TAG Colocation Application - Tower Access Group
|RETURN THIS APPLICATION TO: (E-MAIL IS PREFERRED) |Date Rec. by TAG: | |
|Tower Access Group, LLC | | |Revision Dates: | |
|993 Four Mile Road, Suite 1 |e-mail: |info@ | | |
|Richmond, KY 40475 |office: |859.623.5513 |Site Name: | |
|Attn: Colocation |fax: |859.623.5213 |Site Number: | |
|TAG SITE INFORMATION |
|Latitude: | | | |N |Existing Structure Type: | |
|Longitude: | | | |W |Existing Structure Height (ft AGL): | |
|Site Address: | |County: | |State: | |
|APPLICANT INFORMATION |
|Applicant (Carrier): | |Primary Contact Name: | |
|Applicant Site Name: | |Company Name: | |
|Applicant Site Number: | |Primary Contact Number: | |
|Entity Name On Lease: | |Primary Contact Email: | |
|Notice Address On Lease: | |Primary Contact Address: | |
| | | | |
| | |Required Date For Receipt of Agreement: | |
|Billing Address: | |Proposed Installation Date: | |
| | |Proposed On Air Date: | |
|ADDITIONAL CARRIER INFORMATION |
|Leasing Contact Name/Number/Email | |
|RF Contact Name/Number/E mail | |
|Legal Review Contact Name/Number: | |
|Zoning Contact Name/Number | |
|Construction Contact Name/Number: | |
|Emergency Contact Name/Number: | |
|ANTENNAS |
|Sector |Sector 1 |Sector 2 |Sector 3 |Sector 4 |AUX |
|Desired Rad Center (ft AGL) | | | | | |
|Antenna Quantity | | | | | |
|Antenna Manufacturer | | | | | |
|Antenna Model (Attach Spec Sheet) | | | | | |
|Weight (lbs per antenna) | | | | | |
|Antenna Dimensions (HxWxD) (in) | | | | | |
|ERP (watts) | | | | | |
|Antenna Gain (dB) | | | | | |
|Orientation/Azimuth (Degrees) | | | | | |
|Mechanical Tilt | | | | | |
|TMA Quantity | | | | | |
|Mount Mfg and Model (Attach Spec Sheet) | | | | | |
|Tower Mount Mounting Height (On Tower) | | | | | |
|Transmit Frequency (MHz) | | | | | |
|Receive Frequency (MHz) | | | | | |
|Number of Coax Cables (PER ANTENNA) | | | | | |
|Diameter of Coax Cables (in) | | | | | |
|Type of Service (i.e CDMA, iDEN, GSM, TDMA, PAGING): | |
Please Note: “AUX” can be used for Microwave, TTA, LNA, or GPS antenna information.
|GROUND SPACE REQUIREMENTS |
| | |
| |___ BTS Cabinets/Number of BTS Cabinets: |
|Equipment Enclosure Type: | |
| |___ Outdoor Shelter |
| | |
| |___ Other: |
|Leased Area Dimensions (HxWxD) (ft) | |
|Cabinet/BTS/Shelter Dimensions (HxWxD)(ft): | |
|Concrete Pad Dimensions (HxWxD)(ft): | |
|Cabinet/Shelter Manufacturer/Model: | |
|POWER REQUIREMENTS |
|AC Power: | | | |
| | |Required Voltage and Total Amperage: | |
|GENERATOR INFORMATION |
|Generator Ground Space Requirement | | | |
|(HxWxD)(ft): | |Fuel Type: |__ Propane ___ Diesel |
|Fuel Tank Size (Gallons): | |Fuel Tank Location: |__Attached __Separate __None |
|Capacity (KW): | | | |
|ADDITIONAL INFORMATION/COMMENTS/APPROVALS |
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Please attach spec sheets for:
o Antennas/TMA’s/Diplexers/Microwave Dishes/GPS
o Antenna Sector Mounts
o Outdoor Equipment
o Outdoor Shelter
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