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FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Facility ID:
168141
Service:
LPD
Call Sign:
WRTN-LD
Channel:
17 (UHF)
File Number:
0000089697
FRN:
0006078760
Eligibility Status:
Eligible
Date Submitted:
09/23/2022

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

RICHARD C & LISA A. GOETZ

Applicant

Doing Business As: RICHARD C AND LISA A. GOETZ

135 N COUNTRY CLUB DRIVE

HENDERSONVILLE, TN 37075

United States

+1 (615) 826-0792 rickg@rlmediasystems.com Other

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Samuel Hariton

Widelity, Inc.

Samuel Hariton

4031 University Drive

Ste 100

Fairfax, VA 22030

United States

+1 (339) 222-8107 sam.hariton@widelity.com

Broadcaster Information and Transition Plan

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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 We will transition from channel 7 which is being displaced by WNPT Nashville TN, who is moving from Channel 8 to channel 7. We will have to replace the antenna and transmitter. Line can be reused.

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? Yes

Primary Transmitter

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Existing Transmitter Information

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 DTX-500
Year 2009
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity .5 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model TXUD2700AC D
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 2.7 kW
Justification for New Transmitter Pre-displacement transmitter was unsuitable for use on WRTN's new channel. This new transmitter was originally purchased for Daystar station WACN. The mask filter for WACN would not work for WRTN so it had to be retuned.

Primary Transmitter

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Other Transmitter Costs

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 Yes
Description Installation of new transmitter electrical services and other expenses as required for the repack
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

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Primary Transmitter - Mask Filter

Mask filter expenses required for new transmitter originally purchased for WACN

Primary Transmitter - Retune

Retuning required for new transmitter originally purchased for WACN

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? Yes

Primary Antenna

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Existing Antenna Information

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? No
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type
Mounting Side Mount
Antenna position in stack Middle
Polarization Circular
Type Slotted Coaxial
ERP: 0.3 kW
Manufacturer
Model SWLP2OICP
Year 2009

Primary Antenna

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New Antenna Costs

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? Yes
New Antenna Manufacturer and Types
Mounting Side Mount
Antenna position in stack Middle
Polarization Elliptical
Type Broadband Panel
Number of Stations Supported 1
Number of Panels/Bays 16
Lower Limit 488.00 MHz
Upper Limit 494.00 MHz
Design power capacity in use 16.0 %
ERP: 12.0 kW
Manufacturer
Model SWEDL16WC/17-EP
Year 2020
Justification for New Antenna moving from channel 7 to channel 17, circular polarization.

Primary Antenna

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Other Antenna Costs

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? 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
Power Dividers Does the panel antenna require power dividers? No
Cable Harness Does the panel antenna require cable harness? No

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? Yes

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
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 andrew
Type Flexible Foam
Diameter 1 5/8 inches
Number of parallel runs 1
Length 1000 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Line Connectors

The current line will require bigger connectors for the higher transmitter power.

Tower Equipment And Rigging Costs

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Section Question Response
Tower Equipment or Rigging Costs Changes Do you have tower equipment or rigging costs changes? Yes

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Ownership Leased
Is this tower consider Complex? Candelabra
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 Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1233975
Coordinates (NAD83) Latitude (NAD83) 36° 16' 04.9" N-
Longitude (NAD83) 086° 47' 44.7" W-
Overall Structure Height 1289.03 feet
Support Structure Height 1157.79 feet
Ground Elevation Above Mean Sea Level (AMSL) 760.16 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner American Towers LLC
Date Constructed 03/15/2002

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID Call Sign Service
60820 WPGD-TV DTV
128934 WKUW-LD LPD
30258 WNPX-LD LPD
61019 WNTU-LD LPD
30257 WJNK-LD LPD
182481 WCTZ-LD LPD
168068 WIIW-LD LPD

Other Types of Users

Users
Various 2-way R

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study need for guyed or free-standing tower
Tower Reinforcements Please select whether tower reinforcements are needed: No reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower Candelabra
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 100
Explanation WRTN-LD does not have sufficient resource capacity and expertise in house to handle all activities necessary for completion of the station's build by the construction deadline. WRTN-LD will hire an outside firm to facilitate a timely transition.
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

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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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)? 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
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

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $123,907.17 $97,045.17 N/A $97,045.17 N/A
Total for all systems $269,704.90 $240,343.62 N/A $226,843.62 N/A
Primary Transmitter TXUD2700AC D $123,907.17 $97,045.17 $97,045.17
Primary Transmitter - Retune $2,500.00 $2,500.00 Please see Elettronika America Estimate 6826 $2,500.00 N/A
Primary Transmitter - Mask Filter $8,199.00 $8,199.00 Please see Elettronika America Estimate 6826 $8,199.00 N/A
Other Electrical Service: Installation of new transmitter electrical services and other expenses as required for the repack $6,908.17 $6,908.17 Please see WRTN-LD Primary Transmitter - Other Electrical Budget Justification Cover Letter $6,908.17 N/A
UHF - Air Cooled Solid State Transmitter 2.501 - 3.999 kW $106,300.00 $79,438.00 Please see Elettronika America Estimate 6858 $79,438.00 N/A

