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24-0330_Part2
o Photos showing each individual sector after installation of modifications. Each entire sector must be in one photo to show the interconnection of members. • These photos shall also certify that the placement and geometry of the equipment on the mount is as depicted in the antenna placement diagram in this form. o Photos that show the model number of each antenna and piece of equipment installed per sector. o Photos of each installed modification per the modification drawings; pictures shall also include connection hardware (U-bolts, bolts, nuts, all-threaded rods, etc.) o Photos showing the distances (relative distance between collars) of the installed modifications from the appropriate reference locations shown in the modification drawings. o Photos showing the installed modifications onto the tower (i.e. ring/collar mounts, tie- backs, V-bracing kits, etc.); if the existing mount elevation needs to be changed according to the modification drawings, an elevation measurement shall be provided before the elevation change. Material Certification: • Materials utilized must be as per specification on the drawings or the equivalent as validated by the SMART Tool vendor. o If the materials are as specified on the drawings • The contractor shall provide the packing list, or the materials certifications for the materials utilized to perform the mount modification • Commscope, Metrosite, Perfect Vision, Sabre, and Site Pro have all agreed to support Verizon vendors with the necessary material certifications o If seeking permission to use an equivalent • It is required that the SMART Tool engineering vendor approval of such is included in the contractor submission package. There may be an additional charge for approval if the equivalent submission doesn't meet specifications as prescribed in the drawings. D All hardware has been properly installed, and the existing hardware was inspected. D The material utilized was as specified on the SMART Tool engineering vendor Mount Modification Drawings and included in the material certification folder is a packing list or invoice for these materials. OR D The material utilized was approved by a SMART Tool engineering vendor as an "equivalent" and this approval is included as part of the contractor submission. Antenna & Equipment Placement and Geometry Confirmation: The contractor certifies that the photos support and the equipment on the mount is as depicted on the sketch and table included in this form and with the mount analysis provided. Mount Desktop- Post Modification Inspection (PMI) Report Requirements Documents & Photos Required from Contractor - Mount Modification Electronic pdf version of this can be downloaded at https://pmi.vzwsmart.com For additional questions and support, please reach out to pmisupport@pauljford.com MDG #: 5000022794 SMART Project #: 10224813 Fuze Project ID: 17120685 Purpose - to upload the proper documentation to the SMART Tool in order to allow the SMART Tool engineering vendor to complete the required Mount Desktop review of the Post Modification Inspection Report. • Contractor is responsible for making certain the photos provided as noted below provide confirmation that the modification was completed in accordance with the modification drawings. • Contractor shall relay any data that can impact the performance of the mount or the mount modification, this includes safety issues. Base Requirements: • If installation of the modification will cause damage to the structure, the climbing facility, or safety climb if present or any installed system, SMART Tool vendor to be notified prior to install. Any special photos outside of the standard requirements will be indicated on the drawings. • Provide "as built drawings" showing contractor's name, preparer's signature, and date. Any deviations from the drawings (proposed modification) shall be shown. NOTE: If loading is different than what is conveyed in the post-modification passing mount analysis (MA) contact the SMART Tool vendor immediately. • Each photo shall be time and date stamped. • Photos should be high resolution. • Contractor shall ensure that the safety climb wire rope is not adversely impacted by the install of the modification components. This may involve the install of wire rope guides, or other items to protect the wire rope. If there is conflict, contact the SMART Tool engineer for recommendations. • The PMI can be accessed at the following portal: https://pmi.vzwsmart.com Photo Requirements: • Photos taken at qround level o Photo of Gate Signs showing the tower owner, site name, and number. o Overall tower structure after installation of the modifications. o Photos of the mount after installation of the modifications; if the mounts are at different rad elevations, pictures must be provided for all elevations that the modifications were installed • Photos taken at Mount Elevation o Photos showing the safety climb wire rope above and below the mount prior to modification. o Photos showing the climbing facility and safety climb if present. Mount Post-Modification Analysis Report (3) 14.42-Ft Sector Frame Mount Connection Envelope Reactions: March 5, 2024 Site ID: 5000022794-VZW/IRON RIVER II Page | 5 Connection Description Sector A/B/C Top Standoff Sector A/B/C Bottom Standoff Sector A/B/C Tieback Sector A/B/C Reinforcement Elev.AGL(Ft) 291.7 288.3 289.0 294.2 Node Label N51 N52 N50 N49 Envelope Wind Reactions Axial(Lbs) 499 337 153 944 