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HomeMy WebLinkAbout1.20 FAA Notices & Overlay DiagramGrass Mesa Telecommunication Tower July, 2017 Garfield County Limited Impact Review FAA/FCC Notices Please Type or Print on This Form Form Approved OMB No.2120-0001 Expiration Date: 10/31/2017 Failure To Provide All Requested Information May Delay Processing of Your Notice U.S. Department of Transportation Notice of Proposed Construction or Alteration Federal Aviation Administration FOR FAA USE ONLY Aeronautical Study Number 1. Sponsor (person, company, etc. proposing this action): Attn. of: Name: Address: City: State: Zip: Telephone: Fax: 9. Latitude:0 , , " 0 10. Longitude:, , 11. Datum: NAD 83 NAD 27 Other 12. Nearest: City: State 13. Nearest Public-use (not private-use) or Military Airport or Heliport: 14. Distance from #13. to Structure: 15. Direction from #13. to Structure: 16. Site Elevation (AMSL): ft. 17. Total Structure Height (AGL): ft. 18. Overall Height (#16 + #17) (AMSL): ft. 19. Previous FAA Aeronautical Study Number (if applicable): -OE 20. Description of Location: (Attach a USGS 7.5 minute Quadrangle Map with the precise site marked and any certified survey) 2. Sponsor's Representative (if other than #1): Attn. of: Name: Address: City: State: Zip:_______________ Telephone: Fax: 3. Notice of: New Construction Alteration Existing 4. Duration: Permanent Temporary ( months, days) 5. Work Schedule: Beginning End 6. Type: Antenna Tower Crane Building Power Line Landfill Water Tank Other 7. Marking/Painting and/or Lighting Preferred: Red Lights and Paint Dual - Red and Medium Intensity White-Medium Intensity Dual - Red and high Intensity White -High Intensity Other 8. FCC Antenna Structure Registration Number (if applicable): 21.Complete Description of Proposal:Frequency/Power (kW) Notice is required by 14 Code of Federal Regulations, part 77 pursuant to 49 U.S.C., Section 44718. Persons who knowingly and willingly violate the notice requirements of part 77 are subject to a civil penalty of $1,000 per day until the notice is received, pursuant to 49 U.S.C., Section 46301(a) I hereby certify that all of the above statements made by me are true, complete, and correct to the best of my knowledge. In addition, I agree to mark and/or light the structure in accordance with established marking & lighting standards as necessary. Date Typed or Printed Name and Title of Person Filing Notice Signature FAA Form 7460-1 (2-12) Supersedes Previous Edition NSN: 0052-00-012-0009 Cheri Gardner Vala Berry .02 1 Anna Smith From:noreply@faa.gov Sent:Wednesday, July 26, 2017 10:52 AM To:Anna Smith; mmps.cheryl@gmail.com Subject:Status of FAA Filing Your filing is assigned Aeronautical Study Number (ASN): 2017-ANM-2654-OE. To review your electronic record, go to our website oeaaa.faa.gov and select the Search Archives link to locate your case using the assigned Aeronautical Study Number (ASN). Copies of your letter are available on the website for your convenience. The FAA verified your filing and an aeronautical study has been initiated. Please allow a minimum 45 days for the FAA to complete the study. Please refer to the assigned ASN on all future inquiries regarding this filing. For Wind Turbine proposals only, please ensure Wind Turbine Data as described on the project summary page in your registered e-filing account has been uploaded to your filing. To ensure e-mail notifications are delivered to your inbox please add noreply@faa.gov to your address book. Notifications sent from this address are system generated FAA e-mails and replies to this address will NOT be read or forwarded for review. Each system generated e-mail will contain specific FAA contact information in the text of the message. 