Application Form

This document pretains to SES-STA-20101116-01434 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:

Denali 20020, LLC 206-910-4614
66 C USEI Drive [email protected]
Brewster WA
USA 98812 -
Mr James Veeder

Chris Harlow 509 689-6300
Denali 20020, LLC
66 C USEI Drive E-Mail: [email protected]
Brewster WA
USA 98812 -
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
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
11/20/2010
7. CityBrewster 8. Latitude
(dd mm ss.s h)
48 8 51.0 N
9. State WA 10. Longitude
(dd mm ss.s h)
119 41 29.0 W
11. Please supply any need attachments.
Attachment 1: STA Request Attachment 2: Attachment 3:
12. Description. Denali 20020, LLC requests special temporary authority for 30 days, commencing on November 20, 2010, for its Brewster, Washington earth station (Call Sign E960222) to communicate with the AMC-18 (call sign S2713) C-band satellite during maneuvers outside its orbital location. This request is identical to the STA's filed by SES Americom under file numbers SES-STA-INTR2010-03503 for call sign WB81 and SES-STA-INTR2010-03504 for call sign E000313 to operate their earth stations under identical maneuvers on AMC-18.
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
Chris Harlow
15. Title of Person Signing
Station Manager
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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