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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 Engineering STA Application

File Number:
BSTA-20141009AAS
Submit Date:
10/09/2014
Call Sign:
K19JV-D
Facility ID:
187709
FRN:
0004052791
State:
Arizona
City:
GILA RIVER INDIAN CO
Service:
LPD
Purpose:
Engineering STA
Status:
Granted
Status Date:
10/15/2014
Expiration Date:
04/15/2015
Filing Status:
InActive


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: Governmental Entity
Waivers Does this filing request a waiver of the Commission's rule(s)?
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

GILA RIVER TELECOMMUNICATIONS, INC.

Applicant

Doing Business As: GILA RIVER TELECOMMUNICATIONS, INC.

BOX 5015, 7065 W. ALLISON RD.

CHANDLER, AZ 85226

United States

+1 (520) 796-8885 BHOLDRIDGE@GILARIVERTEL.COM Other

Authorization Holder Name

Contact Representatives (2)

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Contact Name Address Phone Email Contact Type

GARY L. STIGALL

CONSULTING ENGINEER

6822 FISK AVENUE

SAN DIEGO, CA 92122-2745

United States

+1 (858) 349-9191 GARY@SIGNALWIZ.COM Technical Representative

GEORGE L. LYON, JR.

LUKAS, NACE, GUTIERREZ & SACHS, LLP

8300 GREENSBORO DRIVE

SUITE 1200

MCLEAN, VA 22102

United States

+1 (202) 857-3500 GLYON@FCCLAW.COM Legal Representative

Channel and Facility Information

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Section Question Response
Facility ID 187709
State Arizona
City GILA RIVER INDIAN CO
LPD Channel 19

Antenna Location Data

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Section Question Response
Antenna Structure Registration Do you have an FCC Antenna Structure Registration (ASR) Number?
ASR Number
Coordinates (NAD83) Latitude - -
Longitude - -
Structure Type
Overall Structure Height
Support Structure Height
Ground Elevation (AMSL)
Antenna Data Height of Radiation Center Above Ground Level
Height of Radiation Center Above Mean Sea Level 0.0 meters
Effective Radiated Power

Antenna Technical Data

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Section Question Response
Antenna Type Antenna Type
Do you have an Antenna ID?
Antenna ID
Antenna Manufacturer and Model Manufacturer:
Model
Rotation
Electrical Beam Tilt
Mechanical Beam Tilt
toward azimuth
Polarization
Elevation Radiation Pattern Does the proposed antenna propose elevation radiation patterns that vary with azimuth for reasons other than the use of mechanical beam tilt?
Uploaded file for elevation antenna (or radiation) pattern data
Out-of-Channel Emission Mask:

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.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

BRUCE HOLDRIDGE


Attachments

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File Name Uploaded By Attachment Type Description
1654252_1271137.txt Applicant All Purpose ENGINEERING EXHIBIT 42 - TEXT
1654252_16548488.pdf Applicant All Purpose Engineering Exhibit 42 - Attachment E1 - Table of Relative Field Values
1654252_16548567.pdf Applicant All Purpose Engineering Exhibit 42 - Attachment E1 - Table of Technical Parameters
D:\data\prod\cdbs\letters\A-1654252_F-187709_L-53735-BSTA-20141009AAS.pdf Internal All Purpose Requested: 10/15/14 7:13:21