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CITY OF EL MIRAGE
DEVELOPMENT APPLICATION FORM
2
Revised: February 2022
PURPOSE
Development Applications are reviewed by the Technical Advisory Committee (TAC) with the
intent to provide the applicant specific information in preparation to meeting the City’s technical
standards and requirements for the proposed development project. Information provided by TAC is
based on applicant submittals and should be considered actual and detailed in nature.
ACTION REQUESTED (Check one)
___ Conditional Use Permit
___ Site Plan Approval
___ General Plan Amendment: ___ Major ___ Minor
___ Site Plan Amendment
___ Planned Area Development (PAD)
___ Preliminary Plat
___ Planned Area Development Amendment
___ Final Plat
___ Rezoning
___ Other: _________________________________
PROPERTY INFORMATION:
Name of Project: _______________________________________________________________ Acreage: __________
Property Address/Location:
Assessor’s Parcel Number:
APPLICANT / OWNER INFORMATION:
Applicant:
____________________________________
Owner:
____________________________________
Address:
____________________________________
Address:
____________________________________
City/ST/Zip:
____________________________________
City/ST/Zip:
____________________________________
Phone:
____________________________________
Phone:
____________________________________
Email:
____________________________________
Email:
____________________________________
Signature:
____________________________________
Signature:
____________________________________
(Agreement to act as agent for owner)
(Authorization for agent to act for owner)
Official Use
Case No: _____________________Date Received: ____________________P&Z Meeting: ____________________
CC Meeting: ____________________
___ Application Form
___ Comprehensive Site Plan
___ Deed and/or Title Report
___ Drainage Report
___ A.L.T.A. Survey
___ Phase I Environment Site Assessment
___ Traffic Impact Study
___ Preliminary Landscape Plans
___ Filing Fee (see Fee Schedule)
X
El Mirage & Peoria / 855690
10341 North El Mirage Rd, El Mirage, AZ 85335
50145017X
Will Bourdages of Tower Engineering Professionals
4710 E Elwood Street, Suite 9
Phoenix, AZ, 85040
(480) 993-4212
wbourdages@tepgroup.net
2055 S. Stearman Dr.
Chandler, AZ 85286
480-734-2415
andrew.silvernail@crowncastle.com
Crown Castle (Tower Owner)
PZ22-03-09
3/9/2022
4/12/2022
4/19/2022
December 21, 2021
T-1
SHEET INDEX
VICINITY MAP
DIRECTIONS
SITE INFORMATION
PROJECT DIRECTORY
11"x17" PLOT WILL BE HALF SCALE UNLESS OTHERWISE NOTED
GENERAL NOTES
SITE PHOTO
UNDERGROUND SERVICE ALERT
UTILITY NOTIFICATION CENTER OF ARIZONA
(602) 659-7504
WWW.ARIZONA811.COM
DISH WIRELESS, L.L.C. SITE ID:
PXPHX00562A
DISH WIRELESS, L.L.C. SITE ADDRESS:
10341 NORTH EL MIRAGE RD
EL MIRAGE, AZ 85335
SCOPE OF WORK
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ARIZONA - CITY OF EL MIRAGE CODE COMPLIANCE
December 13, 2021
A-1.1
N EL MIRAGE RD
PARCEL#:
50145017X
ZONING: EI
PARCEL#:
50145017K
ZONING: EI
PARCEL#:
50145017Y
ZONING: EI
PARCEL#:
50145948K
PARCEL#:
50145947
PARCEL#:
50145952
ZONING: EI
ZONING: EI
ZONING: EI
December 21, 2021
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November 30, 2021
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EL MIRAGE RD
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LOAD SERVED
VOLT AMPS
(WATTS)
L1
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CKT
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PHASE
LOAD SERVED
VOLT AMPS
(WATTS)
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December 13, 2021
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December 13, 2021
GN-4
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The Foundation for a Wireless World
