RE: CROWN CASTLE WIRELESS COMMUNICATIONS FACILITIES IN PUBLIC RIGHT-OF-WAY Crown Site: CA-PHS07m2 Address: 355 Jerome Ave. Piedmont, CA Applicant: Crown Castle NG West LLC / SureSite Consulting ENGINEER: Mountain LTD Mike Rivera 19 Yarmouth Dr. Ste. 301 New Gloucester, Maine 04260 Project Description and Statement Crown Castle NG West LLC ("Crown Castle") is submitting the accompanying complete application to install its telecommunications network facilities in accordance with your code, ordinances and regulations. Crown Castle is proposing to install a Small Cell wireless facility on an existing utility pole in the PROW. Install strand mount kit #006d on existing utility pole. Install (1) db362nxd3s-m db spectra antenna. Install (2) ak009a shroud kits with (4) ericsson 2203 radios inside at 9' 6". Install 2" schedule 80 power feed riser (flush mounted to pole). Install 4" schedule 80 comm riser (flush mounted to pole). Iinstall smart meter at 7'-0". Install power disconnect at 8'-6". Install vertical ground rod. Crown castle fiber at 24'-0"· Install (1) 16m down guy 1'' anchor rod 15' lead west. There is no noise producing equipment being proposed at this pole location. Top of pole will remain at 38’-6” after installation. All proposed equipment on wood pole will be painted to match the existing color of the wood pole. Paint finishes are non-reflective to minimize visual impact and durable for outside installation. Crown has made all efforts necessary to make all equipment stealth as possible. A telecommunications facility mounted to existing poles, whether streetlight or utility poles, qualifies as a collocation, regardless of whether the pole hosts an existing facility. As the FCC recently declared, “for the purposes of the Section 332 shot clocks, attachment of facilities to existing structures constitutes collocation, regardless whether the structure or the location has previously been zoned for wireless facilities. Crown considers this application a collocation. Crown Castle has agreed to allow co-locations at this facility for future carriers. The current equipment design is based off a single carrier. Per Public Works Excavation permit, our traffic control plans provide details regarding traffic coordination during construction. Crown will aim to minimize the impact to traffic and circulation by scheduling work during low traffic times and days. Once approval is obtained, a construction schedule can be provided. Per EME Study provided two sectors of the antenna will be used. The third sector will not be used at this location. Crown Castle is a public utility that is authorized by the FCC and the California Public Utilities Code § 7901 that grants a statewide franchise to telephone corporations to place telephone equipment in the public rights of way. This site is in compliance with FCC standards. Crown Castle provided an EME study which complies with the prevailing standards for limiting public exposure to radio frequency energy and will not for this reason cause a significant impact on the environment. The highest calculated level in publicly accessible areas is much less than the prevailing standards allow for exposures of unlimited duration. Crown Castle’s finding are consistent with measurements of actual exposure conditions taken at other operating nodes. All construction activities comply with the recommendations of the arborist report as it pertains to protection of the existing trees, shrubs, and root systems related. Construction crew to follow procedures entailed within report to ensure no damage will occur per the arborist notes. All efforts will be made to restore landscaping to the original condition.

The site of the proposed facility is located in a public right-of-way. This particular location falls within Zone A. We are utilizing existing infrastructure that is designed specifically to a "minimum functional height”. These small cell facilities designs are only intended to cover a small area, and presents the least visual impact possible to the community. This project will provide improved wireless telecommunication service to the surrounding Piedmont area. Please be advised the Federal Communications Commission (FCC) has adopted Rules and Regulations that impact how you must process this application. In addition, state law also limits your regulation of Crown Castle's access to the public rights of way. Pursuant to the California Public Utility Commission, Crown Castle has been granted a certificate of public convenience and necessity ("CPCN"). As a result, Crown Castle must be granted access to the public rights of way in the same manner and on the same terms applicable to other certificated telecommunications providers and utilities. The PUC is the lead agency under CEQA, not the City. As the PUC determined, and as the courts have repeatedly held, these facilities are exempt from CEQA under the Class 3 Exemption. (Aptos Residents Association v. County of Santa Cruz (2018) 20 Cal.App.5th 1039.)

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RECEIVED BY

DATE FILED TEL: (510) 420-3050

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Three (3) sets of plans drawn to scale must be submitted with this application for an initial staff review for completeness.

Eight (8) additional sets of plans may be requested by city staff if this application is to be heard by the Planning Commission and/or the City Council.

Please indicate what steps you have taken to discuss this project with City staff prior to submittal, if applicable: Detailed Description of Proposed Project: Please provide a detailed description, including existing and proposed equipment, intended type(s) of service, transmission and receiving/uplink signal frequencies, radio power, effective radiated power, construction requirements (construction phasing, staging, construction route, equipment to be used, estimated off-haul and/or fill quantities, and duration of construction), variances, and/or exceptions required: Please attach additional pages, as needed.

See attached project description and statement

This site is part of a 19 node mediation process in the federal court and has been discussed at length.

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PART A: Applicant Information:

The applicant shall submit and maintain current at all times basic contact information set forth below. The applicant shall notify City of any changes to the information submitted within fifteen (15) calendar days following any such change. Include the identity, including name, address, email, and telephone number of the owner of the proposed wireless facility, including official identification numbers and FCC certifications and, if different from the owner, the identity of the person or entity responsible for operating the proposed wireless facility:

Name of Commercial Wireless Provider (e.g. AT&T, Sprint, T-Mobile, Verizon, etc.):

Company Name:

Contact Person at Company:

Company Address:

City State Zip

Office phone #: Mobile Phone #:

Fax #: Email Address:

Project Applicant (e.g. the wireless provider’s agent or neutral host carrier):

Company Name:

Contact Person at Company:

Company Address:

City State Zip

Office phone #: Mobile Phone #:

Fax #: Email Address:

Agent’s Prof. License #: Expiration Date:

Piedmont Business License # of Agent: Expiration Date: (Please contact the City Clerk at 510-420-3040 for Piedmont Business License information.)

Property Owner Information:

Property Owner Name:

Mailing Address:

City State Zip

Office phone #: Mobile Phone #:

Fax #: Email Address:

Name, address, email, and telephone number of a local emergency contact person: ________________________________________________________________________________________________________________________________________________________________ ________________________________________________________________________________

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1. Purpose of Wireless Facility:

Is the proposed wireless communications facility to be used for the provision of “personal wireless services” as defined by 47 U.S.C. Section 332(c)(7)(C)(i) on a sole or comingled basis?

No. Specify the type(s) of wireless communications services to be provided using the proposed facility: __________________________________________________.

Yes. Specify the type(s) of personal wireless services: _____________________ _____________________________________________________________________.

2. Type of Application:

Please check the applicable box(es) and provide the information required below as an attachment to this Application, along with a written explanation identifying the facts relied upon to support the claimed treatment.

Eligible Facilities Requests. Applicant asserts that the application qualifies as an “eligible facilities request” (EFR) (as defined in 47 CFR § 1.6100(b)(3), or any successor provision). Applicant shall submit the information required in the Application Requirements Part C, Section I below. The applicable FCC shot clock is sixty (60) days.

Collocation – Small Cell Facility (Existing Structure). Applicant asserts that the application is being submitted for approval of a Collocation of a Small Wireless Facility, that is, the proposed facility both meets the definition of “small wireless facility” and is a “collocation” (both as defined by 47 C.F.R. § 1.6002). Replacements of existing structures are not “collocations”. Applicant shall submit the information required in Part B and the Application Requirements Part C, Section III below. The applicable FCC shot clock is sixty (60) days if application is submitted when FCC 18-133 is in effect.

Small Cell Facility (New Structure). Applicant asserts that the application is being submitted for approval to deploy a Small Wireless Facility (as defined by 47 C.F.R. § 1.6002(l)) involving placement of a new structure. Replacements of existing structures are considered new structures. Applicant shall submit the information required in Part B and the Application Requirements Part C, Section III below. The applicable FCC shot clock is ninety (90) days if application is submitted when FCC 18-133 is in effect.

Other Wireless Facility Expressly Permitted by State or Federal Law to be in the ROW. Applicant asserts that the application is being submitted for approval of a type of wireless services facility that applicable state or federal laws expressly permit to be in the City’s public rights-of-way. If you checked this box, please attach an explanation of the basis for your assertion, including citations to supporting law, and state what FCC shot clock you assert applies to this application, if any. Submit the information required in the Application Requirements Part C, Sections III and IV below.

Permit Renewal. Applicant asserts that the application is being submitted for a renewal of an existing wireless encroachment permit or predecessor permit. If you checked this box, please submit a copy of the original permit, any prior renewals or extensions thereof, and the information required in the Application Requirements Section Part C, Section II, below.

Also check the following Exception Request box, if applicable to your application.

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Exception Request. Applicant asserts that its application includes an exception request. Applicant shall include a request for an exception, as set forth in Section 17.46.080.D (2) of the Piedmont City Code, and any additional information required in the Application Requirements Part C, Section IV, below. A request for exception may be submitted at a later time if it is determined that the proposed facility, as originally submitted, will not meet the requirements and restrictions of the City Code.

3. Application Fees and Deposits:

Applicant shall pay all applicable fee deposit(s) in the amounts established by the current fee schedule. In the event applicant has pre-paid all or a portion of applicable fees, please include a copy of the receipt from that transaction.

4. Franchises, Authorizations and Licenses:

To have a complete application, the applicant must have: (a) authorization to use the public rights-of-way; (b) licenses to provide proposed services; and (c) authorization to use the proposed structure¹.

a) Does applicant have an existing franchise or other authorization to place wireless facilities in the public rights-of-way? No.

If no, the application will be considered incomplete. Yes.

If yes, explain source of applicant’s right to use the public rights-of-way and submit related documentation.

b) Has applicant obtained all applicable licenses or other authorizations to provide the services proposed in connection with the application, whether required by the Federal Communications Commission, California Public Utilities Commission, or any other agency with authority over the proposed services?

No. Yes.

If yes, submit related documentation such as FCC licenses or authorizations, a certificate of public convenience and necessity or a wireless identification registration (WIR) from the California Public Utilities Commission.

c) Is proposed wireless facility to be attached to a structure owned or controlled by a third party (not the owner of the proposed wireless facility)?

No. Yes.

If yes, identify the owner as one of the following: The City Other:___________ (insert name)

If you selected Other in question 4(c), provide a copy of the authorization or license to use the structure.

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If you selected the City, select one of the following:

I have a master license or other agreement with the City for use of the facility. [If you check this box, provide the document.]

I have no license or other agreement, but I am applying/have applied for one. [If you check this box, the application must be provided, along with payment or proof of payment of required fees.]

By checking this box and signing below, you acknowledge and agree that the wireless communication facilities permit applied for is not a substitute for a license or other agreement to use the City facility and must be separately applied for; that any deadline for action on that application will not begin to run until the complete application is submitted; and that this wireless permit application will remain incomplete until and unless a complete application for a license or other agreement is submitted to the City..1

Agreed:_________________________________ Date:_______________

5. Existing Facilities:

If the project is an “upgrade” to an existing facility, please identify any of the following descriptions that apply:

a) Replacement of antenna(s): Yes No number b) Addition of antenna(s): Yes No number c) Replacement of feed line(s): Yes No number d) Addition of feed line(s) and/or risers: Yes No number e) Replacement of ground-mounted equipment: Yes No number f) Addition of ground-mounted equipment: Yes No number g) Changes to access, parking, or landscaping: Yes No h) Increase in the height of freestanding tower: Yes No i) Replacing wireless tower or foundation: Yes No j) Changes to conceal or camouflage exterior: Yes No k) Changes to, or new, excavation or boring: Yes No l) Other (describe):

6. High Fire-Threat District:

Is the proposed wireless facility in a High Fire-Threat District (HFTD) (as demarcated on the current version of the California Public Utility Commission Fire-Threat Map)?

No. Yes.

If you answered yes to this question, please answer the following:

a) Identify the structure or proposed structure on which the facility will be attached, and the owner of the structure: ___________________________________________

1We encourage informal discussions with respect to use of City-owned or City-controlled facilities prior to filing an application.

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_______________________________________________________________________________________________________________________________________.

b) Check one of the following:

The facility is being installed on a structure that applicant contends is, or will be, under the jurisdiction of General Order 95 (“GO 95”), or GO 165, or GO 166.

The facility is NOT being installed on a structure that applicant contends is, or will be, under the jurisdiction of General Order 95 (“GO 95”), or GO 165, or GO 166.

i. If the facility is being installed on a GO 95, 165, or 166 structure, attach sworn statements by qualified experts attesting to: (1) the specific HFTD in which the wireless facility will be located; (2) whether the structure has been inspected by qualified experts for compliance with all applicable General Orders; (3) whether the structure, any existing facilities, and any planned structures and facilities would comply with standards for placement on structures in an HFTD; and (4) whether all required Fire Prevention Plans are in place. If existing or proposed structures or facilities are or will be non-compliant in any respect, the application shall identify steps proposed to ensure the structure and existing and proposed facilities are compliant.

ii. If the facility is NOT being installed on a GO 95, 165, or 166 structure, submit sworn statements by qualified experts attesting to: (1) the specific HFTD in which the wireless facilities will be located, as demarcated on the current version of the California Public Utility Commission Fire-Threat Map, if applicable; (2) a description of the steps the applicant has taken to reduce hazards to public safety, including fire safety hazards, that may be caused by the proposed wireless facility; and (3) the steps applicant proposes to take to maintain the safety of the wireless facility, which steps shall be at least as rigorous as if GO 95, 165, and 166 applied.

