FIO_1_SF_299_Final_3_2019.pdf

STANDARD FORM 299 (05/09)

Prescribed by DOI/USDA/DOT FORM APPROVED P.L. 96-487 and Federal APPLICATION FOR TRANSPORTATION AND 0MB NO. 0596-0082 Register Noüce 5-22-95 UTILITY SYSTEMS AND FACILITIES

ON FEDERAL LANDS

FOR AGENCY USE ONL Y

NOTE: Berore compleling and fillng the appllcatlon, lhe appllcant should completely revlew thls package and schedule a Applicatlon Number preappllcaUon meeUng with representatives of the agency responslble for processlng the appllcaUon. Each agency may have specifte and unique requlrements to be met In preparing and processlng the appllcatlon. Many times, with the help of the agency representative, the application can be t:0mpleted at the preappllcatlon meeting.

Date Filed

1. Name and address of appllcant (inctude zip code) 2. Name, title, and address of authorized 3. Telephone (area code) California Highway Patrol agent if different from item 1 916-375-4135 Attention: Andrea Becker Department of General Services Appllcant

601-C North 7th Street Attention: Brad Tress 916-843-3882 Sacramento, Ca 95811 707 3rd Street, 4th Floor Authorized Agent

West Sacramento, Ca 95605 916-375-4135

4. As applicant are you? (check one) 5. Specify whal appllcation is for: (check one)

a. 0 Individual a. 181 New authorizalion

b. 0 Corporation• b. □ Renewing exisling authorizalion No.

C, 0 Partnership/Associaüon• C. □ Amend existlng authorization No.

d. 181 State GovemmenUState Agency d. □ Asslgn existing aulhorization No.

e. 0 Local Govemment e. □ Existing use for whlch no authorizalion has been received •

f. □ Federal Agency f. □ Other•

• lf checked, comolete sunolemental oaae • lf checked, orovide detai/s under item 7

6. lf an individual, or partnership are you a citizen(s) of the United States? 0 Yes O No

7. Project descriptlon (describe In detail): (a) Type of system or facility, (e.g,, canel, pipeline, road); (b) related structures and facilities; (c) physlcal specifications (Length, width, grading, etc.): (d) te1m of years needed: (e) time of year of use or operation; (f) Volume or amount of product to be transported: (g) duration and liming of construdion; and (h) temporary work areas needed for construction (Altach additional sheets, if additional space is needed.)

(a. b.,&c). Telecommunications Tower and Equipment Vault for Califomia Highway Patrol (CHP), that also services allied agencies both local and Statewide. The project includes vacating and demolition of the USFS vault, lookout and existing tower in order to erect a larger capacity tower, replace current PV array, and provide for new propane generators and equipment vault. The project will include a 1,150 sq. ft. vault, generator room, (2) 12,000 gallon propane tanks and a 4-legged 120' high lattice hybrid tower with 40' mast and 8' lighting rod for a total of 148 foot height, and the replacement of the current antiquated solar array with (2) 240 s.f. arrays. The existing tower, built by CA Department of Parks and Recreation has exceeded its useful life. The current electrical demands of the facility exceed the existing infrastructure and the solar array is antquated and inefficient. See attached sheets for proposed site, tower placement and elevations.

(d) The maximum allowed or indefinately (e)This facility is used 365 days a year to provide a major component for emergency radio communication.

(f) Construction materials to be transported via flat bed, utility and boom trucks, light duty trucks, concrete delivery trucks, excavtors and cranes will include concrete, reinforcing steel, structural steel, aggregate base, fencing, concrete masonry units, conduit and wire.

(g) Construction is estimated to take 2 to 2.5 years, due to the winter closure period.

(h) lt is anticipated that the area in and arounf the existing solar array be used for organized material storage and laydown area.

8. Altach a map covering area and show location of project proposal

9. Stale or Local govemment approvaL O Attached O Applied for 181 Not Required

10. Nonretumable application fee: O Attached O Not requirecl

11. Does projed cross intemational boundary or affect intemational waterways? 0 Yes

13a. Describe other reasonable alternative routes and modes considered.