1 Anna Smith From:noreply@faa.gov Sent:Friday, July 07, 2017 5:05 AM To:mmps.cheryl@gmail.com; Anna Smith Subject:Status of FAA Filing Your filing is assigned Aeronautical Study Number (ASN): 2017-ANM-2557-OE. To review your electronic record, go to our website oeaaa.faa.gov and select the Search Archives link to locate your case using the assigned Aeronautical Study Number (ASN). Copies of your letter are available on the website for your convenience. The FAA verified your filing and an aeronautical study has been initiated. Please allow a minimum 45 days for the FAA to complete the study. Please refer to the assigned ASN on all future inquiries regarding this filing. To ensure e-mail notifications are delivered to your inbox please add noreply@faa.gov to your address book. Notifications sent from this address are system generated FAA e-mails and replies to this address will NOT be read or forwarded for review. Each system generated e-mail will contain specific FAA contact information in the text of the message. T:\CLIENTS\MOUNTAIN RADIO SYSTEMS\GRASS MESA TOWER\PERMITTING\MRS Grass Mesa Tower Topographic Map 6-15-17.mxd Author: E. Fought Revision: 1 ¬«13 ¬«6 §¨¦70 Date: 6/19/2017 0 1 2Miles#*Dry CreekLast Chance Ditch Colorado River Mamm CreekRifle Creek #*± 0 1,500 3,000Feet 44' 25' 40' 56' 36' Pole Diagram not to scale Quick Silver Way Topographic MapTopographic Map 39.511671 -107.749799Section 23, Township 6 South, Range 93 West Grass MesaGrass MesaTowerTower USGS Quads:and RifleSilt Map Features Local Road Overhead Powerline#*160' Tower Parcel Boundary 8' x 20' Building 40' x 36' Tower Site Driveway Boundary Intermittent Stream FCC Home | Search | Updates | E-Filing | Initiatives | For Consumers | Find People Tower Construction Notification FCC > WTB > Tower Construction Notification FCC Site Map Logged In: (Log Out) Section 106 Tower Construction Notification Update Status Notifications Home Update the status of a proposed tower construction on or near designated tribal land, historic preservation or environmentally sensitive areas. Status of Notification ID 158700 Proposed — Project Proposed Abandoned — Project Abandoned Constructed — Project Constructed The information associated with this notification is listed below. The contact and structure information associated with this notification is listed below. Click on the NOO hyperlink to view a reference copy of the Notice of Organizations email/letter for this notification. Notification Information Notification Submitted:06/29/2017 Notice of Organizations Email/Letter Sent:07/07/2017 NOO Related E106 File Number:0007852166 Structure Data Structure Type:LTOWER - Lattice Tower NAD83 Latitude:39 ° 30 ' 42.0 " N(+) NAD83 Longitude:107 ° 44 ' 59.2 " W(-) Address or Geographical Location Description:1885 County Road 319 City:Rifle State:COLORADO County:GARFIELD Detailed Description of Project: 160-foot tall self-supporting telecommunications tower and one 8-foot by 20-foot building within a 40-foot by 36-foot compound area. Also proposed: 56-foot long by 10-foot wide access driveway to the tower site from the existing road to the north. Ground Elevation:1882.4 meters Support Structure Height:48.8 meters above ground level Overall Structure Height:48.8 meters above ground level Overall Height Above Mean Sea Level:1931.2 meters Notifier Information Tower Owner Individual:Dave Beck Tower Owner Entity:MBC Grand Broadcasting Consultant:Herman Lucero PO Box: Address:HRL Compliance Solutions, Inc. 2385 F 1/2 Road City:Grand Junction State:COLORADO Zip Code:81505 Phone:970-243-3271 Email:asmith@hrlcomp.com Attachments There are 9 attachments associated with this notification View Attachments ASR Help ASR License Glossary - FAQ - Online Help - Documentation - Technical Support ASR Online Systems TOWAIR- CORES/ASR Registration - ASR Online Filing - Application Search - Registration Search About ASR Privacy Statement - About ASR - ASR Home Federal Communications Commission 445 12th Street SW Washington, DC 20554 More FCC Contact Information... Phone: 1-877-480-3201 TTY: 1-717-338-2824 