Components

Actual Information Description File Name
Primary Transmitter - Retune

Component Description:
WRTN-LD -110-New Primary Transmitter - Retune
Amount:
$2,500.00
Primary Transmitter - Mask Filter

Component Description:
EKA ETF8D170CHS HeatSink DTV Filter
Amount:
$8,199.00
Other Electrical Service: Installation of new transmitter electrical services and other expenses as required for the repack

Component Description:
Install transmitter for WRTN 7.5 days
Amount:
$6,908.17
UHF - Air Cooled Solid State Transmitter 2.501 - 3.999 kW

Component Description:
UHF Digital TV Transmitter
Amount:
$79,438.00

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $52,345.03 $51,990.03 N/A $41,990.03 N/A
Total for all systems $269,704.90 $240,343.62 N/A $226,843.62 N/A
Primary Antenna SWEDL16WC/17-EP $52,345.03 $51,990.03 $41,990.03
Side Mount antenna brackets $4,625.00 $5,000.00 Antenna requires more brackets. $0.00 N/A
UHF-Low Power, Side Mount, Broadband Panel, 16 bay, 12.0kW input, Elliptical $41,990.03 $41,990.03 Please see SWR LP Quote 23685 and actual shipping costs on Invoice 22026 $41,990.03 N/A
Sweep test of transmission line and antenna $5,730.00 $5,000.00 Line is more than 10 years old and needs to be swept to see if it needs replacement for UHF operation N/A N/A

Components

Actual Information Description File Name
Side Mount antenna brackets Information not provided.
UHF-Low Power, Side Mount, Broadband Panel, 16 bay, 12.0kW input, Elliptical

Component Description:
WRTN-LD Pre-Repack CH7
Amount:
$41,990.03
Sweep test of transmission line and antenna Information not provided.

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,856.65 $1,856.65 N/A $1,856.65 N/A
Total for all systems $269,704.90 $240,343.62 N/A $226,843.62 N/A
Primary Transmission Line $1,856.65 $1,856.65 $1,856.65
Line Connectors $1,856.65 $1,856.65 Please see WRTN-LD SWR 2211 $1,856.65 N/A

Components

Actual Information Description File Name
Line Connectors

Component Description:
1-5/8" EIA swivel flanged 90 elbow
Amount:
$1,856.65

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $77,546.05 $72,846.05 N/A $72,846.05 N/A
Total for all systems $269,704.90 $240,343.62 N/A $226,843.62 N/A
Primary Tower GTOWER $77,546.05 $72,846.05 $72,846.05
Complex Tower (includes, e.g., towers with candelabras and/or stacked antennas) $68,846.05 $68,846.05 Please see WDYC-LD American Tower Invoice 482820 $68,846.05 N/A
Study needed for guyed or free-standing tower $8,700.00 $4,000.00 Please see WRTN-LD Primary Tower Structural Analysis Budget Revision Justification Letter $4,000.00 N/A

Components

Actual Information Description File Name
Complex Tower (includes, e.g., towers with candelabras and/or stacked antennas)

Component Description:
PO LINE 1 - Closeout Complete Construction
Amount:
$68,846.05
Study needed for guyed or free-standing tower

Component Description:
PO Line 1
Amount:
$4,000.00

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $10,550.00 $13,105.72 N/A $13,105.72 N/A
Total for all systems $269,704.90 $240,343.62 N/A $226,843.62 N/A
Outside Professional Services $10,550.00 $13,105.72 $13,105.72
Project management of the transition $10,550.00 $13,105.72 Please see WRTN-LD Project Management Budget Revision Justification Letter. The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. $13,105.72 N/A

Components

Actual Information Description File Name
Project management of the transition

Component Description:
Project Management
Amount:
$7,493.27

Component Description:
Project Management
Amount:
$1,023.00

Component Description:
Project Management
Amount:
$4,589.45

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $3,500.00 $3,500.00 N/A $0.00 N/A
Total for all systems $269,704.90 $240,343.62 N/A $226,843.62 N/A
Other Expenses $3,500.00 $3,500.00 $0.00
Equipment Delivery and Handling Charges $3,000.00 $3,000.00 Delivery & Handling charges. N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $500.00 $500.00 Scrap old equipment. N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $269,704.90 $240,343.62 $226,843.62

Reimbursement Status

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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

Certification

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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.

  1. The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  3. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

  5. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

  7. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  8. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Richard C Goetz

Partner


09/23/2022

Certification

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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.

  1. The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  2. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  3. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.

  4. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  5. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  6. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Richard C Goetz

Partner


09/23/2022

Attachments

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