Application Form [pdf]

This document pretains to SES-STA-20080606-00713 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2008060600713_645112

                                                                                                          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:
STA for WHCA Demo of 9066
    1. Applicant

              Name:        AvL Technologies          Phone Number:                  828−250−9950
              DBA Name:                              Fax Number:                    828−250−9938
              Street:      130 Roberts St.           E−Mail:                        joliver@avltech.com


              City:        Asheville                 State:                         NC
              Country:     USA                       Zipcode:                       28801       −
              Attention:   Mr James L Oliver




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    2. Contact

                 Name:         John W. Whetstone                   Phone Number:                        207−667−7079
                 Company:      JW Communications                   Fax Number:
                 Street:       58 Rothry Lane                      E−Mail:                              jwhetstone@downeast.net


                 City:         Ellsworth                           State:                                ME
                 Country:      USA                                 Zipcode:                             04605         −6330
                 Attention:                                        Relationship:                         Engineer


    (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 SESMODINTR200801315 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    CGV − Fixed Satellite VSAT System
    5. Type Request

        Use Prior to Grant                                Change Station Location                             Other


    6. Requested Use Prior Date
          06/06/2008
    7. CityWashington                                                         8. Latitude
                                                                              (dd mm ss.s h)    0   0   0.0


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    9. State   DC                                                              10. Longitude
                                                                               (dd mm ss.s h)     0   0   0.0
    11. Please supply any need attachments.
    Attachment 1:                                     Attachment 2:                                       Attachment 3:


    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.)
        Prior use needed for demonstration of AvL Model 9066 iVSAT Ku−Band terminal to White House
        Communications Agency (WHCA). Prospective customer requires verification of a valid FCC
        license prior to demo.




    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
      James L. Oliver                                                            President
               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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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.




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Document Created: 2019-04-25 23:29:21
Document Modified: 2019-04-25 23:29:21

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