Loading...
HomeMy WebLinkAboutPROJECT INFORMATION943 PCS SITE AGREEMENT April 99 SCANNED Site Name Island crest Condominium B}/ Slte 1. D, M154%C013 Address 10880 South Ocean Drive, Jensen Beach FL U967 St. Lucie County 1. Premises and Use. Owner, Island Crest Condominium A Florida not for profit Corporation leases.to Sprint Spectrum L.P, a.Delaware limited partnership ("SSLP'), the site described below. 6heck appropriate boxias)) Land consisting of approximately 700 square feet upon which SSLP will construct its ❑ equipment base station and ❑ antenna structure; ❑ Building interior space consisting of approximately square feet; X Building exterior space for attachment of antennas; X Building exterior space for placement of base station equipment', ❑ Tower antenna space between the fool and foot level on the Tower; X Space required for cable runs to connect PCS equipment and antennas, in the location(s) ("Site) shown on Exhibit A, together with a non-exclusive easement for reasonable access thereto and to the appropriate, in the discretion of SSLP, source of electric and telephone facilitles The Site will be used by SSLP for the purpose of installing, reinoving, replacing, modifying, maintaining and operating, at Its expense, a personal.communicalions service system facility ("PCS' , Including, without limitation, antenna equipment, cable wiring, back-up power sources (including generators and fuel storage tanks), related fixtures and, if applicable to the Site, an antenna structure. SSLP will use the Site in a manner which will not unreasonably disturb the occupancy of Owner's other tenants. SSLP will have access to the Site 24 hours per day, 7 days per week 2. Tenn. The term of this Agreement (the 'Initial Term') is 5 years, commencing on the date ("Commencement Date') both SSLP and Owner have executed this Agreement. This Agreement will be automatically renewed for lour additional terms (each a "Renewal Term") of 5 years each,. unless SSLP provides Owner notice of intention not to renew not less than 90 days priorto the expiration of the Initial Term or any Renewal Term. 3. Rent. Until the date which is 60 days after issuance of a building permit, rent will be a one-time aggregate payment of the receipt of which Owner aciciowledges Thereafter, rent will be paid in equal monthly installments of $� (until increased as set forth herein), partial months to be prorated, in advance. Ran OLeach. Rg -eml Term will be theannual rent In effect for the final year of the Initial Term or prior Renewal Term, as the rase maybe, increased by I I percent =11..). 4. Title and Quiet Possession. Owner represents and agrees (a) that it Is the. Owner of the Site; (b) that h has the right to enter into this Agreement; (c) that the person signing this Agreement has the authority to sign; (d) that SSLP is entitled to access to the Site at all times and to the quiet possession of the Site throughout the Initial Term and each Renewal Term so long as SSLP is not in default beyond the expiration of any cure period; and (e) that Owner shall not have unsupervised access to the Site or to the PCS equipment S. AssignmentfSubletting. SSLP shall have the right to sublease or assign its rights under this Agreement without notice to or consent of Owner. 6. Notices. All notices must be in writing and are effective only when deposited in the U.S. mall, certified and postage prepaid, or when sent via: overnight delivery. Notices to SSLP are to be sent to: Sprint Spectrum L.P, 1357 Hembree Road, Suite 100, Roswell, GA 30076, Attn: Lease Manager, with a copy to Sprint Spectrum L.P., 4900 Main Street, W Floor, Kansas City, MO 64112, Attn: Business Law Group. Notices to Owner must be sent to the address shown underneath Owners signature. 