Fcc Form 327 Application For Cable Television Relay Service Station License Page 8
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12APPLICATION FOR CABLE TELEVISION RELAY SERVICE STATION LICENSE
SCHEDULE D. Receive Site Data
Site Number: ________
Transmit Antenna Make and Model
Center-Line Height Above Ground Level
(in meters):
Receive Antenna Make and Model
Center Line Height Above Ground Level
(in meters):
Reflector Size (if applicable)
Height (in meters):
X
Width (in meters):
Second Transmit Antenna Make and Model (if applicable)
Center-Line Height Above Ground Level
(in meters):
Second Receive Antenna Make and Model (if applicable)
Center-Line Height Above Ground Level
(in meters):
If the structure is proposed, indicate the call sign of any AM non-directional stations
located within 1.0 km or directional AM stations within 3.0 km of the proposed structure:
Overall height above ground level (OHAGL)
OHAGL
of
structure
without
Height of ground above mean
of structure with appurtenances (in meters):
appurtenances (in meters):
sea level (AMSL) (in meters):
Note: All geographic coordinates must be in NAD 83.
Latitude
(Circle one.)
Longitude
(Circle one.)
(dd-mm-ss.s)
North or South
(ddd-mm-ss.s)
East or West
Transmitting Azimuth
Path Distance
Structure Code:
(ddd.d °T)
(in kilometers):
Site Information
Site Community Name
FCC Antenna Structure Registration Number
or N/A (FAA Notification not Required):
Location (street address or distance and direction outside the community)
County/Borough/Parish
State
•
If the applicant proposes construction of a major communications facility as defined in Part 1, Subpart I of the Commission’s Rules, attach as
Exhibit D-1 a statement containing the information required in Part 1, Subpart I.
•
If these facilities will be mounted on an antenna support structure previously authorized by the Commission, indicate the tower registration
number at the bottom of this page or include as Exhibit D-2 a statement establishing why registration is not required.
•
Construction of certain structures and alterations to structures may require notification to the Federal Aviation Administration (FAA). (See
47 C.F.R. § 17.7.) If such a notification was made and the construction or alteration is proposed, attach as Exhibit D-3 a copy of such
notification or FCC Form 854.
•
If this application may have a significant environmental effect as defined in 47 C.F.R. § 1.1307, attach as Exhibit D4 an Environmental
Assessment prescribed by 47 C.F. R. § 1.1311.
FCC 327
Approved by OMB
3060-0055
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal