Application Form

This document pretains to SES-STA-20190306-00306 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:

ATLAS Space Operations, Inc 231-598-6184 x102
10850 E Traverse Hwy [email protected]
Ste 3355
Traverse City MI
USA 49684 -
Mr Michael J Carey

ATLAS Space Operations, Inc 2315986184
ATLAS Space Operations, Inc
10850 E Traverse Highway Suite 3355 E-Mail: [email protected]
Traverse City MI
USA 49684 -
Other
(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 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
03/15/2019
7. CityMojave 8. Latitude
(dd mm ss.s h) 35 3 51.0 N
9. State CA 10. Longitude
(dd mm ss.s h) 118 9 44.0 W
11. Please supply any need attachments.
Attachment 1: Attachment 2: NTIA Spectrum Cert Attachment 3: Mojave Coordination
12. Description. The purpose of this operations is to provide TT&C to FalconSAT-6. ATLAS is under contract with the USAFA to provide the support and this STA has been coordinated with the AFSMO, Jimmy Nguyen (COMM 301-225-3729 Email
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
Hanna Pritchard 		15. Title of Person Signing
Orbital Analyst
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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