Fax: 1-866-418-0232 Submit Help Request - Web Policies & Privacy Statement - Required Browser Plug-ins - Customer Service Standards - Freedom of Information Act FCC Form FCC Wireless Telecommunications Bureau Approved by OMB 3060 – 1039 Notification Date: See instructions for File Number: public burden estimates General Information 1) (Select only one) ( ) NE – New UA – Update of Application WD – Withdrawal of Application 2) If this application is for an Update or Withdrawal, enter the file number of the pending application currently on file. File Number: Applicant Information 3) FCC Registration Number (FRN): 4) Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Contact Information 10) P.O. Box: And /Or 11) Street Address: 12) City: 13) State: 14) Zip Code: 15) Telephone Number: 16) Fax Number: 17) E-mail Address: Consultant Information 18) FCC Registration Number (FRN): 19) Name: Principal Investigator 20) First Name: 21) MI: 22) Last Name: 23) Suffix: 24) Title: Principal Investigator Contact Information 25) P.O. Box: And /Or 26) Street Address: 27) City: 28) State: 29) Zip Code: 30) Telephone Number: 31) Fax Number: 32) E-mail Address: MBC Grand Broadcasting LLC 0003785466 Cheri Gardner 489 1/2 28 1/2 Road Grand Junction CO 81501 (970)248-0115 0019480474 HRL Compliance Solutions, Inc. mmps.cheryl@gmail.com Anna Smith 81505 2385 F 1/2 Road Grand Junction CO 81505 (970)243-3271 asmith@hrlcomp.com 1 of 19 UA 0007852166 620 FCC Form 620 New Tower (NT) Submission Packet 0007852166 7AM EST 07/14/2017 May 2014 Professional Qualification 33) Does the Principal Investigator satisfy the Secretary of the Interior’s Professional Qualification Standards? ( ) Yes ( ) No 34) Areas of Professional Qualification: ( ) Archaeologist ( ) Architectural Historian ( ) Historian ( ) Architect ( ) Other (Specify) __________________________________________________________________________________________ Additional Staff 35) Are there other staff involved who meet the Professional Qualification Standards of the Secretary of the Interior? ( ) Yes ( ) No If “YES,” complete the following: X X Environmental Scientist X 36) First Name: 37) MI: 38) Last Name: 39) Suffix: 40) Title: 41) Areas of Professional Qualification: ( ) Archaeologist ( ) Architectural Historian ( ) Historian ( ) Architect ( ) Other (Specify) ____________________________________________________________________________________________ Abbie Harrison X 36) First Name: 37) MI: 38) Last Name: 39) Suffix: 40) Title: 41) Areas of Professional Qualification: ( ) Archaeologist ( ) Architectural Historian ( ) Historian ( ) Architect ( ) Other (Specify) ____________________________________________________________________________________________ Jacki Mullen X 2 of 19 FCC Form 620 May 2014 Site Information Tower Construction Notification System 1) TCNS Notification Number: Site Information 2) Positive Train Control Filing Subject to Expedited Treatment Under Program Comment: ( ) Yes ( ) No 3) Site Name: 4) Site Address: 5) Detailed Description of Project: 6) City: 7) State: 8) Zip Code: 9) County/Borough/Parish: 10) Nearest Crossroads: 11) NAD 83 Latitude (DD-MM-SS.S): ( ) N or ( ) S 12) NAD 83 Longitude (DD-MM-SS.S): ( ) E or ( ) W Tower Information 13) Tower height above ground level (include top-mounted attachments such as lightning rods): ___________________ ( ) Feet ( ) Meters 14) Tower Type (Select One): ( ) Guyed lattice tower ( ) Self-supporting lattice ( ) Monopole ( ) Other (Describe): Project Status 15) Current Project Status (Select One): ( ) Construction has not yet commenced ( ) Construction has commenced, but is not completed Construction commenced on: _______________ ( ) Construction has been completed Construction commenced on: _______________ Construction completed on: _______________ 158700 Grass Mesa Tower 1885 County Road 319 Rifle CO GARFIELD 81650 39-30-42.0 107-44-59.2 X X 30.5 X 3 of 19 X X FCC