Attachment FCC312 SES-STA-20151109-00821

Attachment FCC312

This document pretains to SES-STA-20151109-00821 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2015110900821_1114901

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. 215-328-9130
3. Other Name Used for Doing Business (if any) 4. Fax Telephone Number
215-328-9132
5. Mailing Street Address or P.O. Box 6. City
417 Caredean Drive, Suite A Horsham
7. State / Country (if not U.S.A.) 8. Zip Code
ATTENTION: Joanne Greet 215-328-9130 phone PA 19044
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) Asteroid mission flyby
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) X-band Deep space 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
February, 1998
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43. Description. (Summarize the nature of the application and the services to be provided).
The USN ground station shall be used to assist the Japanese Space Agency (JAXA) and Swedish Space Corporation (SSC)
with the earth flyby of the Hayabusa-2 spacecraft on its way to collect asteroid samples.
Communications shall consist of telemetry receive only for a single pass on December 3rd, 2015.

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 Manager, Compliance
47. Signature 48. Date

9 Nov 2015
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
February, 1998
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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)
Registration of New Domestic
✘ License of New Station Receive-Only Station Amendment to a Pending Application Modification of License/Registration Notification of Minor Modification

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 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
HAYABUSA-2

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
HAYABUSA-2 JAXA - Japanese Space Agency

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

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 8424.860 non-GEO Non-GEO 5 degrees 5 degrees 0-360 0-360

HI-13M 8424.860

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
February, 1998
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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 8424.860 MHz R R,L 300K0G2D 4 kbps data is PSK modulated onto a 128 kHz subcarrier with 100KHz tone ranging

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
February, 1998
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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
February, 1998
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FCC 312 Federal Communications Commission
Approved by OMB 3060-0678
February 1998 Washington, D.C. 20554
Est. Avg. Burden Hours Per Response: 11 hours

INSTRUCTIONS FOR COMPLETION OF FCC FORM 312
APPLICATION FOR SATELLITE SPACE AND EARTH STATION AUTHORIZATIONS

Information and Instructions

Purpose of Form Introduction
FCC Form 312 is used to apply for all authorizations relating FCC Form 312 is a multi-part form comprised of a Main
to satellite earth and space station facilities, and to notify the Form and schedules. Each application must contain a
Commission of changes to these facilities in cases where completed Main Form in addition to any required schedules
prior Commission approval is not required. Specifically, in order to receive consideration.
applicants should use FCC Form 312 in the following cases:
(1) when applying for a license for a new earth or space The purpose of the mandatory Main Form is to (1) obtain
station(s); (2) when applying for registration of a domestic information sufficient to identify the applicant; (2) establish
receive-only earth station(s); (3) when applying for a the applicant's basic eligibility and qualifications; (3) classify
modification to a licensed earth or space station(s); (4) when the filing; and (4) identify the nature of the proposed service
seeking Commission consent to an assignment or transfer of or request. The Main Form also contains required
control of a licensed earth or space station(s); (5) when certifications and signature block(s).
notifying the Commission of a minor modification to a
licensed earth or space station(s); (6) when notifying the Schedules
Commission of an assignment or transfer of control of a There are two schedules - Schedule A and Schedule B - that
registered domestic receive-only earth station(s); and are used in conjunction with the mandatory Main Form.
(7) when filing an amendment to a pending earth or space
station application(s). The purpose of this form is to collect SCHEDULE A is to be completed when:
data and other information relating to satellite space and Applying for Consent to Assignment of License of both
earth stations to assist the FCC in determining whether the space and earth stations
public interest would be served by a grant of the requested Applying for Consent to Transfer of Control of both
authorization. space and earth stations
Notifying the FCC of Assignment or Transfer of Control
Applicable Rules and Regulations of Receive-Only earth station Registration
Before the application is prepared, the applicant should refer
to Parts 1 and 25 of the Rules and Regulations of the SCHEDULE B is to be completed when:
Commission, (Title 47, Code of Federal Regulations (CFR), Applying for a License for a Transmit and/or Receive
Parts 1 and 25). Copies of the FCC Rules may be purchased Earth Stations
from the Superintendent of Documents, Mail Stop: SSOP, Applying for Registration of Domestic Receive-only
U.S. Government Printing Office, Washington, DC 20402- Earth Stations
9328. Part 1 contains rules regarding fee requirements. See Applying for Blanket License for New Earth Station
also the International and Satellite Services Fee Filing Guide System, including VSAT and Mobile Satellite
for specific fee information. Part 25 may require information Service Systems
to be filed with an application in addition to that specified in Amending a pending earth station Application
the application form. Applicant should make every effort to Applying for a Modification of a granted earth station or
file a complete application in compliance with the Rules. VSAT license
Failure to do so can result in rejection or return of the Applying for a Modification of a granted Receive-only
application or a delay in the processing of the application. earth station Registration
Use additional sheets only where necessary. All additional Notifying FCC of a Minor Modification of a granted
sheets must contain the applicant's name and the number of earth station or VSAT license
questions to which it responds.