7. Height:

What is the maximum height (measured from lowest adjacent grade) of the new or replacement antenna, pole and/or equipment? feet inches

(Please be aware of the maximum height from grade for each zone in which the wireless communication facility is located, including existing structures or facilities to which the antennae are proposed to be mounted.)

8. California Environmental Quality Act (CEQA):

Do you believe the project is exempt from CEQA? Yes No If yes, please cite the statutory or categorical exemption in Articles 18 and 19 of the CEQA Guidelines, Title 14 of the California Code Regulations and explain how the project meets this exemption:

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PART B: PERSONAL WIRELESS SERVICES FACILITIES (Respond To Relevant Sections and Mark “Not Applicable” All That Do Not Apply)

1. Is the proposed wireless communications facility part of a distributed antenna system (“DAS”)?

No. Yes. [By signing below you acknowledge that all applications for wireless

communications facilities comprising the DAS must be submitted contemporaneously.]

Agreed:__________________________________________ Date:_________

2. Based on the work proposed in connection with this project, identify any and all additional permits, approvals, or agreements (“Ancillary Permissions”) that will be required for any work within the boundaries of the City in order to deploy the wireless facilities which you contend must be issued (absent agreement or exceptional circumstances) no later than by the same time the City must take action on the wireless application. It is your responsibility to review Code and policies and other state or FCC regulations applicable to the deployment of the wireless facility within the City and identify every Ancillary Permission that will be sought in conjunction with that deployment. The failure to conduct the investigation and to accurately identify all Ancillary Permissions may be grounds for denying the application or for declaring it incomplete. For example, if the wireless facility would be placed on a structure where historical review would be required at the state, federal or local level, the applications required for that review must be identified. Please check whether the work proposed will require the following ancillary permits:

a) ___ Building Permit b) ___ Traffic Control Permit c) ___ Excavation Permit d) ___ Tree Removal Permit e) ___ Other(s). Identify: ________________

Alternatively, rather than identifying all Ancillary Permissions now, you may agree as follows by signing below: “I agree that, except for those applications identified and submitted in response to Question 3 (below) separately for any and all required Ancillary Permissions, any deadlines for action on any Ancillary Permissions will run from the date of those applications, and not from the date of this application; and that no work may be undertaken should this wireless application be granted, or granted subject to conditions, until and unless the same are obtained.”

Agreed:_________________________________ Date:___________

3. Please provide an attachment that identifies that Ancillary Permission you seek now, and with respect to that Ancillary Permission, include the following completed checklist:

I have the required permit. [If you check this box, attached the required permit.]

I have no permit, but I am applying or have applied for one. [If you check this box, the application must be provided and all fees or proof of fee payment provided.

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PART C: DETAILED APPLICATION REQUIREMENTS

The information required to be included in your application is dependent upon whether it is an eligible facilities request, a renewal of an existing permit, or any other application type. Please reference the appropriate section below for your application type to read a detailed list of its requirements. A detailed description of the submittal requirements is provided in the Appendix.

I. ELIGIBLE FACILITIES REQUESTS: For an application asserted to be an eligible facilities request, the application must provide the following information:

1. Cover Sheet

2. Location and Zoning Information

3. Description of the Proposed Project

4. Prior Approvals / Permits and Plans

5. Existing Site Plan and Proposed Site Plan

6. Elevation Drawings (preferred scale ¼” = 1’)

7. Site Photograph(s)

8. Visual Impact and Sightline Analysis

9. Noise Study

10. FCC Radio Frequency Standards Report

11. Structural Analysis Report

12. Existing and Proposed Equipment Schedule (Microsoft Excel spreadsheet)

13. CPUC Determination of CEQA status, if applicable II. RENEWAL REQUESTS: For a renewal of an existing permit, the application must

provide the following information:

1. Cover Sheet

2. Location and Zoning Information

3. Description of the Project for Renewal

4. Prior Approvals/Permits and Plans

5. Site Plan

6. Elevation Drawings (preferred scale ¼” = 1’)

7. Facility Plan and Photograph(s)

8. Noise Study

9. FCC Radio Frequency Standards Report

10. Structural Analysis Report

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11. Notice and Affidavit

12. Equipment Schedule (Microsoft Excel spreadsheet)

13. CPUC Determination of CEQA status, if applicable

III. ALL OTHER APPLICATIONS: For all other types of applications, the following must be provided:

1. Location and Zoning Information

2. Description of the Proposed Project

3. Prior Approvals/Permits and Plans

4. Existing Site Plan and Proposed Site Plan

5. Elevation Drawings (preferred scale ¼” = 1’)

6. Landscape Plan

7. Site Photograph(s)

8. Visual Impact and Sightline Analysis

9. Noise Study

10. FCC Radio Frequency Standards Report

11. Structural Analysis Report

12. Notice and Affidavit

13. Justification for Location/Collocation

14. Existing and Proposed Equipment Schedule (Microsoft Excel spreadsheet)

15. Full-scale Mock-up(s)

16. CPUC Determination of CEQA status, if applicable

IV. EXCEPTION REQUEST [if applicable]

Pursuant to Section 17.46.080.D (2) of the Piedmont City Code, an applicant may apply for an exception to the standards for wireless communication facilities. If the applicant contends that the City is required by federal or state law to approve the facility, the applicant must submit the information it relies upon to support that claim, identifying: (i) the legal standard(s) it claims applies; and (ii) the showings it relies upon for its claim(s). Applicants are cautioned that, if the City believes that applicant misapplies or relies on the wrong legal standard, the exception (and consequently the application) may be denied.

PART D: CERTIFICATION (ALL APPLICANTS) My signature below signifies that I: • have read and provided all applicable information per this Supplemental Application for Wireless

Communications Facilities, including the information listed in PART C: DETAILED APPLICATION REQUIREMENTS and the Appendix).

• have reviewed the legal description on the property deed and indicated all recorded easementsand deed restrictions on the submitted site plan (Please provide a description here o f the easements and restrictions that were indicated on the property deed o f the subject property) _ _

• believe the information provided in this application is accurate to the best of my knowledge.• am aware that my initial deposits of $10,000 (exclusive of variance fees) may not cover the

reasonable cost to process this application and that additional deposits may be required. I agree to provide additional deposits if they are required. I am aware that the City will deduct the reasonable costs to cover the processing of this application from the deposit(s), and that any unused money remaining after action has been taken on the project, will be returned to me.

• am aware that City staff, Planning Commissioners, and/or City Council Members will be on the property to view proposed construction. (Please note any special instructions regarding access to the property such as gates, alarms, etc.) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

• understand that if this application is approved, a building pem1it and/or excavation permit (issuedwithin one year from the approval date) is required for construction and that no construction may commence prior to the issuance of the building permit and/or excavation permit. No changes may be made without City approval, and changes may require a new application.

SIGNATURE OF PROPERTY OWNER/ LEASE HOLDER:

Print Name Signature Date

SIGNATURE OF WIRELESS SERVICE P VIDER'S AUTHORIZED REPRESENTATIVE:

Print Name Date

AGENT AUTHORIZATION: This authorization must be signed by the wireless service provider if the applicant is not the wireless service provider. This authorization also permits City staff to contact the Wireless Service Provider its a ent, if necessa

I authorize Joey Acguistapace to act as my agent in the processing of all matters pertaining to this application.

SIGNATURE OF PROPERTY OWNER/ LEASE HOLDER: _ _ _ _ _ _ _ _ _ date _ _ _

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10/3/19

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PART E. Applicant’s Wireless Communications Facilities Findings:

The following information is required from all applicants.

Please describe how the proposed project meets the following summarized Wireless Communications Facilities Development Standards outlined in Section 17.46.070 of the City’s Municipal Code. Attach additional pages as necessary. If an exception is requested pursuant to Section 17.46.080.D (2), please note the exception request in the application form below.

a) New wireless communications facilities must be collocated with existing facilities and with other planned new facilities whenever feasible. Please note that §17.46.070.A.1 states “A new wireless tower must be designed and constructed to accommodate future collocation(s) unless … collocation would be infeasible because of physical or design issues specific to the site.” (Indicate whether the proposed facility will be collocated with another facility. If it will not, comment on the feasibility of collocation and indicate what measures have been taken to attempt to collocate the facility with another facility. Additionally, indicate the aesthetic benefits and drawbacks of the proposed facility.):

b) No wireless communication facility may exceed 35 feet in height, measured from the ground to the highest point of the wireless communication facility, unless the zoning district in which the wireless communication facility is located expressly provides a higher height limit, or an exception pursuant to Section 17.46.080.D(2) is requested and granted. Ground mounted wireless communication equipment, base station, antenna, pole, or tower must be the minimum functional height, unless a variance or exception is granted. Roof mounted equipment and antennas must be located to minimize visibility. (Indicate the height of any ground mounted equipment, antennas, poles or towers and explain why the proposed heights are required.):

c) Wireless communication facility(ies) must be designed to minimize visual impacts. When feasible, the facility(ies) must be concealed or camouflaged. The facility(ies) must have a non-reflective finish and be painted or otherwise treated to minimize visibility and the obstruction of views. The facility(ies) may not bear signs, other than certification, warning, emergency contacts, or other signage required by law or expressly required by the City. (Describe the materials and finishes of the equipment,

Revised April 4, 2019 13

antennas, poles, and towers and indicate how these materials and finishes will be non-reflective and will minimize any visual impacts.):

d) A wireless communication receiving and transmission facility may not adversely affect the public health, peace and safety. (Indicate any measures proposed to address the public health, peace and safety.):

e) A wireless communication facility located in the public right-of-way may not cause: (i) physical or visual obstruction, or safety hazard, to pedestrians, cyclists, or motorists; or (ii) inconvenience to the public's use of the right-of-way. Equipment, walls, and landscaping located above grade must be at least 18 inches from the front of the curb and not interfere with the public’s use of the right-of-way (Indicate conformance to Public Works Standard Details, including standard sidewalk width requirements and ADA requirements).

f) Indicate whether the facility will comply with all applicable federal, state, and local laws..

This facility will comply with all federal, state and local laws and regulations.

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PART F: Applicant’s Wireless Communications Facilities Priority for Location Findings:

The following information is required from all projects located in Zones A, B, C, D and E, projects in or on publicly-owned facilities, and projects in the public right-of-way.

Please describe how the proposed project meets the following summarized Wireless Communications Facilities Development Standards outlined in Section 17.46.040 of the City’s Municipal Code. If an exception is requested pursuant to Section 17.46.080.D (2), please note the exception request in the application form below. a) The facility is necessary to close a significant gap in the operator's service coverage or

capacity. Please comment:

b) The proposal satisfies each of the applicable development standards in section 17.46.070 above. Please comment:

c) The applicant has evaluated and met the priority for location standards of section 17.46.040(A)(1), because the facility will be located in the public right-of-way, on publicly owned property in Zone B, or on publicly-owned facilities in any other zone outside of the public right-of-way. Please comment:

d) The proposed design is consistent with City of Piedmont Design Guidelines, including General Plan policies regarding wireless communication facilities and the Public Works Standard Details for the public right-of-way. Please comment:

This finding is pre-empted in the public right-of-way by the

FCC Declaratory Ruling and Third Report and Order, issued in In the Matter of Accelerating Wireless Broadband

Deployment by Removing Barriers to Infrastructure Investment; Accelerating Wireline Broadband Deployment

by Removing Barriers to Infrastructure Investment, WT Docket No. 17-79, adopted on September 26, 2018.

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e) The proposed facility has been located and designed for collocation to the greatest extent reasonably feasible, and the applicant has submitted a statement of its willingness or not to allow other wireless service providers to collocate on the proposed facility. Please comment:

The development standards in 17.46.070 shall be fully considered. Please make sure you have completed the Findings in Part E of this application form.

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PART G: Applicant’s Variance Findings:

The following information is required from all projects that require a variance, if applicable.

In order for the Planning Commission to approve an application for a variance, required findings must be made. Please describe how the proposed project meets the variance criteria of Section 17.70 of the City’s Municipal Code.

a) The property and existing improvements present unusual physical circumstances of the property (including but not limited to size, shape, topography, location and surroundings), so that strictly applying the terms of this chapter would keep the property from being used in the same manner as other conforming properties in the zone; Describe specific, unique problems with the property, such as location, surroundings, mature trees, natural obstacles or formations, and explain why the improvements cannot be made in conformity with codes and regulations:

b) The project is compatible with the immediately surrounding neighborhood and the public welfare; and Explain why, without the variance, the property cannot be used in the same manner as others in the same zone, and explain how the variance will not give the property an advantage over others in the same zone:

c) Accomplishing the improvement without a variance would cause unreasonable hardship in planning, design, or construction. Unreasonable hardship" for purposes of this subsection refers to the unusual physical characteristics of the underlying lot and existing improvements on the lot which prohibit development of the lot in a manner consistent with lots conforming to City standards. "Unreasonable hardship" shall not refer to any conditions personal to the applicant. Please describe the hardship(s) inherit to this property:

N/A

N/A

N/A

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PART H: Notice Instructions:

Required for all projects that will be heard by the Planning Commission and/or City Council (e.g., non-exempt projects, projects without proposed collocation, and projects referred to the Planning Commission by the Planning Director or Public Works Director). 1. Complete the attached Notice and make one photocopy for each adjacent neighbor. 2. Hand deliver or mail one copy of the Notice to each adjacent neighbor at least 30 days before

the initial hearing. Adjacent neighbors often include one neighbor on each side, three across the street, and three in the rear. You may address the notices to "Property Owner", if you do not know the names of your adjacent neighbors.

