ENGINEERING SURVEY REPORT

Prepared by (also subject responsible if other) PT. Duta Reka Bumi Documents response / approved : Checked : Project : Site Acquisition Doc. No. : Revision :

Site No.

: 1636

Site Name : HUT BANGKALAN Visit date : 10 Juli 2011 Surveyor : Romy Arief - 087866230489

I. GENERAL INFORMATION Area Site Address Contact Person Phone Number Contact Person Address : : : : : Jawa Timur Jl. KH. Moch. Kholil III/34, Desa/Kel. Demangan, Kecamatan Bangkalan, Kab. Bangkalan, Propinsi Jawa Timur Sapraji 087849310444 Jl. KH. Moch. Kholil III/34, Desa/Kel. Demangan, Kecamatan Bangkalan, Kab. Bangkalan, Propinsi Jawa Timur Access to site Access 24 hours/day : : Available Yes Not available No, Identify hours : Need a new additional access to

II. GEOGRAPHIC INFORMATION NOM (Existing) Coordinates GPS Coordinates MAP Coordinates Mark Datum : Mark position on map Lat : 07 Lat : 07 Lat : WGS
o o o

01 ' 01 ' ' 72

47.7 " S 47.7 " S " S

Long : Long : Long :

112 112

o o o

44 ' 44 ' '

40.4 40.4

" " "

E E E

A4 sketch from above

III. PHOTOGRAPH DOCUMENTARY Photos taken 360 degree panorama, each 30 Proposed site location Site Access Obstacle objects At approximately level Taken on Altitude Mark position on map 26 0 Ground 12 4 7 0 m.a.g.l (meter above ground level) Exist. Tower Building Tree photos photos photos photos

m.a.s.l (meter above sea level) A4 sketch from above

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ENGINEERING SURVEY REPORT

Prepared by (also subject responsible if other) PT. Duta Reka Bumi Documents response / approved : Checked : Project : Site Acquisition Doc. No. : Revision :

IV. RADIO FREQUENCY (RF) DATA RBS Antenna Height RBS Antenna Direction Sorroundings : : :
o

m.a.g.l (meter above ground level)

o o

- Pohon, rumah, sekolah

OBSTACLES

Direction (deg )

Distance (km)

Height (m)

ANTENNA TYPE RBS TYPE

V POL INDOOR

X-POL OUTDOOR SERIES :

CHOICE OUT OF ALTERNATIVE IN / OFF GRID OTHER COMMENTS :

: : : 0 m, at

m degree (GPS) ( candidate to NOM/ NOM to Candidate)

RF RECOMMENDATION :

OK

NOT OK

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ENGINEERING SURVEY REPORT

Prepared by (also subject responsible if other) PT. Duta Reka Bumi Documents response / approved : Checked : Project : Site Acquisition Doc. No. : Revision :

V. TRANSMISSION DATA
SITE FACING PLAN FACING SITES 1. 2. 3. 4. 5. SITE ADDRESS ALTITUDE (masl)

GEOGRAPHIC DATA FACING SITES 1. 2. 3. 4. 5. LATITUDE LONGITUDE

TRM CONFIGURATION DATA FACING SITES 1. 2. 3. 4. 5. DISTANCE (km) BEARING (degree) ANTENNA HEIGHT (m)

SURROUNDINGS OBSTACLE 1. 2. 3. 4. 5. Direction (deg) Distance (km) Height (m)

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ENGINEERING SURVEY REPORT

Prepared by (also subject responsible if other) PT. Duta Reka Bumi Documents response / approved : OTHER COMMENTS : Checked : Project : Site Acquisition Doc. No. : Revision :

TRM RECOMMENDATION : TRASMISSION LINK SKETCH :

OK

NOT OK

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ENGINEERING SURVEY REPORT

Prepared by (also subject responsible if other) PT. Duta Reka Bumi Documents response / approved : Checked : Project : Site Acquisition Doc. No. : Revision :

VI. CIVIL INFRASTRUCTURE DATA

ACCESS TO SITE Distance from public road Type of Pavement : : 110 Meter Hotmix Macadam Length of private access Type of Pavement : : 0 meter Hotmix Macadam Improvement required SITE CATEGORY GREEN FIELD General Topography Soil General Classification Obstruction Site Improvement required : : : : Flat Normal No Cleaning Swamp Rocky Trees Stripping Slope Sandy Building Cut/Fill Demolish Existing Hilly Clay / Muld : : Bridge Green Field Asphalt Agregate Pavement Roof Top Asphalt Agregate Width : 2.2 meter Paving block

