FCC Form 854 - Page 1 February 2019 FCC Form 854 FEDERAL COMMUNICATIONS COMMISSION Approved by OMB 3060 - 0139 Information and Instructions Est. Avg. Burden Per Response: 45 minutes Application for Antenna Structure Registration NOTICE TO INDIVIDUALS REQUIRED BY THE PRIVACY ACT OF 1974 AND THE PAPERWORK REDUCTION ACT OF 1995 We have estimated that each response to this collection of information will take on average 45 minutes. Our estimate includes the time to read the instructions, look through existing records, gather and maintain required data, and actually complete and review the form or response. If you have any comments on this estimate, or on how we can improve the collection and reduce the burden it causes you, please write the Federal Communications Commission, AMD-PERM, Washington DC 20554, Paperwork Reduction Project (3060-0139). We will also accept your comments via the Internet if you send them to PRA@fcc.gov. Please do not send completed application forms to this address. You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection unless it displays a currently valid OMB control number with this notice. This collection has been assigned OMB control number 3060-0139. The FCC is authorized under the Communications Act of 1934, as amended, to collect the personal information we request in this form. We will use the information you provide to determine whether approving this application is in the public interest. If we believe there may be a violation or potential violation of a statute, FCC regulation, rule or order, your application may be referred to the Federal, state, or local agency responsible for investigating, prosecuting, enforcing or implementing the statute, rule, regulation or order. In certain cases, the information in your application may be disclosed to the Department of Justice or a court or adjudicative body when (a) the FCC; or (b) any employee of the FCC; or (c) the United States Government, is a party to a proceeding before the body or has an interest in the proceeding. All parties and entities doing business with the Commission must obtain a unique identifying number called the FCC Registration Number (FRN) and supply it when doing business with the Commission. Failure to provide the FRN may delay the processing of the application. This requirement is to facilitate compliance with the Debt Collection Improvement Act of 1996 (DCIA). The FRN can be obtained electronically through the FCC webpage at http://wireless.fcc.gov/uls (select the 223Register224 button near the top of the page to access the FCC222s Commission Registration System {CORES}) or by manually submitting FCC Form 160. FCC Form 160 is available from the FCC222s web site at http://www.fcc.gov/formpage.html, by calling the FCC222s Forms Distribution Center (800) 418-FORM (3676), or from the Federal Communications Commission Fax Information System by dialing (202) 418-0177. This notice is required by the Privacy Act of 1974, Public law 93-579, December 31, 1974, 5 U.S.C. Section 552a (e) (3) and the Paperwork Reduction Act of 1995, Public law 104-13, October 1, 1995, 44 U.S.C. 3507, American LegalNet, Inc. www.FormsWorkFlow.com FCC Form 854 - Page 2 February 2019 General Instructions Purpose of form This FCC form is to be used to register structures used for wire or radio communication service in any area where radio services are regulated by the Commission; to make changes to existing registered structures or pending applications; or to notify the Commission of the completion of construction or dismantlement of structures, as required by Title 47 of the Code of Federal Regulations, Chapter 1, Part 17 (FCC Rules Part 17). Note: This is not an application for authorization to build a radio facility or transmit from it. Who Must File FCC Form 854 and When Registration with the Commission is required before any construction or alteration of an antenna structure, which requires notification to the Federal Aviation Administration (FAA). Prior to completing registration with the Commission, an antenna structure owner (or tenant licensee in certain cases where the owner is unable to register see - Title 47 of the Code of Federal Regulations, Chapter 1, Part 17.4(e)) must have notified the FAA (via FAA Form 7460-1) and received a final determination of 'no hazard' from the FAA. Most FCC Form 854 applications for new antenna structures, and some applications for changes to existing antenna structures, require environmental notification before registration can be granted. See Title 47 of the Code of Federal Regulations, Chapter 1, Section 17.4(c). For purposes of completing environmental notification, FCC Form 854 may be initially filed prior to notifying the FAA and receiving a determination of no hazard. However, the FAA process must be completed before registration can be granted. FCC Form 854 must also be filed to notify the Commission of the completion of construction of a registered antenna structure, and to notify the Commission of changes to an antenna structure registration or application. A separate FCC Form 854 must be filed to register each antenna structure or each tower of an array. FCC Form 854, in conjunction with Schedule A, may be filed to notify the Commission of changes that affect multiple antenna structure registrations and applications in exactly the same way. Notification to the FAA (as prescribed in Title 47 of the Code of Federal Regulations, Chapter 1, Part 17.7) and, thus, registration with the Commission is required for any of the following: 1) Any construction or alteration that is more than 60.96 meters (200 feet) in height above ground level at its site. 2) Any construction or alteration that exceeds an imaginary surface extending outward and upward at one of the following slopes: (a) 100 to 1 for a horizontal distance of 6.10 kilometers (20,000 feet) from the nearest point of the nearest runway of each airport as specified in paragraph 3(a, b, c and d) below with its longest runway more than 0.98 kilometers (3,200 feet) in actual length, excluding heliports. (b) 50 to 1 for a horizontal distance of 3.05 kilometers (10,000 feet) from the nearest point of the nearest runway of each airport as specified in paragraph 3(a, b, c, and d) below with its longest runway no more than 0.98 kilometers (3,200 feet) in actual length, excluding heliports. (c) 25 to 1 for a horizontal distance of 1.52 kilometers (5,000 feet) from the nearest point of the nearest landing and takeoff area of each heliport specified in paragraph 3(a, b, c, and d) below. NOTE: Applicants can access the FCC's TOWAIR program via the Antenna Homepage on the Internet (http://wireless.fcc.gov/antenna) for assistance in determining if a proposed construction or alteration meets the above criteria. 3) Any construction of an antenna structure (or any alteration of an antenna structure that would increase its height) on any of the following airports (including heliports): (a) A public use airport listed in the Airport/Facility Directory, Alaska Supplement, or Pacific Chart Supplement of the U.S. Government Flight Information Publications; (b) A military airport under construction or an airport under construction that will be available for public use. (c) An airport operated by a Federal agency or the Department of Defense (DOD). (d) An airport or heliport with at least one FAA-approved instrument approach procedure. American LegalNet, Inc. www.FormsWorkFlow.com FCC Form 854 - Page 3 February 2019 Registration with the FCC is not required in the above circumstances if construction or alteration meets one of the following criteria as identified in Title 47 of the Code of Federal Regulations, Chapter 1, Part 17.14: 1) Any object that would be shielded by existing structures of a permanent and substantial character or by natural terrain or topographic features of equal or greater height, and would be located in the congested area of the city, town or settlement where it is evident beyond all reasonable doubt that the structure so shielded will not adversely affect safety i