Application Form SES-STA-INTR2019-03062

Application Form

This document pretains to SES-STA-INTR2019-03062 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:

STA Extension for pending License grant of E190229 in Dillingham, AK.

1. Applicant

Name:	Arctic Slope Telephone Association Cooperative, Inc.	Phone Number:	907 244-2160
DBA Name:		Fax Number:	907-563-1932
Street:	4300 B Street, Suite 501	E-Mail:	briand@astac.net

City:	Anchorage	State:	AK
Country:	USA	Zipcode:	99503 -
Attention:	Brian DeMarco

2. Contact

Name:	Brian DeMarco	Phone Number:	907 244-2160
Company:	Arctic Slope Telephone Association Cooperative, Inc	Fax Number:
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 IB2019001138

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
08/26/2019

7. CityDillingham

8. Latitude
(dd mm ss.s h) 59 2 28.6 N

9. State AK

10. Longitude
(dd mm ss.s h) 158 31 26.4 W

11. Please supply any need attachments.

Attachment 1:

Attachment 2:

Attachment 3:

12. Description. On June 11, 2019, Arctic Slope Telephone Association Cooperative, Inc. was granted special temporary authority for 60 days, beginning June 11, 2019, to operate its fixed earth station in Dillingham (SES-STA-20190520-00627), AK to communicate with the Anik F3 (S2703) satellite at the 118.7. This STA request is for an extension of time, since the pending License application has yet to be granted.

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

14. Name of Person Signing
Brian Demarco

15. Title of Person Signing
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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Remember - You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060-0678.

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.