11.
Dominant vegetative species in each habitat type: __________________________________
___________________________________________________________________________
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12.
Average diameter breast height of dominant tree species in forested areas: ______________
___________________________________________________________________________
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13.
Will construction at this site cause fragmentation of a larger block of habitat into two or more
smaller blocks? (y/n) __
If yes, describe: ________________________________________
___________________________________________________________________________
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14.
Is evidence of bird roosts or rookeries present? (y/n) __
If yes, describe: _____________
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15.
Distance to nearest wetland area (forested swamp, marsh, riparian, marine, etc.), and
coastline if applicable: _______________________
16.
Distance to nearest telecommunications tower: _________________________
17.
Potential for co-location of antennas on existing towers or other structures: _______________
___________________________________________________________________________
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18.
Have measures been incorporated for minimizing impacts to migratory birds? (y/n) __
If yes, describe: _____________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
19.
Has an evaluation been made to determine if the proposed facility may affect listed or
proposed endangered or threatened species or their habitats as required by FCC regulation at
47 CFR 1.1307(a)(3)? (y/n) __
If yes, present findings: _____________________________
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20.
Additional information required: _________________________________________________
___________________________________________________________________________
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