Attachment Form 312 Schedule B

This document pretains to SES-STA-20180116-00031 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2018011600031_1326814

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                                         Approved by OMB
                                                3060-0678

  Date & Time Filed: Nov 15 2017 3:53:49:650PM
  File Number: SES-LIC-INTR2017-03225
  Callsign/Satellite ID:
            APPLICATION FOR EARTH STATION AUTHORIZATIONS
                                                                                                           FCC Use Only
                                      FCC 312 MAIN FORM
                                    FOR OFFICIAL USE ONLY
  APPLICANT INFORMATION
  Enter a description of this application to identify it on the main menu:
  C-band VSAT Network License Application
   1-8. Legal Name of Applicant
   Name:       Alaska Communications            Internet, LLC                 Phone Number:           907-297-3000
   DBA
   Name:
                                                                              Fax Number:             907-297-3153
   Street:      600 Telephone Avenue                                          E-Mail:                 Lisa.Phillips@acsalaska.com
                MS #60
   City:        Anchorage                                                     State:                  AK
   Country:     USA                                                           Zipcode:                90503 -
   Attention:   Ms. Lisa Phillips
   9-16. Name of Contact Representative
   Name:      Richard Cameron                                Phone Number:               2022304962
   Company:     LMI Advisors                                 Fax Number:
   Street:      2550 M Street NW                             E-Mail:                     rcameron@lmiadvisors.com
                Suite 343
   City:        Washington                                   State:                      DC
   Country:     USA                                          Zipcode:                    20037-
   Attention:   Mr. Richard Cameron                          Relationship:               Other
                                                     CLASSIFICATION OF FILING
   17. Choose the button next to the        b.
   classification that applies to this filing     b1. Application for License of New Station
   for both questions a. and b. Choose only
                                                b2. Application for Registration of New Domestic Receive-Only Station
   one for 17a and only one for 17b.
                                            (N/A) b3. Amendment to a Pending Application
                                            (N/A) b4. Modification of License or Registration
   a.
                                            (N/A) b5. Assignment of License or Registration
       a1. Earth Station                    (N/A) b6. Transfer of Control of License or Registration
   (N/A) a2. Space Station                  (N/A) b7. Notification of Minor Modification
                                            (N/A) b8. Application for License of New Receive-Only Station Using Non-U.S. Licensed
                                            Satellite
                                            (N/A) b9. Letter of Intent to Use Non-U.S. Licensed Satellite to Provide Service in the United
                                            States
                                                b10. Other (Please specify)
                                                b11. Application for Earth Station to Access a Non-U.S.satellite Not Currently Authorized
                                            to Provide the Proposed Service in the Proposed Frequencies in the United States.
   17c. 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):
   17d.
   Fee Classification BAX - Fixed Satellite Transmit/Receive Earth Station

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   18. If this filing is in reference to an     19. If this filing is an amendment to a pending application enter:
   existing station, enter:                    (a) Date pending application was filed:          (b) File number of pending application:
   (a) Call sign of station:
   Not Applicable                              Not Applicable                                    Not Applicable
                                                             TYPE OF SERVICE
   20. NATURE OF SERVICE: This filing is for an authorization to provide or use the following type(s) of service(s): Select all that apply:


       a. Fixed Satellite
       b. Mobile Satellite
       c. Radiodetermination Satellite
       d. Earth Exploration Satellite
       e. Direct to Home Fixed Satellite
       f. Digital Audio Radio Service
       g. Other (please specify)
   21. STATUS: Choose the button next to the applicable status.            22. If earth station applicant, check all that apply.
   Choose only one.                                                            Using U.S. licensed satellites
       Common Carrier    Non-Common Carrier                                    Using Non-U.S. licensed satellites
   23. If applicant is providng INTERNATIONAL COMMON CARRIER service, see instructions regarding Sec. 214 filings. Choose one.
   Are these facilities:
       Connected to a Public Switched Network  Not connected to a Public Switched Network N/A
   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 upper and lower frequencies in MHz.)
   Frequency Lower: Frequency Upper:
                                                             TYPE OF STATION
   25. CLASS OF STATION: Choose the button next to the class of station that applies. Choose only one.
      a. Fixed Earth Station
      b. Temporary-Fixed Earth Station
      c. 12/14 GHz VSAT Network
      d. Mobile Earth Station
   (N/A) e. Geostationary Space Station
   (N/A) f. Non-Geostationary Space Station
      g. Other (please specify)
   26. TYPE OF EARTH STATION FACILITY: Choose only one.
       Transmit/Receive Transmit-Only Receive-Only    N/A
                                                     PURPOSE OF MODIFICATION
   27. The purpose of this proposed modification is to: (Place an 'X' in the box(es) next to all that apply.)
   Not Applicable
                                                       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
                                                                                                                          Yes      No
   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.A Radiation Hazard Study must accompany all applications for new transmitting facilities, major
   modifications, or major amendments.
  ALIEN OWNERSHIP Earth station applicants not proposing to provide broadcast, common carrier, aeronautical
         en route or aeronautical fixed radio station services are not required to respond to Items 30-34.
   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   N/A

   31. Is the applicant a corporation organized under the laws of any foreign government?                                 Yes      No   N/A

   32. Is the applicant a corporation of which more than one-fifth of the capital stock is owned of record or
   voted by aliens or their representatives or by a foreign government or representative thereof or by any                Yes      No   N/A
   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            Yes      No   N/A
   than one-fourth of the capital stock is owned of record or voted by aliens, their representatives, or by a

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   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 an 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?                             Yes   No
   If Yes, attach as an exhibit, copies of the requests for waivers or exceptions with supporting documents.

   36. Has the applicant or any party to this application or amendment had any FCC station authorization or
   license revoked or had any application for an initial, modification or renewal of FCC station authorization,              Yes   No
   license, or construction permit denied by the Commission? If Yes, attach as an exhibit, an explination of
   circumstances.

   37. Has the applicant, or any party to this application or amendment, or any party directly or indirectly
                                                                                                                            Yes   No
   controlling the applicant ever been convicted of a felony by any state or federal court? If Yes, attach as an
   exhibit, an explination of circumstances.

   38. Has any court finally adjudged the applicant, or any person directly or indirectly controlling the
   applicant, guilty of unlawfully monopolizing or attemptiing unlawfully to monopolize radio communication,
                                                                                                                            Yes   No
   directly or indirectly, through control of 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
   circumstances

   39. Is the applicant, or any person directly or indirectly controlling the applicant, currently a party in any
                                                                                                                            Yes   No
   pending matter referred to in the preceding two items? If yes, attach as an exhinit, an explanation of the
   circumstances.

   40. If the applicant is a corporation and is applying for a space station license, attach as an exhibit the names,
   address, and citizenship of those stockholders owning a 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 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               Yes   No
   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   No
   Yes, answer 42b and attach an exhibit providing the information specified in 47 C.F.R. 25.137, as
   appropriate. If No, proceed to question 43.                                                                            Technical Appendix
   42b. What administration has licensed or is in the process of licensing the space station? If no license will be issued, what administration
   has coordinated or is in the process of coordinating the space station?Mexico (Permitted List)

                                                                             Alaska Communications Internet
   43. Description. (Summarize the nature of the application and the services to be provided).
   seeks an earth station license to operate a small VSAT network in the C-band at fixed locations in Alaska.Legal
   Narrative
   43a. Geographic Service Rule Certification
   By selecting A, the undersigned certifies that the applicant is not subject to the geographic service or                  A
   geographic coverage requirements specified in 47 C.F.R. Part 25.

   By selecting B, the undersigned certifies that the applicant is subject to the geographic service or geographic           B
   coverage requirements specified in 47 C.F.R. Part 25 and will comply with such requirements.

