Attachment STA Form_312 detail

STA Form_312 detail

OTHER submitted by Paul Blais

Replacement for original attachment named FORM 312

2011-03-31

This document pretains to SES-STA-20110329-00377 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2011032900377_879953

                                                                                                                                               Approved by OMB     FCC Use Only
 FCC 312                                                                                                                                              3060-0678
                                                                                                                                                                    File Number:
 Main Form                                                                                                                                 Est. Avg.Burden Hours
                                                                                                                                           Per Response: 11 Hrs.
                                            FEDERAL COMMUNICATIONS COMMISSION                                                                                      Call Sign:
           APPLICATION FOR SATELLITE SPACE AND EARTH STATION AUTHORIZATIONS
                                                                                                                                                                   Fee Number:




                                                                                            APPLICANT INFORMATION
1. Legal Name of Applicant                                                                                                                                         2. Voice Telephone Number
Universal Space Network, Inc.                                                                                                                                      949-476-3432
3. Other Name Used for Doing Business (if any)                                                                                                                     4. Fax Telephone Number
                                                                                                                                                                   949-851-9485
5. Mailing Street Address or P.O. Box                                                                                                     6. City

1501 Quail Street, Suite 102                                                                                                               Newport Beach
                                                                                                                                          7. State / Country (if not U.S.A.)           8. Zip Code
  ATTENTION:        Joanne Greet-Swank 215-328-9130 phone                                                                                 CA                                           92660
9. Name of Contact Representative (If other than applicant)                                                                                                        10. Voice Telephone Number


11. Firm or Company Name                                                                                                                                           12. Fax Telephone Number

13. Mailing Street Address or P.O. Box                                                                                                    14. City

                                                                                                                                          15. State / Country (if not U.S.A)           16. Zip Code
  ATTENTION:




                                                                                            CLASSIFICATION OF FILING
17. Place an "X" in the box next to the classification that applies to this filing for both questions a. and b. Mark only one box for 17a and only one box for 17b.
                                              b1. Application for License of New Station                                b6. Transfer of Control of License or Registration
                                              b2. Application for Registration of New                                   b7. Notification of Minor Modification
        ✘   a1. Earth Station                                Domestic Receive-Only Station
                                              b3. Amendment to a Pending Application                                    b8. Application for License of New Receive-Only Station Using Non-U.S. Licensed Satellite
            a2. Space Station                 b4. Modification of License or Registration                               b9. Letter of Intent to Use Non-U.S. Licensed Satellite to Provide Service in the United States

                                              b5. Assignment of License or Registration                            ✘    b10. Other (Please Specify):
                                                                                                                                                         Application to request Special Temporary Authority
18. If this filing is in reference to an existing station, enter:                                                  19. If this filing is an amendment to a pending application enter:
     Call sign of station:                                                                                              (a) Date pending application was filed:                  (b) File number of pending application:

                                                            N/A

                                                                                                                                                                                                 FCC 312, Main Form - Page 1
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                                                                                                 TYPE OF SERVICE
20. NATURE OF SERVICE: This filing is for an authorization to provide or use the following type(s) of service(s): Place an "X" in the box(es) next to all that apply.
           a. Fixed Satellite             c. Radiodetermination Satellite              e. Direct to Home Fixed Satellite
           b. Mobile Satellite            d. Earth Exploration Satellite               f. Digital Audio Radio Service            ✘    g. Other (please specify)   Ranging & Testing of on-orbit mission
21. STATUS:          Place an "X" in the box next to the applicable status. Mark only one box.                     22. If earth station applicant, place an "X" in the box(es) next to all that apply.
           a. Common Carrier                       ✘   b. Non-Common Carrier                                                  a. Using U.S. licensed satellites    ✘   b. Using Non-U.S. licensed satellites


23. If applicant is providing INTERNATIONAL COMMON CARRIER service, see instructions regarding Sec. 214 filings. Mark only one box. Are these facilities:
           a. Connected to the Public Switched Network                                               b. Not connected to the Public Switched Network


24. FREQUENCY BAND(S): Place an "X" in the box(es) next to all applicable frequency band(s).
           a. C-Band (4/6 GHz)
           b. Ku-Band (12/14 GHz)        ✘ c. Other (Please specify) S-band
                                                                                                 TYPE OF STATION
25. CLASS OF STATION: Place an "X" in the box next to the class of station that applies. Mark only one box.
                                                                                                                                                                                     f. Other
       ✘   a. Fixed Earth Station        b. Temporary-Fixed Earth Station          c. 12/14 GHz VSAT Network               d. Mobile Earth Station         e. Space Station
                                                                                                                                                                                     (Specify)
  If space station applicant, go to Question 27.
26. TYPE OF EARTH STATION FACILITY Mark only one box.

