Go to the Federal Communications Commission homepage at www.fcc.gov

Licensing and Management System

Approved by OMB 3060-0386
July 2002
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission)LPTV Translator Legal STA Application

File Number:
0000041620
Submit Date:
02/08/2018
Call Sign:
K21IY-D
Facility ID:
167163
FRN:
0006175699
State:
Utah
City:
PEOA,OAKLEY
Service:
LPT
Purpose:
Legal STA
Status:
Granted
Status Date:
02/15/2018
Expiration Date:
08/15/2018
Filing Status:
Active


General Information

Section Question Response

Fees, Waivers, and Exemptions

Section Question Response
Fees Is the applicant exempt from FCC application Fees? Yes
Indicate reason for fee exemption: government entity
Waivers Does this filing request a waiver of the Commission's rule(s)? Yes
Total number of rule sections involved in this waiver request:

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

60 NORTH MAIN

COALVILLE, UT 84017

United States

+1 (435) 336-3250 jrichins@summitcounty.org Government Entity

Authorization Holder Name

Contact Representatives (1)

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Contact Name Address Phone Email Contact Type

RON TITCOMB TITCOMB

Technical Representative

summit county

4570 LAKE CREEK ROAD

HEBER CITY, UT 84032

United States

+1 (801) 560-0069 RTICOMB@AOL.COM Technical Representative

Channel and Facility Information

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Section Question Response
Proposed Community of License Facility ID 167163
State Utah
City PEOA,OAKLEY
LPT Channel 21

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.

derrick radke

public works director


02/08/2018

Attachments

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File Name Uploaded By Attachment Type Description
41620.pdf Internal All Purpose
k47hb-d.pdf Applicant General Information t mobile letter
Waiver.pdf Applicant Fees, Waivers and Exemptions