| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
GRAY TELEVISION LICENSEE, LLC Doing Business As: WSFA |
Robert Folliard 4370 PEACHTREE ROAD, NE ATLANTA, GA 30319 United States |
+1 (334) 288-1212 | Robert.Folliard@gray.tv | Limited Liability Company |
| Applicant | Address | Phone | |
|---|---|---|---|
|
[Confidential] |
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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. | No |
| Briefly describe transition plan | Install TLS-V interim antenna and connect to interim line Remove and replace top mounted antenna and connect to existing transmission line. Install new main and backup transmitters. |
| 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 | Auxiliary (Backup) | |
| Description of Use | Emergency Backup | |
| Ownership | Owned | |
| Owner | N/A | |
| Site | N/A | |
| Is this transmitter currently shared with another station? | No | |
| Is this transmitter currently in operating condition? | Yes | |
| Existing Transmitter Manufacturer and Type | Manufacturer | |
| Model | HTEL | |
| Year | 2008 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | 1.1 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Auxiliary (Backup) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | VAXTE-2R44 | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 1.6 kW | |
| Justification for New Transmitter | Existing Transmitter can not be retuned Manufacturers letter attached |
| Section | Question | Response |
|---|---|---|
| Electrical Service | Service Entrance (3 phases 800A 208V) | No |
| Switchgear (industrial 800 amp) | Yes | |
| Transformer (480V) | Yes | |
| Power | 150 kVA | |
| Rigid Conduit and Wiring | No | |
| Size | N/A | |
| Length | N/A | |
| Other Electrical Service | No | |
| Description | N/A | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | No |
| Type | N/A | |
| Size | N/A | |
| Other Size | N/A | |
| Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | No |
| Size | N/A | |
| Channel 14 Costs | Is an RF Consulting Engineer needed? | N/A |
| Is a channel 14 Mask Filer needed? | N/A | |
| Is additional field engineering time needed? | N/A | |
| Number of Days | N/A |
| Section | Question | Response |
|---|---|---|
| Existing Transmitter Description | Type of change | Purchase New |
| Use | Primary (Main) | |
| Description of Use | N/A | |
| Ownership | Owned | |
| Owner | N/A | |
| Site | N/A | |
| Is this transmitter currently shared with another station? | No | |
| Is this transmitter currently in operating condition? | Yes | |
| Existing Transmitter Manufacturer and Type | Manufacturer | |
| Model | Platinum | |
| Year | 2008 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | 5 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | Yes | |
| Manufacturer | ||
| Model | VAXTE-12 | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 5.89 kW | |
| Justification for New Transmitter | Exiting transmitter can not be retuned Manufacturers letter attached Headroom analysis attached |
| Section | Question | Response |
|---|---|---|
| Electrical Service | Service Entrance (3 phases 800A 208V) | No |
| Switchgear (industrial 800 amp) | Yes | |
| Transformer (480V) | Yes | |
| Power | 150 kVA | |
| Rigid Conduit and Wiring | No | |
| Size | N/A | |
| Length | N/A | |
| Other Electrical Service | No | |
| Description | N/A | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | No |
| Type | N/A | |
| Size | N/A | |
| Other Size | N/A | |
| Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | No |
| Size | N/A | |
| Channel 14 Costs | Is an RF Consulting Engineer needed? | N/A |
| Is a channel 14 Mask Filer needed? | N/A | |
| Is additional field engineering time needed? | N/A | |
| Number of Days | N/A |
| 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) | |
| Description of Use | N/A | |
| Ownership | Owned | |
| Owner | N/A | |
| Site | N/A | |
| Is the existing antenna shared with another station or stations? | No | |
| Is the existing antenna directional? | No | |
| Is antenna in operating condition? | Yes | |
| Is antenna located on or in close proximity to an antenna farm? | No | |
