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pdfPaperwork Reduction Act Statement: A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a 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 displays a currently valid OMB Control Number. The OMB control number for this collection is 2120-0001. Public reporting for this collection of information is estimated to be approximately 15 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are mandatory for
anyone proposing construction or alteration that meets the criteria contained in 14 CFR 77. This information is collected to process obstruction data that is critical to flight safety and is not confidential. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden to: Information Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.
Privacy Act Statement (5 U.S.C. § 552a, as amended): AUTHORITY: The FAA is responsible for issuing a determination based on extensive analysis completed in accordance with 49 United States Code (USC) Section 44718. Title 14 of the Code of
Federal Regulations (14 CFR), part 77 authorizes FAA to collect this information. PURPOSE(S): FAA will use the information provided to administer the Aeronautical Study Process. ROUTINE USE(S): In accordance with DOT's system of records notice,
DOT/ALL 16 Mailing Management System & DOT/FAA 826 Petitions for Exemption, Other than Medical Exemption-Public Dockets, the information provided may be disclosed to officials within the Federal government and the public in general.
SUPPLEMENTAL NOTICE
Form Approved OMB No. 2120-0001
Expiration Date: 04/30/2023
Submission Instructions: For Advance Notice of Actual Construction or Alteration. Complete items 1, 2, 3A (1), 3A(2),
and 6. If applicable, also complete items 4 and 5. Detach Part 1. Fold and tape at bottom. Mail to the FAA Regional
Office for your area. Part 1A is provided for your file.
Aeronautical Study No.
Notice of Actual Construction or Alteration
U.S. Department of Transportation
Federal Aviation Administration
(Please Type or Print on this Form)
1. Construction
A. Type and Description of Construction
B. Owner of Structure
New
Alteration
2. Construction Location -- Height
A. Coordinates (To hundredths of seconds, if known)
Latitude
°
B. Location (City, State, include Street
Address if any)
Longitude
'
"
°
C. Construction Heights
'
"
Total Height
(Structure & Site)
Above Mean Sea Level
Site Elevation
Ft. AMSL
Structure Height
Ft. AGL
D. Site Elevation Determined By
Ft. AMSL
E. Reference datum of coordinates
Actual Survey
USGS 7.5’ Quad Chart
Other (Specify)
NAD 27
NAD 83
Other (Specify)
F. Name of Nearest Public-Use or Military Airport
(include Distance and Direction from the Airport)
3. Construction Notifications
A. Notification
B. Construction/Project
(Notice Is Critical to Flight
Safety --- FAR Part 77 Required)
Date
(1) Construction will start (Submit at
least 48 hrs. in advance
Date
(1) Project Abandoned
(2) Estimated Completion
(2) Construction Dismantled
(3) Structure Reached Greatest Height
(Submit within 5 days)
4. Marking and Lighting
A. Marked
Yes
No
Temporary
B. Lighted
Medium Intensity White
Dual (Medium Intensity
White & Red)
High Intensity White
Dual (High Intensity
White & Red)
Red
None
5. Antenna Requiring FCC License
A. Call Sign
B. Frequency
C. Date Applied for FCC Construction Permit
D. Date Construction Permit Issued
Submitted by: (If submitted by a
proponent’s representative, please
also complete item B.)
6. Preparer’s Certification
A. Proponent’s Representative
Name:
B. Construction Proponent
Name:
Address:
Address:
Tel. No.: (Include Area Code)
Tel. No.: (Include Area Code)
I hereby certify that the information provided is true, complete, and correct to the best of my knowledge.
Signature
Title
Date
Notice is required by 14 Code of Federal Regulations, part 77 pursuant to 49 U.S.C., Section 44718. Persons who knowingly and
willingly violate the notice requirements of part 77 are subject to a civil penalty of $1,000 per day until the notice is received, pursuant to
49 U. & C., Section 46301(a).
FAA Form 7460-2
(04-20)
SUPERSEDES PREVIOUS EDITION
ADVANCE NOTICE OF CONSTRUCTION
SUBMIT WITHOUT DELAY
Part 1
File Type | application/pdf |
File Title | Supplemental Notice |
Subject | Supplemental Notice to FAA Form 7460-1 |
Author | Larry N. Green II |
File Modified | 2020-04-16 |
File Created | 2019-09-30 |