Free 302-AM - Federal

Federal Communications Commission Washington, D. C. 20554

Approved by OMB 3060-0627 Expires 01/31/98

FOR FCC USE ONLY

FCC 302-AM APPLICATION FOR AM BROADCAST STATION LICENSE
(Please read instructions before filling out form.

FOR COMMISSION USE ONLY FILE NO.

SECTION I - APPLICANT FEE INFORMATION
1. PAYOR NAME (Last, First, Middle Initial)

MAILING ADDRESS (Line 1) (Maximum 35 characters) MAILING ADDRESS (Line 2) (Maximum 35 characters) CITY TELEPHONE NUMBER (include area code) 2. A. Is a fee submitted with this application? B. If No, indicate reason for fee exemption (see 47 C.F.R. Section Governmental Entity C. If Yes, provide the following information: Enter in Column (A) the correct Fee Type Code for the service you are applying for. Fee Type Codes may be found in the "Mass Media Services Fee Filing Guide." Column (B) lists the Fee Multiple applicable for this application. Enter fee amount due in Column (C). Noncommercial educational licensee Other (Please explain): STATE OR COUNTRY (if foreign address) CALL LETTERS ZIP CODE

OTHER FCC IDENTIFIER (If applicable) Yes No

(A) FEE TYPE CODE

(B) FEE MULTIPLE

(C) FEE DUE FOR FEE TYPE CODE IN COLUMN (A)

FOR FCC USE ONLY

0
(A)

0

0
(B)

1

$

To be used only when you are requesting concurrent actions which result in a requirement to list more than one Fee Type Code. (C) FOR FCC USE ONLY

0

0

0

1

$

ADD ALL AMOUNTS SHOWN IN COLUMN C, AND ENTER THE TOTAL HERE. THIS AMOUNT SHOULD EQUAL YOUR ENCLOSED REMITTANCE.

TOTAL AMOUNT REMITTED WITH THIS APPLICATION

FOR FCC USE ONLY

$

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FCC 302-AM August 1995

SECTION II - APPLICANT INFORMATION
1. NAME OF APPLICANT MAILING ADDRESS CITY STATE ZIP CODE

2. This application is for:

Commercial AM Directional
Call letters Community of License

Noncommercial AM Non-Directional
Expiration Date of Last Construction Permit

Construction Permit File No. Modification of Construction Permit File No(s).

3. Is the station now operating pursuant to automatic program test authority in accordance with 47 C.F.R. Section 73.1620? If No, explain in an Exhibit.

Yes Exhibit No.

No

4. Have all the terms, conditions, and obligations set forth in the above described construction permit been fully met? If No, state exceptions in an Exhibit. 5. Apart from the changes already reported, has any cause or circumstance arisen since the grant of the underlying construction permit which would result in any statement or representation contained in the construction permit application to be now incorrect? If Yes, explain in an Exhibit.

Yes Exhibit No.

No

Yes

No

Exhibit No.

Yes

6. Has the permittee filed its Ownership Report (FCC Form 323) or ownership certification in accordance with 47 C.F.R. Section 73.3615(b)?

No

Does not apply If No, explain in an Exhibit.
Exhibit No.

7. Has an adverse finding been made or an adverse final action been taken by any court or administrative body with respect to the applicant or parties to the application in a civil or criminal proceeding, brought under the provisions of any law relating to the following: any felony; mass media related antitrust or unfair competition; fraudulent statements to another governmental unit; or discrimination? If the answer is Yes, attach as an Exhibit a full disclosure of the persons and matters involved, including an identification of the court or administrative body and the proceeding (by dates and file numbers), and the disposition of the litigation. Where the requisite information has been earlier disclosed in connection with another application or as required by 47 U.S.C. Section 1.65(c), the applicant need only provide: (i) an identification of that previous submission by reference to the file number in the case of an application, the call letters of the station regarding which the application or Section 1.65 information was filed, and the date of filing; and (ii) the disposition of the previously reported matter.

Yes

No

Exhibit No.

FCC 302-AM (Page 2) August 1995

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8. Does the applicant, or any party to the application, have a petition on file to migrate to the expanded band (1605-1705 kHz) or a permit or license either in the existing band or expanded band that is held in combination (pursuant to the 5 year holding period allowed) with the AM facility proposed to be modified herein? If Yes, provide particulars as an Exhibit.

Yes

No

Exhibit No.

