BPA F 6530.16e Application for a Wireless Site Upgrade Co-Located on BP

BPA F 6530.16e
(02-2022)

US DEPARTMENT OF ENERGY -BONNEVILLE POWER ADMINISTRATION (BPA)

APPLICATION FOR A WIRELESS SITE UPGRADE CO-LOCATED ON BPA FACILITIES

OMB Control Number:1910-XXXX
Expiration Date:xx/xx/xxxx

General Information for a Wireless Site Upgrade:
When space and structural capacity allow, the Bonneville Power Administration (“BPA”) will consider requests to upgrade and/or modify
existing wireless facilities located on BPA transmission facilities. These changes may require modifications to the site’s existing Facility
Lease Agreement. Upgrade requests will be evaluated with emphasis on BPA’s security requirements, available resources, and outage
constraints.
The BPA Wireless Customer (“Customer”) must submit a complete upgrade application package to [email protected]
including, but not limited to, the Upgrade Application Form (including Site Maintenance Ticket), construction drawings for current
facilities, RH data, and equipment cut sheets for any new proposed equipment. Upon receipt of the complete application package, BPA
will provide Customer with the project’s agreement number.
FEES: Customer must submit an application fee of $20,000 to BPA within 90 days following submission of this application. All fees
must be submitted to BPA directly by Customer and per BPA Payment Instructions. The BPA provided agreement number must be
referenced in the payment description field. BPA will hold the fee in an account established for the project specified herein, and will use
it for preliminary design and engineering work associated with Customer’s application. The cost of performing preliminary design and
engineering activities by BPA at Customer’s expense will be the actual cost of performing the activities, plus applicable overhead rates.
If BPA determines that the proposed project is not feasible, BPA will refund unexpended funds in the project account to Customer. If
BPA determines that the proposed project is feasible, BPA will tender a reimbursable agreement (Agreement) to Customer to provide
for construction activities and for additional funding associated with those activities. If Customer executes the Agreement, BPA will
apply the $20,000 application fee, minus any expenses BPA has incurred prior to execution of the Agreement, towards the Agreement.
BPA’s Fiscal Year Construction and Reimbursable Non‐Direct Rates in effect at the time the Agreement is offered to Customer will
apply. If, at any time, Customer informs BPA that it does not intend to pursue the project or execute the Agreement, BPA will make a
full accounting to Customer and either return any unexpended balance in the account to Customer or bill for any costs in excess of the
deposit in the account. Customer must pay any excess costs within 30 days of the date of the bill.

Required Information:
Type of Upgrade:
Name of BPA Transmission Line/Facility:
Latitude:

Tower #:
Longitude:

BPA Name of Existing Wireless Site:

Customer Site ID:

Detailed description of work request:

Customer (Legal) Name:

Customer Contact Name:
Email:
Phone:

(IF SUBMITTED BY CUSTOMER REPRESENTATIVE)
Customer Representative Company Name:

Customer Representative Contact Name:
Email:
Phone:

RF engineer that BPA may contact for technical information if necessary (Name, Address, Tel, Email):

File code; FE-1200 Retention; Destroy 5 years after the records are closed, approved, submitted, or become inactive.

Page 1 of 6

BPA F 6530.16e
(02-2022)

U.S. DEPARTMENT OF ENERGY-BONNEVILLE POWER ADMINISTRATION (BPA)

APPLICATION FOR A WIRELESS SITE UPGRADE CO-LOCATED ON BPA FACILITIES
OMB Control Number:1910-XXXX
Expiration Date:xx/xx/xxxx

The following is for the purpose of project closeout:
Customer Contact - Submit Invoice

Customer Contact - Submit Refund

Name:

Name:

Email Address:

Email Address:

Phone Number:

Phone Number:

Street Address:

Street Address:

Does Customer require additional space on the site for:
Shelter?
Outdoor Cabinets?

If yes, give dimensions (L, W, H)

A New Pole?

Pole or tower dimensions: Height:

or New Tower?

Base:

Electrical power requirements: Voltage (e.g. 120/240 VAC, 60 Hz, 1 Ph., 3 Wire)
Average Watts

Peak Watts

Is BPA Emergency backup power requested?
Does Customer propose to install additional utility services such as power service, telephone line or leased line for control?
If yes, describe:

List of racks or cabinets to be placed within BPA building and dimensions of each (W, D, H):
Rack

Width

Depth

Height

Rack

1

3

2

4

Width

Depth

Height

List antennas to be placed on BPA tower (attach cutsheets):
Ant.

Height on
tower

Azimuth
(or Omni)

Antenna
Gain †

3dB
Beamwidth
††

Weight
(pounds)

Dimensions, Make &
Model

Tx? *

1
2
3
4
5
6
7
8
9
10
11
12
* If antenna is used for TRANSMITTING, mark “yes” under Tx? Be sure to answer the questions below
† Enter Gain value and specify whether this number is expressed in dBi or dBd, lowest transmit frequency
†† Lowest Transmit frequency

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BPA F 6530.16e
(02-2022)

U.S. DEPARTMENT OF ENERGY -BONNEVILLE POWER ADMINISTRATION (BPA)

APPLICATION FOR A WIRELESS SITE UPGRADE CO-LOCATED ON BPA FACILITIES
OMB Control Number:1910-XXXX
Expiration Date:xx/xx/xxxx

List number, manufacturer, and size of all coaxial cables to be placed on BPA tower:
Type of
Size of
Ant.
# of Coax
Weight/Ft
Coax
Coax

Other Coaxial Information
Available

Tx? *

1
2
3
4
5
6
7
8
9
10
11
12
Proposed Receive Frequencies (list):
#
Receive Frequency (MHz)

#

1

5

2

6

3

7

4

8

Receive Frequency (MHz)

Proposed Transmit Frequencies, RF Output Power, Emission, Equipment (list):
#
Freq. (MHz)
Tx Power †
Power (E.R.P.)‡
C or I*
1
2
3
4
5

Emission Type

Equipment Make & Model

† Transmitter RF Output, watts
‡ Eff. Radiated Pwr. at Antenna
* C=Continuous; I=Intermittent
(Include all types of transmitters including microwave links via dish. Attach additional sheets if necessary.)