   By selecting C, the undersigned certifies that the applicant is subject to the geographic service or geographic
   coverage requirements specified in 47 C.F.R. Part 25 and will not comply with such requirements because it
   is not feasible as a technical matter to do so, or that, while technically feasible, such services would require         C
   so many compromises in satellite design and operation as to make it economically unreasonable. A narrative
   description and technical analysis demonstrating this claim are attached.

                                                               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.
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   44. Applicant is a (an): (Choose the button next to applicable response.)

      Individual
      Unincorporated Association
      Partnership
      Corporation
      Governmental Entity
      Other (please specify)
    LLC

    45. Name of Person Signing                                             46. Title of Person Signing
    Rick Benken                                                            VP
   47. Please supply any need attachments.
    Attachment 1:                                  Attachment 2:                                  Attachment 3:

      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).

                         SATELLITE EARTH STATION AUTHORIZATIONS
                    FCC Form 312 - Schedule B:(Technical and Operational Description)



                                                      FOR OFFICIAL USE ONLY


   Location of Earth Station Site
   E1: Site Identifier:         Hub                                         E5. Call Sign:
   E2: Contact Name            Norman Davis                                E6. Phone Number:             907-564-7366
   E3. Street:                 8500 Dimond D Circle                        E7. City:                     Anchorage
                                                                           E8. County:                   Anchorage
   E4. State                   AK                                          E9. Zip Code                  99515
   E10. Area of Operation:                                                 Anchorage, AK
   E11. Latitude:              61 ° 8 ' 28.4 " N
   E12. Longitude:             149 ° 52 ' 30.7 " W
   E13. Lat/Lon Coordinates are:                                             NAD-27                        NAD-83                 N/A
   E14. Site Elevation (AMSL):                                             41.0 meters
  E15. If the proposed antenna(s) operate in the Fixed Satellite Service (FSS) with geostationary satellites,
  do(es) the proposed antenna(s) comply with the antenna gain patterns specified in Section 25.209(a) and (b) as
  demonstrated by the manufacturer's qualification measurement? If NO, provide asa technical analysis showing            Yes     No N/A
  compliance with two-degree spacing policy.
  E16. 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 Section 25.209(a2) and (b) as demonstrated by the manufacturer's                Yes     No N/A
  qualification measurements?
  E17. Is the facility operated by remote control? If YES, provide the location and telephone number of the
  control point.                                                                                                         Yes      No
  E18. Is frequency coordination required? If YES, attach a frequency coordination report
                                                                                                                         Yes      No
  as
  E19. Is coordination with another country required? If YES, attach the name of the
  country(ies) and plot of coordination contours as                                                                      Yes      No
  E20. FAA Notification - (See 47 CFR Part 17 and 47 CFR part 25.113(c)) Where                                            Yes      No
  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?

