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wCF.doc 03/01110
WIRELESS COMMUNICATION FACILITY (WCF) APPLICATION
WCFCASEFILENO.:Z-" ��),AI i
DDRESS: Ivb 3v�tS �a• .R. �ZZ
LEGAL DESCRIPTION: A i a aaf
ZONING CLASSIFICATION: ABUTTING RESIDENTIAL: YES P'."'NO
PROPERTY LOCATED IN FLOODPLAIN DISTRICT: YES NO
ATTACHED: O/W W/} -/t %lgi✓A, _ OR WITH SUPPORT STRUCTURE:
Setback: Setbacks: I Setbacks:
Front Rear Sides Platted
Allowed, WCF Tower
Proposed
Allowed, Equipment S
Proposed
SECURITY FENCING HEIG,HTT: rut 1
LIGHTING: YES Y NO DOWNSHIELDED:
Line
LANDSCAPE PLAN ATTACHED: 1VQ_ ERP INFORMATION ATTACHED: S
COLLOCATION STATEMENT/AGREEMENT ATTACHED: Al
ADDITIONAL DEVELOPMENT STANDARD INFORMATION: S:w -6 + ^ o ek ►S in�i
ojr-- 7,�wk
[ba�ti61� we p�1W�Prnii�h.
rLO
APPLICANT NAME: [T� 81A c r 4
ease Tint)
APPLICANT ADDRESS: tr7� LRi . �Cl�! �� V-5'-� op dV�'� 1-3,,dI
APPLICANT PHONE NO.: I f 339- _7_ 616 FAX NO: (- 409- 7�
E
APPLICANT SIGNATURE:
Q
Li'
Date Received: J/�}/� �7 1,013
-•..
i..i'
-T
Any information not provided regarding
Easement Clearance: Approved / Denied A))A easement or floodway/plaid, which impacts the
- ,71
decision regarding this application is the
Application: pp ed Denied responsibility of the applicant.
NOTE: OBTAIN A BUILDING PERMIT BEFORE BEGINNING ANY CONSTRUCTION.
SUBMIT COPY OF THIS APPROVED APPLICATION AND ORIGINAL SIGNED SITE PLAN
WITH SUBMITTAL.
• A,,L�-u.
Y:J 'w
CL
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COMMENTS:
n �f.7 n ! p f L 71. �j f11
al !71,, fG (: f• -VrP /"'v` 0 ` Al Il ' I eZ7 •C'
DATE: J 217 _J3 PLANNING OFFICIAL:
Form
Page 1 of 2
® i Help
Data Versions
Site Information from Site Data Page 4 n
Structure Type: Water Tower
JURISDICTION INFO 4 n
Manual Entry BY REGULATORY ONLY
Jurisdiction Override? Unspecified
Jurisdiction: Unspecified
Jurisdiction Frequency (Months): _Not Selected --
Third Party Vendor Required? Unspecified
MPE CERTIFICATION INFO 4 A
A. This site complies with the FCC's MPE standards, taking into account any nearby significant transmitting sources based
on:
Categorically Excluded from rout
4 n
B. Access to the RF Controlled area is restricted in accordance with the Sprint RF Compliance and Safety Program
Yes
C. If an In -Building system and all antennas completely contained within the building structure: 4 w
I certify that all antennas or distribution equipment are mounted at least 20 centimeters. (approx 6 inches) from public reach
and other access points.
--Not Selected --
4 AA
I certify that the combined ERP from a single indoor antenna is limited to less than 100 mW(20dBm).
--Not Selected --
D. If this site is feeding a Distributed Antenna System (DAS): 4 n
I certify that all antennas or other distribution equipment at all nodes are mounted at least 20 centimeters (approx. 6 inches)
from any access point.
--Not Selected --
4 ^A
I certify that the combined ERP from the antenna or set of antennas at each node is limited to less than 1 W (30d5m).
--Not Selected --
Additional information for Categorically Exclusion Purposes: 4 A
Non Building Mounted/Non Rooftop (i.e. towers, watertanks, monopoles): the distance from the ground level to the lowest
point of the antenna is at least 10 meters or the sum of the ERP of all operating frequencies does not exceed 1000 watts
ERP.
Yes
https:Hsprint.siterra.com/gisapi.dll?Do=Output&PagelD=7040301 OO&ClasslD=70400... 12/6/2012
Form Page 2 of 2
A
Site MPE Compliant: Yes
FCC Standard: Both - Occ/GP
Comments: IMPE NV Recertifed
RF Engineer:
5aket Chandan
Send Notification
E] Save & Close
"Certification Date:
06/12/2612 L•J
�Sa Save & Complete Cancel
4 ^n
https://sprint. siterra.comlgisapi.dll?Do=Output&PageID=704030100&ClasslD=70400... 12/6/2012
Non -Rooftop Cell Sites - Sprint Nextel Equipment Only
Contact Regional Regulatory POC or National RF Regulator with questions.
