7460-2 Notice of Construction or Alteration - Supplemental Noti

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 13 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed,
completing and reviewing the collection of information. A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the
requirements of the Paperwork Reduction Act unless that collection of information 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, ASP-110.

SUPPLEMENTAL NOTICE

Form Approved OMB No. 2120-0001
Expiration Date: 8/31/2014

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