Morrisville UDO Administrative Manual - July 2016

Part 4 Appendices 4.5 Checklists

Telecommunications Facility Collocation/Modification Submittal Checklist For each listed item, check (√) if provided, write “n/a” if the feature does not exist or is not proposed, and write “w” if a waiver from the requirement is justified because it is unnecessary in the particular case to determine compliance with applicable regulations. Staff Use Only √, n/a, or w Application Submittal Requirement √, n/a, or w

7

North arrow

8

Graphic and numeric scale

C

Other

1 A statement on letterhead from a qualified individual that the applicant will comply with all FCC rules regarding human exposure to radio frequency (RF) energy, along with the individual’s qualifications 2 A statement on letterhead from a qualified individual that the applicant will comply with all FCC rules regarding RF interference 3 A structural certification by a Registered Professional Engineer that the facility complies and will continue to comply with EIA/TIA-222-G (as amended) for Wake County, NC 4 Supplemental information may be requested for purposes of clarify or confirmation

Telecommunications Facility New Tower

New Telecommunication Facility Construction Plan Approval for a Site Plan (Major or Minor) Submittal Checklist For each listed item, check (√) if provided, write “n/a” if the feature does not exist or is not proposed, and write “w” if a waiver from the requirement is justified because it is unnecessary in the particular case to determine compliance with applicable regulations. Staff Use Only √, n/a, or w Application Submittal Requirement √, n/a, or w A Documents to be Submitted

1 This completed checklist 2 Completed application

3 Completed application fee schedule and fee payment 4 Sets of plans – stapled, collated, and folded (8 copies)

5 Elevation and bench marks referenced to National Geodetic Vertical Datum (NGVD) 6 Compact disc of plans with a PDF of each submitted plan sheet and all reports/documents 7 Request for No Practical Alternatives Determination / Request for Buffer Authorization (for any proposed impacts to riparian buffers)

8 Copy of all stream determinations & signed JDs (jurisdictional determinations) 9 No Rise flood study, copy of any CLOMR or LOMR, & Elevation Certificate 10 Stormwater Report B Base Information for Each Plan Sheet

1 Name, address, telephone number, and fax number of Engineer, Architect, or Landscape Architect licensed in the State of North Carolina responsible for the plans 2 Date of drawing preparation and all revision dates 3 Sheet number and title 4 North arrow (except detail and elevation sheets) 5 The scale of the drawings listed in feet per inch in both graphic and numeric scale. Engineering scale no smaller than 1” = 10’ and larger than 1” = 50’ is recommended (except detail & elevation sheets) 6 Seal and signature of Registered Design Professional registered in the State of North Carolina 7 Name of the site in title block 8 Project number and file number in lower right hand corner (numbers assigned once project submitted) C Cover Sheet Information 1 Name of proposed facility and “Construction Plan” or “Site Plan /Construction Plan” if combined review

July 1, 2016 Page 4-78

Morrisville, NC

Administrative Manual