Attachment STA grant

This document pretains to SES-STA-20050920-01301 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2005092001301_456102

sesstazosssmsonor nnoesooziet Potroam Linse Corporation | Approved by OMB 3060—0578 APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY APPLICANT INFORMATIONEnter a description ofthis application to identify it on the main menu: STA to conducttesting ofearth station pryor to deployment. 1. Applicant Name: PettoCom License Corporation Phone Number: 504—736—9400 DBA Name: Fax Number: 50t—734—6100 Street: 5901 Eartart Expressway r—Mail jdenton@petrocom.com Harahan State: LA usa Zipeote: zoi3 — Me.Jon Demton Te&sr onty" ie# SES—ST A ~200100420—0/307 consign //onmiteT2)/

2. Contact Name: Russell . Fox Phone Number: an—asi—rass Company:.— Mintz,Levin, Cohn, Feris, Fax Number: 20z—434—7400 Glovity and Popeo, RC. Street: 701 Pennsylvania Avenue, NW E—Mail: RFox@mintzcom Suite 900 Cit: Washington DC State: ne Country: USA Zipeode: 20004 — Attention: Russell . Fox Relationship: Legal Counsel (1fyour application s elted to an applicationfiled with the Commission, enter ither the ile number orthe TB Submision ID of the related application. Please enter only one.) 3. Reference File Number SESSTA2005082301129 or Submision ID 4. Is afee submited with this application? @ 1f¥es, completeand attach FCC Form 159. If No,indieate reason for fo exermption (see 47 C.ER Section1.1114) & Governmental Entiy ¢y Noncommercial educational lcensee @ Othertplease explain} (t. Fee Classifeation COX — Fixed Satelite TransmivReceive Barth Station 5. Type Request & Use Prirto Grant @ Chiage Station Location @ Oe 6. Requested Use Prior Date coreroos

7. CiyEnglesisde 8. Latmade (ddmmsssh) 27. 51. 2808 N 9. Sure TX 10. Longitude (ddmmsssh) 97 12 20 W 11. Please supply any need atachments Attichment 1: Justfication Atachmnent 2; Requestfor Wavier Atachment3 12. Descripion._(Ifie complete descripton docs not appear in this box, please go t th end ofhe fomm to view it n s entiey) sth to conduct testing of antenna prior to deployment in the Gulf of Mexico. 13. By checking Yes, the undersigned certfesthat nether aplicant nor any otherpartyto theapplication is @5 on subject ta denialof Federalbenefits thatincludes FCC benefits pursuant to Section $301 of the Anti—Drug Act of 1988, 21 U.S.C. Section 862, because of a comviction for posession ordistibutionofa controlled substance See 47 CFR 1.2002(b)for tmeaningof &quot—party tthe application@tquotfr hese purposes. 14. Name ofPerson Sizning 15. Tite of Peson Signing Jon Denton EngineeringManager WiILLEUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND / OR IMPRISONMENT (U.S. Code, Tite 18,Section 1001), AND/OR REVOCATION OF ANY STATION AUTHORIZATION (U.S. Code, Tite 47, Section 312(a)(1), AND/OR FORFEITURE (U.S. Code, Tike 47, Section 503)

ree Nomice RequiRED By THE rAPERWORK REDUCTION ACT "The public reporting for this collection ofinformation is estimated to average 2 hours per response,includingthe time forreviewing istruction, searching exitingdata sources, patheringand maintainingthe requied dat, and completingand reviewingthe collectin ofinformation. Ifyou have any comments on this burden estmate, or how we can improve thcallection and reduce the burden itcauses you, please write t 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 collectionvia the Interet if you send them tojboley@fec.gov. PLEASE o NOT SEND COMPLETED FORMS TO THIS ADDRESS. Remember — You are not requiredto respond o a collection ofinformation sponsored by the Rederal government, anthe government may not conductor sponsor this calletionunless t displays a curently valid OMB control numberorif we failto provide you withthis noice.. T collection has en assigned an OMB control number of3060—0678. TiE FOREGOING NOTICE 1S REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104—13, OCTOBER 1, 1995, 4 US.C. SECTION 3807.


Document Created: 2005-09-21 12:39:05
Document Modified: 2005-09-21 12:39:05
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