Lateral(Lbs) 1821 2146 1537 1152 Moment (K-Ft) 0.000 0.000 0.000 0.000 Torsion (K-Ft) 0.000 0.000 0.000 0.000 Envelope Wind + Ice Reactions Axial(Lbs) 812 794 106 2027 Lateral(Lbs) 2162 2509 625 2191 Moment(K-Ft) 0.000 0.000 0.000 0.000 Torsion (K-Ft) 0.000 0.000 0.000 0.000 Notes: - Axial loads act along the axis of the tower leg - Lateral reactions act perpendicular to the tower leg - Moment loads introduce bending moment to the tower leg - Torsion loads introduce twisting moment to the tower leg Mount Steel (EPA)a per ANSI/TIA-222-H Section 2,6.11.2: Ice Thickness (In) 0 0.5 1 Mount Pipes Excluded Front (EPA)a (Sq. Ft.) 36.0 45.6 54.8 Side (EPA)a (Sq. Ft.) 12.4 17.2 21.8 Mount Pipes Included Front (EPA)a (Sq. Ft.) 45.1 58.5 71.6 Side (EPA)a (Sq. Ft.) 21.5 30.2 38.6 Notes: - (EPA)a values listed above may be used in the absence of more precise information - (EPA)a values in the table above include 1 sector(s). - Ka factors included in (EPA)a calculations Requirements: The existing mounts will be SUFFICIENT for the final loading configuration (attachment 2) after the modifications detailed in attachment 3 are successfully completed. ANSI/ASSP rigging plan review services compliant with the requirements of ANSI/TIA 322 are available for a Construction Class IV site or other, if required. Separate review fees will apply. Attachments: 1. Contractor Required PMI Report Deliverables 2. Antenna Placement Diagrams 3. Mount Modification Drawings 4. Mount Photos 5. Mount Mapping Report (for reference only) 6. Analysis Calculations Mount Post-Modification Analysis Report (3) 14.42-Ft Sector Frame March 5, 2024 Site ID: 5000022794-VZW/IRON RIVER II Page | 4 5. The mount was checked up to, and including, the bolts that fasten it to the mount collar/attachment and threaded rod connections in collar members if applicable. Local deformation and interaction between the mount collar/attachment and the supporting tower structure are outside the scope of this analysis. 6. All services are performed, results obtained, and recommendations made in accordance with generally accepted engineering principles and practices. Paul J. Ford and Company is not responsible for the conclusion, opinions, and recommendations made by others based on the information supplied. 7. Structural Steel Grades have been assumed as follows, if applicable, unless otherwise noted in this analysis: o Channel, Solid Round, Angle, Plate o HSS (Rectangular) o Pipe o Threaded Rod o Bolts ASTM A36 (Gr. 36) ASTM 500 (Gr. B-46) ASTM ASS (Gr. B-35) F1554(Gr.36)ASTM A325 8. Any mount modifications listed under Sources of Information are assumed to have been installed per the design specifications. Discrepancies between in-field conditions and the assumptions listed above may render this analysis invalid unless explicitly approved by Paul J. Ford and Company. Analysis Results: Component Face Horizontals Standoff Members Tie Backs Bracing Members Mount Pipes Mount to Tower Connection Utilization % 88.7% 43.0% 10.0% 17.8% 80.4% 21.6% Pass/Fail Pass Pass Pass Pass Pass Pass Structure Rating - (Controlling Utilization of all Components)88.7% Mount Post-Modification Analysis Report (3) 14.42-Ft Sector Frame Final Loading Configuration: March 5, 2024Site ID: 5000022794-VZW/IRON RIVER II Page | 3 The following equipment has been considered for the analysis of the mounts: Mount Elevation(ft) 290.00+/- Equipment Elevation(ft) 290.00 Quantity 3 6 3 3 2 Manufacturer Ericsson Commscope Ericsson Ericsson Raycap Model AIR6419 NHH-65C-R2B 4490 4890 RVZDC-3315-PF-48 Status Added The recent mount mapping did not report existing OVP units. However, it is acceptable to install up to any three (3) of the OVP model numbers listed below as required at any location other than the mount face without affecting the structural capacity of the mount. If OVP units are installed on the mount face, a mount re-analysis may be required. Model Number RHSDC-1064-PF-48 RC3DC-3315-PF-48 RC3DC-3300-PF-48 RC3DC-4750-PF-48 RHSDC-6627-PF-48 RHSDC-6600-PF-48 Ports 2 6 6 6 12 12 AKA OVP-2 OVP-6 OVP-6 OVP-6 OVP-12 OVP-12 Standard Conditions: 1. All engineering services are performed on the basis that the information provided to Paul J. Ford and Company and used in this analysis is current and correct. The existing equipment loading has been applied at locations determined from the supplied documentation. Any deviation from the loading locations specified in this report shall be communicated to Paul J. Ford and Company to verify deviation will not adversely impact the analysis. 2. Mounts are assumed to have been properly fabricated, installed and maintained in good condition, twist free and plumb in accordance with its original design and manufacturer's specifications. Obvious safety and structural issues/deficiencies noticed at the time of the mount mapping and reported in the Mount Mapping Report are assumed to be corrected and documented as part of the PMI process and are not considered in the mount analysis. The mount analysis and the mount mapping are not a condition assessment of the mount. Proper maintenance and condition assessments are still required post analysis. 3. For mount analyses completed from other data sources (including new replacement mounts) and not specifically mapped in accordance with the NSTD-446 Standard, the mounts are assumed to have been properly fabricated, installed and maintained in good condition, twist free and plumb in accordance with its original design and manufacturer's specifications. 