Application Form

This document pretains to SES-STA-20210512-00792 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:

Universal Space Network, Inc. 215-328-9130
215-328-9132
417 Caredean Drive [email protected]
Suite A
Horsham PA
USA 19044 -
Joanne Greet

Universal Space Network 215-328-9130
215-328-9132
417 Caredean Drive E-Mail: [email protected]
Suite A
Horsham PA
USA 19044 -
Same
(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
11/27/2021
7. CityNaalehu 8. Latitude
(dd mm ss.s h) 19 0 50.3 N
9. State HI 10. Longitude
(dd mm ss.s h) 155 39 46.6 W
11. Please supply any need attachments.
Attachment 1: FCC312 Attachment 2: Analysis-Waiver Attachment 3: Comsearch
12. Description. USN requests authorization to support the USUVL geo-belt test spacecraft for a period of 180 days from USN's Hawaiian earth station. Communications shall consist of Telemetry, Telecommand, and Ranging (TT&C) while the spacecraft is in super-synchronous orbit.
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
Joanne Greet 		15. Title of Person Signing
Compliance Manager
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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