| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
Pikes Peak Television, Inc. Doing Business As: Pikes Peak Television, Inc. |
825 Edmond Street St. Joseph, MO 64501 United States |
+1 (816) 271-8505 | tim.hannan@npgco.com | Corporation |
| Applicant | Address | Phone | |
|---|---|---|---|
|
[Confidential] |
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|
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| Applicant | Address | Phone | |
|---|---|---|---|
|
The Preparer is same as the reimbursement contact. |
|
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| Question | Response |
|---|---|
| Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. | Yes |
| Briefly describe transition plan | Please see Transition Plan Description Exhibit |
| Section | Question | Response |
|---|---|---|
| Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Transmitter Description | Type of change | Purchase New |
| Use | Primary (Main) | |
| Ownership | Owned | |
| Is this transmitter currently shared with another station? | No | |
| Is this transmitter currently in operating condition? | Yes | |
| Existing Transmitter Manufacturer and Type | Manufacturer | |
| Model | AT725P | |
| Year | 2009 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | 25 W |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | UAXTE-1-P1R37 | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 200 W | |
| Justification for New Transmitter | Please see Transition Plan Description Exhibit |
| Section | Question | Response |
|---|---|---|
| Other Transmitter Costs | ||
| Does the transmitter installation require a Transmitter Building Site Survey/Installation? | No | |
| Electrical Service | Service Entrance (3 phases 800A 208V) | No |
| Switchgear (industrial 800 amp) | No | |
| Transformer (480V) | No | |
| Rigid Conduit and Wiring | No | |
| Other Electrical Service | No | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | No |
| Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | No |
| Name | Description |
|---|---|
Mask Filter System |
Mask Filter System |
| Section | Question | Response |
|---|---|---|
| Antenna Related Expenses | Do you have antenna related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Antenna Description | Type of change | Purchase New |
| Antenna Use | Primary (Main) | |
| Ownership | Owned | |
| Is the existing antenna shared with another station or stations? | Yes | |
| Is the existing antenna directional? | Yes | |
| Is antenna in operating condition? | Yes | |
| Is antenna located on or in close proximity to an antenna farm? | Yes | |
| Existing Antenna Manufacturer and Type | ||
| Mounting | Top Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Horizontal | |
| Type | Other | |
| Other Antenna Type | Panel | |
| ERP: | 0.5 kW | |
| Manufacturer | ||
| Model | 560-656 MHZ | |
| Year | 2009 |
| Facility ID | Call Sign |
|---|---|
| 59014 | KOAA-TV |
| Section | Question | Response |
|---|---|---|
| New Antenna Description | Use | Primary (Main) |
| Change Type | Purchase New | |
| Ownership | Owned | |
| Is antenna shared? | Yes | |
| Is antenna directional? | Yes | |
| Will antenna be located on or in close proximity to an antenna farm? | Yes | |
| New Antenna Manufacturer and Types | ||
| Mounting | Side Mount | |
| Antenna position in stack | Middle | |
| Polarization | Horizontal | |
| Type | Other | |
| Other Antenna Type | Panel | |
| ERP: | 5.0 kW | |
| Manufacturer | ||
| Model | 2x3 Broadband Panel | |
| Year | 2019 | |
| Justification for New Antenna | Please see Transition Plan Description Exhibit |
| Section | Question | Response |
|---|---|---|
| Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | No |
| Elbow Complex | Do you require the separate purchase of the Elbow Complex? | No |
| Side Mount Brackets | Do you require the separate purchase of side mount brackets for a high power antenna? | No |
| Pattern Scatter Analysis | Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? | No |
| Sweep Test | Do you require the sweep testing of transmission line and antenna? | No |
| Section | Question | Response |
|---|---|---|
| Transmission Line Related Expenses | Do you have transmission line related expenses? | No |
| Section | Question | Response |
|---|---|---|
| Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Tower Description | Type of change | Modify Existing |
| Tower Use | Primary (Main) | |
| Ownership | Owned | |
| Is this tower consider Complex? | No | |
| Is this tower currently shared with any other stations? | No | |
| Is tower documented for structural analysis? | No | |
| Is tower compliant with Rev G? | Unknown | |
| Existing Tower Structure Registration | Do you have a tower registration number? | No |
| Coordinates (NAD83) | Latitude (NAD83) | 38° 59' 11.9" N- |
| Longitude (NAD83) | 105° 04' 09.9" W- | |
| Overall Structure Height | 164.04 feet | |
| Support Structure Height | 164.04 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 8979.65 feet | |
| Structure Type | LTOWER - Lattice Tower | |
| Tower Owner | NPG | |
| Date Constructed | 10/30/2019 |
| Section | Question | Response |
|---|---|---|
| Engineering Study | Please what type of engineering study is required, if any: | No study needed |
| Tower Reinforcements | Please select whether tower reinforcements are needed: | No reinforcements needed |
| Section | Question | Response |
|---|---|---|
| Tower Rigging Costs | Complex Tower | N/A |
| Helicopter Services Required | Are helicopter services required? | No |
| Name | Description |
|---|---|
Remove Existing 6 Bay Panel Antenna |
Remove Existing 6 Bay Panel Antenna |
| Section | Question | Response |
|---|---|---|
| Outside Project Management Services | Do you require outside project management services? | No |
