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Auth ID: MES811 FS-2700-23 (v. 10/09) Contact ID: MCBS,MTORD OMB No. 0596-0082 Use Code: 806 U.S. DEPARTMENT OF AGRICULTURE FOREST SERVICE C-41-11-009-1-01 AMENDMENT FOR SPECIAL-USE AUTHORIZATION Amendment#: 1 This amendment is attached to and made a part of the Communications Site special use authorization for Private Mobile Radio issued to MARICOPA COUNTY on 06/15/2011 which is hereby amended as follows: The installation of a 150-foot-tall self-support tower with a waveguide ladder and safety-climb system. The existing tower will be removed after the new system is completed and cutover has occurred. A new back-up generator with ice canopy has been installed and the older generator was removed. The existing interior will be renovated. Construction actives will disturb approximately 0.06 acre of land. There will be ground disturbance for the installation of the new tower which includes a new foundation. This foundation will be approximately 6 ft. below grade. All excess material will be taken off site and properly disposed. No trails are being reconstructed. No new vegetation is being planted. This Amendment is accepted subject to the conditions set forth herein, and to conditions Exhibit A to N/A attached hereto and made a part of this Amendment. Maricopa County: _______________________________________ ________________________________________ Holder By: Clint Hickman, Date Neil Bosworth Chairman of the Board of Supervisors ATTEST: _______________________________________ ________________________________________ Clerk of the Board Forest Supervisor APPROVED AS TO FORM ________________________________________ ______________________________________ Deputy County Attorney Date According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0082. The time required to complete this information collection is estimated to average one (1) hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived from any public assistance. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at 202-720-2600 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free (866) 632-9992 (voice). TDD users can contact USDA through local relay or the Federal relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice). USDA is an equal opportunity provider and employer. The Privacy Act of 1974 (5 U.S.C. 552a) and the Freedom of Information Act (5 U.S.C. 552) govern the confidentiality to be provided for information received by the Forest Service.