SITE INVESTIGATION SURVEY REPORT
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1 SITE INVESTIGATION SURVEY REPORT New Site and Repeater RF SURVEY REPORT TRM SURVEY REPORT PRELIMINARY CME SURVEY REPORT PRELIMINARY SITAC SURVEY REPORT SITE ID SITE NAME CANDIDATE / RANK REGION SUBCONTRACTOR : PBU233 : MT_BRUNAIADIPATI : S : KALSEL : PT IMPRIMA SURVEYOR : Sarif H. / PROJECT : SIS KALIMANTAN 2016 PHASE : - 1 -
2 SUMMARY OF SIS Nominal Site Information Site ID PBU233 Site Category Site Name MT_BRUNAIADIPATI Province KALSEL Nominal Latitude Nominal Longitude Datum of GPS WGS 84 Searching Radius 100 Priority Recommended Yes Tower Sharing Information Latitude Longitude Distance to Nom (m) Site Owner Candidate RF Survey Longitude Distance to Nom (m) 123 Micro Visit Date 12 April 2015 Ground Elevation / ASL (m) 18 Tower Height Plan cell Sector Coverage Objective Ant Height Alignment Ant Type Sector A : Pemukiman Jl. Brunai Sector B : Pemukiman Jl. Brunai Sector C : Pemukiman Jl. Brunai Alternative 1 Planner Comment Site ID Freq (GHz) Candidate TRM Survey Ant Height Dia Ant (m) Cap (E1) magl Candidate - Site Conditions Site Type (GF/RT) RT Site Area (m) 2 x 2 Site Access (m) Site Address Jl. Brunai Pasar Indrasari Kel. Baru Kec. Arut Selatan Azimuth (deg) Distance (km) LOS Status Land Lord Name H. Zulkifli Contact Person Buy/Lease Lease Land Lord Addess Jl. Brunai Pasar Indrasari Kel. Baru Kec. Arut Selatan Land Status Phone Number Sitaq Comment and Issue Civil Work Comment PT Dayamitra Telkomunikasi Lease Duration 11 Plan Pole 12m, Area 6x4,5m Recommended (Yes/No) YES Candidate Approval Staff Planning DMT Staff Regional DMT Manager Development Planning RAE TWM Project Marketing/CAM PT Telkomsel - 2 -
3 Street Map / Site Location Sketch Candidate Distance from Nominal Bearing Candidate_R 37 m 270 o Candidate_S 123 m 127 o - 3 -
4 RF SURVEY REPORT Site Information Distance from Nominal : 123 m Bearing from Nominal : 127 Site Type : RT Reason : New Coverage Split Cell from : Sector: Capacty Coverage and Topography Sector Coverage Objective Topography Landscape Demography A Pemukiman Jl. Brunai FLAT Residental, CROWDED B Pemukiman Jl. Brunai FLAT Residental CROWDED C Pemukiman Jl. Brunai FLAT Residental CROWDED Sector Antenna Height Antenna Azimuth A 20 m 40 B 20 m 160 C 20 m 280 Sector Obstacle Object RF Information Antenna Tilting TRX Configuration Coverage Obstacle Obstacle Height Antenna Type Latitude Longitude Photo Number A N/A N/A N/A N/A N/A B N/A N/A N/A N/A N/A C N/A N/A N/A N/A N/A - 4 -
5 Candidate Photos Main Entrance of PBU233 Cand S Site Access of PBU233 Cand S Front View of PBU233 Cand S Back View of PBU233 Cand S Right View of PBU233 Cand S Left View of PBU233 Cand S - 5 -
6 Panoramic 0 of PBU233 Cand S Panoramic 45 of PBU233 Cand S Panoramic 90 of PBU233 Cand S Panoramic 135 of PBU233 Cand S Panoramic 180 of PBU233 Cand S Panoramic 225 of PBU233 Cand S - 6 -
7 Panoramic 270 of PBU233 Cand S Panoramic 315 of PBU233 Cand S Pole 3 Phase of PBU233 Cand S Trafo of PBU233 Cand S Obsctacle of PBU233 Cand S - 7 -