3. Complete the attached Affidavit of Service and return it along with one copy of the Notice to

the Department of Public Works at least 30 days before the hearing. Please note the Affidavit of Service is not required to be notarized.

4. Please call the Department of Public Works at (510) 420-3050, if you have any questions or

would like help in determining the addresses or names of your adjacent neighbors.

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NOTICE OF AN APPLICATION FOR WIRELESS COMMUNICATION FACILITY

IN THE PUBLIC RIGHT-OF-WAY

Dear Neighbor:

I/ We have submitted an application for consideration by the Piedmont Planning Commission

which seeks City approval of an application to (description of project)

The purpose of this form is to notify you of my application. My application will be considered by

the Planning Commission on or after (date) .

This notice will be followed by a notice from the City confirming the date of the hearing and

inviting you to comment on the application. The Planning Commission regularly meets at 5:00

p.m. on the second Monday of every month in the Council Chambers at City Hall, 120 Vista

Avenue. Please contact the Department of Public Works at 420-3050, if you have any questions

regarding this application.

Signed,

Signature Date

Name of Applicant

Address of Project

Install a new wireless communication

facility that consist of antennas and equipment in the public right-of-way on utility poles and streetlights.

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AFFIDAVIT OF SERVICE BY APPLICANT/ AGENT

(To be attached to a copy of the Notice and returned to the Department of Public Works.) being sworn, says that he or she is over 18 years of age

affiant (applicant/agent) name

and a resident of

County, Country

That affiant's residence address is .

That affiant served a copy of the attached notice of an application for variance and/or Planning Commission design review by placing said copy in an envelope addressed to: which envelope was then sealed and postage fully prepaid thereon, and thereafter was on

date

deposited in the United States mail or delivered personally by hand. I declare under penalty of perjury that the foregoing is true and correct. Executed on at , California.

date address

Signed _______________________________________________________________________

Affiant’s signature

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APPENDIX: DETAILED APPLICATION REQUIREMENTS BY APPLICATION TYPE A. ELIGIBLE FACILITIES REQUESTS: For an application asserted to be an eligible

facilities request, the application must provide the following information:

1. Cover Sheet: a. Name and address of design professional; b. Description of the scope of work; c. Vicinity map; d. Date; e. Plan set sheet index, listing sheet titles and sheet numbers.

2. Location and Zoning Information: a. Location of the project site, including the nearest registered address, the names of

the two nearest cross streets, GPS coordinates, and the present zone designation of the project site.

b. If the facility is proposed to be attached to an existing pole, provide the pole number.

c. Applicant shall include signed documentation indicating that applicant is the owner or is authorized by the owner of the structure and/or property to install and operate the proposed facility.

3. Description of the Proposed Project: a. A written description of the proposed facility(ies), including whether the project is

a collocated facility or the replacement, removal, or modification of an existing facility.

b. A detailed explanation as to why applicant asserts that the facility constitutes an eligible facilities request, including reference to and analysis of applicable FCC rules as they pertain to the proposed facility.

c. A list of all facilities and equipment proposed to be installed and the dimensions, weight, and manufacturer’s specifications for each.

d. A description and plan of the concealment elements, if any, associated with the facilities as they will be modified, including but not limited to painting, and shielding as modified. The description and plan should be sufficiently detailed to demonstrate that the modifications will not defeat any existing concealment elements. If there will be no concealment elements, so state in the description.

e. A description of any ground disturbance necessary to complete the proposed project.

f. A description of the site and any deployment outside the site necessary to complete the proposed project.

g. If a collocation, a description of why this installation qualifies as a collocation within the meaning of the FCC rules.

h. A description of all changes made to the facility from the date of the original installation (whether or not approved) and a description of the changes in height from January 22, 2012.

Revised April 4, 2019 21

i. A description of all changes to be made to the existing base station and/or tower, including, among other things, identifying precisely what changes will be made to the supporting structure.

4. Prior Approvals / Permits and Plans: a. A copy of all approvals and/or permits for the tower or base station that is to be

modified, and any subsequent modification permits, and of any required conditions (imposed by the City and/or third party) placed on the initial or subsequent permits.

b. A showing that the facility, as modified, will be in compliance with existing conditions of the underlying approval(s)/permit(s), whether or not it is in compliance with conditions as of the date of application. There must be a plan submitted for correction of any non-compliance condition.

5. Existing Site Plan and Proposed Site Plan: Two (2) copies each of separate existing site plan and proposed site plan at a scale of 1”=20’ or larger and including the following: a. Sheet title, date, and design professional’s name; b. A north-pointing arrow on each plan sheet; c. Title block with applicant’s name, owner’s name, and contact information; d. Depiction of the existing facility and the fully-constructed proposed facility; e. Location of lot lines, streets (with street names), easements, and all structures and

improvements, including accessory equipment, underground utilities and support structures, existing and proposed;

f. Slopes, contours, trees and other pertinent physical features of the site, existing and proposed;

g. All exterior lighting on the site, existing and proposed; h. Location, use and approximate distance from property lines of the nearest

structures on all properties abutting the site; and i. The location of parking for maintenance personnel. j. Pavement striping, sidewalks, curbs, curb ramps, edge of roadway, and rights-of-

way, and location of existing equipment, structures, hardscape areas, fences, retaining walls, bollards, trees, hedges, utilities, and other significant site features;

k. Setback dimensions measured from the property lines to the footprint of structure(s), including those within 100 feet of proposed construction, including addresses of adjacent properties. Include on the existing site plan the boundaries of the public right-of-way for a minimum length of 50 feet in each direction, and show setback dimensions from the proposed facility or proposed modified facility to the face of curb, edge(s) of sidewalk, edge(s) of roadway, fire hydrant, tree(s), driveways, garage doors, pedestrian curb ramps, curb cut(s), intersection(s), light poles, bollards, public mailbox, bus stops, school(s), bike lanes, traffic signals, private structures, and above and below ground utility equipment, including, without limitation, other communication equipment, conduit, storm drain system, manhole covers, utility poles, utility vaults, utility equipment, and vents, as applicable. (Underground utilities shall require a survey or “potholing” to determine locations.)

Revised April 4, 2019 22

6. Elevation Drawings (preferred scale ¼” = 1’): a. Existing elevations (or photographs should the site be vacant) and proposed

elevations of all facilities, equipment, support structures, appurtenances, and other related structures.

b. Sheet title, scale, date, dimensions, and drawing label indicating the design as seen from the four cardinal directions (“north,” “east,” etc.) or indicating cardinal directions that the depicted elevation is facing (“facing north,” etc.);

c. All elevations of each side of the structure on which modifications are proposed; d. Label and identify structures, communication equipment, fences, trees, hedges,

walls, retaining walls, utilities, parapets, and any other relevant feature, and show the cables, feed lines, risers, shrouds, stand-off brackets, cabinets, meters, disconnect boxes, transformers, power connection, signs, banner mounts, brackets, counter weights, enclosures and other relevant features;

e. Indicate materials and finishes for walls, roofs, windows, doors, decorative features, and WCF equipment and antennas;

f. Indicate the height of buildings and structures. Heights are measured to the highest point of the feature from both the lowest adjacent grade and highest adjacent grade. Adjacent grade is where grade meets the footprint of the building or structure;

g. Photographs showing existing conditions may be submitted as supplemental information or in place of elevations when there are no existing structures or buildings on site.

h. Show the absolute height of equipment and the height of the lowest equipment on the pole or structure, all measured to spot elevation at the curb. (Spot elevation information must include reference survey datum or description of assumed datum).

7. Site Photograph(s): Current color photographs of the site and its surroundings.

8. Visual Impact and Sightline Analysis: A visual impact analysis, which shall include photomontage, photo simulation or similar technique, demonstrating, from all four primary directions (north, south, east, and west) the potential visual impacts of the proposed facility. Consideration shall be given to views from public areas, as well as from private property. Analysis shall include demonstration of safe sightlines for drivers, bicyclists, and pedestrians. The analysis shall assess the cumulative impacts of the proposed wireless communication facility and other existing wireless facilities in the area, and shall identify and include all feasible mitigation measures consistent with the technological requirements of the proposed facility.

9. Noise Study: Demonstrate compliance Piedmont Municipal Code Section 12.8 Noise Declared Nuisance and Section 1207.6, Mechanically Generated Noise Sources, by providing, among other relevant information, a description of the facilities and/or equipment within the applicant’s project that are expected to induce or generate noise, as well as existing ambient noise levels and anticipated noise levels and tones of said facilities and/or equipment. For facilities that generate noise, please provide testing data for

Revised April 4, 2019 23

noise assuming maximum facility utilization and operational utilization (worst case) 10 feet from the source. Specify times and conditions during which noise generation will occur. Manufacturer’s Noise specifications or acoustical study prepared by an acoustical engineer for all equipment may be required.

10. FCC Radio Frequency Standards Report: A report signed by a California licensed professional engineer with expertise in radio communications facilities and the calculation of radio frequency emissions that affirms, under penalty of perjury, that the proposed installation will be compliant with the FCC’s standards. The report must also contain the following: a. A description of each of the proposed antennas and all related fixtures, structures,

appurtenances and apparatus, including the height above grade, volume in total cubic feet, materials, lighting, and the directionality of each antenna (e.g., omni, directional, etc.);

b. The frequency, modulation and class of service; c. A clear identification of areas, both vertically and horizontally, where exposure

levels will exceed FCC standards for general public and occupational exposures. Please note that applicant’s analysis must show that it has appropriately taken cumulative exposures into account, and should show exposures based on “worst case” scenarios;

d. Maximum proposed levels of EMF or RF emissions exposure at the ground beneath the WCF installation, maximum proposed levels of EMF or RF emissions exposure at a point within 25 feet lateral of the WCF installation, and maximum proposed levels of EMF or RF emissions exposure at the entrance, second floor, and roof of the nearest residence;

e. A certification that the facility will comply with all applicable standards for radio frequency emissions, including cumulative effects, and a description of the manner in which the radio frequency emissions for the facility were calculated and the results of those calculations. Individual and cumulative emissions should be evaluated; and

f. If the certification of the facility as currently installed, or as proposed to be modified, is subject to conditions designed to limit general public or occupational exposure, identify those conditions, and demonstrate that they have been satisfied, or describe when they will be satisfied.

11. Structural Analysis Report: A report signed by a California licensed professional engineer qualified in structural engineering, containing the following: a. In the case of a wireless facility attached to existing infrastructure, documentation

of the ability of the structure to support the antennas, the proposed method of affixing the antennas and the precise point at which the antennas shall be mounted;

b. In the case of a facility with a support structure (e.g. monopole), documentation that the structure is capable of supporting the antennas (and any other equipment to be attached to or supported by the support structure) and complies with applicable laws and codes, as well as the structure’s capacity for additional collocated antennas, and the precise point at which the antennas shall be mounted; and

Revised April 4, 2019 24

c. A certification that the structure(s) on which the wireless facility (including all accessory equipment, such as radios, cabinets, etc.) will be placed can safely support the wireless facility; and that all elements of the wireless facility comply with applicable safety standards, including, without limitation, GO 95, 165, and 166.

12. Existing and Proposed Equipment Schedule (Microsoft Excel spreadsheet): a. List of existing and proposed poles or structures including identification by

location and badge/ID number; b. Nearest residential address and nearest cross street; c. Indicate whether or not the pole or structure is city-owned or utility-owned; d. Indicate whether or not the pole or structure is existing, new or replacement; e. Geospatial coordinates (latitude and longitude); f. Antenna model name and number; g. Antenna diameter or width and antenna length; h. Antenna azimuth(s); i. Radio model name and number; j. Radio’s effective radiated power; k. Number of radios; l. Radio physical dimensions; m. Model numbers and manufacturer’s specification for any existing equipment; n. Phasing of expected construction (start date, duration); o. Auxiliary equipment such as meters, ventilation fans, transformers, disconnect

box, power connection, etc.

13. Copy of CPUC CEQA Determination, if applicable.

B. RENEWAL REQUESTS: For a renewal of an existing permit, the application must provide the following information:

1. Cover Sheet: a. Name and address of design professional; b. Description of the scope of work; c. Vicinity map; d. Date; e. Plan set sheet index, listing sheet titles and sheet numbers.

2. Location and Zoning Information: a. Location of the project site, including the nearest registered address, the names of

the two nearest cross streets, GPS coordinates, and the current zone designation of the project site.

b. If the existing facility is attached to a pole, provide the pole number. c. Applicant shall include signed documentation indicating that applicant is

authorized by the owner of the support structure and/or real property to continue operating the facility.

3. Description of the Project for Renewal: a. A written description of the existing facility(ies) at the site. b. A list of all facilities and equipment currently installed and the dimensions,

weight, and manufacturer’s specifications for each.

