Application Form

This document pretains to SES-STA-INTR2018-05132 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:

Maris Developments 800-927-9800
251 Little Falls Dr. [email protected]
Wilmington DE
USA 19808 -
B. Mathews

B. Mathews 800-927-9800
Maris Developments
251 Little Falls Dr E-Mail: [email protected]
Wilmington DE
USA 19808 -
(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 IB2018005099
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
09/17/2018
7. CityBoardman 8. Latitude
(dd mm ss.s h)
45 51 16.6 N
9. State OR 10. Longitude
(dd mm ss.s h)
119 37 55.1 W
11. Please supply any need attachments.
Attachment 1: Attachment 2: Attachment 3:
12. Description. Request for Special Temporary Authority (STA) for use prior to grant of pending earth station license under FCC Submission ID IB2018005099. Technical information for the operation of the earth station is provided in FCC Submission ID IB2018005099 and incorporated by reference here. The STA is requested by September 17, 2018 to meet critical deadlines in acceptance testing prior to initiation of commercial service for client.
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
B. Mathews
15. Title of Person Signing
Engineer
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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