Application Form [pdf]

This document pretains to SES-STA-20120418-00402 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2012041800402_949030

                                                                                                           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:
Metop−B LEOP HI May 23 2012
    1. Applicant

              Name:        Universal Space Network, Inc.   Phone Number:            215−328−9130
              DBA Name:                                    Fax Number:              215−328−9132
              Street:      417 Caredean Drive              E−Mail:                  jgreet@uspacenet.com
                           Suite A
              City:        Horsham                         State:                   PA
              Country:     USA                             Zipcode:                 19044       −
              Attention:   Joanne Greet




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    2. Contact

                 Name:         Universal Space Network, Inc.       Phone Number:                         215−394−0127
                 Company:                                          Fax Number:                           215−328−9132
                 Street:       417 Caredean Drive                  E−Mail:                               jswank@uspacenet.com
                               Suite A
                 City:         Horsham                             State:                                PA
                 Country:      USA                                 Zipcode:                              19044       −
                 Attention:    Joanne Greet                        Relationship:                         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
          05/18/2012
    7. CityNaalehu                                                            8. Latitude
                                                                              (dd mm ss.s h)    19   0   50.3    N


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    9. State   HI                                                              10. Longitude
                                                                               (dd mm ss.s h)     155   39   46.6    W
    11. Please supply any need attachments.
    Attachment 1: FCC Form 312                        Attachment 2: Coordination Report                  Attachment 3: Waiver request


    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.)
        LEOP support from USN’s Hawaii ground station for the Metop−B spacecraft.                                             Launch
        scheduled for May 23, 2012. Request approval by May 18, 2012




    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
      Joanne Greet                                                               Manager, Contracts & Compliance
               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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Document Created: 2019-04-11 21:38:05
Document Modified: 2019-04-11 21:38:05

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