Form 442

0068-EX-PL-2000 Text Documents

California, State of DGS/Telecommunications Division

2000-03-17ELS_33475

 FEDERAL COMMUNICATIONS COMMISSION                                                                                              APPROVED BY OMB
 Washington, DC 20554                                                                                                                 3060—0065
                                                                                                                                Expires 9/30/98


             APPLICATION FOR NEW OR MODIFIED RADIO STATION AUTHORIZATION UNDER PART 5
                  OF FCC RULES — EXPERIMENTAL RADIO SERVICE (OTHER THAN BROADCAST)


 1.     Applicant‘s Name and Post Office address                                                    DO NOT WRITE IN THIS BLOCK
        (Street address, city, state, and ZIP Code. See instruction                File No.
        No. 4)

            DespTelecommunications pivision                                            60 66 -EX~pZ_ —7 00fl
            601 Sequoia Pacific Blvd.
            Sacramento, CA 95814—0282



 Z{a). Application for (check only one box)                                       2(b). For Modification indicate below:

      &]     New station       D        Modification of existing authorization    File No:                               Call Sign:
 8. Aapplication for Modification: Check the box beside all particulars to be modified. Check either addition or re—
      placement to indicate whether the change is an addition or a replacement of parameters in the current authorization.

O rreauency —                               C emission —                         C rpower —                            C]rocation —
      [] addition or [|] replacement?           [] addition or [] reptacement?     [] addition or [|] replacement?       [] agdition or [( replacement?


D      OTHER PARTICULARS — addition or replacement? (Describe below or in attached EXHIBIT No.                             )




 4. Particulars of            tion (see instruction below)
       Frequency    (state                                                                                    MODULATING        NECESSARY BANDWIDTH
  whether kHz or MHz)                             POWER                                EMISSION                 SIGNAL                  (KHz)
             (A)                                    (C)                                   (E)                    (F)                       (G)




(A)        List each frequency or frequency band separately. (If more space is required, attach as EXHIBIT No.
(B)        Insert maximum RF. output power at the transmitter terminals. Specify units.                                                                     f
(C)        Insert maximum efféctive radilated power from the antenna (If pulsed emission, specify peak power). Specify
           units.

(D)        Insert "MEAN®" or "PEAK" (See definitions in Part 5).
(E)        List each type of emission separately for each frequency. (See Section 2201 of FCC Rules.)
(F)        Insert as appropriate for the type of modulation:
           (1) the maximum speed of keying in bauds;
           (2) maximum audio modulating frequency;
           (8) frequency deviation of carrier,
           (4) pulse duration and repetition rate.
           For complex emissions, describe in detail in the space provided below.
(G)        Describe how the necessary bandwidth was determined in space provided below.                                   FCC Form 442 — Page 2
                                                                                                                                           March 1996


                                                                                                                tm       td    PaAg    C         weomermmmnaims


 5(a). Proposed location of transmitter and transmitting antenna (check only one box to indicate type of operation):
           m      FIXED/BASE                   D      MOBILE                                D   BASE AND MOBILE

* 5(b). If permanently located at a FIXED location, give below:                                 5c). If mobile, describe the exact area of
 State               County                    City or Town                                           operation
L2           CA      San Mateo                       San Carlos
 Number and street (or other indication of location)

             CRYSTAL SPRINGS COTTAGE 4 KM W
 E(D)(1). Enter geographical coordiantes exact to the nearest second (see instruction 10)       M@)(Enter geographical coordinates of the approximate
                                                                                                center of mobile operation (see instruction 10,)
 North       Latitude (DD—MM—SS)           West Longitude (DD—MM—S$S)                           North Latitude                West Longitude
           o            a           n                 o          a               a»               o            »          " o              1       »
      37           29          45                   122          19       44

 5d). Datum (see instruction 10) ..................                   E   NAD 27            D   NAD 88

 6.    Is a directional antenna (other than radar) used? m                v¥ES              D   NO
       If "YES%, give the following information:
       (a) Width of beam in degrees at the half—power point                           45°
       (b) Orientation in horizontal plane                200°                   (c) Orientation in vertical plane                  45°

 7.    Is this authorization to be used for fulfilling the requirement of a government contract with an agency of the
       United States Government?                                      D   v¥Es                  NO

       If "YES%, attach as EXHIBIT No. _______ _,a narrative statement describing the government project,
       agency and contact number.
 8.    Is this authorization to be used for the exclusive purpose of developing radio equipment for export to be employed
       by stations under the jurisdiction of a foreign government?