4. All member connections are assumed to have been designed to meet or exceed the load carrying capacity of the connected member unless otherwise specified in this report. Mount Post-Modification Analysis Report (3) 14.42-Ft Sector Frame Executive Summary: March 5, 2024 Site ID: 5000022794-VZW/ IRON RIVER II Page | 2 The objective of this report is to summarize the analysis results of the antenna support mount including the proposed modifications at the subject facility for the final wireless telecommunications configuration, per the applicable codes and standards. This analysis is inclusive of the mount structure only and does not address the structural capacity of the supporting structure. This mounting frame was not analyzed as an anchor attachment point for fall protection. All climbing activities are required to have a fall protection plan completed by a competent person. Sources of Information: Document Type Radio Frequency Data Sheet (RFDS) Mount Mapping Report Previous Mount Analysis Report Proposed Mount Modification Remarks VerizonRFDS, 17120685, dated January 5, 2024 Elite-ICT, Project # 5000022794, dated February 7, 2024 Paul J Ford. Project # 24323-1072.002.8190, dated February 15, 2024 Paul J Ford, Project # 24323-1072.003.8191, dated March 5, 2024 Analysis Criteria: Codes and Standards: Wind Parameters: Seismic Parameters: Maintenance Parameters: Analysis Software: ANSI/TIA-222-H Basic Wind Speed (Ultimate 3-sec. Gust), VULT: Ice Wind Speed (3-sec. Gust): Design Ice Thickness: Risk Category: Exposure Category: Topographic Category: Topographic Feature Considered: Topographic Method: Ground Elevation Factor, Ke: Ss: Si: Wind Speed (3-sec. Gust): Maintenance Live Load, Lv: Maintenance Live Load. Lm: 106 mph 50 mph 1.50 in IIc 1N/A N/A 0.959 0.041 g 0.016 g 30 mph 250 Ibs. 500 Ibs. RISA-3D(V17.0.3) verizon PJF PAUL J. FOR D& COMPANY Paul J. Ford and Company 250 East Broad Street Suite 600 Columbus, OH 43215(614)221-6679 PJFmount@pauljford.com Post-Modification Antenna Mount Analysis Report and PMI Requirements Mount Fix SMART Tool Project #: 10224813 Paul J Ford Project #: 24323-1072.003.8191 March 5, 2024 Srte Information Structure Information Site ID: S;te Name: Carrier Name: /Address: Latitude: Longitude: Tower Type: Mount Type: 5000022794-VZW/I RON RIVER 11 IRON RIVER II Verizon Wireless67085 W SPIDER LAKE RD IRON RIVER, WISCONSIN 54847, BAYFIELD County 46.546889° -91.414083° 380-Ft Guyed 14.42-Ft Sector Frame FUZE ID #17120685 Analysis Results 14.42-Ft Sector Frame: 88.7% Pass w/ Modifications* *Antennas and equipment to be installed in compliance with PMI Requirements of this mount analysis. ***Contractor PMI Reauirements: Included at the end of this MA report Available & Submitted via portal at https://pmi.vzwsmart.com For additional questions and support, please reach out to: pmisupport@pauljford.com Report Prepared By: Jake Gold WD ,1<^U'/»,^°^^^^/"-_ \^^ / RE6EKAHM. \hl ^; ; DORRS " \ \: _E-47595 : -: -0\ COLUMBUS. / ^ ^"'^\ OH16~" /s: \<^:-.. - ..-••'L^'^c^T'''r'lTt*0' 0310512024 MOUNT MODIFICATION DRAWINGS PROPOSED CARRIER: VERIZON WIRELESS 5000022794-VZW / IRON RIVER 67085 W SPIDER LAKE RD IRON RIVER, WISCONSIN 54847 BAYFIELD COUNTY LAT: 46° 32' 48.80"; LONG: -91° 24' 50.70" TOWER OWNER: CHEQUAMEGON TOWER OWNER #: 1034702 FUZE ID #17120685 CONTRACTOR PMI PMIACCESSED AT SMART TOOL VENDOR PROJECT # VZW LOCATION CODE (PSLC) MDG# REQUIREMENTS HTTPS://PMI.VZWSMART.COM 10224813 250290 5000022794 *** PMI AND REQUIREMENTS ALSO EMBEDDED WITHIN MOUNT ANALYSIS REPORT VZW APPROVED SMART KIT VENDORS REFER TO BILL OF MATERIALS SHEET FOR VZW SMART KIT APPROVED VENDORS SHEET INDEX SHEET ST-1 SBOM SGN-1 SCF-1 SS-1 SS-2 DESCRIPTION TITLE SHEET BILL OF MATERIALS GENERAL NOTES CLIMBING FACILITY DETAILS MODIFICATION DETAILS MOUNT PHOTOS SPECIFICATION SHEETS REV 0 0 0 0 0 0 ^tUU<»,,.v^COA/'/' ^ ^.-'' ^CONs!^^—^y\ \^.^^< \ A.'-REBEKAHM. \w ^.DORRISE-47595COLUMBUS,OHIO"" 1 ; /w^^'''«i'lT<*^ 0310512024 8 Copyright 2024, by Paul J. Ford and Compan)All Rights Reserved. This document and the data contained herein, is proprietary to PaulJ. Ford and Company, issued in strict confidence and shall not, without the prior written permission of Paul J.Ford and Company, be reproduced, copied or used for any purpose other than theintended use for this specific project. Q ^Ev. i|°^t"-z§!- _•<!~»Q:P-|25308<ul^flZoB^ Ks w ^~0 <Ni?S<0^ ^slC^l Q. C/3co LLJ^ 0rsj Q^ orLU w0litco <z ^0 QQ z— w 0ill^§1illP^ 0f^ ^^.CM ~ ^CM 00 S000LO !ROJECT No:24323-1072.003.8191 IRAWN BY:JAG 'ESIGNED BY:JAG tiECKED BY:RMD IATE:3/5/2024 TITLE SHEET ST-1 BILL OF MATERIALS VZWSMART KITS QUANTITY MANUFACTURER VZWSMART PART NUMBER DESCRIPTION PIECE WEIGHT (LBS)TOTAL WEIGHT (LBS)MATERIAL NOTES OTHER REQUIRED PARTS QUANTITf 3 MANUFACTURER PERFECT VISION PART NUMBER PV-VSK-T DESCRIPTION V-BRACING KIT PIECE WEIGHT (LBS) 115.00 TOTAL WEIGHT = TOTAL WEIGHT (LBS) 345.00 345.00 MATERIAL NOTES I © Copyright 2024, by Paul J. Ford and Company, I All Rights Reserved. This document andthe data contained herein, is proprietary to PaulJ. Ford and Company, issued instrict confidence and shall not, without the prior written permission of Paul J.Ford and Company, be reproduced, copied or used for any purpose other than theintended use for this specific project. m Eo! §|1>-?