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  FAILURE TO COMPLY WITH 47 CFR PARTS 17 AND 25 WILL RESULT IN
  THE RETURN OF THIS APPLICATION.
  POINTS OF COMMUNICATION
   Satellite Name:EUTELSAT115WB(S2938) | EUTELSAT 115 WB | 114.9 W.L. If you selected OTHER, please
   enter the following:
   E21. Common Name:                                  E22. ITU Name:
   E23. Orbit Location:                                                             E24. Country:
  POINTS OF COMMUNICATION (Destination Points)
  E25. Site Identifier: Hub
  E26. Common Name:                                                                E27. Country:USA
  ANTENNA
        E28.                                  E32.
  Site           E29.       E30.      E31.           E41/42. Antenna GainTransmint and/or
       Antenna                             Antenna
  ID           Quantity Manufacturer Model                Recieve(____dBi at _____GHz)
          Id                                  Size
                        General
  Hub Hub      1                     1383 3.8      41.6 dBi at 3.740
                        Dynamics
                                                   45.6 dBi at 5.9650
                                                                                        E40.
                                E35.     E36. E37. Building E38. Total E39. Maximum
                                                                                        Total
   E28.                        Above Above Height Above Input Power         Antenna
            E33/34. Diameter                                                         EIRP for
  Antenna                     Ground Sea            Ground   at antenna Height Above
          Minor/Major(meters)                                                             al
    Id                          Level   Level        Level      flange       Rooftop
                                                                                      carriers
                              (meters) (meters)    (meters)    (Watts)      (meters)
                                                                                       (dBW)
  Hub     0.0/0.0             4.0      41.0     0.0         21.2        0.0          58.4
  FREQUENCY
    E28.      E43/44.      E45.                                                 E47.    E48. Maximum E49. Maximum ERIP
                                     E46. Antenna
  Antenna Frequency         T/R                                               Emission    EIRP per        Density per
                                 Polarization(H,V,L,R)
     Id    Bands(MHz) Mode                                                   Designator Carrier(dBW) Carrier(dBW/4kHz)
  Hub     3704 3776       R      Horizontal and Vertical                     3M20G7W 0.0             0.0
  E50. Modulation and Services QPSK
  Hub     3704 3776       R      Horizontal and Vertical                     4M70G7W 0.0                          0.0
  E50. Modulation and Services 32APSK
  Hub     5929 5944.85 T         Horizontal and Vertical                     3M00G7W 58.4                         30.1
  E50. Modulation and Services 32APSK
  Hub     5929 6001       T      Horizontal and Vertical                     7M00G7W 58.4                         26.4
  E50. Modulation and Services DVB-S2, 16APSK
  Hub     5929 6001       T      Horizontal and Vertical                     9M50G7W 58.4                         24.6
  E50. Modulation and Services DVB-S2, 16APSK
  FREQUENCY COORDINATION
                                    E54/55.                       E56.              E58.
                                                                           E57.              E59.
                                     Range                        Earth             Earth
                                                                         Antenna           Antenna   E60. Maximum
   E28.                    E52/53.     of                        Station           Station
          E51. Satellite                                                 Elevation         Elevation  EIRP Density
  Antenna                 Frequency Satellite                    Azimuth           Azimuth
           Orbit Type                                                      Angle            Angle      toward the
    Id                   Limits(MHz) Arc                          Angle             Angle
                                                                          Eastern          Western Horizon(dBW/4kHz)
                                      E/W                        Eastern           Western
                                                                           Limit             Limit
                                     Limit                        Limit             Limit
                                    114.0/
  Hub     Geostationary 3704 3776                                140.45       14.62         141.49      14.94        0.0
                                    115.0
                                    114.0/
          Geostationary 3704 3776                                140.45       14.62         141.49      14.94        0.0
                                    115.0
                                    114.0/
          Geostationary 5929 6001                                140.45       14.62         141.49      14.94        -15.94
                                    115.0

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                 Geostationary 5929 5944.85 114.0/               140.45       14.62         141.49      14.94        -15.94
                                            115.0
  REMOTE CONTROL POINT LOCATION
  REMOTE CONTROL POINT LOCATION
  E61. Call Sign                                                                                        E65. Phone Number

  NOTE: Please enter the callsign of the controlling station, not the callsign for which this
  application is being filed.
  E62. Street Address

  E63. City                                                       E67. County                                 E64/68.           E66. Zip
                                                                                                              State/Country     Code
                                                                                                              /
                         SATELLITE EARTH STATION AUTHORIZATIONS
                    FCC Form 312 - Schedule B:(Technical and Operational Description)



