Application Form [pdf]

This document pretains to SES-AMD-20181016-03227 for Amended Filing on a Satellite Earth Station filing.

IBFS_SESAMD2018101603227_1558192

Approved by OMB 3060−0678 Date & Time Filed: Oct 16 2018 4:33:25:426PM File Number: SES−AMD−INTR2018−08521 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: Northwest−Modification of SESREG2018071702444 1−8. Legal Name of Applicant Name: CCO SoCal I, LLC Phone Number: 303−323−1423 DBA Fax Number: Name: Street: 12405 Powerscourt Drive E−Mail: CharterFCC@charter.com City: St. Louis State: MO Country: USA Zipcode: 63131 − Attention: Alexis Anderten 1

9−16. Name of Contact Representative Name: Alexis Anderten Phone Number: 303−323−1423 Company: Charter Communications, Inc. Fax Number: Street: 12405 Powerscourt Drive E−Mail: CharterFCC@charter.com City: St. Louis State: MO Country: USA Zipcode: 63131− Attention: Relationship: 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 2












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:PERMITTED LIST | | 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: 14

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) Gilroy CA 1 1 ATCi Simulsat 5.0 44.5 dBi at 4.0 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) 1 0.0/0.0 6.1 68.584 0.0 0.0 0.0 0.0 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) 1 3700 4200 R Horizontal and 36M0G7W 0.0 0.0 Vertical 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.) Video, Audio, Data 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) 1 Geostationary 3700 60.0/143.0 108.0 13.9 213.1 41.5 0.0 4200 REMOTE CONTROL POINT LOCATION E61. Call Sign E66. Phone Number NOTE: Please enter the callsign of the controlling station, not the callsign for which this application is being filed. E62. Street Address E63. City E68. County E67/68. E64. Zip Code State/Country / 16

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 PRA@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. 17


Document Created: 2019-04-09 14:27:08
Document Modified: 2019-04-09 14:27:08
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