| Existing Antenna Manufacturer and Type | Class | Full Power |
| Mounting | Top Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Horizontal | |
| Type | Other | |
| Number of Stations Supported | N/A | |
| Number of Panels | N/A | |
| Design power capacity in use | N/A | |
| Lower Limit | N/A | |
| Upper Limit | N/A | |
| Other Antenna Type | Traveling Wave | |
| ERP: | 31.6 kW | |
| Manufacturer | ||
| Model | RCA/TW-12A12 | |
| Year | 1992 |
| Section | Question | Response |
|---|---|---|
| New Antenna Description | Use | Primary (Main) |
| Description of Use | N/A | |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | Yes | |
| Ownership | Owned | |
| Owner | N/A | |
| Is antenna shared? | No | |
| Is antenna directional? | No | |
| Will antenna be located on or in close proximity to an antenna farm? | No | |
| New Antenna Manufacturer and Types | Class | Full Power |
| Mounting | Top Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Elliptical | |
| Type | Slotted Coaxial | |
| Number of Stations Supported | N/A | |
| Number of Panels/Bays | N/A | |
| Lower Limit | N/A | |
| Upper Limit | N/A | |
| Design power capacity in use | N/A | |
| Other Antenna Type | N/A | |
| ERP: | 31.6 kW | |
| Manufacturer | ||
| Model | THV-10A8/VP-R 04 | |
| Year | 2019 | |
| Justification for New Antenna | Existing antenna can not be retuned V-pol upgrade not reimbursable |
| Section | Question | Response |
|---|---|---|
| Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | |
| Type | ||
| Number of channels supported | N/A | |
| Frequencies of channels supported | N/A | |
| Frequency | N/A | |
| Do you need a combiner output splitter/switcher for dual feed lines? | N/A | |
| Elbow Complex | Do you require the separate purchase of the Elbow Complex? | Yes |
| Broadband or Single Channel? | Single Channel | |
| Feed Line Size | 3 1/8 inches inches | |
| Side Mount Brackets | Do you require the separate purchase of side mount brackets for a high power antenna? | |
| 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? | Yes |
| Section | Question | Response |
|---|---|---|
| New Antenna Description | Use | Interim |
| Description of Use | N/A | |
| Change Type | Purchase New | |
| Ownership | Owned | |
| Owner | N/A | |
| Is antenna shared? | No | |
| Is antenna directional? | No | |
| Will antenna be located on or in close proximity to an antenna farm? | No | |
| New Antenna Manufacturer and Type | Class | Full Power |
| Mounting | Side Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Horizontal | |
| Type | Slotted Coaxial | |
| Number of Stations Supported | N/A | |
| Number of Panels/Bays | N/A | |
| Lower Limit | N/A | |
| Upper Limit | N/A | |
| Design power capacity in use | N/A | |
| Other Antenna Type | N/A | |
| ERP: | 31.6 kW | |
| Manufacturer | ||
| Model | TLS-V | |
| Year | 2019 | |
| Justification for New Antenna | Use as transition antenna to allow for removal of existing Ch 12 antenna and installation of new repack Ch 8 antenna. |
| Section | Question | Response |
|---|---|---|
| Elbow Complex | Do you require the separate purchase of the Elbow Complex? | Yes |
| Broadband or Single Channel? | B | |
| Feed Line Size | 6 1/8 inches | |
| Side Mount Brackets | Do you require the separate purchase of side mount brackets for an 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? | Yes |
| Section | Question | Response |
|---|---|---|
| Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Transmission Line Description | Type of change | Utilize Existing |
| Use | Primary (Main) | |
| Description of Use | N/A | |
| Ownership | Owned | |
| Owner | N/A | |
| Site | N/A | |
| Is the existing transmission line shared with another station or stations? | No | |
| Is Transmission Line in operating condition? | Yes | |
| Existing Transmission Line Manufacturer and Type | Manufacturer | Andrew |
| Type | Rigid | |
| Diameter | 6 1/8 inches | |
| Other Diameter | N/A | |
| Segment Length | 20 inches | |
| Other Segment Length | N/A | |
| Number of parallel runs | 1 | |
| Length | 2050 feet per run |
| Name | Description |
|---|---|
Utilize Existing Line - Mandatory Category due to LMS Bug |