Form 620 Quick Silver Way and County Road 319 May 2014 Quick Silver Way and County Road 319 X Determination of Effect 14) Direct Effects (Select One): ( ) No Historic Properties in Area of Potential Effects (APE) ( ) No Effect on Historic Properties in APE ( ) No Adverse Effect on Historic Properties in APE ( ) Adverse Effect on one or more Historic Properties in APE 15) Visual Effects (Select One): ( ) No Historic Properties in Area of Potential Effects (APE) ( ) No Effect on Historic Properties in APE ( ) No Adverse Effect on Historic Properties in APE ( ) Adverse Effect on one or more Historic Properties in APE 4 of 19 X X FCC Form 620 May 2014 Tribal/NHO Involvement 1) Have Indian Tribes or Native Hawaiian Organizations (NHOs) been identified that may attach religious and cultural significance to historic properties which may be affected by the undertaking within the APEs for direct and visual effects? ( ) Yes ( ) No 2a) Tribes/NHOs contacted through TCNS Notification Number: ___________________ Number of Tribes/NHOs: _________________ 2b) Tribes/NHOs contacted through an alternate system: Number of Tribes/NHOs: _________________ 158700 16 X 0 Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Apache Tribe of Oklahoma 07/06/2017 X Darrin Cisco Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Blackfeet Nation 07/06/2017 07/05/2017 X John Murray THPO 5 of 19 FCC Form 620 May 2014 Tribal/NHO Involvement 1) Have Indian Tribes or Native Hawaiian Organizations (NHOs) been identified that may attach religious and cultural significance to historic properties which may be affected by the undertaking within the APEs for direct and visual effects? ( ) Yes ( ) No 2a) Tribes/NHOs contacted through TCNS Notification Number: ___________________ Number of Tribes/NHOs: _________________ 2b) Tribes/NHOs contacted through an alternate system: Number of Tribes/NHOs: _________________ 158700 16 X 0 Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Cheyenne-Arapaho Tribes of Oklahoma 07/05/2017 X Virginia Richey L THPO OFFICER Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Crow Creek Sioux Tribe 07/06/2017 07/05/2017 X Bonnie McGhee THPO 6 of 19 FCC Form 620 May 2014 Tribal/NHO Involvement 1) Have Indian Tribes or Native Hawaiian Organizations (NHOs) been identified that may attach religious and cultural significance to historic properties which may be affected by the undertaking within the APEs for direct and visual effects? ( ) Yes ( ) No 2a) Tribes/NHOs contacted through TCNS Notification Number: ___________________ Number of Tribes/NHOs: _________________ 2b) Tribes/NHOs contacted through an alternate system: Number of Tribes/NHOs: _________________ 158700 16 X 0 Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Eastern Shoshone Tribe 07/06/2017 07/05/2017 X Wilfred Ferris III THPO Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Flandreau Santee Sioux Tribe 07/06/2017 07/05/2017 X Garrie Kills a Hundred THPO Officer 7 of 19 FCC Form 620 May 2014 Tribal/NHO Involvement 1) Have Indian Tribes or Native Hawaiian Organizations (NHOs) been identified that may attach religious and cultural significance to historic properties which may be affected by the undertaking within the APEs for direct and visual effects? ( ) Yes ( ) No 2a) Tribes/NHOs contacted through TCNS Notification Number: ___________________ Number of Tribes/NHOs: _________________ 2b) Tribes/NHOs contacted through an alternate system: Number of Tribes/NHOs: _________________ 158700 16 X 0 Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Fort Belknap Indian Community 07/06/2017 X Michael Blackwolf THPO Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Jicarilla Apache Nation 07/06/2017 X Joanna Vigil THPO Technician 8 of 19 FCC Form 620 May 2014 Tribal/NHO Involvement 1) Have Indian Tribes or Native Hawaiian Organizations (NHOs) been identified that may attach religious and cultural