Concrete Soil Width : 0 meter Concrete Soil Other Existing

Paving block

ROOF TOP - BUILDING STRUCTURE

Height of Structure : Stories Roof Top Penthouse Other Old of Building Building Structure Type Building Using Potential Obstacle when contruction or Operation : : : : years Reinforce conrete Home Office Steel Mall/Shop Other School/hospital number meter meter meter

ROOF TOP ACCES

Access for Crane Stairway available - Dimension Passenger Lift - Capacity Material Lift - Capacity - Dimension Potential Obtacle for Material equipment delivery : : : : : : : : : Yes Yes Yes Yes m No No Wide : No Person, from No Kg, From m Wide : Trough X Floor m Height Trough Floor M X m Height

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ENGINEERING SURVEY REPORT

Prepared by (also subject responsible if other) PT. Duta Reka Bumi Documents response / approved : Checked : Project : Site Acquisition Doc. No. : Revision :

ADDITIONAL SUPPORTING STRUCTURE REQUIRED

Beam Access Ladder Other : : : m length m length m length m wide

GROUNDING and LIGHTNING PROTECTION SYSTEM in BUILDING

Is grounding system available ? Is it possible to use ? Is lightning protect available ? It it possible to use ? : : : : No No No No Yes Yes Yes Yes Type and Size Type and Size

SHAFT and CABLE ROUTING

Is shaft, cable tray, available ? Proposed routing cables : : Yes No No Clamped Other

TOWER DATA
Tower Height : Tower Type : : 70 meter Self Supporting Tower Guyed Tower Monopole/Songle Pole Other

PROPOSED AREA TO BE ACQUITTED

Lot Size Proposed Area Genset Area Parkir Area Access Road : : : : 16 m 2 m m m X X X X TOTAL 6 m 4 m m m = = 0 m2 104 m2 = = 96 m2 8 m2

OTHER COMMENT :
- Tanah lebih tinggi dari 0 tower existing, sehingga perlu dilakukan cutting - Jalan menuju lokasi lebar 2,2 m yang hanya bisa dilewati mobil kecil dengan beban ringan - Dijalan masuk menuju lokasi, ada gorong-gorong selebar 0,5 M yang oleh warga minta dilakukan perkuatan (dicor) - Site tidak terkena GSB dan GSS - Didekat lokasi terdapat kandang ayam dari bambu berukuran 1 M x 2 M

CIVIL RECOMMENDATION :

OK

NOT OK

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ENGINEERING SURVEY REPORT

Prepared by (also subject responsible if other) PT. Duta Reka Bumi Documents response / approved : ELECTRICITY POWER Power Source : Provide By Building, Capacity : PLN, Capacity : 13,2 KVA (For Roof Top Site) KVA 15 m / 150 m meter Other Checked : Project : Site Acquisition Doc. No. : Revision :

PLN, closet PLN pole / transformer : Additional facilities required Poles Cables

Transformer

OTHER COMMENT :
- Pole PLN terdekat adalah pole PLN milik tower existing - Jarak trafo terdekat 150 m

POWER RECOMMENDATION :

OK

NOT OK

LEASING & PERMIT INFORMATION

Lease Space : Site Site = 16 m 2 m x x 6 m= 4 m= = 96 8 104 No No Estimated Rent ? 10 years = TOTAL Yes Yes

Can the site be lease ? Can the site be permitted ?

VII. ATTACHMENT
Documents indicating : Site situation, access, existing facilities, etc 360 degree Panorama, each 30 degree Obstacle Object & near field obstruction Existing facing sites Proposed Site & Area Actual centerline, North on sketch Location and size of coloumn and beams, existing and additional Proposed location of shelter, tower, AC, Power meter, etc. Proposed routing of cables (co-axial, power, grounding, lightening conductor) Antenna type, location, level, and direction, presnt, future Photosed & sketch Photos Photos Photosed & sketch Photosed & sketch Sketch Photosed & sketch Photosed & sketch Photosed & sketch Sketch

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