Applicant | Address | Phone | Applicant Type | |
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GARDEN VALLEY TRANSLATOR DIST. Doing Business As: GARDEN VALLEY TRANSLATOR DIST. |
Garden Valley Translator District PO Box 711 GARDEN VALLEY, ID 83622 United States |
+1 (208) 954-0511 | john.kingrey@hotmail.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. | No |
Briefly describe transition plan | move K47MA-D to K14SB-D |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | No |
Section | Question | Response |
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Antenna Related Expenses | Do you have antenna related expenses? | Yes |
Section | Question | Response |
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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 | Not in Stack | |
Polarization | Horizontal | |
Type | Broadband Panel | |
Number of Stations Supported | 1 | |
Number of Panels | 2 | |
Design power capacity in use | 0.07 % | |
Lower Limit | 470.00 MHz | |
Upper Limit | 476.00 MHz | |
ERP: | 0.075 kW | |
Manufacturer | ||
Model | SCA-4DR4S | |
Year | 2018 |
Section | Question | Response |
---|---|---|
New Antenna Description | Use | Primary (Main) |
Change Type | Purchase New | |
Ownership | Owned | |
Is antenna shared? | No | |
Is antenna directional? | Yes | |
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 | Broadband Panel | |
Number of Stations Supported | 1 | |
Number of Panels/Bays | 2 | |
Lower Limit | 470.00 MHz | |
Upper Limit | 476.00 MHz | |
Design power capacity in use | 0.07 % | |
ERP: | 0.075 kW | |
Manufacturer | ||
Model | SCA-4DR4S | |
Year | 2018 | |
Justification for New Antenna | required to vacate channel K47MA-D |
Section | Question | Response |
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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 |
Power Dividers | Does the panel antenna require power dividers? | No |
Cable Harness | Does the panel antenna require cable harness? | Yes |
Number of Cable Harnesses | 1 |
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? | No |
Section | Question | Response |
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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 | 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 | No | |
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 |
Section | Question | Response |
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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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Amplifier |
Larcan MXi5-5u Unique Broadband Systems with stringent filter |
Freight Amp |
Freight for Amplifier |
Freight Antenna |
Freight for antennas |
Power Divider |
Power divider for antennas |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
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Sub-total | $4,500.00 | $2,578.40 | N/A | $2,578.40 | N/A |
Total for all systems | $11,111.62 | $9,190.02 | N/A | $9,190.02 | N/A |
Primary Antenna SCA-4DR4S | $4,500.00 | $2,578.40 | $2,578.40 | ||
Cable harness (each, for panel antenna system, if not included in antenna cost) | $1,000.00 | $429.00 | N/A | $429.00 | N/A |
UHF Broadband panel antenna (per panel), horizontally-polarized | $3,500.00 | $2,149.40 | N/A | $2,149.40 | N/A |
Actual Information Description | File Name |
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Cable harness (each, for panel antenna system, if not included in antenna cost) | |
UHF Broadband panel antenna (per panel), horizontally-polarized |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $0.00 | $0.00 | N/A | $0.00 | N/A |
Total for all systems | $11,111.62 | $9,190.02 | N/A | $9,190.02 | N/A |
Outside Professional Services | $0.00 | $0.00 | $0.00 |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $6,611.62 | $6,611.62 | N/A | $6,611.62 | N/A |
Total for all systems | $11,111.62 | $9,190.02 | N/A | $9,190.02 | N/A |
Other Expenses | $6,611.62 | $6,611.62 | $6,611.62 | ||
Freight Antenna | $130.92 | $130.92 | N/A | $130.92 | N/A |
Freight Amp | $325.00 | $325.00 | N/A | $325.00 | actual cost |
Amplifier | $5,791.50 | $5,791.50 | N/A | $5,791.50 | N/A |
Power Divider | $364.20 | $364.20 | N/A | $364.20 | Scala 2-way power divider required for channel 14 antenna |
Actual Information Description | File Name |
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Freight Antenna | |
Freight Amp | |
Amplifier | |
Power Divider |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $11,111.62 | $9,190.02 | $9,190.02 |
Question | Response |
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The facility has ceased operating on its pre-auction channel. | Yes |
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. | John Kingrey GVTD Secretary 02/25/2021 |
Section | Question | Response |
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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). |
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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. | John Kingrey GVTD Secretary 02/25/2021 |