       ✘   a. Transmit/Receive                     b. Transmit-Only                       c. Receive-Only


                                                                           PURPOSE OF MODIFICATION OR AMENDMENT
27. The purpose of this proposed modification or amendment is to: Place an "X" in the box(es) next to all that apply.
                                                                  a -- authorization to add new emission designator and related service
                                                                  b -- authorization to change emission designator and related service
                                                                  c -- authorization to increase EIRP and EIRP density
                                                                  d -- authorization to replace antenna
                                                                  e -- authorization to add antenna
                                                                  f -- authorization to relocate fixed station
                                                                  g -- authorization to change assigned frequency(ies)
                                                                  h -- authorization to add Points of Communication (satellites & countries)
                                                                  i -- authorization to change Points of Communication (satellites & countries)
                                                                  j -- authorization for facilities for which environmental assessment and radiation hazard reporting is required
                                                              ✘   k -- Other (Please Specify)
                                                                                               N/A

                                                                                         ENVIRONMENTAL POLICY
28. Would a Commission grant of any proposal in this application or amendment have a significant environmental impact as defined by 47 CFR 1.1307?
If YES, submit the statement as required by Sections 1.1308 and 1.1311 of the Commission’s rules, 47 C.F.R. §§ 1.1308 and 1.1311, as an exhibit to this application.
                                                                                                                                                                                        YES               ✘ NO
A Radiation Hazard Study must accompany all applications as an exhibit for new transmitting facilities, major modifications, or major amendments. Refer to OET Bulletin 65.

                                                                                                                                                                                                    FCC 312, Main Form - Page 2
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                                                                                    ALIEN OWNERSHIP
29. Is the applicant a foreign government or the representative of any foreign government?                                                                    YES            ✘ NO
30. Is the applicant an alien or the representative of an alien?                                                                                              YES               NO

31. Is the applicant a corporation organized under the laws of any foreign government?                                                                        YES               NO

32. Is the applicant a corporation of which more than one-fifth of the capital stock is owned of record or                                                    YES               NO
    voted by aliens or their representatives or by a foreign government or representative thereof or by any
    corporation organized under the laws of a foreign country?
33. Is the applicant a corporation directly or indirectly controlled by any other corporation of which more than                                              YES               NO
    one-fourth of the capital stock is owned of record or voted by aliens, their representatives, or by a foreign
    government or representative thereof or by any corporation organized under the laws of a foreign country?
34. If any answer to questions 29, 30, 31, 32 and/or 33 is Yes, attach as an exhibit, the identification of the aliens or
    foreign entities, their nationality, their relationship to the applicant, and the percentage of stock they own or vote.


                                                                                BASIC QUALIFICATIONS
35. Does the applicant request any waivers or exemptions from any of the Commission’s Rules?
    If Yes, attach as an exhibit, copies of the requests for waivers or exceptions with supporting documents.
                                                                                                                                                              YES            ✘ NO
36. Has the applicant or any party to this application had any FCC station authorization or license revoked or had
    any application for an initial, modification or renewal of FCC station authorization, license, or construction                                            YES            ✘ NO
    permit denied by the Commission? If Yes, attach as an exhibit, an explanation of the circumstances.
37. Has the applicant, or any party to this application, or any party directly or indirectly controlling the applicant ever been
    convicted of a felony by any state or federal court? If Yes, attach as an exhibit, an explanation of the circumstances.                                   YES            ✘ NO
38. Has any court finally adjudged the applicant, or any person directly or indirectly controlling the applicant, guilty of unlawfully
    monopolizing or attempting unlawfully to monopolize radio communication, directly or indirectly, through control of                                       YES            ✘ NO
    manufacture or sale of radio apparatus, exclusive traffic arrangement or any other means or unfair methods of competition?
    If Yes, attach as an exhibit, an explanation of the circumstances.
39. Is the applicant, or any person directly or indirectly controlling the applicant, currently a party in any pending matter
    referred to in the preceeding two items? If Yes, attach as an exhibit, an explanation of the circumstances.                                      YES                     ✘ NO
40. If the applicant is a corporation and is applying for a space station license, attach as an exhibit the names, addresses, and citizenship of those
    stockholders owning of record and/or voting 10 percent or more of the Filer’s voting stock and the percentages so held. In the case of fiduciary
    control, indicate the beneficiary(ies) or class of beneficiaries. Also list the names and addresses of the officers and directors of the Filer.
41. By checking Yes, the undersigned certifies, that neither the 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                        ✘ YES              NO
    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.
42a. Does the applicant intend to use a non-U.S. licensed satellite to provide service in the United States?
     If yes, answer 42b and attach an exhibit providing the information specified in 47 C.F.R. § 25.137, as appropriate.                                      YES            ✘ NO
     If no, proceed to question 43.
42b. What administration has licensed or is in the process of licensing the space station? If no license will          International Telecommunication Union
     be issued, what administration has coordinated or is in the process of coordinating the space station?


