HomeMy WebLinkAboutCOM2020-00040 - COM Permit / Conditions - 6/24/2020 . .ram
Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
COM2020-00040 NEW COMMERCIAL PERMIT
PROJECT DESCRIPTION: RCVD VIA MAIL- REPLACE/ADD ANTENNAS ISSUED: 06/24/2020
AND RRUS ON EXISTING TOWER
SITE ADDRESS: 80 E UNION HEIGHTS PL S UNION EXPIRES: 12/21/2020
PARCEL: 322323390061
APPLICANT: ANSTEY SHAWN A OWNER: ANSTEY SHAWN A
P 0 BOX 26 P 0 BOX 26
UNION, WA 98592 UNION,WA 98592
CONTRACTOR: CROWN CASTLE USA INC
1220 AGUSTA DR STE 600
HOUSTON,TX 77057
GENERAL CONTRACTOR'S LICENSE: CROWN CASTLE USA INC License: CROWNCU8361_2
1220 AGUSTA DR STE 600 Expires: 04/24/2020
HOUSTON,TX 77057
VALUATIONS: FEES: Paid Due
Project Valuation (BID, 35000.00 $35,000.00 Technology Surcharge $17.50 $0.00
ESTIMATION..) Planning Commercial Review $380.00 $0.00
Fee
Plan Check Fee $344.73 $0.00
State Fee-Commercial $25.00 $0.00
Building Permit Fee $512.50 $0.00
Total: $35,000.00 Totals : $1,279.73 $0.00
REQUIRED INSPECTIONS
BLD-Final Inspection
CONDITIONS
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'tG Mason County
Mason County - Division of Community Development
�a 615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW COMMERCIAL PERMIT COM2020-00040
" The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more
than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards
for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to
another fire apparatus access road which connects to a county maintained public road.
* All building permits shall have a final inspection performed and approved by Mason County Building Department prior to
permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property
records on file with Mason County as being non-compliant with Mason County ordinances and building regulations.
* CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND THE ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All
construction must be in conformance with the international codes as amended and adopted by Mason County. Any
corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting
additional inspections.
* When parcel development requires direct access to county road(s), a Road Access Permit or Approval must be granted by
the Mason County Department of Public Works. For more information contact Public Works, at (360) 427-9670, ext. 450 or
100 W Public Works Dr. Shelton. The building permit will not be finaled until the permit holder can show proof that the
access permit from Public Works has been finaled and approved.
* All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration.
Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No
more than one extension may be granted.
* Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and
MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either
private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an
existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance
and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting
from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any
construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that
office to review future planned work which may affect your project.
* All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or
any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
* The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the
approved site plan is not on site, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule,
minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being
performed or approvals granted.
* All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor
increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way.
* All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and
plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee
schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections
being performed or approvals granted.
* By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your
"Approved Site Plan"to ensure these structures meet the setback conditions listed.
* All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as
adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted
classification. Any non-approved change of use or occupancy would result in permit revocation.
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" Mason County
Mason County - Division of Community Development
\o ha 615 W.Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW COMMERCIAL PERMIT COM2020-00040
* All property lines shall be clearly identified at the time of foundation inspection.
* OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit
revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or
contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained
permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County
access to the above described property and structure(s)for review and inspection. This permit/application becomes null &
void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of
180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance
with Mason County Title 14.28 and 14.17.
* Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries,
Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an
unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either
the homeowner, agent for the owner or a registered contractor according to WA state law.
* All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this
proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION.
* Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to
the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of
the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In
addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building Department prior to any further inspections being performed or approvals granted.
* The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not
allowed without the approval of the Mason County Fire Marshal.
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of an other state/local law regulating construction or the performance of construction.
Issued By: v -
Contractor or Authorized Agent: Date: 6/24/2020
mmmod
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*011111*15 W.Alder St.Bldg 8,SHELTON,WA 98584
MASON COUNTY 1
SHELTON:360-427-9670,EXT 352
p' COl~1MV1'�It j SERVICES BELFAIR:360-275-4467,EXT 352
Building Planning,Environmental Health,Community Health ELMA:360-482-5269,EXT 352
www.co.mason.wa.us
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY**
To schedule an inspection call or visit http://www.co.mason.wa.us/community-services/bld-inspection.php
Permit Number COM2020-00040 Date Issued 06/24/2020 Issued By
Project RCVD VIA MAIL-REPLACE/ADD ANTENNAS AND RRUS ON EXISTING TOWER
Site Address 80 E Union Heights PI S
Applicant ANSTEY SHAWN A
Contractor CROWN CASTLE USA INC
Contractor Phone
Primary Code 2015 IBC,IRC,IFC,IEC,IMC,8r Type
UPC yp
Permit Type NEW COMMERCIAL PERMIT Occupancy
-APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS.
-DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED.
-THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION, FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY.
-ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION.
-OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION.
**THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED."
PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET
Public Works Access/Driveway Other
Health Septic Well
Deptartment
Planning Site Inspection
Department
Fire Marshall Fire Apparatus Access Fire Sprinkler
Auto Fire Alarm Hood and Duct
Other Final
Building
Department Building Official: Community Services Designee
Concrete Setbacks Slab
Footing Perimeter Point load Footing
Footing Interior Footing Decks/Porches
Foundation Stem Walls Other
Rough-In Groundwork Plumbing Framing
Groundwork Mechanical Plumbing
Groundwork Gas Pipe Mechanical
Gas Piping Shear Wall Nailing
Underfloor
Other
Insulation Slab Ceiling
Floor Vaulted Ceiling
Walls Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Buildin �0
Manufactured Setbacks Setup
Home
Concrete Foot/Runners Final
Other
• MASON COUNTY COMMUNITY SERVICES Permit No: GYM �o -= 1 D
PERMIT ASSISTANCE CENTER:
•BUILDING#PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584 RECEIVED
El
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
Belfair:(360)275-4467•Phone Elma:(360)482-5269
20 7
2
BUILDING PERMIT APPLICATION 0
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMA Alder St.
NAME:SHAWN A ANSTEY NAME: CROWN CASTLE USA INC
MAILING ADDRESS: PO BOX 26 MAILING ADDRESS: 1220 AGUSTA DR STE 600
CITY:UNION STATE:WA ZIP:98592 CITY: HOUSTON STATE:TX ZIP: 77057
PHONE#1: PHONE: CELL:
PHONE#2: EMAIL :
EMAIL: L&I REG# CROWNCU836L2 EXP. 4 / 24/20
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER
R WNCASLTE. OM
NATASHA MONTALVO,CROWN CAS �E ON BEHLAF OF AT&TEMAILNATASHA.MONTALVO.CONTRACTOR C O
NAME T4 �
MAILING ADDRESS 1505 WESTLAKE AVE N.SUITE 800 CITY SEATTLE STATE WA ZIP98109
PHONE 206.336.2886 CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32232-33-90061 ZONING
LEGAL DESCRIPTION(Abbreviated) PCL I OF SLA x11-WPM of LOTS 1A4 OF SP#1149 FIRE DISTRICT
SITE ADDRESS 80 E UNION HEIGHTS PL SOUTH CITY UNION
DIRECTIONS-TO SITE ADDRESS SEE SHEET T-1 OF PROJECT DRAWINGS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO IN
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION 13 REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Partfs)of Bldg) ❑ NO ❑
DESCRIBE WORK REPLACE/ADD ANTENNAS AND RRUS ON EXISTING TOWER
SQUARE FOOTAGE: (propose+existing)
1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING ❑
PLUMBING IN STRUCTURE? YES ❑ NO® If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO® EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
signature below. I declare that I am the owner and 1 further declare that I am entitled to receive this permit and to do the work as proposed. I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This penniVapplication becomes null&void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
Signature of OW ;fty the OWNER Drate
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT (fJ '
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
AT&T
C- - - - - - _ _ CROWN
CCASTLE
— 1505 WESTLAKE AVENUE NORTH,SUITE 800
SEATTLE,WA 98109
�-- _ APN: 3-22-32-33-90062 E UNION HEIGHTS PL S D 0
ZONING: RR
o
EXISTING SITE LOCATION
_ OETaE SHEET C-1.2 FOR P. MARSHALL&ASSOCIATES
