9 Dead+1.6 Wind 240 deg-No Ice 20 1.2 Dead+1.6 Wind 270 deg-No Ice 21 0.9 Dead+1.6 Wind 270 deg-No Ice 22 1.2 Dead+1.6 Wind 300 deg-No Ice 23 0.9 Dead+1.6 Wind 300 deg-No Ice 24 1.2 Dead+1.6 Wind 330 deg-No Ice 25 0.9 Dead+1.6 Wind 330 deg-No Ice 26 1.2 Dead+1.0 Ice 27 1.2 Dead+1.0 Wind 0 deg+1.0 Ice 28 1.2 Dead+1.0 Wind 30 deg+1.0 Ice 29 1.2 Dead+1.0 Wind 60 deg+1.0 Ice 30 1.2 Dead+1.0 Wind 90 deg+1.0 Ice 31 1.2 Dead+1.0 Wind 120 deg+1.0 Ice 32 1.2 Dead+1.0 Wind 150 deg+1.0 Ice 33 1.2 Dead+1.0 Wind 180 deg+1.0 Ice 34 1.2 Dead+1.0 Wind 210 deg+1.0 Ice 35 1.2 Dead+1.0 Wind 240 deg+1.0 Ice 36 1.2 Dead+1.0 Wind 270 deg+1.0 Ice 37 1.2 Dead+1.0 Wind 300 deg+1.0 Ice 38 1.2 Dead+1.0 Wind 330 deg+1.0 Ice 39 Dead+Wind 0 deg-Service 40 Dead+Wind 30 deg-Service 41 Dead+Wind 60 deg-Service 42 Dead+Wind 90 deg-Service 43 Dead+Wind 120 deg-Service 44 Dead+Wind 150 deg-Service 45 Dead+Wind 180 deg-Service 46 Dead+Wind 210 deg-Service 47 Dead+Wind 240 deg-Service 48 Dead+Wind 270 deg-Service 49 Dead+Wind 300 deg-Service 50 Dead+Wind 330 des -Service Maximum Tower Deflections - Service Wind Section Elevation Horz. Gov. Tilt Twist No. Deflection Load ft in Comb. ° T1 160-155 6.38 43 0.375 0.028 T2 155-140 5.98 43 0.374 0.028 T3 140-120 4.81 43 0.362 0.027 T4 120-100 3.35 43 0.303 0.023 T5 100-80 2.17 43 0.225 0.014 T6 80-60 1.34 43 0.157 0.008 T7 60-40 0.74 43 0.113 0.004 T8 40-20 0.32 43 0.071 0.002 T9 20-0 0.09 43 0.031 0.001 Critical Deflections and Radius of Curvature - Service Wind Elevation Appurtenance Gov. Deflection Tilt Twist Radius of Load Curvature ft Comb. in ° ft _ 160.00 Platform Mount[LP 713-1] 43 6.38 0.375 0.028 538767 150.00 Sector Mount[SM 502-3] 43 5.59 0.372 0.028 122615 137.00 VHLP1-23 43 4.58 0.356 0.027 34691 135.00 T-Arm Mount[TA 602-3] 43 4.43 0.351 0.027 31069 130.00 HP4-102 43 4.05 0.337 0.026 24628 125.00 VHP4-105 43 3.70 0.321 0.025 20255 124.00 Pipe Mount[PM 601-11 43 3.63 0.317 0.025 19561 122.00 HP4-102 43 3.49 0.310 0.024 18329 tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 19 Elevation Appurtenance Gov. Deflection Tilt Twist Radius of Load Curvature ft Comb. in ft 118.00 P4F-52-N7A 43 3.22 0.295 0.023 16464 111.00 Sector Mount[SM 407-3] 43 2.78 0.268 0.020 14254 104.00 P2-57W-P7A 43 2.38 0.240 0.016 12582 102.00 Pipe Mount[PM 601-1] 43 2.27 0.232 0.015 12261 95.00 ANT2 0.3 28 HP(TR) 43 1.93 0.206 0.012 13428 63.00 Pipe Mount[PM 601-1] 43 0.82 0.119 0.005 26732 Maximum Tower Deflections - Design Wind Section Elevation Horz. Gov. Tilt Twist No. Deflection Load ft in Comb. ° ° T1 160-155 20.45 10 1.201 0.089 T2 155-140 19.18 10 1.198 0.089 T3 140-120 15.41 10 1.161 0.087 T4 120-100 10.75 10 0.971 0.075 T5 100-80 6.95 10 0.721 0.047 T6 80-60 4.28 10 0.503 0.025 T7 60-40 2.37 10 0.361 0.013 T8 40-20 1.04 10 0.227 0.007 T9 20-0 0.27 10 0.099 0.003 Critical Deflections and Radius of Curvature - Design Wind Elevation Appurtenance Gov. Deflection Tilt Twist Radius of Load Curvature ft Comb. in ft 160.00 Platform Mount[LP 713-1] 10 20.45 1.201 0.089 174388 150.00 Sector Mount[SM 502-3] 10 17.91 1.192 0.089 38890 137.00 VHLP1-23 10 14.68 1.142 0.086 10900 135.00 T-Arm Mount[TA 602-3] 10 14.19 1.127 0.086 9749 130.00 HP4-102 10 13.00 1.082 0.083 7698 125.00 VHP4-105 10 11.85 1.029 0.080 6340 124.00 Pipe Mount[PM 601-1] 10 11.62 1.018 0.079 6124 122.00 HP4-102 10 11.18 0.995 0.077 5740 118.00 P4F-52-N7A 10 10.32 0.946 0.073 5155 111.00 Sector Mount[SM 407-3] 10 8.90 0.859 0.063 4457 104.00 P2-57W-P7A 10 7.62 0.770 0.053 3929 102.00 Pipe Mount[PM 601-1] 10 7.28 0.745 0.050 3828 95.00 ANT2 0.3 28 HP(TR) 10 6.18 0.660 0.040 4187 63.00 Pipe Mount[PM 601-1] 10 2.62 0.381 0.015 8341 Bolt Design Data Section Elevation Component Bolt Bolt Size Number Maximum Allowable Ratio Allowable Criteria No. Type Grade Of Load per Load Load Ratio ft in Bolts Bolt K Allowable K T1 160 Leg A325N 0.750 4 0.54 29.82 0.018 ✓ 1 Bolt Tension Diagonal A325N 0.500 2 0.68 5.00 0.136 ✓ 1 Member Block Shear Top Girt A325N 0.500 1 0.67 6.20 0.108 ✓ 1 Member Bearing T2 155 Leg A325N 0.750 4 5.01 29.82 0.168 ✓ 1 Bolt Tension Diagonal A325N 0.625 2 2.15 7.19 0.300 ✓ 1 Member Block tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 20 Section Elevation Component Bolt Bolt Size Number Maximum Allowable Ratio Allowable Criteria No. Type Grade Of Load per Load Load Ratio ft in Bolts Bolt K Allowable K Shear T3 140 Leg A325N 0.875 4 16.88 40.59 0.416 ✓ 1 Bolt Tension Diagonal A325N 0.625 2 4.12 7.19 0.573 ✓ 1 Member Block Shear T4 120 Leg A325N 1.000 6 24.19 53.01 0.456 ✓ 1 Bolt Tension Diagonal A325N 0.625 2 6.14 7.19 0.854 ✓ 1 Member Block Shear T5 100 Leg A325N 1.000 12 16.45 53.01 0.310 ✓ 1 Bolt Tension Diagonal A325N 0.625 2 2.93 7.19 0.408 ✓ 1 Member Block Shear 16 80 Leg A325N 1.000 12 19.07 53.01 0.360 ✓ 1 Bolt Tension Diagonal A325N 0.625 2 3.30 7.70 0 428 ✓ 1 Member Block Shear T7 60 Leg A325N 1.000 12 21.69 53.01 0.409 V. 1 Bolt Tension Diagonal A325N 0.750 1 6.49 9.46 0.686 ✓ 1 Member Bearing T8 40 Leg A325N 1.000 12 24.07 53.01 0.454 ✓ 1 Bolt Tension Diagonal A325N 0.625 2 3.32 10.26 0.324 ✓ 1 Member Block Shear T9 20 Leg A615 2.000 6 52.36 159.04 0.329 ✓ 1 Bolt Tension Diagonal A325N 0.625 2 4.38 12.43 0.353 ✓ 1 Bolt Shear Compression Checks Leg Design Data (Compression) Section Elevation Size L L„ KUr A P. en Ratio No. P ft ft ft in2 K K e" T1 160-155 Pipe 3.5"x 0.216"(3 5.00 5.00 51.6 2.228 -3.84 77.15 0.050 1 STD) K=1.00 V T2 155-140 Pipe 4.5"x 0.237"(4 15.00 5.00 39.7 3.174 -25.38 118.16 0.215 1 STD) K=1.00 V T3 140-120 Pipe 4.5"x 0.237"(4 20.00 6.67 53.0 3.174 -76.82 108.78 0.706 1 STD) K=1.00 V T4 120-100 Pipe 6.625"x 0.280"(6 20.00 6.67 35.6 5.581 -158.03 212.16 0.745 1 STD) K=1.00 V T5 100-80 Pipe 8.625"x 0.322"(8 20.03 6.68 27.3 8.399 -213.85 330.75 0.647 1 STD) K=1.00 ✓ T6 80-60 Pipe 10.75"x 0.365"(10 20.03 10.02 32.7 11.908 -248.59 458.75 0.542 STD) K=1.00 V T7 60-40 Pipe 10.75"x 0.365"(10 20.03 10.02 32.7 11.908 -283.88 458.75 0.619 STD) K=1.00 (/' T8 40-20 Pipe 10.75"x 0.365"(10 20.03 10.02 32.7 11.908 -316.61 458.75 0.690 1 STD) K=1.00 V T9 20-0 Pipe 12.75"x 0.375"(12 20.03 10.02 27.5 14.579 -346.79 573.72 0.604 1 STD) K=1.00 V. 1 P. /+P„controls tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CC/BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 21 Diagonal Design Data (Compression) Section Elevation Size L Lu KM- A P. OP., Ratio No. Pu ft ft ft in2 K K 0/3n T1 160-155 L 1.75 x 1.75 x 3/16 7.81 3.55 123.1 0.621 -1.45 9.06 0.160' K=0.99 S/ T2 155-140 L 2.5 x 2.5 x 3/16 7.81 3.46 93.0 0.902 -4.25 18.54 0.229 1 K=1.11 ;/ T3 140-120 L 2.5 x 2.5 x 3/16 8.97 4.01 102.8 0.902 -8.40 16.75 0.502 1 K=1.06 V T4 120-100 L 2.5 x 2.5 x 3/16 8.97 3.87 100.4 0.902 -12.91 17.18 0.751 1 K=1.07 y/ T5 100-80 L 2.5 x 2.5 x 3/16 9.20 4.17 105.8 0.902 -6.56 16.22 0.404 1 K=1.05 V/ T6 80-60 L 3 x 3 x 3/16 13.80 6.41 127.0 1.090 -6.97 15.02 0.464 1 K=0.98 V T7 60-40 L 3x 3 x3/16 15.24 7.22 145.4 1.090 -6.82 11.64 0.586' K=1.00 V T8 40-20 L3 x3 x 1/4 16.80 7.96 151.5 1.440 -6.98 14.17 0.492 1 K=0.94 r T9 20-0 L 3.5 x 3.5 x 1/4 18.45 8.69 143.1 1.690 -8.77 18.64 0.470 1 K=0.95 V 1 P u /OP,controls Top Girt Design Data (Compression) Section Elevation Size L L. Kt/r A Pu FPn Ratio No. Pu ft ft ft in2 K K OP. T1 160-155 L 2.5 x 2.5 x 3/16 6.00 5.50 133.3 0.902 -0.64 11.46 0.056' K=1.00 Ii ' 1 P u / P.controls Tension Checks Leg Design Data (Tension) I Section Elevation Size L Lu Kl/r A Pu OPn Ratio No. Pu ft ft ft in2 K K OPn T1 160-155 Pipe 3.5"x 0.216"(3 5.00 5.00 51.6 2.228 2.17 92.26 0.024' STD) V T2 155-140 Pipe 4.5"x 0.237"(4 15.00 5.00 39.7 3.174 20.03 131.41 0.152' STD) V T3 140-120 Pipe 4.5"x 0.237"(4 20.00 6.67 53.0 3.174 67.53 131.41 0.514' STD) V T4 120-100 Pipe 6.625"x 0.280"(6 20.00 6.67 35.6 5.581 145.11 231.07 0.628 1 STD) V T5 100-80 Pipe 8.625"x 0.322"(8 20.03 6.68 27.3 8.399 197.36 347.73 0.568 1 STD) V T6 80-60 Pipe 10.75"x 0.365"(10 20.03 10.02 32.7 11.908 228.89 493.00 0.464' STD) tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 22 Section Elevation Size L L„ KUr A P„ 4)P„ Ratio No. Pu ft ft ft in2 K K 4)P„ f✓ T7 60-40 Pipe 10.75"x 0.365"(10 20.03 10.02 32.7 11.908 260.25 493.00 0.528 1 STD) V T8 40-20 Pipe 10.75"x 0.365"(10 20.03 10.02 32.7 11.908 288.79 493.00 0.586 1 STD) / T9 20-0 Pipe 12.75"x 0.375"(12 20.03 10.02 27.5 14.579 314.14 603.57 0.520 STD) I/ 1 P„ /oP„controls Diagonal Design Data (Tension) 1 Section Elevation Size L L„ KUr A P„ 4)P,, Ratio No. Pu ft ft ft in2 K K epP,, T1 160-155 L 1.75 x 1.75 x 3/16 7.81 3.55 83.0 0.378 1.36 16.44 0.083 1/ T2 155-140 L 2.5 x 2.5 x 3/16 7.81 3.46 56.5 0.571 4.31 24.84 0.173' V T3 140-120 L 2.5 x 2.5 x 3/16 8.97 4.01 64.8 0.571 8.23 24.84 0.331 V T4 120-100 L 2.5 x 2.5 x 3/16 8.97 3.87 62.8 0.571 12.28 24.84 0.495 I, T5 100-80 L 2.5 x 2.5 x 3/16 9.20 4.17 67.3 0.571 5.86 24.84 0.236 V T6 80-60 L 3 x 3 x 3/16 13.80 6.41 84.5 0.712 6.59 30.97 0.213 V T7 60-40 L 3 x 3 x 3/16 14.50 6.87 89.5 0.694 6.49 30.21 0.215 V T8 40-20 L3 x3 x 1/4 16.01 7.57 100.2 0.939 6.64 40.86 0.163 V T9 20-0 L 3.5 x 3.5 x 1/4 18.45 8.69 97.9 1.127 8.07 49.02 0.165 P u /(I)P„controls Top Girt Design Data (Tension) Section Elevation Size L Lu KW A Pu 4)P„ Ratio No. Pu ft ft ft in2 K K OPu T1 160-155 L 2.5 x 2.5 x 3/16 6.00 5.50 88.0 0.589 0.67 25.60 0.026 V 1 P u I cP„controls Section Capacity Table Section Elevation Component Size Critical P oP8„oW % Pass No. ft Type Element K K Capacity Fail T1 160-155 Leg Pipe 3.5"x 0.216"(3 STD) 2 -3.84 77.15 5.0 Pass tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800, Application 260207, Revision 0 Page 23 Section Elevation Component Size Critical P oP , % Pass No. ft Type Element K K Capacity Fail T2 155-140 Leg Pipe 4.5"x 0.237"(4 STD) 14 -25.38 118.16 21.5 Pass T3 140-120 Leg Pipe 4.5"x 0.237"(4 STD) 34 -76.82 108.78 70.6 Pass T4 120-100 Leg Pipe 6.625"x 0.280"(6 STD) 55 -158.03 212.16 74.5 Pass T5 100-80 Leg Pipe 8.625"x 0.322"(8 STD) 77 -213.85 330.75 64.7 Pass T6 80-60 Leg Pipe 10.75"x 0.365"(10 98 -248.59 458.75 54.2 Pass STD) T7 60-40 Leg Pipe 10.75"x 0.365"(10 113 -283.88 458.75 61.9 Pass STD) T8 40-20 Leg Pipe 10.75"x 0.365"(10 128 -316.61 458.75 69.0 Pass STD) T9 20-0 Leg Pipe 12.75"x 0.375"(12 143 -346.79 573.72 60.4 Pass STD) T1 160-155 Diagonal L 1.75 x 1.75 x 3/16 7 -1.45 9.06 16.0 Pass T2 155-140 Diagonal L 2.5 x 2.5 x 3/16 16 -4.25 18.54 22.9 Pass 30.0(b) T3 140-120 Diagonal L 2.5 x 2.5 x 3/16 38 -8.40 16.75 50.2 Pass 57.3(b) 14 120-100 Diagonal L 2.5 x 2.5 x 3/16 59 -12.91 17.18 75.1 Pass 85.4(b) T5 100-80 Diagonal L 2.5 x 2.5 x 3/16 92 -6.56 16.22 40.4 Pass 40.8(b) T6 80-60 Diagonal L 3 x3 x 3/16 101 -6.97 15.02 46.4 Pass T7 60-40 Diagonal L 3 x3 x 3/16 116 -6.82 11.64 58.6 Pass 68.6(b) T8 40-20 Diagonal L 3 x 3 x 1/4 131 -6.98 14.17 49.2 Pass T9 20-0 Diagonal L 3.5 x 3.5 x 1/4 145 -8.77 18.64 47.0 Pass T1 160-155 Top Girt L 2.5 x 2.5 x 3/16 5 -0.64 11.46 5.6 Pass 10.8(b) Summary Leg(T4) 74.5 Pass Diagonal 85.4 Pass (T4) Top Girt 10.8 Pass (T1) Bolt 85.4 Pass Checks RATING= 85.4 Pass tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800,Application 260207, Revision 0 Page 24 APPENDIX B BASE LEVEL DRAWING (INSTALLED) 411'(1) EW90 TO 118 FT LEVEL(1) 1/4"TO 150 FT LEVEL(1) 3/8"TO 150 FT LEVEL (2) 1/2"TO 150 FT LEVEL (12) 1-5/8"TO 150 FT LEVEL (INSTALLF.U)(1) 1/2"TO 95 FT LEVEL (1) 1/2"TO 102 FT LEVEL � (1) 1/2"TO 104 Fr LEVEL LEG A 8'TO 122 FT LEVEL (1) 7/8"TO 130 FT LEVEL .