Applicant | Address | Phone | Applicant Type | |
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BOARD OF WASHINGTON COUNTY COMMISSIONERS Doing Business As: BOARD OF WASHINGTON COUNTY COMMISSIONERS |
Ed Lake 150 Ash Street AKRON, CO 80720 United States |
+1 (970) 345-2701 | rfsystemsllc@gmail.com | Government Entity |
Applicant | Address | Phone | |
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[Confidential] |
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Applicant | Address | Phone | |
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The Preparer is same as the reimbursement contact. |
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Question | Response |
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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 | Three channels at this site were displaced, one antenna was purchased to accommodate all three with a combiner, transmitters were retuned. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Transmitter Description | Type of change | Retune Existing |
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 | Larcan |
Model | MXD30U | |
Year | 2011 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | .03 kW |
Section | Question | Response |
---|---|---|
New Mask Filter | Does the transmitter require a new mask filter? | No |
New Exciter | Is a new exciter needed? | No |
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 |
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? | No | |
Is antenna in operating condition? | No | |
Is antenna located on or in close proximity to an antenna farm? | No | |
Existing Antenna Manufacturer and Type | ||
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Slotted Coaxial | |
ERP: | 0.19 kW | |
Manufacturer | ||
Model | Sl-8-3 | |
Year | 2011 |
Facility ID | Call Sign |
---|---|
6137 | K43FS-D |
6133 | K41EV-D |
Section | Question | Response |
---|---|---|
New Antenna Description | Use | Primary (Main) |
Change Type | Purchase New | |
Ownership | Owned | |
Is antenna shared? | Yes | |
Is antenna directional? | No | |
Will antenna be located on or in close proximity to an antenna farm? | No | |
New Antenna Manufacturer and Types | ||
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Other | |
Other Antenna Type | Super Turnstile | |
ERP: | 0.19 kW | |
Manufacturer | ||
Model | UTV-11/4/LP | |
Year | 2018 | |
Justification for New Antenna | Old antenna cut to channels 39, 41 and 43, could not be used. New channels 18, 20 and 26 incorporated into new antenna. |
Section | Question | Response |
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Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | Yes |
Type | New | |
Number of channels supported | 3 | |
Frequencies of channels supported | RF channel | |
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 |
RF Channel Number |
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20 |
18 |
26 |
Section | Question | Response |
---|---|---|
Transmission Line Related Expenses | Do you have transmission line related expenses? | No |
Section | Question | Response |
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Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
Section | Question | Response |
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Existing Tower Description | Type of change | Move Equipment |
Tower Use | Primary (Main) | |
Ownership | Owned | |
Is this tower consider Complex? | No | |
Is this tower currently shared with any other stations? | Yes | |
One or more FM, AM or TV radio broadcaster(s) | Yes | |
Others Types of Users | No | |
Is tower documented for structural analysis? | Unknown | |
Is tower compliant with Rev G? | Unknown | |
Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
ASR Number | 1028051 | |
Coordinates (NAD83) | Latitude (NAD83) | 40° 16' 52.0" N- |
Longitude (NAD83) | 103° 05' 57.0" W- | |
Overall Structure Height | 313.97 feet | |
Support Structure Height | 299.87 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 4488.79 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | BOARD OF WASHINGTON COUNTY COMMISSIONERS | |
Date Constructed | 10/21/2005 |
Facility ID | Call Sign | Service |
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6133 | K41EV-D | LPT |
6137 | K43FS-D | LPT |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
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 | No | |
Prepare engineering section of Form FCC License to Cover Application | No | |
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 | No |
Prepare and file Form FCC License to Cover Application | No | |
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 | Yes | |
RF Field Engineering Services | Comprehensive coverage verification via field study | No |
RF exposure measurements | No | |
Additional Field Engineering Service | No |
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 | No | |
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 |
Name | Description |
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MIsc |
Misc hardware |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
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Sub-total | $11,000.00 | $239.24 | N/A | $239.24 | N/A |
Total for all systems | $90,168.97 | $10,436.32 | N/A | $10,436.32 | N/A |
Primary Transmitter MXD30U | $11,000.00 | $239.24 | $239.24 | ||
Retune - UHF and VHF - minor re-channel issues | $11,000.00 | $239.24 | N/A | $239.24 | N/A |
Actual Information Description | File Name |
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Retune - UHF and VHF - minor re-channel issues |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $18,444.78 | $6,894.93 | N/A | $6,894.93 | N/A |
Total for all systems | $90,168.97 | $10,436.32 | N/A | $10,436.32 | N/A |
Primary Antenna UTV-11/4/LP | $18,444.78 | $6,894.93 | $6,894.93 | ||
1 kW UHF Combiner (per channel) | $14,100.00 | $2,550.15 | N/A | $2,550.15 | N/A |
UHF-Low Power, Side Mount, Other, 0.19kW input, Horizontal | $4,344.78 | $4,344.78 | N/A | $4,344.78 | N/A |
Actual Information Description | File Name |
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1 kW UHF Combiner (per channel) | |
UHF-Low Power, Side Mount, Other, 0.19kW input, Horizontal |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $56,190.00 | $417.96 | N/A | $417.96 | N/A |
Total for all systems | $90,168.97 | $10,436.32 | N/A | $10,436.32 | N/A |
Primary Tower TOWER | $56,190.00 | $417.96 | $417.96 | ||
Tower Rigging Short Tower (less than 500') | $56,190.00 | $417.96 | N/A | $417.96 | N/A |
Actual Information Description | File Name |
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Tower Rigging Short Tower (less than 500') |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $4,510.00 | $2,860.00 | N/A | $2,860.00 | N/A |
Total for all systems | $90,168.97 | $10,436.32 | N/A | $10,436.32 | N/A |
Outside Professional Services | $4,510.00 | $2,860.00 | $2,860.00 | ||
Perform engineering study for displacement application | $1,800.00 | $150.00 | N/A | $150.00 | N/A |
Form 399 assistance or other Program Management costs | $1,000.00 | $1,000.00 | Eligibility and 1876 preparation and filing | $1,000.00 | N/A |
Prepare/ Review 399 reimbursement form | $1,710.00 | $1,710.00 | N/A | $1,710.00 | N/A |
Actual Information Description | File Name |
---|---|
Perform engineering study for displacement application | |
Form 399 assistance or other Program Management costs | |
Prepare/ Review 399 reimbursement form |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $24.19 | $24.19 | N/A | $24.19 | N/A |
Total for all systems | $90,168.97 | $10,436.32 | N/A | $10,436.32 | N/A |
Other Expenses | $24.19 | $24.19 | $24.19 | ||
MIsc | $24.19 | $24.19 | N/A | $24.19 | N/A |
Actual Information Description | File Name |
---|---|
MIsc |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $90,168.97 | $10,436.32 | $10,436.32 |
Question | Response |
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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 |
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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. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Lee Ann Laybourn County Commissioner 05/06/2020 |