FCC Form 312 - Instructions
February 1998 -- page 1

$For Assistance Filing of Applications For additional information about Form 312 contact the FCC An original and two copies of the completed application(s) Consumer Assistance Office at (202) 418-0220. Information for earth station(s) and an original and nine copies of the is also available on the FCC's internet site at completed application(s) for space station(s), as set forth in http:\\www.fcc.gov. Examples of completed Form 312 Part 25, must be submitted along with an FCC Form 159 and applications are available on the FCC's internet site. The the correct filing fee amount. The original application and International and Satellite Services Fee Filing Guide is the duplicate thereof must be clearly marked as such. DO available on the International Bureau's Home Page at the NOT SEND CASH. Payment can generally be made by above internet address. check, bank draft, credit card, money order, or by pre- arrangement. For detailed information regarding fees refer Incorporation by Reference to the International and Satellite Services Fee Filing Guide. Reference documents, exhibits, or other lengthy showings already on file with the FCC may be referred to in the Mailing of Applications application without further submission only if: (a) the Completed applications concerning earth stations should be information is current and accurate in all significant respects mailed to: and (b) the reference states specifically where the previously Federal Communications Commission filed information can be found (i.e., station call sign and International Bureau-Earth Station application file number, title of proceeding, docket number P.O. Box 358160 or legal citations), including exhibit and page references. If Pittsburgh, Pennsylvania 15251-5160 either of these criterion is not met, the reference documents must accompany the application. Completed applications concerning space stations should be mailed to: GENERAL INSTRUCTIONS Federal Communications Commission International Bureau-Space Station Current Information P.O. Box 358210 Information filed with the FCC must be kept current. The Pittsburgh, Pennsylvania 15251-5210 applicant should notify the FCC regarding any substantial and significant changes in the facts as they appear in the When delivering feeable applications by hand or by courier, application. See 47 CFR 1.65. use the following address: Federal Communications Commission Waiver Requests c/o Mellon Bank Requests for waivers must contain a statement of reasons Three Mellon Bank Center sufficient to justify a waiver and must be included as 535 William Penn Way "Exhibit D" to the Main Form. For each rule waiver desired, 27th Floor, Room 153-2713 a separate request with the required showing identifying the Pittsburgh, Pennsylvania specific rule or policy for which the waiver is requested, (Attn: Wholesale Lockbox Shift Supervisor). must be made. Applications received before midnight on a normal business Exhibits day will receive that day's date as the receipt date. Each document required to be filed as an exhibit should be Deliveries made after midnight on Fridays will not be current as of the date of filing. Each exhibit must be "officially" receipted until the next Monday. Applications identified by a letter. Each page of each exhibit must be received on weekends and government holidays are dated the identified by exhibit and page number using the following next regular business day. See the FCC International and format: Exhibit A, Page 2 of 3. If material is to be Satellite Services Fee Filing Guide for fee information. incorporated by reference within the exhibit, see the instruction on incorporation by reference. If interference Additional Information studies, frequency coordination reports, radiation hazard All information provided in this form will be available for reports, environmental impact statements, etc., are required public inspection. If information requested on the form is by rule, include them as exhibits. All exhibits must be not provided, processing of the application may be delayed consecutively designated using either letters or numbers. All or the application may be returned without action pursuant exhibits must be listed on the exhibit chart, Main Form, page to FCC rules. 4. FCC Form 312 - Instructions February 1998 -- page 2$

