Application Form [pdf]

This document pretains to SES-AMD-20070124-00137 for Amended Filing on a Satellite Earth Station filing.

IBFS_SESAMD2007012400137_546753

                                                                                               Approved by OMB
                                                                                                      3060−0678

Date & Time Filed: Jan 24 2007 4:27:25:993PM
File Number: SES−AMD−INTR2007−00246


    FCC APPLICATION FOR SPACE AND EARTH STATION:MOD OR AMD − MAIN FORM          FCC Use Only

                        FCC 312 MAIN FORM FOR OFFICIAL USE ONLY

APPLICANT INFORMATION
Enter a description of this application to identify it on the main menu:
January 2007 Amendment to Ka−band VSAT Earth Station Network App.
1−8. Legal Name of Applicant

           Name:        HNS License Sub, LLC           Phone Number:       301−428−5506
           DBA                                         Fax Number:         301−428−2802
           Name:
           Street:      11717 Exploration Lane         E−Mail:             sdoiron@hns.com


           City:        Germantown                     State:              MD
           Country:      USA                           Zipcode:            20876      −
           Attention:   Mr. Steven Doiron




1


9−16. Name of Contact Representative

                Name:          Stephen D. Baruch, Esq.                Phone Number:                       202−416−6782
                Company: Leventhal Senter & Lerman PLLC Fax Number:                                       202−293−7783
                Street:        2000 K Street, NW                      E−Mail:                             sbaruch@lsl−law.com
                               Suite 600
                City:          Washington                             State:                              DC
                Country:        USA                                   Zipcode:                            20006−
                Attention:                                            Relationship:                       Legal Counsel


CLASSIFICATION OF FILING
    17. Choose the button next to the
    classification that applies to this filing for   (N/A) b1. Application for License of New Station
    both questions a. and b. Choose only one         (N/A) b2. Application for Registration of New Domestic Receive−Only Station
    for 17a and only one for 17b.                        b3. Amendment to a Pending Application
                                                         b4. Modification of License or Registration
           a1. Earth Station
                                                     b5. Assignment of License or Registration
           a2. Space Station                         b6. Transfer of Control of License or Registration
                                                          b7. Notification of Minor Modification
                                                     (N/A) b8. Application for License of New Receive−Only Station Using Non−U.S. Licensed
                                                     Satellite
                                                     (N/A) b9. Letter of Intent to Use Non−U.S. Licensed Satellite to Provide Service in the United
                                                     States
                                                     (N/A) b10. Other (Please specify)
                                                        (N/A) b11. Application for Earth Station to Access a Non−U.S.satellite Not Currently Authorized
                                                     to Provide the Proposed Service in the Proposed Frequencies in the United States
                                                        (N/A) b12. Application for Database Entry
                                                          b13. Amendment to a Pending Database Entry Application
                                                         b14. Modification of Database Entry


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      17c. Is a fee submitted with this application?
       If Yes, complete and attach FCC Form 159.       If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114).
        Governmental Entity            Noncommercial educational licensee
        Other(please explain):

    17d.

    Fee Classification CGV − Fixed Satellite VSAT System



    18. If this filing is in reference to an      19. If this filing is an amendment to a pending application enter both fields, if this filing is a
    existing station, enter:                      modification please enter only the file number:
    (a) Call sign of station:                     (a) Date pending application was filed:              (b) File number:
        E060445
                                                  12/26/2006                                           SESLIC2006122602232




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TYPE OF SERVICE
20. NATURE OF SERVICE: This filing is for an authorization to provide or use the following type(s) of service(s): Select all that apply:

      a. Fixed Satellite
      b. Mobile Satellite
      c. Radiodetermination Satellite
      d. Earth Exploration Satellite
      e. Direct to Home Fixed Satellite
      f. Digital Audio Radio Service
      g. Other (please specify)


21. STATUS: Choose the button next to the applicable status. Choose      22. If earth station applicant, check all that apply.
only one.                                                                     Using U.S. licensed satellites
    Common Carrier        Non−Common Carrier                                 Using Non−U.S. licensed satellites

23. If applicant is providng INTERNATIONAL COMMON CARRIER service, see instructions regarding Sec. 214 filings. Choose one. Are these
facilities:
     Connected to a Public Switched Network   Not connected to a Public Switched Network     N/A