                                                .                     J ves                 o no
       If "YES", attach as EXHIBIT No. ________ _, the following information: Provide the contract number and the
       name of the foreign government concerned.


 9.    Is this authorization to be used for providing communications essential to a research project? (The radio communi—
       cation is not the objective of the research project).
                                                                          vEs               x nvo
       If "YES", attach as EXHIBIT No. ___________ & narrative statement provding the following information:
       (a) A description of the nature of the research project being conducted.
       (b) A showing that the communications facilitles requested are necessary for the research project involved.
       (c) A showing that existing communications facilities are inadequate.

 10. If all the answers to Items 7, 8, and 9, are "NO%, attach as EXHIBIT No. ___1______ a narrative statement describing
       in detail the following:
       (a) The complete program of research and experimentation proposed including description of equipment
           and theory of operation.
       (b) The specific objectives sought to be accomplished.
       (c) How the program of experimentation has a reasonable promise of contribution to the development, extension,
           expansion, or utilization of the radio art, or is along line not already investigated.
 ll(a). Give an estimate of the length of time that will be required to complete the program of experimentation proposed
           in this application:
      (b) If less than 2 years, give the length of time in months that the authorization requested in this application
          will be required:
 12.        Would a Commission grant of this application come within Section 11807 of the FCC Rules, such that it may have a
           significant environmental impact (see instruction 11)?9       D vEs             D No
           If "YES", attach as EXHIBIT No. _____________ an Environmental Assessment as required by Section 11811

 18.       List below transmitting equipment to be installed (if experimental, so state):
           MANUFACTURER                                          MODEL NUMBER                                                           NO. OF UNITS

                   HANDAR                                                              555                                                   1




                                                                                                                           FCC Form 442 — Page 3
                                                                                                                                      March 1996


14.       Is the equipment listed in Item 18 capable of station identification pursuant to Section 51522               El     YES      E     NO

15.       Will the antenna extend more than 6 meters above the ground, or if mounted on an existing building, will it extend
 t        more than 6 meters above the building, or will the proposed antenna be mounted on an existing structure other
          than a buillding?9                             D yBs          m No
          If "YES", give the following (see instruction 9):
      *   (a) Overall height above ground to tip of antenna is __________ meters.
          (b) Elevation of ground at antenna site above mean sea level is _____________ meters.
          {c) Distance to nearest alircraft landing area is                                                                 kilometers.
          (d) List any natural formations of existing man—made structures (hills, trees, water tanks, towers, etc.) which, in
              the opinion of the applicant, would tend to shield the antenna from aircraft and thereby minimize the
              aeronautical hazard of the antenna.




          (e) Submit as EXHIBIT No. ___________. & vertical profile sketch of total structure including supporting building,
              if any, gilving heights in meters above ground for all significant features. Clearly indlcate existing portion,
              noting particulars of aviation obstruction lighting already available.

16.        Applicant is     (Check only one hox?}


          DJ mpivipuar               [] assoctation                    J rartnersip          10 corporation
          @    OTHER (describe in space provided below)

                                 GOVERNMENTAL ENTITY




17.       Is applicant a foreign government or a representative of a foreign government?                               D     YES       E]    NO

18.       Has applicant or any party to this application had any FCC station license or permit revoked or had any
          application for permit, license or renewal denied by this Commission?9                                       D     yE3       El    No
          If "YES", attach as EXHIBIT No. _________ a statement gliving call sign of license or permit
          revoked and relate clrcumstances.

19.       Will applicant be owner and operator of the station?                                                        fl      YES       {Q    xo

20.       Give name, title, and telephone number (include area code), and Internet e—mail address (If applicable) of person
          who can best handle inquiries pertaining to this application.