^ w ra^<li-> (Ll I i25=>°^<us1^»(D r^£^ssw CM-a CMll?;110 0u=> ^=CM a. 0)co or: 0r^l Q^ Q^ > NOTE: ALL MATERIALS REQUIRED FOR THE DESIGN MODIFICATIONS BUT NOT LISTED IN THIS SHEET ARE ASSUMMED TO BE PROVIDED BY THE CONTRACTOR. w0or _ ^ V)ill— WQ <CdQ ^ii^9 sl0Kl0sl VZWSMART KITS - APPROVED VENDORS VENDOR PERFECT VISION SITEPRO SABRE INDUSTRIES INC. METROSITE FABRICATORS, LLC COMMSCOPE CONTACT WIRELESS SALES PAULA BOSWELL ANGIE WELCH KENT RAMEY SALVADOR ANGUIANO EMAIL WIRELESSSALES@PERFECT-VISION.COM PAUIA.BOSWELL@VALMONT.COM AKWELCH@SABREINDUSTRIES.COM KENT@METROSITELLC.COM SALVADOR.ANGUIANO@COMMSCOPE.COM PHONE NUMBER (844) 884-6723 (972)236-9843 (866)428-6937 (706) 335-7045 (817)304-7492 THE MANUFACTURER'S LISTED ARE THE APPROVED VENDORS FOR THE VZW MOUNT KITS. EACH MANUFACTURER WILL BE AWARE OF WHICH KITS HAVE BEEN THROUGH THE VZW APPROVAL PROCESS AND THE ARE IN TURN APPROVED TO SELL. PLEASE NOTE THAT THE VENDOR. IT WILL BE REQUIRED THAT THE VZW KITS SPECIFIED ARE UTILIZED IN THE MODIFICATION. ALL PARTS ARE GALVANIZED UNLESS NOTED OTHERWISE ,»<l"u'<^sco%^^' ^•"--:^;^^ ^/^ \ ^^ / REBEKAHM. \w ^; : DORRIS ' \ \I _E-47595 I ;COLUMBUS, i ^ ^•* Q'«*y'/^^''Jff^ •'-^0^^/''<i'tT»*^ 0310512024 N ^-03 Qr^ Q^Csl -CM0000LO PROJECT No:24323-1072.003.8191 DRAWN BY:JAG DESIGNED BY:JAG CHECKED BY:RMD DATE:3/5/2024 BILL OF MATERIALS SBOM GENERAL NOTES: 1. PAUL J. FORD AND COMPANY WAS NOT PROVIDED WITH THE EXACT LOCATION OF EVERY EXISTING ANTENNA MOUNTCONNECTION, CABLE CLIP, ETC THAT COULD POTENTIALLY INTERFERE WITH THE MODIFICATIONS AS INDICATED ON THESE DRAWINGS. THE CONTRACTOR SHALL FIELD VERIFY THAT THE MATERIAL CAN BE INSTALLED AS SHOWN ONTHESE DRAWINGS BEFORE FABRICATING ANY MATERIAL. THE CONTRACTOR SHALL BE SOLELY RESPONSIBLE FOR THE PROPER FIT AND CLEARANCE OF THE REINFORCING MATERIAL IN THE FIELD. IF THE CONTRACTOR DISCOVERS ANY EXISTING CONDITIONS THAT ARE NOT AS REPRESENTED ON THESE DRAWINGS, PAUL J. FORD AND COMPANY SHALL BECONTACTED IMMEDIATELY TO EVALUATE THE STRUCTURAL SIGNIFICANCE OF THE DEVIATION. 2. WORK SHALL BE IN ACCORDANCE WITH LOCAL CODES. THE CONTRACTOR SHALL BE RESPONSIBLE FOR CONTACTING THE LOCAL BUILDING OFFICIALS FOR ANY INSPECTIONS THAT MAY BE REQUIRED. 3. THE CONTRACTOR MUST BE EXPERIENCED IN THE PERFORMANCE OF WORK SIMILAR TO THAT DESCRIBED ON THESE DRAWINGS. BY ACCEPTANCE OF THIS PROJECT, THE CONTRACTOR IS ATTESTING THAT HE DOES HAVE SUFFICIENTEXPERIENCE AND ABILITY, THAT HE IS KNOWLEDGEABLE OF THE WORK TO BE PERFORMED AND THAT HE IS PROPERLYLICENSED TO DO THIS WORK IN THE JURISDICTION IN WHICH THE WORK IS TO BE PERFORMED. 4. THE CONTRACTOR SHALL SUPERVISE AND DIRECT THE WORK AND SHALL BE SOLELY RESPONSIBLE FOR ALLCONSTRUCTION. ALL STRUCTURES ARE DESIGNED TO BE STABLE AND SELF-SUPPORTING AT THE COMPLETION OF CONSTRUCTION. THIS DRAWING DOES NOT INDICATE THE METHOD OF CONSTRUCTION. IT IS THE CONTRACTOR'S SOLE RESPONSIBILITY TO DETERMINE THE ERECTION PROCEDURES, METHODS, MEANS, TECHNIQUES, AND SEQUENCES TOENSURE THE STABILIPf AND SAFETf OF THE STRUCTURE AND ITS COMPONENT PARTS, AND THE ADEQUACY OF TEMPORARY OR INCOMPLETE CONNECTIONS DURING CONSTRUCTION. THIS INCLUDES, BUT IS NOT LIMITED TO, THEADDITION OF WHATEVER TEMPORARY BRACING THAT MAY BE NECESSARY AND ENGINEERING ASSESSMENT OF CONSTRUCTION STRESSES WITH INSTALLATION MAXIMUM WIND SPEED AND/OR TEMPORARY BRACING AND SHORING.SUCH MATERIAL IS NOT INDICATED ON THE DRAWINGS AND, IF PROVIDED, SHALL BE REMOVED, AS CONDITIONS PERMIT AND REMAIN THE PROPERTY OF THE CONTRACTOR. 5. ANY EXISTING ATTACHMENTS AND/OR PROJECTIONS ON THE STRUCTURE THAT MAY INTERFERE WITH THE INSTALLATION OF THE MODIFICATION SYSTEM WILL HAVE TO BE REMOVED AND RELOCATED, REPLACED, OR RE-INSTALLED AS REQUIREDAFTER THE MODIFICATION IS SUCCESSFULLY COMPLETED. THE CONTRACTOR SHALL IDENTIFY AND COORDINATE THESE ITEMS PRIOR TO CONSTRUCTION WITH OWNER, TESTING AGENCY, AND EOR. 6. THE CONTRACTOR SHALL BE SOLELY RESPONSIBLE FOR INITIATING, MAINTAINING, AND SUPERVISING ALL S?ETfPROGRAMS AND PRECAUTIONS IN CONNECTION WITH THE WORK. 7. CONTRACTOR SHALL TAKE ALL PRECAUTIONS NECESSARY TO PREVENT DAMAGE TO EXISTING STRUCTURES, EQUIPMENTAND UTILITIES. ANY DAMAGE TO EXISTING STRUCTURES, EQUIPMENT, AND UTILITIES AS A RESULT OF THE CONTRACTOR'SWORK OR FROM DAMAGE DUE TO OTHER CAUSES SHALL BE REPAIRED AT THE CONTRACTOR'S EXPENSE TO THE SATISFACTION OF THE OWNER. 8. WORK SHALL BE PERFORMED DURING WINDS LESS THAN 30-MPH IN ACCORDANCE WITH OPERATIONAL WIND CONDITIONS PERANSITO-322. 9. RIGGING OR FALL PROTECTION LOADS CAN BE EVALUATED VIA ANSI/TIA-322 IF A CONTRACTOR PIAN IS SUBMITTED. 10. THE STRUCTURAL ANALYSIS ASSUMES THAT ALL STRUCTURAL COMPONENTS ARE IN BRAND-NEW CONDITION, FREE FROM FAULTS AND DEFECTS AND IN CONFORMANCE WITH THE CONTRACT DOCUMENTS. NO ALLOWANCE WAS MADE FOR ANYDAMAGED, MISSING, OR RUSTED MEMBERS. IF ANY OF THESE CONDITIONS ARE DISCOVERED, THE CONTRACTOR SHALL BRING THEM TO THE ATTENTION OF THE OWNER'S REPRESENTATIVE. ANY AND ALL SUBSTITUTIONS MUST BE PROPERLYAPPROVED AND AUTHORIZED IN WRITING BY OWNER AND EOR PRIOR TO INSTALLATION. THE CONTRACTOR SHALL FURNISH SATISFACTORY EVIDENCE AS TO THE KIND AND QUALITY OF MATERIALS AND EQUIPMENT BEING SUBSTITUTED. 11. IF MATERIALS, QUANTITIES, STRENGTHS, OR SIZES INDICATED BY THE DRAWINGS OR SPECIFICATIONS ARE NOT IN AGREEMENT WITH THESE NOTES, THE BETTER QUALITl' AND/OR GREATER QUANTITY, STRENGTH, OR SIZE INDICATED,SPECIFIED, OR NOTED SHALL BE PROVIDED. 12. OBSERVATION VISITS TO THE SITE BY OWNER AND/OR THE EOR SHALL NOT INCLUDE INSPECTIONS OF THE PROTECTIVE MEASURES OR THE CONSTRUCTION PROCEDURES. 13. ANY SUPPORT SERVICES PERFORMED BY THE EOR DURING CONSTRUCTION ARE SOLELY FOR THE PURPOSE OFASSISTING IN QUALITl' CONTROL AND IN ACHIEVING GENERAL PERFORMANCE WITH CONTRACT DOCUMENTS. THEY DO NOT GUARANTEE CONTRACTORS PERFORMANCE AND SHALL NOT BE CONSTRUED AS SUPERVISION OF CONSTRUCTION. 