On Line Tower Questionnaire
Direct-to-Factory Feedback Form
If you have problems with this form/server e-mail us your requirements.
Or, Directly Contact Us but E-mail is the best way. Bee detailed on your request.
Contact Information:
Customer
Customer Contact Name
Tower Site Name
Tower Site Location
Customer Address Line 1
Customer Address Line 2
Customer City
Customer State
Customer Zip Code
Country
Customer Telephone Number
Customer E-mail
Customer Confirm E-mail
Sandown Wireless assumes normal site & access for our delivery & construction trucks.
This Tower is for: Material Only Material and Installation by Sandown Wireless / Radian/ROHN
Type of Tower: Guyed Bracketed Self Supporting Roof Mounted
If Self Supporting: Triangular Pole
Total Tower Height
Base of the Tower will be at: Ground Level Roof at feet above grade.
E.I.A. Operational Requirements: Yes No Other, Explain:
#1 Step Bolts or Ladders: None Yes, Required
Location Of Step Bolts or Ladder:
Inside Face Standard
Outside Corner Heavy
Step Bolts Leg Other
Safety Device, Anti-Fall System: ROHN-LOC System Other, Explain:
#2 Obstruction Marking and Lighting: None
Aircraft Warning Lights: Yes No By Others, Explain:
If Yes: FAA - or - ICAO
Type: Incandescent Strobe L.E.D. By Others, Explain:
Beacon Plate Required: FAA Strobe Manufacturer
Paint: Factory Applied Sufficient Paint for Field Application
#3 Vertical Waveguide Support:
None Ladder Brackets
Conduit Brackets Other
Location of Vertical Waveguide Support (If Preference):
Waveguide Bridge: Please provide a sketch and explanation:
#4 Platforms: Not Required Required (Provide elevation and description)
#5 Lightning Protection None
Lightning Rod Required: Yes No If Yes, quantity:
E.I.A. Grounding: Yes No Special, Explain:
#6 Antenna Information:
VHF/UHF mounts must state type of mount and the length of the side arm, if applicable. Send us a separate sheet if necessary. This information is absolutely necessary for us to be able to quote your tower. We must know your total antenna and feed line load!
If this is a cellular carrier tower, how many carriers is the structure going to support?
For each antenna on the tower (supply a separate sheet):
Quantity
Model Number, Manufacturer, Size, Weight & Wind load
Frequency
Elevation on tower above ground
Azimuth if Applicable
Antenna Mount Required? Yes No Supplied By Others
Number of Tiebacks
Ice Shield?
Feed Line size, manufacturer, Part Number and quantity
#7 THE FOLLOWING DATA IS REQUIRED FOR SPECIAL FOUNDATION DESIGNS (send separate):
Allowable bearing capacity
Boring log showing composition and variation with depth
Water table depth and variation
Type of foundation recommended (pile, spread footing, mat etc.)
Uplift recommendations, pertinent to the type or types of foundations recommended
Consistency of soil:
A. Unconfined compression strength of cohesive soil (clay)
B. Standard penetration - Blows per Foot
C. Rock quality designation for rock
Allowable passive pressure in pounds per square foot of depth (PSF/FT)
Backfill considerations
Factors of safety included in allowable design values
NOTES:
1. Before soil boring work begins, the soils engineer should contact Sandown Wireless for tower reactions, preferred boring locations, and any other data the soils engineer may require.
A detailed soils report, with proper foundation recommendations, will produce the most economical and safe foundation design.
#8 Additional Information, Comments or Special Requirements:
If you have separate data to send with this form attach it to an E-mail and send it separate with this form.