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pdfSUPPLEMENTAL NOTICE
Form Approved OMB No. 2120-0001
Expiration Date: 9/30/2010
Submission Instructions: For Advance Notice of Actual Construction or Alteration. Complete items 1, 2, 3A (1), 3A(2),
and 6. If applicable, also complete items 4 and 5. Detach Part 1. Fold and tape at bottom. Mail to the FAA Regional
Office for your area. Part 1A is provided for your file.
Aeronautical Study No.
Notice of Actual Construction or Alteration
(Ple ase Type or Print on this Form)
U.S. Department of Transportation
Federal Aviation Administration
1. Construction
A. Type and Description of Construction
B. Owner of Structure
New
Alteration
2. Construction Location -- Height
A. Coordinates (To hundredths of seconds, if known)
Latitude
°
B. Location (City, State, include Street
Address if any)
Longitude
'
"
°
C. Construction Heights
'
"
Total Height
(Structure & Site)
Above Mean Sea Level
Site Elevation
Structure Height
Ft. AMSL
Ft. AGL
Ft. AMSL
E. Reference datum of coordinates
D. Site Elevation Determined By
NAD 27
NAD 83
Other (Specify)
Actual Survey
USGS 7.5’ Quad Chart
Other (Specify)
F. Name of Nearest Public-Use or Military Airport
(include Distance and Direction from the Airport)
3. Construction Notifications
B. Construction/Project
A. Notification
(Notice Is Critical to Flight
Safety --- FAR Part 77 Required)
Date
(1) Construction will start (Submit at
least 48 hrs. in advance
Date
(1) Project Abandoned
(2) Estimated Completion
(2) Construction Dismantled
(3) Structure Reached Greatest Height
(Submit within 5 days)
4. Marking and Lighting
A. Marked
Yes
No
Temporary
B. Lighted
Medium Intensity White
Dual (Medium Intensity
White & Red)
High Intensity White
Dual (High Intensity
White & Red)
Red
None
5. Antenna Requiring FCC License
A. Call Sign
B. Frequency
C. Date Applied for FCC Construction Permit
D. Date Construction Permit Issued
Submitted by: (If submitted by a
proponent’s representative, please
also complete item B.)
6. Preparer’s Certification
A. Proponent’s Representative
Name:
B. Construction Proponent
Name:
Address:
Address:
Tel. No.: (Include Area Code)
Tel. No.: (Include Area Code)
I hereby certify that the information provided is true, complete, and correct to the best of my knowledge.
Signature
Title
Date
Notice is required by 14 Code of Federal Regulations, part 77 pursuant to 49 U.S.C., Section 44718. Persons who knowingly and
willingly violate the notice requirements of part 77 are subject to a civil penalty of $1,000 per day until the notice is received, pursuant to
49 U. & C., Section 46301(a).
FAA Form 7460-2
(7-98)
SUPERSEDES PREVIOUS EDITION
ADVANCE NOTICE OF CONSTRUCTION
SUBMIT WITHOUT DELAY
Part 1
Paperwork Reduction Act Statement: This information is collected to process obstruction data that is critical to flight safety and is not confidential.
Providing this information is mandatory for anyone proposing construction or alteration that meets or exceeds the criteria contained in 14 CFR, part 77.
We estimate that the burden of this collection is an average 15 minutes per response. An agency may not conduct or sponsor, and a person is not
required to respond to a collection of information unless it displays a currently valid OMB control number. The OMB control number associated with
this collection is 2120-0001. Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the
FAA at: 800 Independence Ave SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ABA-20
File Type | application/pdf |
File Title | Supplemental Notice |
Subject | Supplemental Notice to FAA Form 7460-1 |
Author | Larry N. Green II |
File Modified | 2009-04-06 |
File Created | 2004-08-02 |