7. Improvements. SSLP may, at its expense, make such improvements on the Site as it deems necessary from time to time for the operation of the PCS system. Owner agrees to cooperate with SSLP with respect to obtaining any required zoning approvals for the Site and such improvements. Upon termination or expiration of this Agreement, SSLP may remove its equipment and improvements and will restore the Site to substantially the condition existing on the Commencement Date, except for ordinary wear and tear and casualty loss Notwithstanding anything to the contrary contained herein, the parties agree that all core drilling must be between the hours of 10 30am through 4:30pm Monday thru Friday and at no other time. 8. Compliance with Laws. Owner represents that Owners property (including the She), and all improvements located thereon, are in substantial compliance with building, life/safety, disability and other laws, codes and regulations of applicable governmental authorities. SSLP will substantially comply with all applicable laws relating to its possession and use of the Site. 9. Interference. SSLP will resolve technical Interference problems with other equipment located at the Site on the Commencement Date or any equipment that becomes attached to the Site at any future date when SSLP desires to add additional equipment to the She. Likewise, Owner will not permit or suffer the installation of any future equipment which (a) results in technical interference problems with SSLP's then existing equipment or (b) encroaches onto the Site. 10. Utilities. Owner represents that utilities adequate for.SSLP's use of the Site are available. SSLP will pay for all utilities used by it at the Site. Owner will cooperate with SSLP in SSLP's efforts to obtain utilities from any location provided by Owner or the servicing utility, including signing any easement or other instrument reasonably required bythe utility company. 11. Termination SSLP may terminate this Agreement at any lime by.notice to Owner without -further liability it SSLP doe obtain all:pemiit"r other —approvals(collectively,-'approval')-required from any govemmentl authority or any easements required from any third party to operate the PCS system, or if any such approval is canceled, expires or is withdrawn or terminated, or If Owner falls to have proper ownership of the Site or authority to enter into this Agreement, or if SSLP, for any other reason, in its sole discretion, determines that it will be unable to use the Site. Upon termination, all prepaid rent will be retained by Owner unless such termination is due to Owners failure of proper ownership or authority, or such termination Ica- -- result of Owner`s default. 12. Default. If either party is in default under this Agreement for a period of (a) 15 days following receiptoffrom the non -defaulting party with respect to a default which may be cured solely by the payment of money, or (b) 30 days following recelpt of notice from the non -defaulting party with respect to a default which may not be cured solely bythe payment of money, then, in either event, the non -defaulting party may pursue any remedies available to it against the defaulting party under applicable law, including, but not limited to, the right to terminate this Agreement. If the non -monetary defaultmay not reasonably be cured within a 30day period, this Agreement may not be terminated if the defaulting party commences action to cure the default within such 30-day period and proceeds with due diligenceto fully cure the default. 13. Indemnity. Owner and SSLP each indemnifies the other against and holds the other harmless from any and all costs (including reasonable attorneys' fees) and claims of liability or loss which arise out of the ownership, use and/or occupancy of the Site by the indemnifying party. This Indemnity does not apply to any claims arising from the sole negligence or intentional misconduct of the indemnified party The indemnity obligations under this Paragraph will survive termination of this Agreement ClibPDF - www.fastio.com J (4 14. Hazardous Substances. Owner represents that it has no Mawledge of any substance, chemical or waste (collectively, "substance) an the Site that is identified as hazardous, toxic or dangerous in any applicable federal, state or local law or regulation. SSLP will not introduce or use any such substance on the Site in violation of any applicable law. 16. Subordination and Non -Disturbance. This Agreement Is subordinate to any mortgage or deed of trust now of record against the Site. However, promptly after the Agreement is fully executed, Owner will use diligent efforts to obtain a non -disturbance agreement reasonably acceptable to SSLP from the holder of any such mortgage or deed of trust. 