Application Form

This document pretains to SES-STA-20100721-00942 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:

Waterfall Group Ltd 206-669-1238
907-225-8530
320 Dock St. [email protected]
Ketchikan AK
USA 99901 -
Kenneth A Dole

Kenneth Dole 206-669-1238
Waterfall Group, LTD 907-225-8530
320 Dock Street E-Mail: [email protected]
Ketchikan AK
USA 99901 -
Kenneth Dole Same
(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
SESLIC2010061500705 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
07/31/2010
7. CityKetchikan 8. Latitude
(dd mm ss.s h)
55 17 49.0 N
9. State AK 10. Longitude
(dd mm ss.s h)
133 14 30.0 W
11. Please supply any need attachments.
Attachment 1: Exhibit I Attachment 2: Attachment 3:
12. Description. The initial STA (SES-STA-20100615-00706, granted on 7/01/10)was granted for 30 days and will expire on July 31, 2010. An application to reinstate the expired license (SES-LIC-20100615-00705)was filed on 6/15/2010 and was placed on Public Notice on July 7, 2010, so the existing STA will expire before the 30-day public notice period for the underlying application has run. Therefore, an extension of 60 days, through September 29, 2010, is requested to provide ample time for the required public notice period to run and for staff to review and act on the pending application.
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
Kenneth Dole
15. Title of Person Signing
C.E.O.
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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