14. THE CLIMBING FACILITIES, SAFETY CLIMB, AND ALL PARTS THEREOF SHALL NOT BE IMPEDED, MODIFIED, OR ALTERED WITHOUT THE APPROVAL OF THE EOR. 15. AFTER THE CONTRACTOR HAS SUCCESSFULLY COMPLETED THE INSTALLATION OF THE MODIFICATION SYSTEM AND THEWORK HAS BEEN ACCEPTED BY THE OWNER, THE OWNER WILL BE RESPONSIBLE FOR THE LONG TERM/PERPETUAL INSPECTION AND MAINTENANCE OF THE STRUCTURE AND MODIFICATION SYSTEM. 16. DO NOT SCALE DRAWINGS. 17. IF RIGGING TO THE MOUNT IS REQUIRED, ALL CONSTRUCTION PLANS SHALL ADHERE TO ANSI/ASSE A10.48 (LATEST EDITION), INCLUDING THE REQUIRED INVOLVEMENT OF A QUALIFIED ENGINEER FOR CLASS IV CONSTRUCTION TO CERTIFYTHE SUPPORTING STRUCTURE(S) IN ACCORDANCE WITH THE ANSI/TIA-322 (LATEST EDITION). 18. ALL MANUFACTURER'S HARDWARE ASSEMBLY INSTRUCTIONS SHALL BE FOLLOWED, UNO. CONFLICTING NOTES SHALL BE BROUGHT TO THE ATTENTION OF THE EOR. 19. IF REMOVAL OF EXISTING MODIFICATIONS IS REQUIRED PER THE MODIFICATION SCOPE, THE GC SHALL CLEAN AND COLD GALVANIZE ANY EXISTING EMPTf BOLT HOLES. UNO. IF ADDITIONAL UNEXPECTED, OVERSIZED. OR SLOTTED HOLES AREFOUND, THE GC SHALL CONTACT THE EOR FOR GUIDANCE PRIOR TO PROCEEDING WITH THE MODIFICATION. STRUCTURAL STEEL: 1, STRUCTURAL STEEL MATERIALS, FABRICATION, DETAILING, AND WORKMANSHIP SHALL CONFORM TO THE LATESTADDITION OF THE FOLLOWING REFERENCE STANDARDS: A. BY THE AMERICAN INSTITUTE OF STEEL CONSTRUCTION (AISC):"SPECIFICATION FOR STRUCTURAL STEEL BUILDINGS" "SPECIFICATION FOR STRUCTURAL JOINTS USING ASTM HIGH STRENGTH BOLTS- AS APPROVED BY THE RESEARCHCOUNCIL ON STRUCTURAL CONNECTIONS. "CODE OF STANDARD PRACTICE FOR STEEL BUILDINGS AND BRIDGES" B. BY THE AMERICAN WELDING SOCIETY (AWS):"STRUCTURAL WELDING CODE- STEEL D1.1" "STANDARD SYMBOLS FOR WELDING, BRAZING, AND NON-DESTRUCTIVE EXAMINATION" 2. NEW STEEL (UNLESS NOTED OTHERWISE) SHALL CONFORM TO THE REQUIREMENTS OF THE ASTM STANDARD SPECIFICATION FOR STRUCTURAL STEEL NOTED BELOW:W - ASTM A992 (50 KSI YIELD POINT MATERIAL) HSS RECTANGULAR - ASTM A500 GR. B (46 KSI YIELD POINT MATERIAL)HSS ROUND - ASTM A500 GR. B (42 KSI YIELD POINT MATERIAL) PIPE - ASTM A53 GR. B (35 KSI YIELD POINT MATERIAL)C, MC, L, PLATES, BARS & ALL OTHER STEEL - ASTM A36 (36KSI YIELD POINT MATERIAL) BOLTS-ASTMA325 U-BOLTS - ASTM A307 GRADE A, OR SAE J429 GRADE 2THREADED RODS -ASTM A36 NUTS - ASTM A563 GRADE DHWASHERS - ASTM F436 n'PE 1 3. ALL NEW STEEL SHALL BE HOT-DIP GALVANIZED AFTER FABRICATION IN ACCORDANCE WITH ASTM A123, ASTM 153/A153M, ORASTMA653G90. 4. ALL BOLTS, U-BOLTS, AND THREADED RODS SHALL BE PROVIDED WITH LOCK-WASHERS, OR LOCK-NUTS, OR PAL-NUTSTORQUED TO THE SNUG-TIGHT CONDITION AS DEFINED BY AISC. 5. ALL HOLES, EITHER PUNCHED OR DRILLED, IN THE EXISTING STEEL MEMBERS SHALL BE 1/16 INCH LARGER THAN THEBOLT DIAMETER, UNLESS NOTED OTHERWISE. BURNING OF MEMBERS SHALL NOT BE PERMITTED. SLOTTED HOLES ARE NOT PERMITTED. THE MINIMUM BOLT SPACING SHALL BE 3 TIMES THE BOLT DIAMETER AND THE MINIMUM EDGE DISTANCESHALL BE 1.5 TIMES THE BOLT DIAMETER UNLESS NOTED OTHERWISE. ALL BOLT HOLES SHALL BE PLACED AT AISC STANDARD GAGE DIMENSIONS, UNLESS NOTED OTHERWISE. 6. IF ANY EXISTING ASTM A325 BOLTS ARE REMOVED, THEY MUST BE REPLACED WITH NEW A325 BOLTS OR GREATER. 7. ALL EXISTING PAINTED OR GALVANIZED SURFACES DAMAGED DURING CONSTRUCTION SHALL BE WIRE BRUSHED CLEAN, REPAIRED BY FILM GALVANIZING BRUSH APPLIED PAINT (ZINC KOTE OR APPROVED EQUIVALENT), AND REPAINTED TOMATCH THE EXISTING FINISH CONFORMING TO ASTM A780. 8. ALL PARTS ARE TO MARKED WITH ITEM NUMBERS USING 3/4" HIGH STEEL STENCILS. 9. SHOP SHALL ASSEMBLE AND VERIFY FIT AND GAPS BEFORE BREAKDOWN FOR GALVANIZING. SUPERVISION BY THE INSPECTION/TESTING AGENCY. 11. ALL REQUIRED CUTS SHALL BE CUT WITHIN THE DIMENSIONS SHOWN ON THE DRAWINGS. NO CUTS SHALL EXTEND BEYOND THE OUTLINE OF THE DIMENSIONS SHOWN ON THE DRAWINGS. ALL CUT EDGES SHALL BE GROUND SMOOTH ANDDE-BURRED. CONTRACTOR TO AVOID 90 DEGREE CORNERS. IT MAY BE NECESSARY TO DRILL STARTER HOLES AS REQUIRED TO MAKE THE CUT. 12. ALL JOINTS ARE BEARING Tr'PE CONNECTIONS, UNO. IF NO BOLT LENGTH IS GIVEN IN THE BILL OF MATERIALS, THE CONNECTION MAY INCLUDE THREADS IN THE SHEAR PLANE, AND THE GC IS RESPONSIBLE FOR SIZING THE LENGTH OFTHE BOLT. IT IS NOT PERMITTED FOR THE BOLT END TO BE BELOW THE FACE OF THE NUT AFTER TIGHTENING IS COMPLETED. EDGE sj 1^ SPACING ^GAGE ^-^ LIMIT OF ALLOWABLE COPE WITHOUT PRIOR EOR APPROVAL ALLOWABLE COPING BOLT SCHEDULE (IN) BOLT DIAMETER 1/2 5/8 3/4 7/8 1 STANDARD HOLE 9/16 11/16 13/16 15/16 11/16 SHORT SLOT 9/16x11/16 11/16x7/8 13/16x1 15/16x11/8 1 1/16x15/16 MIN EDGE DISTANCE 7/8 1 1/8 1 1/4 1 1/2 13/4 SPACING 11/2 17/8 21/4 25/8 3 © Copyright 2024, by Paul J. Ford and Company,All Rights Reserved. This document and the data contained herein, is proprietary to PaulJ. Ford and Company, issued in strict confidence and shall not, without the prior written permission of Paul J. Ford and Company, be reproduced, copied or used for any purpose other than theintended use for this specific project. WORKABLE GAGES (IN) LEG 4 31/2 3 21/2 2 GAGE 21/2 2 1 3/4 13/B 11/8 w EoK i|?^1u-zs'l •<-" s|Q:§ |25 <u^^cyf|S16-D c" .§?II0 ^Co -c^i 0: 03coLU Q^ 0^1Q^ Q^LU CtT co0 LOCKWASHER NUT TYP BOLT ASSEMBLY NOTE: 1. ALL DIMENSIONS REPRESENTED IN THE ABOVE TABLES ARE AISC MINIMUM REQUIREMENTS.CONTRACTOR SHALL VERIFY EXISTING CONDITIONS IN FIELD AND NOTIFY ENGINEER IF BOLT HEAD DISTANCES ARE LESS THAN THOSE PROVIDED. 