181 No (if ;,es,• indicate on map)

This site is the highest point and best line of site to provide contiguous radio signal transmission between the multiple other Statewide radio sites. CHP is currently on the existing tower and hold equipment beneath the existing look out tower.The project will avoid environmental impacts and remove the old structures and debree from the site.

(Continued on page 2)

Page 2 of4

12. Give statement of your technical and financlal capability to construct, operate, maintain, and tenninate systern for which authorization is being requested.

The State of Califomia Highway Patrol with the Office of Emergency Services have an intricate system of towers, vaults and equipment to provide emergency radio coverage throughout the state and in parts of Nevada. The Department of General Services manages the contract and construction of these sites statewide. Upon completion of construction CHP and OES will ensure the structures and site are secured and maintained.

13a. Describe other reasonable alternative routes and modes consldered.

The site is the highest point and best line of site to provide contiguous signal transmission between the other sites which comprise the Statewide Safety Network. There are several State and allied agencies which occupy the current tower location that will be relocated to the new tower. The State conducted a site search and could not find another feasible location over the past eight years.

b. Why were these alternatives not seleded?

As the highest point and optimal location there are no other alternative to provide contiguous and reliable communication coverage throughout the State for the purpose of public health and safety.

c. Give explanation as to why it ls necessary to cross Federal Lands.

There are no other routes to access the site which is owned by the USFS.

14. List authorlzatlons and pendlng appltcatlons filed for slmilar projects whlch may provkle infonnation to the authorizing agency. (Specify number.

date, ccde, or name)

Pine Grove, Lyon County NV; Black Mountain, San Luis Obispo County, Los Padres National Forest.

15. Provide statement of need for project, lncluding the economlc feasibmty and items such as: (a) cost of proposal (constructlon, operation, and rnalntenance); (b) estlmated cost of next best altemative: and (c) expected publlc benefits.

(a} The estimate total project cost is approximately $6,000,000.00

(b) The Department of General Services has exhausted all other options over the past seven year without finding a operation or suitable alternative.

(c) The CHP and allied agencies which use this communication system provides "Public Health and Safety" to the public.

16. Describe probable effects on the population in the area, including the social and economicaspects, and the rural lifestyles.

The site is currently an operational communication site. There will be no affect to the public in the area. The CHP ls replacing a tower and vault to provide the necessary infrastructure to enhance microwave and radio communication for the surrounding area as part of the Statewide Safety Network.

17. Describe likely environrnental effects that the proposed projed will lrlave on: (a) alr quality; (b) visual impact; (c) surface and ground water quality and quantity: (d) the control or strudural change on any stream or other body of water: (e) existing noise levels; and (f) the surface of the land, including vegetation, permafrost. soil, and soil stabllity.

This project is not likely to have any significant or adverse impacts on these environmental issues and will clean the site of the old infrastructure. CEQA and NEPA documents will be prepared for the purpose of addressing any short term environmental effects to the project area. The State of Califomia is responsible for the CEQA determination and will prepare reports and provide the appropriate documentation accordingly.

18. Describe the probable effects that the proposed project will have on (a) populalions offish, plantlife, wildlife, and marine life, including threatened and endangered species; and (b) marine mamrnats, lncluding hunting, captuling, collecting, or killing these animals.

The CEQA and NEPA documents will be prepared to address the probabaly effects to plant life, wild life, endagered species, cultural responsibilities, etc.