Paperwork Reduction and Privacy Act Notice Earth Station Modifications. All modifications to existing
The solicitation of personal information requested in this earth station authorizations should include FCC Form 312
form is authorized by the Communications Act of 1934, as Main Form and Schedule B. Applicants may incorporate by
amended, and the Telecommunications Act of 1996, Pub. L. reference those data items not being changed. (See
104-104 (February 8, 1996). The FCC will use the instructions for incorporation by reference.) If you presently
information provided in this form to determine whether grant hold domestic, international, and/or transborder
of this application is in the public interest. In reaching that authorizations for the same earth station (call sign) that were
determination, or for law enforcement purposes, it may previously granted under different file numbers, be sure to
become necessary to refer personal information contained in include the composite data from all of these previous
this form to another government agency. In addition, all separate authorizations. Only one modified authorization
information provided in this form will be available for public will be issued that encompasses all of the previous earth
inspection. If information requested on this form is not station authorizations.
provided, processing of the application may be delayed or
the application may be returned without action pursuant to VSAT Network Applications. Applications for blanket
the Commission rules. Your response is required to obtain licenses for VSAT networks may be filed in a single
the requested authority. consolidated network application using Form 312. Separate
radio station authorizations will be issued to each hub station
Public reporting burden for this collection is estimated to be and for each different size or type of remote unit in the
11 hours per response, including the time for reviewing network. The application for a new VSAT network should
instructions, searching existing data sources, gathering and include a single Main Form and a Schedule B which includes
maintaining the data needed, and completing and reviewing the complete data for all parts of the VSAT network.
the collection of information. Send comments regarding this Provide a separate Schedule B, Page 1 for each part of the
burden estimate or any other aspect of this collection of network, including one sheet for each hub station and one
information, including suggestions for reducing this burden, sheet for each remote unit variant. Include all hub and
to Federal Communications Commission, AMD-Performance remote antennas, frequency coordination limits, and
Evaluation and Records Management Branch, Washington, particulars of operation on Schedule B, Pages 2-4. Be sure
D.C. 20554, Paperwork Reduction Project 3060-0678. [Do to identify the associated site-id and antenna-id for each row
not send completed application forms to this address.] of data. Attach continuation sheets for Pages 2-4 as needed.
Applicant is not required to respond to any collection of Provide a separate Schedule B, Page 5 for each hub site and
information that does not display a valid OMB Control remote variant. Be sure to identify the site-id on each
Number. Page 5.

The foregoing Notice is required by the Privacy Act of 1974, Modifications to a VSAT network authorization should
Pub.L. 93-597, December 31, 1974, 5 U.S.C. 552a(e)(3), and include only the data relevant to the portion of the network
the Paperwork Reduction Act of 1995, Pub.L. 104-13, that is being revised. For example, if the modification
May 22, 1995, 44 U.S.C. 3506(c)(1)(B), 5 CFR 1320.5(b). affects only the hub station, do not include data relevant to
the remote units (see Earth Station Modifications section
Miscellaneous Information Regarding above).
Specific Types of Filings

Space Station Applications. All space station applications
should be filed using Form 312 Main Form. Applications
for assignments and transfers of control of space station
licenses should also include Schedule A. Only the Main
Form is needed to submit ownership information. All
additional required space station information such as business
plans, technical descriptions, etc. should be provided in a
narrative form attached to the Form 312 Main Form. See
Part 25.140, et al., of the FCC's Rules and Regulations
concerning the filing requirements for space station
applications.

Earth Station Amendments. All amendments to pending
earth station applications should include FCC Form 312
Main Form and Schedule B. Applicants may incorporate by
reference those data items not being changed. (See
instructions for incorporation by reference.)