2. THE DIMENSIONS PROVIDED ARE MINIMUMREQUIREMENTS. ACTUAL DIMENSIONS OF PROPOSED MEMBERS WITHIN THESE DRAWINGS MAY VARY FROM THE AISC MINIMUMREQUIREMENTS. 3. SHORT SLOT HOLES SHALL ONLY BE USED WHEN DEPICTED IN THE DRAWING. 4. MATCH EXISTING GAGES WHEN APPLICABLE, UNLESS MINIMUM EDGE DISTANCES ARECOMPROMISED. .o1""^^o!vs^. ^ ^/''__ \ ^^ 7 REBEKAHM. \w'^; ; DORRtS \ ;J-47595 J ;'- -Ql. 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F O R D &C O M P A N Y 25 0 E B r o a d S t , S t e 6 0 0 - C o l u m b u s , O H 4 3 2 1 5 Ph o n e 6 1 4 . 2 2 1 . 6 6 7 9 w w w . p a u l j f o r d . c o m VE R I Z O N W I R E L E S S : I s 1 1 ; :3 S I ' § ii l s s ^ s n li l l l l Il l l l i S. 0 ^ g ti l i ? l 3- S > 3'° . i ° l ? t= ° L < Q !i '1 1 1 1 :i i : l :| S l i -i . i I il 1 1 . un ; 3 - . 3 ^ ' \P V M S t e e l \ C a D f)<;r\D3-slD »;•y^33333D 1- a /)D-)•+3•t ^Tl D^T)^130\j J^1 h-^ T]/,17;t\<Ln DD-NI 7^sl030a0ro UJ LO IDa I0—^ (J J0 en0 -00(C 4^^.hJ a>I I h-»I T:I /7.s <•J aja N-0 7 sc cc re uurt^c h.c tu -(ca icc L I ^ •c<s:y7.\.=<t/aja NT 7 I:c a.t/ftr-cc £r(I cg(1 cc h.c rn•K r-cc r-r' :^ 0 ^° § 2 !R I I .^ 1 § ^0 ; ^ o' . ; = ^ H] ^ - Z f f i m^ 0 z t+ ' ^ - ^COmza1+10 >1s| >-0-aTV0 mo <a n70-D 0 0> c (c 0z 0 z >70 in>§y Os ^T CO I ^ I m | | z s | 0 0 I?DN3 N3 7^E /)c-Ic:^c •J.^;t c5 ^c 3 r-r u /)>;-I <y D~5 s<13 ^D-t-t -)•D 3 •D D -(0 \-a r~rena I-uc I-h-I I 30 \^LO •o \;1 00 1n|ml -0<<c^ o 7^ . CO 00 Q0-5' (D K>>a002sm73 -D>^.^0-y ^ Cr I<;c/Q0 s •^u j i - \ E n g i n e e r i n g D e t a ] l s \ t/ - V S K - 8 k/ - S M U 2 0 8 0 - 0 1 k/ - S M U 2 0 1 6 - 0 1 k/ - R M 1 0 4 5 - M D ^/ - R M 3 0 6 0 - M D ^/ - R M 1 4 6 0 - 4 - M D rr l •a PV-SMU2080 ATTACHMENT PV-SMU2080-01 OR PV-SMU2016-01 PV-VSK-T / PV-VSK-TL LATTICE TOWER ATTACHMENT 2X 5/8" X 2" BOLT KITS PV-RM1045-GS ATTACHMENT PV-RM1045-MD (SHOWN) ALSO COMPATIBLE WITH: PV-RM3060-MD OR PV-RM1460-4-MD PV-VSK-M / PV-VSK-ML / PV-VSK-4-M MONOPOLE ATTACHMENT 4X 0 5/8" X 2" BOLT KITS MONOPOLE HARDWARE LATTICE TOWER HARDWARE 2 OF 5 8/23/2021 THIRD ANGLE PROJECTION ICAIht^UKY 1:1 DIMENSIONS ARE IN INCHES TOLERANCES U.N.O.HOLES: +1/16", -1/32"ANGULAR: PROFILEtl/40, BEND±2°ALL OTHERS: ±1/16" 01_Self Support 15_V-Stabilizer Kit PV-VSK-B_Sfabilizer I NT DJN APPROVED ADDED MASTER PARTY'S UPDATED ARM ANGLES INITIAL RELEASE DESCRIPTION 1/16/2017 1/04/2017 11/29/2016 PERPECT VISIOn/" V-STABILIZER KIT DOCUMENT NUMBER VSK-ENG-01-R2 PV-VSK-B ATTACHMENT OPTIONS CLIP ANGLES FOR VERTICAL ADJUSTMENT -FIELD DRILL0 11,16" INTO FACE ANGLE. BOLT DIRECTLY TO CUP ANGLE UPT04-ODPIPE DETAIL B SCALE 1 : 6 PIPE ATTACHMENT ANGLE ATTACHMENT 51'ol0101 n0101Ul CLIP ANGLES NOT REQUIRED IF NO VERTICAL ADJUSTMENT IS NEEDED •6-1,2"- ^) 7" 6" a ^) 011/16" TYP 2-1/2" •6"' •7"- VSK - BRACKET DETAIL ACCEPTS 05/8" HARDWARE FLAT BRACE SETUP DIMENSIONS ARE IN INCHESTOLERANCES U.N.O.HOLES: +1/16", -1/32"ANGULAR: PROFILE±1/4°, BEND±2UALL OTHERS: ±1/16" 01_Self Support 15_V-StabilizerKit PV-VSK-B_5tabilizer DJN APPROVED ADDED MASTER PART #'S UPDATED ARM ANGLES INITIAL RELEASE DESCRIPTION 1/16/2017 1/04/2017 11/29/2016 rytiision V-STABILIZER KIT DOCUMENT NUMBER VSK-ENG-01-R2 nn/^nniFTA ni/ A MF\ ^-^^-^Mcir^FHTi A i -ri i^ , DUAL PV-VSK-B SET UP DUAL SETUP TOP PV-VSK-B STANDARD SETUP PV-VSK-B FLAT BRACE SETUP PV-SMU2080-01 OR PV-SMU2016-01 PV-VSK-2-T / PV-VSK-2-TL DUAL SETUP # " ^ DUAL SETUP FRONT |0000®ltt®0000 DUAL SETUP SIDE 4 OF 5 8/23/2021 THIRD ANGLE PROJECTIONIHS} 1:1 DIMENSIONS ARE IN INCHESTOLERANCES U.N.O.HOLES: +1/16", -1/32"ANGULAR: PROFILE±1/4°, BENDl2°ALL OTHERS: ±1/16" 01_Self Support 15_V-Stabilizer Kit PV-VSK-B_Stabilizer INT DJN APPROVED ADDED MASTER PART #'S UPDATED ARM ANGLES INITIAL RELEASE DESCRIPTION 1/16/2017 1/04/2017 11/29/2016 DATE V-STABILIZER KIT DOCUMENT NUMBER rV^ision VSK-ENG-01-R2 nn/-\nmi—r A nv A M r^ ^^Mr-ir^c-kiTi PV-VSK-B MINIMUM/MAXIMUM STANDOFF r-n-1/2" MINIMUM STANDOFF CONFIGURATION TOP VIEW MAXIMUM STANDOFF CONFIGURATION TOP VIEW 5 OF 5 8/23/2021 THIRD ANGLE PROJECTION 1:1 01_Self Support lERIES 15_V-Stabilizer Kit PV-VSK-B_Stabilizer ADDED MASTER PART #'S 1/16/2017 rydisian DIMENSIONS ARE IN INCHESTOLERANCES U.N.O.HOLES: +1/16", -1/32" ANGULAR: PROFILE ±1/4°, BEND±2°ALL OTHERS: ±1/16" INT UPDATED ARM ANGLES DJN INITIAL RELEASE APPROVED 1/04/2017 V-STABILIZER KIT 11/29/2016 DOCUMENT NUMBER DESCRIPTION VSK-ENG-01-R2 m 32 W 273 Army Trail Road, Suite # 100, Wayne, IL 60184 HUTTER TRANKINA ENGINEERING Phone: 630-513-6711 CONSULTING STRUCTURAL ENGINEERS htedesign.com June 11, 2024 Mr. Ary Utomo Terra Consulting Group, Ltd. 600 Busse Highway 2nd Floor Park Ridge, IL 60068-2568 Re: VZN: Iron River H Loc. # 5000022794 / Terra # 1242473 Hutter Trankina # 24097 Dear Mr. Utomo: Per your request, we have designed reinforcement the above-referenced tower, which is located at 67085 West Spider Lake Road in Iron River, Wisconsin. The following paragraphs summarize our fmdings. PURPOSE The purpose of this analysis was to design reinforcement for the existing tower to resist new and existing equipment loads as specified by Verizon. DESCRIPTION • Tower The tower is 380'-0" tail, 3-sided, 3 ft. wide guyed tower. The original tower is comprised of round solid members of different sizes. The original tower model was based on the PiRod drawings dated 1/3/85. • Tower Modifications The tower has been reinforced in 2017 and 2022. The tower modifications are based on drawings and analysis report by Edge Consulting Engineers Inc., and Fullerton Engineering Consulting LLC. dated 3/1/17 and 