| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
Kenneth E. Lewetag Doing Business As: KENNETH E. LEWETAG |
Kenneth E. Lewetag 17980 BROWN RD. DALLAS, OR 97338 United States |
+1 (503) 623-7795 | LEWETAGK@AOL.COM | Individual |
| Applicant | Address | Phone | |
|---|---|---|---|
|
[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 |
|---|---|
| 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 | K38KM was displaced to Ch 34 |
| 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 | TXU550 TM700-VSB | |
| Year | 2010 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | .55 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | PAS 3220 | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 1500 W | |
| Justification for New Transmitter | displaced form UHF to VHF |
| Section | Question | Response |
|---|---|---|
| Other Transmitter Costs | ||
| Does the transmitter installation require a Transmitter Building Site Survey/Installation? | Yes | |
| 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? | Yes |
| Type | Cooling Only | |
| Size | 5 tons | |
| 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? | No | |
| Is the existing antenna directional? | Yes | |
| Is antenna in operating condition? | Yes | |
| 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 | Middle | |
| Polarization | Horizontal | |
| Type | Other | |
| Other Antenna Type | Paraflector | |
| ERP: | 15.0 kW | |
| Manufacturer | ||
| Model | PR-450CU | |
| Year | 2010 |
| Section | Question | Response |
|---|---|---|
| New Antenna Description | Use | Primary (Main) |
| Change Type | Purchase New | |
| Ownership | Owned | |
| 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 | ||
| Mounting | Side Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Horizontal | |
| Type | Other | |
| Other Antenna Type | Super Turnstile | |
| ERP: | 3.0 kW | |
| Manufacturer | ||
| Model | ANT-FM-IV-CP-4-BB-SP | |
| Year | 2019 | |
| Justification for New Antenna | UHF to VHF Displacement |
| Section | Question | Response |
|---|---|---|
| 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? | 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 | Purchase New |
| Use | Primary (Main) | |
| Ownership | Owned | |
| 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 | |
| Type | Flexible Foam | |
| Diameter | 7/8 inches | |
| Number of parallel runs | 1 | |
| Length | 150 feet per run |
| Section | Question | Response |
|---|---|---|
| New Transmission Line Costs | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Type | Flexible Foam | |
| Diameter | 7/8 inches | |
| Number of parallel runs | 1 | |
| Length | 200 feet per run | |
| Justification for New Transmission Line | New line because of displacement from UHF to VHF | |
| Interior RF Systems | Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? | 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 | Construct New |
| Tower Use | Primary (Main) | |
| Ownership | Leased | |
| Is this tower consider Complex? | No | |
| Is this tower currently shared with any other stations? | 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? | No |
| Coordinates (NAD83) | Latitude (NAD83) | 44° 58' 39.7" N- |
| Longitude (NAD83) | 123° 23' 51.6" W- | |
| Overall Structure Height | 40.00 feet | |
| Support Structure Height | 40.00 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 2077.00 feet | |
| Structure Type | POLE - Any type of Pole | |
| Tower Owner | Lewetag | |
| Date Constructed | 01/01/2000 |
| Section | Question | Response |
|---|---|---|
| Construct New Tower | Use | Primary (Main) |
| Is this a request for upgraded equipment? | No | |
| Height | 60.00 feet | |
| Justification for New Tower | existing tower will not take the wind load of the new VHF antenna |
| 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 | No |
| 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 | 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 | Yes | |
| Number of Days | 2 | |
| Justification | move all equipment to new location |
| 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 | $68,850.00 | $72,792.00 | N/A | $38,600.00 | N/A |
| Total for all systems | $253,445.40 | $100,323.72 | N/A | $65,090.44 | N/A |
| Primary Transmitter PAS 3220 | $68,850.00 | $72,792.00 | $38,600.00 | ||
| Transmitter Building Site Survey/Installation | $10,000.00 | $34,192.00 | actual cost | $34,192.00 | actual cost |