o APPROXIMATE LOCATION OF PROPERTY LINE z
APN: 3-22-32-33-90063 O L 6 4
ZONING: RR ICL
°
a I BU #: 841418
z SUBJECT PARCEL: o AYRES POINT
0 3-22-32-33-90061 z
-- � NIN • o I APN: 3-22-32-75-00070 100 EAST UNION HEIGHTS PLACE
ZO RR ZONING: RR SOUTH
$ 1 o UNION, WA 98592
EXISTING MONOPOLE
TOWER HEIGHT: 150'
APPROXIMAT o
rzn E LOCAPON OF PROP a
ABUTTERS PROPERTY J/ — LINE
ILINE (TYP.) i
REV DATE DESCRIPTION
0 12/20/19 FOR CONSTRUCTION
APN. 1 ZONING: 75+080 I 1 3/17/20 REVISED PER RFDS V2.00
RR
APN: 3-22-32-75-00070
ZONING: RR
I
T
I
DESIGNED:JDJ PLANNING•
&tnlnl
DRAWN: JDJ
ALL SETBACKS ARE MEASURED CHECKED: PWM
,p(�RtaV�t� FROM THE FURTHEST JOB J:
PLANNING P tOJECTION r� THE BUILDINGCCPN19-043
UBI NUMBER:604-106-184
N S"iT1= i'1� _ E^USFIED TO SE ON SITE aTE PLau DISCLAIMER:
C}1 �,X SUSJET TO AppROVAL l �(\ PROPERTY LINES AND STPUCTURES HAVE BEEN
f� 1 DIGITIZED FROM JURISDIC IONAL CIS.CROWN
CASTLE AN INC.HAS E COMPLETED A SITE �� �����
DaM TOSURVEYTHE ACC THEREFORE MAKES NO CLAIMS OVERALL SITE PLAN
TO THE ACCURACY OF INFORMATION DEPICTED
W PM'7i E ON THIS SHEEP.
j OVERALL SITE PLAN
6—4-11-111- ® 1- = 50'-0- (FULL SIZE)
S 50' 25' 0 50' 1" = 100'-0" (1107) C-1 .1
A
CROWN 1505 Westlake Ave N
Phone: (206) 336-2886
Seattle, WA 98109 www.crowncastle.com
CC CASTLE
RECEIVED
March 19,2020
COUNTY OF MASON,WA
BUILDING MAR Z o Bozo
615 W ALDER ST 615 W. Alder Street
SHELTON, WA 98584
RE: Eligible Facilities Request to modify equipment on a communications tower located at:
too EAST UNION HEIGHTS PLACE SOUTH,UNION,WA,98592
Crown Site Number:841418/Crown Site Name:AYRES POINT
Customer Site Number:OL64/Application Number:498183
Crown Castle USA Inc.("Crown Castle")on behalf of New Cingular Wireless PCS,LLC( AT&T" Mobility")is submitting
the attached Eligible Facilities Request application to modify transmission equipment on a telecommunications tower
located at too EAST UNION HEIGHTS PLACE SOUTH,UNION,WA 98592 in COUNTY OF MASON,WA(the"AYRES
POINT Tower").
AT&T Mobility proposes to modify the"AYRES POINT Tower"as follows:
Remove(9)Antennas,(3)Radios,(3)TMAs;Install(6)Antennas,(9)Radios,(1)Raycap,(4)Cables;Modify
Existing Mount on tower.Replace(1)Cabinet,Reconfigure Existing Batteries,Install Ancillary 5G Equipment
in Existing Lease Area.
Project Valuation=$35,000.00
Itemized list of submittal documents:
• (1)Cover Letter REVIEWED FOR
• (1)Eligible Facilities Request Certification for Non-Substantial Changes C P N CE
• (1)Building PermitApplication Form Signed by Owner I7 TL7 1�v
• (1)Special Inspection form signed by Washington state engineer AS O v j
Nv • (2)Site Plans stamped by Washington state engineer B DI ; DEPART ENT
�, • (3)Construction Drawings stamped by Washington state engineer—11"x 1 Date In-
�, (2)Structural Analysis stamped by Washington state engineer
(2)Mount Analysis stamped by Washington state engineer
�. (2)Mount Design Drawings stamped by Washington state engineer—11"x 17"
(1)Check for total application and permit fees$1,279.73
Section 6409 of the Middle Class Tax Relief and Job Creation Act of 2012,commonly known as the"Spectrum Act"
(Pub.Law No.112-96,126 Stat 156),mandates that state and local governments"may not deny,and shall approve,any
eligible facilities request for a modification of an existing wireless tower or base station that does not substantially
change the physical dimensions of such tower or base station." Additionally,if"the reviewing State or local government
The Foundation for a Wireless World.