                                                      FOR OFFICIAL USE ONLY


   Location of Earth Station Site
   E1: Site Identifier:        Site 1                                       E5. Call Sign:
   E2: Contact Name            James Dunn                                  E6. Phone Number:            907-947-2956
   E3. Street:                 100 Harbor View Drive                       E7. City:                    St. Paul
                                                                           E8. County:                  St. Paul
   E4. State                   AK                                          E9. Zip Code                 99660
   E10. Area of Operation:                                                 St. Paul, AK
   E11. Latitude:              57 ° 7 ' 23.0 " N
   E12. Longitude:             170 ° 16 ' 45.0 " W
   E13. Lat/Lon Coordinates are:                                              NAD-27                       NAD-83                 N/A
   E14. Site Elevation (AMSL):                                             8.0 meters
  E15. If the proposed antenna(s) operate in the Fixed Satellite Service (FSS) with geostationary satellites,
  do(es) the proposed antenna(s) comply with the antenna gain patterns specified in Section 25.209(a) and (b) as
  demonstrated by the manufacturer's qualification measurement? If NO, provide asa technical analysis showing            Yes     No N/A
  compliance with two-degree spacing policy.
  E16. 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 Section 25.209(a2) and (b) as demonstrated by the manufacturer's                Yes     No N/A
  qualification measurements?
  E17. Is the facility operated by remote control? If YES, provide the location and telephone number of the
  control point.                                                                                                         Yes       No
  E18. Is frequency coordination required? If YES, attach a frequency coordination report
                                                                                                                         Yes       No
  as
  E19. Is coordination with another country required? If YES, attach the name of the
                                                                                                                         Yes       No
  country(ies) and plot of coordination contours as
  E20. FAA Notification - (See 47 CFR Part 17 and 47 CFR part 25.113(c)) 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?                                                                                                              Yes       No
  FAILURE TO COMPLY WITH 47 CFR PARTS 17 AND 25 WILL RESULT IN
  THE RETURN OF THIS APPLICATION.
  POINTS OF COMMUNICATION
   Satellite Name:EUTELSAT115WB(S2938) | EUTELSAT 115 WB | 114.9 W.L. If you selected OTHER, please
   enter the following:
   E21. Common Name:                                                          E22. ITU Name:
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   E23. Orbit Location:                                                       E24. Country: USA
  POINTS OF COMMUNICATION (Destination Points)
  E25. Site Identifier: Site 1
  E26. Common Name:                                                                  E27. Country:USA
  ANTENNA
         E28.                                  E32.
  Site           E29.        E30.      E31.           E41/42. Antenna GainTransmint and/or
        Antenna                             Antenna
   ID           Quantity Manufacturer Model                Recieve(____dBi at _____GHz)
          Id                                   Size
  Site                   General
       VSAT 1 1                       1383 3.8      41.6 dBi at 3.7400
  1                      Dynamics
                                                    45.6 dBi at 5.9650
                                                                                        E40.
                                E35.     E36. E37. Building E38. Total E39. Maximum
                                                                                        Total
   E28.                        Above Above Height Above Input Power         Antenna
           E33/34. Diameter                                                          EIRP for
  Antenna                     Ground Sea            Ground   at antenna Height Above
          Minor/Major(meters)                                                             al
    Id                          Level   Level        Level       flange      Rooftop
                                                                                      carriers
                              (meters) (meters)    (meters)     (Watts)     (meters)
                                                                                       (dBW)
  VSAT 1 0.0/0.0              2.0      8.0      0.0         1.9         0.0          47.9
  FREQUENCY
    E28.      E43/44.      E45.                                                 E47.    E48. Maximum E49. Maximum ERIP
                                     E46. Antenna
  Antenna Frequency         T/R                                               Emission    EIRP per        Density per
                                 Polarization(H,V,L,R)
     Id    Bands(MHz) Mode                                                   Designator Carrier(dBW) Carrier(dBW/4kHz)
  VSAT 1 3704 3776        R      Horizontal and Vertical                     9M50G7W 0.0             0.0
  E50. Modulation and Services 16APSK
  VSAT 1 5929 6001        T      Horizontal and Vertical                     3M20G7W 47.9                          19.4
  E50. Modulation and Services DVB-S2, QPSK
  FREQUENCY COORDINATION
                                    E54/55.                       E56.              E58.
                                                                           E57.              E59.
                                     Range                        Earth             Earth
                                                                         Antenna           Antenna   E60. Maximum
   E28.                    E52/53.     of                        Station           Station
          E51. Satellite                                                 Elevation         Elevation  EIRP Density
  Antenna                 Frequency Satellite                    Azimuth           Azimuth
           Orbit Type                                                      Angle            Angle      toward the
    Id                   Limits(MHz) Arc                          Angle             Angle
                                                                          Eastern          Western Horizon(dBW/4kHz)
                                      E/W                        Eastern           Western
                                                                           Limit             Limit
                                     Limit                        Limit             Limit
                                    114.0/
  VSAT 1 Geostationary 3704 3776                                 119.27       8.96          120.2       9.45         0.0
                                    115.0
                                    114.0/
          Geostationary 5929 6001                                119.27       8.96          120.2       9.45         -21.67
                                    115.0
  REMOTE CONTROL POINT LOCATION
  REMOTE CONTROL POINT LOCATION
  E61. Call Sign                                                                                        E65. Phone Number

  NOTE: Please enter the callsign of the controlling station, not the callsign for which this
  application is being filed.
  E62. Street Address

  E63. City                                                       E67. County                                  E64/68.          E66. Zip
                                                                                                               State/Country    Code
                                                                                                               /
                        SATELLITE EARTH STATION AUTHORIZATIONS
                   FCC Form 312 - Schedule B:(Technical and Operational Description)




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                                                      FOR OFFICIAL USE ONLY


   Location of Earth Station Site
   E1: Site Identifier:          Site 2                                  E5. Call Sign:
   E2: Contact Name              Norman Davis                           E6. Phone Number:             907-564-7366
   E3. Street:                   600 Telephone Ave.                     E7. City:                     Anchorage
                                                                        E8. County:                   Anchorage
   E4. State                     AK                                     E9. Zip Code
   E10. Area of Operation:                                              Anchorage, AK
   E11. Latitude:                61 ° 11 ' 10.5 " N
   E12. Longitude:               149 ° 52 ' 15.57 " W
   E13. Lat/Lon Coordinates are:                                          NAD-27                         NAD-83                  N/A
   E14. Site Elevation (AMSL):                                          35.0 meters
  E15. If the proposed antenna(s) operate in the Fixed Satellite Service (FSS) with geostationary satellites,
  do(es) the proposed antenna(s) comply with the antenna gain patterns specified in Section 25.209(a) and (b) as
  demonstrated by the manufacturer's qualification measurement? If NO, provide asa technical analysis showing            Yes     No N/A
  compliance with two-degree spacing policy.
  E16. 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 Section 25.209(a2) and (b) as demonstrated by the manufacturer's                Yes     No N/A
  qualification measurements?
  E17. Is the facility operated by remote control? If YES, provide the location and telephone number of the
  control point.                                                                                                         Yes      No
  E18. Is frequency coordination required? If YES, attach a frequency coordination report
                                                                                                                         Yes      No
  as
  E19. Is coordination with another country required? If YES, attach the name of the
  country(ies) and plot of coordination contours as                                                                      Yes      No
  E20. FAA Notification - (See 47 CFR Part 17 and 47 CFR part 25.113(c)) 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
                                                                                                                         Yes      No
  aviation?
  FAILURE TO COMPLY WITH 47 CFR PARTS 17 AND 25 WILL RESULT IN
  THE RETURN OF THIS APPLICATION.
  POINTS OF COMMUNICATION
   Satellite Name:EUTELSAT115WB(S2938) | EUTELSAT 115 WB | 114.9 W.L. If you selected OTHER, please
   enter the following:
   E21. Common Name:                                                                E22. ITU Name:
   E23. Orbit Location:                                                             E24. Country:
  POINTS OF COMMUNICATION (Destination Points)
  E25. Site Identifier: Site 2
  E26. Common Name:                                                                   E27. Country:USA
  ANTENNA
         E28.                                  E32.
  Site           E29.        E30.      E31.           E41/42. Antenna GainTransmint and/or
        Antenna                             Antenna
   ID           Quantity Manufacturer Model                Recieve(____dBi at _____GHz)
          Id                                   Size
  Site
       VSAT 2 1          Prodelin     1244 2.4      37.6 dBi at 3.7400
  2
                                                    41.6 dBi at 5.9650
   E28.    E33/34. Diameter    E35.     E36. E37. Building E38. Total E39. Maximum   E40.
  Antenna Minor/Major(meters) Above Above Height Above Input Power       Antenna     Total
    Id                        Ground Sea       Ground      at antenna Height Above EIRP for
                               Level   Level    Level         flange      Rooftop      al
                             (meters) (meters) (meters)      (Watts)     (meters)
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1/16/2018                        licensing.fcc.gov/ibfsweb/ib.page.FetchForm?id_app_num=112383&form=P013_101.htm&mode=display