Mandatory category because LMS requires a dollar amount in order to not throw an error. |
| Section | Question | Response |
|---|---|---|
| New Transmission Line Costs | Use | Interim |
| Description of Use | N/A | |
| Change Type | Purchase New | |
| Type | Rigid | |
| Diameter | 4 1/16 inches | |
| Segment Length | 20' | |
| Other Segment Length | ||
| Number of parallel runs | 1 | |
| Length | 1900 feet per run | |
| Justification for New Transmission Line | to feed interim antenna during main antenna change out |
| 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) | |
| Description of Use | N/A | |
| 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? | Yes | |
| Is tower compliant with Rev G? | No | |
| Existing Tower Structure Registration | Do you have a tower registration number? | No |
| ASR Number | ||
| Coordinates (NAD83) | Latitude (NAD83) | 31° 58' 29.0" N- |
| Longitude (NAD83) | 086° 09' 44.1" W- | |
| Overall Structure Height | 1935.02 feet | |
| Support Structure Height | 1853.00 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 532.15 feet | |
| Structure Type | TOWER - Free Standing or Guyed Structure | |
| Tower Owner | WSFA, LLC | |
| Date Constructed | 08/01/1977 |
| Facility ID | Call Sign | Service |
|---|---|---|
| 8649 | WZHT | FM |
| 73642 | WCOV-TV | DTV |
| Section | Question | Response |
|---|---|---|
| Engineering Study | Please what type of engineering study is required, if any: | Study needed for documented tower |
| Tower Reinforcements | Please select whether tower reinforcements are needed: | Minor Reinforcements needed |
| 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? | Yes |
| Number of Hours | 595 | |
| Explanation | Pattern analysis Antenna Spec Transmitter Spec Building drawings Installation Supervision Accounting Internal Legal 399 Program Management | |
| Outside RF consulting Engineering Services | Perform engineering study for new channel assignment and antenna development | 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 | Yes | |
| Quantity | 1 | |
| Do you have Distributed Transmission System engineering services? | N/A | |
| Critical Facility | N/A | |
| Terrain-Shielded Facility | N/A | |
| 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 | Yes | |
| Quantity | 1 | |
| NEPA Section 106 environmental review | No | |
| Environmental Assessment | No | |
| ASR Modification | No | |
| FAA Consultation (including preparation of FAA Form 7460) | No | |
| Negotiation of Lease and other Matter for Shared Locations | No | |
| Prepare or Review FCC Form 399 for Reimbursement | No | |
| Address transition timing and coordination issues w/ other stations and wireless providers | Yes | |
| RF Field Engineering Services | Comprehensive coverage verification via field study | Yes |
| RF exposure measurements | No | |
| Additional Field Engineering Service | No | |
| Number of Days | N/A | |
| Justification | N/A |
| Section | Question | Response |
|---|---|---|
| AM Pattern Disturbance | Is an Impact Study needed? | No |
| Is Remediation needed? | No | |
| Facility Expenses | Name | N/A |
| Other Distributed Transmission System Expenses Not listed | N/A | |
| Name | N/A | |
| Is Notification of a Medical Facility required as a result of DTV broadcasting? | Yes | |
| Permit and Filing Costs | Local Zoning | No |
| Non-zoning permits | No | |
| BLM or NFS Coordination | No | |
| FCC Construction Permit Minor Change | No | |
| FCC License to Cover Application | No | |
| FCC Special Temporary Authority Application | Yes | |
| 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? | Yes | |
| Does this relocation require Equipment Storage? | Yes | |
| Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? | Yes | |
| Does this relocation require MVPD Notification of a Channel Change? | Yes |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $497,113.80 | $426,617.87 | N/A | $47,262.22 | N/A |
| Total for all systems | $1,768,764.20 | $1,567,553.17 | N/A | $298,574.49 | N/A |
| Primary Transmitter VAXTE-12 | $280,863.80 | $277,713.80 | $28,215.71 | ||