16. Taxes. SSLP will be responsible for payment of all personal property taxes assessed directly upon and arising solely from its use of the communications facility on the Site. SSLP will pay to Owner any increase in real property taxes attributable solely to any Improvements to the Site made by SSLP within 60 days after receipt of satisfactory documentation Indicating calculation of SSLP's share of such real estate taxes and payment of the real estate taxes by Owner. Owner vall pay when due all other real estate taxes and assessments attributable to the property of Owner of which the Site is a part. 17. Insurance. SSLP will procure and maintain commercial general liability insurance, with limits of not less than $1,000,000 combined single limit per occurrence for bodily injury and property damage liability, with a certificate of insurance to be furnished to Owner within 30 days of written request. Such policy will provide that cancellation will not occur valhout at least 15 days prior written notice to Owner. Each party hereby waives its right of recovery against the other for any loss or damage covered by any insurance: policies maintained by the waiving party. Each party wall cause each insurancepolicyobtained by it to provide that the Insurance company waives all rights of recovery against the other party in connection with any damage covered by such policy. - 18. Maintenance. SSLP will be responsible for repairing and maintaining the PCS system and any other Improvements Installed by SSLP at the Site In a proper operating and reasonably safe condition; provided, however if any such repair or maintenance is. required due to the acts of Owner, its agents or employees, Owner shall reimburse SSLP for the reasonable costs incurred by SSLP to restore the damaged areas to the condition which existed immediately pnor thereto. Owner will maintain and repair all other portions of the property of which the Site Is a pan in a proper operating and reasonably safe condition. 19. Miscellaneous. (a) This Agreement applies to and binds the heirs, successors, executors, administrators and assigns of the parties to this Agreement; (b) this Agreement is governed. by the laws of the state in which the Site is located, (c) If requested by SSLP. Owner agrees promptly to execute and deliver to SSLP a recordable Memorandum of this Agreement in the form of Exhibit B; (d) this Agreement (including the Exhibits) constitutes, the entire agreement between the parties and supersedes all prior written and verbal agreements, representations, promises or understandings between the parties. Any amendments to this Agreement must be in writing and executed by both parties; (e) if any provision of this Agreement isinvalid or unenforceable with respect to any party, the remainder of this Agreement or the application of such provision to persons other .than those as to whom it is held invalid or unenforceable, will not be affected and each provision of this Agreement will be valid and enforceable to the fullest extent permitted by law; and (I) the prevailing party in any action or proceeding in court or mutually agreed upon arbitration proceeding to enforce the terms of this Agreement is entitled to receive its reasonable attorneys' fees and other reasonable enforcement costs and expenses from the non-prevalling parry. 20..Non-Binding Until Fully Executed. This Agreement is for discussion purposes only and does not constitute a formal offer by either party. This Agreement is not and shall.not be binding on either party unfit and unless it Is fully executed by both parties. The following Exhibits are attached to and made apart of this Agreement: Exhibits A , B and \SliWO C V(Mom.Vw - 0450"'a'-h..c OWNS By. e1If — Ortao.o�.r S.S./Tax No.: Sy-..ao�?9361 Address: Date: %/— %— CO Sprint Spectrum L.P Attach Exhibit A- Site Descriphon and Exhibit B - Memorandum of PCS Site Agreement ClibPDF - www.fastio.coni EXHIBIT A April Ss Site Name Island Crest PCS Site Agreement Site