Application Form

This document pretains to SES-STA-20040607-00807 for Special Temporal Authority on a Satellite Earth Station filing.

Approved by OMB
3060-0678
APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY


APPLICANT INFORMATION

Enter a description of this application to identify it on the main menu:

Space Imaging LLC 303-254-2151
303-254-2214
12076 Grant Street [email protected]
Thornton CO
USA 80241 -3102
Scott Smith

Raymond G. Bender, Jr. 202-776-2758
Dow, Lohnes & Albertson, PLLC 202-776-2222
1200 New Hampshire Ave, N.W. E-Mail: [email protected]
Suite 800
Washington DC
USA 20036 -6802
Attorney Legal Counsel
3. Reference File Number SESMOD2000102002053
4a. 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):

4b. Fee Classification CGX - Fixed Satellite Transmit/Receive Earth Station
5. Type Request
Use Prior to Grant Change Station Location Other
6. Requested Use Prior Date
06/22/2004
7. CityFairbanks 8. Latitude
(dd mm ss.s h)
64 47 40.0 N
9. State AK 10. Longitude
(dd mm ss.s h)
147 32 13.0 W
11. Please supply any need attachments.
Attachment 1: STA Exhibit Attachment 2: NTIA Transmittal Attachment 3:
12. Description. This STA request by Space Imaging LLC seeks permission to receive remotely-sensed data from the Indian ResourceSat-1 satellite (also known as IRS P6)at Space Imaging's Fairbanks, AK, earth station during the pendency of a license modification application to add the Indian satellite as a new point of communication.
13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is 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. Yes No
14. Name of Person Signing
Scott Smith
15. Title of Person Signing
Executive Vice President, Satellite Access Systems
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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