The APPLICANT hereby waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because use of the same, whether by license or otherwise, and requests and authorization in accordance with this application. (See Section 304 of the Communications Act of 1934, as amended). The APPLICANT acknowledges that all the statements made in this application and attached exhibits are considered material representations and that all the exhibits are a material part hereof and are incorporated herein as set out in full in CERTIFICATION 1. By checking Yes, the applicant certifies, that, in the case of an individual applicant, he or she is not subject to a denial of federal benefits that includes FCC benefits pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 862, or, in the case of a non-individual applicant (e.g., corporation, partnership or other unincorporated association), no party to the application is subject to a denial of federal benefits that includes FCC benefits pursuant to that section. For the definition of a "party" for these purposes, see 47 C.F.R. Section 1.2002(b).
Yes No

2. I certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith.
Name Signature

Title

Date

Telephone Number

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
FCC NOTICE TO INDIVIDUALS REQUIRED BY THE PRIVACY ACT AND THE PAPERWORK REDUCTION ACT The solicitation of personal information requested in this application is authorized by the Communications Act of 1934, as amended. The Commission will use the information provided in this form to determine whether grant of the application is in the public interest. In reaching that determination, or for law enforcement purposes, it may become necessary to refer personal information contained in this form to another government agency. In addition, all information provided in this form will be available for public inspection. If information requested on the form is not provided, the application may be returned without action having been taken upon it or its processing may be delayed while a request is made to provide the missing information. Your response is required to obtain the requested authorization. Public reporting burden for this collection of information is estimated to average 639 hours and 53 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, can be sent to the Federal Communications Commission, Records Management Branch, Paperwork Reduction Project (3060-0627), Washington, D. C. 20554. Do NOT send completed forms to this address. THE FOREGOING NOTICE IS REQUIRED BY THE PRIVACY ACT OF 1974, P.L. 93-579, DECEMBER 31, 1974, 5 U.S.C. 552a(e)(3), AND THE PAPERWORK REDUCTION ACT OF 1980, P.L. 96-511, DECEMBER 11, 1980, 44 U.S.C. 3507.
FCC 302-AM (Page 3) August 1995

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SECTION III - LICENSE APPLICATION ENGINEERING DATA Name of Applicant

PURPOSE OF AUTHORIZATION APPLIED FOR: (check one) Station License Direct Measurement of Power

1. Facilities authorized in construction permit File No. of Construction Permit Frequency Call Sign (if applicable) (kHz) 2. Station location State

Hours of Operation Night

Power in kilowatts Day

City or Town

3. Transmitter location State County City or Town Street address (or other identification)

4. Main studio location State County City or Town Street address (or other identification)

5. Remote control point location (specify only if authorized directional antenna) State County City or Town Street address (or other identification)

6. Has type-approved stereo generating equipment been installed? 7. Does the sampling system meet the requirements of 47 C.F.R. Section 73.68?

Yes Yes

No No

Not Applicable Attach as an Exhibit a detailed description of the sampling system as installed.
Exhibit No.

8. Operating constants: RF common point or antenna current (in amperes) without modulation for night system Measured antenna or common point resistance (in ohms) at operating frequency Night Day Antenna indications for directional operation Antenna monitor Phase reading(s) in degrees Towers Night Day

RF common point or antenna current (in amperes) without modulation for day system Measured antenna or common point reactance (in ohms) at operating frequency Night Day

Antenna monitor sample current ratio(s) Night Day

Antenna base currents Night Day

Manufacturer and type of antenna monitor:

FCC 302-AM (Page 4) August 1995

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SECTION III - Page 2 9. Description of antenna system ((f directional antenna is used, the information requested below should be given for each element of the array. Use separate sheets if necessary.) Type Radiator Overall height in meters of radiator above base insulator, or above base, if grounded. Overall height in meters above ground (without obstruction lighting) Overall height in meters above ground (include obstruction lighting)
If antenna is either top loaded or sectionalized, describe fully in an Exhibit. Exhibit No.

Excitation

Series

Shunt

Geographic coordinates to nearest second. For directional antenna give coordinates of center of array. For single vertical radiator give tower location. North Latitude o ' " West Longitude o ' "

If not fully described above, attach as an Exhibit further details and dimensions including any other antenna mounted on tower and associated isolation circuits. Also, if necessary for a complete description, attach as an Exhibit a sketch of the details and dimensions of ground system.

Exhibit No.

Exhibit No.

10. In what respect, if any, does the apparatus constructed differ from that described in the application for construction permit or in the permit?

11. Give reasons for the change in antenna or common point resistance.

I certify that I represent the applicant in the capacity indicated below and that I have examined the foregoing statement of technical information and that it is true to the best of my knowledge and belief. Name (Please Print or Type) Signature (check appropriate box below)

Address (include ZIP Code)

Date

Telephone No. (Include Area Code)

Technical Director

Registered Professional Engineer

Chief Operator

Technical Consultant

Other (specify)

FCC 302-AM (Page 5) August 1995

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