FCC Form 312 - Instructions
February 1998 -- page 3

SPECIFIC INSTRUCTIONS FOR THE MAIN FORM Item 23 Only those applicants providing INTERNATIONAL
COMMON CARRIER service need to indicate whether or
APPLICANT INFORMATION not this facility is connected to the Public Switched Network.
Items 1-16. These items identify the applicant. If an Appropriate Section 214 filings are required. See 47 CFR
authorization is granted, the information provided will Part 63 of the Commission Rules.
become the licensee's name, address and telephone numbers
of record, and the authorization will be sent to this address. Item 24 The proposed frequency band(s) are specified in this
Applicants must provide a current and valid mailing address. item. All C-band (4/6 GHz) earth stations require successful
Failure to respond to FCC correspondence sent to the address prior radio frequency coordination for both Fixed and
of record may result in dismissal of an application, liability Temporary-Fixed (including Satellite News-Gathering)
for forfeiture or revocation of an authorization. These items operations. See Items B6, B11, and B12 on Schedule B.
also identify the contact representative (e.g., a person at the
headquarter's office of the applicant, the law firm of the TYPE OF STATION
applicant, or the company that prepared or submitted the Item 25 This item identifies the class of station to be placed
application on behalf of the applicant). in service. Mark only one box. Transportable Satellite
News-Gathering (SNG) trucks fall under the category
CLASSIFICATION OF FILING "Temporary-Fixed Earth Station."
Item 17a indicates whether the filing relates to an earth or a
space station application. Do not combine both earth and Item 26 This item identifies whether the earth station
space station actions within a single application -- check only transmits and/or receives.
one box. For example, file two separate applications for an
Assignment of License that covers both the space segment PURPOSE OF MODIFICATION OR AMENDMENT
and earth segment of a satellite system. Note: An application that revises the data on a previous
application that has NOT YET BEEN GRANTED is an
Item 17b indicates the type of application that is being filed. "Amendment", whereas an application that revises the data
Do not combine different types of actions into a single on a previously GRANTED application (license or
application -- check only one box. For example, to modify registration) is a "Modification". Existing authorizations are
and assign the authorization for a single station, you must "modified" while pending applications are "amended".
file two separate applications. Schedule A must be attached
to the Main Form if you have checked box 17b5 or 17b6. Item 27 Purpose of the proposed modification or amendment
Schedule B must be attached to the Main Form if you have highlights the various types of modifications or amendments
checked box 17b1, 17b2, 17b3 (if earth station), 17b4, or generally requested. Mark all that apply. Provide the
17b7. revised earth station data on Schedule B (see Earth Station
Modifications section above).
Item 18 If this filing is in reference to an existing station,
provide the station's call sign. If this filing is in reference to ENVIRONMENTAL POLICY
multiple stations provide the call sign of the lead station. Item 28 This item is required for compliance with the
National Environmental Policy Act of 1969, as amended, 42
Item 19 Where a pending application is to be amended, enter U.S.C. 4321-4335. See also Part 1, Subpart I of the FCC
the date that the original pending application was filed. Also rules (47 CFR 1.1301-1.1319). Examples of facilities that
provide the file number of that original pending application, may have a significant effect on the environment include:
if known.
o an antenna structure located in a residential area (as
TYPE OF SERVICE defined by applicable zoning laws) which will utilize
Item 20 This item seeks information about the nature of high intensity aviation obstruction lighting
service requested. o a facility located in an officially designated wilderness
area, wildlife preserve or floodplain
Item 21 This item indicates whether or not the applicant will o a facility that affects a site significant in American
operate this station as a common carrier. history
o a facility, the construction of which involves extensive
Item 22 All earth station applications must identify whether changes in surface features
or not U.S. licensed satellites are used. Check both boxes if
this earth station will operate with both U.S. and foreign A Radiation Hazard Study must accompany all applications
licensed satellites. If the earth station will operate with a for new transmitting facilities, major modifications, and
non-U.S. licensed satellite, be sure to complete Item B3 on major amendments as Exhibit B. For information on
Schedule B. preparing this study, consult OET Bulletin 65.