19. State whelher any hazardous material, as defined In thls paragraph. will be used, produced, transported or stored on or withln the rlOhl-of-way or any of the right-of way faeillties, or used In the conslruction, operatien, malntenance or1ermlnatlon of the rtght-of-way or any of its faeilitles. "Hazardous materlar means any substance, pollutant or contamlnant that 1s listed as hazardous under the Comprehenslve Envlronrnental Responae, Compensatlon, and Uabillty Acl of 1980, as amended, 42 U S.C. 9601 et seq➔ and its iegulallons. The definltion of hazardous substances under CERCLA lncludes any "hazardous waste" as defined In the Resource Conservatlon and Recovery Acl of 1976 (RCRA}, as amended, 42 U.S.C. 6II01 et seq., and lts regulations. The term hazardous rnaterlals also lncludes any nudear or byproduct material as defined by the Atomlc Energy Acl of 1954, as amended. 42 U.S.C. 2011 et seq. The term does nol lnclude pelroleum, lncludlng crude oll or any fractlon lhereof lhat 1s not otherwise spedfically listed or deslgnated as a hazardous substance under CERCIA Sectlon 101 (14}, 42 U S.C. 9601(14), nor does the tenn lnclude natural gas.

(Continued on page J) (SF-299, page 2 )

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There are existing old propane tanks CHP would like to remove and replace with (2) new 12,000 gallon tanks for use by the back up generator. By placing large capacity fuel storage CHP minimizes refueling trips and road use by larger delivery trucks. The site currently has existing propane capacity.

20. Name all the Department(s}/Agency(ies) where lhis application 1s being filed.

Bridgeport Ranger District, Kevin Wilmot Acting District Ranger Carson Ranger District 1536 S. Carson Street Carson City, NV 89701 (760)932-7070

1 HEREBY CERTIFY, Thal I am of legal age and aulhorized to do buslness in the State and that I have personally examined the infonnation contained in the a lication and believe that the infonnation submitted is correct to the best of m knowled. e.

Tille 18, U.S.C. Sectlon 1001, makes it a crime for any person knowingly and willfully to make to any departmenl or agency of the United States any false, fiditious, or fraudulent statements or representations as to any matter within its jurisdidion.

(Continued on page 3) (SF-299, page :lJ

GENERAL INFORMATION

ALASKA NATIONAL INTEREST LANDS

This applicaUon will be used when applying for a right-of-way, permll, Ucense, lease, or cettilicate for the use of Federal lands which He within conse1Vation system unlts and National Recreallon or Conservatlon Areas as delined in lhe Alaska Natlonal lnlerest lands Conse1Vation Ad. Conse1Vatlon system unUs lnclude the National Part System, Nallonal Wildlife Refuge System. National Wild and Scenic Rlvers System, National Tralls System, NaUonal Wlldemess PresetvaUon System, and National Forest Monuments.

Transportatlon and ulllily systems and fadlily uses for whlch the appllcation may be usedant:

1. Canals. ditches, flumes, laterals. plpes, pipellnes, tunnels, and olher systerns for the transportation of water.

2. Pipelines and other systems for the transportatlon of liquids other than water, lncludlng oll, natural gas, synthellc liquid and gaseous fuels, and any refined product produced therefrom.

3. Pipelines, &k.lrry and emulslon systems, and conveyor beHs for transportation of solid malerials.

4. Systems for the transmlsslon and dislributlon of electric energy.

5. Systems for transmlsslon or raception ol radio, televlslon, telephone, telegraph, and other electronlc &lgnals, and other means of communicatJons.

6. lmproved right-of-way for snow machines, air cushlon vehlcles, and alt.terrain vehlcles.

7. Roads, hlghways, railroads, tunnels, tramways, alrports. landing strtps, docks, and other systems of general transportatlon.

Thls appllcation must be filed simultaneously with each Federal department 01' agency requirtng authorizatlon to establish and operate your proposal.

In Alaska, the following agencies willl help the applicant file an applicaUon and ldenUfy the other agencles the appllcant should contact and posslbly file with:

Department of Agrtculture Regional Fontster, Forest Service (USFS) Federai Office Bulldlng, P.O. Box 21628

Juneau, Alaska 99802·1628 Telephone: (907) 586-7847 (or a local Forest Service Office)

Department of the lntertor Bureau of Indian Affairs (BIA) Juneau Area Office Federai Bulldlng Annex 9109 Mendenhal Mal Road, Suite 5 Juneau, Alaska 99802 Telephone: (907) 5116-7177

