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Home My WebLink About4981 Pole 158-1 Windemere Rd Antenna Node License 4859061 Form 1 APPLICATION AND POLE ATTACHMENT LICENSE ANTENNA / NODE LICENSE Licensee New Cingular Wireless PCS, LLC / AT&T - 15351214 Street Address 550 Cochituate Rd., 2nd Floor City, State and Zip Framingham, MA 01701 Date 12/10/2020 In accordance with the terms and conditions of the CONSTRUCTION REQUIREMENTS FOR DISTRIBUTED ANTENNA SYSTEMS (DAS) ON DISTRIBUTION POLES AGREEMENT, application is hereby made for a license to make 2 Antenna (Node) Attachment to pole and 1 _________Power Supply and ____1___ other attachments located in the municipality of West Yarmouth/Barnstable in the State of Massachusetts. This request will be designated Pole Attachment License Application Number 15351214 - cRAN_RCTB_MCAPE_110. Attached are my power supply specifications if applicable. The cable’s strand size is______1/2”_______ and weight per foot of cable is_____0.12_______. Licensee's Name (Print) _Jilian Fancher Signature _________________________________________ NSTAR_d/b/a EVERSOURCE Power Company Title Site acquisition Specialist Tel. No. _508-813-1614________________________ __ Fax No. 617-249-0819_________________________ ___ E-mail jfancher@clinellc.com____________________ __ *********************For licensor use, do not write below this line***************** Pole Attachment License Application Number 15351214 - cRAN_RCTB_MCAPE_110_is hereby granted to make 1 Antenna / Node attachment described in this application to attachments to JO1 pole___________ attachment to FO2 pole, attachment to JU3 pole,________ Power Supplies and _____other attachments located in the municipality of West Yarmouth/Barnstable, in the State of Massachusetts as indicated on the attached Form 3. Licensor's Name (Print) ____________________________ Signature _______________________________________ _______________________ (AGREEMENT ID #) Title __________________________________________ Date __________________________________________ Tel. No. _________________________________________ 4859061 1 Richard A. Comeau Supervisor 5/6/2021 FA 15351214 USID 295392 Billing Please send monthly electric bills to: AT&T Mobility c/o Engie Insight – MS7372 P. O. Box 2456 Spokane, WA 99210-2456 Bill email: attlivebills.impact@engie.com Please include FA #15351214 on the bill. Please continue to send make ready and survey fees as you currently are. Form 2 AUTHORIZATION FOR FIELD SURVEY WORK Licensee: New Cingular Wireless PCS, LLC In accordance with Article III & Appendix I of the Pole Attachment Agreement, following is a summary of the charges which will apply to complete a field survey covering Pole Attachment License Application Number 15351214 - cRAN_RCTB_MCAPE_110 in the municipality of West Yarmouth/Barnstable in the State of Massachusetts. FIELD SURVEY CHARGES Field Survey #Poles Unit Rate Total Field Survey Application Fee 1 pole $139.00 $ 139.00 (includes 1st pole) Field Survey 2 -200 Poles ___0___ $ 13.45 per Pole $_______ Additional Travel Time* $200.00 per Day $______ $______ TOTAL Charges $ 139.00 * Based on average of 75 poles surveyed per day, add $200.00 travel time for each additional day required to complete survey. Please note, if you calculated the cost incorrectly, your check will be returned and a new check for the correct amount must be received by this office in order to schedule the survey. If you need assistance, please