For evaluating near-field RF/EMF exposure to workers:
What is the maximum number of transmitters delivering RF power to any one antenna?

transmitters.

What is the total actual RF power in watts, not ERP, delivered to that antenna for that number of transmitters?
{Number of Tx

times Watts per Tx

(allowing for coaxial line losses), =

RF watts, total)

Page 3 of 6

BPA F 6530.16e
(02-2022)

U.S. DEPARTMENT OF ENERGY-BONNEVILLE POWER ADMINISTRATION (BPA)

APPLICATION FOR A WIRELESS SITE UPGRADE CO-LOCATED ON BPA FACILITIES
OMB Control Number:1910-XXXX
Expiration Date:xx/xx/xxxx

Will other types of antennas be placed on BPA tower (Such as GPS, microwave dish, Rx calibration antenna, etc.)?
If yes, list below, using more paper if necessary.

Ant.

Type

Height

Azimuth (or
Omni)

Weight

Dimensions

Tx?*

1
2
3
4
5
*If antenna is used for TRANSMITTING, mark “yes” under Tx?

Provide contact information for any Customer employee or contractor that will require access to the site:

How often would Customer or Customer representative expect to visit the site?

Any additional information to be considered in BPA's review of this Upgrade Application:

If supplemental sheets, maps, sketches, etc. are attached in response to the above questions, please list below:

Signature:

EMAIL TO: [email protected]

Date:

Upon receipt of this application, BPA will provide an Agreement number, which must be referenced on the
payment.
See BPA Payment Instructions for payment procedure.

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U.S. DEPARTMENT OF ENERGY-BONNEVILLE POWER ADMINISTRATION(BPA)

BPA F 6530.16e
(02-2022)

BPA WIRELESS PROGRAM- SITE MAINTENANCE TICKET
OMB Control Number:1910-XXXX
Expiration Date:xx/xx/xxxx

BPA USE ONLY

TICKET NUMBER:

CUSTOMER TO COMPLETE
Customer Name
Date of Request

Requester Name

Office Phone Number

Mobile Phone Number

FAX Number

E-Mail Address

Address

City

State

Zip Code

Name of BPA Site, Tower Number or coordinates if name is not known
Site Name
Site Number
Tower Number
Latitude

Longitude

Contact for De-Energizing Site

Is Site now operating?

Phone 1

Is Site on the Air?

Yes
No
Maintenance Checklist (Check all that apply)
Site Upgrade

Transmission Line Name
Phone 2

Maintenance Category
Yes
No

LNA Problems

Antenna Swap (How Many)
Site Escort
Maintenance Requested (Provide detailed description)

Planned Maintenance
Emergency Maintenance
Down-Tilt Adjustments

Coax Change

TMA Problems

Azimuth Adjustments

Other Maintenance Items
Preferred Maintenance Date (If known)
Can work be done during normal business hours?

Yes

No

Overtime or weekend work approved?

Yes

No

Estimate of crew hours

BILL TO:

Name

Title

Company

Address

City

State

Name

Zip Code

Title

Date

Approved For Work:
BPA USE ONLY

TLM District

Date TLM Notified

TLM Estimate

PSC District

Date PSC Notified

PSC Estimate

Date Maintenance Scheduled

Maintenance Amount

Date Billed

DEPT ID

ABM

WORK ORDER

TASK

DCE

GL ACCOUNT

SAFETY WATCHER (If Needed)
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BPA F 6530.16e
(02-2022)

U.S. DEPARTMENT OF ENERGY-BONNEVILLE POWER ADMINISTRATION(BPA)

BPA WIRELESS PROGRAM- SITE MAINTENANCE TICKET OMB Control Number:1910-XXXX
Expiration Date:xx/xx/xxxx

Paperwork Reduction Act Burden Disclosure Statement
This data is being collected to consider the space and structural capacity requirements to allow upgrades or
modifications to existing wireless facilities located on BPA transmission facilities. The data you supply will be used by
BPA’s Transmission Planning division to identify and respond to requests for upgrades or modifications of wireless
facilities located on BPA transmission facilities. Public reporting burden for this collection of information is estimated to
average 1.5 hours per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining that data needed, and completing and reviewing the collection of information.
Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to Office of the Chief Information Officer, Enterprise Policy Development &
Implementation Office, IM-22, Paperwork Reduction Project (OMB control number 1910-XXXX), U.S. Department of
Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget
(OMB), OIRA, Paperwork Reduction Project (OMB control number 1910-XXXX), Washington, DC 20503.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any 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 Paperwork Reduction Act (PRA) of 1995 requires each Federal agency to seek and obtain approval from the Office
of Management and Budget (OMB) before undertaking a collection of information directed to 10 or more persons of the
general public, including persons involved in or supporting the operations of Government-owned, contractor-operated
facilities.
Submission of this data is required.

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