Green Mountain Communications, Inc.

Sturbridge, MA

(Please fill out the form completely then click the submit button below)

Applicant Information:
Owner:	Green Mountain Realty, Corp.	Applicant Name:
Site Name:	Sturbridge	Applicant email:
Site #:	NA	Applicant Site Name:
Applicant Address:		Applicant Site #:
Applicant City:		State and Zip:
Applicant Tel. #:		Fax:

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Tower Information:
Latitude:	42-07-51.8 NAD 83	Existing Structure Type:	Monopole
Longitude:	72-06-42.9	Existing Structure Height (AGL):	130' AGL
Site Address:	126 Clark Road	State and Zip:	MA, 01566
Site City:	Sturbridge
Site County:	NA

Antenna Information:
	S1	S2	S3	GPS	MW
*Desired RAD Center (Feet AGL):**
*Antenna Quantity - Maximum:**
# of Lines Per Antenna:
Diameter of Antenna Lines:

Ground Space Requirements:
Equipment Pad Dimensions:		Shelter Dimensions:
Lease Area Dimensions:

Power Requirements:
AC Power:		Required Voltage and Total AMP:
Number of Circuits Required:
Generator Needed:		Generator Capacity Needed:

Interconnect Requirements:
Interconnect (T-1, Fiber, MW, etc.):		Required Capacity (Pairs, Mbits/Sec, etc.):

*Applicant may not install any equipment on the site. The Applicant is required to provide written confirmation of compliance with all applicable EMF radiation limits. If any item changes on this application, Applicant is required to resubmit corrected collocation application.