Department of lhe lnterior Bureau of Land Management 222 West 7th Avenue P.O. Box13 Anchorage, Alaska 99513-7599 Telephone: (907) 271-5477 (or a local BLM Office) u.s. Fish & Wildllfe SelVlce (FWS) Office of lhe Regional Olredor 1011 East Tudor Road Anchorage, Alaska 99503 Telephone: (907) 766-3440

National Park Service (NPA) Alaska Regional Office, 2225 Gambel SL. Rm. 107 Anchorage, Alaska 99502-2892 Telephone: (907) 7116-3440

Note - Fllings with any lntertor agency may be filed wlth any office noled above or with lhe Office of the Secretary of the lnterior, Regional Environmental Office,r P_Q_ Box 120, 1675 C Slreet, Anchorage, Alaska 9513.

(For supplemental, see page 4)

Department of Transportallon Federal AvlaUon Administration

Alaska Region AAL--4, 222 West 7th Ave., Box 1'I Anchorage, Alaska 99513-7587 Telephone; (907) 271-5285

NOTE - The Oepartment of Transportatlon has astablished the above centrat filfng polnt for agencles withln !hat Department. Affected agencies are: Federal AvlaUon Administration (FAA), Coast Guard (USCG), Federal Highway Administration (FHWA), Federal Rallroad Administration (FRA).

OTHER THAN ALASKA NATIONAL INTEREST LANDS

Use ol this foon 1s not limlted to National lnlerest Conse1Vatlon Lands of Alaska.

Individual departmenl/agencles may authorize the use of thls form by appllcants for transportation and utlilty systems and faciliUes on other Federal lands outside lhose areas described above.

For proposals located outside of Alaska, appllcations wiH be liled at the local agency office or at a location speclfied by the responslble Federal agency.

SPECIFIC INSTRUCTIONS

(ltems not listfld are self-explanato,y)

7 Altach prellminary alle and facllity constructlon plans. The responsible agency will provlde l115lructlons whenever spedfic plans are requlred.

8 Generally, the map must show the sectlon(s), lownshlp(s), and range(s) wilhln whlch the project 1s to be localed. Show the proposed locatlon of the project on the map as accurately as possible. Soma agencles raqulre detalled survey maps. The responsible ag11ncy will provlde additional instructlons.

9, 10, and 12 The responslble agency will provide addHlonal lnstructlons.

13 Provldlng infonnatlon on alternate routas and modes In as much detail as posslble, dlscussing why certain routes or modes were rejected and wtly lt is necessary to cross Federal lands will assist lhe agency(les) In processing your application and reaching a final declslon. lnclude only reasonable altemate routes and modes as related to current technology and economlcs.

14 The responslble agency wiA provlde lnstructlons.

15 Generally, a simple stalement of the purpose of lhe proposal will be sufficient. HowevM, major proposals located in aitlcal or sensilive areas may raqulre a full analysls with additional specific Information. The responslble agency will provlde addillonal instructlons, 18 through 19 Provlding thls Information 1s as much detail as posslble wil assist the Federal agency(les) In processlng lhe application and reachlng a decislon. \Nhen completlng these ltems, you should use a sound judgment In fumlshlng relevant Information, Fore exampie, if the project 1s not near a stream or olher body of waler, do not address this subject.

The responsible agency will provkle addHlonal lnstructlons.

ApplicaUon must be slgned by the applicant or applicant's authorlzed representative.

EFFECT OF NOT PROVIOING 1NFORMATION: Oisclosure ofthe Information 1s voiuntary. if alf the lnformatlon 1s not provided, the appllcation may be rejected.

DATA COLLECTION STATEMENT

The Federal agencles coilect this Information from appilcants raquestlng rlght•of• way, permit. llcense, lease, or cerllficatlon for the use of Federal lands. The Federal agendes use thls Information to evaluate the applicant's proposai. The public 1s obligated to submlt this form lf they wish to obtaln permlsslon to use Federal Jands.