                                                                                                                                                                       FCC 312, Main Form - Page 3
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43. Description. (Summarize the nature of the application and the services to be provided).
USN ground station shall be used to assist the Centre National D'Etudes Spatiales (CNES) and Swedish Space
Corporation with the on-orbit ranging operations of the GIOVE-B Spacecraft. Communication
shall consist of telemetry, telecommand, data deliver, and control of the satellite. The ranging campaign will be intermittent
from April1 - May 15, 2011. Services requested beyond that period USN will request an additional STA




    Exhibit No.            Identify all exhibits that are attached to this application.




                                                                                    CERTIFICATION
   The Applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of
   the previous use of the same, whether by license or otherwise, and requests an authorization in accordance with this application. The applicant certifies that grant of this
   application would not cause the applicant to be in violation of the spectrum aggregation limit in 47 CFR Part 20. All statements made in exhibits are a material part hereof
   and are incorporated herein as if set out in full in this application. The undersigned, individually and for the applicant, hereby certifies that all statements made in this
   application and in all attached exhibits are true, complete and correct to the best of his or her knowledge and belief, and are made in good faith.
44. Applicant is a (an):       (Place an "X" in the box next to applicable response.)
                                                                                                                                     f. Other
      a. Individual        b. Unincorporated Association          c. Partnership    ✘ d. Corporation      e. Governmental Entity
                                                                                                                                     (Please specify)
45. Typed Name of Person Signing                                                                       46. Title of Person Signing

 Joanne Greet-Swank                                                                                     Manager, Compliance
47. Signature                                                                                                                           48. Date

                                                                                                                                         29 March 2011
       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).
                                                                                                                                                          FCC 312, Main Form - Page 4
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                                                                                                                                                    FCC Use Only
                                                    FEDERAL COMMUNICATIONS COMMISSION
                                                              FCC 312 - Schedule A
                                                           (Place an "X" in one of the blocks below)

            CONSENT TO TRANSFER OF CONTROL                                            CONSENT TO ASSIGNMENT OF LICENSE
            NOTIFICATION OF TRANSFER OF CONTROL                                       NOTIFICATION OF ASSIGNMENT
            OF RECEIVE ONLY REGISTRATION                                              OF RECEIVE ONLY REGISTRATION
A1. Name of Licensee or Registrant                                                                                                                  A2. Voice Telephone Number


A3. Mailing Street Address or P.O. Box                                                                                                              A4. Fax Telephone Number


 ATTENTION:
A5. City                                                                                                                      A6. State / Country (if not U.S.A.)         A7. Zip Code

A8. List Call Sign(s) of station(s) being assigned or transfered                                                                                                                           A9. No. of station(s)
                                                                                                                                                                                               listed


A10. Name of Transferor/Assignor (if different than licensee or registrant)                              A15. Name of Transferee/Assignee

A11. Mailing Street Address or P.O. Box                                                                  A16. Mailing Street Address or P.O. Box


A12. City                                                  A13. State/Country         A14. Zip Code      A17. City                                              A18. State/Country       A19. Zip Code


