Baltimore County Collocation Application Wireless EDGE ID Date Carrier Site Name Carrier Entity Carrier Site ID D/B/A Approx. Install Date Address Primary Contact Company Name Address Phone Mobile Fax Email RF Contact Phone Email Construction Contact Phone Email New Co-location Modification (For Modifications, include all equipment to remain and new equipment) Type of Service (CDMA, GSM, AWS, etc.) and Frequency Chart Type Block TX or RX Frequency Range Notes Add Base Station Equipment Shelter or Cabinets (& Qty) Equipment Manufacturer Lease Area Requested (W x L x H) Generator Lease Area: (W x L x H) Fuel Type and Volume Telco Type (Fiber, T-1, M/W) Electric Volts Phase Amps Sectors (General) Sector Rad. Center (Ft AGL) Azimuth Notes Add Tower Top Equipment (List all antennas, TMAs, etc.) Sector Qty Mfr. Model No. TX or RX Size (L x W X D) Weight (lbs) Add Coax & Control Cables Total Qty Size Type (Standard, Fire Resist, Plenum) or Description Add Microwave Dishes Qty Rad. Center (Ft AGL) Azimuth Mfr. Model No. Diameter (in) Weight (lbs) Add Notes: Attach manufacturer’s equipment data sheet for all tower mounted equipment. Do not include a buffer around your desired physical footprint. Wireless EDGE will provide a non-exclusive buffer for access and utility routing. Application Fee New Co-location: $1,500 Modification: $0 Structural: $2,500 Submit Your form is submitted successfully Thank You! Something went Wrong. Please Try Again!