(SF-299, page 4 l

SUPPLEMENT AL

NOTE: The responsible agency(ies) will provide instructions

CHECK APPROPRIATE

BLOCK

1 - PRIVATE CORPORATIONS ATTACHED FILED*

a. Articles of I ncorporation □ □

b. Corporation Bylaws □ □ C. A certification from the State showing the corporation is in good standlng and is entitled to operate withln the State □ □

d. Copy of resolution authorizing fillng □ □

e. The name and address of each shareholder ownlng 3 percent or more of the shares, together with the number and percentage of any class of voting shares of the entity which such shareholder is authorized to vote and the name and address of each affiliate of the enlity together with, in the case of an affiliate controlled by the entity, the □ □ number of shares and the percentage of any class of voling stock of that affiliate owned, directly or indirectly, by that entity, and in the case of an affiliate whlch controls that entity, the number of shares and the percentage of any class of voting stock of that entity owned, directly or lndirectly, by the affiliate.

f. lf application is for an oil or gas pipeline, describe any related right-of-way or temporary use permit applications, □ □ and identify previous applications.

g. lf applicalion is for an oil and gas pipellne, identify all Federal lands by agency impacted by proposal. □ □

II - PUBLIC CORPORATIONS

a. Copy of law forming corporation □ □

b. Proof of organization □ □ C. Copy of Bylaws □ □

d. Copy of resolution authorizlng fillng □ □

e. lf applicalion is for an oil or gas pipeline, provide information required by item "I-f' and "I-g" above. □ □

111- PARTNERSHIP OR OTHER UNINCORPORATED ENTITY

a. Articles of association, if any □ □

b. lf one partner is authorized to sign, resolution authorizing action is □ □ C. Name and address of each participant, partner, association, or other □ □

d. lf application is for an oil or gas pipeline, provlde information required by item "1-f' and "Hf above. □ □

• lf the required Information is already filed with the agency processing this appllcation and is current. check block entitled "Filed. • Provide the file identification information (e.g., number, date, code, name). lf not on file or current, attach the requested information.

(Continued on page 5) (SF-299, page !>)

NOTICES

Note: This applies to the Department of Agriculture/Forest Service (FS)

This information is needed by the Forest Service to evaluate the requests to use National Forest System lands and manage those lands to protect natural resources, administer the use, and ensure public health and safety. This information is required to obtain or retain a benefit. The authority for that requirement is provided by the Organic Act of 1897 and the Federal Land Policy and Management Act of 1976, which authorize the secretary of Agriculture to promulgate rules and regulations for authorizing and managing National Forest Systemlands. These statutes, along with the Term Permit Act, National Forest Ski Area Permit Act, Granger-Thye Act, Mineral Leasing Act, Alaska Term Permit Act, Act of September 3, 1954, Wilderness Act, National Forest Roads and Trails Act. Act of November 16, 1973, Archeological Resources Protection Act, and Alaska National lnterest Lands Conservation Act, authorize the Secretary of Agriculture to issue authorizations or the use and occupancy of National Forest System lands. The Secretary of Agriculture's regulations at 36 CFR Part 251, Subpart B, establish procedures for issuing those authorizations.

BURDEN AND NONDISCRIMINATION STATEMENTS

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a col/ection of information unless it disp/ays a valid 0MB control number. The valid 0MB control number for this information collection is 0596-0082. The time required to complete this information co/lection is estimated to average 8 hours hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

The U. S. Department of Agricu/ture (USDA) prohibits discrimination in all its programs and activities on th basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial statw parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all c part of an individual's income is derived from any public assistance. (Not all prohibited bases apply to a programs.) Persons with disabilities who require alternative means for communication of progra, information (Brail/e, /arge print, audiotape, etc.) should contact USDA's TARGET Center at 202-720-260 (voice and TDD).

To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 lndependenc Avenue, SW, Washington, DC 20250-9410 or ca// toll free (866) 632-9992 (voice). TDD users can contac USDA through local relay or the Federal re/ay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice_ USDA is an equal opportunity provider and employer.

The Privacy Act of 1974 (5 U.S.C. 552a) and the Freedom of Information Act (5 U.S.C. 552) govern the confidentiality to be provided for information received by the Forest Service.

(SF-299, page 6)