Application Form [pdf]

This document pretains to SES-STA-20120822-00779 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2012082200779_964279

                                                                                                           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:
Request for Special Temporary Authority
    1. Applicant

              Name:        Science Applications International Phone Number:         571−319−8616
                           Corporation
              DBA Name:                                    Fax Number:
              Street:      6909 Metro Park Dr              E−Mail:                  richardsron@saic.com


              City:        Alexandria                      State:                   VA
              Country:     USA                             Zipcode:                 22310       −
              Attention:   Mr Ronald L Richards




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    2. Contact

                 Name:         Science Applications International Phone Number:                         571−319−8616
                               Corporation
                 Company:                                          Fax Number:
                 Street:       6909 Metro Park Dr                  E−Mail:                              richardsron@saic.com


                 City:         Alexandria                          State:                                VA
                 Country:      USA                                 Zipcode:                             22310      −
                 Attention:                                        Relationship:


    (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
          09/08/2012




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    7. CityGuam−Naval Station                                                  8. Latitude
                                                                               (dd mm ss.s h)     13    25    57.0    N
    9. State   GU                                                              10. Longitude
                                                                               (dd mm ss.s h)     144    39    36.0   E
    11. Please supply any need attachments.
    Attachment 1: Attachment A                        Attachment 2: Attachment B                         Attachment 3: Attachment C


    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.)
        The Special Temporary Authority (STA) is requested to enable temporary use of a satellite
        earth station operated by Science Applications International Corporation (SAIC) for the
        National Geospatial−Intelligence Agency (NGA) to participate in a critical US Pacific
        Command (PACOM) Exercise/Demonstration to be held in the 8 September through 25 September



    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
      Ronald Richards                                                            Principal Engineer
               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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1, 1995, 44 U.S.C. SECTION 3507.




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12. Description

The Special Temporary Authority (STA) is requested to enable temporary use of a satellite earth
station operated by Science Applications International Corporation (SAIC) for the National
Geospatial−Intelligence Agency (NGA) to participate in a critical US Pacific Command (PACOM)
Exercise/Demonstration to be held in the 8 September through 25 September 2012 timeframe.




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Document Created: 2019-04-22 06:17:45
Document Modified: 2019-04-22 06:17:45

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