| Transformer 3 phase/480v - 150 KVA | $25,550.00 | $24,300.00 | N/A | N/A | N/A |
| High VHF - Air Cooled Solid State Transmitter 5.9 kW | $28,215.71 | $28,215.71 | ***System Notice: Estimate adjusted and locked because line has been superseded.***GatesAir Quotes Q-66731 & upgrade quote Q-73822 Headroom analysis attached | $28,215.71 | N/A |
| High VHF - Air Cooled Solid State Transmitter 5.89 kW | $188,898.09 | $188,898.09 | GatesAir Quotes Q-66731 & upgrade quote Q-73822 | N/A | N/A |
| Switchgear - industrial 800 amp | $38,200.00 | $36,300.00 | N/A | N/A | N/A |
| Auxiliary Transmitter VAXTE-2R44 | $216,250.00 | $148,904.07 | $19,046.51 | ||
| Switchgear - industrial 800 amp | $38,200.00 | $36,300.00 | N/A | N/A | N/A |
| Transformer 3 phase/480v - 150 KVA | $25,550.00 | $24,300.00 | N/A | N/A | N/A |
| High VHF - Air Cooled Solid State Transmitter 1.1 . 4.4 kW | $152,500.00 | $88,304.07 | GatesAir Quote GA-00021705 attached. Please see file WSFA Backup TX.pdf | $19,046.51 | N/A |
| Actual Information Description | File Name |
|---|---|
| Transformer 3 phase/480v - 150 KVA | Information not provided. |
| High VHF - Air Cooled Solid State Transmitter 5.9 kW | |
| High VHF - Air Cooled Solid State Transmitter 5.89 kW | Information not provided. |
| Switchgear - industrial 800 amp | Information not provided. |
| Switchgear - industrial 800 amp | Information not provided. |
| Transformer 3 phase/480v - 150 KVA | Information not provided. |
| High VHF - Air Cooled Solid State Transmitter 1.1 . 4.4 kW |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $364,378.40 | $360,973.40 | N/A | $70,791.25 | N/A |
| Total for all systems | $1,768,764.20 | $1,567,553.17 | N/A | $298,574.49 | N/A |
| Interim Antenna TLS-V | $72,353.40 | $70,293.40 | $0.00 | ||
| Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) | $13,700.00 | $11,970.00 | Please see WSFA Dielectric quote 184001 | N/A | N/A |
| High VHF - High Power Side Mount One Station horizontally polarized | $51,923.40 | $51,923.40 | Quote attached | $0.00 | N/A |
| Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | N/A | N/A |
| Primary Antenna THV-10A8/VP-R 04 | $292,025.00 | $290,680.00 | $70,791.25 | ||
| Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) | $7,600.00 | $6,585.00 | Please see WSFA Dielectric quote dated 3-9-17 | N/A | N/A |
| High VHF - High Power Top Mount One Station elliptically or circularly polarized | $277,695.00 | $277,695.00 | Quote attached E-Pol premium not included in cost | $69,191.25 | N/A |
| Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | $1,600.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) | Information not provided. |
| High VHF - High Power Side Mount One Station horizontally polarized | |
| Sweep test of existing antenna | Information not provided. |
| Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) | Information not provided. |
| High VHF - High Power Top Mount One Station elliptically or circularly polarized | |
| Sweep test of existing antenna |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $269,800.00 | $174,724.90 | N/A | $43,913.72 | N/A |
| Total for all systems | $1,768,764.20 | $1,567,553.17 | N/A | $298,574.49 | N/A |
| Interim Transmission Line | $269,800.00 | $174,724.90 | $43,913.72 | ||
| Rigid Transmission Line - copper, 4 1/16" | $269,800.00 | $174,724.90 | Quote attached (see main antenna quote) | $43,913.72 | N/A |
| Primary Transmission Line | $0.00 | $0.00 | $0.00 | ||
| Utilize Existing Line - Mandatory Category due to LMS Bug | $0.00 | $0.00 | LMS bug requires an estimated cost for all categories. | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Rigid Transmission Line - copper, 4 1/16" | |
| Utilize Existing Line - Mandatory Category due to LMS Bug | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $381,100.00 | $357,800.00 | N/A | $78,537.50 | N/A |
| Total for all systems | $1,768,764.20 | $1,567,553.17 | N/A | $298,574.49 | N/A |
| Primary Tower TOWER | $381,100.00 | $357,800.00 | $78,537.50 | ||
| Minor tower reinforcement/modifications | $158,000.00 | $150,000.00 | N/A | $77,325.00 | N/A |
| Tall Tower (greater than 500') | $210,500.00 | $200,000.00 | N/A | N/A | N/A |