Revised April 4, 2019 25

c. A written description of the concealment measures applicant is using to aesthetically blend the facility to the immediate surroundings and to minimize its visual impact. This should include, but not be limited to, a description of concealment techniques, sizing and placement of elements of the facility (including undergrounding), measures to limit visibility of the facility from residential dwelling units, and the textures and colors used in the concealment process. If none, so state.

d. A description of the site and any deployment outside the site. e. A description of all changes made to the facility from the date of the original

installation (whether or not approved) and a description of the changes in height from January 22, 2012.

4. Prior Approvals/Permits and Plans: a. A copy of all approvals and/or permits for the tower or base station and any

subsequent modification permits, and of any required conditions (imposed by the City and/or third party) placed on the initial or subsequent permits.

b. A showing that the facility is in compliance with existing conditions of the underlying approval(s)/permit(s). If the facility is not in compliance with conditions as of the date of application, there must be a plan submitted for correction of any non-compliance condition.

5. Site and Facility Plan: Two (2) copies each of separate existing site plan and proposed site plan at a scale of 1”=20’ or larger and including the following: a. Sheet title, date, and design professional’s name; b. A north-pointing arrow on each plan sheet; c. Title block with applicant’s name, owner’s name, and contact information; d. Current color photographs of the existing facility and its surroundings; e. Location of lot lines, streets (with street names), easements, and all structures and

improvements, including accessory equipment, underground utilities and support structures;

f. Slopes, contours, trees and other pertinent physical features of the site g. All exterior lighting on the site; h. Location, use, and approximate distance from property lines of the nearest

structures on all properties abutting the site; and i. The location of parking for maintenance personnel. j. Pavement striping, sidewalks, curbs, curb ramps, edge of roadway, and rights-of-

way, and location of existing equipment, structures, hardscape areas, fences, retaining walls, bollards, trees, hedges, utilities, and other significant site features;

k. Setback dimensions measured from the property lines to the footprint of structure(s), including those within 100 feet of proposed construction, including addresses of adjacent properties. Include on the existing site plan the boundaries of the public right-of-way for a minimum length of 50 feet in each direction, and show setback dimensions from the facility to the face of curb, edge(s) of sidewalk, edge(s) of roadway, fire hydrant, tree(s), driveways, garage doors, pedestrian curb ramps, curb cut(s), intersection(s), light poles, bollards, public mailbox, bus stops, school(s), bike lanes, traffic signals, private structures, and

Revised April 4, 2019 26

above and below ground utility equipment, including other communication equipment, conduit, storm drain system, manhole covers, utility poles, utility vaults, utility equipment, vents, etc., as applicable. (Underground utilities shall require a survey or “potholing” to determine locations.)

6. Elevation Drawings (preferred scale ¼” = 1’): a. Existing elevations of all facilities, equipment, support structures, appurtenances,

and other related structures. b. Sheet title, scale, date, dimensions, and drawing label indicating the design as

seen from the four cardinal directions (“north,” “east,” etc.) or indicating cardinal directions that the depicted elevation is facing (“facing north,” etc.);

c. All elevations of each side of the structure ; d. Label and identify buildings, other structures, communication equipment, fences,

trees, hedges, walls, retaining walls, utilities, parapets, and any other relevant feature, and show the cables, feed lines, risers, shrouds, stand-off brackets, cabinets, meters, disconnect boxes, transformers, power connection, signs, banner mounts, brackets, counter weights, enclosures and other relevant features;

e. Indicate materials and finishes for walls, roofs, windows, doors, decorative features, and WCF equipment and antennas;

f. Indicate the height of structures. Heights are measured to the highest point of the feature from both the lowest adjacent grade and highest adjacent grade. Adjacent grade is where grade meets the footprint of the structure;

g. Photographs showing existing conditions may be submitted as supplemental information or in place of elevations when there are no existing structures or buildings on site.

h. Show the absolute height of equipment and the height of the lowest equipment on the pole or structure, all measured to spot elevation at the curb. (Spot elevation information must include reference survey datum or description of assumed datum).

7. Noise Study: Demonstrate compliance Piedmont Municipal Code Section 12.8 Noise Declared Nuisance and Section 1207.6, Mechanically Generated Noise Sources, by providing, among other relevant information, a description of the facilities and/or equipment within the applicant’s project that induce or generate noise, as well as existing ambient noise levels tones of said facilities and/or equipment. For facilities that generate noise, please provide testing data for noise assuming maximum facility utilization and operational utilization (worst case) 10 feet from the source. Specify times and conditions during which noise generation will occur. Manufacturer’s Noise specifications or acoustical study prepared by an acoustical engineer for all equipment may be required.

8. FCC Radio Frequency Standards Report: A report signed by a California licensed professional engineer with expertise in radio communications facilities and the calculation of radio frequency (RF) emissions that affirms, under penalty of perjury, that the existing facility is compliant with the FCC’s standards. The report must also contain the following:

Revised April 4, 2019 27

a. A description of each of the antennas and all related fixtures, structures, appurtenances and apparatus, including the height above grade, volume in total cubic feet, materials, lighting, and the directionality of each antenna (e.g., omni, directional, etc.);

b. The frequency, modulation and class of service; c. A clear identification of areas, both vertically and horizontally, where exposure

levels exceed FCC standards for general public and occupational exposures. Please note that applicant’s analysis must show that it has appropriately taken cumulative exposures into account, and should show exposures based on “worst case” scenarios;

d. Maximum levels of EMF or RF emissions exposure at the ground beneath the WCF installation, maximum levels of EMF or RF emissions exposure at a point within 25 feet lateral of the WCF installation, and maximum levels of EMF or RF emissions exposure at the entrance, second floor, and roof of the nearest residence;

e. A certification that the facility will comply with all applicable standards for RF emissions, including cumulative effects, and a description of the manner in which the radio frequency emissions for the facility were calculated and the results of those calculations. Individual and cumulative emissions should be evaluated; and

f. If the certification of the facility as currently installed is subject to conditions designed to limit general public or occupational exposure, identify those conditions, and demonstrate that they have been satisfied, or describe when they will be satisfied.

9. Structural Analysis Report: A report signed by a California licensed professional engineer qualified in structural engineering, containing the following: a. In the case of a wireless facility attached to existing infrastructure, documentation

of the ability of the structure to continue to support the antennas and any required maintenance;

b. In the case of a facility with a support structure (e.g. monopole), documentation that the structure is capable of continuing to support the antennas (and any other equipment attached to or supported by the support structure) and complies with applicable laws and codes, as well as the structure’s capacity for additional collocated antennas; and

c. A certification that the structure(s) on which the wireless facility (including all accessory equipment, such as radios, cabinets, etc.) is placed can continue to safely support the wireless facility; and that all elements of the wireless facility comply with applicable safety standards, including, without limitation, GO 95, 165, and 166.

10. Notice and Affidavit: Evidence that notice has been given to all persons entitled to notice under the Code. (See templates in Part H of this application)

11. Equipment Schedule (Microsoft Excel spreadsheet):

Revised April 4, 2019 28

a. List of existing poles and structures including identification by location and badge/ID number;

b. Nearest residential address and nearest cross street; c. Indicate whether or not the pole or structure is city-owned or utility-owned; d. Indicate whether or not the pole or structure is existing, new or replacement; e. Geospatial coordinates (latitude and longitude); f. Antenna model name and number; g. Antenna diameter or width and antenna length; h. Antenna azimuth(s); i. Radio model name and number; j. Radio’s effective radiated power; k. Number of radios; l. Radio physical dimensions; m. Model numbers and manufacturer’s specification for any existing equipment; n. Phasing of expected construction (start date, duration); o. Auxiliary equipment, including, without limitation, meters, ventilation fans,

transformers, disconnect box, and power connection.

14. Copy of CPUC CEQA Determination, if applicable.

C. ALL OTHER APPLICATIONS: For all other types of applications, the following must be provided:

1. Location and Zoning Information: a. Location of the project site, including the nearest registered address, the names of

the two nearest cross streets, GPS coordinates, and the present zone designation of the project site.

b. If the facility is proposed to be attached to an existing utility pole, provide the pole number.

c. Applicant shall include signed documentation indicating that applicant is authorized by the owner of the support structure and/or real property to install and operate the proposed facility.

2. Description of the Proposed Project: a. A written description of the proposed facility(ies), including whether the project is

a new facility, a collocated facility, or a modification to an existing facility. b. If the application is for a small cell facility, an explanation asserting all of the

grounds why the proposed facility constitutes a small cell facility. c. If a new facility, the applicant shall include an explanation of whether the new

facility could and will be designed to accommodate future wireless facilities. d. A list of all facilities and equipment proposed to be installed and the dimensions,

weight, and manufacturer’s specifications for each. e. A written description of the concealment measures applicant proposes to use to

aesthetically blend the facility to the immediate surroundings and to minimize its visual impact. This should include, but not be limited to, a description of proposed concealment techniques, sizing and placement of elements of the facility (including undergrounding proposed), measures proposed to limit visibility of the

Revised April 4, 2019 29

facility from residential dwelling units, and the textures and colors to be used in the concealment process. If none, so state.

f. A description of any ground disturbance necessary to complete the proposed project.

g. A description of the site and any deployment outside the site necessary to complete the proposed project.

h. If a collocation, a description of why this installation qualifies as a collocation within the meaning of the FCC rules. Applicant must also provide the following:

i. A description of all installation procedures and plans for the facility; and

ii. A description of all changes to be made to the existing structure, which description will, among other things, identify precisely what changes will be made to the supporting structure.

3. Prior Approvals/Permits: If a wireless facility already exists on the site, provide the following:

a. A copy of all approvals and/or permits for the tower or base station that is to be modified, and any subsequent modification permits, and of any required conditions (imposed by the City and/or third party) placed on the initial or subsequent permits.

b. A showing that the facility, as modified, will be in compliance with existing conditions, whether or not it is in compliance with conditions as of the date of application. There must be a plan submitted for correction of any non-compliant condition.

4. Existing Site Plan and Proposed Site Plan: Two (2) copies each of separate existing site plan and proposed site plan at a scale of 1”=20’ or larger and including the following:

a. Sheet title, date, and design professional’s name; b. A north-pointing arrow on each plan sheet; c. Title block with applicant’s name, owner’s name, and contact information; d. Depiction of the existing facility and the fully-constructed proposed facility; e. Location of lot lines, streets (with street names), easements, and all structures and

improvements, including accessory equipment, underground utilities and support structures, existing and proposed;

f. Slopes, contours, trees and other pertinent physical features of the site, existing and proposed;

g. All exterior lighting on the site, existing and proposed; h. Location use and approximate distance from property lines of the nearest

structures on all properties abutting the site; and i. The location of parking for maintenance personnel. j. Pavement striping, sidewalks, curbs, curb ramps, edge of roadway, and rights-of-

way, and location of existing equipment, structures, hardscape areas, fences, retaining walls, bollards, trees, hedges, utilities, and other significant site features;

k. Setback dimensions measured from the property lines to the footprint of structure(s), including those within 100 feet of proposed construction, including addresses of adjacent properties. Include on the existing site plan the boundaries

Revised April 4, 2019 30

of the public right-of-way for a minimum length of 50 feet in each direction, and show setback dimensions from the proposed facility or proposed modified facility to the face of curb, edge(s) of sidewalk, edge(s) of roadway, fire hydrant, tree(s), driveways, garage doors, pedestrian curb ramps, curb cut(s), intersection(s), light poles, bollards, public mailbox, bus stops, school(s), bike lanes, traffic signals, private structures, and above and below ground utility equipment, including other communication equipment, conduit, storm drain system, manhole covers, utility poles, utility vaults, utility equipment, vents, etc. (Underground utilities shall require a survey or “potholing” to determine locations.)

5. Elevation Drawings (preferred scale ¼” = 1’): a. Existing elevations (or photographs should the site be vacant) and proposed

elevations of all facilities, equipment, support structures, appurtenances, and other related structures.

b. Sheet title, scale, date, dimensions, and drawing label indicating the design as seen from the four cardinal directions (“north,” “east,” etc.) or indicating cardinal directions that the depicted elevation is facing (“facing north,” etc.);

c. All elevations of each side of the structure on which modifications are proposed; d. Label and identify buildings, other structures, communication equipment, fences,

trees, hedges, walls, retaining walls, utilities, parapets, and any other relevant feature, and show the cables, feed lines, risers, shrouds, stand-off brackets, cabinets, meters, disconnect boxes, transformers, power connection, signs, banner mounts, brackets, counter weights, enclosures and other relevant features;

e. Indicate materials and finishes for walls, roofs, windows, doors, decorative features, and WCF equipment and antennas;

f. Indicate the height of buildings and structures. Heights are measured to the highest point of the feature from both the lowest adjacent grade and highest adjacent grade. Adjacent grade is where grade meets the footprint of the building or structure;

g. Photographs showing existing conditions may be submitted as supplemental information or in place of elevations when there are no existing structures or buildings on site.

h. Show the absolute height of equipment and the height of the lowest equipment on the pole or structure, all measured to spot elevation at the curb. (Spot elevation information must include reference survey datum or description of assumed datum).