significance to historic properties which may be affected by the undertaking within the APEs for direct and visual effects? ( ) Yes ( ) No 2a) Tribes/NHOs contacted through TCNS Notification Number: ___________________ Number of Tribes/NHOs: _________________ 2b) Tribes/NHOs contacted through an alternate system: Number of Tribes/NHOs: _________________ 158700 16 X 0 Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Kaw Nation 07/05/2017 X kennis wheeler TCNS Administrator Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Kiowa Indian Tribe 07/05/2017 07/05/2017 X Kellie Lewis J Acting Tribal Historic Preservation Offi 9 of 19 FCC Form 620 May 2014 Tribal/NHO Involvement 1) Have Indian Tribes or Native Hawaiian Organizations (NHOs) been identified that may attach religious and cultural significance to historic properties which may be affected by the undertaking within the APEs for direct and visual effects? ( ) Yes ( ) No 2a) Tribes/NHOs contacted through TCNS Notification Number: ___________________ Number of Tribes/NHOs: _________________ 2b) Tribes/NHOs contacted through an alternate system: Number of Tribes/NHOs: _________________ 158700 16 X 0 Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Northern Arapaho 07/06/2017 07/05/2017 X Yufna Soldier Wolf THPO Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Northern Cheyenne Tribe 07/06/2017 07/05/2017 X Teanna Limpy THPO 10 of 19 FCC Form 620 May 2014 Tribal/NHO Involvement 1) Have Indian Tribes or Native Hawaiian Organizations (NHOs) been identified that may attach religious and cultural significance to historic properties which may be affected by the undertaking within the APEs for direct and visual effects? ( ) Yes ( ) No 2a) Tribes/NHOs contacted through TCNS Notification Number: ___________________ Number of Tribes/NHOs: _________________ 2b) Tribes/NHOs contacted through an alternate system: Number of Tribes/NHOs: _________________ 158700 16 X 0 Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Southern Ute Tribe 07/06/2017 X Alden Naranjo NAGPRA Coordinator Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Spirit Lake Nation 07/06/2017 07/05/2017 X Erich Longie Dr THPO 11 of 19 FCC Form 620 May 2014 Tribal/NHO Involvement 1) Have Indian Tribes or Native Hawaiian Organizations (NHOs) been identified that may attach religious and cultural significance to historic properties which may be affected by the undertaking within the APEs for direct and visual effects? ( ) Yes ( ) No 2a) Tribes/NHOs contacted through TCNS Notification Number: ___________________ Number of Tribes/NHOs: _________________ 2b) Tribes/NHOs contacted through an alternate system: Number of Tribes/NHOs: _________________ 158700 16 X 0 Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Ute Indian Tribe 07/06/2017 X Betsy Chapoose L Cultural Rights & Protection Director Tribe/NHO Contacted Through TCNS 3) Tribe/NHO FRN: 4) Tribe/NHO Name: Contact Name 5) First Name: 6) MI: 7) Last Name: 8) Suffix: 9) Title: Dates & Response 10) Date Contacted ______________ 11) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Ute Mountain Ute Tribe 07/06/2017 X Terry Knight NAGPRA Coordinator 12 of 19 FCC Form 620 May 2014 Other Tribes/NHOs Contacted Tribe/NHO Information 1) FCC Registration Number (FRN): 2) Name: Contact Name 3) First Name: 4) MI: 5) Last Name: 6) Suffix: 7) Title: Contact Information 8) P.O. Box: And /Or 9) Street Address: 10) City: 11) State: 12) Zip Code: 13) Telephone Number: 14) Fax Number: 15) E-mail Address: 16) Preferred means of communication: ( ) E-mail ( ) Letter ( ) Both Dates & Response 17) Date Contacted _______________ 18) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other 13 of 19 FCC Form 620 May 2014 Historic Properties Properties Identified 1) Have any historic properties been identified within the APEs for direct and visual effect? ( ) Yes ( ) No 2) Has the identification process located