FCC Form 312 - Instructions
February 1998 -- page 4

ALIEN OWNERSHIP SPECIFIC INSTRUCTIONS FOR SCHEDULE B
Items 29-34 These items request information that will enable Technical and Operational Description of Earth Station(s)
the FCC to determine whether an applicant is eligible under
Section 310 of the Communications Act of 1934, as PURPOSE OF FILING
amended, to hold a station license. Earth station applicants Schedule B is used for all earth station filings that do not
not proposing to provide broadcast, common carrier, involve Assignments or Transfers of Control. Schedule B
aeronautical en route or aeronautical fixed radio station and the Main Form must be completed when filing for both
services are not required to respond to Items 30-34. licenses and registrations for all new earth stations, all
amendments to pending earth station applications, and all
BASIC QUALIFICATIONS modifications to existing earth station authorizations. This
Items 35-42 These items request information that enables the includes VSAT networks. Schedule B collects technical and
FCC to determine whether an applicant is basically qualified operational information relevant to the earth station.
to hold an FCC authorization. Item 40 applies only to
applicants for Space Station authorizations. LOCATION OF EARTH STATION SITE
Item B1a-B1l identifies the location of the fixed earth station
Item 43 Provide a summary of the nature of the application both by address and geographic coordinates; and the area of
and services to be provided. operation for temporary-fixed, mobile, and VSAT remote
earth stations. For fixed earth stations, indicate whether the
CERTIFICATION geographic coordinates are based on the North American
Items 44-48 To be acceptable for filing, applications, Datum (NAD) of 1927 or 1983. Until further notice, you
amendments, modifications and registrations must be signed must provide the geographic coordinates based upon
in accordance with Part 1 of the FCC rules. The signer must NAD-27. See FCC Public Notice, DA 92-1188 (released
be a person authorized to sign the application. Paper September 1, 1992).
originals of applications must bear an original signature.
Neither rubber-stamped nor photocopied signatures are Item B1b should be completed only when the application
acceptable. involves a VSAT network. The site identifier is used to
identify the various parts of the VSAT network. The
SPECIFIC INSTRUCTIONS FOR SCHEDULE A applicant should assign a unique identifier to each hub
Consent to Assignment of License/Transfer of Control station and each remote variant that is part of a VSAT
Notification of Assignment or Transfer of Control of network (e.g., "HUB", "REMOTE1", "REMOTE2", etc.).
Receive-Only Registration Each hub station and each remote variant of a VSAT
network must have its own completed Page 1 of Schedule B.
PURPOSE OF FILING The Points of Communications (Item B2) and Destination
Schedule A and the Main Form must be completed when Points (Item B3) must be completed individually for each
requesting Consent to Assignment of License or Transfer of hub station and each remote variant.
Control. Schedule A and the Main Form must be used when
notifying the FCC of a completed Assignment of Receive- POINTS OF COMMUNICATIONS
Only Registration or of a completed Transfer of Control of Item B2 This is the list of satellites with which the earth
Receive-Only Registration. The Main Form and Schedule A station will communicate. If the earth station will
collects information about the parties to the transaction in communicate only with U.S. licensed satellites, then
order to determine whether the requested consent, governed "ALSAT" is the notation needed under item B2. If,
by 47 CFR Part 25, serves the public interest. The Main however, the earth station will operate with satellites licensed
Form is to be completed by the prospective licensee or by countries other than the U.S.A., each and every non-U.S.
registrant in the case of an assignment (assignee) or the new licensed satellite must be individually listed here. If the
controlling entity in the case of a transfer of control earth station will operate with both U.S. licensed satellites
(transferee). Schedule A is to be completed by all involved and non-U.S. licensed satellites, include the notation
parties. "ALSAT" to cover the U.S. licensed satellites and then list
each non-U.S. licensed satellite individually.
Items A1-A9 and A22-A25 must be completed by the current
licensee or registrant. Item B6, Frequency Coordination Limits, must also be
completed to indicate the satellite orbital arc range and
Items A10-A14 and A26-A29 must be completed by the frequency band limits over which the satellites will operate.
entity assigning or transferring the license or registration This applies to both U.S. licensed and non-U.S. licensed
(assignor/transferor) if different from the licensee or satellite systems. Any authorization issued for the earth
registrant. station will be valid only in the orbital arc range and
frequency band range specified in Item B6.
Items A15-A21 and A30-A33 must be completed by the
assignee/transferee.

FCC Form 312 - Instructions
February 1998 -- page 5

DESTINATION POINTS Item B5e-B5f If the antenna is located on a building or
Item B3 This is a list of all countries that the earth station other structure, provide the height of the building above
will provide service to using non-U.S. licensed satellites. ground level, and the maximum height of the antenna above
The countries for each non-U.S. licensed satellite must be the top of the structure on which the antenna is located.
listed separately. The ITU 3-letter country codes as specified Also attach a sketch of the site and other information
in Table B1 to the Preface of the ITU's International required by 47 CFR Part 17.
Frequency List may be used to identify the countries to
which service will be provided. Item B5g-B5h If the antenna transmits, provide the total
input power (in Watts) at the antenna flange and the
EARTH STATION ANTENNA FACILITIES aggregate output EIRP (in dBW) for all r.f. carriers. These
Item B4a Site IDs should be provided only for applications powers must be consistent with those provided in the
relating to VSAT networks. Use the Site Identifier (Item Radiation Hazard Study in Exhibit B.
B1b) to identify the portion of the VSAT network that each
antenna belongs to. FREQUENCY COORDINATION LIMITS
Item B6a See item B4b above.
Item B4b Applicants should assign a unique identifying
number or name to each antenna. This ID should be used Item B6b Provide the lower and upper frequency band limits
throughout Schedule B when referring to the frequencies, over which the earth station has been frequency coordinated,
emissions, heights, satellite arcs, etc., that are associated with or over which the earth station will operate.
each antenna that comprises the earth station.
Item B6c-B6d Provide the eastern most and western most
Item B4c Identify the number of units of each make and geostationary satellite arc limits over which the earth station
model of antenna installed at this earth station. For VSAT has been frequency coordinated, or over which the earth
networks, identify the total number of units for each remote station will operate. For non-geostationary satellites, provide
segment. the notation "NON-GEO".

