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Licensing and Management System

Approved by OMB 3060-0906
May 2015
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission)Annual DTV Ancillary/Supplementary Services Report

File Number:
0000017295
Submit Date:
11/14/2016
Call Sign:
K51FY-D
Facility ID:
63764
FRN:
0006175699
State:
Utah
City:
SUMMIT COUNTY
Service:
LPT
Purpose:
Annual Ancillary/Supplemental Service Report
Status:
Received
Status Date:
11/14/2016
Filing Status:
Active


General Information

Section Question Response
Attachments Are attachments (other than associated schedules) being filed with this application? No

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

SUMMIT COUNTY

Doing Business As: SUMMIT COUNTY

Derrick Radke

P. O. BOX 128

COALVILLE, UT 84017

United States

+1 (801) 560-0069 RTICOMB@AOL.COM Government Entity

Authorization Holder Name

Contact Representatives (2)

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Contact Name Address Phone Email Contact Type

Derrick Radke

Public Works Director

SUMMIT COUNTY

Derick Radke

P. O. BOX 128

COALVILLE, UT 84017

United States

+1 (435) 336-3250 dradke@co.summit.ut.us Legal Representative

RON TITCOMB

Translator Specialist

Summit County

4570 LAKE CREEK ROAD

HEBER CITY, UT 84032

United States

+1 (435) 654-2617 RTICOMB@AOL.COM Technical Representative

Ancillary/Supplementary Services

Call Sign City State Licensee
K36IS-D WOODLAND & KAMAS UT SUMMIT COUNTY
K40NV-D PEOA AND OAKLEY UT SUMMIT COUNTY
K29HX-D WANSHIP UT SUMMIT COUNTY
K32IU-D WANSHIP UT SUMMIT COUNTY
K34JC-D WOODLAND & KAMAS UT SUMMIT COUNTY
K25KK-D PEOA, ETC. UT SUMMIT COUNTY
K23IP-D WANSHIP UT SUMMIT COUNTY
K30KF-D WOODLAND & KAMAS UT SUMMIT COUNTY
K35IS-D PEOA,OAKLEY UT SUMMIT COUNTY
K41GS-D SUMMIT COUNTY UT SUMMIT COUNTY
K24IF-D SAMAK UT SUMMIT COUNTY
K33FY-D PARK CITY UT SUMMIT COUNTY
K33JG-D PEOA, OAKLEY UT SUMMIT COUNTY
K27IZ-D COALVILLE UT SUMMIT COUNTY
K25KI-D HENEFER, ETC. UT SUMMIT COUNTY
K23JS-D COALVILLE UT SUMMIT COUNTY
K21JM-D COALVILLE UT SUMMIT COUNTY
K24HM-D HENEFER & ECHO UT SUMMIT COUNTY
K49FY-D SUMMIT COUNTY UT SUMMIT COUNTY
K27JB-D SAMAK UT SUMMIT COUNTY
K26LF-D HENEFER, ETC. UT SUMMIT COUNTY
K30KC-D SAMAK UT SUMMIT COUNTY
K29II-D PARK CITY UT SUMMIT COUNTY
K43AA-D SUMMIT COUNTY UT SUMMIT COUNTY
K31FQ-D PARK CITY UT SUMMIT COUNTY
K30KE-D WANSHIP UT SUMMIT COUNTY
K30KG-D COALVILLE, ETC. UT SUMMIT COUNTY
K29IM-D SAMAK UT SUMMIT COUNTY
K17DG-D RURAL SUMMIT COUNTY UT SUMMIT COUNTY
K28JS-D SAMAK UT SUMMIT COUNTY
K18KO-D RURAL SUMMIT COUNTY UT SUMMIT COUNTY
K32IT-D COALVILLE AND ADJ. A UT SUMMIT COUNTY
K25KL-D WANSHIP UT SUMMIT COUNTY
K33LV-D HENEFER, ETC UT SUMMIT COUNTY
K23JR-D HENEFER, ETC. UT SUMMIT COUNTY
K19DU-D SUMMIT COUNTY UT SUMMIT COUNTY
K32IS-D HENEFER, ETC. UT SUMMIT COUNTY
K14PF-D PEOA, OAKLEY UT SUMMIT COUNTY
K27JA-D HENEFER & ECHO UT SUMMIT COUNTY
K21IY-D PEOA,OAKLEY UT SUMMIT COUNTY
K29FY-D HENEFER/ECHO UT SUMMIT COUNTY
K28JR-D WANSHIP UT SUMMIT COUNTY
K15FL-D PARK CITY UT SUMMIT COUNTY
K27GD-D PARK CITY UT SUMMIT COUNTY
K29IN-D COALVILLE AND ADJ.AR UT SUMMIT COUNTY
K23IQ-D SAMAK UT SUMMIT COUNTY
K39HP-D PARK CITY UT SUMMIT COUNTY
K25KJ-D COALVILLE UT SUMMIT COUNTY
K38KD-D WOODLAND & KAMAS UT SUMMIT COUNTY
K24IG-D WOODLAND UT SUMMIT COUNTY
K26IM-D SAMAK UT SUMMIT COUNTY
K21JL-D WANSHIP UT SUMMIT COUNTY
K31KC-D COALVILLE&ADJ. UT SUMMIT COUNTY

Certification

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Section Question Response
General Certification Statements The Applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of the previous use of the same, whether by authorization or otherwise, and requests an Authorization in accordance with this application (See Section 304 of the Communications Act of 1934, as amended.).
The Applicant certifies that neither the Applicant nor any other party to the application is subject to a denial of Federal benefits pursuant to §5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. §862, because of a conviction for possession or distribution of a controlled substance. This certification does not apply to applications filed in services exempted under §1.2002(c) of the rules, 47 CFR . See §1.2002(b) of the rules, 47 CFR §1.2002(b), for the definition of "party to the application" as used in this certification §1.2002(c). The Applicant certifies that all statements made in this application and in the exhibits, attachments, or documents incorporated by reference are material, are part of this application, and are true, complete, correct, and made in good faith.
Authorized Party to Sign

FAILURE TO SIGN THIS APPLICATION MAY RESULT IN DISMISSAL OF THE APPLICATION AND FORFEITURE OF ANY FEES PAID

Upon grant of this application, the Authorization Holder may be subject to certain construction or coverage requirements. Failure to meet the construction or coverage requirements will result in automatic cancellation of the Authorization. Consult appropriate FCC regulations to determine the construction or coverage requirements that apply to the type of Authorization requested in this application.

WILLFUL FALSE STATEMENTS MADE ON THIS FORM OR ANY ATTACHMENTS ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. Code, Title 18, §1001) AND/OR REVOCATION OF ANY STATION AUTHORIZATION (U.S. Code, Title 47, §312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, §503).

I certify that this application includes all required and relevant attachments. Yes
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Ron Titcomb

CountyTranslator Specialist


11/14/2016

Attachments

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Information not provided.