I. D. M154XC013 Site Description Site situated in the City of Jensen Beach, County of 5+ LJGI -e— State of Florida commonly described as follows - Legal Description: All of ISLAND CREST CONDOMINIUM VWa OCEANA SOUTH CONDOMINIUM, a Condominium, according to The Declaration of Condominium recorded in O.R. Book 356, Page 227, and all exhibits and amendments thereof, Public Records of St. Lucie County, Florida; TOGETHER WITH an undivided interest in and to the common elements as described in said Declaration appurtenant thereto, all in accordance with and subject, however, to all of the provisions of the said Declaration of Oceana South Condominium I, less all units. -s s SRR 0 z h a�$ 10 o E gI ° 8 ° g °0 Owner Initials SSLP S Note: Owner and SSLP may, at S%LP'S option, replace this Exhibit with an e#tlbit setting forth the legal description of the property on which the Site is located andfor an as -built drawing depicting the SQe. '[Use this Exhibit A for PCS Site Agreement, Memorandum of PCS Site Agreement, Option Agreement and Memorandum of Option AgreemenLJ CIibPDF - www.fastio.coin This instrument prepared by - Michael Christiansen Mastnana & Christiansen 1500 North Federal Highway, Suite 200 Fart Lauderdale, Florida 33304 Return this instrument to: Michael Christiansen Mastriana & Christiansen 1500 North Federal Highway, Suite 200 Fort Lauderdale, Florida 33304 Do not write above this line- this space reserved for recording purposes EXHIBIT B April ee Site Name Island Crest Condominium PCS Site Agreement .Site 1. D. M154XCO13 Memorandum of PCS Site Agreement This memorandum evidences that a lease was made and entered into by written PCS Site Agreement dated , 2000, between Island Crest Condominium ("Owner') and Sprint Spectrum L.P., a Delaware limited partnership ("SSLP"). Such Agreement provides in part that Owner leases to SSLP a certain site ('Site") located at 10680 South Ocean Drive, City of Jensen Beach, County of ..Sf Lya l-e- State of Florida, within the property of Owner which is described in Exhibit A attached hereto, with grant of easement for unrestricted rights of access thereto and to electric and telephone facilities for a term of five (5) years -commencing on 2000, which term is subject to four (4) additional five (5) year extension periods by SSLP. IN WITNESS WHEREOF, the parties have executed this Memorandum as of the day and year first above written "OWNER" CrestIsland By: Name: Title: Address: I s to Owner. Pnnted Attach Exhibit A - Site Description "SSLP" Sprint Spectrum L.P. aJDDeelaware limited partnership By: �/1r?.l.Gr.�_. 1h%_ Na e: (�. ywt 7 Title: 5., '5 C DN-4 - ©t% Address: I-, �Ci ( f'T eilk-rOr" Q.5k I tASt�� Lf 1 to SSLP: h Printed Name: / -11 (t 'ryy r `C/ ✓ —�— - — 4 Printed Name: SLt L fiiV/1/� -L �Ve? U dS CIibPDF - www.fastio.com OWNER NOTARY BLOCK: STATE OF COUNTY OF SRC J. e-ve, The foregoing instrument was acknowledged before me this / day of _ tJcG -C ria/' , 2000, by YAW'a'0U ; , as of Island Crest Condominium, a Florida not for profd corporation, on behalf of the corporation. (AFFIX NOTARIAL SEAL) - ""•.- RkhordCEogatin • MYCOMMISSION# CC942630 DARES lone E 2004 "!.j ; •, BONDED iNRn=Y FAIN MRANG$ INC My commission expires: SSLP NOTAI STATE OF COUNTY C The foregoing instrument was acknowledged before me this Sprint Spectrum L.P., a Delaware limited partnership, who NOTARY PUBI IC, STATEOFGEOROUI QUAVIEDIN FOOM COUNN fAy*m1WsSk0 E00A0r019, 2003 My commission expires' Q Luc c = (010flein NOTARY SIGNATURE) O NOTARY PUBLIC —STATE OF (PRINTED, TYPED OR STAMPED-MME OF NOTARY) COMMISSION NUMBER: CC- 5'y,1b3;Z� day of instrument on of such corporation. �lfiG[ � (P INTED,�TYPED ORSTAMPED NA4OF NOTARY) by of ClibPDF - www.fastio.com W-9 Request for Taxpayer Giveo t of Internal Identification Number and Certification ester reqGwester o NOT send `° the "� Rev Internal Revenue Service enue service Name (ifjoht names, list first and circle the time of the person or entity whose number you enter in Part I below.) Business Name Island Crest Condominium Association, Inc. Please check appropriate box Individual/Sole proprietor Corporation. X Parbiership Other Address (number, street and