Attachment E000201.pdf

This document pretains to SES-MOD-20040429-00630 for Modification on a Satellite Earth Station filing.

IBFS_SESMOD2004042900630_374020

Page 5 of 6 E18. Is frequency coordination required? If YES, attach a frequency coordination report as O Yes P No E19. Is coordination with another country required? If YES, attach the name of the country(ies) fol b land 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 the structure to aviation? O Ves ® No FAILURE TO COMPLY WITH 47 CFR PARTS 17 AND 25 WILL RESULT IN THE RETURN OF THIS APPLICATION. POINTS OF COMMUNICATION ISatellite 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: E26. Common Name: |E27. Country: ANTENNA Site E28. E29. E30. E31| wner,, £41/42. Antenna GainTransmipt and/or ID |AntennaId| Quantity Manufacturer Model Size Recieve( dBi at %Hz) WTVT In/a 1 Andrew SNG 24 49.5 dBi at 14.25 E38. Total £ . E35. Above E36. E37. Building E39. Maximum K40. Total £28. E33/.34' Dxan.leter Ground |Above Sea| Height Above mputPower Antenna Height EXRP for al Antenna Minor/Major at antenna i Level Level Ground Level Above Rooftop carriers 1d tmeters) (meters) (meters) (meters) flange (meters) (dBW) (Watts) n/a 0.0/0.0 5.7 0.0 (0.0 500.0 0.0 745 FREQUENCY E28. E43/44. E45. E46. Antenna E47. Emission E48. Maximum E49. Maximgm ERIP Antenna Frequency T/R Polarization De.si nator EIRP per Carrier Density per|Carrier Id Bands(MHz) Mode (H.,V,L,R) © (dBW) (dBW/4kHz) [Horizontal and — n/a 14000 14500 T Vertical 36MOGTW 76.5 ast 15,.5 ES5O. Modulation and Services Digital and analog video FREQUENCY COORDINATION E56. Earth E57. E58. Earth E59. . E51. E52/53. Rais*. Station Antenna Station Antenna ho Maxnm}lm E28. : Range of . & i R EIRF Density Satellite Frequency 8 Azimuth Elevation Azimuth Elevation Antenna & ht Satellite toward the Orbit Limits Angle Angle Angle Angle 5 Id Are E/W Hgrizon Type (MHz) Limit Eastern Eastern Western Western (dBW/AkHz) Limit Limit Limit Limit / REMOTE CONTROL POINT LOCATION REMOTE CONTROL POINT LOCATION E61. Call Sign E65. Phone Number NOTE: Please enter the callsign ofthe controlling station, not the callsign for which this application is being filed. E62. Street Address E63. City E67. County E64/68. H66. Zip State/Country CGode / http://svartifoss2. fee.gov/servlet/ib.page.FetchForm?id_app_num=52636&form=PO13_101.... 5/7/2004


Document Created: 2004-05-07 15:39:18
Document Modified: 2004-05-07 15:39:18
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