                Samuel Bellow, Senior Telecommunications Engineer,                           (916) 657—6154
21.       APPLICANT ANTI—DRUG ABUSE CERTIFICATION:
          By checking "YES", the individual applicant certifies that he or she is eligible for this license. This requires that
          he or she is not subject to a denial of federal benefits, including FCC benefits, as a result of a drug offense
          conviction pursuant to Section 5801 of the Antli— Drug Abuse Act of 1988, 21 US.C. 862. A non— individual applicant,
          eg. corporation, partnership or other unincorporated association, certifies that no party to the application is
          subject to a denial of federal benefits, pursuant to that section. For definition of a "party" for these purposes,
          see 47 CFR 1200%b).                                                                                                ves          [] xo
22        List below all exhibits in numerical sequence and the item number of form requiring the exhibit identified.


     EXHIBIT NUMBER       ITEM NO. OF FORM          EXHIB1T   NUMBER      iTEM NO. OF FORM       EXHIBIT   NUMBER              1TEM NO. OF FORM




                                                                                                                    FCC Form 442 — Page 4
                                                                                                                               March 1996


28.   CERTIFICATION:
      Attention: Read this certification carefully before signing this application.
      THE APPLICANT CERTIFIES THAT:
      (a) Coples of FCC Rule Parts 2 and 5 are on hand; and
      (b) Adequate financial appropriations have been made to carry on the program of experimentation which will
            be conducted by qualified personnel; and
*     (c) All operations will be on an experimental basis in accordance with Part 5 and other applicable rules, and will
          be conducted in such a manner and at such a time as to preclude harmful interference to any authorized
            station; and
      (d) Grant of the authorization requested herein will not be construed as a finding on the part of the Commission:
          (1) that the frequencies and other technical parameters specified in the authorization are the best
                suited for the proposed program of experimentation, and
            (2) that the applicant will be authorized to operate on any basis other than experimental, and
            (8) that the Commission is obligated by the results of the experimental program to make provision in its rules
                including its table of frequency allocations for applicant‘s type of operation on a regularly licensed basis.
      APPLICANT CERTIFIES FURTHER THAT:
      (e) All the statements in the application and attached exhibits are true, complete and correct to the best of the
          applicant‘s knowledge; and
      (f) The applicant is willing to finance and conduct the experimental program with full knowledge and
          understanding of the above limitations, and
      (g) The applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as
          against the regulatory power of the USA.


            Signed and dated this P10                                         day op        March                            _    2000
            Name of Applicant                  California,       State of
                                                                (moust correspond with name given   page 17

            By                   GLEN S. NaSH                                              ,fi,z 7 2@(/
                                         {print?                                              *      thignatore?

            Title CSA VII, Senior Telecommunications Engineer

      Check appropriate classification:


      [:I    Individual applicant            D     Member of applicant partnership

      b—d    Authorized employee             D     Office of applicant corporation or association


WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. Code, Title
18 Section 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S,. Code, Title 47,
Section 312(a)(1)}, AND/OR FORFEITURE (U.S. Code, Title 47, Section 503).
                                           NOTIFICATION TO INDIVIDUALS UNDER PRIVACY ACT OF 1974
                                                 AND THE PAPERWORK REDUCTION ACT OF 1980
information requested through this form is authorized by the Communlcations Act of 1994, as amended, and specified
by Section 808 therein. The information will be used by Federal Communications Commission stafft to determine
eligibility for issuing authorizations in the use of the frequency spectrum and to effect the provisions of regulatory
responsibilities rendered by the Commission by the Act. Information requested by this form will be available to the
public unless otherwise requested pursuant to 47 CFR 0459 of the FCC Rules and Regulations, Your response is required
to obtain this authorization.

Public reporting burden for this collection of information is estimated to average four (4) hours per response, including the time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and review—
ing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of
information,     including suggestions for reducing the burden to the Federal Communications Commission, Records Management
Branch, Paperwork Reduction Project (3060—0065), Washington, DC 20554.                   DO NOT send completed applications to this
address.         Individuals   are not required to respond to this collection unless it displays a currently valid OMB control number.


THE FOREGOING NOTICE IS REQUIRED BY THE PRIVACY ACT OF 1974, PL 98—579, DECEMBER 81, 1974, 5 US.C. 5b2Za(e)(8),
AND THE PAPERWORK REDUCTION ACT OF 1980, P.L 98—b11, DECEMBER !I, 1980, 44 US.C. 850o7.

                                                                                                                   FCC Form 442 ~ Page 5
                                                                                                                              March 1996



Document Created: 2001-07-31 13:08:22
Document Modified: 2001-07-31 13:08:22

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