CrownCastle.com
4710 E Elwood St. Ste. 9
Phoenix, AZ 85040
P h o n e : ( 4 8 0 ) 9 9 3 - 4 2 1 2
www.crowncastle.com
January 4, 2021
CITY OF EL MIRAGE, AZ
Development Services Coordinator
Jose A. Macias
12145 NW GRAND AVE.
EL MIRAGE, AZ 85335
Via Electronic
**********NOTICE OF ELIGIBLE FACILITIES REQUEST**********
RE: Request for Minor Modification to Existing Wireless Facility – Section 6409
Site Address: 10341 NORTH EL MIRAGE ROAD, EL MIRAGE, AZ 85335
Crown Site Number: 855690 / Crown Site Name: EL MIRAGE & PEORIA
Customer Site Number: PXPHX00562A / Application Number: 561328
Dear Jose A. Macias:
On behalf of DISH Wireless L.L.C. (”Dish Wireless” or “Applicant”), Crown Castle USA Inc. (“Crown Castle”) is pleased to
submit this request to modify the existing wireless facility noted above through the collocation, replacement and/or removal
of the Applicant’s equipment as an eligible facilities request for a minor modification under Section 64091 and the rules of
the Federal Communications Commission (“FCC”).2
Section 6409 mandates that state and local governments must approve any eligible facilities request for the modification of
an existing wireless tower or base station that does not substantially change the physical dimensions of such tower or base
station. Under Section 6409, to toll the review period, if the reviewing authority determines that the application is
incomplete, it must provide written notice to the applicant within 30 days, which clearly and specifically delineates all
missing documents or information reasonably related to whether the request meets the federal requirements.3 Additionally,
if a state or local government, fails to issue any approvals required for this request within 60 days, these approvals are
deemed granted. The FCC has clarified that the 30-day and 60-day deadlines begins when an applicant: (1) takes the first
step required under state or local law; and (2) submits information sufficient to inform the jurisdiction that this modification
qualifies under the federal law4. Please note that with the submission of this letter and enclosed items, the thirty and sixty-
day review periods have started. Based on this filing, the deadline for written notice of incomplete application is February
3, 2022, and the deadline for issuance of approval is March 5, 2022.
The proposed scope of work for this project includes:
1 Middle Class Tax Relief and Job Creation Act of 2012, Pub. L. No. 112-96, § 6409 (2012) (codified at 47 U.S.C. § 1455).
2 Acceleration of Broadband Deployment by Improving Wireless Facility Siting Policies, 29 FCC Rcd. 12865 (2014) (codified at 47
CFR § 1.6100); and Implementation of State & Local Governments’ Obligation to Approve Certain Wireless Facility Modification
Requests Under Section 6409(a) of the Spectrum Act of 2012, WT Docket No. 19-250 (June 10, 2020).
3 See 47 CFR § 1.6100 (c)(3). 4 See 2020 Upgrade Order at paragraph 16.
The Foundation for a Wireless World
CrownCastle.com
4710 E Elwood St. Ste. 9
Phoenix, AZ 85040
P h o n e : ( 4 8 0 ) 9 9 3 - 4 2 1 2
www.crowncastle.com
Collocation of antennas, ancillary equipment and ground equipment as per plans for a new carrier on an existing wireless
communication facility.
At the end of this letter is a checklist of the applicable substantial change criteria under Section 6409. Additionally, please
find enclosed the following information in support of this request:
(1) Zoning Application;
(2) Dish Wireless Cover Letter;
(3) Construction Drawings;
(4) Structural Analysis; and
(5) Section 6409 Substantial Change Checklist.
As these documents indicate, (i) the modification involves the collocation, removal or replacement of transmission
equipment; and (ii) such modification will not substantially change the physical dimensions of such tower or base station.
As such, it is an “eligible facilities request” as defined in the FCC’s rules to which the 60-day deadline for approval applies.
Accordingly, Applicant requests all authorization necessary for this proposed minor modification under Section 6409.