| Low VHF - Air Cooled Solid State Transmitter 1.5 kW | $0.00 | $0.00 | Transmitter cost | N/A | N/A |
| 5 Ton system | $20,250.00 | $0.00 | new system for new VHF transmitter | N/A | N/A |
| Low VHF - Air Cooled Solid State Transmitter 3 kW | $38,600.00 | $38,600.00 | ***System Notice: Estimate adjusted and locked because line has been superseded.*** | $4,408.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Transmitter Building Site Survey/Installation | |
| Low VHF - Air Cooled Solid State Transmitter 1.5 kW | Information not provided. |
| 5 Ton system | Information not provided. |
| Low VHF - Air Cooled Solid State Transmitter 3 kW |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $12,757.90 | $7,027.90 | N/A | $7,027.90 | N/A |
| Total for all systems | $253,445.40 | $100,323.72 | N/A | $65,090.44 | N/A |
| Primary Antenna ANT-FM-IV-CP-4-BB-SP | $12,757.90 | $7,027.90 | $7,027.90 | ||
| Sweep test of transmission line and antenna | $5,730.00 | $0.00 | N/A | N/A | N/A |
| Low VHF-Low Power, Side Mount, Other, 3.0kW input, Horizontal | $7,027.90 | $7,027.90 | N/A | $7,027.90 | N/A |
| $0.00 | $0.00 | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Sweep test of transmission line and antenna | Information not provided. |
| Low VHF-Low Power, Side Mount, Other, 3.0kW input, Horizontal | |
| Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $7,000.00 | $2,080.00 | N/A | $1,040.00 | N/A |
| Total for all systems | $253,445.40 | $100,323.72 | N/A | $65,090.44 | N/A |
| Primary Transmission Line | $7,000.00 | $2,080.00 | $1,040.00 | ||
| Flexible Foam Transmission Line - dielectric, 1 5/8" | $4,800.00 | $1,040.00 | ***System Notice: Estimate adjusted and locked because line has been superseded.*** | $0.00 | N/A |
| Flexible Foam Transmission Line - dielectric, 7/8" | $2,200.00 | $1,040.00 | actual cost | $1,040.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Flexible Foam Transmission Line - dielectric, 1 5/8" | |
| Flexible Foam Transmission Line - dielectric, 7/8" |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $158,190.00 | $13,713.82 | N/A | $13,712.54 | N/A |
| Total for all systems | $253,445.40 | $100,323.72 | N/A | $65,090.44 | N/A |
| Primary Tower POLE | $0.00 | $0.00 | $0.00 | ||
| Primary Tower | $158,190.00 | $13,713.82 | $13,712.54 | ||
| New tower shorter than 500' | $102,000.00 | $13,713.82 | N/A | $13,712.54 | N/A |
| Tower Rigging Short Tower (less than 500') | $56,190.00 | $0.00 | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| New tower shorter than 500' | |
| Tower Rigging Short Tower (less than 500') | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $6,312.50 | $4,710.00 | N/A | $4,710.00 | N/A |
| Total for all systems | $253,445.40 | $100,323.72 | N/A | $65,090.44 | N/A |
| Outside Professional Services | $6,312.50 | $4,710.00 | $4,710.00 | ||
| Additional Field Engineering Service, 2 Days | $500.00 | $500.00 | 2 days @ $1000 /day | $500.00 | N/A |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $500.00 | N/A | $500.00 | N/A |
| Form 399 assistance or other Program Management costs | $2,000.00 | $2,000.00 | Eligibility and 1876 preparation and submission | $2,000.00 | 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 |
|---|---|
| Additional Field Engineering Service, 2 Days | |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit 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 | $335.00 | $0.00 | N/A | $0.00 | N/A |
| Total for all systems | $253,445.40 | $100,323.72 | N/A | $65,090.44 | N/A |
| Other Expenses | $335.00 | $0.00 | $0.00 | ||
| FCC Filing Fees - Form 2100 license to cover application | $335.00 | $0.00 | N/A | N/A | N/A |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $253,445.40 | $100,323.72 | $65,090.44 |
| Question | Response |
|---|---|
| The facility has ceased operating on its pre-auction channel. | Yes |
| Construction of final facilities or all necessary modifications are complete. | Yes |
| 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. | Yes |
| 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. | Susan Hansen Counsultant 09/19/2022 |
| 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. | Susan Hansen Consultant 09/19/2022 |
| Section | Question | Response |
|---|---|---|
| Submission of Final Allocation or Accounting Information 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. | Ken Lewetag Applicant 09/19/2022 |
