Attachment 20161222161643-500.p

20161222161643-500.p

DECISION submitted by FCC

GRANT

2016-12-20

This document pretains to SES-STA-20161215-00955 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2016121500955_1162598

                                               KA258          SES—STA—20161215—00955   182016002731
                                               Intel sat License LLC




                                                                                                                         Approved by OMB
                                                                                                                                3060—0678

                            APPLICATION FOR EARTH ;T TION SPECIAL TEMPORARY AUTHORITY



APPLICANT INFORMATIONEnter a descriptic n of this ipf lication to identify it on the main menu:
Request for STA Using Hagerstown, Maryland Larth Stat on KA258 for Intelsat 1R TT&C Drift
 1. Applicant

           Name:        Intelsat License LLC                  Ph »ne Number:                    703—559—7848
           DBA Name:                                          Fa : Number:                      703—559—8539
           Street:      c/o Intelsat Corporation              E— Mail:                          susan.crandall@intelsat.com
                        7900 Tysons One Place
           City:        McLean                                St: te:                            VA
           Country:     USA                                   Zij»code:                         22102        —3972
           Attention:   Susan H. Crandall




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2. Contact


             Name:         Cynthia J. Grady                    Phone Number:                          703—559—6949
             Company:      Intelsat Corporation                Fax Number:                            703—559—8539
             Street:       7900 Tysons One Place               E—Mail:                                cynthia.grady@intelsat.com


             City:         McLean                              State:                                  VA
             Country:      USA                                 Zipcode:                               22102        —5972
             Attention:                                        Relationship:                           Legal Counsel


(If your application is related to an application filed with the Commission, enter eith¢ the file num ser 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 exem tion {see 47 C.F.R.Section 1.1114).
«3 Governmental Entity        gy Noncommercial eclucational licensee
g4 Other(please explain):

4b. Fee Classification    CGX — Fixed Satellite Tragm—i.t/RTeceive Earth Station

5. Type Request

 g34 Use Prior to Grant                            C Change Station Location                          {i Other



6. Requested Use Prior Date


7. CityHagerstown                                                         8. Latitude
                                                                          (dd mm ss.s h)    39   35     54.0   N


9. State   MD                                                      OO AC Longitude                      CC                          C
                                                                       (dImmss.s h)                    ‘°7 4i          33.0   VW
11. Please supply any need attachments.
Attachment 1: STA Request                         Attachment 2: Ixh bit A                                           A tachment 3:


12. Description.   (If the complete description does not appear : 1 th s box, »lease go to the er d cftiie form to view ti. it ; entirety.)
     Intelsat License LLC herein ‘cequests th rt‘ cays, beginniaag Janiary 1,                                                       2017,   cf Special
     Temporary Authority to use its Hagerston,                            M:eryland Ku—ba id élr ‘h station,                            call sign
     KA258,     to provide telemetry,             tracking,       ind ccmtand services for Intelsat 1%                                      ($£2368)   during
     its drift from 50.1 W.L.              to 169.2 E.L.




13. By checking Yes, the undersigned certifies that neither appl   can     no    ar    y other party tc th    :a    ipl cation is       ¢y es          «4 No
subject to a denial of Federal benefits that includes FCC benefi   s pt   ‘su    int   :0 Section 5301 of     th     A iti—Drug Act
of 1988, 21 U.S.C. Section 862, because of a conviction for po:    sess   on     or    listribution of & cc   nti   jll :d substance.
See 47 CFR 1.2002(b) for the meaning of "party to the af      plic   itic   n&    juot; for these ut     30;   es.


14. Name of Person Signing                                         _ |1:. Title of Perso S ; -r_l—g                 CC
   Cynthia J. Grady                                                       Regulatory Co ns »1, [nt sIsat Corporatio i
           WILLFUL FALSE STATEMENTS MADE ON THIS FO iM AI E PUNISHAB _E B‘ F NE AND / OR M PE ISONMENT
                  (U.S. Code, Title 18, Section 1001), AND/R 1 EV O¢ ATION OF AP Y 3T \T ON AUTHORI ‘A NON
                   (U.S. Code, Title 47, Section 312(a)(1)), NC ‘O1. FORTEITURE (1).$ C 2d, Title 47, Secti n 303).


FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT

The public reporting for this collection of informationis estimated to average 2 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of information. If you
have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the
Federal Communications Commission, AMD—PERM, Paperwork Reduction Project (3060—0678), Washington, DC 20554. We will also accept
your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to PRA@fce.gov. PLEASE
DO NOT SEND COMPLETED FORMS TO THIS ADDRESS.

Remember — You are not required to respondto a collectionofinformation sponsored by the Federal government, and the government may not
conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This
collection has been assigned an OMB control numberof3060—0678.

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC L&AW 104—13, OCTOBER
1, 1995, 44 U.S.C. SECTION 3507.


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Document Created: 2019-04-13 09:17:18
Document Modified: 2019-04-13 09:17:18

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