    24. FREQUENCY BAND(S): Place an ’X’ in the box(es) next to all applicable frequency band(s).
     a. C−Band (4/6 GHz)   b. Ku−Band (12/14 GHz)
      c.Other (Please specify upper and lower frequencies in MHz.)
         Frequency Lower: 19700           Frequency Upper:     30000         (Please specify additional frequencies in an attachment)




4


TYPE OF STATION
25. CLASS OF STATION: Choose the button next to the class of station that applies. Choose only one.
    a. Fixed Earth Station
    b. Temporary−Fixed Earth Station
    c. 12/14 GHz VSAT Network
    d. Mobile Earth Station
    e. Geostationary Space Station
    f. Non−Geostationary Space Station
    g. Other (please specify)     20/30 GHz VSAT Network


26. TYPE OF EARTH STATION FACILITY:
    Transmit/Receive  Transmit−Only               Receive−Only         N/A
"For Space Station applications, select N/A."




5


PURPOSE OF MODIFICATION

27. The purpose of this proposed modification is to: (Place an ’X’ in the box(es) next to all that apply.)


        a −− authorization to add new emission designator and related service
         b −− authorization to change emission designator and related service
         c −− authorization to increase EIRP and EIRP density
         d −− authorization to replace antenna
         e −− authorization to add antenna
         f −− authorization to relocate fixed station
         g −− authorization to change frequency(ies)
         h −− authorization to add frequency
         i −− authorization to add Points of Communication (satellites & countries)
         j −− authorization to change Points of Communication (satellites & countries)
         k −− authorization for facilities for which environmental assessment and
radiation hazard reporting is required
         l −− authorization to change orbit location
         m −− authorization to perform fleet management
         n −− authorization to extend milestones
         o −− Other (Please specify)




6


ENVIRONMENTAL POLICY

28. Would a Commission grant of any proposal in this application or amendment have a significant environmental         Yes      No
impact as defined by 47 CFR 1.1307? If YES, submit the statement as required by Sections 1.1308 and 1.1311 of
the Commission’s rules, 47 C.F.R. 1.1308 and 1.1311, as an exhibit to this application.A Radiation Hazard Study        Exhibit B 8
must accompany all applications for new transmitting facilities, major modifications, or major amendments.



ALIEN OWNERSHIPEarth station applicants not proposing to provide broadcast, common carrier, aeronautical en route or
aeronautical fixed radio station services are not required to respond to Items 30−34.

29. Is the applicant a foreign government or the representative of any foreign government?                             Yes       No




30. Is the applicant an alien or the representative of an alien?                                                       Yes       No   N/A




31. Is the applicant a corporation organized under the laws of any foreign government?                                 Yes       No   N/A




32. Is the applicant a corporation of which more than one−fifth of the capital stock is owned of record or voted by    Yes       No   N/A
aliens or their representatives or by a foreign government or representative thereof or by any corporation organized
under the laws of a foreign country?




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33. Is the applicant a corporation directly or indirectly controlled by any other corporation of which more than          Yes         No    N/A
one−fourth of the capital stock is owned of record or voted by aliens, their representatives, or by a foreign
government or representative thereof or by any corporation organized under the laws of a foreign country?



34. If any answer to questions 29, 30, 31, 32 and/or 33 is Yes, attach as an exhibit an identification of the aliens or
foreign entities, their nationality, their relationship to the applicant, and the percentage of stock they own or vote.



BASIC QUALIFICATIONS

35. Does the Applicant request any waivers or exemptions from any of the Commission’s Rules?                                    Yes        No
If Yes, attach as an exhibit, copies of the requests for waivers or exceptions with supporting documents.




36. Has the applicant or any party to this application or amendment had any FCC station authorization or license                Yes        No
revoked or had any application for an initial, modification or renewal of FCC station authorization, license, or
construction permit denied by the Commission? If Yes, attach as an exhibit, an explination of circumstances.




8


37. Has the applicant, or any party to this application or amendment, or any party directly or indirectly controlling    Yes   No
the applicant ever been convicted of a felony by any state or federal court? If Yes, attach as an exhibit, an
explination of circumstances.




