Technical Site Survey Report For Site

Sharing (LTE)
Site ID Site Name Candidate City/Province Customer PO
20587 UMAR_BAKI_PAYAROBA Z MEDAN/NORTH SUMATERA WPO_622

1. Information of Candidates

1.1 Search Result

Site # Site Name Latitude Longitude Antenna Height

1 UMAR_BAKI_PAYAROBA 3.62556 98.48102 42.5

1.2. Comments (Per Candidate)

Site # Comment Accept/Reject

1 Accept

1.3. Rejected Sites List : (All list site identified by radio planning for which a SAR was not turned in)

Site # Site Address Reason of Rejection

1
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2. General Existing Site Sharing information

H3I Site ID/ Number : 20587 Principal Owner : Protelindo Tower Transfer

ToCo/OpCo Site ID/ Number : SUM-NSM-0171-H-P Other Party :

Site Sharing Use: BTS UMTS HUB BSC Others

GPS Coordinates:

Nominal: Latitude: 3.62558391 Longitude: 98.48094032

Candidate: Latitude: 3.62556 Longitude: 98.48102

Distance candidate to nominal : 9.23

Candidate Address: Jl. Letnan Umar Baki, Paya Roba, Binjai Bar., Kota Binjai, Sumatera Utara 20747

Contact person: Dani Contact Number/s: 088261624078

School Hospital/ Military

Area/Location: Hotel Residential Road side Others
compound Clinic Compound

Existing Tower type: 3 Legged tower 4 Legged tower Monopole Other:

Height: 45 Height: Height:

Physical appearance Good
of the tower: Describe :
Not good
Space availability on Height available for Installation of antennas: 45 Brackets required : Yes No
the tower
Distance from proposed equipment location to
Equipment Shelter: Collocate with CKD shelter possible: If no, space for new outdoor unit Available: the tower:
Yes No Yes No 5

Cable tray available for usage: Other comments:

Yes No

Proposed equipment : Outdoor unit CKD Shelter Indoor room

Existing Access road: Yes Describe the existing condition: Dimension:

No Length : 0 Width : 0

Other important information / special requirement:

Site on Google Earth

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2.1 Area Information
Comment on Area (or existing site)

Objective Coverage

Sector 1 Permukiman,Perkebunan,Jalan

Sector 2 Permukiman,Masjid,Jalan

Sector 3 Permukiman,Masjid,Jalan
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3. Radio Network Planning
Radio Requirement

Sectored 2G Sectored 3G Sectored LTE

Information
Sector 1 Sector 2 Sector 3 Sector 1 Sector 2 Sector 3 Sector 1 Sector 2 Sector 3

Support/pole no. A B C A B C

Number of antennas 1 1 1 1 1 1

Antenna Size (HxWxD ) 1870x320x80 1870x320x80 1870x320x80 1870x320x80 1870x320x80 1870x320x80

Antenna beam width ( 65 65 65 65 65 65
horizontal )
Antenna Gain (dBi) 19.2 19.2 19.2 19.2 19.2 19.2

Antenna Frequency 1710 - 2170 1710 - 2170 1710 - 2170 1710 - 2170 1710 - 2170 1710 - 2170

Antenna Manufacturer / T0020S6V011 T0020S6V011 T0020S6V01 T0020S6V011 T0020S6V011 T0020S6V011

model 1

Antenna Height 42.5 42.5 42.5 42.5 42.5 42.5

Azimuth 120 200 350 120 200 350

Mechanical Tilt (MDT) 0 1 0 0 1 0

Electrical Tilt (EDT 2 2 2 2 2 2

Total Tilting 2 3 2 2 3 2
Feeder size/type (i.e. 7/8; 1 ; Feederless Feederless Feederless Feederless Feederless Feederless
etc):
Feeder length/ Feeder less 50m 50m 50m 50m 50m 50m
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4. Existing Antenna (if available)

Operator Ant Type Azimuth (deg) Height (m) Leg

H3I CELLMAX CMA-B/6521/E02 120/180/330 42.5 ABC

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5. Site Surrounding MAP (MAPINFO)
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6. Tracking Map
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7. Diagram of Obstacles 360
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Height of the obstacle with respect to site level

Number Obstacle Type Distance & degree (m) Height (m)

1
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Note: Photo documentation should include but not limited to the following:
a. Actual proposed site status

b. Panoramic Photos.

c. Access information from the nearest road going to the actual site. Include information on the narrowest access

d. Power source. Including photo of the 3 Phase power source (i.e. 3 phase PLN pole) and nearest Transformer

e. Cable tray route and grounding route; including power route going to source

f. Incase there is need to demolish existing structure, photo of which should also be presented

g. Other necessary information should have photo attachment

Panoramic Photo

0 30

60 90

120 150
180 210

240 270

300 330
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Actual Proposed Site Status

Azimuth Sec 1 EDT Sec 1

Antenna Sec 1 placement include measurement

MDT Sec 1 information (meteran)

Antenna type Sec 1

Azimuth Sec 2 EDT Sec 2

Antenna Sec 2 placement include measurement

MDT Sec 2 information (meteran)

Antenna type Sec 2

Azimuth Sec 3 EDT Sec 3

Antenna Sec 3 placement include measurement

MDT Sec 3 information (meteran)