6. Landscape Plan: If any ground will be disturbed, six (6) copies of a landscape plan for the site, at a scale of 1/8”=1’ or larger and including the following: a. Existing trees with trunk diameter over six inches (6”) at four feet (4’) above

grade and/or fifteen feet (15’) in overall height within fifty feet (50’) of the proposed wireless communication facility;

b. Species, diameter and condition of all such trees; c. Final disposition of all existing trees; d. Arborist report for work within the driplines of existing trees; and

Revised April 4, 2019 31

e. Species, location and sizes of trees and other vegetation proposed to be installed in conjunction with the wireless communication facility, including street trees.

7. Site Photograph(s): Current color photographs of the site and its surroundings.

8. Visual Impact and Sightline Analysis: A visual impact analysis, which shall include photomontage, photo simulation or similar technique, demonstrating, from all four primary directions (north, south, east, and west) the potential visual impacts of the proposed facility. Consideration shall be given to views from public areas as well as from private property. Analysis shall include demonstration of safe sightlines for drivers, bicyclists, and pedestrians. The analysis shall assess the cumulative impacts of the proposed wireless communication facility and other existing wireless facilities in the area, and shall identify and include all feasible mitigation measures consistent with the technological requirements of the proposed facility.

9. Noise Study: Demonstrate compliance Piedmont Municipal Code Section 12.8 Noise Declared Nuisance and Section 1207.6, Mechanically Generated Noise Sources, by providing, among other relevant information, a description of the facilities and/or equipment within the applicant’s project that are expected to induce or generate noise, as well as existing ambient noise levels and anticipated noise levels and tones of said facilities and/or equipment. For facilities that generate noise, please provide testing data for noise assuming maximum facility utilization and operational utilization (worst case) 10 feet from the source. Specify times and conditions during which noise generation will occur. Manufacturer’s Noise specifications or acoustical study prepared by an acoustical engineer for all equipment may be required.

10. FCC Radio Frequency Standards Report: A report signed by a California licensed professional engineer with expertise in radio communications facilities and the calculation of radio frequency emissions that affirms, under penalty of perjury, that the proposed installation will be compliant with the FCC’s standards. The report must also contain the following:

a. A description of each of the proposed antennas and all related fixtures, structures, appurtenances and apparatus, including the height above grade, volume in total cubic feet, materials, lighting, and the directionality of each antenna (e.g., omni, directional, etc.);

b. The frequency, modulation and class of service; c. A clear identification of areas, both vertically and horizontally, where exposure

levels will exceed FCC standards for general public and occupational exposures. Please note that applicant’s analysis must show that it has appropriately taken cumulative exposures into account, and should show exposures based on “worst case” scenarios;

d. Maximum proposed levels of EMF or RF emissions exposure at the ground beneath the WCF installation, maximum proposed levels of EMF or RF emissions exposure at a point within 25 feet lateral of the WCF installation, and maximum

Revised April 4, 2019 32

proposed levels of EMF or RF emissions exposure at the entrance, second floor, and roof of the nearest residence;

e. A certification that the facility will comply with all applicable standards for radio frequency emissions, including cumulative effects, and a description of the manner in which the radio frequency emissions for the facility were calculated and the results of those calculations. Individual and cumulative emissions should be evaluated; and

f. If the certification of the facility as currently installed, or as proposed to be modified, is subject to conditions designed to limit general public or occupational exposure, identify those conditions, and demonstrate that they have been satisfied, or describe when they will be satisfied.

11. Structural Analysis Report: A report signed by a California licensed professional engineer qualified in structural engineering, containing the following: a. In the case of a wireless facility attached to existing infrastructure, documentation

of the ability of the structure to support the antennas, the proposed method of affixing the antennas and the precise point at which the antennas shall be mounted;

b. In the case of a facility with a support structure (e.g. monopole), documentation that the structure is capable of supporting the antennas (and any other equipment to be attached to or supported by the support structure) and complies with applicable laws and codes, as well as the structure’s capacity for additional collocated antennas, and the precise point at which the antennas shall be mounted; and

c. A certification that the structure(s) on which the wireless facility (including all accessory equipment, such as radios, cabinets, etc.) will be placed can safely support the wireless facility; and that all elements of the wireless facility comply with applicable safety standards, including, without limitation, GO 95, 165, and 166.

12. Notice and Affidavit: Evidence that notice has been given to all persons entitled to notice under the Code. (See templates in Part H of this application)

13. Justification for Location/Collocation: a. A justification as to why the applicant chose the location for the proposed

wireless communication facility. Such justification shall include a written assessment of not less than two (2) alternative locations considered by the applicant and the reasons why said alternative locations were rejected as candidates.

b. A written explanation of the applicant’s investigation into collocating the proposed facility with an existing facility. Indicate whether collocation is or is not feasible and why.

14. Existing and Proposed Equipment Schedule (Microsoft Excel spreadsheet): a. List of existing and proposed poles or structures including identification by

location and badge/ID number;

Revised April 4, 2019 33

b. Nearest residential address and nearest cross street; c. Indicate whether or not the pole or structure is city-owned or utility-owned; d. Indicate whether or not the pole or structure is existing, new or replacement; e. Geospatial coordinates (latitude and longitude); f. Antenna model name and number; g. Antenna diameter or width and antenna length; h. Antenna azimuth(s); i. Radio model name and number; j. Radio’s effective radiated power; k. Number of radios; l. Radio physical dimensions; m. Model numbers and manufacturer’s specification for any existing equipment; n. Phasing of expected construction (start date, duration); o. Auxiliary equipment such as meters, ventilation fans, transformers, disconnect

box, power connection, etc.

15. Full-scale Mock-up(s): Applications must include physical, full-scale mock-up(s) of the proposed wireless communication facility(ies) equipment, constructed a minimum of 2 weeks before the scheduled hearing date. Mock-up requirement may be satisfied by a previously constructed facility in another jurisdiction within 100 miles of Piedmont which the applicant certifies will match the proposed facility(ies) in Piedmont. The address of the previously constructed facility within 100 miles shall be provided a minimum of 2 weeks before the scheduled hearing date.

VICINITY MAP PROJECT TEAMN.T.S.

CROWN

CASTLE

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

SITE: CA-PHS07m2

355 JEROME AVE.

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

T-1

TITLE SHEET

SHEET INDEX

SHEET NUMBER: DESCRIPTION

PROJECT SUMMARY

PROJECT MANAGER:CROWN CASTLE695 RIVER OAKS PARKWAYSAN JOSE, CA 95134MICHAEL MILLER(408) 468-5554MICHAEL.MILLER@CROWNCASTLE.COM

TITLE SHEET

DETAILS & NOTES

AERIAL PHOTOS

T-1

D-1

S-1

DETAILS & NOTESD-2

DETAILS & NOTESD-5

EP-1 EXISTING SITE PLAN

SP-1 PROPOSED SITE PLAN

ELEVATIONSP-2

LANDSCAPE PLANLP-1

NODE ENGINEER:MOUNTAIN LTD19 YARMOUTH DR., SUITE 301NEW GLOUCESTERMIKE RIVERA(925) 964-5990mrivera@mountainltd.com

TRAFFIC CONTROL PLANTCP-1-2

DETAILS & NOTESD-7

DETAILS & NOTESD-6

SITE: CA-PHS07m2

ACROSS 332 JEROME AVE.

DETAILS & NOTESD-4

DETAILS & NOTESD-3

CROWN CASTLE TO INSTALL THE FOLLOWING:

· INSTALL STRAND MOUNT KIT #006D ON EXISTING UTILITYPOLE

· INSTALL (1) DB362NXD3S-M DB SPECTRA ANTENNA· INSTALL (2) AK009A WITH (4) ERICSSON 2203 RADIOS INSIDE

AT 9' 6"· INSTALL 2" SCHEDULE 80 POWER FEED RISER (FLUSH

MOUNTED TO POLE).· INSTALL 4" SCHEDULE 80 COMM RISER (FLUSH MOUNTED

TO POLE) SIZED TO ACCOMMODATE FUTURE TECHNOLOGY.· INSTALL SMART METER AT 7'-0"· INSTALL POWER DISCONNECT AT 8'-6"· INSTALL VERTICAL GROUND ROD· CROWN CASTLE FIBER AT 24'-0"· INSTALL (1) 16M DOWN GUY 1'' ANCHOR ROD 15' LEAD WEST· EQUIPMENT TO BE PAINTED TO MATCH WOOD OR STEEL

POLES AND TO THE SATISFACTION OF THE CITYENGINEERING STAFF.

GENERAL CONTRACTOR NOTES:

1. EXCAVATION PERMIT SHALL BEOBTAINED BY CONTRACTORPRIOR TO COMMENCING WORK.

2. ALL DISTURBED LANDSCAPINGSHALL BE REPLACED WITH NEWMATERIAL, EQUAL TO ORGREATER THAN EXISTINGCONDITION.

3. ANY SIDEWALK CLOSURE SHALLBE COORDINATED WITH THECITY AND PROPER SIGNING WILLBE PLACED.

4. NO MATERIALS OR EQUIPMENTSHALL BE STORED ON PRIVATEPROPERTY OR BLOCK ACCESS TOPRIVATE PROPERTY.

5. CLEANUP OF SITE WILL BECOMPLETED EACH EVENING ANDTHE SITE WILL BE RETURNED TOEXISTING CONDITIONS AT THECOMPLETION OF CONSTRUCTIONAT EACH SITE.

CONTRACTOR SHALL VERIFY ALLPLANS AND EXISTING DIMENSIONSAND CONDITIONS ON THE JOB SITEAND SHALL IMMEDIATELY NOTIFYTHE ENGINEER IN WRITING OF ANY

DISCREPANCIES BEFORE PROCEEDINGWITH THE WORK OR RESPONSIBLE

FOR SAME.

DETAILS & NOTESD-8

DETAILS & NOTESD-9

ARBORIST REPORTA-1

ARBORIST REPORTA-2

D-1

DETAILS & NOTES

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

LEGEND

SYMBOL DESCRIPTION

PROPOSED

2' X 3' VAULT

CABINET

NEW WOOD POLE

NEW STREETLIGHT

PCC SIDEWALK

2.

TRENCH AND FIBER CONDUIT (PVT)

3.

EXISTING

EXISTING UTILITY POLE

EXISTING STREETLIGHT

EXISTING VAULT / HANDHOLE

5.

EXISTING PEDESTAL

STEEL POLE

STATION POINTS

(100' INCREMENTS)

EXISTING CURB RAMP

C&G

R/W

CL

PL

EXISTING CURB & GUTTER

EXISTING RIGHT OF WAY

EXISTING CENTER LINE

EXISTING CENTER LINE

NORMAL LOCATION OF

UNDERGROUND UTILITIES NOTES:

1. LOCATION AND DEPTH OF EXISTING AND PROPOSED UTILITIES MUST BE PROVIDED BY THE

SUBDIVIDER AND SHOWN ON ANY PLANS SUBMITTED TO THE DEPT. OF PUBLIC WORKS FOR

APPROVAL.

2.

STORMDRAIN INLET PROTECTION

INLET

EDGE OF PAVEMENT

FLOW

SPILLWAY, 1-BAG HIGH

FLOW

SANDBAG

2-BAGS HEIGHT

TYPICAL PROTECTION FOR INLET WITH OPPOSING FLOW DIRECTIONS

ABBREVIATIONS

A/C

ASPHALT CURB

B.O.C. BACK OF CURB

B/EOP BACK OF EDGE OF PAVEMENT

C&G

CL

EX.

EOP

CURB & GUTTER

CENTERLINE

EXISTING

EDGE OF PAVEMENT

F.O.C. FACE OF CURB

F/EOP FACE OF EDGE OF PAVEMENT

PL

R/W

S/B

PROPERTY LINE

RIGHT OF WAY

SUBDIVISION BOUNDARY

TYPICAL PROTECTION FOR INLET WITH SINGLE FLOW DIRECTION

NOTES:

1. INTENDED FOR SHORT - TERM USE.

2. USE TO INHIBIT NON - STORM WATER FLOW.

3. ALLOW FOR PROPER MAINTENANCE AND CLEANUP.

4. BAGS MUST BE REMOVED AFTER ADJACENT OPERATION IS COMPLETED.

5. NOT APPLICABLE IN AREAS WITH HIGH SILTS AND CLAYS WITHOUT FILTER FABRIC.

FLOW

SPILLWAY, 1-BAG HIGH

FLOW

SANDBAG

2-BAGS HEIGHT

EDGE OF

PAVEMENT

INLET

3.

4.

5.

CHANGES MAY BE PERMITTED BY THE DEPT. OF PUBLIC WORKS IN CASES OF CONFLICTING

FACILITIES.

CONFLICTS BETWEEN UTILITY COMPANIES FACILITIES, EXISTING AND PROPOSED, MUST BE

MUTUALLY RESOLVED BY THE UTILITY COMPANIES.

FOR COMMERCIAL SIDEWALKS, THE FIRE HYDRANT SHALL BE PLACED WITHIN THE

SIDEWALK 1'-6" BEHIND FACE OF CURB.

MAXIMUM 2" DIAMETER GAS MAINS MAY BE PLACED IN JOINT UTILITIES TRENCH SUBJECT

TO APPROVAL OF CITY ENGINEER (IN TRACTS).