call the HOTLINE on 800-340-9822. The required field survey covering Pole Attachment License Application #15351214 - cRAN_RCTB_MCAPE_110 is authorized. I am enclosing an advance payment in the amount of $ 139.00. Licensee's Name (Print) Jilian Fancher Agent for New Cingular Wireless PCS Signature _____________________________ Title Site Acquisition Specialist Address 750 W. Center St., Suite 301 West Bridgewater, MA 02379 Tel. No. 508-813-1614 Date: 12/10/2020 FORM 3 – EVERSOURCE ITEMIZED Pole Make-Ready Work Charges PAGE__1_ OF__1_ RCE to Complete: Total Poles Surveyed _______ Total Poles Requiring NSTAR Make-Ready _____ Appendix IV Form 3 FIELD SURVEY / MAKE READY WORK FORM SURVEYORS: DATE OF SURVEY: CWO #: Verizon MUNIC: Barnstable STATE: MA Exch Code: Munic Code: Licensee New Cingular Wireless PCS LLC LICENSEE NAME: New Cingular Wireless PCS LLC LICENSEE APPLICATION #: 15351214 - cRAN_RCTB_MCAPE_110 EVERSOURCE ELCO NAME: EVERSOURCE NSTAR APPLICATION # LOCATION POLE # ATT OWNERSHIP CHARGE WORK DESCRIPTION TEL RTE / STREET NAME Tel El F/C J.O. J.U. F.O. YES NO TASK #S / * Height List one pole per line P.S. Riser Tel El Tel El Tel El REMARKS of Att. 9 Windemere Rd, West Yarmouth, MA 41.646843, -70.255867 158 /1 VZ Comm mounted antenna install, currently proposing top of antenna at 21’8” but if pole to be replaced, will shift. Bottom of shroud mounted at 10’9” and center of meter at 8’ CL 20’8” * * * * TOTALS: • Height of Attachment = Height of Licensee Attachment shall be 40” below ELCO MGN unless otherwise noted here by Verizon and EVERSOURCE surveyor. Licensee to complete bold italicized areas only. ( Provide ownership information if known ) X 1 4'-2"± 1'-1"±10"± 1'-4"± 6"± 6'-4"±2'-2"± 8"±OVERHEAD VIEWSITE PHOTO24"x36" SCALE: 1"=3'11"x17" SCALE: 1"=6'ELEVATION6'06'12'DRAWN BY:APPROVED BY:CHECKED BY:DATEDESCRIPTION REVISSUED BYSITE NAME:USID:SHEET NUMBERSITE ADDRESS:FA LOCATION:SUBMITTALSTHE INFORMATION CONTAINED IN THIS SET OF DOCUMENTS IS PROPRIETARY BYNATURE. REPRODUCTION, CAUSING TO BE REPRODUCED THE WHOLE OR ANY PART OFTHESE DRAWINGS, OR ANY MODIFICATION, WITHOUT THE PERMISSION OF THELICENSED PROFESSIONAL ENGINEER IS A VIOLATION OF THE LAW.SHEET TITLELE-1N O T F O R C O N S T R U C T I O N LOCATION / SITE MAPELEVATIONWINDEMERE ROADSITE INFORMATIONLAT: 41.646843LONG: -70.255867POLE NUMBER: 158/1POLE OWNER: EVERSOURCE ENERGYLEASE EXHIBIT2953929 WINDEMERE ROADWEST YARMOUTH, MA 0267315351214CRAN_RCTB_MCAPE_11010/29/2020PERMITTINGA LWWAAKAAKLWWSITEPROPOSED (1) 8' GROUND ROD (5/8" DIA)WINDEMERE ROAD0'-0"±GRADEEXISTING UTILITY POLE #: 158/121'-8"±TOP OF PROPOSED ANTENNA 32'-7"±TOP OF EXISTING POLE19'-1"±CENTER OF PROPOSED SIDE MOUNT 32'-0"±EXISTING PRIMARY ATTACHMENT25'-8"±EXISTING SECONDARY ATTACHMENT22'-2"±EXISTING SPAN/HEAD ATTACHMENT23'-6"±EXISTING LIGHT ATTACHMENT19'-9"±EXISTING COMM ATTACHMENT20'-10"±EXISTING COMM ATTACHMENT20'-8"±RAD CENTER OF PROPOSED ANTENNACOLOR / TEXT INDEXEXISTINGPROPOSED NEWWINDEMERE ROADPROPOSED (1) METER WITH MAIN BYPASSPROPOSED (1) #2 AWG COPPER GROUND WIRE INSIDE 1/2"UV RATED PVC CONDUIT (TO BOTTOM OF PROPOSEDMETER) (TO BE USED FROM ANTENNA TO METER)PROPOSED (1) #2 AWG COPPERGROUND WIREPROPOSED 2" UV RATED U-GUARDPROPOSED (3) #6 AWG WIRES INSIDEPROPOSED (1) 1-1/4" MIN SCH. 40 PVC CONDUIT(UV RATED)PROPOSED (1) WEATHERHEAD (6-INCHESBELOW SECONDARY ATTACHMENT)PROPOSED FIBER FROM EXISTING SOURCE (ROUTINGTBD) IN PROPOSED 2" UV RATED U-GUARDPROPOSED GALTRONICS GQ2412-06613 