9/23/22, respectively. • Foundation The center guy mast is supported by a 2 ft. round pier that sits on is an 8 ft. square, 1.5' ft. thick, reinforced square footing that bears 4 ft. below grade. Reinforced concrete deadmans of different dimensions support the guy anchor points at 152 ft. and 304 ft. guy radii. Foundation information was obtained from the original drawings and soils report prepared by PiRod drawings and Edge Consulting Engineers Inc. dated 1/3/85 and 7/23/12, respectively. Page 2 June 11,2024 VZN - Iron River 11 Loc. #5000022794 TCG# 1242473 Hutter Trankina # 24097 ANTENNA CONFIGURATION The following antenna layout was employed in the analysis: Elevation 388' 380' 380' 370' 335.5' 31F-357' 302' 290' 281' 276' 260' 191' 191' 156' 94' Antenna or Appurtenance 20' Dipole Beacon Lightning Rod Commscope FFVV-65C-R3 Nokia AEHC Nokia AHFIG Nokia AHLOA Raycap RTH-2090-HC Raycap RNSNDC-7771-PF-48 Sector Mounts 21'Whip 6-Ring/Array Broadcast Antenna 6' Yagi Antenna Commscope NHH-65C-R2B Ericsson AIR 6419 Ericsson RRU 4490 Ericsson RRU 4890 Raycap RVZDC-3315-PF-48 Reinforced Sector Mfounts Beacons Andrew P6-65D-1 Dish 20' Dipole Beacon 20' Dipole 20' Dipole Beacons Otv. 1 1 1 3 QJ 3 3 3 3 3 1 1 1 6 3 3 3 2 3 3 1 1 1 1 1 3 Coax Dia. P/8" 0.6" P/8" 7/8" 2'/4" 7/8" ls/8" */2" EW63 7/8" 0.6 7/8" 7/8" ',2" CoaxOt^, 1 1 2 1 1 1 2 1 2 1 1 1 1 1 Comments Existing Existing Existing Existing Existing Existing Existing Existing Existing Existing Existing Proposed Proposed Proposed Proposed Proposed Proposed Existing Existing Existing Existing Existing Existing Existins Existing antenna and coax configurations were obtained firom the antenna inventory report prepared by HighTower Solutions, Inc. dated 4/12/24. Page 3 June 11, 2024 VZN-Iron River II Loc. #5000022794TCG # 1242473 Hutter Trankina # 24097 ANALYSIS PROCEDURE AiNB RESULTS The existing stmcture was subjected to the TIA/EIA-222-H Code standards. The following three (3) loading cases were considered: I. Forces due to an ultimate wind speed of 106 mph; II. Forces due to a wind speed of 50 mph in conjunction with 1.5" ice build-up around all elements; and HI. Service wind of 60 mph. The following stress ratios were determined: Tower Mast Foundation Guy Anchor Foundation CONCLUSION 104% 97%60% Based on the performed calculations, the existing tower will be structurally acceptable after the successful installation of the reinforcement shown on the attached drawing. Should you have any questions regarding this report or require further analysis, please feel free to contact us. Sincerely, '{iti^ Ulises Vazquez Project Engineer Attachment: S-l John L. Trankina President JOHNTRANKiNAENGiNEER A"%;>—^^k^OF^i^^^ "^'^.J....^'^' NOTE: SOME EXISTINGPIPE REINFORCEMENTNOT SHOWN FOR CLARITf DETAIL SCALE: 3/4"= 1'-0" EXISTING TOWER LEG EXISTING YzPIPE REINF R^L ^"V ^ WELD TOP & BOTTOM OF EXISTING Yi PIPE TO TOWERLEGS PER DETAIL 7/S-1 verizon 1701 Golf Road Tower 2, Suite 400 Rolling Meadows, IL 60008 July 10th, 2024 Mr. Tracey Pooler Planning & Zoning Department 117 E 5th Street, PO Box 58 Washbum, WI 54891 Re: Consent to Seek Zoning & Building Permit Approvals Verizon Wireless Site Name: Iron River II Address: 67085 W. Spider Lake Road, Iron River, WI 54847 Dear Mr. Pooler: On behalf of Verizon Wireless, tenant at the above-referenced property, please accept this letter and my signatu-e below as consent and approval for Terra Consulting Group., as well as their designated representatives including Mr. Jonathan Leeb, to make an application for all necessary zoning and building permit approvals from the County ofBayfield for the proposed equipment modification at the above site. Please feel free to contact me directly at (224) 384-9224 or by email at shawn.essex.jr@verizonwireless.com should you have any further questions regarding this request. Sincerely, S^UH^ (^S^^Cj4/.^Shawn Essex Jr Real Estate Specialist / Developer II IL/WI Network Engineering - Real Estate 1 Norvado 43705 US Highway 63 Cable, Wl 54821 800-250-8927 July llth, 2024 Mr. Tracey Pooler Planning & Zoning Department 117 E 5th Street, PO Box 58 Washburn, Wl 54891 Re: Consent to Seek Zoning & Building Permit Approvals at Site: 67085 W Spider Lake Rd, Iron River, WI, 54847 Dear Mr. Pooler: On behalf of Chequamegon Communications Cooperative, Inc d/b/a Norvado, please accept this letter and my signature below as consent and approval for Terra Consulting Group., as well as their designated representatives including Mr. Jonathan Leeb, to make an application for all necessary zoning and building permit approvals from the County of Bayfield for the proposed equipment modification to the existing Norvado owned mobile service support structure on the Norvado owned parcel located at the above mentioned address. Please feel free to contact me directly at (715) 798-7123 or by email at gfolsom@norvado.com if you have any further questions regarding this request. Sincerely, Guy Folsom Digitally signed by Guy Folsom ON: cn=Guy Folsom, c=US.o=Norvado, ou=Engin earing,email=gfolsom@norvado.comReason: I am the author of this Date: 2024.07.11 14:57:01 -05'00' Guy Folsom Senior Engineer/ Tower Asset Coordinator Chequamegon Communications Cooperative, Inc d/b/a Norvado ^ I F; ^ ? i JUL 2bZUZ4 PROCESSING INFORMATION a^^ ^ ^oning Dsp. INITIAL PROGESSING. Once the department receives your affidavit,, the: department will review it for completeness. If the information is not complete, the department may reject your affidavit .and the application, REQUEST FOR IV10RE INFORMATION. The department may request that you provide more information or evidence to support your affidavit. DECISION. The department will review ail documents sDbmitted. as part of the application for registration an.dtitte, this form included, and may approve, deny br.request more. information. AFFIDAVIT OF AUTHORITf _ , ,„ JQ^Q OR? (Corporation, LLC, etc.) ^ytieic 'u - PURPOSE. This Affidavit ofAuftiority is used to Gertffy the individual applying for a. permit is. authorized when the. property is owned by: a .corporate/business entity. .STATE QF WISCONSIN ) )ss. BAYFIELD COUNTY ): The. undersigned affirms and states as follows: 1; Address of Subject Property:. 