Application Form SES-STA-20171017-01180

Application Form

This document pretains to SES-STA-20171017-01180 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:

STA for Temporary Operation of T&C Earth Station for Earth Observation Satellite

1. Applicant

Name:	Astro Digital US, Inc.	Phone Number:	650-919-4032
DBA Name:		Fax Number:
Street:	NASA Ames Research Park, Suite 503	E-Mail:	[email protected]
	340 Cody Road
City:	Moffett Field	State:	CA
Country:	USA	Zipcode:	94035 -
Attention:	Mr Jan A King

2. Contact

Name:	Jan A. King	Phone Number:	650-919-4032
Company:	Astro Digital US, Inc.	Fax Number:
Street:	NASA Ames Research Park, Suite 503	E-Mail:	[email protected]
	340 Cody Road
City:	Moffett Field	State:	CA
Country:	USA	Zipcode:	94035 -
Attention:		Relationship:	Engineer

(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 SESLICINTR201702972 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
11/28/2017

7. CityMoffett Field

8. Latitude
(dd mm ss.s h) 37 24 34.0 N

9. State CA

10. Longitude
(dd mm ss.s h) 122 3 12.0 W

11. Please supply any need attachments.

Attachment 1: Attachment 1

Attachment 2:

Attachment 3:

12. Description. Description of T & C Ground Station for temporary operation of Astro Digital Land Mapper Earth Observation satellite.

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

14. Name of Person Signing
Jan A. King

15. Title of Person Signing
Chief Technical Officer

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