Application Form [pdf]

This document pretains to SES-STA-20041129-01755 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2004112901755_406473

                                                                                                             Approved by OMB
                                                                                                                    3060−0678

                               APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY



APPLICANT INFORMATIONEnter a description of this application to identify it on the main menu:
Blanket Earth Station Application for 60−day STA to Operate a 2.4 Meter Ka−band Hub Earth Station and up to 100 Remotes with
AMC−15 at 117W
    1. Applicant

              Name:        EchoStar Satellite L.L.C.   Phone Number:                  303−723−1000
              DBA Name:                                Fax Number:                    303−723−1699
              Street:      9601 South Meridian Blvd.   E−Mail:


              City:        Englewood                   State:                          CO
              Country:     USA                         Zipcode:                       80112       −
              Attention:   David K. Moskowitz




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    2. Contact

                 Name:         Pantelis Michalopoulos               Phone Number:                         202−429−6494
                 Company:      Steptoe & Johnson LLP                Fax Number:                           202−429−3902
                 Street:       1330 Connecticut Avenue, N.W.        E−Mail:                               pmichalo@steptoe.com


                 City:         Washington                           State:                                DC
                 Country:      USA                                  Zipcode:                              20036       −1795
                 Contact                                            Relationship:                         Legal Counsel
                 Title:


    3. Reference File Number
    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   CGV − Fixed Satellite VSAT System
    5. Type Request

        Use Prior to Grant                                Change Station Location                           Other


    6. Requested Use Prior Date
          12/10/2004
    7. CityAtlanta                                                             8. Latitude
                                                                               (dd mm ss.s h)   33   49    50.3   N




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    9. State   GA                                                              10. Longitude
                                                                               (dd mm ss.s h)     84   20   26.5   W
    11. Please supply any need attachments.
    Attachment 1: Narrative                           Attachment 2: Freq. Coordination                   Attachment 3: Rad. Hazard


    12. Description.   (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.)
        This is an application for special temporary authority for up to 60 days to operate a hub
        earth station and up to 100 remote terminals in conjunction with the AMC−15 satellite at
        the 117W orbital location.




    13. 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.


    14. Name of Person Signing                                                 15. Title of Person Signing
      David K. Moskowitz                                                         Executive Vice President and General Counsel
               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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THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104−13, OCTOBER
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Document Created: 2019-04-09 18:53:06
Document Modified: 2019-04-09 18:53:06

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