EQUIPMENT AND WORKERS FOR EMERGENCY WORK SHALL BE MADE AVAILABLE AT ALL TIMES

DURING THE RAINY SEASON.

ROW GROUND CONSTRUCTION NOTES:

1. GROUND CONSTRUCTION TO REMOVE/CLEAN ALL DEBRIS, NAILS, STAPLES, OR NON-USED

VERTICALS OFF THE POLE.

2.

3.

4.

5.

6.

7.

ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH MUNICIPAL, COUNTY, STATE, FEDERAL,

GO95 AND GO128 STANDARDS AND REGULATIONS.

CALL USA 48 HOURS PRIOR TO EXCAVATING AT (800) 227-2600 OR 811.

ALL LANDSCAPING TO BE RESTORED TO ORIGINAL CONDITION OR BETTER.

ALL EQUIPMENT TO BE BONDED.

METERING CABINET REQUIRES 36" CLEARANCE AT DOOR OPENING.

CAULK CABINET BASE AT PAD.

4. THE CONTRACTOR SHALL REMOVE SILT AND DEBRIS AFTER EACH MAJOR RAINFALL.

FOR STORM DRAIN INLETS, PROVIDE A GRAVEL BAG SILT BASIN IMMEDIATELY UPSTREAM OF INLET

AS INDICATED ON DETAILS.

THE CONTRACTOR OR QUALIFIED PERSON SHALL BE RESPONSIBLE FOR CLEANUP OF SILT AND MUD ON

ADJACENT STREET(S) AND STORM DRAIN SYSTEM DUE TO CONSTRUCTION ACTIVITY.

6.

EROSION AND SEDIMENT CONTROL NOTES:

TEMPORARY EROSION/SEDIMENT CONTROL, PRIOR TO COMPLETION OF FINAL IMPROVEMENTS, SHALL BE

PERFORMED BY THE CONTRACTOR OR QUALIFIED PERSON AS INDICATED BELOW:

1.

ALL REQUIREMENTS OF THE CITY BMP's (BEST MANAGEMENT PRACTICES) PER ALAMEDA COUNTY

CLEAN WATER STANDARDS AND CALIFORNIA STORM WASTE QUALITY ASSOCIATION (CASQA) HANDBOOK

MUST BE INCORPORATED INTO THE DESIGN AND CONSTRUCTION OF THE PROPOSED PUBLIC

IMPROVEMENTS CONSISTENT WITH THE EROSION CONTROL PLAN AND/OR WATER POLLUTION

CONTROL PLAN (WPCP), IF APPLICABLE.

NOTES:

1.

2.

3.

4.

5.

CALIFORNIA STATE CODE COMPLIANCE:

CONTRACTOR TO POTHOLE ALL UTILITY CROSSINGS.

CONTRACTOR TO PLACE SANDBAGS AROUND ANY/ALL STORM DRAIN INLETS TO PREVENT

CONTAMINATED WATER.

SPOILS PILE WILL BE COVERED AND CONTAINED AND STREET WILL BE SWEPT AND CLEANED

AS NEEDED.

CONTRACTOR TO REPAIR DAMAGED PUBLIC IMPROVEMENTS TO THE SATISFACTION OF THE

CITY ENGINEER.

CURB & GUTTER TO BE PROTECTED IN PLACE. SIDEWALK TO BE REPLACED TO THE

SATISFACTION OF THE CITY ENGINEER.

THE CONTRACTOR SHALL RESTORE THE ROADWAY BACK TO ITS ORIGINAL CONDITION

SATISFACTORY TO THE CITY ENGINEER INCLUDING, BUT NOT LIMITED TO PAVING, STRIPING,

BIKE LANES, PAVEMENT LEGENDS, SIGNS, AND TRAFFIC LOOP DETECTORS.

7.

8.

SIDEWALK SHALL BE RESTORED/REPLACED PER CITY STANDARD DRAWINGS.

PEDESTRIAN RAMP WILL NOT BE DISTURBED.

ALL WORK AND MATERIALS SHALL BE PREFORMED AND INSTALLED IN ACCORDANCE WITH THE

CURRENT EDITIONS OF THE FOLLOWING CODES AS ADOPTED BY THE LOCAL GOVERNING

AUTHORITIES.

NOTHING IN THESE PLANS IS TO BE CONSTRUCTED TO PERMIT WORK NOT

CONFORMING TO THESE

CODES:

CALIFORNIA ADMINISTRATIVE CODE (INCLUDING TITLES 24 & 25) 2016

BUILDING OFFICIALS & CODE ADMINISTRATORS (BOCA)

2016 CALIFORNIA MECHANICAL CODE

ANSI/EIA-222-F LIFE SAFETY CODE NFPA-101

2016 CALIFORNIA PLUMBING CODE

2016 CALIFORNIA ELECTRICAL CODE

2016 LOCAL BUILDING CODE

CITY/COUNTY ORDINANCES

ACCESSIBILITY REQUIREMENTS:

FCC NOTE:

THIS WIRELESS COMMUNICATION FACILITY COMPLIES WITH FEDERAL STANDARDS FOR RADIO

FREQUENCY IN ACCORDANCE WITH THE TELECOMMUNICATION ACT OF 1996 AND SUBSEQUENT

AMENDMENTS AND ANY OTHER REQUIREMENTS IMPOSED BY STATE OR FEDERAL REGULATORY

AGENCIES.

2016 CALIFORNIA BUILDING CODES WHICH ADOPTS THE 2016 UBC, 2016 UMC, 2016

UPC AND THE 2016 NEC.

FACILITY IS UNMANNED AND NOT FOR HUMAN HABITATION. HANDICAPPED ACCESS

REQUIREMENTS DO NOT APPLY IN ACCORDANCE WITH THE 2010 CALIFORNIA BUILDING

CODE.

GENERAL CONTRACTOR NOTES:

1. EXCAVATION USE PERMIT SHALL BE OBTAINED BY THE CONTRACTOR PRIOR TO

COMMENCING WORK.

2. ALL WORK TO BE CONDUCTED IN THE RIGHT OF WAY.

3. ALL DISTURBED LANDSCAPING SHALL BE REPLACED TO SIMILAR EXISTING CONDITION

4. WITH NEW MATERIAL, EQUAL TO OR GREATER THAN EXISTING CONDITION.

5. ANY SIDEWALK CLOSURE SHALL BE COORDINATED WITH THE CITY AND PROPER

SIGNING WILL BE PLACED.

6. NO MATERIALS OR EQUIPMENT SHALL BE STORED ON PRIVATE PROPERTY OR BLOCK

ACCESS TO PRIVATE PROPERTY.

7. CLEANUP OF SITE WILL BE COMPLETED EACH EVENING AND THE SITE WILL BE

RETURNED TO EXISTING CONDITIONS AT THE COMPLETION OF CONSTRUCTION AT EACH

SITE.

CONTRACTOR SHALL VERIFY ALL PLANS AND EXISTING DIMENSIONS AND CONDITIONS ON THE

JOB SITE AND SHALL IMMEDIATELY NOTIFY THE ENGINEER IN WRITING OF ANY

DISCREPANCIES BEFORE PROCEEDING WITH THE WORK OR RESPONSIBLE FOR SAME.

UTILITIES ENGINEERING NOTES:

· APPLICANT SHALL TAP ELECTRIC SERVICE TO THE SMALL CELL DISTRIBUTED ANTENNA

SYSTEM FROM THE LOCATIONS JOINTLY IDENTIFIED DURING THE FIELD INVESTIGATION.

· SERVICE VOLTAGE TO ALL THE PROPOSED LOCATIONS MAY NOT BE THE SAME.

APPLICANT SHALL DESIGN THEIR SYSTEM TO OPERATE AT THE AVAILABLE VOLTAGE IN

THE VICINITY.

· IF BRAND NEW POLES NEED TO BE INSTALLED FOR APPLICANTS SYSTEM THEN THE

POLES MUST MATCH EXISTING POLES IN THE DOWN TOWN AREA.

· AFTER EXCAVATION IS COMPLETED ON THE PUBLIC RIGHT OF WAY, EXISTING STREETS

INCLUDING SIDEWALKS/CURB/GUTTER OR ANY DECORATIVE PATHS MUST BE BROUGHT

TO ITS ORIGINAL CONDITION AND MUST BE APPROVED BY PUBLIC WORKS ENGINEERING

DEPARTMENTS INSPECTOR. POTHOLING MUST BE DONE AND ALL THE UTILITIES MUST

BE IDENTIFIED PRIOR TO COMMENCING EXCAVATION.

· EXCAVATION AND RESTORATION WORK MUST BE IN COMPLIANCE WITH THE PUBLIC

WORKS ENGINEERING STANDARDS AND SPECIFICATIONS THAT ARE AVAILABLE ON THE

FOLLOWING WEBSITE: http://www.ci.piedmont.ca.us SEE SHEET D-3 FOR CITY STANDARD

DETAIL.

· APPLICANTS SHALL BE RESPONSIBLE FOR MAINTAINING THEIR SYSTEM INCLUDING

SUBSTRUCTURE. IN CASE OF KNOCK DOWNS, THE CITY WILL RE-INSTALL ITS STREET

LIGHTING POLES BUT NOT APPLICANTS EQUIPMENT ON OR OFF THE POLE.

· A FIELD MEETING IS RECOMMENDED WITH UTILITIES COMPANIES PRIOR TO

COMMENCING THE WORK.

· THE CONTRACTOR SHALL IMMEDIATELY NOTIFY THE UTILITIES DEPARTMENT

510/420-3050 IF THE EXISTING SANITARY SEWER OR STORM DRAINS ARE DISTURBED OR

DAMAGED, WITH CITY APPROVED, A QUALIFIED OR CONTRACTOR MAY PERFORM

REPAIRS ON CITY SANITARY SEWER LINE OR STORM DRAIN.

· NO WATER VALVES OR OTHER FACILITIES OWNED BY UTILITIES DEPARTMENT SHALL BE

OPERATED FOR ANY PURPOSE BY THE APPLICANT'S CONTRACTOR. ALL REQUIRED

OPERATION WILL ONLY BE PERFORMED BY AUTHORIZED UTILITIES DEPARTMENT

PERSONNEL. WATER VALVES MAY BE OPERATED BY THE CONTRACTOR UNDER THE

DIRECT SUPERVISION OF THE WGW UTILITIES INSPECTOR. THE APPLICANT'S

CONTRACTOR SHALL NOTIFY THE UTILITIES DEPARTMENT NOT LESS THAN FORTY-EIGHT

(48) HOURS IN ADVANCE OF THE TIME THAT SUCH OPERATION IS REQUIRED.

STA STATION

SCH SCHEDULE

VGR VERTICAL GROUND RISER

CATV CABLE TV

OHG OVERHEAD GUY

7.

8.

9.

THE CONTRACTOR SHALL INSTALL ADDITIONAL EROSION/SEDIMENT CONTROL MEASURES AS MAY BE

REQUIRED DUE TO UNFORESEEN CIRCUMSTANCES, WHICH MAY ARISE.

ALL EROSION/SEDIMENT CONTROL MEASURES PROVIDED PER THE APPROVED IMPROVEMENT PLAN

SHALL BE INCORPORATED HEREON. ALL EROSION/SEDIMENT CONTROL FOR INTERIM CONDITIONS

SHALL BE DONE TO THE SATISFACTION OF THE RESIDENT ENGINEER.

ALL REMOVABLE PROTECTIVE DEVICES SHOWN SHALL BE IN PLACE AT THE END OF EACH WORKING

DAY WHEN RAIN IS IMMINENT.

10. THE CONTRACTOR SHALL ARRANGE FOR WEEKLY MEETINGS DURING OCTOBER 1ST TO APRIL 30TH

FOR PROJECT TEAM (GENERAL CONTRACTOR, QUALIFIED PERSON, EROSION CONTROL

SUBCONTRACTOR IF ANY, ENGINEER OF WORK, OWNER/DEVELOPER AND THE RESIDENT ENGINEER) TO

EVALUATE THE ADEQUACY OF THE EROSION/SEDIMENT CONTROL MEASURES AND OTHER RELATED

CONSTRUCTION ACTIVITIES.

6. THE CONTRACTOR SHALL RESTORE ALL EROSION/SEDIMENT CONTROL DEVICES TO WORKING ORDER

TO THE SATISFACTION OF THE CITY ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL.

D-2

DETAILS & NOTES

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

ANTENNA KIT 009A 8.75X24X6.25

(TYPICAL SECTION: N.T.S)

ANTENNA KIT 009A 8.75X24X6.25

(TYPICAL SECTION: N.T.S)

SCALE

NTS

2

SCALE

NTS

1

D-3

DETAILS & NOTES

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

SCALE

N.T.S.

1

SCALE

N.T.S.

4

SCALE

N.T.S.

2

SCALE

N.T.S.

5

SCALE

N.T.S.

3

SCALE

N.T.S.

6

D-4

DETAILS & NOTES

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

SCALE

N.T.S.

2

SCALE

N.T.S.

1

D-5

DETAILS & NOTES

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

SCALE

N.T.S.

1

SCALE

N.T.S.

2

SCALE

N.T.S.

4

SCALE

N.T.S.

5

CAUTION SIGN NOTICE SIGN

SCALE

N.T.S.

