Fillable 1361 Tower Co Location Application

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1361 Tower Co Location Application

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Hanover County
EMERGENCY COMMUNICATIONS DEPARTMENT
Hanover County Tower Co-Location Application
Name of firm or company making the request ________________________________
Name of the Company that will be co-locating _______________________________
Name of the person making the request ______________________________________
Telephone # ________________ Fax # ___________ E-mail ____________________
Mailing Address ________________________________________________________
GPIN of the tower site desired to co-locate on ________________________________
Street Address for the site ________________________________________________
Type of antenna to be used _________________ Elevation Required _____________
Frequency Band to be used _______________________________________________
Reason for selecting this tower ____________________________________________
_____________________________________________________________________
Additional utilities, equipment or structures required for the site
_____________________________________________________________________
Preliminary time line for the project (start and finish dates, from date of
approval)_____________________________________________________________
A preliminary site design drawing must be attached
Signature of Requestor _________________________ Date ____________________
Office Use Only------------------------------------------------------------------------------------
Check List:
_____ Completed Application ______ Structural Analysis _____ Inter-Mode Study
____ Site Plan Drawings ______ Environmental Study _____ CUP
____ Site Plan Process ______ Building Permit _____ Executed Agreement
____ Project Complete Date Completed ______________
Page 1 of 3
HCEC 9/1/11
Hanover County
EMERGENCY COMMUNICATIONS DEPARTMENT
Procedure for Tower Site Co-Location
The following procedure shall be used for consideration of any request for co-location
of equipment on a County facility by a private company.
1) The applicant shall obtain and complete a Hanover County Tower Co-Location
Application Form, which shall include, but not be limited to the following information:
a. The name and address of the person and company/firm making the request.
b. The name of the company that desires to co-locate equipment on the County
facility.
c. The GPIN and address of the Hanover County tower site proposed for the colocation.
d. The reason for the use of that particular facility.
e. The proposed frequency band of the equipment and a description of the
equipment.
f. The type of antenna to be used and the requested antenna height.
g. The proposed time line for the project.
h. A preliminary site design drawing, including any features to be added to the
facility or the site of the facility.
i. A description of any additional utilities, structures or equipment required at
the site.
j. The name, telephone number, fax number, e-mail address and mailing
address of the contact person.
2) After the application has been submitted to the Department of Emergency
Communications, the applicant shall:
a. Perform a structural analysis on the facility, analyzing the effect of the
proposed additional equipment, and provide the results and a complete
written report prepared by a qualified professional, to the County.
b. Perform an inter-modulation study to assess potential interference issues in
relation to the County’s Public Safety Communications System or any other
equipment that may be located on the facility, and provide the results and a
complete written report prepared by a qualified professional, to the County.
Page 2 of 3
HCEC 9/1/11
Hanover County
EMERGENCY COMMUNICATIONS DEPARTMENT
Procedure for Tower Site Co-Location Con’t
c. Perform an environmental study of the site, if a new building or structure will
be required, and provide the results and a complete written report prepared
by a qualified professional, to the County.
d. Submit a grounding plan to the County.
e. Enter into a co-location agreement, including provisions for maintenance,
with the County.
f. Obtain a Conditional Use Permit, Building Permit, and any other applicable
federal, State or local permits, approvals or licenses.
g. Pay all costs for the County’s Consultant/Engineer to review the application,
advise the County staff and oversee the project on behalf of the County. A
deposit in the amount of the estimated cost of the consultant’s services shall
be paid to the County at the time of submission of the first report referred to
above, and prior to any County consideration of the application. If the
deposit is less than the amount of all such cost, the applicant shall pay the
amount of the shortfall to the County within fifteen days of the date of
written request. If the costs are less than the deposit, the excess amount shall
be refunded to the applicant following completion of consideration by the
County.
h. Contact for the Emergency Communications Department: Curtis Shaffer,
Director, 804-365-6140; cjshaffer@co.hanover.va.us; Emergency
Communications Department P.O. Box 470, Hanover, Va. 23069
Page 3 of 3
HCEC 9/1/11
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1361 Tower Co Location Application

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Completed 12 July 2020

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