Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
North Carolina Broadcasting Partners |
Beverly Poston PO Box 28205 Charlotte, NC 28205 United States |
+1 (704) 372-4434 | BPoston@bahakel.com | General Partnership |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
|
Applicant | Address | Phone | |
---|---|---|---|
M. Anne Swanson Legal Counsel Wilkinson Barker Knauer LLP |
M. Anne Swanson 1800 M Street NW Suite 800N Washington, DC 20036 United States |
+1 (202) 383-3342 | ASwanson@wbklaw.com |
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 new primary transmitter. Install new antenna to operate on reassigned channel. See WCCB Form 399 Amendment 2-8-19 and WCCB Transition Drawing Revised 2-20-19. |
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) | |
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 | DCX-3H(IOX/DCX Product Family) | |
Year | 2002 | |
Type | Inductive Output Tube | |
IOT Power Type | Three | |
Power Capacity | 60 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
Manufacturer | ||
Model | HPTV-PRLX-U32 | |
Transmitter Type | Solid State | |
Solid State Cooling | Liquid Cooled | |
Solid State Power capacity | 55 kW | |
Justification for New Transmitter | Manufacturer is not able to re-tune existing transmitter. New transmitter is required to operate on reassigned channel. New transmitter is upgrade to solid state with non-reimbursable cost increase of $2070.30. See Exhibit B. |
Section | Question | Response |
---|---|---|
Electrical Service | Service Entrance (3 phases 800A 208V) | No |
Switchgear (industrial 800 amp) | No | |
Transformer (480V) | No | |
Power | N/A | |
Rigid Conduit and Wiring | Yes | |
Size | 2 inches | |
Length | 500.0 feet | |
Other Electrical Service | Yes | |
Description | Circuit breakers and disconnects for transmitter, pumps, and heat exchangers. Cost estimate is based upon previous projects experience of a similar nature. See Exhibit I. | |
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 |
Name | Description |
---|---|
Site Design and Survey by Manufacturer |
Cost for site design and survey by manufacturer to determine electrical, HVAC, and space considerations for new primary transmitter and RF system. See Exhibit C.(Survey itself is in Exhibit B.) |
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 this antenna currently shared with any other stations? | No | |
Is this 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 | 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 | N/A | |
Design power capacity in use | N/A | |
Lower Limit | N/A | |
Upper Limit | N/A | |
Other Antenna Type | N/A | |
ERP: | 1000.0 kW | |
Manufacturer | ||
Model | TFU-24DSC-R 3C130 | |
Year | 2002 |
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? | Yes | |
Will antenna be located on or in close proximity to an antenna farm? | No | |
New Antenna Manufacturer and Types | Class | Full Power |
Mounting | Side 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: | 1000.0 kW | |
Manufacturer | ||
Model | TFU-24DSC/VP-R 3C30 | |
Year | 2019 | |
Justification for New Antenna | Existing antenna is on a fixed channel and cannot be re-tuned. New antenna is is upgrade to elliptical polarization with non-reimbursable cost of $20,100. See attached Amendment 2-8-19 and Dielectric quote. |
Section | Question | Response |
---|---|---|
Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | No |
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 | 6 1/8 inches inches | |
Side Mount Brackets | Do you require the separate purchase of side mount brackets for a high power antenna? | Yes |
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 | Dielectric |
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 | 1200 feet per run |
Name | Description |
---|---|
Dielectric Change Order 12-20-19 |
Change order to bypass failed waveguide switch |
Dielectric Change Order 11-20-19 |
Change order to connect RF system to waveguide switch |
Dielectric Change Order 12-12-19 |
Change order for cut section to connect to antenna system |
Dielectric Change Order 12-16-19 |
Change order to connect transmission line to antenna at top of tower |
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? | No | |
One or more FM, AM or TV radio broadcaster(s) | N/A | |
Others Types of Users | N/A | |
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? | Yes |
ASR Number | 1037877 | |
Coordinates (NAD83) | Latitude (NAD83) | 35° 16' 02.0" N- |
Longitude (NAD83) | 080° 44' 04.0" W- | |
Overall Structure Height | 1214.55 feet | |
Support Structure Height | 1140.73 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 779.85 feet | |
Structure Type | GTOWER - Guyed Structure Used for Communication Purposes | |
Tower Owner | WCCB-TV, Inc. | |
Date Constructed | 01/01/1966 |
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: | No 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 | 480 | |