Our goal is to work with you to obtain approvals earlier than the deadline. We will respond promptly to any request for
related information you may have in connection with this request. Please let us know how we can work with you to expedite
the approval process. We look forward to working with you on this important project, which will improve wireless
telecommunication services in your community using collocation on existing infrastructure. If you have any questions,
please do not hesitate to contact me.
Regards,
Will Bourdages
Will Bourdages
Site Acquisition Specialist
Tower Engineering Professionals on behalf of Crown Castle for Dish
Agent for Applicant
(480) 993-4212
wbourdages@tepgroup.net
The Foundation for a Wireless World
CrownCastle.com
4710 E Elwood St. Ste. 9
Phoenix, AZ 85040
P h o n e : ( 4 8 0 ) 9 9 3 - 4 2 1 2
www.crowncastle.com
Section 6409 Substantial Change Checklist
Towers Outside of the Public Right of Way
The Federal Communications Commission has determined that a modification substantially changes the physical dimension of a wireless tower or base
station under 47 U.S.C. § 1455(a) if it meets one of six enumerated criteria under 47 C.F.R. § 1.6100.
Criteria for Towers Outside the Public Rights of Way
YES/NO
NO
Does the modification increase the height of the tower by more than the greater of:
(a) 10%
(b) or, the height of an additional antenna array plus separation of up to 20 feet from the top of
the nearest existing antenna?
YES/NO
NO
Does the modification add an appurtenance to the body of the tower that would protrude from the
edge of the tower more than 20 feet or more than the width of the tower structure at the level of the
appurtenance, whichever is greater?
YES/NO
NO
Does the modification involve the installation of more than the standard number of new equipment
cabinets for the technology involved or add more than four new equipment cabinets?
YES/NO
NO
Does the modification entail any excavation or deployment outside the current site by more than 30
feet in any direction, not including any access or utility easements?
YES/NO
NO
Does the modification defeat the concealment elements of the eligible support structure?
YES/NO
NO
Does the modification violate conditions associated with the siting approval with the prior approval the
tower or base station other than as specified in 47 C.F.R. § 1.6100(c)(7)(i) – (iv)?
If all questions in the above section are answered “NO,” then the modification does not constitute a substantial change to the existing
tower under 47 C.F.R. § 1.6100.
Description: Maricopa,AZ Document-Year.DocID 1999.622933 Page: 1 of 3
Order: 501-45-017R Comment:
Description: Maricopa,AZ Document-Year.DocID 1999.622933 Page: 2 of 3
Order: 501-45-017R Comment:
Description: Maricopa,AZ Document-Year.DocID 1999.622933 Page: 3 of 3
Order: 501-45-017R Comment:
Robert E. Smith | 4811 E. Thistle Landing, Phoenix AZ 85044 | 602-791-3787 |
roberte.smith@dish.com
Re:
Minor Modification to Existing Wireless Facility
As it moves to deploy a new, national 5G broadband network, DISH Wireless
L.L.C. (“Dish Wireless”) is pleased to submit the attached application to install
equipment and initiate operations at the above wireless communications facility.In
addition to the important details contained in the submittal package, please know that
the equipment being installed is an important part of the national network Dish is
building.
This project will help support the 5G connectivity needs of residents, traditional
and home based businesses, public services, education, health care and first
responders. DISH Wireless looks forward to working cooperatively with you to advance
these important efforts in your community.
Dish Wireless appreciates the dedication and devotion of public servants across
our nation to process our applications during what continue to be challenging times.
COVID-19 has changed the way many people work, and can present significant
difficulties in the continuation and provision of public services. It has also highlighted
the importance of wireless connectivity. Please continue to work with our
representatives and agents about any questions you have on the details of the
application or your local process. However, Dish Wireless would welcome the
opportunity to discuss and answer questions or concerns you may have about our
network and the connectivity it will bring to your community.
We look forward to developing a long-term, collaborative working relationship
with you, as well as enhancing communications and networking services in your
community.
Respectfully submitted,
Robert E. Smith
Zoning Manager