Application Form [pdf]

This document pretains to SES-STA-20051118-01596 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2005111801596_465284

                                                                                                    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:
30 Day STA for Gilbert, Arizona DBS Earth Stations
    1. Applicant

              Name:        EchoStar Satellite Operating    Phone Number:            303−723−1000
                           Corporation
              DBA Name:                                    Fax Number:              303−723−1699
              Street:      9601 South Meridian Boulevard   E−Mail:


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




1


    2. Contact

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


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


    (If your application is related to an application filed with the Commission, enter either the file number or the IB Submission ID of the related
    application. Please enter only one.)
     3. Reference File Number or Submission ID
    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


    7. CityGilbert                                                             8. Latitude
                                                                               (dd mm ss.s h)   33   21    53.6   N


2


    9. State   AZ                                                              10. Longitude
                                                                               (dd mm ss.s h)     111   48   53.6    W
    11. Please supply any need attachments.
    Attachment 1: Narrative                           Attachment 2: Freq. Coordination                   Attachment 3: Rad. Hazard Report


    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 a 30 day STA to operate two new 9.1m DBS antennas located in
        Gilbert, Arizona.




    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).




3


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 jboley@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.




4



Document Created: 2019-04-24 02:08:23
Document Modified: 2019-04-24 02:08:23

© 2024 FCC.report
This site is not affiliated with or endorsed by the FCC