8 TRM SURVEY REPORT Near End to Far End Information Site ID Site Name Coordinate Near End Latitude Longitude Altitude/ ASL (m) Azimuth (degree) Ant Height (m) Tower Height (m) PBU233 MT_BRUNAIADIPATI Microcell Far End to Near End Information Site ID Site Name Latitude Coordinate Far End Longitude Altitude/ ASL (m) Azimuth (degree) Ant Height Tower Height LOS Status From To Distance LOS Remark Number of Floors : N/A Building Height : Building Information *if rooftop N/A m Cable Length to Equipment room: N/A m Obstacle Information Obstacle Object Obstacle Height Latitude Longitude Photo Number N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A - 8 -
9 MAP STUDY REPORT USING A TOPOGRAPHIC MAP - 9 -
10 PATH PROFILE REPORT USING PATH LOSS Path Profile PBU233 Cand S
11 General Site Condition PRELIMINARY CME AND SITAC SURVEY REPORT Building Name N/A Owner Name H. Zulkifli Street Address Contact Person Name Contact Person Address Jl. Brunai Pasar Indrasari, Kelurahan Baru, Kecamatan Arut Selatan H. Zulkifli Jl. Brunai Pasar Indrasari, Kelurahan Baru, Kecamatan Arut Selatan Telephone Mobile Phone Telephone Mobile Phone Access Hour N/A Work Hour N/A Ground Elevation / ASL (m) 18 Tower Height Planning / AGL (m) Microcell Antenna Height Planning / AGL (m) Site Type Green Field Rooftop Building Height / AGL (m) Land Condition Very Good Good OK Bad Very Bad Type of Soil Rocky Hard Other : Roof Condition Very Good Good OK Bad Very Bad Access Road Condition Very Good Good OK Bad Very Bad Can Heavy Truck Access the Location Yes No Access Road : m Electric Suplier PT PLN SWASTA Other : Acquisition and Permit Information Land/Rooftop Area Length x Width (2 x 2) m 2 Area 4 m 2 Acquisition Type Land Ownership Documents Lease 10 Years (Min) Buy Girik / Persil No Sertifikat No SPPT / PBB No Akte Jual-Beli No Lain-Lain Can Be Extended Yes 20/20/20 No Is the site located within 15 km from the Airport: Yes No, if yes km Permits Required Permit Possibilities RT/RW Tata Kota (RUTR) IMB Kelurahan Bapeda Community Kecamatan Hub Tel Socialisation Ijin Dephub/Bandara Ijin Warga Ijin Prinsip Ijin HO Ijin Lokasi Lain-lain : Government Permits OK NOT OK Community Permits OK NOT OK
12 Additional CME Work No Item Information 1 Retaining Wall for Site Access No m 3 2 Retaining Wall for Site No m 3 3 Bridge/Small Bridge/Plat Decker No m 2 4 Import Soil No m 3 5 Cut and Fill (Leveling) No 6 Additional Transportation to site 7 Distance from Nearest Trafo m 8 Distance from Nearest 3phase Pole m 9 Site Extreme No 10 Flood Area (Daerah Banjir) No 11 Ketinggian Banjir Maksimum No m 12 PLN or PLTD Exist Yes 13 Power Supply from Company No 14 Power Supply Issue and Comments
13 Preliminary Sitac Photo H. Zulkifli (Owner) PBU233 Cand S KTP (Owner) PBU233 Cand S Legal Document PBU233 Cand S PBB PBU233 Cand S
14 Civil Work Survey Proposed location of shelter, tower
15 Site Contour Cross section is produced at minimum10m outside the site candidate that will be purchased or rented. If the elevation differs more than 3m within the 10m distance, it must be view in a cross section sketch. No need if less than 10 degrees
16 Vertical Cross Section
17 Horizontal Cross Section
18 Additional CME Photos Need Retaining Wall Need Plat Decker/Small Bridge Need Cut and Fill / Leveling Foto GPS
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