archaeological materials that would be directly affected, or sites that are of cultural or religious significance to Tribes/NHOs? ( ) Yes ( ) No 3) Are there more than 10 historic properties within the APEs for direct and visual effect? If “Yes”, you are required to attach a Cultural Resources Report in lieu of adding the Historic Property below. ( ) Yes ( ) No Historic Property 4) Property Name: 5) SHPO Site Number: Property Address 6) Street Address: 7) City: 8) State: 9) Zip Code: 10) County/Borough/Parish: Status & Eligibility 11) Is this property listed on the National Register? Source: _______________________________________________________________________________________ ( ) Yes ( ) No 12) Is this property eligible for listing on the National Register? Source: _______________________________________________________________________________________ ( ) Yes ( ) No 13) Is this property a National Historic Landmark? ( ) Yes ( ) No 14) Direct Effects (Select One): ( ) No Effect on this Historic Property in APE ( ) No Adverse Effect on this Historic Property in APE ( ) Adverse Effect on this Historic Property in APE 15) Visual Effects (Select One): ( ) No Effect on this Historic Property in APE ( ) No Adverse Effect on this Historic Property in APE ( ) Adverse Effect on this Historic Property in APE X X X 14 of 19 FCC Form 620 May 2014 Local Government Involvement Local Government Agency 1) FCC Registration Number (FRN): 2) Name: Contact Name 3) First Name: 4) MI: 5) Last Name: 6) Suffix: 7) Title: Contact Information 8) P.O. Box: And /Or 9) Street Address: 10) City: 11) State: 12) Zip Code: 13) Telephone Number: 14) Fax Number: 15) E-mail Address: 16) Preferred means of communication: ( ) E-mail ( ) Letter ( ) Both Dates & Response 17) Date Contacted _______________ 18) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Additional Information 19) Information on local government’s role or interest (optional): Garfield County Board of County Commissioners Glenn Hartmann Senior Planner 108 8th Street Glenwood Springs CO 81601 (970)245-8212 ghartmann@garfield-county.com X 04/26/2017 05/12/2017 X 15 of 19 FCC Form 620 May 2014 Other Consulting Parties Other Consulting Parties Contacted 1) Has any other agency been contacted and invited to become a consulting party? ( ) Yes ( ) No Consulting Party 2) FCC Registration Number (FRN): 3) Name: Contact Name 4) First Name: 5) MI: 6) Last Name: 7) Suffix: 8) Title: Contact Information 9) P.O. Box: And /Or 10) Street Address: 11) City: 12) State: 13) Zip Code: 14) Telephone Number: 15) Fax Number: 16) E-mail Address: 17) Preferred means of communication: ( ) E-mail ( ) Letter ( ) Both Dates & Response 18) Date Contacted _______________ 19) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Additional Information 20) Information on other consulting parties’ role or interest (optional): X U.S. Fish and Wildlife Service Dara Taylor 445 West Gunnison Avenue, Suite 240 Grand Junction CO 81501 (970)243-2778 dara_taylor@fws.gov X 06/16/2017 06/16/2017 X 16 of 19 FCC Form 620 May 2014 Other Consulting Parties Other Consulting Parties Contacted 1) Has any other agency been contacted and invited to become a consulting party? ( ) Yes ( ) No Consulting Party 2) FCC Registration Number (FRN): 3) Name: Contact Name 4) First Name: 5) MI: 6) Last Name: 7) Suffix: 8) Title: Contact Information 9) P.O. Box: And /Or 10) Street Address: 11) City: 12) State: 13) Zip Code: 14) Telephone Number: 15) Fax Number: 16) E-mail Address: 17) Preferred means of communication: ( ) E-mail ( ) Letter ( ) Both Dates & Response 18) Date Contacted _______________ 19) Date Replied _______________ ( ) No Reply ( ) Replied/No Interest ( ) Replied/Have Interest ( ) Replied/Other Additional Information 20) Information on other consulting parties’ role or interest (optional): X Colorado Parks and Wildlife Levi Atwater 711 Independent Avenue Grand Junction CO 81505 (970)255-6100 levi.atwater@state.co.us X 06/21/2017 X 17 of 19 FCC Form 620 May 2014 Designation of SHPO/THPO 1) Designate the Lead State Historic Preservation Officer (SHPO) or Tribal Historic Preservation Officer (THPO) based on the location of the tower. SHPO/THPO Name: ___________________________________________________________________________________________________________ 2) You may also designate up to three additional SHPOs/THPOs if the APEs include multiple states. If the APEs include other countries, enter the name of the National Historic Preservation Agency and any state and provincial Historic Preservation Agency. SHPO/THPO Name: ________________________________________________________________________________________________ SHPO/THPO Name: ________________________________________________________________________________________________ SHPO/THPO Name: ________________________________________________________________________________________________ Certification I certify that all representations on this FCC Form 620 Submission Packet and the accompanying attachments are true, correct, and complete. Party Authorized to Sign First Name: MI: Last Name: Suffix: Signature: Date: _______________ FAILURE TO SIGN THIS APPLICATION MAY RESULT IN DISMISSAL OF THE APPLICATION AND FORFEITURE OF ANY FEES PAID. WILLFUL FALSE STATEMENTS MADE ON THIS FORM OR ANY ATTACHMENTS ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. Code, Title 18, Section 1001) AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. Code, Title 47, Section 312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, Section 503). 18 of 19 FCC Form 620 History Colorado Anna Smith 07/13/2017 Anna Smith May 2014 Attachments : Type Description Date Entered Public Involvement Newspaper Affidavit of Publication 06/29/2017 Tribal/NHO Involvement Ute Mountain Ute Consultation Packet 06/29/2017 Tribal/NHO Involvement Ute Mountain Ute Consultation Response 06/29/2017 Tribal/NHO Involvement Ute Indian Tribal Consultation Packet 06/29/2017 Tribal/NHO Involvement Southern Ute Consultation Packet 06/29/2017 Local Government Involvement Garfield County Pre-Application Comments 06/29/2017 Resumes/Vitae Arch Vitae 1 06/29/2017 Resumes/Vitae Arch Vitae 2 06/29/2017 Map Documents Topographic Map 06/29/2017 Map Documents Site Location Map 06/29/2017 Tribal/NHO Involvement Formal Response Letter from Ute Mountain Ute 07/12/2017 Other Colorado SHPO Response Letter 07/12/2017 Other USFWS Response Email 07/12/2017 Area of Potential Effects Limited Results Form 07/12/2017 Area of Potential Effects Form 620 Attachment 07/12/2017 Other Change in Tower Height Letter 07/12/2017 Other FCC NEPA Checklist 07/13/2017 FCC Form 620 May 2014 19 of 19 FCC NEPA Environmental Checklist Applicant: HRL Compliance Solutions Inc./Mountain Radio Systems FCC File No.: 158700 Tower Name: Grass Mesa Tower Tower Location: 1885 County Road 319, Rifle, Colorado 81650 Tower: Proposed 160-ft Self-Supporting Tower The following checklist is now used by the FCC staff as a review to inform the licensee, applicant, or tower owner (collectively, “Applicant”) concerning compliance with 47 C.F.R. § 1.1307 of the Commission’s rules. In addition to compiling this information, Applicants are required to comply with all of the Commission’s environmental rules, including 47 C.F.R. § 1.1311 (i.e., “environmental information to be included in the environmental assessment (EA)”), to determine whether a proposed facility may have a significant effect on the environment. Pursuant to 47 C.F.R. § 1.1307, does any of the following apply to the proposed facility’s compliance with the following NEPA requirements: 1. Is the proposed facility located in an officially designated wilderness area? NO The proposed Grass Mesa Tower in Rifle, CO is not located within in any officially designated wilderness areas. The closest officially designated wilderness area, the