Application Form [pdf]

This document pretains to SES-STA-20190520-00715 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:
STA request pending license grant Anaktuvuk, AK. Submission ID IB2019000816
    1. Applicant

              Name:        Arctic Slope Telephone          Phone Number:            907−563−3989
                           Association Cooperative, Inc.
              DBA Name:                                    Fax Number:              907−563−1932
              Street:      4300 B Street, Suite 501        E−Mail:                  clover@astac.net


              City:        Anchorage                       State:                   AK
              Country:     USA                             Zipcode:                 99503        −
              Attention:   Ms Clover McNeil




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    2. Contact

                 Name:         Brian DeMarco                       Phone Number:                        907 244−2160
                 Company:      Arctic Slope Telephone              Fax Number:
                               Association Cooperative, Inc
                 Street:       4300 B Street, Suite 501            E−Mail:                              briand@astac.net


                 City:         Anchorage                           State:                                AK
                 Country:      USA                                 Zipcode:                             99503      −
                 Attention:                                        Relationship:


    (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 IB2019000816
    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
          05/28/2019




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    7. CityAnaktuvuk                                                           8. Latitude
                                                                               (dd mm ss.s h)     68    8     27.6      N
    9. State   AK                                                              10. Longitude
                                                                               (dd mm ss.s h)     151       43   58.6       W
    11. Please supply any need attachments.
    Attachment 1:                                     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.)
        Request for Special Temporary Authority (STA) to operate the proposed 3.8 meter C−band
        uplink earth station pending grant of license under FCC Submission ID IB2019000816. The
        STA request is for the transmit band only. This STA is needed to support critical
        timelines for communications support in remote Alaska locations



    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
      Brian Demarco                                                              Director Wireless Networks
               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: 2019-05-27 13:25:01
Document Modified: 2019-05-27 13:25:01

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