ANTENNAWITH SCSM2 SIDE MOUNTING BRACKETPROPOSED (1) 100AMP 1-PHASE DISCONNECTLOAD CENTER WITH (3) 20AMP 2-POLE BREAKERS8'-0"±CENTER OF PROPOSED METERPROPOSED (1) RADIO CABINET12'-10"±CENTER OF PROPOSED RADIO CABINETPROPOSED DEMARC BOX BY FIBER PROVIDER,CONNECTED TO FIBER ABOVE BY FIBERPROVIDER12/08/2020PERMITTINGB LWW LOW698-896+45/-45-++45/-45-++45/-45-HIGHAWS/WCS/PCSHIGHAWS/WCS/PCSCBRS3550-3700+45/-45CBRS3550-3700+45/-45UNII5150-5925+45/-45-+GQ2412-06613+-+-+TxRx1 TxRx2 TxRx3 TxRx4LTE RRUS-4449B5/B12PSUTxRx1 TxRx2 TxRx3 TxRx4LTE RRUS-44151900PSUFIBER DEMARCATIONBOXAC CUT OFFDARK FIBER HUBAC SOURCEN.T.S.CABLE WIRING DIAGRAMWEIGHT: 30.9 LBSVOLUME: 2.41 CF2'-1"1'-3"NOTICERF energy emitted by this device may exceed FCC's general publicexposure limits. Stay at least 1 foot away from the device.Call 800-638-2822 for help if you need access within 1 foot.N.T.S.OMNI CANISTER ANTENNAGALTRONICS GQ2412-06613RF energy emitted by this antenna may exceed the FCC'sexposure limits for the general population.Stay at least 1 feet away from the antenna.Call at&t at 800-638-2822, option 9 then 3, for help if youneed access within 1 feet.NOTICE2.5"x6.5" NOTICE DECAL:2 NOTICE SIGNS MUST BE PLACED OPPOSITE EACHOTHER ON THE ANTENNA. CAN BE ORDERED THROUGHSTONEHOUSE, PART #RD899.N.T.S.SIDE MOUNT BRACKETCOMMSCOPE SCSM2WEIGHT: 19.31 LBS5" 9"2'-0"4'-2"2'-3"2'-6"AT&T operates antennas at this structure.Above this point you are entering an areawhere radio frequency (RF) fields mayexceed the FCC Occupational exposurelimits.Follow safety guidelines for working in anRF environment.Keep 12 ft. away from the fronts of theantennas.Contact AT&T at 800-638-2822, opt. 9, 3and follow their instructions prior toperforming any maintenance or repairsabove this point.Cell Site USID_________STONEHOUSE R893R25CAUTION10.25"x10.25" NOTICE DECAL:2 CAUTION SIGNS MUST BE PLACED OPPOSITE EACHOTHER ON THE SHROUD. CAN BE ORDERED THROUGHSTONEHOUSE, PART #893RPE-7.N.T.S.SH60-503027XNE7 SHROUDCHARLESWEIGHT: 153 LBSVOLUME: 23.44 CFDRAWN BY:APPROVED BY:CHECKED BY:DATEDESCRIPTION REVISSUED BYSITE NAME:USID:SHEET NUMBERSITE ADDRESS:FA LOCATION:SUBMITTALSTHE INFORMATION CONTAINED IN THIS SET OF DOCUMENTS IS PROPRIETARY BYNATURE. REPRODUCTION, CAUSING TO BE REPRODUCED THE WHOLE OR ANY PART OFTHESE DRAWINGS, OR ANY MODIFICATION, WITHOUT THE PERMISSION OF THELICENSED PROFESSIONAL ENGINEER IS A VIOLATION OF THE LAW.SHEET TITLELE-2N O T F O R C O N S T R U C T I O NEQUIPMENTDETAILS2953929 WINDEMERE ROADWEST YARMOUTH, MA 0267315351214CRAN_RCTB_MCAPE_11010/29/2020PERMITTINGA LWWAAKAAKLWW12/08/2020PERMITTINGB LWW N.T.S.RRUS 4415 RADIOERICSSON1'-5" 6 "1'-2"WEIGHT: 74.9 LBSQUANTITY: 1 - 4449 RADIOWEIGHT: 46 LBS (EXCLUDING HARDWARE)QUANTITY: 1 - 4415 RADIO1'-6"1'-1"10"N.T.S.RRUS 4449 RADIOERICSSON WEIGHT: 9.7 LBS9"4"1'-1" 1'-7"10"5"N.T.S.U2272-RL-5T9-BL METERMILBANKWEIGHT: 16.3 LBSN.T.S.SQUARE D QO8L100RB LOAD CENTERDRAWN BY:APPROVED BY:CHECKED BY:DATEDESCRIPTION REVISSUED BYSITE NAME:USID:SHEET NUMBERSITE ADDRESS:FA LOCATION:SUBMITTALSTHE INFORMATION CONTAINED IN THIS SET OF DOCUMENTS IS PROPRIETARY BYNATURE. REPRODUCTION, CAUSING TO BE REPRODUCED THE WHOLE OR ANY PART OFTHESE DRAWINGS, OR ANY MODIFICATION, WITHOUT THE PERMISSION OF THELICENSED PROFESSIONAL ENGINEER IS A VIOLATION OF THE LAW.SHEET TITLELE-3N O T F O R C O N S T R U C T I O NEQUIPMENTDETAILS2953929 WINDEMERE ROADWEST YARMOUTH, MA 0267315351214CRAN_RCTB_MCAPE_11010/29/2020PERMITTINGA LWWAAKAAKLWW12/08/2020PERMITTINGB LWW