3

D-6

DETAILS & NOTES

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

ANTENNA KIT 006D

ITEM # QTY DESCRIPTION HP PART # MAT. TYPE

1

2

3

4

5

6

7

8

1 STRAND MOUNT BRACKET

6 3/8" X 3/4" STAINLESS STEEL BOLT

2 3/8" X 1 1/4" STAINLESS STEEL BOLT

2 1/4" X 2" STAINLESS STEEL U-BOLTS

4 1/4"STAINLESS STEEL WASHERS

4 1/4" STAINLESS STEEL LOCK WASHERS

8 3/8" STAINLESS STEEL WASHERS

8 3/8" STAINLESS STEEL LOCK WASHERS

N/A

N/A

N/A

N/A

N/A

N/A

N/A

VENDORS

HP022 316 STAINLESS STEEL ROBERT F CHAPMAN

STAINLESS STEEL ALLEN'S FASTENERS

STAINLESS STEEL ALLEN'S FASTENERS

STAINLESS STEEL ALLEN'S FASTENERS

STAINLESS STEEL ALLEN'S FASTENERS

STAINLESS STEEL ALLEN'S FASTENERS

STAINLESS STEEL ALLEN'S FASTENERS

STAINLESS STEEL ALLEN'S FASTENERS

D-7

DETAILS & NOTES

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

SCALE

1

NTS

D-8

DETAILS & NOTES

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

SCALE

1

NTS

#2 G

RO

UN

D W

IR

E

TO

G

RO

UN

D R

OD

LOAD

NEUTRAL

(N)(2) #12 AWG

TERMINAL BLOCK

SPLICE/CONNECTION

(N)(2) #6 AWG

NE

UT

RA

L #6

LO

AD

#6

GR

OU

ND

LOAD

(N) BREAKER

(N) BREAKER

(N) BREAKER BOX/ LOAD CENTER

(N)(2) #12 AWG

(N)(1) #10 AWG

GND

NE

UT

RA

L

GR

OU

ND

GR

OU

ND

NE

UT

RA

L

LO

AD

(N) RADIO

#1

SINGLE LINE DIAGRAM

METER

NEW METER

(N) 3 WIRE

(N) RADIO

#2

(N) RADIO

#3

(N) RADIO

#4

GR

OU

ND

NE

UT

RA

L

LO

AD

GR

OU

ND

NE

UT

RA

L

LO

AD

(N)(1) #12 AWG WIRE

FROM METER TO BREAKER

BOX & LOAD CENTER

DETAILS & NOTES

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

D-9SCALE

1

NTS

\\ntl1\PUBLIC\PROJECT\PIEDMONT NODES\PHS07m2\SUBMITTAL\30TH SUBMITTAL\29TH REDLINE\PDF Images\6.26.19 Arborist Rpt. CA-PHS07c40522d2.png

HORTICULTURE │ ARBORICULTURE │ URBAN FORESTRY

June 26, 2019

Michael Miller

Crown Castle

1 Park Place Suite 300

Dublin, CA 94568

Subject: Arborist Report – Location CA-PHS07m3

Small Cell Wireless project, Piedmont CA

Dear Mr. Miller:

Crown Castle is proposing to install small cell wireless communications devices at 19

locations in Piedmont. HortScience | Bartlett Consulting (Divisions of the F. A. Bartlett

Tree Expert Co.) was asked to prepare Arborist Reports for each of the 19 locations to

meet the City of Piedmont requirements. This letter responds to that request.

Overview

The proposed new antenna installations would either use existing city street light poles or

power poles or install new poles that will support the antenna. Some sights require

installation of an underground vault that will hold equipment. Trenching between the

pole/antenna and the vault, as well as between the vault and nearby utility poles, may be

required where a vault is installed. In this case, the antenna measures 2’ tall by 10”

across.

Potential impacts to trees (including both City street trees and trees on private property)

would be associated with 1) trenching between the vault and the pole, and 2) installation

of new light/utility poles. Trenching may sever roots and equipment working in close

proximity to trees may damage trunks and/or require pruning of tree crowns to provide

clearance. New poles must be lifted from a horizontal to vertical position which may also

damage tree trunks and require pruning ahead of pole installation and/or following pole

installation, if branches are damaged.

Description of Site and Trees

Site CA-PHS07m3 is located across from 344 Jerome Ave., near the corner with Hill

Lane. An existing utility pole was located near the curb on the southwest side of Jerome

Ave. will be used to support the wireless antenna and equipment.

Two trees were located on either side of the existing utility pole, both of which were

London plane trees (Platanus x hispanica). Tree #1 was on the southeast side of the

pole and #2 was on the northwest side. Approximate locations of trees are shown on the

Tree Assessment Plan (see attachments).

HortScience│Bartlett Consulting ● 325 Ray St. Pleasanton, CA ● 925.484.0211 ● www.hortscience.com

Arborist Report

Crown Castle - Piedmont small cell wireless project

Both trees were semi-mature,

measuring 13” and 12” in trunk

diameter, respectively. Tree #1

was in good health (rated a 4 on

a scale of 0 to 5, where 0=dead

and 5=excellent) and #2 was in

fair condition (rated a 3). Both

trees had been topped for the

overhead utility lines and #2 had

a moderate amount of twig and

branch dieback present in the

crown. Tree #1 had displaced

the adjacent sidewalk by

approximately 4”.

The distances between the trees

and the utility pole were

measured at 6’ for tree #1 and

28’ for tree #2.

Crowns were measured at 15’ to

the northwest for tree #1 and 16’

to the southeast for tree #2. In

this case, the canopy of tree #1

had grown around the existing

utility pole (Photo 1).

Photo 1: Looking south at London plane #1 and the

existing utility pole that will be usd to support the

wireless equipment. Tree #1 was semi-mature and

in good condition. The pole was located ~6’ from the

tree and the crown extended ~15’ in that direction.

Evaluation of Impacts

In this case, the existing utility pole will remain and a 2’ antenna will be mounted at 23’

above the ground, with all the other necessary equipment attached to the pole. The new

antenna will be mounted on a 5’ long arm, which will extend to the northwest, away from

tree #1. A new guy wire will also be added to the existing pole at 23’, extending 14’ to the

northwest. No vaults or trenching are proposed at this site.

Based on my assessment of the plans, impacts to tree #1 would be associated with the

crown pruning required to install the new antenna, associated equipment and guy wire.

Assuming a minimum of 5’ clearance from the pole would be required to install the

antenna and equipment, I would estimate that approximately 10% of the crown of tree #1

would need to be pruned on the northwest side.

Tree #2 would be outside the impacts of the proposed construction and no crown pruning

is anticipated. I recommend both trees be preserved.

HortScience | Bartlett Consulting

Page 2

HortScience│Bartlett Consulting ● 325 Ray St. Pleasanton, CA ● 925.484.0211 ● www.hortscience.com

Arborist Report

Crown Castle - Piedmont small cell wireless project

Summary

I evaluated the possible impacts to two (2) trees from installing a new 2’ antenna,

associated wireless telecommunications equipment and a guy wire at site CA-PHS07m3,

in Piedmont CA. No vaults or trenching are proposed at this site.

In this case, impacts would primarily involve canopy pruning on the northwest side of tree

#1. Tree #2 is considered outside the impacts of the proposed project and no crown

pruning is anticipated for tree #2. Preservation of trees is predicated on adhering to the

Tree Protection Guidelines that follow.

Tree Preservation Guidelines

The goal of tree preservation is not merely tree survival during development but

maintenance of tree health and beauty for many years. The response of individual trees

will depend on the amount of excavation and grading, the care with which demolition is

undertaken, and the construction methods.

The following recommendations will help reduce impacts to trees from the proposed

construction and maintain and improve their health and vitality through all phases of the

process.

1. The demolition contractor shall meet with the Consulting Arborist before

beginning work to discuss work procedures and tree protection.

2. Where fencing is not an option, protect tree trunks from incidental damage during

demolition by wrapping the trunks of street trees to a height of 8’ with straw

wattle and orange snow fencing to provide a visual cue and protection from

incidental contact. As an alternative, you can stack and secure hay bales around

the trunk to a height of 8 feet.

The TREE PROTECTION ZONE shall be defined by the limit of the dripline in all

directions.

3. Damage to tree(s) or unauthorized removal is subject to replacement or fine

equal to the estimated value of the tree.

4. No materials, equipment, vehicles, spoil, waste or wash-out water may be

deposited, stored, or parked within the TREE PROTECTION ZONE.

5. Where needed, prune trees to be preserved to clean the crown and to provide

clearance. All pruning shall be done by a State of California Licensed Tree

Contractor (C61/D49). All pruning shall be done by Certified Arborist or Certified

Tree Worker in accordance with the Best Management Practices for Pruning

(International Society of Arboriculture, 2002) and adhere to the most recent

editions of the American National Standard for Tree Care Operations (Z133.1)

and Pruning (A300).

6. All tree work shall comply with the Migratory Bird Treaty Act as well as California

Fish and Wildlife code 3503-3513 to not disturb nesting birds. To the extent

feasible tree pruning and removal should be scheduled outside of the breeding

season. Breeding bird surveys should be conducted prior to tree work. Qualified

biologists should be involved in establishing work buffers for active nests.

HortScience | Bartlett Consulting

Page 3

HortScience│Bartlett Consulting ● 325 Ray St. Pleasanton, CA ● 925.484.0211 ● www.hortscience.com

ARBORIST REPORT

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

A-1

Arborist Report

Crown Castle - Piedmont small cell wireless project

HortScience | Bartlett Consulting

Page 4

7. Demolition of existing improvement such as pavement shall use appropriate size

equipment to perform the task and protect the tree from damage. Equipment

shall be sited outside the TREE PROTECTION ZONE. Pull spoil and debris away

from the trees. If necessary, tie back branches and wrap trunks with protective

materials to protect from injury as directed by the Consulting Arborist.

8. Excavation shall not tear or rip tree roots 2 inches or greater in diameter. As the

operator encounters tree roots, excavation should stop while the root is exposed

by hand and cut cleanly at the edge of excavation.

9. Demolition personnel shall not prune trees to provide clearance. If pruning is

needed, a qualified arborist shall perform the task at the direction of the

Consulting Arborist.

Please contact me if you have any questions regarding my observations or

recommendations.

Sincerely,

John Leffingwell

Board Certified Master Arborist WE-3966B

Registered Consulting Arborist #442

Attached: Tree Assessment Map

HortScience│Bartlett Consulting ● 325 Ray St. Pleasanton, CA ● 925.484.0211 ● www.hortscience.com

ARBORIST REPORT

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

A-2

S-1

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

AERIAL PHOTOS

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

SITE: CA-PHS07m2

355 JEROME AVE

J

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5

2

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1

0

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3

2

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1

0

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JEROME ST STA. 00 + 00

HILL LN STA. 00 + 00

EP-1

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

EXISTING SITE PLAN

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

NOTE: ALL UTILITY LOCATIONS VERIFIED VIA USA

DIG ALERT MARKOUTS AND FIELD VERIFICATION.

LONGITUDE:

37.822518

-122.238674

CA-PHS07m2

NODE COORDINATE

EXISTING SHRUBS

LATITUDE:

EXISTING TREE

(1' B.O.C.) STA. 00 + 81

EXISTING POLE

#110110145

(1' B.O.C. ) STA. 00 + 73

PROPOSED NODE LOCATION

EXISTING SERVICE POLE #110110146

(1' B.O.C.) STA. 00 + 64

EXISTING TREE

(1' B.O.C.) STA. 00 + 69

NORTH

24"x36" SCALE: 1" =20'-00"11"x17" SCALE: 1" =40'-00"EXISTING SITE PLANA

C

&

G

C

&

G

R

/

W

R

/

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44'

R/W

C&G

C&G

R/W

J

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M

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A

V

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JE

RO

M

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6

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0

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1

0

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5

1

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4

6

3

4

-

2

5

1

-

4

6

3

4

-

1

5

1

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6

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0

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10'

24'

10'

5

0

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1

0

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3

0

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0

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2

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1

0

'

3

2

'

1

0

'

99

JEROME ST STA. 00 + 00

HILL LN STA. 00 + 00

LP-1

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

LANDSCAPE PLAN

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

NOTE: ALL UTILITY LOCATIONS VERIFIED VIA USA

DIG ALERT MARKOUTS AND FIELD VERIFICATION.

LATITUDE:

LONGITUDE:

37.822518

-122.238674

CA-PHS07m2

NODE COORDINATE

EXISTING SHRUBS

EXISTING TREE

(1' B.O.C.) STA. 00 + 81

EXISTING POLE

#110110145

(1' B.O.C. ) STA. 00 + 73

PROPOSED NODE LOCATION

EXISTING SERVICE POLE #110110146

(1' B.O.C.) STA. 00 + 64

POLE MOUNTED RADIO SHROUD AK009A

STRAND MOUNTED ANTENNA

DB SPECTRA MODEL#:DB362NXD3S-M

EXISTING TREE

(1' B.O.C.) STA. 00 + 69

ALL CONSTRUCTION ACTIVITIES TO ADHERE TO THE RECOMMENDATIONS OF THE ARBORIST REPORT ASIT PERTAINS TO PROTECTION OF THE EXISTING TREES, SHRUBS, AND ROOT SYSTEMS RELATED. ALLEXISTING TREES AND SHRUBS TO REMAIN. CONSTRUCTION CREW TO FOLLOW PROCEDURES ENTAILEDWITHIN REPORT TO ENSURE NO DAMAGE WILL OCCUR PER THE ARBORIST NOTES. ALL LANDSCAPINGWILL BE RESTORED TO ORIGINAL CONDITION TO THE SATISFACTION OF THE CITY INSPECTOR.