Instructions: Enter information into_shaded fields in GRAY OW
Site Name:
Site Number:
CDMA
4301634
CDMA
LR03XCID09
MEN
80D
MEN
MHz
WiMax
1
W[Max
Numeric
Site Address:
90814 KANIS RD
68.47.
City:
Little Rack
170
170
State:
AR
5o
60
Zip Code:
72211
Feet
213
213
2113
Latitude (NAD83):
34-44-36.99
DD-MU-SS.SS
Longitude: (NAD83):
92 23-25.01
DOD-MM-SS.SS
Technology (Drop -Dawn List):
Frequency of Carrier (1900 MHz for CDMA, 851 MHZ for iDEN, 2500 for WiMax):
Total # of carriers
EIRP per Carrier (in dbm) from Link Budget:
RC Height Above Ground [Y]:
Distance Between Tower and Closest Point Worker Would Be* [X1]:
Distance Between Tower and Closest Point on Fence Line* [X2]:
Antenna centerline mechanical/electrical downtilt, if any
Angle from horizon to Worker Point of Interest
Angle from horizon to Closest point on Fence Line
Angle between antenna centerline and radial to Worker Point of Interest
Angle between antenna centedine and radial to Closest Point on Fence Line
Difference between maximum antenna gain and and antenna gain along radial to
Worker point of interest
Difference between maximum antenna gain and and antenna gain along radial to
Closest Point on Fence Line
CDMA 1900
LTE
CDMA 800
Microwave
Unit
190D
1900
80D
MHz
5
1
f
Numeric
66:97
56.01
68.47.
dBm
170
170
170
Feet
5o
60
s0
Feet
213
213
2113
f=eet
6
s
a
I
De rees
73.5
38.6
67.5
32.6
73.5
38.6
67.5
32.6
73.5
38.6
65.5
30.6
#0IVI01
#DIV/0!
#DIV/01
#DIV/0!
Degrees
Degrees
Degrees
Degrees
0
0
0
dB
n
o
o
dB
X1 refers to the horizontal distance between the base of the tower and the nearest point on the
property that a worker would work for any length of time e.g. a transmitter shed. X2 refers to the
horizontal distance between the base of the tower and the nearest point on the property line that
the public could walk up to or have access e.g. closest point on fence line.
R1
WOW ACoess
e.g. TrensrNtar shed
\\\
e g Fcc
Aess e fe/nce LM
The equations used in this evaluation are based on the equations found in "OET Bulletin 65, Edition 97-01"
%VCFAd
AFFIDAVIT
03/01/50
I, THA -0 certify by my signature below that I hereby
authorize _k sic to act as my agent regarding the
Vel L A ��� L��' o h 5 of the below described property.
Property described as: S Le Aln ' t 'j p }C , t
Signature of Title Holder Date
Gno
G6,ITy,-L AKk+W54 WW'F-K.
Subscribed and sworn to me a Notary Public on this
ate-
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.•carr.. EXP.,-
12,15-2019
XP.•.12,15.2419
�yk �No, 12374350:
PULASKI
,[► 000""
My Commission Expires:
I2,— 15-2O6
r day of
Public44J6
Notary
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EXHIBIT A
CENTRAL ARKANSAS WATER DISTRICT/SPRINT WIRELESS SITES
Sprint Site No.
Address
CAW's Site Name
Type
LR03XCO06
LR03XCO09
12991 SOUTH RIDGE DR.
Walton Heights
Water tank #8
10614 KANIS RD.
Baptist Medical Center
Pulaski Heights
Watertank#12
LR03XC0ll
2500 NORTH PIERCE
Water tank #5
LR03XC045
11001 ROCKY VALLEY DR.
Wilson
Rooftop #11
LR03XC046
18001 CHENAL PRKWY.
Highland Ridge
Water tank #17
LR03XC055
5601 GILLAM PARK RD.
704 N. MARTIN ST.
Gillam Park Tower
Watertank
LR0BXC066
Hillcrest aka Ozark
f Self -support tower
ERiC550N Ericsson Inc.
6300 Legacy Drive
Plano TX 75024
105060 CITY OF LITTLE ROCK Date 12/03/2012
DATE INVOICE NO. Discount Net Amount
11/19/2012 LR03XC009:AHA 0.00 100.00
Sum total 0.00 100.00
Payment document Check number Date Currency Payment amount
2000706502 35032202 12/03/2012 USD 100.00
City of Little Rock
Planning and Development
Filing Fees
Date 6 L': , 20
Annexation
$
Board of Adjustment
$
Cond Use Permit/T UP (Ak�—
$ 1 D C3
Final Plat
$
Planned Unit Dev
$
Preliminaiy Plat
$_
Special Use Permit
$
Rezoning
$
Site Plans
$
Stieet Name Change
$
Street Name Signs
Number at ea
$
Public Hearing Signs
Number at ea
$
Total
$ 1 Ca C . C)U
File No
Location 40 1 LG4.
Applicant
By r'