Item B4d-B4e Provide the manufacturer and model number Item B6e-B6f Provide the elevation angle to the eastern most
of the antenna. and western most geostationary satellite orbital arc limits.
For non-geostationary satellites, provide the minimum
Item B4f Provide the diameter of the antenna for circular elevation angle at which the earth station will operate.
aperture antennas. For elliptical aperture antennas, provide
the major and minor axes diameters of the antenna and its Item B6g-B6h Provide the azimuth angle relative to true
equivalent circular electrical diameter. All units must be north to the eastern most and western most geostationary
provided in meters. satellite orbital arc limits. For non-geostationary satellites,
provide the maximum azimuthal angles at which the earth
Item B4g Provide the antenna gain and reference frequency station will operate (e.g., 0-360 degrees).
for both the transmit and receive frequency bands. The
antenna gain should be characteristic of the center frequency Item B6i If the earth station transmits in this frequency band,
of the frequency band in which it operates. provide the maximum EIRP density toward the horizon (in
dBW/4kHz).
ANTENNA HEIGHTS AND MAXIMUM POWER
LIMITS PARTICULARS OF OPERATION
Item B5a See item B4b above. Item B7a See item B4b above.

Item B5b For earth station antennas that will be mounted on Item B7b Enter the lower and upper frequency limits of the
towers or are otherwise subject to the required FCC prior frequency band to which this emission is limited.
tower registration, provide the Tower ID number as listed in Alternatively, provide the single center or carrier frequency
the FCC's Tower Database. See 47 CFR Part 17 for of the emission.
information concerning prior registration of towers.
Item B7c Indicate with a "T" or "R" whether the earth
Item B5c-B5d Enter the maximum overall height to the top station transmits or receives this emission in this frequency
of the antenna structure with respect to ground level and band.
mean sea level. All units must be in meters. See Part 17 of
the FCC Rules. Item B7d Indicate the antenna polarization used with this
emission.

Item B7e Enter the emission designator for the emission.
(For proper emission designator format, see Section 2.201 of

FCC Form 312 - Instructions
February 1998 -- page 6

the FCC Rules.)
Item B11-B12 If the earth station operates in frequency
Item B7f For transmit mode, provide the maximum EIRP, bands that are shared with other radio services, such as the
in dBW, for each r.f. carrier of the emission. C band (4/6 GHz), frequency coordination is required. In
such cases, a Frequency Coordination Report and/or
Item B7g For transmit mode, provide the maximum EIRP Coordination Contour map is required. Also see item B6,
Density, in dBW/4kHz, for each r.f. carrier of the emission. Frequency Coordination Limits. There are several private
companies that will provide frequency coordination services
Item B7h Give a brief description of both the modulation for hire.
and services provided by this emission. Examples of
modulation include QPSK, BPSK, SCPC, etc. Examples of Item B13 The purpose of this item is to insure adherence to
services include "video", "data", "voice", etc. all regulations concerning the safety of air travel. See
47 CFR Part 17 for requirements concerning the notification
Items B8-B13 Generally and coordination of antenna structures with the FAA. Also
If the application is for a VSAT network, attach an see 47 CFR Part 25.113(c) concerning earth station filing
individual Schedule B, Page 5 for each hub station and each requirements.
different size or type of remote unit. Items B8-B13 require
response with respect to each portion of the VSAT network.
Identify the VSAT site by using the Site Identifier from Item
B1b. For all other earth station applications not involving
VSAT networks, respond to Items B8-B13 with respect to
the earth station as a whole (i.e., with respect to all antennas
that comprise the earth station).

Item B8-B9 These questions indicate compliance with the
antenna sidelobe standard specified in 25.209 of the FCC
Rules. FSS operations using satellites located in the
geostationary satellite orbit must comply with the more
stringent standard (item B8), or provide a technical analysis
showing that this operation is compatible with two-degree
spacing policy. Earth stations operating with non-
geostationary satellites (MSS, etc.) or non-FSS operations
should indicate compliance with the less stringent antenna
standard (item B9).

Item B10 If the earth station is operated from a remote
location, give the location and telephone number of the
control point.

FCC Form 312 - Instructions
February 1998 -- page 7

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Document Modified: 2015-11-09 11:50:43