(24) 1-s/8"TO 160 FT LEVEL (INSTALLED-TO BE REMOVED)(6) 1-5/8"TO 135 FT LEVEL(INSTALLED)(1) 1/2"TO 63 FT LEVEL (1) 7/8"TO 124 FT LEVEL(1) 1/4"TO 135 FT LEVEL(3) 1-1/4"TO 135 FT LEVEL LEG C tnxTower Report-version 6.1.4.1 October 1, 2014 160 Ft Self Support Tower Structural Analysis CCI BU No 826841 Project Number 37514-1233.003.8800, Application 260207,Revision 0 Page 25 APPENDIX C ADDITIONAL CALCULATIONS tnxTower Report-version 6.1.4.1 ii 1 ' m I DESIGNED APPURTENANCE LOADING 160.0 �! 1111 m . I a �i NM 155.0 ft j TYPE ELEVATION TYPE ELEVATION il I Platform Mount[LP 713-1] 160 DSSS2006A 135 o I F 3/4"x 8 ft lightning rod 160 ET-X-WM-18-65-8P w/Mount Pipe 135 ` -t 1. (4)ETW190VS12UB 160 2 5GHz 8T8R RRH 135 rn r (2)TMBXX-6516-R2M wl Mount Pipe 160 OPTIC FIBER JUNCTION CYLINDER 135 fa p (2)UMWDP-06516-R2DH w/Mount 160 POWER JUNCTION CYLINDER 135 Pipe APXVRR13-C-A20 w/Mount Pipe 135 S 140.0 ft (4)ETW19OVS12UB 160 RRH-P4 135 k I (2)TMBXX-6516-R2M w/Mount Pipe 160 ET-X-WM-18-65-8P w/Mount Pipe 135 o 1 (2)UMWDP-06516-R2DH w/Mount 160 X Pipe 2 SGHz 8T8R RRH 135 fn OPTIC FIBER JUNCTION CYLINDER 135 ✓ I (4)ETW190VS12UB 160 - -- .I; j (2)TMBXX-6516-R2M wl Mount Pipe 160 POWER JUNCTION CYLINDER 135 R a 111 Horizon DUO _-. 135 (2)UMWDP-06516-R2DH w/Mount 160 APXVRR13-C-A20 w/Mount Pipe 135 Pipe Sector Mount 0(Su 502-3] 150 RRH-P4 135 _. ET-X-WM-18-65-8P w/Mount Pipe 135 m 742 265 w/Mount Pipe 150 - - 120.0 ft (2)800 10122 w/Mount Pipe 150 2.5GHz 8T8R RRH 135 x I (6)860 10025 150 OPTIC FIBER JUNCTION CYLINDER 135 6' 0 to. AM-X-CD-17-65-00T-RET w/Mount 150 POWER JUNCTION CYLINDER 135 N es X j v; 1 VHLP1-23 135 Pipe ' II}LNII Pipe Mount[PM 601-1] 130 9442 Remote Radio Head(700 MHz) 150 m 9442 Remote Radio Head(AWS) 150 HP4-102 130 X TT19-OSBPIII-001 150 Pipe Mount[PM 601-1] 124 m m VHP4-105 124 a, 742 265 wi Mount Pipe 150 _ - 8 (2)800 10122 w/Mount Pipe 150 Pipe Mount(PM 601-I] 122 -.. °' 100.011 (6)860 t0025 150 HP4-102 122 i - - - Pipe Mount[PM 601-1] 118 AM-X-CD-17-65-00T-RET w/Mount 150 Pipe P4F-52-N7A 118 _. P.2. I ( 9442 Remote Radio Head(700 MHz) 150 (4)CWXO63X25G00 w/Mount Pipe 111 N 9442 Remote Radio Head(AWS) 150 (2)RRUS 12 W/SOLAR S HIELD 111 _._ TT19-088PI11.001 150 (2)RRUS A2 MODULE 111 x 742 265 wl Mount Pipe 150 RCMDC-3315-PF-48 111 at (2)800 10122 w/Mount Pipe 150 (4)CWX063X25G00 w/Mount Pipe 111 m j (6)860 10025 150 (2)RRUS 12 W/SOLAR SHIELD 111 Ig' m I AM-X-CD-1765-00TRETw/Mount 150 1(2)RRUS A2 MODULE 111 , 0- o - m rm 80.0 ft. ,� Pipe o -- < L, _.- __ 1(4)CWX063X25G00 w/Mount Pipe 111 _. �', < 9442 Remote Radio Head(700 MHz) 150 __-_I(2)RRUS 12 WISOLAR SHIELD 111 Z '--- - 1 ,9442 Remote Radio Head(AWS) 150 (2)RRUS A2 MODULE 111 N19-08BP111-001 150 _-.. Sector Mount[SM 407-3] 111 D�C6-48-60-18-8F 150 P2-57W-P7A..._ 104 (2)4'x 2'Pipe Mount 135 'Pipe Mount[PM 601-1] 104 (2)4'x 2"Pipe Mount 135 _1 GPS_A 102 4'x 2"Pipe Mount 135 _-_ Pipe Mount[PM 601-1] 102 T-Arm Mount A602-3 1 135 [r ANT21328HP(TR) 195 —-I x 60.0 ft APXVRRI3-C-A20 wl Mount Pipe 135 Pipe Mount[PM 601-1] 195 o x °- - - RRH-P4 -- 135 Pipe Mount[PM 601-1] 183 CO J 63 o ALL REACTIOI GPS_A ARE FACTOR! SYMBOL LIST o 7, MAX.CORNEA MARK SIZE _L-I- I SIZE MARK m' DOWN: 35( __A Pipe 3.5"x 0.216"(3 STD) C L2.5x2.5x3/16 c - SHEAR: 32 8 L 1.75 x 1.75 x 3/16 -- °. c 40.0 ft -— ..._ f_ _ -_. - -_ -- _ MATERIAL STRENGTH UPLIFT: 3e GRADE 1 Fy L Fu GRADE I Fy Fu SHEAR: 29 A500-46 46 ksi 62 ksi A36 I36 ksi 58 ksi AXIAL TOWER DESIGN NOTES M 76 K x 1. Tower is located in Jefferson County,Washington. --- 2. Tower designed for Exposure C to the TIA-222-G Standard. SHEAR '.3. 415114ENksigned for a 85 mph basic wind in accordance with the TIA-222-G Standard. 5 K j 4. tl?ANepiff also designed for a 30 mph basic wind with 0.25 in ice.Ice is considered to ❑ 1 I 20.06 increase in thickness with height. a TORQUE 1 kip5. Deflections are based upon a 60 mph wind. u) 6. T�!�e r Structure Class II. 30 mph WIND-0.257 Topographic Category 1 with Crest Height of 0.00 ft AXIAL x 8. TOWER RATING:85.4% 48K R o X ,� tr, 1 SHEAR ` MOMENT N J 1i 48 K1---►J t 4706 kip-ft LT. 11 1 1 I 0.0 ft --1- 16 — o TORQUE 6 kip-ft A i I REACTIONS-85 mph WIND t7 £ @) E R Y m m N 2. • C 5 5 OL m m ,, 8 a N b 3 ❑ ❑ !2 ,T_ sh g Paul J Ford and Company Job.160 ft Chimacum, WA S/S Tower 250 E. Broad Street Suite 600 Pfoject BU#8.26841 (PJF#37514-1233) Columbus, OH Client Crown Castle Drawn bv-Matthew R Buske App'd Phone:43215 Code TIA-222-G I Date:10/02/14 scale: NTS FAX:614.448.4105 Path:6170.0076 a .,,� ,me ,WOBS,n,a ,-sw ,«..s«G.«ook;,Dwg No.E-1 1 p , 180.0% , MEC , 1 rg m o 2 SYMBOL UST 1 I 155.0 ft i MARK SIZE L MARK I SIZE j I A Pips 3.5"x0.218"(3 STD) C ,L2.5 x25x 3/16 -- -� » i A L1.75 Pipe 3.5"J5 x 3/18 ---- —1-111 1 IPI I STRENGTH I I I MATERIAL o Fy , Fu L_GRADE Fy Fu ! I I GRADE Y N A500-46 48 ksi 162 ksi A36 36 ksi 158 ksi most 'PI , I 1 TOWER DESIGN NOTES x 1 'I ! 1. Tower is located in Jefferson County,Washington. •ig 2. Tower designed for Exposure C to the TIA-222-G Standard. 3. Tower designed for a 85 mph basic wind in accordance with the TIA-222-G Standard. 4. Tower is also designed for a 30 mph basic wind with 0.25 in ice.Ice is considered to increase in thickness with height. I 5. Deflections are based upon a 60 mph wind. I 6. Tower Structure Class II. 5 120.08 I 7. Topographic Category 1 with Crest Height of 0.00 ft 8. TOWER RATING:85.4% N F K AN b I 'i,, 6 ' S. S 100.0 ft 6 w CD i; n 8 N W a a q m 80.0 ft. a z ! j 8 1 1 I •ICI x 1 60.0 ft 0 0 o x N J ALL REACTIONS zo ARE FACTORED F MAX.CORNER REACTIONS AT BASE: to DOWN: 356 K SHEAR: 32 K 0 12 40.0 ft _, N_ UPLIFT: -321 K SHEAR: 29 K AXIAL 8 xl I 76K ■ SHEAR I MOMENT 5 K ; t 481 kip-ft r7ri 20.011 ------ - m TORQUE 1 kip-ft 30 mph WIND-0.250 in ICE x AXIAL p o M e 48K x x SHEAR MOMENT I 48 K j t j 4706 kip-ft I E -as w O.O ft TORQUE 6 kip-ft g I . " REACTIONS-85 mph WIND w m E m °- a a ig Paul J Ford and Company Job 160 ft Chimacum, WA S/S Tower 250 E. Broad Street Suite 600 Project BU#826841 (PJF#37514-1233) Columbus, OH Client'Crown Castle Drawnby Matthew R Buske iAppd FAX: Phone:614.448.4105 Path:Code TIA-222-G BU 10/02/14 scale w NTS FA Date: Anchor Rod Check for Self Supporting Towers TIA-222-G, Section 4.9.9 C(AS t L E Site Data Reactions BU#: 826841 Eta Factor, rl 0.55 Detail Type Site Name: Uplift, Pu: 321 kips App#: Shear,Vu: 29 kips Anchor Rod Data lay: 0 in Qty: 6 Mu=0.65*lar*V,; ft-kips Diam: 2 in Rod Material: Other Strength (Fu): 60 ksi Anchor Rod Results: Yield (Fy): 40 ksi Max Rod (Cu+Vulrj): 62.3 Kips Allowable Axial, *Fu*Anet: 120.0 Kips * Rod Circle: in Anchor Rod Stress Ratio: 51.9% *e: in #of Rods 1 or 2 If Applicable; I Mu=Pu x Ift-kips Anchor Rod Results with Bending Considered: *Enter rod circle, offset(e)and number When the clear distance from the top of concrete to the bottom of anchor rods at the extreme fiber to of level nut excceeds 1.0 times the diameter of the anchor rod, consider if eccentric load due to leg the following interaction equation shall also be satisfied(see reinforcement exists. Figure 4-4 of Rev. G): ul4Rnv)2+[(Pu/V'Rnt)+(Mu/4Rnm))2<= 1 pa �Rnv=�*0.45*Fub*Ab= kips A\ 4.9A. B4L ° — B (1)Rnt=0F,*Anet- kips ORnm=c1)*Fy*Z= ft-kips i SECTION A-A SECTION B-3 Detail Type (a) Detail Type(b) =4.90 ?t -76' C I C t, ,-Nc shirk _ ays� • Grout w,crMn-y .gip_.. caiae!a- 4�c,3,c 'k ��-y� SECTION C-C SECTION D-J Detail Type (e) Detail Type (d) Maximum Acceptable Ratio: 105 % "7- )See Note 1 below) 1�=O.sa -- - Governing Stress Ratio: 51.9% Figure 4-4 of TIA-222-G ANCHOR BOLT Rev G-Rev 5 020212(2).xls PAUL J. FORD AND COMPANY Job Number: 37514-1233.003.8800 Page: 1 STRUCTURAL ENGINEERS Site Number: 826841 By: MRB 250 East Broad Street • Suite GW • Colunrbu,Ohro 43215-3700 Site Name: Site Name Date: 10/2/2014 DRILLED PIER SOIL AND STEEL ANALYSIS -TIA-222-G Factored Base Reactions from RISA Safety Factors/Load Factors/'P Factors_ Comp.(+) Tension(-) Tower Type= Self-Supported Moment,Mu= k-ft ACI Code= 4CI 318-02 Shear,Vu= 32.0 29.0 kips Seismic Design Category= D Axial Load,Pu= 356.0 -321.0 kips Reference Standard= TIA-222-G Use 1.3 Load Factor? No OTMu= I 32.01 29.0 lk-ft @ Ground Load Factor= 1.00 Drilled Pier Parameters Safety Factor t1 Factor Diameter= 5.5 ft Soil Lateral Resistance= 2.00 0.75 Height Above Grade= 1 ft Skin Friction= 2.00 0.75 Depth Below Grade= 27 ft End Bearing= 2.00 0.75 fc'= 3 ksi Concrete Wt.Resist Uplift= 1.25 EC= 0.003 in/in Load Combinations Checked per TIA-222-G Mat Ftdn.Cap Width= ft 1.(0.75)Ult.Skin Friction+(0.75)Ult.End Bearing Mat Ftdn.Cap Length= ft +(1.2)Effective Soil Wt.-(1.2)Buoyant Conc.Wt..a Comp. Depth Below Grade= ft 2.