38. Has any court finally adjudged the applicant, or any person directly or indirectly controlling the applicant,        Yes   No
guilty of unlawfully monopolizing or attemptiing unlawfully to monopolize radio communication, directly or
indirectly, through control of manufacture or sale of radio apparatus, exclusive traffic arrangement or any other
means or unfair methods of competition?If Yes, attach as an exhibit, an explanation of circumstances




39. Is the applicant, or any person directly or indirectly controlling the applicant, currently a party in any pending   Yes   No
matter referred to in the preceding two items? If yes, attach as an exhinit, an explanation of the circumstances.




40. If the applicant is a corporation and is applying for a space station license, attach as an exhibit the names,
address, and citizenship of those stockholders owning a record and/or voting 10 percent or more of the Filer’s
voting stock and the percentages so held. In the case of fiduciary control, indicate the beneficiary(ies) or class of
beneficiaries. Also list the names and addresses of the officers and directors of the Filer.




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41. By checking Yes, the undersigned certifies, that neither applicant nor any other party to the application is                Yes          No
subject to a denial of Federal benefits that includes FCC benefits pursuant to Section 5301 of the Anti−Drug Act of
1988, 21 U.S.C. Section 862, because of a conviction for possession or distribution of a controlled substance. See
47 CFR 1.2002(b) for the meaning of "party to the application" for these purposes.



42a. Does the applicant intend to use a non−U.S. licensed satellite to provide service in the United States? If Yes,            Yes          No
answer 42b and attach an exhibit providing the information specified in 47 C.F.R. 25.137, as appropriate. If No,
proceed to question 43.




42b. What administration has licensed or is in the process of licensing the space station? If no license will be issued, what administration has
coordinated or is in the process of coordinating the space station?



43. Description. (Summarize the nature of the application and the services to be provided).    (If the complete description does not appear in this
box, please go to the end of the form to view it in its entirety.)
     See Exhibit A.




Exhibit A




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CERTIFICATION
The Applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the
United States because of the previous use of the same, whether by license or otherwise, and requests an authorization in accordance with this
application. The applicant certifies that grant of this application would not cause the applicant to be in violation of the spectrum aggregation limit
in 47 CFR Part 20. All statements made in exhibits are a material part hereof and are incorporated herein as if set out in full in this application.
The undersigned, individually and for the applicant, hereby certifies that all statements made in this application and in all attached exhibits are
true, complete and correct to the best of his or her knowledge and belief, and are made in good faith.
44. Applicant is a (an): (Choose the button next to applicable response.)

      Individual
      Unincorporated Association
      Partnership
      Corporation
      Governmental Entity
      Other (please specify)




     45. Name of Person Signing                                             46. Title of Person Signing
     Steven Doiron                                                          Senior Director, Regulatory Affairs
        −−>


              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 AUTHORIZATION
                  (U.S. Code, Title 47, Section 312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, Section 503).




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                                            SATELLITE EARTH STATION AUTHORIZATIONS
                                     FCC Form 312 − Schedule B:(Technical and Operational Description)
                                                        FOR OFFICIAL USE ONLY



Location of Earth Station Site

E1: Site Identifier: TF TR 98CM            E5. Call Sign:       E060445
E2: Contact Name Duty Supervisor           E6. Phone            301−601−6471
                                           Number:
E3. Street:                                E7. City:
                                           E8. County:
E4. State                                  E9. Zip Code
E10. Area of Operation:                    CONUS, AK, HI, PR, VI
E11. Latitude:       0 °0 ’0.0 "N
E12. Longitude:      0 °0 ’0.0 "W
E13. Lat/Lon Coordinates are:                 NAD−27                NAD−83               N/A

E14. Site Elevation (AMSL):                0.0 meters



E15. If the proposed antenna(s) operate in the Fixed Satellite Service (FSS) with geostationary satellites, do(es) the
proposed antenna(s) comply with the antenna gain patterns specified in Section 25.209(a) and (b) as demonstrated         Yes   No   N/A
by the manufacturer’s qualification measurement? If NO, provide as a technical analysis showing compliance with
two−degree spacing policy.




12


E16. If the proposed antenna(s) do not operate in the Fixed Satellite Service (FSS), or if they operate in the Fixed
Satellite Service (FSS) with non−geostationary satellites, do(es) the proposed antenna(s) comply with the antenna      Yes   No        N/A
gain patterns specified in Section 25.209(a2) and (b) as demonstrated by the manufacturer’s qualification
measurements?