Explanation | Reassigned station does not have sufficient qualified internal personnel for project management. It is estimated that outside project management will be required for 60 days while new antennas, transmission line, and transmitter are installed. | |
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 | Yes | |
FAA Consultation (including preparation of FAA Form 7460) | Yes | |
Negotiation of Lease and other Matter for Shared Locations | No | |
Prepare or Review FCC Form 399 for Reimbursement | Yes | |
Address transition timing and coordination issues w/ other stations and wireless providers | Yes | |
RF Field Engineering Services | Comprehensive coverage verification via field study | No |
RF exposure measurements | No | |
Additional Field Engineering Service | No | |
Number of Days | N/A | |
Justification | N/A |
Name | Description |
---|---|
WCCB Additional Repack Related Legal Services |
Attorneys Fees - Repack requirements (vendor contracts, refinancing, tax, affiliation agreements, equipment selection/justification). See Exhibit H |
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 | Yes | |
BLM or NFS Coordination | No | |
FCC Construction Permit Minor Change | No | |
FCC License to Cover Application | Yes | |
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)? | Yes |
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | Yes | |
Does this relocation require Equipment Storage? | No | |
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 |
Name | Description |
---|---|
Wireless Microphones |
To replace station's wireless microphones that will be displaced because existing channels are eliminated due to repack. See Exhibit F. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $1,823,800.00 | $1,394,918.70 | N/A | $1,393,687.95 | N/A |
Total for all systems | $2,489,124.29 | $1,912,795.99 | N/A | $1,824,630.54 | N/A |
Primary Transmitter HPTV-PRLX-U32 | $1,823,800.00 | $1,394,918.70 | $1,393,687.95 | ||
Site Design and Survey by Manufacturer | $15,300.00 | $15,300.00 | N/A | $15,300.00 | N/A |
Other Electrical Service: Circuit breakers and disconnects for transmitter, pumps, and heat exchangers. Cost estimate is based upon previous projects experience of a similar nature. See Exhibit I. | $7,500.00 | $7,500.00 | N/A | $6,269.25 | N/A |
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW | $1,788,000.00 | $1,372,118.70 | N/A | $1,372,118.70 | Sub-total matches Estimated Cost |
2" Rigid Conduit and Wiring (Cost per foot) | $13,000.00 | $0.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
Site Design and Survey by Manufacturer | |
Other Electrical Service: Circuit breakers and disconnects for transmitter, pumps, and heat exchangers. Cost estimate is based upon previous projects experience of a similar nature. See Exhibit I. | |
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW | |
2" Rigid Conduit and Wiring (Cost per foot) | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $192,855.00 | $190,445.00 | N/A | $190,445.00 | N/A |
Total for all systems | $2,489,124.29 | $1,912,795.99 | N/A | $1,824,630.54 | N/A |
Primary Antenna TFU-24DSC/VP-R 3C30 | $192,855.00 | $190,445.00 | $190,445.00 | ||
Side mount brackets for high power antennas (if not included in antenna base cost) | $23,150.00 | $21,750.00 | N/A | $21,750.00 | N/A |
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) | $12,300.00 | $11,620.00 | N/A | $11,620.00 | N/A |
Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | $6,400.00 | N/A |
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, elliptically or circularly polarized | $150,675.00 | $150,675.00 | N/A | $150,675.00 | N/A |
Actual Information Description | File Name |
---|---|
Side mount brackets for high power antennas (if not included in antenna base cost) | |
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) | |
Sweep test of existing antenna | |
UHF - High Power, Side Mount, basic slot antenna, 1000 kW input, directional,, elliptically or circularly polarized |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $24,396.25 | $24,396.25 | N/A | $24,396.25 | N/A |
Total for all systems | $2,489,124.29 | $1,912,795.99 | N/A | $1,824,630.54 | N/A |
Primary Transmission Line | $24,396.25 | $24,396.25 | $24,396.25 | ||
Dielectric Change Order 12-20-19 | $4,396.00 | $4,396.00 | N/A | $4,396.00 | N/A |
Dielectric Change Order 11-20-19 | $17,097.75 | $17,097.75 | N/A | $17,097.75 | N/A |
Dielectric Change Order 12-12-19 | $990.00 | $990.00 | N/A | $990.00 | N/A |
Dielectric Change Order 12-16-19 | $1,912.50 | $1,912.50 | N/A | $1,912.50 | N/A |
Actual Information Description | File Name |
---|---|
Dielectric Change Order 12-20-19 | |
Dielectric Change Order 11-20-19 | |
Dielectric Change Order 12-12-19 | |
Dielectric Change Order 12-16-19 |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $223,100.00 | $80,500.00 | N/A | $87,600.00 | N/A |