(0.75)Ult.Skin Friction+(0.9)Buoyant Conc.Wt.z Uplift Steel Parameters Soil Parameters Number of Bars= 20 Water Table Depth= 99.00 t Rebar Size= #9 Depth to Ignore Soil= 2.00 t Rebar Fy= 60 ksi Depth to Full Cohesion= 0 t Rebar MOE= 29000 ksi Full Cohesion Starts at? around Tie Size= #4 Above Full Cohesion Lateral Resistance=4(Cohesion)(Dia)(H) Side Clear Cover to Ties= 3 in Below Full Cohesion Lateral Resistance=8(Cohesion)(Dia)(H) Direct Embed Pole Shaft Parameters Maximum Capacity Ratios Dia @ Grade= in Maximum Soil Ratio= 110.0% Dia @ Depth Below Grade= in Maximum Steel Ratio= 105.0% Number of Sides= Thickness= in Fy= ksi Backfill Condition= Define Soil Layers Note:Cohesion=Undrained Shear Strengh=Unconfined Compressive Strength/2 Friction Ultimate Comp.Ult. Tension Ult. Thickness Unit Weight Cohesion Angle End Bearing Skin Friction Skin Friction Depth Layer ft pcf psf degrees Soil Type psf psf psf ft 1 2 105 0 28 Sand 0 0 0 2 2 6 105 0 28 Sand 0 1050 1050 8 3 20.5 105 0 28 Sand 90000 2100 2100 28.5 4 5 6 7 8 9 10 11 12 Soil Results: Overturn Depth to COR= 21.34 ft,from Grade Shear,Vu= 32.00 Kips Bending Moment,Mu= 714.75 k-ft,from COR Resisting Shear,tOVn= 319.30 kips Resisting Moment,tpMn= 7131.74 k-ft,from COR MOMENT RATIO 10.0% OK SHEAR RATIO= 10.0% OK Soil Results: Uplift Soil Results: Compression Uplift,Tu= 321.00 kips Compression,Cu= 356.00 <ips Uplift Capacity,OM= 688.52 kips Comp.Capacity,d)Cn= 2163.48 kips UPLIFT RATIO= 46.6% OK COMPRESSION RATIO= 16.5% OK Steel Results(ACI 318-02): Minimum Steel Area= 11.40 sq in Axial Load,Pu= -198.88 Kips @ 12.50 ft Below Grade Actual Steel Area= 20.00 sq in Moment,Mu= 292.39 c-ft @ 12.50 ft Below Grade Moment,tDMn= 2026.75 k-ft Axial,mPn(min)= -1080.00 kips,Where tt1Mn=0 k-ft MOMENT RATIO= 14.40/0 OK Axial,NPn(max)= 5133.98 kips,Where tbMn=0 k-ft v4.0-Effective:10-18-13 (d Copyright 2013 by Paul I.Ford and Company,all rights reserved. • ` 37514-1233.003.DWO GENERAL NOTES: 6w2 I, THIS TOWER MODIFICATION DRAWING IS BASED UPON A STRUCTURAL ANALYSIS PERFORMED BY PAUL J.FORD AND COMPANY DATED OCTOBER 1,2014. I 1 1 2. PAUL J.FORD AND COMPANY HAS NOT PERFORMED A FIELD VISIT TO VERIFY THE 160 EXISTING TOWER MEMBER SIZES AND DIMENSIONS.THE MODIFICATIONS SHOWN I /I ON THESE PAGES WERE DEVELOPED USING INFORMATION PROVIDED TO US BY \\ CROWN-CASTLE. K'/ A 3. THE CONTRACTOR IS EXPECTED TO PERFORM A SITE VISIT BEFORE FABRICATING K Y I ANY MATERIAL. IF THE CONTRACTOR DISCOVERS ANY EXISTING CONDITIONS 1 THAT ARE NOT AS REPRESENTED ON THESE DRAWINGS,PAUL J.FORD AND COMPANY SHALL BE CONTACTED IMMEDIATELY TO EVALUATE THE STRUCTURAL K z SIGNIFICANCE OF THE DEVIATION. 140' 1(''N j 4. PAUL J.FORD AND COMPANY WAS NOT PROVIDED WITH THE EXACT LOCATION OF . '' EVERY EXISTING APPURTENANCE THAT COULD POTENTIALLY INTERFERE WITH %. ,THE MODIFICATIONS AS INDICATED ON THESE DRAWINGS.IT IS IMPORTANT THAT i .\I p' g THE MODIFICATION MATERIAL BE PLACED IN THE PROPER LOCATION TO BE ,'i EFFECTIVE.THIS MAY REQUIRE THE REPOSITIONING OF SOME EXISTING X i NON-STRUCTURAL ITEMS CURRENTLY ATTACHED TO THE TOWER. F• 1. i' I I 5. THE CONTRACTOR MUST BE EXPERIENCED IN THE PERFORMANCE OF WORK i ' 1 SIMILAR TO THAT DESCRIBED ON THESE DRAWINGS.BY ACCEPTANCE OF THIS 1m 1/ `.I PROJECT,THE CONTRACTOR IS ATTESTING THAT HE DOES HAVE SUFFICIENT K 3 EXPERIENCE AND ABILITY,THAT HE IS KNOWLEDGEABLE OF THE WORK TO BE 1‘‘,//: PERFORMED AND THAT HE IS PROPERLY LICENSED TO DO THIS WORK IN THE /.'.1 JURISDICTION IN WHICH THE WORK IS TO BE PERFORMED. F ‘‘/' F , 6. THIS DRAWING DOES NOT INDICATE THE METHOD OF CONSTRUCTION.THE i \ i CONTRACTOR SHALL SUPERVISE AND DIRECT THE WORK AND SHALL BE SOLELY F' • RESPONSIBLE FOR ALL CONSTRUCTION METHODS,MEANS,TECHNIQUES, •\ /'i SEQUENCES AND PROCEDURES. i 100' 7. THE CONTRACTOR SHALL BE SOLELY RESPONSIBLE FOR INITIATING,MAINTAINING, — K\ r AND SUPERVISING ALL SAFETY PROGRAMS AND PRECAUTIONS IN CONNECTION L 1. \% I WITH THE WORK.THE CONTRACTOR IS RESPONSIBLE FOR ENSURING THAT ALL k ,, CONSTRUCTION PROCEDURES MEET THE REQUIREMENTS OF OSHA. 8. INSPECTIONS SHALL BE COMPLETED IN ACCORDANCE WITH LOCAL BUILDING ' I CODES. F, ,a ' i CONSTRUCTION NOTES: 6P K 'A 1. CONSTRUCTION SHALL BE IN ACCORDANCE WITH TIA-1019-A STANDARD. •1 I 2. BOLTS SHALL BE TORQUED TO THE SNUG-TIGHT CONDITION AS DEFINED BY AISC. i '.I 3. ANY GALVANIZED SURFACE THAT IS SCRATCHED OR DAMAGED DUE TO THE K, CONTRACTORS EFFORTS,SHALL BE REPAIRED WITH A COLD GALVANIZING \ i 1 COMPOUND IN STRICT CONFORMANCE WITH CROWN DOCUMENT ENG-BUL-10149. I • `. ,. 4. REFER TO CCI DOC ENG-PLN-10015 FOR CUTTING AND WELDING SAFETY PLAN. / `.1-1 ea K' '1 \s. . / MODIFICATIONS: i. ' • .\I AO ATTACH W-BEAM TO EXISTING PIER FOUNDATIONS.SEE SHEET S-2. K )1 ,I ,D K, K' '• I i i .• I K, 2 l K/ \JI I 0 0 • I TOWER ELEVATION 0 v'4 l 9 2;; PROJECT:37514-1233.003.8800 ii A 8 -$ PAUL J.FORD AND COMPANY k, g''i g s STRUCTURAL ENGINEERS BU #826841; PT CHIMACUM /ANE DRAWN BY: g@,! 250 EaSI Broad Sven.1.600.Columbus,Ohio 43zts 1 EMS. TOWER ELEVATION gX� v 0141 221-6679 '""^"'pjA.ctrtmm CHIMACUM, WASHINGTON DESIGNED BY AND GENERAL NOTES i_ ,I1 CROWN CASTLE MODIFIED 160'SELF SUPPORT TOWER RENEINED6r: I S_1 A'� g� S 5350 NORTH 46TH STREET,SURE 305,PHOENIX,A2 85226 ��. "s S RI'(48467354909 1034014 37514-12n Ce3 DWG ■• MATERIAL LIST ELEVATION QTY MATERIAL LENGTH WEIGHT 3 V18X31 14,124 1902 / \ BASE 12 314.•AMER 5/ANCHOR ROD x10.3 IMIIBRALNOT@ TOTAL(Ibs.) 1302 1. THE AEOVE MATERIAL UST IS PROVIDED TO CLEARLY IDENTIFY MEMBER SIZES. THE LENGTHS SHOWN IN THE MATERIAL LIST ARE APPROXIMATE AND ARE NOT THE �.. FINAL FABRICATED LENGTHS.THE CONTRACTOR IS RESPONSIBLE FOR VERIFYING ALL ^ QUANTITIES TIE CONTRACTOR SHALL BE SOLELY RESPONSIBLE FOR THE PROPER FIT 4,:tt\00 AND CLEARANCE OF THE REINFORCING MATERIAL IN THE READ.THE CONTRACTOR IS / ` EXPECTED TD PERFORM A SITE VISIT BEFORE FABRICATING ANY MATERIAL ///� 0*1, SPECIFICATION FOR STRUCTURAL STEEL'ASTM A9921(REQUIREMENTS OF POINT MATERIAL.). NEW WS x 31 BEAM(TYP.) / \ 3. ALL NEW STEEL SHALL BE HOT-DIP GALVANIZED TER FABRICATION IN SEE DETAIL BELOW / ffA/ \ \\ ACCORDANCE WITH THE FORZS C(HOT GALVANIZED)COATING ON 0 PRODUCTS FABRICATED FROM ROLLED.PRESSED AND FORCED STEEL SHAPES,PLATES / \ BAR,MD STWP ASTM AI23 / \\ 4 DRILLED IN ANCHOR RODS SHALL CONFORM TO TFEREOUQ4EABRS OFASTl \\ 0193 GR.87. I \\ 5. ALL BOLTS SHALL BE PROVIDED WITH LOO(-WASHERS,LOCK-NUTS OR PAL-NUTS / \\ AND SHALL BE GALVANIZED ACCORDING TO ASTM A153. / \\ \ STING SS.EDLLED PIER / LEI \ WITH&SIDED FOUNDATION CAP / / \ \\ (TYP.) / \ ?au i l ee J° _ & ■ 4Q3 15'-0" (12)NEW 314'.ANCHOR RODS WITH HEM RE 500 EPDXY ADHESIVE ANCHORS.FIELD DRI (12) HOLES AS N. LENGTH OE®FOUNDATION REINFORCING PLAN® NEW ANCHORS D UL D BE 10VH1 AN EM BEDMENT LENGTH •INT O EXISTING CONCRETE THE HAMMER-DRILLED HOLES IN THE CONCRETE SHALL BE CLEAN AND CRY.AND OTHERWISE PROPERLY PREPARED ACCORDING TO TIE ANCHOR ROD AND EPDXY MANUFACTURERS' INSTRUCTIONS,PRORTO PLACEMENT OF ANCHOR RODS AND EPDXY. CONTRACTOR SHALL FOLLOW ALL ANCHOR ROD AND EPDXY MANUFACTURER RECOMMENDATIONS REGARDING HANDLING OF RODS, EPDXY.ACCEPTABLE AMBIENT TEMPERATURE MERAT UAE RANGE DURING INSTALLATION.PROPER PLACEMENT OF EPDXY INTO THE HOLE,ETC. EXISTING TOWER LEG ) O. DUSTING BASE EXISTING GROUT —NEW WS x 31 SEAM PLATE(TYP) ( ) EXISTING DRt1ID PIER FIN GRADE II • 11 a • . DRIL715'.xT LONG HOLES PERHILT HITRESOO ' .. •. q • • SPECIFICATIONS.UTILIZE THE ADHESIVE SYSTEM WITH 34•.ANCHOR ROD EMBEDDED ®FOUNDATION REINFORCING 0 We HOLES(1YP.) b ° - 0 Wart I V /.7 -1'.. f-----------\\: BEAM DETAIL CONTRACTOR MUST FIELD VERIFY MATERIAL LENGTH BEFORE FABRICATION 11.111'41g 2 a PROJECT:37514-1233.003.8800 -IQ flSTUJCTLHEALENCTINEERS BU #826841• PT CHIMACUM /ANE I(610)221-6679 .....PYAxeb.com TOWER REINFORCING 9 3 1 kilii CHIMACUM, WASHINGTON DESIGNED BY: DETAILS yg d ii QQ CROWN CASTLE MODIFIED 160''SELF SUPPORT TOWER REVIEWED BY: A Xi x I 5360 NORTH 48TH STREET,SLATE 305.PHOENIX.AZ 85228 DATE S-2 H c t S. 3 PR(480)735-8909 10.1-2014 3T514-IDDT 003.DWG POST-MODIFICATION CHECKLIST REQUIRES I SECTION I REPORT TEE I BRIEF DESCRIPTION(SEE ENGSOVOI0007) PRE-CONSTRUCTION 8.1.1 MI CHECHJST DRAWING THIS CHECRiST SHALL BE INCLUDED IN THE MI REPORT NA 6.1.2 FOR APPROVED SHOP DRAWINGS FABRICATION DRAWINGS SHALL BE SUBMITTED TO THE ENGINEER OF RECORD FOR REVIEW.THE CONTRACTOR SHALL PROVIDE THE APPROVED SHOP DRAWINGS TOME MI INSPECTOR FOR INCLUSION N THE M REPORT. A LETTER FROM ME FABRICATOR,STATING THAT ME WORK WAS PERFORMED IN ACCORDANCE WITH INDUSTRY NA 6.1.3 FABRICATION INSPECTION STANDARDS AND THE CONTRACT DOCUMENTS SHALL SE PROVIDED TO THE M INSPECTOR FOR INCLUSION IN THE M REPORT. CRITICAL SHOP WELDS THAT REOURE TESTING(PER ENG-MI OMEl ARE NOTED ON THESE CONTRACT NA 6.1.4 FABRICATORCERTEED YIELD INSPECTION DRAWINGS.A CERTIFIED WELD INSPECTOR SHALL PERFORM NON-DESTRUCTIVE TESTING AND A REPORT SHALL BE PROVIDED TO ME M INSPECTOR FOR INCLUSION IN THE MI REPORT__ X 6.15 MATERIAL REST REPORT(THIR) MILL CERTIFICATION SHALL BE PROVIDED FOR ALL STEEL WIM A YIELD STRENGTH GREATER THAN 36THIS SI AND THIS DOCUMENTATION SHALL BE PROVIDED TO ME M INSPECTOR FOR INCLUSION IN THEM REPORT, NA 6.1.6 FABRICATOR LADE INSPECTION A VISUAL OBSERVATION OF A PORTION OF THE EXISTING STRUCTURE(AS NOTED ON THESE DRAWNGS(IS REQUIRED AND A WRITTEN REPORT SHALL BE PROVIDED TO THE MI INSPECTOR FOR INCLUSION IN ME MI REPORT. NA gi.7 NDU REPORT OF MONOPOLE BASE PLATE(AS A VISUAL OBSERVATION OF THE POLE TO BASE PLATE CONNECTION IS REQUIRED AND AWRTREN REPORT SHALL REQUIRED) BE PROVIDED TO THE MI INSPECTOR FOR INCLUSION(NINE MI REPORT. X 6.1.8 PACKING SLIPS THE MATERIAL SHIPPING UST SHALL BE PROVIDED TO THE MI INSPECTOR FOR INCLUSION IN THEM REPORT. CONSTRUCTION A LETTER FROM THE GENERAL CONTRACTOR STATING THAT THE WORKMANSHIP WAS PERFORMED IN X 6.2.1 CONSTRUCT/ON INSPECTIONS ACCORDANCE WITH INDUSTRY STANDARDS AND THESE CONTRACT DRAWINGS SHALL BE PROVIDED TOME MI INSPECTOR FOR INCLUSION IN THE MI REPORT. NA 6.2.2 FWNDATIONINSPECTONS AVISUAL OBSERVATION OF THE EXCAVATION AND ROAR SHALL BE TERFORAED BEFORE PLACING THE CONCRETE.A WRITTEN REPORT SHALL BE PROVIDED TO ME NI INSPECTOR FOR INCLUSION LATHE M REPORT. NA 623 CONCRETE COMP.STRENGTH AND SLUMPTESiS THE CONCRETE MIX DESIGN,SLUMP TEST.AND COMPRESSIVE STRENGTH TESTS SHALL BE PROVIDED