Site Survey Form Generic Format - Coastal Environmental Systems

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SITE SURVEY REPORT – location nameSurvey conducted Month, day year1. CONTACT INFORMATIONName Title Organization Phone Email123456789Title1 Site POC - Project Manager2 Weather POC3 Maintenance POC4 Air Traffic Control POC5 Electrical POC6 Communications POC7 Airfield Manager89Site Survey Form Generic Format 6-25-13.docPage 1© 2013 Coastal Environmental Systems, Inc.
SITE SURVEY REPORT – location name2. GENERAL AIRPORT INFORMATIONAirfield Reference DataSite Call LettersMagnetic declination from truenorth (from FLIP)Airfield elevation (from FLIP)Airfield latitude/longitude(from FLIP)AverageMaximumWind speed data kts ktsSite Preparation FactorsDig permits: responsibility,procedure, lead timeSoil typeFrost line depthYearly average Historic 1-day max Historic 1-mo maxSnow depth inches inches inchesOther significant weatherfactors affecting site prepSpecial airfield issues (eg,airfield waivers)Planned changes or upgradesto airfield or outsideequipment locationsNames and contact info forlocal site prep subcontractorsElevation, Grounding atSensor GroupsElevation at3m TowerResistance(ohms)Primary Sensor Group Approach xx ft ohms N/ADiscontinuity Sensor Group Approach xx N/A ohms N/AInstallation FactorsDescribe site accessrequirementsDescribe number of escortsrequired for site prep,installation, and trainingIs Flightline Training required?Planned changes or upgradesto inside equipment locationsor Airfield Lighting VaultNote incomplete items in Section 12, Outstanding Items.GroundingLevel (1,2,3)Site Survey Form Generic Format 6-25-13.docPage 2© 2013 Coastal Environmental Systems, Inc.
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Site Survey Form Generic Format - Coastal Environmental Systems

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