A20. If these facilities are licensed, is the transferee/assignee directly or indirectly controlled by any other entity?                                                 YES                NO
     If Yes, attach as an exhibit, a statement (including organizational diagrams where appropriate) which fully and completely
     identifies the nature and extent of control including: (1) the name, address, citizenship, and primary business of the controlling
     entity and any intermediate subsidiaries or parties; and (2) the names, addresses, citizenship, and the percentages of voting and
     equity stock of those stockholders holding 10 percent or more of the controlling corporation’s voting stock.
A21. If these facilities are licensed, attach as an exhibit, a complete statement setting forth the facts which show how the assignment or transfer will serve the public interest.
                                                                                                  CERTIFICATION
1. The undersigned, individually and for licensee, certifies that all attached exhibits pertinent to Schedule A and all statements made in Schedule A of this application
are true, complete and correct to the best of his/her knowledge and belief. The undersigned also certifies that any contracts or other instruments submitted herewith are
complete and constitute the full agreement.
2. The undersigned represents that stock will not be delivered and that control will not be transferred until the Commission’s consent has been received, but that transfer of
control or assignment of license will be completed within 60 days of Commission consent. The undersigned also acknowledges that the Commission must be notified by letter
within 30 days of consummation.
A22. Printed Name of Licensee (Must agree with A1)                   A23. Signature                                                      A24. Title (Office Held by Person Signing)          A25. Date


A26. Printed Name of License Transferor/Assignor                     A27. Signature                                                      A28. Title (Office Held by Person Signing)          A29. Date
     (If different than licensee. Must agree with A10)



A30. Printed Name of License Transferee/Assignee                     A31. Signature                                                      A32. Title (Office Held by Person Signing)          A33. Date
     (Must agree with A15)



                                                                                                                                                                                         FCC 312 - Schedule A
                                                                                                                                                                                              February, 1998
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 FCC 312                                                            FEDERAL COMMUNICATIONS COMMISSION                                                                                Page 1: Location
 Schedule B                                                       SATELLITE EARTH STATION AUTHORIZATIONS
                                                                          (Technical and Operational Description)
                                                                                      (Place an "X" in one of the blocks below)
     License of New Station           Registration of New Domestic              Amendment to a Pending Application            Modification of License/Registration       Notification of Minor Modification
                                                Receive-Only Station

 B1. Location of Earth Station Site. If temporary-fixed, mobile, or VSAT remote facility, specify area of operation and point of contact. If VSAT hub station, give its location.
                                     For VSAT networks attach individual Schedule B, Page 1 sheets for each hub station and each remote station. Individually provide the
                                     Location, Points of Communications, and Destination Points for each hub and remote station.
B1a. Station Call Sign              B1b. Site Identifier (HUB, REMOTE1, etc.)                                B1c. Telephone Number                  B1j. Geographic Coordinates   N/S,      B1k. Lat./Lon.
                                                                                                                                                             Deg. - Min. - Sec. - E/W       Coordinates are:
                                    USHI01                                                                   808-929-8069
B1d. Street Address of Station or Area of Operation                                   B1e. Name of Contact Person                                           19
                                                                                                                                                    Lat. ________    0
                                                                                                                                                                  _______ _______ N
                                                                                                                                                                            50.3 ____               NAD-27

93-1704 South Point Road                                                              Joanne Greet-Swank                                                   155
                                                                                                                                                    Lon. ________   39
                                                                                                                                                                  _______   46.6 ____
                                                                                                                                                                          _______ W             ✘   NAD-83
B1f. City                                                       B1g. County                                B1h. State             B1i. Zip Code               B1l. Site Elevation (AMSL)
Naalehu                                                         Ka'u                                       HI                     96772-0842                  378.0                                  meters

 B2. Points of Communications: List the names and orbit locations of all satellites with which this earth station will communicate. The entry "ALSAT" is sufficient to
                               identify the names and locations of all satellite facilities licensed by the U.S. All non-U.S. licensed satellites must be listed individually.
  Satellite Name and Orbit Location                        Satellite Name and Orbit Location                              Satellite Name and Orbit Location
                               GIOVE-B




 B3. Destination points for communications using non-U.S. licensed satellites. For each non-U.S. licensed satellite facility identified in section B2 above, specify the
                                                    destination point(s) (countries) where the services will be provided by this earth station via each non-U.S. licensed
                                                    satellite system. Use additional sheets as needed.
  Satellite Name                   List of Destination Points
                 GIOVE-B                                                                                        CNES (Non US spacecraft)