| Outside RF consulting Engineering Services | Perform engineering study for displacement application | Yes |
| Prepare engineering section of Form FCC Construction Permit Application | Yes | |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare engineering section of Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare request for Special Temporary Authority | No | |
| Prepare Form 601 | No | |
| Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | Yes |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare and file Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare request for Special Temporary Authority | No | |
| Negotiation of Lease and other Matter for Shared Locations | No | |
| Prepare or Review FCC Form 399 for Reimbursement | Yes | |
| Form 399 assistance or other program management costs | No | |
| RF Field Engineering Services | Comprehensive coverage verification via field study | No |
| RF exposure measurements | No | |
| Additional Field Engineering Service | No |
| Name | Description |
|---|---|
Additional Displacement Legal Services Not Otherwise Specified in Form 399 |
Additional Displacement Legal Services Not Otherwise Specified in Form 399 |
| Section | Question | Response |
|---|---|---|
| AM Pattern Disturbance | Is an Impact Study needed? | No |
| Is Remediation needed? | No | |
| Permit and Filing Costs | FCC Construction Permit Major Change | No |
| FCC Construction Permit Minor Change | No | |
| FCC License to Cover Application | Yes | |
| FCC Special Temporary Authority Application | No | |
| Other Miscellaneous Expenses | Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? | No |
| Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | No | |
| Does this relocation require Equipment Storage? | No | |
| Point to Point Microwave (STL/ICR) | Frequency Coordination for Unidirection System | No |
| Frequency Coordination for Bi-Direction System | No | |
| New Point to Point Microwave System | No |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $28,908.89 | $21,886.89 | N/A | $0.00 | N/A |
| Total for all systems | $112,656.93 | $106,082.43 | N/A | $5,107.70 | N/A |
| Primary Transmitter UAXTE-1-P1R37 | $28,908.89 | $21,886.89 | $0.00 | ||
| UHF - Air Cooled Solid State Transmitter 160 - 300 Watts | $24,300.00 | $17,278.00 | N/A | N/A | N/A |
| Mask Filter System | $4,608.89 | $4,608.89 | N/A | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $8,235.54 | $8,235.54 | N/A | $0.00 | N/A |
| Total for all systems | $112,656.93 | $106,082.43 | N/A | $5,107.70 | N/A |
| Primary Antenna 2x3 Broadband Panel | $8,235.54 | $8,235.54 | $0.00 | ||
| UHF-Low Power, Side Mount, Other, 5.0kW input, Horizontal | $8,235.54 | $8,235.54 | N/A | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $61,410.00 | $61,410.00 | N/A | $0.00 | N/A |
| Total for all systems | $112,656.93 | $106,082.43 | N/A | $5,107.70 | N/A |
| Primary Tower LTOWER | $61,410.00 | $61,410.00 | $0.00 | ||
| Remove Existing 6 Bay Panel Antenna | $5,220.00 | $5,220.00 | N/A | N/A | N/A |
| Tower Rigging Short Tower (less than 500') | $56,190.00 | $56,190.00 | N/A | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $13,767.50 | $14,215.00 | N/A | $5,107.70 | N/A |
| Total for all systems | $112,656.93 | $106,082.43 | N/A | $5,107.70 | N/A |
| Outside Professional Services | $13,767.50 | $14,215.00 | $5,107.70 | ||
| Prepare/ Review 399 reimbursement form | $1,710.00 | $1,710.00 | N/A | $91.20 | N/A |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $1,577.50 | N/A | N/A | N/A |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $3,025.00 | $3,025.00 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $1,052.50 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $2,475.00 | Additional expenses were incurred as indicated in the attached invoices. | $2,475.00 | N/A |
| Perform engineering study for displacement application | $1,800.00 | $1,875.00 | Additional expenses were incurred as indicated in the attached invoices. | $1,875.00 | N/A |
| Additional Displacement Legal Services Not Otherwise Specified in Form 399 | $2,500.00 | $2,500.00 | N/A | $666.50 | N/A |
| Actual Information Description | File Name |
|---|---|
| Prepare/ Review 399 reimbursement form | |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | Information not provided. |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
| Perform engineering study for displacement application | |
| Additional Displacement Legal Services Not Otherwise Specified in Form 399 |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $335.00 | $335.00 | N/A | $0.00 | N/A |
| Total for all systems | $112,656.93 | $106,082.43 | N/A | $5,107.70 | N/A |
| Other Expenses | $335.00 | $335.00 | $0.00 | ||
| FCC Filing Fees - Form 2100 license to cover application | $335.00 | $335.00 | N/A | N/A | N/A |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $112,656.93 | $106,082.43 | $5,107.70 |
| Question | Response |
|---|---|
| The facility has ceased operating on its pre-auction channel. | No |
| Construction of final facilities or all necessary modifications are complete. | No |
| All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. | No |
| Section | Question | Response |
|---|---|---|
| Submission of Estimated Expenses Statements | WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT. |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | James W. DeChant VP of Technology 11/14/2019 |
| Section | Question | Response |
|---|---|---|
| Submission of Actual Cost Documentation Statements | WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733). |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | James W. DeChant VP of Technology 11/14/2019 |
