Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
FORSYTH COMMUNITY TV RELAY SYSTEM Doing Business As: FORSYTH COMMUNITY TV RELAY SYSTEM |
ROSEBUD COUNTY COURTHOUSE PO BOX 47 FORSYTH, MT 59327 United States |
+1 (406) 346-2251 | rcc@rosebudcountymt.com | Government Entity |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
|
Applicant | Address | Phone | |
---|---|---|---|
The Preparer is same as the reimbursement contact. |
|
|
|
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 | Applicant had 9 channels, located at 3 different sites, displaced during the 2018 "Special Displacement Window". All these channels required antenna and filter replacements. 1 of these channels will require a digital transmitter capable of the change. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | 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? | Yes | |
Is antenna located on or in close proximity to an antenna farm? | No | |
Existing Antenna Manufacturer and Type | ||
Mounting | Top Mount | |
Antenna position in stack | Top | |
Polarization | Horizontal | |
Type | Slotted Coaxial | |
ERP: | 1.0 kW | |
Manufacturer | ||
Model | SL-8-3 | |
Year | 2012 |
Facility ID | Call Sign |
---|---|
189997 | K49MH-D |
189998 | K47NU-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 | Top Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Slotted Coaxial | |
ERP: | 1.0 kW | |
Manufacturer | ||
Model | SL-8-2 | |
Year | 2018 | |
Justification for New Antenna | Old antenna was manufactured for channels 47,49, 51. This translator is now combined on the new antenna with another translator on channel 33 that wasn't affected by the Dispacement. Lack of tower space required it be combined. |
Section | Question | Response |
---|---|---|
Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | Yes |
Type | New | |
Number of channels supported | 2 | |
Frequencies of channels supported | RF channel | |
Elbow Complex | Do you require the separate purchase of the Elbow Complex? | 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 |
---|
31 |
33 |
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? | 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 | 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 | 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 |
---|---|
East-Mont Communications |
Labor to Install Antenna, Combiner, and Align the existing transmitter. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $16,600.00 | $11,533.29 | N/A | $11,533.29 | N/A |
Total for all systems | $23,506.66 | $15,784.95 | N/A | $12,774.95 | N/A |
Primary Antenna SL-8-2 | $16,600.00 | $11,533.29 | $11,533.29 | ||
UHF-Low Power, Top Mount, Slotted Coaxial, 1.0kW input, Horizontal | $7,200.00 | $7,200.00 | N/A | $7,200.00 | N/A |
1 kW UHF Combiner (per channel) | $9,400.00 | $4,333.29 | N/A | $4,333.29 | N/A |
Actual Information Description | File Name |
---|---|
UHF-Low Power, Top Mount, Slotted Coaxial, 1.0kW input, Horizontal | |
1 kW UHF Combiner (per channel) |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $5,865.00 | $3,210.00 | N/A | $200.00 | N/A |
Total for all systems | $23,506.66 | $15,784.95 | N/A | $12,774.95 | N/A |
Outside Professional Services | $5,865.00 | $3,210.00 | $200.00 | ||
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $300.00 | N/A | N/A | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $200.00 | N/A | $200.00 | N/A |
Prepare/ Review 399 reimbursement form | $1,710.00 | $1,710.00 | N/A | N/A | N/A |
Form 399 assistance or other Program Management costs | $1,000.00 | $1,000.00 | Turnkey 399 Eligibility preparation and filing and FCC Form 1876 preparation and filing. | N/A | N/A |
Actual Information Description | File Name |
---|---|
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 | |
Prepare/ Review 399 reimbursement form | Information not provided. |
Form 399 assistance or other Program Management costs | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $1,041.66 | $1,041.66 | N/A | $1,041.66 | N/A |
Total for all systems | $23,506.66 | $15,784.95 | N/A | $12,774.95 | N/A |
Other Expenses | $1,041.66 | $1,041.66 | $1,041.66 | ||
East-Mont Communications | $1,041.66 | $1,041.66 | N/A | $1,041.66 | N/A |
Actual Information Description | File Name |
---|---|
East-Mont Communications |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $23,506.66 | $15,784.95 | $12,774.95 |
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. | 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. | DOUGLAS MARTENS COMMISSIONER 08/17/2020 |
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. | DOUGLAS MARTENS COMMISSIONER 08/17/2020 |