Application Form

This document pretains to SES-STA-20170228-00221 for Special Temporal Authority on a Satellite Earth Station filing.

Approved by OMB
3060-0678
APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY


APPLICANT INFORMATION

Enter a description of this application to identify it on the main menu:

North Slope Borough 907-852-0311 x241
907-852-0298
1068 Kiogak Street [email protected]
PO Box 470
Barrow AK
USA 99723 -0470
Glen M Madson

Joe P. Blaschka, Jr. 425-489-0125
North Slope Borough 425-488-3952
3929 184th Place SE E-Mail: [email protected]
Bothell WA
USA 98012 -
(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
SESSTA2017021400160 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
03/07/2017
7. CityLacey 8. Latitude
(dd mm ss.s h)
47 2 4.5 N
9. State WA 10. Longitude
(dd mm ss.s h)
122 47 50.3 W
11. Please supply any need attachments.
Attachment 1: Attachment 2: Attachment 3:
12. Description. Extension of existing STA, File number SES-STA-20170214-00160 that is due to expire on 3/07/17. The applicant requests continued Special Temporary Authority for a 2.4 meter and 3.8 meter C-band T/O earth stations to allow for staging and full system testing of a new public safety land-mobile radio communication system to be deployed permanently in the North Slope of Alaska which will use satellite interconnections between the remote radio sites and master site in Barrow, AK. The proposed 2.4 meter and 3.8 meter C-band T/O earth stations will be tested at Lacey, Washington before deployment to Alaska. The Alaska operations will be licensed under future separate and permanent license requests, this STA pertains to just the antenna testing in Lacey, Washington. The testing is estimated to be completed by 4/18/17 and it requested that STA authorization be granted through that period.
13. By checking Yes, the undersigned certifies that neither 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 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. Yes No
14. Name of Person Signing
Glen Madson
15. Title of Person Signing
Radio Communications Manager
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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