Form FCC Form 301-CA FCC Form 301-CA Application for Authority to Construct or Make Changes i

Federal Communications Commission
Washington, D.C. 20554

Not Approved by OMB
3060-0932

FCC 301-CA
APPLICATION FOR AUTHORITY
TO CONSTRUCT OR MAKE CHANGES IN A
CLASS A TELEVISION BROADCAST STATION
GENERAL INSTRUCTIONS
A. This FCC form is to be used in all cases by a Class A
television station for authority to construct a new digital
class A television station or to make changes in the
existing facilities of such station. The form consists of
the following sections:
I. General Information
II. Legal Qualifications
III. Engineering Data and Preparer's Certification (for
preparer of engineering sections of the application)
An applicant seeking a permit to construct a new station
must complete Sections I, II and III. No section may be
omitted. However, with respect to Section II, an applicant
for major change in facilities need fill out only Items 1, 7,
9 and 10 in that section. Similarly, an applicant for a
minor change in facilities need fill out only Items 1 and
10 of Section II.
B. This application form makes references to FCC rules.
Applicants should have on hand and be familiar with
current broadcast rules in Title 47 of the Code of Federal
Regulations (C.F.R.):
(1) Part 0
(2) Part 1
(3) Part 73
(4) Part 74

"Commission Organization"
"Practice and Procedure"
"Radio Broadcast Services"
"Experimental, Auxiliary, and Special
Broadcast and Other Program
Distributional Services"

FCC Rules may be purchased from the Government
Printing Office. Current prices may be obtained from the
GPO Customer Service Desk at (202) 512-1803. For
payment by credit card, call (202) 512-1800, M-F, 8 a.m.
to 4 p.m. e.s.t; facsimile orders may be placed by dialing
(202) 518-2233, 24 hours a day. Payment by check may
be made to the Superintendent of Documents, Attn: New
Orders, P.O. Box 371954, Pittsburgh, PA 15250-7954.
C. This application must be filed electronically by using
broadcast radio and television electronic filing system
(CDBS). The CDBS system can be obtained at FCC’s
Internet Website at http://www.fcc.gov.

All previous editions obsolete.

D. A copy of the completed application and all related
documents shall be made available for inspection at the
request of the Commission. The station records should be
maintained at an accessible location in one of the
communities of license of the LPTV, TV translator or TV
booster, except that the station records of a translator or
booster owned by the licensee of the primary station
rebroadcast may be kept at the same place where the
primary station's records are kept. See 47 C.F.R. Section
74.781.
E. Applicants should provide all information requested by
this application. No section may be omitted. If any
portions of the application are not applicable, the
applicant should so state. Defective or incomplete
applications will be returned without consideration.
Inadvertently accepted applications are also subject to
dismissal.
F.

In accordance with 47 C.F.R. Section 1.65, applicants
have a continuing obligation to advise the Commission,
through amendments, of any substantial and material
changes in the information furnished in this application.
This requirement continues until the FCC action on this
application is no longer subject to reconsideration by the
Commission or review by any court.

G. This application requires applicants to certify compliance
with certain statutory and regulatory requirements.
Detailed instructions provide additional information
regarding Commission rules and policies.
These
materials are designed to track the standards and criteria
which the Commission applies to determine compliance
and to increase the reliability of applicant certifications.
They are not intended to be a substitute for familiarity
with the Communications Act and the Commission's
regulations, policies, and precedent. While applicants are
required to review all application instructions, they are
not required to complete or retain any documentation
created or collected to complete the application.
H. This application is presented primarily in a "Yes/No"
certification format. However, it contains appropriate
places for submitting explanations and exhibits where
necessary or appropriate. Each certification constitutes a
material representation. Applicants may only mark the
"Yes" certification when they are certain that the response
is correct. A "No" response is required if the applicant is
FCC 301-CA Instructions
Draft

Facility ID Number by calling: Radio - 202-418-2700, TV 202-418-1600. Further, the Facility ID Number is now
included on all Radio and TV authorizations and postcards.

requesting a waiver of a pertinent rule and/or policy, or
where the applicant is uncertain that the application fully
satisfies the pertinent rule and/or policy. Thus, a "No"
response to any of the certification items will not cause
the immediate dismissal of the application provided that
an appropriate exhibit is submitted.
I.

B. Item 2: Contact Representative. If the applicant is
represented by a third party (for example, legal counsel),
that person's name, firm or company, and
telephone/electronic mail address may be specified in
Item 2.

The applicant, and the applicant's authorized
engineering representative, if any, must sign the
application. Depending on the nature of the applicant,
the application should be signed as follows: if a sole
proprietorship, personally; if a partnership, by a general
partner; if a corporation, by an officer; for an
unincorporated association, by a member who is an
officer; if a governmental entity, by such duly elected or
appointed official as is competent under the laws of the
particular jurisdiction. Counsel may sign the application
for his or her client, but only in cases of the applicant's
disability or absence from the United States. If the
application is filed electronically, the signature will
consist of the electronic equivalent of the typed name of
the individual. See Report and Order in MM Docket No.
98-43, 13 FCC Rcd 23056, 23064 (1998).