apt, or suite no.) Requester's mane and address (optional) 10680 South Ocean Drive City, state and ZIP -code Jensen Beach, FL 34954 List account number(s) hero (optimal) Part I Ta a er Identification Number (TIN) Enter your TIN in the appropriate box. For Individuals, this is your socialseeuritynumber(SSN). For other entities, it is your Social Security Number Part II For Payees Exempt employer identification number (EIN} If you do not have a from Backup Withholding number, see HOW to fret a TIN below. OR Employer Identification Number 59-2089361 Part III Certification Under penalties ofpe4ury, I certify that: • The number shown on this form is my correct taxpayer identification number (or I am waiting fora number to he issued to me), and • I am not subject to backup withholding because (a) I am exempt from backup withholding or (b)1 have not been notified by the Internal Revenue Service that I anti subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has noted me that I am no longer subject to backup withholding CertiflCation IRstruCtions. You must. cross out Item 2 above ifyou have been notified by the IRS that you are currentlysubject to backup withholding because of underreporting interest or dividends on your tax retum. For real estate transactions, item 2 does not apply For mortgage interest paid, the acquisition or abandonment ofsecured property, cancellation of debt, contributions to an individual retirement arrangement (IRA) and generally payments utherthan interest and dividends, ou are not requiredto sign the Certification, but you must provide your correct TIN Sign Here Signature Date Form W-9 (Rev. 3-94) ClibPDF - www.fastio.com This instrument prepared by: Michael Christiansen Mastriana &Christiansen 1500 North Federal Highway, Suite 200 Fort Lauderdale, Florida 33304 Return this instrument to: Michael Christiansen Mastriana & Christiansen 1500 North Federal Highway, Suite 200 Fort Lauderdale, Florida 33304 Do not write above this line - this space reserved for recording purposes RESOLUTION ENACTED AND PASSED by the Board of Directors of Island Crest Condominium Association Inc. (the "Corporation") at its duly constituted and properly noticed Special Meeting . on the 14 day of September, 2000. The Directors set forth for the record the following: 1. That the Corporation had previously made, executed and delivered with Bell South Mobility, Inc. a lease permitting Bell South Mobility, Inc. to place antennas on the common elements of the property as more fully described as follows: All of ISLAND CREST CONDOMINIUM f/k/a OCEANA SOUTH CONDOMINIUM, a Condominium, according to The Declaration of Condominium recorded in O.R. Book 356, Page 227, and all exhibits and amendments thereof, Public Records of St Lucie County, Florida; TOGETHER WITH an undivided interest in and to the common elements as described in said Declaration appurtenant thereto, all In accordance with and subject, however, to all of the provisions of the said Declaration of Oceana South Condominium I, less all units 2. That a or dissent from such approval. 3. Than there were 127 members in the Corporation and that 114 members approved the Bell south installation and no members dissented 4. That Sprint Spectrum L.P. d/b/a Sprint PCS ("Sprint') is proposing a similar modification of the common elements. CIibPDF - www.fastio.com 5. That the Sprint installation is not a greater modification to the common elements than the Bell South installation. 6. That the Corporation has determined that the Sprint installation provides similar benefits to the Corporation as the Bell South installation. 7. That approving the proposed Sprint installation and accompanying PCS Site Agreement would be in the best interest of the Corporation'. 8. A discussion then ensued. Upon a motion duly made and properly seconded, it was RESOLVED that the Sprint installation and accompanying PCS Site Agreement be approved and that the Corporation be and the same is hereby authorized, empowered and directed to make, execute and deliver the said Sprint PCS Site Agreement. Vote. unanimous There being no further business, the meeting was adjourned. Signed in the presence of STATE OF fLU/L:JA COUNTY OF _ s r l.k.