6708S W Spider Lake Rd, Iron River,:WI, S4847 _.. 2. The SubjeSt Property is owned by; enequamegonCommunicattoris C.odperative, )nc: (Name of Company) 3.. The name(s) of the current President or Managing Member: ,ctiad T, Young CEO/General Manager 4. I certify that the company named jn pairagrsph 2 is. va.iid and in effect on the date signed below. I am the duly appointed agent of the Company named above in paragraph 2, and I have the authority under the .te-rms of said authorization to apply for permits from the Bayfield County Zoning Department concerning the.Property described :in paragraph 1,1 further certify that the information and statements made within this affidavit are frue, accurate, a nd complete to the best of. my knowledge. 5. I am authorized, by the.above-hamsd Company .to apply: foi- and bind the Company to the terms and conditions, bf any permit that may be issue by the Bayfield County Zoning Department. 6. By signing this affidavit, I attest that I am unaware of any known or unknown person (s) who would contest this applieation. I agi-e.e to jndemnify Bayfield County or such person or tegal entity suffering a damage resulting from any iilegalities of the appiication for permit. Dated:. 7/26/2024 ^— Chad T, Young Print Name Subscribed and sworn to.before.me this. :2Sth day of J^y _. 20:24 . .^H^^rZ..,- /€^\Notary Public: ^^ ^ County. Wisconsm ^ / i^ui^"' •^ Mv commission: -2; /7. /?/? ;? X _ $^t _...^.^ .?? \ls^'':. . .^'^/^i^"^B.*" Norvado July 26th, 2024 Mr. Tracey Pooler Planning & Zoning Department 117 E 5th Street, PO Box 58 Washburn, Wl 54891 Wj HUC9 "^ytieia co. /-ai^ iu/ ^ingDeot 43705 US Highway 63 Cable, Wl 54821 800-250-8927 Re: Consent to Seek Zoning & Building Permit Approvals at Site: 67085 W Spider Lake Rd, Iron River, WI, 54847 Dear Mr. Pooler: On behalf of Chequamegon Communications Cooperative, Inc d/b/a Norvado, please accept this letter and my signature below as consent and approval for Terra Consulting Group., as well as their designated representatives including Mr. Jonathan Leeb, to make an application for all necessary zoning and building permit approvals from the County of Bayfield for the proposed equipment modification to the existing Norvado owned mobile service support structure on the Norvado owned parcel located at the above mentioned address. Please feel free to contact Guy Folsom our Tower Asset Coordinator at (715) 798-7123 or by email at fifolsom@norvada.com if you have any further questions regarding this request. Sincerely, "y Chad T. Young CEO/General Manager Chequamegon Communications Cooperative, Inc d/b/a Norvado TaxID#:JW2 Land Use Review Address:^7oS^~ Inspected by: _^L Date of Inspection: Comments/Notes: J^Co ;^S(W-^A (Q^^^(S . ^1^^ -fo^<'./" V^> f^f°5<?c/ /^^Y^^^ Inspected by:Date of Re-lnspection: Comments/Notes: Denied by:Date of Denial: Reason for Denial: Approved by:IA\e^s<h^ Hal Inspector Signature:Date of Approval:7/z^ Condition(s): See attached permit card. 7/16/24, 12:24 PM hcs.paylocalgov.com/Receiptlnfo/Receiptlnfo/24071612199972BC4131324071612199 CATAL15 Payment Receipt Your transaction has been successfully completed!! Your Confirmation number is : Transaction ID: 24071612199972BC4131324071612199 Tuesday, 16 July 2024 12:22:00 [CST] Parcel Number: 19478 $500.00 Account Information Payment Type: Permit Payments Bill Payer Details Peter Schau 600 Busse Highway Park Ridge, IL 60068 Payment Details Payment Amount: $500.00 Convenience Fee: $11.90* Total Amount: $511.90 Payment Method: Card Number: XXXXXXXXXXXXX4861 Expiration date: 07/2027 ' 2024 Value Payment Systems, LLC. | https://hcs.paylocalgov.com/Receiptlnfo/Receiptlnfo/24071612199972BC4131324071612199 Town, City, Village, State or Federal Permits May Also Be Required Shoreland LAND USE-X SANITARY - SIGN - SPECIAL - CONDITIONAL - 84-6271 BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 24-0330 Tax ID: 19478 Issued To: Chequamegon Telephone Co-Op Inc Location: 818 - T47N - R08W Town of Iron River Legal Description: PAR IN SW SE IN V.408 P.1 & PAR IN LOT 3 IN V.407 P.391 Commercial Structure in Industrial zoning district For: Class 2 Mobile Tower Collocation on Existing Mobile Support Structure; Height of 380' (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): Town/State/DNR/Federal may require permitting. Height of structure not to be increased. To be constructed per plan. NOTE: This permit expires two years from date of issuance if the authorized construction Alessandro Hall, AZA work or land use has not begun. Authorized Issuing Official Changes in plans or specifications shall not be made without obtaining approval. This permit may be void or revoked if any of the application information is found to have been misrepresented, erroneous, or incomplete. July 26, 2024 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.