E17. Is the facility operated by remote control? If YES, provide the location and telephone number of the control
point.                                                                                                                 Yes        No




E18. Is frequency coordination required? If YES, attach a frequency coordination report as
                                                                                                                       Yes        No


E19. Is coordination with another country required? If YES, attach the name of the country(ies) and plot of
coordination contours as                                                                                               Yes        No


E20. FAA Notification − (See 47 CFR Part 17 and 47 CFR part 25.113(c)) Where FAA notification is required,
have you attached a copy of a completed FCC Form 854 and/or the FAA’s study regarding the potential hazard of          Yes        No
the structure to aviation?
   FAILURE TO COMPLY WITH 47 CFR PARTS 17 AND 25 WILL RESULT IN THE RETURN OF THIS
APPLICATION.
 POINTS OF COMMUNICATION
Satellite Name:SPACEWAY 2 | SPACEWAY 2 | 99 W.L.If you selected OTHER, please enter the following:
E21. Common Name:                                                         E22. ITU Name:
E23. Orbit Location:                                                      E24. Country:


Satellite Name:OTHER | OTHER | If you selected OTHER, please enter the following:



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E21. Common Name: SPACEWAY 3                                      E22. ITU Name: USASAT 70O
E23. Orbit Location: 94.95 W.L.                                   E24. Country:    USA


Satellite Name:SPACEWAY 1 | SPACEWAY 1 | 103 W.L.If you selected OTHER, please enter the following:
E21. Common Name:                                                 E22. ITU Name:
E23. Orbit Location:                                              E24. Country:
 POINTS OF COMMUNICATION (Destination Points)
E25. Site Identifier:
E26. Common Name:                                                 E27. Country:
 ANTENNA
Site ID            E28. Antenna   E29. Quantity   E30.            E31. Model       E32. Antenna       E41/42.
                   Id                             Manufacturer                     Size<meters>       Antenna Gain
                                                                                                      Transmint
                                                                                                      and/or Recieve
                                                                                                      (____dBi at
                                                                                                      _____GHz)
TF TR 98CM         TF TR 98CM     10000           Prodelin        3981−131         0.98               44.6 dBi at
                                                                                                      19.95
TF TR 98CM         TF TR 98CM     10000           Prodelin        3981−131         0.98               48.0 dBi at
                                                                                                      29.75


E28. Antenna       E33/34.        E35. Above      E36. Above Sea E37. Building     E38. Total         E39. Maximum E40. Total
Id                 Diameter       Ground Level    Level(meters) Height Above       Input Power at     Antenna Height EIRP for al
                   Minor/Major    (meters)                       Ground Level      antenna flange     Above Rooftop carriers(dBW)
                   (meters)                                      (meters)          (Watts)            (meters)
TF TR 98CM         0.0/0.0        0.0             0.0             0.0              3.5                0.0              53.4
FREQUENCY


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E28. Antenna Id    E43/44.         E45.                    E46. Antenna      E47. Emission             E48. Maximum     E49. Maximum
                   Frequency Bands T/R<br>Mode             Polarization(H,V, Designator                EIRP per Carrier ERIP Density per
                   (MHz)                                   L,R)                                        (dBW)            Carrier
                                                                                                                        (dBW/4kHz)
TF TR 98CM         19700.0000        R                     Left and Right        500MG7W               0.0                   0.0
                   20200.0000                              Circular
E50. Modulation and Services    (If the complete description does not appear in this box, please go to the end of the form to view it in its
entirety.)
     500 MHz WIDE, PSK, DIGITAL CARRIER




TF TR 98CM         29500.0000        T                     Left and Right        650KG7W               42.0                  19.9
                   30000.0000                              Circular
E50. Modulation and Services    (If the complete description does not appear in this box, please go to the end of the form to view it in its
entirety.)
     512 KBPS, PSK, DIGITAL CARRIER




TF TR 98CM         29500.0000        T                     Left and Right        2M61G7W               48.0                  19.9
                   30000.0000                              Circular




15


E50. Modulation and Services         (If the complete description does not appear in this box, please go to the end of the form to view it in its
entirety.)
       2.048 MBPS, PSK, DIGITAL CARRIER




FREQUENCY COORDINATION
E28.             E51. Satellite E52/53.     E54/55.               E56. Earth       E57.             E58. Earth       E59.             E60.
Antenna Id       Orbit Type     Frequency   Range of              Station          Antenna          Station          Antenna          Maximum
                                Limits(MHz) Satellite Arc         Azimuth          Elevation        Azimuth          Elevation        EIRP Density
                                            Eastern/West          Angle            Angle            Angle            Angle            toward the
                                            ern Limit             Eastern Limit    Eastern Limit    Western          Western          Horizon
                                                                                                    Limit            Limit            (dBW/4kHz)