CrownCastie.com
1
• I
CROWN 1505 Westlake Ave N
Phone: (206) 336-2886
Seattle, WA 98109 www.crowncastle.com
CC CASTLE
determines that the application is incomplete"[they]"must provide written notice to the applicant within 30 days of
receipt of the application,clearly and specifically delineating all missing documents or information." Under federal law,
an Eligible Facilities Request is deemed granted with written notification in sixty(6o)days after an application is filed
with a local jurisdiction,excluding tolling. Based on the submittal date of March 18,2020,3o days will expire on April
17,202o;6o days will expire on May 17,2020.
AT&T Mobility is committed to worldng cooperatively with all jurisdictions around the country to secure expeditious
approval of requests to modify existing personal wireless service facilities. If you should require more information
regarding the Spectrum Act,please do not hesitate to contact me with your questions.
Sincerely,
�tJa�awfd 7fls�.`►s
Natasha Montalvo
Natasha.Montalvo.Contractor@crowncastle.com
(2o6)336-2886
The Foundation for a Wireless World.
CrownCastle.com
r
RECEIVED
ELIGIBLE FACILITIES REQUEST CERTIFICATION
FOR NON-SUBSTANTIAL CHANGES TO A WIRELESS TOW4 0 2020
NOT LOCATED WITHIN A PUBLIC RIGHT OF WAY
M W. Alder Street
1) Address of the Wireless Tower: 100 EAST UNION HEIGHTS PLACE SOUTH, UNION, WA, 98592
2) The height(measured in feet above ground level) of the existing Tower as originally
approved, including any modifications approved prior to February 22, 2012: 150'-0"
3) What is the height(measured in feet above ground level) at which the modifications to the
Transmission Equipment will occur on the Tower? 152'-0"
4. What will be the height (measured in feet above ground level)of the existing Tower after the
modifications to the Transmission Equipment are installed? 150'-0"
5) Effect of modifications of Transmission Equipment on Tower height:
(A)Will the modifications in Transmission Equipment(addition, removal or replacement of
Transmission Equipment) result in increasing the height above ground level of the
existing Tower?
❑Yes®No
(B) Will the modifications in Transmission Equipment result in increasing the height above
ground level of the existing Tower by more than: (i) 10% of the height of the existing
Tower, as originally approved, including any modifications approved prior to February
22, 2012; or(ii)twenty feet between the top two antenna arrays?
❑Yes ®No
6) Will the modifications in Transmission Equipment (measured at the height above ground level
where the Transmission Equipment will be attached to the tower) result in any Transmission
Equipment protruding horizontally from the edge of tower the greater of more than twenty (20)
feet or more than the existing width of the tower at that height?
❑Yes ®No
7) Will the proposed changes in Transmission Equipment involve excavation outside the
existing leased or owned Tower site or outside any access or utility easements currently
related to the site?
❑Yes ®No
8) Will the proposed modification in Transmission Equipment involve installation of more than
four new equipment cabinets or one new equipment building?
❑Yes ® No
9) Will the proposed modification in Transmission Equipment defeat the existing concealment
elements of the Tower?
1
Non-Substantial Change Certificate for Towers Not within A Public Right of Way
r
r
❑Yes ®No
(10) Prior Conditions of Approval
(A)Will the proposed modification in Transmission Equipment comply with conditions
of approval imposed on the Tower prior to February 22, 2012?
®Yes ❑ No
(B)If the answer to 10(A) is"No," is the non-compliance due solely to any of the
conditions addressed in questions 5-9 above?
❑Yes ❑No
If the answer to either question 5A or 5B is "No", and the answers to questions 6-9 are
"No", and the answer to either 10A or B is "Yes" then the proposed modifications do not
substantially change the physical dimensions of the existing Tower.Please provide a brief
explanation, if necessary,to clarify any answer.
Explanatory Comments (If Needed):
Question No.
Comment:
This certification is dated this 18th day of March, 2020.
Signature
Natasha Montalvo, Real Estate Specialist
�I Name & Title
i
I
i
II
Non-Substantial Change Certificate for Towers Not within A Public Right of Way
iI