Total for all systems | $2,489,124.29 | $1,912,795.99 | N/A | $1,824,630.54 | N/A |
Primary Tower GTOWER | $223,100.00 | $80,500.00 | $87,600.00 | ||
Tall Tower (greater than 500') | $210,500.00 | $68,500.00 | N/A | $68,500.00 | N/A |
Structural engineering tower load study for well documented tower | $12,600.00 | $12,000.00 | N/A | $19,100.00 | See Exhibit K |
Actual Information Description | File Name |
---|---|
Tall Tower (greater than 500') | |
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 | $124,554.40 | $122,682.40 | N/A | $49,413.84 | N/A |
Total for all systems | $2,489,124.29 | $1,912,795.99 | N/A | $1,824,630.54 | N/A |
Outside Professional Services | $124,554.40 | $122,682.40 | $49,413.84 | ||
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase | $2,105.00 | $2,000.00 | N/A | $500.00 | N/A |
ASR modification (prepare FCC Form 854) | $2,105.00 | $2,000.00 | N/A | $641.50 | N/A |
Attorney Fees - Prepare and File request for Special Temporary Authorization | $3,680.00 | $5,299.00 | Actual costs higher than predetermined cost | $5,299.00 | N/A |
Prepare request for Special Temporary Authorization | $2,050.00 | $2,250.00 | Actual costs higher than predetermined cost | $2,250.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,000.00 | N/A | $1,500.00 | N/A |
Project management of the transition | $75,840.00 | $72,000.00 | N/A | $500.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,580.00 | $1,500.00 | N/A | $250.00 | N/A |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $5,000.00 | N/A | $3,981.50 | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $2,365.00 | $2,250.00 | N/A | $979.00 | N/A |
Prepare and or review reimbursement form | $2,630.00 | $2,500.00 | N/A | $11,316.94 | See Exhibit J |
Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $4,089.00 | Actual costs are higher than predetermined cost | $4,089.00 | N/A |
Perform engineering study for new channel assignment and antenna development | $7,360.00 | $7,000.00 | N/A | $4,312.50 | N/A |
WCCB Additional Repack Related Legal Services | $13,794.40 | $13,794.40 | N/A | $13,794.40 | N/A |
Actual Information Description | File Name |
---|---|
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase | |
ASR modification (prepare FCC Form 854) | |
Attorney Fees - Prepare and File request for Special Temporary Authorization | |
Prepare request for Special Temporary Authorization | |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
Project management of the transition | |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | |
Prepare and or review reimbursement form | |
Address transition timing and coordination issues w/ other stations and wireless | |
Perform engineering study for new channel assignment and antenna development | |
WCCB Additional Repack Related Legal Services |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $100,418.64 | $99,853.64 | N/A | $79,087.50 | N/A |
Total for all systems | $2,489,124.29 | $1,912,795.99 | N/A | $1,824,630.54 | N/A |
Other Expenses | $100,418.64 | $99,853.64 | $79,087.50 | ||
Disposal Costs (for equipment and other waste, net of any salvage value) | $51,515.98 | $51,515.98 | See Exhibit B and Form 399 Amendment. | $51,515.98 | N/A |
Wireless Microphones | $10,988.14 | $10,988.14 | N/A | N/A | N/A |
MVPD Notification of Channel Change | $1,000.00 | $1,000.00 | N/A | N/A | N/A |
Equipment Delivery and Handling Charges | $23,334.52 | $23,334.52 | N/A | $23,334.52 | N/A |
Non-zoning permits | $500.00 | $500.00 | N/A | $120.00 | N/A |
FCC Filing Fees - Special Temporary Authorization request | $195.00 | $190.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $325.00 | N/A | N/A | N/A |
DTV Medical Facility Notification | $11,550.00 | $11,000.00 | N/A | $3,750.00 | N/A |
Develop and air announcement of upcoming channel change | $1,000.00 | $1,000.00 | N/A | $367.00 | N/A |
Actual Information Description | File Name |
---|---|
Disposal Costs (for equipment and other waste, net of any salvage value) | |
Wireless Microphones | Information not provided. |
MVPD Notification of Channel Change | Information not provided. |
Equipment Delivery and Handling Charges | |
Non-zoning permits | |
FCC Filing Fees - Special Temporary Authorization request | Information not provided. |
FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
DTV Medical Facility Notification | |
Develop and air announcement of upcoming channel change |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $2,489,124.29 | $1,912,795.99 | $1,824,630.54 |
Question | Response |
---|---|
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 |
---|---|---|
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. | Beverly Poston President 05/12/2021 |
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. | Beverly Poston President 05/12/2021 |