-A Secretary (Seal) The foregoing instrument was acknowledged before me this Z3 day of O`To 6 42 _, 2000, by _1v 4Ltw L 133 ,td : N as Secretary of Island Crest Condominium Association, a FL- -,C ;A A corporation. He/she is personally known to me __or -provided - -- — _ — — --- as-identification-and-he/she-did/did= not -takean=oath. - -- - (AFFIX NOTARIAL SEAL) (Official Notary Signature) Notary Public, State of Florida My Commission expires: 1 d,✓A A. lw w n L Printed, typed or Stamped Name of Notary tYsegLCommission Number: c cEMMJ ALOF E10RIDqCC711878AN.28 CIibPDF - www.fastio.com ' 1 IMAGE01 : F-00-16695-2 09/0612000 03:16:22pm BEST COPY s OCEANA SOUT:1 CONWMINIUM I Commencing at a -poi .A the centerl.ne of State Road A-1-A and on the North line of :.nt South 815.e6-feet of Government Lot 5 of Section 11: Township 37 South,Range 41 East, run South 890 • 55' 51"East 5:.69 feet to aPoint on the easterly right-of-way line of State Road A-1-A; thence run North 23•49'31• West along said right -of -ray line 725.0 feet to the Point of Beginning. From the Point of Beginning continue along the easterly right- of-way line of State Road A-1-A North 23.49.31% West 124.63 feet to a Point; thence run North 81*100290 East 38.08 feet to a point: • thence run Norr-h 8049131• West 40.0 feet to a 0O'rt; thence run North 81-10029" East 16.0 feet;. thence run. North 8°49'31" West 102.0 feet to a Point; thence ran South 81.10.29" West 94.13•feet to a point or. the East right-of-way line of State Road A-1-A; thence run North 23049'31" West along said right-of-way line 53.83 feet to a point; thence run North. 81.10.29" East 22.06 :set to'a points thence run North 8.49*31" West 144.0 feet to a South 81*10*29" West 60.6E feat to a Point; thence run Point on the East right-of- way line Of State Road A-1-A: thence run North 23.49.31" West along said right-o£-way line 22.78 feet to a point; thence ran North 61°1..•2s East 273.54 East to-a,pcint; thence n:,. sax : s 49-31' East 45.67 feet to a points .thence run hence 81.30'29" East 229.75 feet to the Bean high water line of the Atlantic Oceans thence meandering said mean high Water line run South Atlantic 3o" East 60-45 feet to a point; thence can South 23*501530 East 438.75 feet to's points thence run South 24°30'17• East-34.64 feet to a points'thence ran North 8?°55'51" West 151-26feet to the Coastal Construction Setback Line; thence run North 24018'250-weet along the Coastal Construction Setback Line 234.67 feet to a point; thence' ran South 81°1Q'.290'West 53.48 feet :o a Point; thence run South 8°491310 East 25.0 feet to a point; thence run South E1.10129" .West 60.0 feet to a points thence 'run South 8.49'31" East 40.37 feet to a point; thencerun North 81°lb'29" East 18.0-feet W "e point; thence, run South 8.0 49 31 East 56.81 feet to a point; thence_ run South 0°4'09" West 50..2E feet to a Point; thence run-Ncrth 894551 51" West 20.0 feet to a point; thence run South 0°04'09• West 28.0 test to a Point; thence run North 89.55151• West parallel with the .North line of the South 815.66.feet of Government Let 5. 177.09 feet to the point of Beginning. All of the above lying and being in St; Lucie -County, Florida. 623jur'U trA 25 SHEET 2 ICIibPDF - www.fastio.com Page 29 of 65 3i3 q;-5 Yot ._Island Crest Condominium Association, Inc 10680 S. Ocean Drive Jensen Beach, Florida 34957 Phone 561-229-1897 Fax 561-229-2658 Bell South Mobility September 7, 2000 5201 Congress Avenue Boca Raton, Fl. 33487 Attention: Network Real Estate Manager Dear Sir or Madam: Island Crest Condominium Association, Inc. wishes to lease a portion of the rooftop to Sprint PCS for a telecommunications installation. Your Agreement, at Paragraph 4D provides that we cannot lease any portion of the roof for other PCS communications facilities. The purpose of this letter is to request a specific, limited waiver of this clause so that we may rent rooftop space to Sprint PCS with the understanding as follows: That the Sprint installation will not interfere with your signal or reception; The restriction would be waived only as pertains to Sprint PCS; All other terms and conditions of the