                                                                                                                                                                                 FCC 312, Schedule B - Page 1
                                                                                                                                                                                              February, 1998
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                                                               FEDERAL COMMUNICATIONS COMMISSION                                                                                Page 2: Antennas
                                                             SATELLITE EARTH STATION AUTHORIZATIONS
                                               FCC Form 312 - Schedule B: (Technical and Operational Description)
B4. Earth Station Antenna Facilities: Use additional pages as needed.
                                (b)             (c)                                                                                                       (f)                   (g) Antenna Gain
  (a) Site ID*             Antenna ID**       Quantity                        (d) Manufacturer                                 (e) Model              Antenna Size           Transmit and/or Receive
                                                                                                                                                       (meters)             (_____ dBi at _____ GHz)

                                                                                                                                                                            TX 46.3dBi @ 2090 MHz
USHI01 HI-13M                                      1                           Datron                                          1453                       13                RX 47.2dBi @ 2270 MHz




          B5. Antenna Heights and Maximum Power Limits: (The corresponding Antenna ID in tables B4 and B5 applies to the same antenna)
                                                                      Maximum Antenna Height                 (e) Building         (f) Maximum            (g) Total Input
                    (a)                                                                                      Height Above         Antenna Height            Power at           (h) Total EIRP
                                     (b) Antenna Structure         (c) Above        (d) Above
                 Antenna                                         Ground Level      Mean Sea Level            Ground Level         Above Rooftop          antenna flange        for all carriers
                                       Registration No.
                   ID**                                             (meters)          (meters)                 (meters)***           (meters)***             (Watts)              (dBW)

                 HI-13M                      N/A                      20                    398                  N/A+                   N/A+                 200W                 68dBW




                                                                                                          + Antenna are not        on a building.     Max bldg ht. is 10'
                                                                                                               non-GEO               Non-GEO               5 degrees             5 degrees
                  0-360                     0-360                                         HI-13M             2048.877 MHz            non-GEO               Non-GEO               5 degrees
             5 degrees                      0-360                   0-360                11.1 dBW



         Notes: * If this is an application for a VSAT network, identify the site (Item B1b, Schedule B, Page 1) where each antenna is located. Also include this Site-ID on Schedule B, Page 5.
               ** Identify each antenna in VSAT network or multi-antenna station with a unique identifier, such as HUB, REMOTE1, A1, A2, 10M, 12M, 7M, etc. Use this same antenna ID
                  throughout tables B4, B5, B6, and B7 when referring to the same antenna.
              *** Attach sketch of site or exemption, See 47 CFR Part 17.                                                                                                     FCC 312, Schedule B - Page 2
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                                                                          FEDERAL COMMUNICATIONS COMMISSION                                                                                   Page 3: Coordination
                                                                        SATELLITE EARTH STATION AUTHORIZATIONS
                                                        FCC Form 312 - Schedule B: (Technical and Operational Description)

 B6. Frequency Coordination Limits: Use additional pages as needed.
        (a)                              (b)                         (c) Range of           (d) Range of           (e) Antenna           (f) Antenna           (g) Earth Station    (h) Earth Station    (i) Maximum EIRP
     Antenna                       Frequency Limits                      Satellite Arc          Satellite Arc        Elevation Angle        Elevation Angle      Azimuth Angle        Azimuth Angle         Density toward the
       ID*                             (MHz)                           Eastern Limit**        Western Limit**        Eastern Limit          Western Limit        Eastern Limit        Western Limit         Horizon (dBW/4kHz)

      HI-13M                          2225.025 MHz                        non-GEO                Non-GEO               5 degrees             5 degrees               0-360               0-360
      HI-13M                          2048.877 MHz                         non-GEO               Non-GEO                5 degrees            5 degrees                0-360               0-360                11.1 dBW