TO THEM INSPECTOR FOR INCLUSION IN THE MI REPORT. NA 82A BASE PLATE GROUT VERIFICATION A LETTER FROM THE GENERAL CONTRACTOR SHALL BE PROVIDED TO THE MI INSPECTOR THAT CERTIFIES THAT THE GROUT WAS INSTALLED IN ACCORDANCE WITH CROWN ENG-PRC-10012 FOR INCLUSION IN THE M REPORT. A CERTIFIED WELD INSPECTOR SHALL INSPECT AND TEST AS NECESSARY ALL FIELD WELDS AND A REPORT SHALL NA 622.5 CONTRACTOR'S CERTIFIED WELD INSPECTION BE PROVIDED TO THE MI INSPECTOR FOR INCLUSION IN THE MI REPORT.PRE,DURING AND POST WELD INSPECTION IS REQUIRED PER CROWN SOW AND DOCUMENTYENGSOW-10007. NA 62.6 EARTFNYORI(:UM AND DENSITY FOUNDATINSUR-RRADES SHALL BE INSPECTED AND APPROVED BY A GEOTECHNICAL ENGINEER AND A REPORT SHALL BE PROVIDED TO THE MI INSPECTOR FOR INCLUSION IN THE M REPORT. % 6.2.7 ON SITE COLD GALVANIZING VERIFICATION THE GENERAL CONTRACTOR SHALL PROVIDE DOCUMENTATION TO THE MI INSPECTOR VERIFYING THAT ANY ONSITE COLD GALVANIOAG WAS APPLIED IN ACCORDANCE WITH ENG-BUL-7014A NA 6.2.8 GUY WIRE TENSION REPORT THE GENERAL CONTRACTOR SHALL PROVIDE A REPORT TO THE NI INSPECTOR INDICATING THE TEMPERATURE AND TENSION IN EVERY GUY CABLE FOR INCLUSION IN THE MI REPORT. THE GENERAL CONTRACTOR SHALL SUBMIT ACOPY OF THE CONTRACT DRAWINGS EITHER STATING INSTALLED X 829 GC AS-BUILT DOCUMENTS AS DESIGNED'OR NOTING ANY CHANGES THAT WERE REQUIRED AND APPROVED BY THE ENGINEER OF RECORD DIE TO FIELD CONWIONS. POST-CONSTRUCTION TIL X 8.7.1 MI INSPECTOR REDLINE OR RECORDDMWNWS) E M INSPECTOR SHALL OBSERVE AND REPORT ANY DISCREPANCIES BETWEEN THE CONTRACTORS REDLNE DRAWING AND THE ACTUAL COMPLETED INSTALLATION. NA 88.2 POST INSTALLED ANCHOR ROD PULLIESTING POST-INSTALLED ANCHOR RODS SHALL BE TESTED IN ACCORDANCE WITH ENGPR010T19 AND A REPORT SHALL BE PROVIDED TO THE M INSPECTOR FOR INCLUSION IN THE MI REPORT. X 833 PHOTOGRAPHS PHOTOGRAPHS SHALL BE SUBMITTED TO THE MI WHICH DOCUMENT ALL PHASES OF THE CONSTRUCTION.THE PHOTOS SHALL BE OROANEED IN A MANNER THAT EASILY IDENTIFES THE EXACT LOCATION OF THE PHOTO. NOTE:X DENOTES A DOCUMENT NEEDED FROM THE CONTRACTOR FOR THE REPORT NA DENOTES A DOCUMENT THAT IS NOT REQUIRED FOR THE MI REPORT MODIFICATION INSPECTION NOTES CANCELLATION OR DELAYS IN SCHEDULED Mt SENERHL ETHE GC AND MI INSPECTOR AGREE TO ADATE ON URACH THE M WEL BE CONDUCTED.AND THE MODIFICATION INSPECTION(M)IS A VISUAL INSPECTION OF TOWER MODIFICATIONS AND A EITHER PARTY CANCELS OR DELAYS,CROWN SHALL NOT BE RESPONSELE FOR ANY COSTS, REVIEW OF CONSTRUCTION INSPECTIONS AND OTHER REPORTS TO ENSURE THE INSTALLATION FEES,LOSS OF DEPOSITS AND/OR OTHER PENALTIES RELATED TO THE CANCELLATION OR DELAY WAS CONSTRUCTED IN ACCORDANCE WITH THE CONTRACT DOCUMENTS,NAMELY THE INCURRED SY EITHER PARTY FOR ANY TIME(E.G.TRAVEL AND LODGING,COSTS OF KEEPING MODIFICATION DRAWINGS,AS DESIGNED BY THE ENGINEER OF RECORD EMI EQUIPMENTONSRE,ETC.).IF CROWN CONTRACTS DIRECTLY FOR A THIRD PARTY MI, EXCEPTIONS MAY BE MADE IN THE EVENT THAT THE DELAYICANCEIIATKN IS CAUSED BY ME M IS TO CONFIRM INSTALLATION CONFIGURATION AND WORKMANSHIP ONLY AND IS NOT A WEATHER OR OTHER CONDITIONS THAT MAY COMPROMISE THE SAFETY OF THE PARTES REVIEW OF THE MODIFICATION DESIGN ITSELF,NOR DOES THE M INSPECTOR TAKE OWNERSHIP INVOLVED. OF THE MODIFICATION DESIGN.OWNERSHIP OF THE STRUCTURAL MODIFICATION DESIGN EFFECTIVENESS AND INTEGRITY RESIDES WITH THE SCR AT ALL TIMES CORRECTION OF FALLING MI'S W THE MODIFICATION INSTALLATION WOULD FAIL THEM(-FAILED M'),THE GC SHALL WORK WITH ALL MIS SHALL BE CONDUCTED BY A CROWN ENGINEERING VENDOR(AEV)OR ENGINEERING CROWN TO COORDINATE AREMEDIATON PLAN N ONE OF TWO WAYS: SERVICE VENDOR(DEER THAT IS APPROVED TO PERFORM ELEVATED WORK FOR CROWN.SEE ENGAUL-10173 UST OF APPROVED M VENDORS_ •CORRECT FARING ISSUES TO COMPLY WITH THE SPECIFIATIONSCONTANEO NINE ORMiNAL CONTRACT DOCUMENTS AND COORDINATE A SUPPLEMENT M. TO ENSURE THAT THE REQUIREMENTS OF THE MI ARE REFIT IS NT AL THAT THE GENERAL •OR,WITH CROWNS APPROVAL,THE GC MAY WORK WITH THE EOR TO RE-ANALYZE THE CONTRACTOR(GC)AND THE M INSPECTOR BEGIN COMMUNICATING AND COORDINATING AS MODIFICATION/REINFORCEMENT USING THE AS-BUILT CONDITION SOON AS APO IS RECEIVED.R IS EFFECTED THAT EACH PARTY WILL BE PROACTIVE IN REACHING OUT TO THE OTHER PARTY.IF CONTACT INFORMATION IS NOT KNOWN,CONTACT III VERIFICATION INSPECTIONS YOUR CROWN POINT OF CONTACT MCI CROWN RESERVES THE RIGHT TO CONDUCT A MI VERIFICATION INSPECTION TO VERIFY THE ACCURACY AND COMPLETENESS OF PREVIOUSLY COMPLETED MI INSPECTION(S)ON TOWER REFER TO ENS-SOW-10007:MODIFICATION INSPECTION SOW FOR FURTHER DETAILS AND MODIFICATION PROJECTS. REQUIREMENTS. ALL VERIFICATION INSPECTIONS SHALL BE HELD TO THE SIRE SPECIFICATIONS AND MI INSPECTOR REQUIREMENTS N THE CONTRACT DOCUMENTS AND IN ACCORDANCE WITH ENO.SOW-10007. THE MI INSPECTOR O REQUIRED TO CONTACT THE GC AS SOON AS RECEVNO A PO FOR THE M TO,AT A MINIMUM; VERIFICATION INSPECTION MAY BE CONDUCTED BY AN INDEPENDENT AEVIAESV FIRM AFTER A MODIFICATION PROJECT IS COMPLETED.AS MARKED BY THE DATE OF AN ACCEPTED PASSING •REVIEW THE REQUIREMENTS OF THE M CHECKLIST me OR'PASS AS NOTED NT REPORT FOR THE ORIGINAL PROJECT. •WORK WITH THE GC TO DEVELOP A SCHEDULE TO CONDUCT ON-RE INSPECTIONS, INCLUDING FOUNDATION INSPECTIONS tt=8641 BETWEEN THE GC AND THE MI INSPECTOR ME FOLLOWING PHOTOGRAPHS,AT A LEMUR ARE THE MI INSPECTOR IS RESPONSIBLE FOR COLLECTING ALL GENERAL CONTRACTOR IOC) TO BE TAKEN AND INCLUDED IN THE M REPORT: INSPECTION AND TEST REPORTS,REVIEWING THE DOCUMENTS FOR ADHERENCE TOME CONTRACT DOCUMENTS,CONDUCTING THE N-FIELD INSPECTIONS,ARID SUBMITTING THE MI •PRE-CONSTRUCTION GENERAL SITE CONDITION REPORT TO CROWN. •PHOTOGRAPHS WRING THE REINFORCEMENT MODFICATINCONSIRUCTIONERECION AND INSPECTION GENERAL CONTRACTOR •• RAW MATERIALS THE GE IS REWIRED TO CONTACT THE MI INSPECTOR AS SOON AS RECEIVING A PO FOR THE •• PHOTOS OF ALL CRITICAL DETAILS MODIFICATION INSTALLATION OR TURNKEY PROJECT TO,AT A MINIMUM: •• FOUNDATION MODIFICATIONS WELD PREPARATION •REVIEW THE REQUIREMENTS OF THE MI CHECIQHST « BOLT INSTALLATION AND TORQUE •YORK WITH ME M INSPECTOR TO DEVELOP A SCHEDULE TO CONDUCT ON-SITE « FINAL INSTALLED CONDITION INSPECTIONS,INCLUDING FOUNDATION INSPECTIONS w SERFAGE COATING REPAIR •BETTER UNDERSTAND ALL INSPECTION AND TESTING REQUIREMENTS •POST CONSTRUCTION PHOTOGRAPHS •• FINAL INFIELD CONDITION THE GC SHALL PERFORM AND RECORD THE TEST AND INSPECTION RESULTS IN ACCORDANCE VATH THE REQUIREMENTS OF THE MI CHECKLIST AN DENGSSW-10007. PHOTOS OF ELEVATED MODIFICATIONS TAKEN FROM THE GROUND SHALL RE CONSIDERED INADEQUATE. RECOMMENDATIONS THE FOLLOWING RECOMMENDATIONS AND SUGGESTIONS ARE OFFERED TO ENHANCE THE THIS ISNOT ACOMPLETEUST OF REQUIRED PHOTOS.PLEASE REFER TO ENGSOVA 10007. EFFICIENCY AND EFFECTIVENESS OF DELIVERING A MI RETORT •R IS SUGGESTED THAT THE GC PROVIDE A MINIMUM OF S BUSINESS DAYS NOTES, PREFERABLE 10,TO THE M INSPECTOR AS TO WHEN THE SITE WILL BE READY FOR THE MI TO BE CONDUCTED. •THE GC AND M INSPECTOR COORDINATE CLOSELY THROUGHOUT THE ENTIRE PROJECT. •WHEN POSSIBLE,IT IS PREFERRED TO HAVE THE GC AND MI INSPECTOR ON-SITE SIMULTANEOUSLY FOR ANY GUY WIRE TENSIONING OR RE-TENSIONING OPERATIONS •IT MAY BE BENEFKSAL TO INSTALL ALL TOWER MODIFICATIONS PRIOR TO CONDUCTING THE FOUNDATION INSPECTIONS TO ALLOW FOUNDATION AND MI INSPECTION(S)TO COMMENCE WITH ONE SITE VISIT. •WHEN POSSIBLE,IT IS PREFERRED TO HAVE THE GC AND MI INSPECTOR ON-SITE DURING THE M TO HAVE ANY DEFICIENCIES CORRECTED DURING THE INITIAL M THEREFORE,THE GC MAY CHOOSE TO COORDINATE THE M CAREFULLY TO ENSURE ALL CONSTRUCTION FACILITIES ARE AT THEIR DISPOSAL WHEN ME MI INSPECTOR IS ON SITE. A g PROJECT:37514-1233.003.8800 STRU FORD AND COMPANY S BU #826841; PT CHIMACUM /ANE DRAWN BY AT'55 STRUCTURAL LNGI N LL RS m� 1IAIUA1.MSVdx Snire fi00 CdInBws,[Mb o32t5 #826841; HALO. s ff x a is `1.0 2 16679 "^"'"a""b'`°"' DESIGNED BY: MI CHART AND NOTES$�� CHIMACUM, WASHINGTON • CROWN CASTLE MODIFIED 160'SELF SUPPORT TOWER REVIEWED 101- 'Ill 8 S' 5350 NORTH 48TH STREET,SUITE 305,PHOENIX,AZ 85226 pgTE; S—3 R 5 5.z d PH:(480)735-809 161-0015 ■ 37614-1233.03SUNG GENERAL NOTES: RD' . 1. THIS TOWER MODIFICATION DRAWING IS BASED UPON A STRUCTURAL ANALYSIS PERFORMED BY PAUL J.FORD AND COMPANY DATED OCTOBER 1,2014. k `� 2. PAUL J.FORD AND COMPANY HAS NOT PERFORMED A FIELD VISIT TO VERIFY THE 180' ` ___ EXISTING TOWER MEMBER SIZES AND DIMENSIONS.THE MODIFICATIONS SHOWN ON THESE PAGES WERE DEVELOPED USING INFORMATION PROVIDED TO US BY i� .,: CROWN-CASTLE. K x 4 f�i f 3. THE CONTRACTOR IS EXPECTED TO PERFORM A SITE VISIT BEFORE FABRICATING ' I ANY MATERIAL IF THE CONTRACTOR DISCOVERS ANY EXISTING CONDITIONS THAT ARE NOT AS REPRESENTED ON THESE DRAWINGS,PAUL J.FORD AND ,,<;i ti."--' : COMPANY SHALL BE CONTACTED IMMEDIATELY TO EVALUATE THE STRUCTURAL K` x/1 SIGNIFICANCE OF THE DEVIATION. 1 Iv .l p - K €„ 4. PAUL J.FORD AND COMPANY WAS NOT PROVIDED WITH THE EXACT LOCATION OF • I EVERY EXISTING APPURTENANCE THAT COULD POTENTIALLY INTERFERE WITH THE MODIFICATIONS AS INDICATED ON THESE DRAWINGS.IT IS IMPORTANT THAT , THE MODIFICATION MATERIAL BE PLACED IN THE PROPER LOCATION TO BE 1 • I EFFECTIVE.THIS MAY REQUIRE THE REPOSITIONING OF SOME EXISTING w I NON-STRUCTURAL ITEMS CURRENTLY ATTACHED TO THE TOWER. g • / 5. THE CONTRACTOR MUST BE EXPERIENCED IN THE PERFORMANCE OF WORK °; I SIMILAR TO THAT DESCRIBED ON THESE DRAWINGS.BY ACCEPTANCE OF THIS 1E1 ^`A'/`��� PROJECT,THE CONTRACTOR IS ATTESTING THAT HE DOES HAVE SUFFICIENT eK\ , 4 EXPERIENCE AND ABILITY,THAT HE IS KNOWLEDGEABLE OF THE WORK TO BE I PERFORMED AND THAT HE IS PROPERLY LICENSED TO DO THIS WORK IN THE i JURISDICTION IN WHICH THE WORK IS TO BE PERFORMED. N t,¢ -I __ ; 6. THIS DRAWING DOES NOT INDICATE THE METHOD OF CONSTRUCTION.THE I ' ft' CONTRACTOR SHALL SUPERVISE AND DIRECT THE WORK AND SHALL BE SOLELY �`F� "" RESPONSIBLE FOR ALL CONSTRUCTION METHODS,MEANS,TECHNIQUES, is SEQUENCES AND PROCEDURES. L0° i,K `�� 7. THE CONTRACTOR SHALL BE SOLELY RESPONSIBLE FOR INITIATING,MAINTAINING, AND SUPERVISING ALL SAFETY PROGRAMS AND PRECAUTIONS IN CONNECTION WITH THE WORK.THE CONTRACTOR IS RESPONSIBLE FOR ENSURING THAT ALL r'/`\`' CONSTRUCTION PROCEDURES MEET THE REQUIREMENTS OF OSHA. 8. INSPECTIONS SHALL BE COMPLETED IN ACCORDANCE WITH LOCAL BUILDING (, CODES. I I . CONSTRUCTION NOTES: m K' ``1 1. CONSTRUCTION SHALL BE IN ACCORDANCE WITH TIA-1019-A STANDARD. 1\ i ,::\ 2. BOLTS SHALL BE TORQUED TO THE SNUG-TIGHT CONDITION AS DEFINED BY AISC. , t \ 3. ANY GALVANIZED SURFACE THAT IS SCRATCHED OR DAMAGED DUE TO THE 1.� CONTRACTORS EFFORTS,SHALL BE REPAIRED WITH A COLD GALVANIZING 1 COMPOUND IN STRICT CONFORMANCE WITH CROWN DOCUMENT ENG-BUL-10148. 1 t 9 �� d 4. REFER TO CCI DOC ENG-PLN-10015 FOR CUTTING AND WELDING SAFETY PLAN. ea K a I� I 1 MODIFICATIONS: 1; O ATTACH W-BEAM TO EXISTING PIER FOUNDATIONS.SEE SHEET S-2. I %i 1 K > , I i i • K` -� . i I 1 ;�pEt ME,-*.„ . O +0,,y0 wA,ptic,Ci I tea 1 e 009 1,� -jrL,� .'� .11:j34 4 TOWER ELEVATION 0 :imm,0., s � OCT 0 2 2014 a 11.2 g't PROJECT:37514-1233.003.8800 :3 `` STRULCTORAANDCCONEANS BU#826841; PT MOO: sg3T=i r. VZ"Ar , ,.S„te,6,.Co,,,zi,„, „ CHIMACUM/ANE talnxxt.een ..W..y,u..ca„„ 5144 TOWER ELEVATION I!' 3�'1 4 CHIMACUM, WASHINGTON I .' AND GENERAL NOTES g� 9m 5 CROWN CASTLE MODIFIED 160'SELF SUPPORT TOWER REUEWE0BY: gall 3y4^ '4^ a R'z$ 5350 NORTH 40TH STREET,SUITE 308,PHOENIX,K BSaa ?'V Y- ��� e g s�a m 14501 3SBBflx TE. _ _ 10140 61. • 1 A ■ • 715141491.0W.0WG MATERIAL UST ELEVATION QTY MATERIAL LENGTH WEIGHT 3 WB x31 14Q3 1302 / BASE .-- 12 Ws A1W GR Br ANCHOR ROD 8-10.3 MATERLLLNOTES TOTAL(IDS.) 1302 1. THE ABOVE MATERIAL UST IS PROVIDED TO CLEARLY IDENTIFY MEMBER SIZES. ,�.�... THE LENGTHS SHOWN W THE MATERIAL LIST ARE APPROXIMATE AND ARE NOT THE FINAL FABRICATED LENGTHS.THE CONTRACTOR IS RESPONSIBLE FOR VERIFYING ALL *~�OO AND CLEARANCE.THE FTHERET FORCING MATERIAL FIELD.THE FOR CONTRACTOR IS FR A0 CLEARANCE OFTHE ACTOR SCING5€SOLEI RESPONSIBLE FIELD.THE ECONTRACIER EFFECTED TO PERFORM A SITE VISIT BEFORE FABRICATING ANY MATERIAL \\ 2. ALL NEW STEEL SHALL CONFORM TO THE REQNREMENTS OF n8:9TANDARD \\ SPECIFICATION FOR STRUCTURAL STEWART/4 A992(50 NSI YIELD POW'IMTERNL). NEW NRx7t SEAM(TYR) SEE BETAS // / \ \\\ 3. ALL NEW STEEL SHALL SE HOT-DIP GALVANIZED AFTER FABRICATION IN ACCORDANCE WITH THE'SPECIFICATION FOR ZINC(HOT GALVANVED)COATING ON // t\\ BAR,PRODUCTS STRIP. FROM ROLLED,PRESSED AND FORGED STEEL SNARE'S PLATES / \ / l DRILLED NANCHOR RODS SHALL CONFORM TO THE REQUIREMENTS OF ASTM I/ \\\ AIW MST. \\ S. ALL BOLTS SHALL HE PROM:MOM/1THLOCK-WASHERS,LOQ(NUTS CR PAL-NUTS 1 - AND SHALL BEGALVANOED ACCORDING TO ASTM A103. \ EXIST**S,6•0 MISLED PER / \\t\ WRH SSOEO FOUNDATION GOP / / \ \ (TYP.) ,I illrf 4O'1. . € 000 ■ 10-0'3 1B-P (12)NEW Ws ANCHOR RODS WITH HILTT RE 5000PDXYADHESRE ANCHORS.FIELD DRILL HOLES AS N. LENGTH OF()FOUNDATION REINFORCING PLAN® NEW ANCHORS SHOULD SE WITH ANEMBEDMENT LENGTH OF IT T() EXISTING CONCRETE.THE HAMMER-DRILLED HOLES IN THE CONCRETE SHALL BE CLE AND DRY.AND OTHERWISE PROPERLY ACCORDING TO THE R MANY MANUFACTURERS MOOR T DPLACE9ENTOFANC GOR R0UAD EPDXY. CONTRACTOR SHALL FOLLOW ALL ANCR ROD Y MANUFACTURER RECOMMENDATIONS REGARDING FARMI OF RODS. EPDXY,ACCEPPABLEAMBENTOEGRN TUE PANGS RABAN INSTALLATION.PROPER PLACEMENT OF EPDXY NiOIHE HO L ,ETD. EXISTING TOYER LEG(1,1 menus GROUT NEWWex3'BEAM o EXISTING BASE �:. !COSTING DPILEa PER FN GRADE • •i .& /N/,, i i ii/ i ^ , ti/ ro DRILL Tin XTLONG HOLES P00342.11 18'RESOO 2• • .9 SPEGFIWITHSS UTILBEINEADH EMBEDDED •• • • .. a SYSTRAI WITH 3N'.ANCHOR ROO EMBEDDED T • • ()FOUNDATION REINFORCING 410 - ,r.i. 1AS.HOLES IfYP, is 'U 14,01s 4 0.EL ME/6-,•- :\v wns pJ�chQ • �— N � �i. BEAM DETAIL 'Ne, 0o ',/- . COMMACTORMISTFBD VERIFY MATERIAL LENGTH BEFORE FABRICATION ` OC i 0 2 2Q14 WilimPAUL J.FORD AND COMPANY PROJECT:37514-1233.003.8800 �S East Woad SuIAh608EColon.ENGINEERS BU#826841; PT CHIMACUM IMINE DRAWN BY: I61mu,c6ze .v«w;�ifrm..me BAR. TOWER REINFORCING !1.iill CHIMACUM, WASHINGTON DAB'.. DETAILS l- =$ ! i CROWN CASTLE MODIFIED 160'SELF SUPPORT TOWER REVIEWED pypf a 5350 NORTH 98TH STREET,SUITE 305,PHOENIX,AZ 86226 M7@ � 5 11 Pk(400)736400 10.1-2014 �_� • 4 1 ; , 5 37514-1220003.OWG POST-MODIFICATION CHECKLIST REQUIRED SECTION I REPORT REM I BRIEF DESCRIPTION(TEENS W-IDWT) PRE-CONSTRUCTION X 51.1 M1CREIGLSTDRAWNG THIS CHECKLIST SHALL BE WCIWED NINE N REPORT NA 6.12 EOIRAPPROJED SHOP DRAWINGS FANARIATION DRAWINGS SHALL SESMARTED TO THE ENGINEER OP RECORD FOR REVIEW THECONTRACTOR SHALL PROVIDE THE APPROVED SHOP DRAWINGS TO THE MI NSPECTOR FOR INCLUSION IN THE MI REPORT, A LETTER FROM THE FABRICATOR,STATING THAT THE WORK WAS PERFORMED INACCOROANCE WITH INDUSTRY NA 6.13 FABRICATION INSPECTION STAILIAND6AND THE CONTRACT DOCUMENTS SHALL BE PROVIDED TO THE MI INSPECTOR FOR INCLUSION IN THE MI REPORT. --'CRITICAL SAW WELDS THATREQU WTESTING(PERRNGSTO.IWN)ARE NOTED ON THESE CONTRACT NA 6.1.4 FABRICATOR CERTIFIED WELD NSPECIIpt DRAWINGS.A CURIUM WEID INSPECTOR SNAIL PERFORM NONDESTRUCTIVE TESTING/AO A REPORT SHALL BE PROVIDED TONE MI LSPECTOR FOR 1NCWSI0N IN THE NH REPORT. % 6.iS MA713M11AT1>EPoRf PFiR) MILL CERTIFICATION S H A L L PROVDEDFBA ALL STEEL WITH A WELD STRENTHG MATERTHAN 36 K 53/WOTINS _DOG KEATRE4WWLBEPROYLDTOTHEMI NSPECTSSFOR N0.URONI RW 66 REPOT • NA 6.1.8 FABRICATOR VIDE INSPECTION A VISUAL OBSERVATION OF PORTION CF THE EXISTING STRUCTURE{AS NOTED ON THESE OAWINOS)S REQUIRED AND WRITTEN REPORT SHALL BE PROVIDED TONE MI INSPECTOR FOR INCLUSION IN THE MI REPORT. NA 8.11 tDE REPORT OF MONOPOLE BASE PIXIE RS A VISUAL OBSERVATION CEDE POLE TO BASE PLATE CONNECTION IS TEN REQUIRED AND A WRIT REPORT SHALL REQUIR®) BE PROWLED TO THE Mi INSPECTOR FOR NCLUSIW IN THE MI REPORT, X 6.1,8 PACKING SUPS 11E ANTENNA SHIPPING UST SHALL BE PROVIDED TO THE MI INSPECTOR FOR INCLUSION NINE MI REPORT CONSTRUCTION • `A LETTER FROATHE GENERAL CONTRACTOR STATING THAT THE WORKMANSHIP WAS PERFORMED IN X 62.1 CONSTRUCTION INSPECTIONS ACCORDANCE WITH INWSTRY STANDARDS AND THESE CONTRACT DRAWINGS SHALL BE PROVIDED TO THE MI -- INSPECTOR FOR INCLUSION IN THE MI REPORT. NA 822 FOUNDATION INSPECTIONS AVSUM THE OBSERVATION OF THE EXCAVATION ARE RERAN SHALL BE PERFORMED BEFORE PLACINGI CONCRETE.A WWFTEN REPORT SHALL BE PROVIDED TO THE MI INSPECTOR FOR INCLUSION W THE MI REPORT. NA 829 CONCRETE COMP.„TN.TX D RUMP NEfi Ja THE CONCRETE MIX DESIGN.SLURHPTEST.AND COMPRESSIVE STRENGTH TESTS SHALL BE PROVIDED TO THE MI INSPECTOR FOR INCUISON IN THE MI REPORT. NA 624 BASEPIATEGROUT VERIFICATION A LETTER FROM THE GENERAL CONTRACTOR SHALLBE PROVIDED TO THE MI INSPECTOR THAT CERTIFIES THAT THE GROUT WAS INSTALLED W ACCORDANCE WTITR CROWN EN3.PRG1 W 12 FOR INCLUSION IN THEM'REPORT. A CERTMFET WELD INSPECTOR SHALL INSPECT MD TEST AS NECESSARY AU-FIELD WELDS DA REPORT SHALL' NA 82.5 CONTRACTORS CERTIFIED WELD INSPECTION NE PROVIDED TO THE MI INSPECTOR FOR INCLUSION IN THE MI REPORT.PRE,DURING AND POST WELD -- INSPECTION A REQUIRED PER CROWN SOW AND DOCUMENT AENGSOW.10001. NA 828 EARTHWORK LIFT AND DENSITY FOUNDATION 9UBSRAOFSSHIALL BE INSPECTED AND APPROVED BY GEOTECHNIOAL ENGINERAND S REPORT SHAH BE PROVIDED TOILE MI INSPECTOR FOR INCLUSION W THE AO REPRO. X 62.7 O R S I T E COLD GALVANIZING V F I B F r'A T O N REGELHRPLT,ONTRACIO2 SHALL PROVIDE DOCUMENTATION TO THE MI INSPECTOR VERIFYING THAT ANY _ONSITE COLD GALVANIZING WAS APPLIED IN ACCO EWNCE WIN ENGBUL-1014. NA 62B GUY WNETEtSWN REPORT 1NEGRlaA1 CONTRACTOR SHALL PROVIDE ARFPORTTOTHE MIRSPECTORINDOAING RE TEMPERATURE __ _ AND TENSION N EVERY GUY CABLE FOR INCLUSION PI THE MI REPORT. THE GENERAL CONTRACTOR SHAH SUBMIT A COPY OF THE CONTRACT DRAWINGS ETHER STATING-INSTALLED X 825 GCAS-SORT DOCUMENTS AS DESIGNED.OR NOTING ANY CHANGES THAT WERE REQUIRED AND APPROVED BY THE ENGINEER OF RECORD DUE TO RELD CONDITIONS. POST-CONSTRUCTION X 63.1 MI ASP,,,,,REQNNE ORRECORD OAWINGIST THE N INSPECTOR SHALL OBSERVE AND REPORT ANY DISCREPANCIES BETWEEN THE CONTRACTORS REDONE DRAWING MODE ACTUAL COMPLETED WSTALUTOH NA 632 POSTN9TALLEDANCIOR ROD RLLTESfNG POiT.PSTALLED ANCHOR ROOS SHALL DETESTED IN ACCORDANCE WRHENGPRG10110MDA REPORT SHALL BE PROVIDED TO THEM INSPECTOR FOR WOUNON IN THE MI REPORT, X 6.33 PHOTOGRAPHS PHOTOGRAPHS SHALL BE SUMMED TO THE MI WHICH DOCUMENT AU.PHASES OF THE CONSTRUCTION.THE PHOTOS SHALL BE ORGAN/ZED NA MANNER THAT EASILY IDENTIFIES THE EXACT LOCATION OF THE PHOTO. NOTE:X DENOTES A DOCUMENT NEEDED FROM THE CONTRACTOR FOR THE MI REPORT - NA DENOTES A DOCUMENT THAT IS NOT REQUIRED FOR THE MI REPORT MOgFlGTSN INSPECTION NOTES GENERAL TON OR MAYS W SCHEDULED N THE MOUFTCATON INSPECTION(MD IS AVSUAL INSPECTION OF TONER MODFI RTXNSANDA EITHER PARTY CANCELS OR DELAYS,CROWN SHALL�HTMERESPONSIBLE FOR ANY COSTS REVIEW OF CONSTRUCTION INSPECTIONS AND OTHER REPORTS TO ENSURE THE INSTALLATION FEES LOSS OF DEPOSITS ANDFR OTHER PENALTIES RELATED TO THE CANCELLATION OR DELAY WAS CONSTRUCTED W ACCORDANCE WITH THE CONTRACT DOCUMENTS NAMELY THE INCUREEU BY EITHER PARTY FOR ANY TIME(E.G.TRAVEL AND LODGING,COSTS OF KEEPNG MODIFICATION DRAWINGS.AS DESIGNED BY THE ENGINEER OF RECORD IEOR). EQUIPMENT ON-SITE ETC.).IF CROWN CONTRACTS DIRECTLY FOR A THIRD PARTY MI, THE MI IS TO CONFIRM INSTALLATION CONFIGURATION AND WCPoOIAMSIPONLYAND IS NOT A WEATHER OTHERCONDiIONS THAT MAYACOMPRO SE THHE�SAF�ETYT OF THE PARTES REVIEW OF THE MD IRCARON DESIGN ITSELF.NOR DOES THE MI RSPWTOL TAKE OWNERSHIP NVOVEO. OF THE MOOFICATON DESIGN.OWNERSHIP OF THE STRUCTURAL MODIFICATION DE SIGN EFFECNYEAESS AND INTEGRITY PERCES WITH THE EORATAIL TRIES. CORRECTION OF FAUNS APB F THE MODIFICATION INSTALLATION WOULD FAL THEN(FAXED ANT,THE GC SHALT-WORK WITH ALL MIS SHILL BE CONDUCTED BY A CROWN ENGINEERING VENDOR OM OR EMNEFFING =wino COORDINATE AREMEOIATON PLAN N ONE OF TWO WAYS SERVICE VENDOR(AESP THAT S APPROVED TO PERFORM ELEVATED YARN(FOR CROWN.SEE ENG-SUL-10179 LIST OF APPROVED N VENDORS„ •CORRECT FAILING ISSUES TO COMPLY WITH THE SPECIFICATIONS CONTAINED IN THE CRIGNAL TO ENSURE THAT THE REQUIREMENTS OF NS MI ARE MET.R S VIM MITRE GENERAL •OR,VA CROWN'S APPROVAL THE GC MAY WORN WITH THEEEOR ORE-ANM-Y7S THE CONTRACTOR(GC)AND THE MI INSPECTOR BEGWCOBMINICATING AND COORDINATING AS MOOIFICATON/EINFORCEMFRT USING THE HABUILT CORDMON SOON AS A PO IS RECEIVED.THSEXPECTED THAT EACH PARTYWILBEPROACTNEPi REACHING OUT TOTHE ORER PARTY.