Flat Tops Wilderness, is located approximately 25 miles northeast of the proposed project. The location of the project site in relation to officially designated wilderness areas was reviewed and confirmed on the following websites: http://www.wilderness.net/map.cfm and https://ecos.fws.gov/ipac/. Please see attached U.S. Fish and Wildlife Service (USFWS) Information for Planning and Conservation (IPac) report generated for the project area. 2. Is the proposed facility located in an officially designated wildlife preserve? NO The proposed Grass Mesa Tower in Rifle, CO is not located within any officially designated wildlife preserves. The closest officially designated wildlife preserve, the West Rifle Creek State Wildlife Area, is located approximately 8 miles north of the proposed project. 3. Will the proposed facility affect or may affect listed threatened or endangered species or proposed critical habitats; or is likely to jeopardize the continued existence of any proposed endangered or threatened species or likely to result in the destruction or adverse modification of proposed critical habitats? NO The proposed Grass Mesa Tower in Rifle, CO will have a “no effect” on federally listed threatened and endangered species, proposed threatened or endangered species, or designated or proposed critical habitats. In a June 16, 2017 email (attached), the U.S. Fish and Wildlife Service confirmed the “no effect” determination for this project. 4. Will the proposed facility affect districts, sites, buildings, structures or objects significant in American history, architecture, archaeology, engineering or culture, that are listed, or are eligible for listing, in the National Register of Historic Places? NO The proposed Grass Mesa Tower will not affect any districts, sites, building, structures or objects significant in American history, archaeology, engineering, or culture. The proposed facility is in close proximity to an existing tower facility that was constructed about 2012. The next closest structure is the landowner’s private residence on the subject property, located approximately 500 feet to the east of the proposed tower. On June 30, 2017, the State Historic Preservation Office (SHPO) issued their determination letter (attached) concurring with the assessment that the proposed telecommunications facility will have no effect on historic properties, listed or eligible for listing. 5. Will the proposed facility affect Indian religious sites? NO After onsite consultation with the THPO of the Ute Mountain Ute tribe on June 20, 2017, it was determined the proposed Grass Mesa Tower will not affect any Indian religious sites. Consultation was also conducted with the following tribes: Blackfeet, Crow Creek Sioux, Eastern Shoshone, Flandreau Santee Sioux, Kiowa, Northern Arapaho, Northern Cheyenne, and Spirit Lake. To date, seven of these tribes have responded with a determination that the project will not affect any Indian sites, religious or otherwise. 6. Is the proposed facility located in a floodplain? NO The proposed Grass Mesa Tower in Rifle, CO is not located within a floodplain. 7. Will construction involve significant change in surface features (e.g., wetland fill, deforestation, or water diversion)? NO The construction of the proposed Grass Mesa Tower in Rifle, CO will not involve any deforestation, water diversion, filling of wetlands, or any other type of significant changes to surface features. 8. a. Will the proposed facility be equipped with high intensity white lights which are to be located in residential neighborhoods, as defined by the applicable zoning law? NO The proposed Grass Mesa will not be a lighted facility. RF Exposure Screening under NEPA b. Would cause human exposure to levels of radiofrequency radiation in excess of Commission- adopted guidelines? NO HRL Compliance Solutions, Inc Print Name: Anna Smith Date: July 31, 2017 Signature: