HomeMy WebLinkAboutPROPOSED CONSTRUCTION - 13-00161 - 584 Airport Rd - Madison County Sanitation Maintenance Bldg & Site PlanReale Tyue or Pont on This Form
/! Failure To Provide All Requested Information May Delay Processing of Your Notice
ys. newn,°emmtareconatio� Notice of Proposed Construction or Alteration
1. Sponsor (person, company, etc. proposing this action):
Atti of: DAV UO W A L. a -PA N
Name: VVkAlOIYJtU Caowr'{
Address: S79 Aii PI 4245A0
city: P�w&1¢h, State: LID Zip: 3344b
Telephone: (ZOS)3SL'3lul Fax: at*o 3.5-(0 -36128
2. Sponsor's Representative (if other than #1):
Atm. of. RyA.I AJ Al.wt
Name: -$2 w{ As�nr�s
Address: I t S Z 3rewtb
City: State: p_Zip: 875440
Telephone: Fax: (2-06) 9S9 • ZZ'4 I
3. Notice of: New Construction ❑ Alteration ❑ Existing
4. Duration: Permanent ❑ Temporary ( _ months, _ days)
5. Work Schedule: Beginning IO. 10- ZOl3 End
6. Type: ❑Antenna Tower ❑CraneBuilding ❑Power Line
F-1Landfill El Water Tank ❑ Other
7. Marking/Painting and/or Lighting Preferred:
0'Red Lights and Paint ❑ Dual - Red and Medium Intensity White
❑ White- Medium Intensity ❑ Dual - Red and high Intensity While
❑White - High Intensity ❑Other
8. FCC Antenna Structure Registration Number (if applicable):
9. Latitude: ° SD I -T. S -&c
10. Longitude: ° Is , Mil-
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11. Datum: ❑ NAD 83 ❑ NAD 27 ® Other (yUtlO tE
12. Nearest: City: Q.f? 60ILEn State 10
13. Nearest Public -use (notpnvate-use) or Military Airport or Heliport:
Ctb(Gua,(-r - MAVL-- ti" GGr].lr-1 A ta-(-o 21'
14. Distance from #13, to Structure: 9-01.
15. Direction from #13. to Structure: WEST -
16, Site Elevation (AMSC): 4860.00 R.
17. Total Structure Height (AGI-): Do d.
18. Overall Height (#16+#17) (AMSL): 4BB3•00 ft.
19. Previous FAA Aeronautical Study Number (ifapplicable):
-OE
20. Description of Location: (Attach a USGS 7.5 minute Quadrangle Map with
the precise site marked and any certified survey)
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Frequency/Power (kW)
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Notice is required by 14 Code of Federal Regulations, part 77 pursuant to 49 U.S.C., Section 44718. Persons who knowingly and willingly violate the notice
requirements of part 77 are subject to a civil penalty of $1,000 per day until the notice is received, pursuant to 49 U.S.C., Section 46301(a)
1 hereby certify that all ofthe above statements made by me are true, complete, and correct to the best of my knowledge. In addition, I agree to mark and/or light the
structure in accordance with established marking & lighting standards as necessary.
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