•CONTACT INFORMATION SNOTIQAWT(CONTACT MI VERIFICATION ESPECTIIOHS YOUR CROWN PONT OF CONTACTLPOCC). CROWN RESERVES THE RIGHT TO CONDUCT AN VERIFICATION INSPECTION TO VERIFY THE ACCURACY ARO REFER TOEN;WMI.LOON:MDEIYA5DNISPECNCFSON RIR FURMEROEIALS MD MWFICATON PROJECTS. REQUIREMENTS. FREVIOUSIYCONPLE1Ep 6V WSPECTONISHONTOWEq REQUIREMENTS. MI INSPECTOR ALL VERIFICATION INSPECTIONS SHALL BE HELD TO THE SAME SPECIFICATIONS AND D THE MI INSPECTOR IS REQUIRED TO CONTACT THE OCAS SOON AS RECEDING A PO FOR THEY REQUIREMENTS IN THE CONTRACT DOCUMENTS AND ACCORDANCE WITH ENGSOMY-10007. • TO,AT MNONIM: VERIFICATION INSPECTION MAY BE COCUCTBD SY AN INDEPENDENT ABVJAESV EMI AFTER A = •REVIEW THE REQUIREMENTS OFRENCHECJGAT MCOPICATION PROJECT IS COMPLETES,AS MARKED BY THE DATE OF AN ACCEPTED'PASSING •WORN(WITH THE GC TO DEVELOP SCHEDULE TO CODUCT ON-SITE NSPECTONS, N'OR'PASSAS NOTED AY REPORT F(%RTHEORIGINAL PROJECT. INCLUDING FOUNDATION INSPECTORS PHOTOGRAPHS THE MI INSPECTOR IS RESPONSIBLE FOR COLLETING ALL GENERAL CONTRACTOR(GC) TOB BEETAIEN AND INCLUDED IN THE MI RREEPORT GPHOTOGRAPHS'ATAMINN.AIM,ME INSPECTION AND TEST REPORTS REVIEWING THE DOCUMENTS FORAOHERENCE TO THE CONTRACT DOCUMENTS,CONDUCTING THE IN-ROD INSPECTIONS,AND SUBMITTING THE MI •PRE-CONSTRUCTION GENERAL SITE CONDITION REPORT-RD CROWN. •PHOTOGRAPHS DURING THEIENFORCEMENT MODIFICATION CCSTRUCTONIERECTEN AND INSPECTION GENERAL CONTRACTOR RAW MATERIALS THE GC S REQUIRED TO CONTACT THE MI NSPECTOR AS SOON AS RECEIVING A PO FORME •• PHOTOS OF ALL CRITICAL DETAIL MWNCATONINSTALUTON OR TURNKEY FPAAEER TO,ATAMNEINt •• FOUNDATION MODIFICATIONS w WELD PREPARATION •REVIEW THE REQUIREMENTS OF THE N CHECKLIST •• BOLT INSTALLATION AND TORQUE •WORKWTTH THE MI INSPECTOR TO DEVELOP A SCHEDULE TO CONDUCTONSRE •• FINAL INSTALLED CONDITION INSPECTIONS INCLUDING FOUNDATION INSPECTIONS SURFACE COATING REPAIR •BETTER UNDERSTAND AU.INSPECTION AND TESNNG REQUIREMENTS •POST CONSTRUCTION PHOTOGRAPHS • « FINAL NFIELDCODRIOA THE OC SHALL PERFORM AND RECORD THE TEST AND NSPECRON RESULTS N ACCORDANCE WHINE REQUIREMENTS WINE MICHECQIST ANOENGSOR10007. PHOTON CF ELEVATED MODIFICATIONS TAKEN FROM THE GROUND SHAUN CONSIDERED INADEQUATE MitaNI PAATOtS TTEFOSOWINO RECOMMENDATIONS AND SUGGESTIONS AE OFFEREDTO ENHVNCETHE THIS IS NOT COMPLETE LIST OF REWIRED PHOTOS-PLEASE REFER TO ENGSOW-IGON- EFFICIENCY AND EFFECTIVENESS OF DEUVECNGA IN REPORT: • •1119 SUGGESTED THAT THE GC PROVIDE A MINIMUM OF 5 BUSINESS DAYS NOTICE, • PREFERABLE 10,TO THE MI INSPECTOR AS TO WHEN THE SITE WILL BE READY FOR THEN TO BE CONDUCTED. LAA�. •THE GCAIA N INSPECTOR COORDINATE CLOSELY THRWGHWTTHE ENTIRE PROJECT. '9K/ - •WHEN POSSIBLE,ITS PREFERRED TO HAVE THE GCAN MI INSPECTOR ON-SITE 4, v ASHFRy SNRATANEGUSLY FOR ANY GUY WIRE TENSIONING OR RE-TESONINGOPQLATDNS O P4 0,, •IT MAY BE BENEFICIAL TO RASTA/LALL TOWER MODIFICATIONS PRIORTO CONWCMNG THE �� G'J. FOUNDATION INSPECTIONS TO ALLOW FOUNDATION AFC MI NSPECTIONIS)TO COMRIENCE 43"L< D2 191 WITH ONE SITE MSR. 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This information is also helpful to determine if available avoidance, minimization or compensatory mitigation measures will address the probable significant impacts or if an environmental impact statement will be prepared to further analyze the proposal. Instructions for applicants: [help' This environmental checklist asks you to describe some basic information about your proposal. Please answer each question accurately and carefully, to the best of your knowledge. You may need to consult with an agency specialist or private consultant for some questions. You may use"not applicable" or "does not apply" only when you can explain why it does not apply and not when the answer is unknown. You may also attach or incorporate by reference additional studies reports. Complete and accurate answers to these questions often avoid delays with the SEPA process as well as later in the decision- making process. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Instructions for Lead Agencies: Please adjust the format of this template as needed. Additional information may be necessary to evaluate the existing environment, all interrelated aspects of the proposal and an analysis of adverse impacts. The checklist is considered the first but not necessarily the only source of information needed to make an adequate threshold determination. Once a threshold determination is made, the lead agency is responsible for the completeness and accuracy of the checklist and other supporting documents. Use of checklist for nonproject proposals:'help] For nonproject proposals (such as ordinances, regulations, plans and programs), complete the applicable parts of sections A and B plus the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). Please completely answer all questions that apply and note that the words"project,""applicant,"and "property or site" should be read as "proposal," "proponent," and "affected geographic area," respectively.The lead agency may exclude (for non-projects) questions in Part B - Environmental Elements—that do not contribute meaningfully to the analysis of the proposal. A. background ;help) 1. Name of proposed project, if applicable: jheip' Chimacum 2. Name of applicant: [help' Verizon Wireless 3. Address and phone number of applicant and contact person: jhelpl Angela Raymond, 509.998.9015 733 7th AVE, Suite 209, Kirkland, WA SEPA Environmental checklist(WAC 197-11-960) May 2014 Page 1 of 11 4. Date checklist prepared: fhelpl September 22, 2014 5. Agency requesting checklist: [help] Jefferson County Community Development 6. Proposed timing or schedule (including phasing, if applicable): [help] As soon as application is approved 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. jhelp1 None 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. [help) None 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. fhelpl 10. List any government approvals or permits that will be needed for your proposal, if known. fhelpl FCC and FAA 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.)f help] To install of antennas and related equipment to an existing 160' lattice tower. The applicant will add a 15' X 30' leased area for ground equipment. 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. [help] 1219 Center road, Chimacum, WA 98325. S23 T29 R1 W Please see attached site plan. B. ENVIRONMENTAL ELEMENTS [help 1. Earth a. General description of the site['help] (circle one): Flat, rolling, hilly, steep slopes, mountainous, other b. What is the steepest slope on the site (approximate percent slope)? [help] The site is located on top of a ridge. The site itself is located on flat ground. SEPA Environmental checklist(WAC 197-11-960) May 2014 Page 2 of 11 c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any agricultural land of long-term commercial significance and whether the proposal results in removing any of these soils. jhelpl Heavely forested area . Sand. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. Jhelpl NO e. Describe the purpose, type, total area, and approximate quantities and total affected area of any filling, excavation, and grading proposed. Indicate source of fill. [help' 15' X 30' will be graded f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. fhelpl NO g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)?jheBpi Less than 1% h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: jheip] None 2. Air a. What types of emissions to the air would result from the proposal during construction, operation, and maintenance when the project is completed? If any, generally describe and give approximate quantities if known. 'help' None b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. [help None c. Proposed measures to reduce or control emissions or other impacts to air, if any: Jhelpl None 3. Water a. Surface Water: Jhelpl 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. Jhelp' None 2)Will the project require any work over, in, or adjacent to (within 200 feet)the described waters? If yes, please describe and attach available plans. jhelpl NO SEPA Environmental checklist(WAG 197-11-960) May 2014 Page 3 of 11 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. Jhelpl None 4)Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. [help' NO 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. Lheipl NO 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. [help' NO b. Ground Water: 1)Will groundwater be withdrawn from a well for drinking water or other purposes? If so, give a general description of the well, proposed uses and approximate quantities withdrawn from the well. Will water be discharged to groundwater?Give general description, purpose, and approximate quantities if known. Jhelp' NO 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals. . . ; agricultural; etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. [help] None c. Water runoff(including stormwater): 1) Describe the source of runoff(including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. Jhelpl All stormwater will be deposed of on-site. 2) Could waste materials enter ground or surface waters? If so, generally describe. Ihelp' NO 3) Does the proposal alter or otherwise affect drainage patterns in the vicinity of the site? If so, describe. NO d. Proposed measures to reduce or control surface, ground, and runoff water, and drainage pattern impacts, if any: None 4. Plants [help' a. Check the types of vegetation found on the site: [help' X deciduous tree: alder, maple, aspen, other X evergreen tree: fir, cedar, pine, other X shrubs grass SEPA Environmental checklist(WAC 197.11.960) May 2014 Page 4 of 11 pasture crop or grain Orchards, vineyards or other permanent crops. wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other other types of vegetation b. What kind and amount of vegetation will be removed or altered? (help' 15' X 30' area for ground equipment c. List threatened and endangered species known to be on or near the site. Jhelpl None d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: Jhelpl None proposed e. List all noxious weeds and invasive species known to be on or near the site. None 5. Animals a. List any birds and other animals which have been observed on or near the site or are known to be on or near the site. Examples include: Jhelp' birds: hawk, heron,eagle, songbirds, other: mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other b. List any threatened and endangered species known to be on or near the site. Delp' None c. Is the site part of a migration route? If so, explain. Jhelp' NO d. Propose measures to preserve or enhance wildlife, if any: Jhelpl None e. List any invasive animal species known to be on or near the site. None 6. Energy and natural resources a. What kinds of energy(electric, natural gas, oil, wood stove, solar)will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. Jhelpl Electric and Phone b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. Jhelp' NO SEPA Environmental checklist(WAC 197-11-960) May 2014 Page 5 of 11 c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: Jhelpl None 7. Environmental health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. Jhelpl NO. The proposed diesal generator will be contained. 