                                                                                                  HI-13M              2225.025 MHz




Notes: * Provide the ANTENNA-ID from table B4 to identify the antenna to which each frequency band and orbital arc range is associated.
      ** If operating with geostationary satellites, give the orbital arc limits and the associated elevation and azimuth angles. If operating with non-geostationary satellites,
         give the notation "NON-GEO" for the satellite arc and give the minimum operational elevation angle and the maximum azimuth angle range.
                                                                                                                                                                                                  FCC 312, Schedule B - Page 3
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                                                                      FEDERAL COMMUNICATIONS COMMISSION                                                                               Page 4: Particulars
                                                                    SATELLITE EARTH STATION AUTHORIZATIONS
                                                   FCC Form 312 - Schedule B: (Technical and Operational Description)

 B7. Particulars of Operation (Full particulars are required for each r.f. carrier): Use additional pages as needed.
                                                              (c)                                                     (g) Maximum
        (a)                           (b)                     T/R (d) Antenna              (e)          (f) Maximum EIRP Density
     Antenna                    Frequency Bands               Mode Polarization          Emission          EIRP per    per Carrier                   (h) Description of Modulation and Services
       ID*                          (MHz)                      **  (H,V,L,R)             Designator     Carrier (dBW) (dBW/4kHz)
     HI-13M                         2225.025                    R         R,L           448K0G2D                                            16 kbps data is PSK modulated onto a 224 kHz subcarrier
     HI-13M                        2048.877                     T        R,L           200K0G2D               68            51.1      2 kbps data PSK modulated onto a 8 kHz subcarrier with 100 kHz major ranging tones




Notes: * Provide the ANTENNA-ID from table B4 to identify the antenna to which each frequency band and emission is associated. For VSAT networks, include frequencies and emissions for all HUB and REMOTE units.
      ** Indicate whether the earth station transmits or receives in each frequency band.

                                                                                                                                                                                      FCC 312, Schedule B - Page 4
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                                                          FEDERAL COMMUNICATIONS COMMISSION                                                                       Page 5: Questions
                                                        SATELLITE EARTH STATION AUTHORIZATIONS
                                            FCC Form 312 - Schedule B: (Technical and Operational Description)

                                                                                                                    N/A -not VSAT network
If VSAT Network, provide the SITE-ID (Item B1b) of the station that B8-B13 are in response to (HUB, REMOTE1, etc.): ______________________

B8. If the proposed antenna(s) operate in the Fixed Satellite Service (FSS) with geostationary satellites, do(es) the proposed antenna(s)
                                                                                                                                                     YES                NO
    comply with the antenna gain patterns specified in Section 25.209(a) and (b) as demonstrated by the manufacturer’s qualification
    measurements? If NO, provide as an exhibit, a technical analysis showing compliance with two-degree spacing policy.
B9. If the proposed antenna(s) do not operate in the Fixed Satellite Service (FSS), or if they operate in the Fixed Satellite Service
    (FSS) with non-geostationary satellites, do(es) the proposed antenna(s) comply with the antenna gain patterns specified in
                                                                                                                                                    ✘ YES               NO
    Section 25.209(a2) and (b) as demonstrated by the manufacturer’s qualification measurements?
B10. Is the facility operated by remote control? If YES, provide the location and telephone number of the control point.
                                                                                                                                                    ✘ YES               NO
        Remote Control Point Location:
         B10a. Street Address
         417 Caredean Drive, Suite A
         B10b. City                                                     B10c. County                                        B10d. State / Country     B10e. Zip Code
         Horsham                                                         Montgomery                                        PA                         19044
         B10f. Telephone Number                                                           B10g. Call Sign of Control Station (if appropriate)
        215-328-9130

B11. Is frequency coordination required? If YES, attach a frequency coordination report as an exhibit.                                               YES               ✘ NO

B12. Is coordination with another country required? If YES, attach the name of the country(ies)                                                      YES               ✘ NO
     and plot of coordination contours as an exhibit.

B13. FAA Notification - (See 47 CFR Part 17 and 47 CFR Part 25.113(c))
                                                                                                                                                     YES               ✘ NO
     Where FAA notification is required, have you attached a copy of a completed FCC Form 854
     and/or the FAA’s study regarding the potential hazard of the structure to aviation?
     FAILURE TO COMPLY WITH 47 CFR PARTS 17 AND 25 WILL RESULT IN THE RETURN OF THIS APPLICATION.




                                                                                                                                                              FCC 312, Schedule B - Page 5
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Document Created: 2011-03-31 17:05:25
Document Modified: 2011-03-31 17:05:25

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