Jeppesen A Boeing Company

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Obstacle Evaluation : Work Order

Underlined input descriptions are links to Help Information. If you require additional help, please contact us at 678-924-8088. If you do not receive acknowledgement within 1 business day after submitting this request, please contact us at 678-924-8088.

* Indicates Required Field

Complete the following information:

 

Requestor Information

 
Street Address:  
 
   
 
 
 

° ' . ''
° ' . ''
**

** If "GPS Survey" or "Land Survey" is selected, please FAX the survey data to 678-924-8006 or e-mail data to ASACAEStudies@jeppesen.com.


  Site Specific Study Request
  Search Area Study Request
'AMSL
NM
FT.  
Above Ground Level (AGL) - (Including: Footing, Antenna, Lights, etc.)
 
 
 

Original Work Orders receive an "Obstruction Evaluation Report" and, if requested, an "Airspace Design Opinion Letter" or "FAA Form 7460-1".

Do you request any of the following products at this time based on the above data? (See Service Description for details.)

 
**  

**If applicable, enter FAA Form 7460-1 data below:

FAA 7460-1
Frequency Ranges:
from: to: MHz from: to: MHz
from: to: MHz from: to: MHz
ERP: ERP:

Microwave:
  GHz ERP: Watts dBm Azimuth: °
  GHz ERP: Watts dBm Azimuth: °

 

 

(Please e-mail a copy of the FAA Study, if available to ASACAEStudies@jeppesen.com or FAX a copy to 678-924-8006.)


Building
Tower
Tank
Other

**

**If GPS Survey or Land Survey is selected, please e-mail the survey data, if available, to ASACAEStudes@jeppesen.com or FAX to 678-924-8006.


'AMSL (Above Mean Sea Level)
'AGL (Above Ground Level)
'AMSL (if different)
'AGL (if different)
'AGL

CAUTION: FAA recommends that any filing of Existing Structure and/or Alteration of Existing Structure which changes FAA data be made in owner's name in care of requestor.

 
 
 
 
 
 

Please include in your remarks the e-mail address you would like the 7460 mailed to if different from the information listed on the Work Order Form.


 

 
 
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