1) Describe any known or possible contamination at the site from present or past uses. None 2) Describe existing hazardous chemicals/conditions that might affect project development and design. This includes underground hazardous liquid and gas transmission pipelines located within the project area and in the vicinity. None 3) Describe any toxic or hazardous chemicals that might be stored, used, or produced during the project's development or construction, or at any time during the operating life of the project. None 4) Describe special emergency services that might be required. None 5) Proposed measures to reduce or control environmental health hazards, if any: None b. Noise 1)What types of noise exist in the area which may affect your project(for example: traffic, equipment, operation, other)? fhelpl During a one month period there will be construction on-site. going forward one visit per month. 2)What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi- cate what hours noise would come from the site. Jhelpl the generator will turn on during power outage and once a month for testing. 3) Proposed measures to reduce or control noise impacts, if any: Jhelpl None 8. Land and shoreline use a. What is the current use of the site and adjacent properties?Will the proposal affect current land uses on nearby or adjacent properties? If so, describe. fhelpl The current use is forest land and will not affect current land uses or adjacent properties. b. Has the project site been used as working farmlands or working forest lands? If so, describe. How much agricultural or forest land of long-term commercial significance will be converted to other uses as a result of the proposal, if any? If resource lands have not been designated, how many acres in farmland or forest land tax status will be converted to nonfarm or nonforest.use?Jhel The site is exl nng forest land and the proposed development is 15' X 30'. 1)Will the proposal affect or be affected by surrounding working farm or forest land normal business operations, such as oversize equipment access, the application of pesticides, tilling, and harvesting? If so, how: NO SEPA Environmental checklist(WAC 197-11-960) May 2014 Page 6 of 11 c. Describe any structures on the site. None d. Will any structures be demolished? If so, what?Jhelpl NO e. What is the current zoning classification of the site?'help] Commercial Forest f. What is the current comprehensive plan designation of the site?Jhelpl Forest g. If applicable, what is the current shoreline master program designation of the site? helpl None h. Has any part of the site been classified as a critical area by the city or county? If so, specify. Jhelpl NO i. Approximately how many people would reside or work in the completed project? None j. Approximately how many people would the completed project displace? fhelpl None k. Proposed measures to avoid or reduce displacement impacts, if any: [help', None L. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: None m. Proposed measures to ensure the proposal is compatible with nearby agricultural and forest lands of long-term commercial significance, if any: None 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, mid- dle, or low-income housing. None b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. 'help' None c. Proposed measures to reduce or control housing impacts, if any: jheipl None 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? fhelpl 160' b. What views in the immediate vicinity would be altered or obstructed? fhelpl None c. Proposed measures to reduce or control aesthetic impacts, if any: fhelpl None 11. Light and glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? None other than what is required by FAA b. Could light or glare from the finished project be a safety hazard or interfere with views? No SEPA Environmental checklist(WAG 197-11-960) May 2014 Page 7 of 11 c. What existing off-site sources of light or glare may affect your proposal?jhelpl None d. Proposed measures to reduce or control light and glare impacts, if any: [help] None 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity?Jhelpl None b. Would the proposed project displace any existing recreational uses? If so, describe. 'help' NO c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: jhelpl None 13. Historic and cultural preservation a. Are there any buildings, structures, or sites, located on or near the site that are over 45 years old listed in or eligible for listing in national, state, or local preservation registers located on or near the site? If so, specifically describe. [help] NO b. Are there any landmarks, features, or other evidence of Indian or historic use or occupation? This may include human burials or old cemeteries. Are there any material evidence, artifacts, or areas of cultural importance on or near the site? Please list any professional studies conducted at the site to identify such resources. jhelpl NO c. Describe the methods used to assess the potential impacts to cultural and historic resources on or near the project site. Examples include consultation with tribes and the department of archeology and historic preservation, archaeological surveys, historic maps, GIS data, etc. jhelpl NONE d. Proposed measures to avoid, minimize, or compensate for loss, changes to, and disturbance to resources. Please include plans for the above and any permits that may be required. None 14. Transportation a. Identify public streets and highways serving the site or affected geographic area and describe proposed access to the existing street system. Show on site plans, if any. ;help] As shown on site plan b. Is the site or affected geographic area currently served by public transit? If so, generally describe. If not, what is the approximate distance to the nearest transit stop?jhelpl NO c. How many additional parking spaces would the completed project or non-project proposal have? How many would the project or proposal eliminate?Jhelpi None SEPA Environmental checklist(WAC 197-11-960) May 2014 Page 8 of 11 Iii d. Will the proposal require any new or improvements to existing roads, streets, pedestrian, bicycle or state transportation facilities, not including driveways? If so, generally describe (indicate whether public or private). jhelpl NO e. Will the project or proposal use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. ;held NO f. How many vehicular trips per day would be generated by the completed project or proposal? If known, indicate when peak volumes would occur and what percentage of the volume would be trucks (such as commercial and nonpassenger vehicles). What data or transportation models were used to make these estimates? (help] One per month g. Will the proposal interfere with, affect or be affected by the movement of agricultural and forest products on roads or streets in the area? If so, generally describe. NO h. Proposed measures to reduce or control transportation impacts, if any: jhelpl None 15. Public services a. Would the project result in an increased need for public services (for example: fire protection, police protection, public transit, health care, schools, other)? If so, generally describe. 'help' NO b. Proposed measures to reduce or control direct impacts on public services, if any. [help' None 16. Utilities a. Circle utilities currently available at the site: jhelpl electricity, natural gas, water, refuse service, telephone,sanitary sewer, septic system, other b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. jhelpl See attached site plan C. Signature rHELP1 The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. Signature: Name of signee Position and Agency/Organization Date Submitted: SEPA Environmental checklist(WAC 197-11-960) May 2014 Page 9 of 11 D. supplemental sheet for nonproject actions fhelpl (IT IS NOT NECESSARY to use this sheet for project actions) Because these questions are very general, it may be helpful to read them in conjunction with the list of the elements of the environment. When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; pro- duction, storage, or release of toxic or hazardous substances; or production of noise? Proposed measures to avoid or reduce such increases are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: SEPA Environmental checklist(WAC 197-11-960) May 2014 Page 10 of 11 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? Proposed measures to avoid or reduce shoreline and land use impacts are: 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such demand(s) are: 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. 