NORTH

24"x36" SCALE: 1" =10'-00"11"x17" SCALE: 1" =20'-00"LANDSCAPE PLANA

C

&

G

C

&

G

R

/

W

R

/

W

R/W

C&G

C&G

R/W

J

E

R

O

M

E

A

V

E

JE

RO

M

E A

VE

K

E

E

F

E

R

C

T

.

5

'

S

I

D

E

W

A

L

K

4

'

G

R

E

E

N

B

E

L

T

5

' S

ID

E

W

A

L

K

H

I

L

L

L

A

N

E

5

1

-

4

6

3

4

-

1

5

1

-

4

6

3

0

-

5

44'

3

6

'

1

6

'

1

0

'

1

0

'

24'

10'

5

0

'

1

0

'

3

0

'

1

0

'

5

2

'

1

0

'

3

2

'

1

0

'

99

JEROME ST. STA. 00 + 00

HILL LN. STA. 00 + 00

4

1

'

118'

1

1

7

'

1

7

'

7

3

'

1

1

6

'

SP-1

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

PROPOSED SITE PLAN

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

LATITUDE:

LONGITUDE:

37.822518

-122.238674

CA-PHS07m2

NODE COORDINATE

NOTE: ALL UTILITY LOCATIONS VERIFIED VIA USA

DIG ALERT MARKOUTS AND FIELD VERIFICATION.

EXISTING SHRUBS

EXISTING TREE

(1' B.O.C.) STA. 00 + 81

EXISTING POLE

#110110145

(1' B.O.C. ) STA. 00 + 73

PROPOSED NODE LOCATION

EXISTING SERVICE POLE #110110146

(1' B.O.C.) STA. 00 + 64

POLE MOUNTED RADIO SHROUD AK009A

STRAND MOUNTED ANTENNA

DB SPECTRA MODEL#:DB362NXD3S-M

EXISTING TREE

(1' B.O.C.) STA. 00 + 69

PL. (1)

3

4

'' ANCHOR

14' LEAD WEST

NORTH

24"x36" SCALE: 1" =10'-00"11"x17" SCALE: 1" =20'-00"PROPOSED SITE PLANA

7' 0"

GROUND LEVEL

EXISTING PAVEMENT

INSTALL SMART

METER & DISCONNECT

SWITCH COMBINATION

ENCLOSURE AT 7'-0"

INSTALL (2) AK009 WITH (4)

ERICSSON 2203 RADIOS

INSIDE AT 9' 6"

LOWER EXIST TELCO HEIGHT

FROM 24'-0'' TO 20'-0'' & MAINTAIN

18'-0'' OVER CENTERLINE

EXISTING CATV HEIGHT

AT 25' 0"

EXISTING SECONDARY ARM AT 30' 9"

EXISTING PRIMARY ARM AT 37' 0"

8' 0"

EXISTING DBL PRIMARY ARM AT 39' 0"

EXISTING CURB

6'-6"

INSTALL VERTICAL GROUND ROD

EXISTING STREET LIGHT

HEIGHT AT 27' 0"

9' 6"

INSTALL NEW STANDOFF

BRACKET PER GO95 (TYP)

INSTALL (1) DB362NXD3S-M DB SPECTRA

ANTENNA ON STRAND MOUNT KIT #006D;

RAD CENTER @ 22' 0"

PROPOSED CROWN

CASTLE FIBER AT 21' 0"

6'

INSTALL (1) 16M DOWN GUY

1'' ANCHOR ROD 15' LEAD WEST

TO P110110145

15'

INSTALL 2" SCHEDULE 80 POWER

FEED RISER AND INSTALL 4"

SCHEDULE 80 COMM RISER

DBL GUARD ARM

HEIGHT AT 25' 6"

EXISTING UTILITY POLE #110110146

EXISTING TOP OF POLE AT 38' 6"

TO P110110145

C

U

R

B

J

E

R

O

M

E

A

V

E

.

AK009A SHROUD

COMM RISER

(FLUSH MOUNTED)

EXISTING SERVICE POLE

#110110146

POWER RISER

(FLUSH MOUNTED)

(1) DBSPECTRA ANTENNA

AZIMUTHS 100° & 340°

(1) NEW ANCHOR &

DOWN GUY

EXISTING PAVEMENT

EXISTING SECONDARY ARM AT

30' 9"

EXISTING PRIMARY ARM

AT 37' 0"

EXISTING DBL PRIMARY ARM

AT 39' 0"

EXISTING CURB

EXISTING TELCO HEIGHT AT 23'-0"

6'-6"

EXISTING STREET LIGHT

HEIGHT AT 27' 0"

EXISTING CATV HEIGHT AT 25'-0"

DBL GUARD ARM

HEIGHT AT 25'-6"

EXISTING UTILITY POLE #110110146

EXISTING TOP OF POLE AT 38' 6"

EXISTING TELCO HEIGHT AT 24'-0"

POLE ID: #110110146TOP OF EXISTING POLE AT 38'-6" AGLTOP OF ANTENNA: 27'-6"RAD CENTER: 26'-6"AZIMUTHS: 100° & 340°

0°

NO

RT

H

90°

SP-2

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

POLE PROFILE

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

B LOOKINGSOUTH-WEST

CROWN CASTLE TO INSTALL THE FOLLOWING:

· INSTALL STRAND MOUNT KIT #006D ON EXISTING UTILITY POLE· INSTALL (1) DB362NXD3S-M DB SPECTRA ANTENNA· INSTALL (2) AK009A WITH (4) ERICSSON 2203 RADIOS INSIDE AT 9' 6"· INSTALL 2" SCHEDULE 80 POWER FEED RISER (FLUSH MOUNTED TO

POLE).· INSTALL 4" SCHEDULE 80 COMM RISER (FLUSH MOUNTED TO POLE)

SIZED TO ACCOMMODATE FUTURE TECHNOLOGY.· INSTALL SMART METER AT 7'-0"· INSTALL POWER DISCONNECT AT 8'-6"· INSTALL VERTICAL GROUND ROD· CROWN CASTLE FIBER AT 24'-0"· INSTALL (1) 16M DOWN GUY 1'' ANCHOR ROD 15' LEAD WEST· EQUIPMENT TO BE PAINTED TO MATCH WOOD OR STEEL POLES

AND TO THE SATISFACTION OF THE CITY ENGINEERING STAFF.

PROJECT DESCRIPTION

ANTENNA & EQUIPMENT NOTE:

1. MATERIALS AND FINISH WILL BE DURABLE ANDNON-REFLECTIVE AND WILL MINIMIZE THE POTENTIALVISUAL IMPACTS.

2. EQUIPMENT TO BE PAINTED TO MATCH AND TOSATISFACTION OF CITY ENGINEERING STAFF.

EXISTING PROFILE NEW PROFILE

45'-0" Class 4 45'-0" Class 4

LOCATION IS ON ZONE A.

C LOOKING SOUTH-WEST 24"x36" SCALE: 1/4" =1'-0"11"x17" SCALE: 1/8" =1'-0"

A TOP VIEW 24"x36" SCALE: 1/4" =1'-0"11"x17" SCALE: 1/8" =1'-0"

24"x36" SCALE: 1/4" =1'-0"11"x17" SCALE: 1/8" =1'-0"

(SEE DETAIL SHEET D-8)

SW

1

0

0

'

1

0

0

'

1

0

0

'

50'

5

0

'

5

0

'

5

0

'

35'

35'

35'

35'

G20-2

END

ROAD WORK

100'

100'

100'

PKWY

W20-1

WORK

AHEAD

W20-4

ONE LANE

ROAD

AHEAD

C9A

BE

PREPARED

TO STOP

W3-4

W20-1

WORK

AHEAD

C9A

BE

PREPARED

TO STOP

W3-4

G20-2

END

ROAD WORK

W20-1

UTILITY

WORK

AHEAD

W20-4

ONE LANE

ROAD

AHEAD

C9A

LEGEND:

DELINEATOR

TEMPORARY SIGN

SIGNALIZED INTERSECTION

FLASHING ARROW BOARD

S

DIRECTION OF TRAVEL

TYPE II BARRICADE

TYPE III BARRICADE

WORK AREA

WORK VEHICLE

S

W

W20-1

WORK

AHEAD

5

0

'

W20-4

ONE LANE

ROAD

AHEAD

BE

PREPARED

TO STOP

W3-4

100'

G20-2

END

ROAD WORK

W20-4

ONE LANE

ROAD

AHEAD

C9A

BE

PREPARED

TO STOP

W3-4

15'

1

2

'

KEEFER CT.

(25 MPH)

JEROME AVE.

(25 M

PH)

N

O

V

A

D

R

.

(

2

5

M

P

H

)

H

I

L

L

L

N

.

(

2

5

M

P

H

)

J

E

R

O

M

E

A

V

E

.

(

2

5

M

P

H

)

WORK HOURS: 9:00 AM TO 3:00 PM

APPROX. DURATION OF WORK: _______

TYPE OF WORK:

PARKING RESTRICTIONS: INSTALL TEMP.

72 HOURS PRIOR TO WORK IF NEEDED

NOTE

1

0

0

'

INSTALLATION

CURB

CURB

1

2

'

POLE

#110110145

FLAGGER

STATION

FLAGGER

STATION

FLAGGER

STATION

FLAGGER

STATION

FLAGGER

STATION

#110110146

POLE

P

E

D

X

-

I

N

G

G20-2

END

ROAD WORK

(CA)

LANE

CLOSED

C30

(CA)

LANE

CLOSED

C30

AVENUE

(25 MPH)

JEROME

R8-3a

R8-3a

NOTE:

PROVIDE FLAGGER FOR

PEDESTRIAN ACCESS

NOTE:

PROVIDE FLAGGER FOR

PEDESTRIAN ACCESS

UTILITY

UTILITY

UTILITY

TCP-1

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

TRAFFIC CONTROLPLAN

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

SEE

MA

TC

HL

INE

NORTH

24"x36" SCALE: 1" =20'-00"11"x17" SCALE: 1" =40'-00"TRAFFIC CONTROL PLANA

100' 100' 100'

W20-1

UTILITY

WORK

AHEAD

BE

PREPARED

TO STOP

W3-4

C9A

W20-4

ONE LANE

ROAD

AHEAD

100'

1

0

0

'

STOP

G20-2

END

ROAD WORK

LEGEND:

DELINEATOR

TEMPORARY SIGN

SIGNALIZED INTERSECTION

FLASHING ARROW BOARD

S

DIRECTION OF TRAVEL

TYPE II BARRICADE

TYPE III BARRICADE

WORK AREA

WORK VEHICLE

WORK HOURS: 9:00 AM TO 3:00 PM

APPROX. DURATION OF WORK: _______

TYPE OF WORK:

PARKING RESTRICTIONS: INSTALL TEMP.

72 HOURS PRIOR TO WORK IF NEEDED

NOTE

CURB

CURB

A

R

B

O

R

D

R

.

(

2

5

M

P

H

)

INSTALLATION

W20-1

UTILITY

WORK

AHEAD

JEROME AVE.

(25 MPH)

G20-2

END

ROAD WORK

TCP-2

SITE NAME & ADDRESS:

CROWN CASTLE PROJECT NO.

PROPRIETARY INFORMATION

THE INFORMATION CONTAINED IN THISSET OF DRAWINGS IS PROPRIETARY AND

CONFIDENTIAL TO VERIZON. ANY USE ORDISCLOSURE OTHER THAN AS IT RELATES

TO VERIZON IS STRICTLY PROHIBITED.

SHEET NUMBER:

DRAWN BY: DRAFT DATE: APPROVED BY:

ING 9/18/19

DATEREVISION / ISSUE

DESCRIPTION

TICKET #_______________________UNDERGROUND SERVICE ALERT

1-800-227-2600CALL AT

LEAST TWODAYS BEFORE

YOU DIG

PREPARED BY:

CLIENT:

695 RIVER OAKS PARKWAYSAN JOSE, CA 95134www.crowncastle.com

CROWN

CASTLE

V258040

PIEDMONT HIGH SCHOOL

a System One division

TM

19 Yarmouth Drive,

Suite 301

New Gloucester,

Maine 04260

(800) 322-8627 Phone

(877) 422-1078 Fax

www.mountainltd.com

REVISION 6 03/25/19

REVISION 7 06/11/19

REVISION 06/28/19

ADD RF EMISSIONS

COMPLIANCE REPORT

06/29/19

REVISION 07/03/19

REVISION 09/03/19

REVISION 09/10/19

REVISION 09/18/19

TRAFFIC CONTROLPLAN

CA-PHS07m2

355 JEROME AVE.,

PIEDMONT, CA

(358 HILLSIDE AVENUE #16-0385)

SEE

MA

TC

HL

INE

NORTH

24"x36" SCALE: 1" =20'-00"11"x17" SCALE: 1" =40'-00"TRAFFIC CONTROL PLANA