Antenna type Sec 3

Azimuth Sec 4 EDT Sec 4

Antenna Sec 4 placement include measurement

MDT Sec 4 information (meteran)

Antenna type Sec 4

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Cable tray route and grounding route

Vertical Tray Horizontal Tray

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Site Access Photos

Site Condition (Front View) Location BTS (Proposed)

Access to Site1 Access to Site2

Access to Site3 Coordinate view GPS

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Tower and Existing Antenna Photos

Tower and All Existing Antenna (View A) Tower and All Existing Antenna (View B)

Tower and All Existing Antenna (View C) Tower and All Existing Antenna (View D)
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8. COVERAGE PLOT

Single Coverage Plot 2G

Coverage Plot 2G with Surrounding

 Single Coverage Plot 3G

Coverage Plot 3G with Surrounding

 Single Coverage Plot 4G

Coverage Plot 4G with Surrounding

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11. Civil Mechanical and Electrical

Type of Site Greenfield Rooftop Tower Type Angular Tubular

3 Legged tower 4 Legged tower Monopole Guyed pole Other :

Existing tower type
and height: Height : 45 Height : Height : Height : Height :
Tower leg ABC
measurement :
Good
Physical appearance Describe:
of the tower: Not good

Space availability for Space available compare with

Space available onsite ( W x L) : 245x150
outdoor equip standard design (for Indosat/XL) : No

Space availability for Space available compare with

Space available onsite ( W x L) : 245x150
indoor equip, Shelter standard design (for Indosat/XL) : No

Horisontal cable tray and route available to Vertical cable tray and route available to
install: install: Other comments:
Yes Yes
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12. Power Supply

Installation of aerial cable Yes No Additional poles required to reach the 3 phase supply: 0
allowed:
Power cable required to be installed Length of required underground installation : Ground condition where cables will pass:
underground:
Yes 0 Concrete

Connect to PLN: Soil

Others: 0
Distance from the nearest 0 Capacity of the PLN 0 Number of poles 0
transformer: Transformer: required:
Any private property which will be affected by pole location and Right of way for the PLN connection: Yes No
Length of power cable from the source to
Type of supply available: Spare breakers available for use: our proposed sub-meter:
single phase 0
10
Connect to Building: three phase

Length of cable from sub meter to ACPDB Demolition necessary: Yes No

10 Specify type and length : 0

Explain the need for permanent generator: 0

Supply permanent Distance of the proposed location from site: Soundproof required: Available space
Generator:
5 Yes No Rooftop

others 0

Other important information / special requirement:

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13. Grounding System

Grounding System Available: Yes No

Reading of available grounding (Existing): 0

Possibility to connect with existing grounding: Yes No

Estimated length of exposed (yellow green) grounding cable required: 20

Demolition required for the installation of the copper rods:

Yes (specify type and qty) No

Other important information / special requirement:

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14. Drawings and sketches
a. Access to site including the dimensions and distance of the road which is not accessible by car:

b. Complete proposed layout (tower/pole position/equipment/ACPDB/cable route,existing PLN/transformer pole etc. with all
dimensions including set back from property line on all sides)

c. Reflect any overhead/underground utilities crossing the site (powerline, telephone line, pipesetc.)

d. Reflect existing facilities/obstructions/trees.etc.

e. Reflect any high tension Cables running outside the building which can affect delivery (approx. height)

f. Sketch the proposed route for power connection; specify the distances as stated in above data

g. SITE CONTOUR / ELEVATION (reflect approximate contour of site/elevation view; provide the elevation reading per 3m)

Site Layout

Tower Layout
Proposed Equipment (on foundation) Proposed horizontal tray

Proposed Vertical Tray (ground to top) Proposed Vertical Tray (top to ground)

Proposed Grounding System Propose grounding box

Proposed Pole PLN/ Kwh Meter Existing PLN Pole from propose area

Surrounding Area 1 Surrounding Area 2

Surrounding Area 3 Surrounding Area 4

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15. Existing Equipment

Existing Equipment
Type BTS TYPE Note B Type IP MW BSC RNC METRO E SDH Backbone Other

NOKIA FMR HUAWEI 0 0 0 0 0 0

Existing Equipment 1 Existing Equipment 2

Existing Equipment 3 Existing Equipment (others)

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16. Existing Rectifier & Battery

Existing Rectifier
Current Capacity Quantity of Module Space for new Module Remark ( recti cover
Rectifier Brand Type of Module
Module (A) (pcs) of equipment)
1 HUAWEI APM30H 0 3 EPW30-48A 0 0

Existing Battery
Number of bank Quantity of Battery Capacity of Battery
Brand Space for new Battery Remark Rectifier
Battery(Pcs) (Pcs) (AH)
RITAR 2 3 100 0 0 0
Existing Rectifier Existing Battery
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17. Existing Power

Power PLN
PLN Capacity Phase-R A (AC) Phase-S A (AC) Phase-T A (AC) Trafo Capacity Jarak trafo ke site Genset (kVA)

10 3.9 3.9 3.9 0 0 0

Phase R Phase S

Phase T Trafo

Genset Others
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18. Far End Sites

Are there any far end sites?

Yes No

RAN Reviewer Name Customer Approval

Dhani Wijaya

Review Date

18-Sep-2020

Approval Date

Approval Comments