Applicant | Address | Phone | Applicant Type | |
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REGION 1 TRANSLATOR ASSOCIATION Doing Business As: REGION 1 TRANSLATOR ASSOCIATION |
Ed Lake 221 S Interocean Ave Holyoke, CO 80734 United States |
+1 (970) 854-3778 | rfsystemsllc@gmail.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. | Yes |
Briefly describe transition plan | 2 of the repacked channels required a directional antenna. Reuse cable and retune transmitters. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
Section | Question | Response |
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Existing Transmitter Description | Type of change | Retune Existing |
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 | Larcan |
Model | MXD30U | |
Year | 2011 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | .03 kW |
Section | Question | Response |
---|---|---|
New Mask Filter | Does the transmitter require a new mask filter? | No |
New Exciter | Is a new exciter needed? | No |
Section | Question | Response |
---|---|---|
Other Transmitter Costs | ||
Does the transmitter installation require a Transmitter Building Site Survey/Installation? | No | |
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? | No |
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 |
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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? | 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 | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Other | |
Other Antenna Type | Super Turnstile | |
ERP: | 0.189 kW | |
Manufacturer | ||
Model | 771-304 | |
Year | 2011 |
Facility ID | Call Sign |
---|---|
55608 | K38AD-D |
55629 | K32AB-D |
126049 | K30HA-D |
129423 | K28JH-D |
55632 | K36AC-D |
55596 | K40CG-D |
55605 | K34AC-D |
Section | Question | Response |
---|---|---|
New Antenna Description | Use | Primary (Main) |
Change Type | Purchase New | |
Ownership | Owned | |
Is antenna shared? | Yes | |
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 | 2 | |
Number of Panels/Bays | 4 | |
Lower Limit | 470.00 MHz | |
Upper Limit | 862.00 MHz | |
Design power capacity in use | 100.0 % | |
ERP: | 0.5 kW | |
Manufacturer | ||
Model | 75010210 | |
Year | 2018 | |
Justification for New Antenna | New Ch 35 required directional pattern to avoid interference. |
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 |
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? | Yes |
Number of Power Dividers | 1 | |
Cable Harness | Does the panel antenna require cable harness? | Yes |
Number of Cable Harnesses | 4 |
RF Channel Number |
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35 |
33 |
Section | Question | Response |
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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? | Yes |
Section | Question | Response |
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Existing Tower Description | Type of change | Move Equipment |
Tower Use | Primary (Main) | |
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? | Unknown | |
Is tower compliant with Rev G? | Unknown | |
Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
ASR Number | 1025960 | |
Coordinates (NAD83) | Latitude (NAD83) | 40° 08' 35.0" N- |
Longitude (NAD83) | 102° 48' 53.0" W- | |
Overall Structure Height | 402.88 feet | |
Support Structure Height | 385.17 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 4206.97 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | REGION 1 TRANSLATORS ASSOCIATION | |
Date Constructed | 01/01/1997 |
Facility ID | Call Sign | Service |
---|---|---|
55632 | K36AC-D | LPT |
68217 | K202EK | FX |
126049 | K30HA-D | LPT |
55596 | K40CG-D | LPT |
55605 | K34AC-D | LPT |
55608 | K38AD-D | LPT |
55629 | K32AB-D | LPT |
129423 | K28JH-D | LPT |
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 | Yes |
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 | 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 |
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misc |
Miscellaneous connectors small hardware |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $11,000.00 | $0.00 | N/A | $0.00 | N/A |
Total for all systems | $93,808.63 | $7,877.30 | N/A | $7,877.30 | N/A |
Primary Transmitter MXD30U | $11,000.00 | $0.00 | $0.00 | ||
Retune - UHF and VHF - minor re-channel issues | $11,000.00 | $0.00 | See 38 40 42 Retune Gapinski Yuma.pdf | N/A | N/A |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $21,991.65 | $4,436.02 | N/A | $4,436.02 | N/A |
Total for all systems | $93,808.63 | $7,877.30 | N/A | $7,877.30 | N/A |
Primary Antenna 75010210 | $21,991.65 | $4,436.02 | $4,436.02 | ||
Misc | $291.65 | $291.65 | Antenna mount and freight | $291.65 | N/A |
Cable harness (each, for panel antenna system, if not included in antenna cost) | $4,000.00 | $0.00 | included in panel cost | N/A | N/A |
Power Dividers (each, for panel antenna system, if not included in antenna cost) | $1,300.00 | $0.00 | included in panel cost | N/A | N/A |
1 kW UHF Combiner (per channel) | $9,400.00 | $1,899.05 | N/A | $1,899.05 | N/A |
UHF Broadband panel antenna (per panel), horizontally-polarized | $7,000.00 | $2,245.32 | 2x2 75010210 UHF TV Panel Array | $2,245.32 | N/A |
Actual Information Description | File Name |
---|---|
Misc | |
Cable harness (each, for panel antenna system, if not included in antenna cost) | Information not provided. |
Power Dividers (each, for panel antenna system, if not included in antenna cost) | Information not provided. |
1 kW UHF Combiner (per channel) | |
UHF Broadband panel antenna (per panel), horizontally-polarized |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $56,190.00 | $464.30 | N/A | $464.30 | N/A |
Total for all systems | $93,808.63 | $7,877.30 | N/A | $7,877.30 | N/A |
Primary Tower TOWER | $56,190.00 | $464.30 | $464.30 | ||
Tower Rigging Short Tower (less than 500') | $56,190.00 | $464.30 | N/A | $464.30 | N/A |
Actual Information Description | File Name |
---|---|
Tower Rigging Short Tower (less than 500') |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $4,510.00 | $2,860.00 | N/A | $2,860.00 | N/A |
Total for all systems | $93,808.63 | $7,877.30 | N/A | $7,877.30 | N/A |
Outside Professional Services | $4,510.00 | $2,860.00 | $2,860.00 | ||
Prepare/ Review 399 reimbursement form | $1,710.00 | $1,710.00 | 399 Reimbursement Complete Project Management See Reg1 399R K41GI-D.pdf | $1,710.00 | N/A |
Perform engineering study for displacement application | $1,800.00 | $150.00 | N/A | $150.00 | N/A |
Form 399 assistance or other Program Management costs | $1,000.00 | $1,000.00 | 399 Eligibility Filing and 1876 Preparation & Submission See Reg1 399E K42GI-D.pdf | $1,000.00 | N/A |
Actual Information Description | File Name |
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Prepare/ Review 399 reimbursement form | |
Perform engineering study for displacement application | |
Form 399 assistance or other Program Management costs |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $116.98 | $116.98 | N/A | $116.98 | N/A |
Total for all systems | $93,808.63 | $7,877.30 | N/A | $7,877.30 | N/A |
Other Expenses | $116.98 | $116.98 | $116.98 | ||
misc | $116.98 | $116.98 | Misc hardware | $116.98 | N/A |
Actual Information Description | File Name |
---|---|
misc |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $93,808.63 | $7,877.30 | $7,877.30 |
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. | 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. |
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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. | Susan Hansen Consultant 08/26/2021 |
Section | Question | Response |
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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. |
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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. | Richard Starkebaum President 08/26/2021 |