Application Form

This document pretains to SES-STA-INTR2020-00221 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:

Arctic Slope Telephone Association Cooperative, Inc. 907-563-3989
907-563-1932
4300 B Street, Suite 501 [email protected]
Anchorage AK
USA 99503 -
Ms Clover McNeil

Brian DeMarco 907 244-2160
Arctic Slope Telephone Association Cooperative, Inc
4300 B Street, Suite 501 E-Mail: [email protected]
Anchorage AK
USA 99503 -
(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 IB2019000814
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
02/01/2020
7. CityPoint Lay 8. Latitude
(dd mm ss.s h)
69 44 25.7 N
9. State AK 10. Longitude
(dd mm ss.s h)
163 0 44.6 W
11. Please supply any need attachments.
Attachment 1: Attachment 2: Attachment 3:
12. Description. 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 IB2019000814. 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 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
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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