Application Form [pdf]

This document pretains to SES-STA-20190410-00517 for Special Temporal Authority on a Satellite Earth Station filing.


                                                                                                           Approved by OMB
                                                                                                                  3060−0678

                               APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY



APPLICANT INFORMATIONEnter a description of this application to identify it on the main menu:
North Bend WA Gateway STA Request
    1. Applicant

              Name:        SpaceX Services, Inc.     Phone Number:                  202−649−2700
              DBA Name:                              Fax Number:
              Street:      1155 F Street, N.W.       E−Mail:                        Patricia.Cooper@spacex.com


              City:        Washington                State:                         DC
              Country:     USA                       Zipcode:                       20004       −
              Attention:   Ms Patricia Cooper




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    2. Contact

                 Name:         William M. Wiltshire                Phone Number:                          202−730−1350
                 Company:      Harris, Wiltshire & Grannis LLP     Fax Number:                            202−730−1301
                 Street:       1919 M Street, NW                   E−Mail:                                wwiltshire@hwglaw.com
                               Suite 800
                 City:         Washington                          State:                                 DC
                 Country:      USA                                 Zipcode:                               20036       −
                 Attention:                                        Relationship:                          Legal Counsel


    (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 SESLICINTR201900877 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
          05/01/2019
    7. CityNorth Bend                                                         8. Latitude
                                                                              (dd mm ss.s h)    47   28    56.8   N


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    9. State   WA                                                              10. Longitude
                                                                               (dd mm ss.s h)     121   45   40.7    W
    11. Please supply any need attachments.
    Attachment 1: Gateway STA Request                 Attachment 2:                                      Attachment 3:


    12. Description.   (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.)
        SpaceX Services seeks special temporary authority for communications between its Ku−band
        gateway earth station and the first tranche of SpaceX NGSO satellites for 60 days after
        orbital injection.




    13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is               Yes            No
    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.


    14. Name of Person Signing                                                 15. Title of Person Signing
      Patricia Cooper                                                            Vice President, Satellite Government Affairs
               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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Document Created: 2019-04-28 11:47:23
Document Modified: 2019-04-28 11:47:23

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