Option and Lease Agreement dated 3 March 1998 between Island Crest and BellSouth Mobility, Inc. would remain unaffected. We hope as a matter of good customer relations you will agree to this. Kindly indicate your agreement by signing your name on both copies of this letter and returning one fully executed version of this letter in the envelope provided. Please retain the other copy for your own records. As and when we have your agreement to do this, we will make Sprint aware of the limitations set forth in this letter and instruct them to conduct themselves accordingly: Thank you. Very Truly Yours, ISLAND CREST CONDOMINIUM ASSOEIATIQN�INC�!-/--------- -- — -- BY:� Agreed to by: 461m Yandc]W, President BELLSOUTH MOBILITY ME /- 400M Date: CIibPDF - www.fastioxom M Williams, Hatfield & Stoner, Inc. EIerw(n • ftVMIS - Surveyas . r.rmmirwaW Saenf)SLS 2101 North Andrews Avenue, SuBe 300 Fort lauderd* Florida 33311 Tdephone(954)566.8341 Fa OS4)565-5441 Wn %Yhs-M.Com Date: 08/28/00 Re: ISLAND CREST CASCADE #MI54XC013 City of Jensen Beach, Martin County, Florida SINCE 1958 I certify that the latitude 27016'17.48" Nand the longitude of 0800I2'15.31" W are accurate to within ± 50.0 feet horizontally; and that the ground elevation of 4.5' AMSL (Above Mean Sea Level) is accurate to, within ± 5.0 feet vertically. The horizontal datum (coordinates) are in terms of the North American Datum of 1983/90 (NAD 83/90) and are expressed as degrees, minutes and seconds, to the nearest hundredth of a second. The vertical datum (heights) are in terms of the National Geodetic Vertical Datum of 1929 (NGVD 29) and are determined to the nearest foot. Existing Tripod Antenna Elevation: 148.0' (AMSL) HeightofExisting T ipod Antenna: 143.5' (AGL) 7l� . Keith R. anders Professional Surveyor and Mapper No. 4375 — - State of.Florida--- SEAL CIibPDF - www.fastio.com y Sprint PCS® NEPA Land Use Screening Checklist Cascade ID Number. Site Name & Address: Site Type: M154XC013 ISLAND CREST SITE CO -LOCATION 10680 S. OCEAN DRIVE JENSEN BEACH, FL 34957 FCC NEPA Category Federal, State, or Local Agency SSEO Manual Check appropriate boa See 47 CFR 1.130 Contacted for Approval I Reference (do not insert "NIA Nate: Except for sites screening positive underltem 4.—Historic Places —Land Use EAs Positive INNegative .are not required for collocation sites. See 47 CFR § 1.1306 NOTE 1. 1. Wilderness Area National Park Service, U.S. Forest Figure 4.6 X Service, Bureau of Land Management 2. Wildlife Preserve U.S. Dept. of Interior —Fish & Figure 4.6.1 X Wildlife Service (Field Service) 3. Endangered Species U.S. Dept. of Interior —Fish & Figure 4.6. I X Wildlife Service (Field Service) 4. Historic Place State Historic Preservation Office Figure 4.6.2 and X (SHPO) Section 4.4.4 S. Indian Religious SHPO, American Indian Tribes, Figure 4.6.3 X Bureau of Indian Affairs 6. Floodplain Federal Emergency Management Figure 4.6.4 and X Agency (FEMA) Sections 4.4.1 lhrn 4.4.3 7. Surface Features (e.g, Army Corps of Engineers (ACOE) Figure 4.6.5 and X Wetlands, Floodways) Section 4.4.1 8. High Intensity White Federal Aviation Administration N/A Lights (FAA) If the screening investigation for any of the above categories results in a POSITIVE screening, an Environmental Assessment (EA) must be prepared and filed with the Federal Communications Commission (FCQ. Construction may not start on any positively screened site prior to receipt of Finding of No Significantlmpact (FONSI) from the FCC. A copy of this Checklist with any applicable federal, state, or local determinations or permits, as well copies ofas any EAs, evaluations or corrective measures, shall be documented to the Site Development siteprojectfile. The undersigned has revienrd and approved completion of this NBPA Checklist for the above-refuenced site. Prepared By. (printnamc)-David Ames * This Checklist must be prepared by a qualified eavironmentt Reviewed by: S S Regional SDfff or Director (print name): M& � e. ver. 4n000 (mv. srs000) Prins ddc 09tt 5100 Company: EPAC Environmental Services. Inc. Date: September 12, 2000 consultant unless the site is an existing radio tower. Date: (Z•�i,l;�7 ClibPDF - www.fastio.com