| Structural engineering tower load study for well documented tower | $12,600.00 | $7,800.00 | N/A | $1,212.50 | N/A |
| Actual Information Description | File Name |
|---|---|
| Minor tower reinforcement/modifications | |
| Tall Tower (greater than 500') | Information not provided. |
| Structural engineering tower load study for well documented tower |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $206,290.00 | $205,950.00 | N/A | $52,902.80 | N/A |
| Total for all systems | $1,768,764.20 | $1,567,553.17 | N/A | $298,574.49 | N/A |
| Outside Professional Services | $206,290.00 | $205,950.00 | $52,902.80 | ||
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $5,000.00 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,580.00 | $1,500.00 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,000.00 | N/A | N/A | N/A |
| Perform engineering study for new channel assignment and antenna development | $7,360.00 | $7,000.00 | N/A | $925.00 | N/A |
| Attorney Fees - Prepare and File request for Special Temporary Authorization | $3,680.00 | $3,500.00 | N/A | $124.50 | N/A |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $2,365.00 | $2,250.00 | N/A | N/A | N/A |
| Comprehensive coverage verification via field study, if needed | $84,200.00 | $80,000.00 | N/A | N/A | N/A |
| Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $2,500.00 | N/A | N/A | N/A |
| Prepare request for Special Temporary Authorization | $2,050.00 | $1,525.00 | Invoices received | $1,525.00 | invoice |
| Project management of the transition | $94,010.00 | $99,675.00 | Widelity Strategic Support Quote | $50,328.30 | N/A |
| Actual Information Description | File Name |
|---|---|
| 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 | Information not provided. |
| Perform engineering study for new channel assignment and antenna development | |
| Attorney Fees - Prepare and File request for Special Temporary Authorization | |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
| Comprehensive coverage verification via field study, if needed | Information not provided. |
| Address transition timing and coordination issues w/ other stations and wireless | Information not provided. |
| Prepare request for Special Temporary Authorization | |
| Project management of the transition |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $50,082.00 | $41,487.00 | N/A | $5,167.00 | N/A |
| Total for all systems | $1,768,764.20 | $1,567,553.17 | N/A | $298,574.49 | N/A |
| Other Expenses | $50,082.00 | $41,487.00 | $5,167.00 | ||
| MVPD Notification of Channel Change | $2,017.00 | $2,017.00 | see Estimated Cost Justification WSFA-610-MVPD Notification v0 | $2,017.00 | N/A |
| FCC Filing Fees - Special Temporary Authorization request | $195.00 | $200.00 | Please see WSFA Filing Fee STA Budget Justification Cover Letter | $200.00 | N/A |
| DTV Medical Facility Notification | $11,550.00 | $2,950.00 | Group quote attached | $2,950.00 | N/A |
| Equipment Delivery and Handling Charges | $2,970.00 | $2,970.00 | On site forklift rental estimate Representative quote attached | N/A | N/A |
| Equipment Storage | $30,500.00 | $30,500.00 | Estimate for Dielectric on site antenna storage Dielectric letter attached | N/A | N/A |
| Develop and air announcement of upcoming channel change | $2,850.00 | $2,850.00 | estimate for on air rescan announcement production Quote attached | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| MVPD Notification of Channel Change | |
| FCC Filing Fees - Special Temporary Authorization request | |
| DTV Medical Facility Notification | |
| Equipment Delivery and Handling Charges | Information not provided. |
| Equipment Storage | Information not provided. |
| Develop and air announcement of upcoming channel change | Information not provided. |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $1,768,764.20 | $1,567,553.17 | $298,574.49 |
| 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. | Robert Folliard , III . Assistant Secretary 08/04/2020 |
| 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. | Robert Folliard , III . Assistant Secretary 08/04/2020 |