                                                                                                                                 carriers
                                                                                                                                  (dBW)
  VSAT 2 0.0/0.0                              9.0         35.0         0.0                 9.33             0.0                 51.2
  FREQUENCY
    E28.      E43/44.      E45.                                                 E47.    E48. Maximum E49. Maximum ERIP
                                      E46. Antenna
  Antenna Frequency         T/R                                               Emission    EIRP per        Density per
                                  Polarization(H,V,L,R)
     Id    Bands(MHz) Mode                                                   Designator Carrier(dBW) Carrier(dBW/4kHz)
  VSAT 2 3704 3776        R      Horizontal and Vertical                     3M00G7W 0.0             0.0
  E50. Modulation and Services 32APSK
  VSAT 2 5929 5944.85 T          Horizontal and Vertical                     4M70G7W 51.2                          20.6
  E50. Modulation and Services 8PSK
  FREQUENCY COORDINATION
                                     E54/55.                      E56.              E58.
                                                                           E57.              E59.
                                      Range                       Earth             Earth
                                                                         Antenna           Antenna   E60. Maximum
   E28.                    E52/53.      of                       Station           Station
          E51. Satellite                                                 Elevation         Elevation  EIRP Density
  Antenna                 Frequency Satellite                    Azimuth           Azimuth
           Orbit Type                                                      Angle            Angle      toward the
    Id                   Limits(MHz) Arc                          Angle             Angle
                                                                          Eastern          Western Horizon(dBW/4kHz)
                                       E/W                       Eastern           Western
                                                                           Limit             Limit
                                      Limit                       Limit             Limit
                                     114.0/
  VSAT 2 Geostationary 3704 3776                                 140.47       14.59         141.5       14.9         0.0
                                     115.0
                                     114.0/
          Geostationary 5929 5944.85                             140.47       14.59         141.5       14.9         -21.45
                                     115.0
  REMOTE CONTROL POINT LOCATION
  REMOTE CONTROL POINT LOCATION
  E61. Call Sign                                                                                        E65. Phone Number

  NOTE: Please enter the callsign of the controlling station, not the callsign for which this
  application is being filed.
  E62. Street Address

  E63. City                                                       E67. County                                  E64/68.          E66. Zip
                                                                                                               State/Country    Code
                                                                                                               /
  FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT

  The public reporting for this collection of information is estimated to average 0.25 - 24 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@fcc.gov. PLEASE DO NOT SEND COMPLETED FORMS TO THIS
  ADDRESS.

  Remember - You are not required to respond to a collection of information 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 number of 3060-0678.

  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.




http://licensing.fcc.gov/ibfsweb/ib.page.FetchForm?id_app_num=112383&form=P013_101.htm&mode=display                                         9/9



Document Created: 4910-04-12 00:00:00
Document Modified: 4910-04-12 00:00:00

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