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Communications Tower Review Form <br />I.Applicant Information: <br />For North Carolina HPO <br />AES - Jon Pruitt/PeakNet <br />Use Only <br />Preparer/Company: _____________________________________ <br />PO Box 462, Starr, SC 29684 <br />Address: _____________________________________ <br />864-907-6061/864-352-2886 jonpruitt@wctel.net <br />Phone/Fax/E-mail: _____________________________________ <br />II.Tower Information: (Attach copy of USGS map or photocopy of quad on reverse; include 1 and 2 mile radius around site) <br />X Concord MP <br />____ Raw Land (New) ____ Co-Location ApplicantÓs Identification # ___________________ <br />7621 Tuckaseegee Road, Kannapolis, NC <br />Address: _________________________________ <br />Cabarrus not assigned <br />County: _________________________________ FCC Registration No. _________________________ <br />Tower type and height: ___________________Quad Name: ____________________________ <br />Monopole 230-feet Kannapolis <br />III.Identification of Historic Properties: <br />List sites by site number and status: NR = National Register listed; SL = Study List; DOE = Determination of Eligibility; <br /> LD = Local Designation; UA = Unassessed <br />Archaeology Architecture <br /># of recorded sites in immediate area of tower: 0 # of recorded sites within 0.5-mile radius: 0 <br />IV.Additional Information/Investigation Needed: <br />____ Survey ____ Photo Reconnaissance <br />____ Testing of sites __________________________ ____ Balloon Test <br />11/18/2021 No effect ~ DJC <br />Recommended by/on: __________________________ Recommended by/on: ____ <br />_____________________ <br />(Office of State Archaeology) (Survey & Planning Branch) <br />V.Recommendations/Final Determination: <br />____ Recommendations for additional work are shown above. <br />not <br />X <br />____ The proposed communication tower will _____________ affect historic properties in the area of potential effect. <br />11/19/2021 <br />______________________________________________________________________ <br />Renee Gledhill-Earley, Environmental Review Coordinator Date <br />cc: FCC <br /> February, 2001 <br /> <br />