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On March 19, 2015 I wrote a letter at your request explaining that the Land Use and Building permits are approved, there are no outstanding fees, and the Building Permit cannot be issued until we have the contractor for the project. Please be aware that if there is no action on this building permit that it may be subject to cancellation. Please contact Sally Ellis, Permit Technician, at 360-379-4452, and reference case MLA15-00001; building permit BLD15- 00004. Please provide the Contractor's name, address and Contractor License Number so that Sally can issue the Building Permit. Thanks. Joel Joel Peterson Associate Planner,Jefferson County Department of Community Development 621 Sheridan Street * Port Townsend, WA 98368 Phone 360-379-4457 * Fax 360-379-4451 jpetersonPco.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. 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U1 Ili U1 UI U1 Ul Uf 07 U1 N U1 co co U1 Ut cm co UI U1 U1 Lo Ut • • 4N coc, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY o MUNITYDEVELOPMENT 621 Sheridan Street, Port Townsend, y, Tel:Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd(a.co.iefferson.wa.us SquareONE Resource Center I Building Permits & Inspections I Development Review I Long Range Planning March 19, 2015 Angela Raymond Verizon Wireless/Cascadia PM 5501 NE 109th Court, A-2 Vancouver,WA 98662 Dear Angela Raymond: Jefferson County Department of Community Development has approved the Land Use Permit and Building Permit for the installation of a 15 x 30 wireless telecommunication facility that will be outside of the existing fenced compound;and the installation of 12 panel antennas to be located on the existing 168-foot lattice tower(CPM Project No. 7740). For future reference, your permits are identified under the case record number"MLA15-00001"and includes the two permits as follows: ZON15-00001 —Unified Development Code Type I Land Use Permit BLD15-00004—Building Permit There are no outstanding fees associated with this case. A copy of the Land Use Permit has been provided to you. We will be able to generate a printed copy of the Building Permit only after receiving additional information regarding the Contractor's Name, Contractor's Address, and Contractor's License Number. Please let us know when you have this information. Thank you for the opportunity to be of service to you. Please contact our office if you have any questions. incerely, Ja le . Peterson, Associate Planner 360-379-4457 jpetersonPco.jefferson.wa.us Joel Peterson From: Angela Raymond <angela.raymond @CascadiaPM.com> Sent: Wednesday, September 17, 2014 3:43 PM To: Sally Ellis Cc: Joel Peterson Subject: RE: Incoming application will need SEPA review: Wireless--Jefferson County Community Development Hi Sally, Estimated construction costs will be $250,000 for the project. Can you please send me a price quote for submitting a wireless communication facility (co-location) application? Please include all land use and building permit fees. Respectfully, Angela Raymond Cascadia PM Site Acquisition Specialist Ph. #509.998.9015 angela.raymond @cascadiapm.com From: Sally Ellis [mailto:SEllis @co.jefferson.wa.us] Sent: Friday,July 25, 2014 11:03 AM To: Angela Raymond Cc:Joel Peterson Subject: FW: Incoming application will need SEPA review: Wireless--Jefferson County Community Development From: Sally Ellis Sent: Friday, July 25, 2014 11:00 AM To: 'angela.raymond @XCascadiaPM.com' Subject: FW: Incoming application will need SEPA review: Wireless--Jefferson County Community Development From: Sally Ellis Sent: Friday, July 25, 2014 10:12 AM To: 'mailto:angela.raymond @CascadiaPM.com' Cc: Joel Peterson Subject: RE: Incoming application will need SEPA review: Wireless--Jefferson County Community Development Dear Angela, Hello my name is Sally Ellis and I am the permit Technician for Jefferson County DCD. I see that you are requesting to submit a permit. I have attached the Checklist and the Master Permit Application form, and the stormwater calculation form. Please advise if Joel has given you the SEPA form? The one we have in our office is 11 pages front and back. If you can give me the total cost of this Commercial Project- I am more then happy to give you a price quote for the cost of this new permit. 1 It looks like for this new permit-You will need to complete the Master Permit Application, Provide 3 sets of Plans with the structural calculates that are Wet Stamped by an Engineer/Architect. A Site map, the Sepa form with a Storm water calculation form. Generally-with Cell tower permit-The company fills out the required forms and then mails them to us with a check for payments of the new permit. I am happy to give the price quote as mentioned above and will gladly help you with any parts of the permit process that you may require assistances with. Always feel free to contact me, regarding any questions of the permit applications process. Sincerely Sally L Ellis Jefferson County Community Development Permit Technician 621 Sheridan St. Port Townsend, WA 98368 360-379-4452 sellisco.jefferson.wa.us From: Joel Peterson Sent: Thursday, July 24, 2014 12:33 PM To: Sally Ellis Subject: Incoming application will need SEPA review: Wireless--Jefferson County Community Development Angela Raymond, Cascadia PM, is preparing for a cell tower equipment permit intake with you. She will need to have SEPA review added to the permit fees. Thanks. Joel From: Angela Raymond [mailto:angela.raymond@CascadiaPM.com] Sent: Thursday, July 24, 2014 12:09 PM To: Joel Peterson Subject: RE: Wireless--Jefferson County Community Development Joel, I will submit a new SEPA checklist when apply for the zoning/BP Application. Angela Raymond From:Joel Peterson [mailto:JPeerson @co.iefferson.wa.us] Sent:Thursday,July 24, 2014 12:04 PM To:Angela Raymond Subject: RE: Wireless--Jefferson County Community Development 2 Angela, The additional leased area doesn't meet a SEPA exemption under WAC 197-11-800 from my read. I don't know what is occurring in the leased area to have an opinion if the activity, equipment, potential noise, et cetera would require an addendum to previous SEPA review. Joel From: Angela Raymond [mailto:angela.raymond©CascadiaPM.com] Sent: Wednesday, July 23, 2014 4:53 PM To: Joel Peterson Subject: RE: Wireless--Jefferson County Community Development Joel, The proposed addition to the lease area will be on the ground on the north end of the existing compound. Angela Raymond 3 Ing Chimacum APN: 901231004 Existing 160' lattice tower in a 40'x 40' WIN proposed 15'x 30` _ale area (fenced in)lease area with 3 carriers Crown will need to do an "Add Land" (AT&T,7-Mobile,&Sprint). Access into compound is'7011" 180'LUG 5'wide non-exclusive easement for power Center Rd (08 fiiite to date) r r- i -- Existing Crown Castle 1 40' x 40'tease Area I —__ b' access gate . Exgst�ng?SE S°wide non-exciusEve ngress/Egress to Site Transformer#40028 N Verizon Project Area I From:Joel Peterson [mailto:JPeterson@co.jefferson.wa.us] Sent: Wednesday, July 23, 2014 4:10 PM To: Angela Raymond Subject: RE: Wireless--Jefferson County Community Development 4 Angela, Further about your question regarding submitting a Checklist: I see SEPA has been completed for the tower(August 2000; and an Addendum for a 15-foot tower extension in 2002). Can you tell me where the new leased area is? On the tower? New area on the ground? Thanks. Joel Joel Peterson Associate Planner,Jefferson County Department of Community Development 621 Sheridan Street * Port Townsend,WA 98368 Phone 360-379-4457 * Fax 360-379-4451 jpetersonpco.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW SAVE PAPER - Please do not print this e-mail unless absolutely necessary From: Joel Peterson Sent: Wednesday, July 23, 2014 12:12 PM To: 'Angela Raymond' Cc: Sally Ellis Subject: RE: Wireless--Jefferson County Community Development Angela, There is also a $19.00 record scanning fee that will be added. If you need a more precise application cost, please contact Sally Ellis, Permit Technician,who will be helping you at your scheduled intake appointment (360-379-4452 and copied on this email). If you meet the SEPA exemption for wireless facilities in WAC 197-11-800(25),you will not need to submit an Environmental Checklist. Joel Joel Peterson Associate Planner,Jefferson County Department of Community Development 621 Sheridan Street * Port Townsend,WA 98368 Phone 360-379-4457 * Fax 360-379-4451 jpeterson Pco.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. 5 All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW SAVE PAPER - Please do not print this e-mail unless absolutely necessary From: Angela Raymond [mailto:angela.raymond@CascadiaPM.com] Sent: Wednesday, July 23, 2014 11:20 AM To: Joel Peterson Subject: RE: Wireless--Jefferson County Community Development Hi Joel, I am working on submitting a zoning/BP application for a proposed collocation on parcel #901231004. Verizon is proposing to add additional 15' X 30' leased area. The tower height will stay the same. I would like to confirm the total application fees will be $637.50 for submittal. Will there be a new SEPA checklist required? Respectfully, Angela Raymond Cascadia PM Site Acquisition Specialist Ph. #509.998.9015 angela.raymond @cascadiapm.com From:Joel Peterson [mailto:JPeterson @co.jefferson.wa.us] Sent:Thursday,June 19, 2014 4:38 PM To:Angela Raymond Subject: Wireless--Jefferson County Community Development Angela Raymond: Sorry for the busy telephone. Here's additional information about the permit process for co-locating wireless facilities in Jefferson County. I have attached the development code regarding this. The permit is taken in as a building permit(it's a type 1 permit: recommendation made by project planner, approval by administrator). There is a Consistency Review with the development regulations, Environmental Review, Stormwater Review, & Plan Check. Approximate Fees: Plan Check: $160.00 State Building Code: $ 4.50 Consistency Review: $228.00 Permit fee: $245.00 Hourly rate over base rate: $76.00 Joel Peterson,Associate Planner Jefferson County Department of Community Development 6 (360) 379-4457 7