TF TR 98CM       Geostationary 19700.0000         94.95/103.0     172.2            43.4             184.7            43.6             0.0
                               20200.0000


                 Geostationary 29500.0000         94.95/103.0     172.2            43.4             184.7            43.6             −20.0
                               30000.0000

REMOTE CONTROL POINT LOCATION
     E61. Call Sign                                                           E66. Phone Number
                                                                              301−601−6471
   NOTE: Please enter the callsign of the controlling station, not the
callsign for which this application is being filed.
     E62. Street Address
     11717 Exploration Lane




16


     E63. City                                       E68. County                               E67/68.      E64. Zip Code
     Germantown                                      Montgomery                             State/Country   20876
                                                                                               MD/ USA


                                           SATELLITE EARTH STATION AUTHORIZATIONS
                                    FCC Form 312 − Schedule B:(Technical and Operational Description)
                                                       FOR OFFICIAL USE ONLY



Location of Earth Station Site

E1: Site Identifier: TR 98CM             E5. Call Sign:       E060445
E2: Contact Name Duty Supervisor         E6. Phone            301−601−6471
                                         Number:
E3. Street:                              E7. City:
                                         E8. County:
E4. State                                E9. Zip Code
E10. Area of Operation:                  CONUS, AK, HI, PR, VI
E11. Latitude:       0 °0 ’0.0 "N
E12. Longitude:      0 °0 ’0.0 "W
E13. Lat/Lon Coordinates are:               NAD−27                 NAD−83          N/A

E14. Site Elevation (AMSL):              0.0 meters




17


E15. If the proposed antenna(s) operate in the Fixed Satellite Service (FSS) with geostationary satellites, do(es) the
proposed antenna(s) comply with the antenna gain patterns specified in Section 25.209(a) and (b) as demonstrated         Yes   No        N/A
by the manufacturer’s qualification measurement? If NO, provide as a technical analysis showing compliance with
two−degree spacing policy.


E16. If the proposed antenna(s) do not operate in the Fixed Satellite Service (FSS), or if they operate in the Fixed
Satellite Service (FSS) with non−geostationary satellites, do(es) the proposed antenna(s) comply with the antenna        Yes   No        N/A
gain patterns specified in Section 25.209(a2) and (b) as demonstrated by the manufacturer’s qualification
measurements?


E17. Is the facility operated by remote control? If YES, provide the location and telephone number of the control
point.                                                                                                                   Yes        No




E18. Is frequency coordination required? If YES, attach a frequency coordination report as
                                                                                                                         Yes        No


E19. Is coordination with another country required? If YES, attach the name of the country(ies) and plot of
coordination contours as                                                                                                 Yes        No


E20. FAA Notification − (See 47 CFR Part 17 and 47 CFR part 25.113(c)) Where FAA notification is required,
have you attached a copy of a completed FCC Form 854 and/or the FAA’s study regarding the potential hazard of            Yes        No
the structure to aviation?
   FAILURE TO COMPLY WITH 47 CFR PARTS 17 AND 25 WILL RESULT IN THE RETURN OF THIS
APPLICATION.
 POINTS OF COMMUNICATION
Satellite Name:OTHER | OTHER | If you selected OTHER, please enter the following:




18


E21. Common Name: SPACEWAY 3                                      E22. ITU Name: USASAT 70O
E23. Orbit Location: 94.95 W.L.                                   E24. Country:    USA


Satellite Name:SPACEWAY 1 | SPACEWAY 1 | 103 W.L.If you selected OTHER, please enter the following:
E21. Common Name:                                                 E22. ITU Name:
E23. Orbit Location:                                              E24. Country:


Satellite Name:SPACEWAY 2 | SPACEWAY 2 | 99 W.L.If you selected OTHER, please enter the following:
E21. Common Name:                                                 E22. ITU Name:
E23. Orbit Location:                                              E24. Country:
 POINTS OF COMMUNICATION (Destination Points)
E25. Site Identifier:
E26. Common Name:                                                 E27. Country:
 ANTENNA
Site ID            E28. Antenna   E29. Quantity   E30.            E31. Model       E32. Antenna       E41/42.
                   Id                             Manufacturer                     Size<meters>       Antenna Gain
                                                                                                      Transmint
                                                                                                      and/or Recieve
                                                                                                      (____dBi at
                                                                                                      _____GHz)
TR 98CM            TR 98CM        250000          Prodelin        3981−131         0.98               44.6 dBi at
                                                                                                      19.95
TR 98CM            TR 98CM        250000          Prodelin        3981−131         0.98               48.0 dBi at
                                                                                                      29.75




19


E28. Antenna      E33/34.        E35. Above         E36. Above Sea E37. Building          E38. Total           E39. Maximum E40. Total
Id                Diameter       Ground Level       Level(meters) Height Above            Input Power at       Antenna Height EIRP for al
                  Minor/Major    (meters)                          Ground Level           antenna flange       Above Rooftop carriers(dBW)
                  (meters)                                         (meters)               (Watts)              (meters)
TR 98CM           0.0/0.0        0.0                0.0                0.0                3.5                  0.0              53.4
FREQUENCY
E28. Antenna Id     E43/44.         E45.                    E46. Antenna      E47. Emission             E48. Maximum     E49. Maximum
                    Frequency Bands T/R<br>Mode             Polarization(H,V, Designator                EIRP per Carrier ERIP Density per
                    (MHz)                                   L,R)                                        (dBW)            Carrier
                                                                                                                         (dBW/4kHz)
TR 98CM             19700.0000         R                    Left and Right        500MG7W               0.0                   0.0
                    20200.0000                              Circular
E50. Modulation and Services     (If the complete description does not appear in this box, please go to the end of the form to view it in its
entirety.)
     500 MHz WIDE, PSK, DIGITAL CARRIER




TR 98CM             29500.0000         T                    Left and Right        650KG7W               42.0                  19.9
                    30000.0000                              Circular
E50. Modulation and Services     (If the complete description does not appear in this box, please go to the end of the form to view it in its
entirety.)
     512 KBPS, PSK, DIGITAL CARRIER




20


TR 98CM               29500.0000          T                     Left and Right        2M61G7W               48.0                  19.9
                      30000.0000                                Circular
E50. Modulation and Services         (If the complete description does not appear in this box, please go to the end of the form to view it in its
entirety.)
       2.048 MBPS, PSK, DIGITAL CARRIER




FREQUENCY COORDINATION
E28.             E51. Satellite E52/53.     E54/55.               E56. Earth       E57.             E58. Earth       E59.                E60.
Antenna Id       Orbit Type     Frequency   Range of              Station          Antenna          Station          Antenna             Maximum
                                Limits(MHz) Satellite Arc         Azimuth          Elevation        Azimuth          Elevation           EIRP Density
                                            Eastern/West          Angle            Angle            Angle            Angle               toward the
                                            ern Limit             Eastern Limit    Eastern Limit    Western          Western             Horizon
                                                                                                    Limit            Limit               (dBW/4kHz)


TR 98CM          Geostationary 19700.0000         94.95/103.0     172.2            43.4             184.7            43.6                0.0
                               20200.0000


                 Geostationary 29500.0000         94.95/103.0     172.2            43.4             184.7            43.6                −20.0
                               30000.0000

REMOTE CONTROL POINT LOCATION
     E61. Call Sign                                                           E66. Phone Number
                                                                              301−601−6471
   NOTE: Please enter the callsign of the controlling station, not the
callsign for which this application is being filed.




21


     E62. Street Address
     11717 Exploration Lane


     E63. City                                       E68. County                                       E67/68.                  E64. Zip Code
     Germantown                                      Montgomery                                     State/Country               20876
                                                                                                       MD/ USA


FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT

The public reporting for this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of information. If you
have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the
Federal Communications Commission, AMD−PERM, Paperwork Reduction Project (3060−0678), Washington, DC 20554. We will also accept
your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to jboley@fcc.gov. PLEASE
DO NOT SEND COMPLETED FORMS TO THIS ADDRESS.

Remember − You are not required to respond to a collection of information sponsored by the Federal government, and the government may not
conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This
collection has been assigned an OMB control number of 3060−0678.

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104−13, OCTOBER
1, 1995, 44 U.S.C. SECTION 3507.




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Document Created: 2019-04-09 04:35:58
Document Modified: 2019-04-09 04:35:58

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