INSTRUCTIONS
INFORMATION

FOR

SECTION

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C. Item 3: Fees. By law, the Commission is required to
collect charges for certain of the regulatory services it
provides to the public. Generally, applicants seeking to
construct a new low power television, television
translator, or television booster station or to make a
major change in the authorized facilities of such stations
are required to pay and submit a fee with the filing of
FCC Form 346. However, governmental entities, which
include any possession, state, city, county, town, village,
municipal corporation or similar political organization or
subpart thereof controlled by publicly elected and/or duly
appointed public officials exercising sovereign direction
and control over their respective communities or
programs, are exempt from the payment of this fee. Also
exempted from this fee are licensees of noncommercial
educational FM and full-service television broadcast
station licensees and permittees seeking to construct a
new low power television, television translator or
television booster stations, or to make major changes in
the authorized facilities of such stations, provided those
stations will be operated or operate on a noncommercial
educational basis. A licensee or permittee of a low power
television or television translator station, which is filing a
major change application and which earlier obtained
either a fee refund because of a NTIA facilities grant for
that station or a fee waiver because of demonstrated
compliance with the eligibility and service requirements
of 47 C.F.R. Section 73.621, is similarly exempt from
payment of this fee. See 47 C.F.R. Section 1.1112. There
are no fees required with the submission of a minor
change application.

GENERAL

A. Item 1: Applicant Name. The legal name of the
applicant must be stated exactly in Item 1. If the applicant
is a corporation, the applicant should list the exact
corporate name; if a partnership, the name under which
the partnership does business; if an unincorporated
association, the name of an executive officer, his/her
office, and the name of the association; and, if an
individual applicant, the person's full legal name.
Applicants should use only those state abbreviations
approved by the U.S. Postal Service.
FCC Registration Number (FRN). To comply with the
Debt Collection Improvement Act of 1996, the applicant
must enter its FRN number, a ten-digit unique entity
identifier for anyone doing business with the
Commission. The FRN can be obtained through the FCC
webpage at http://www.fcc.gov or by manually
submitting FCC Form 160. FCC Form 160 is available for
downloading from http://www.fcc.gov/formpage.html
or by calling 1-800-418-3676. Questions concerning the
FCC Registration Number can be directed to the
Commission’s Registration System help desk at
http://[email protected] or by calling 1-877-4803201.

When filing a fee-exempt application, an applicant must
complete Item 3 and provide an explanation as
appropriate. Applications NOT subject to a fee may be
hand-delivered or mailed to the FCC at its Washington,
D.C. offices. See 47 C.F.R. Section 0.401(a). Fee-exempt
applications should not be sent to the Mellon Bank
Lockbox; so doing will result in a delay in processing the
application.
The Commission's fee collection program utilizes a U.S.
Treasury lockbox bank for maximum efficiency of
collection and processing. Prior to the institution of
electronic filing procedures, all FCC Form 346
applications requiring the remittance of a fee, or for
which a waiver or deferral from the fee requirement is

Facility ID Number. Radio and TV Facility ID Numbers
can be obtained at the FCC's Internet Website at
www.fcc.gov/mb. Once at this website, scroll down and
select CDBS Public Access. You can also obtain your

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requested, must be submitted to the appropriate post
office box address. See 47 C.F.R. Section 0.401(b). A
listing of the required fee and the address to which FCC
Form 346 should be mailed or otherwise delivered are
also set forth in the "Media Services Fee Filing Guide."
This document can be obtained either by writing to the
Commission's Form Distribution Center, 9300 E.
Hampton Drive, Capitol Heights, Maryland 20743, or by
calling 1-800-418-FORM and leaving a request on the
answering machine provided for this purpose. See also 47
C.F.R. Section 1.1104. The Fee Filing Guide also
contains a list of the Fee Type Codes needed to complete
this application.

B. Item 2: Parties to the Application. The words “Parties
to the Application” have the following meanings:

Payment of any required fee must be made by check,
bank draft, money order, or credit card. If payment is
made by check, bank draft, or money order, the
remittance must be denominated in U.S. dollars, drawn
upon a U.S. institution, and made payable to the Federal
Communications Commission. No postdated, altered, or
third-party checks will be accepted. DO NOT SEND
CASH. Additionally, checks dated six months or older
will not be accepted.

CORPORATE APPLICANT:
All officers and
directors, and all persons or entities who are the
beneficial or record owners or have the right to vote any
capital stock, membership or ownership interests of one
percent or more, or subscribers to such interests, shall be
considered parties to this application. If any corporation
or other legal entity owns stock in the applicant, its
officers, directors and persons or entities who are the
beneficial or record owners or have the right to vote
capital stock, membership or ownership interests of one
percent or more, or subscribers to such interests, of that
entity shall also be considered parties to this application.

APPLICANT: The individual or entity seeking the
proposed facilities.
INDIVIDUAL APPLICANT:
The natural person
applying for the facilities in his or her own right.
PARTNERSHIP APPLICANT: All partners, including
limited partners having an interest of one percent or more
in profits. If any partner is a corporation or other entity,
the definitions set forth below will apply.

Procedures for payment of application fees when
applications are filed electronically will be announced by
subsequent Public Notice. See General Instruction C
above. Payment of application fees may also be made by
Electronic Payment prior to the institution of electronic
filing, provided that prior approval has been obtained
from the Commission. Applicants interested in this option
must first contact the Credit and Debt Management
Center at (202) 418-1995 to make the necessary
arrangements.

ANY OTHER APPLICANT: All executive officers,
members of the governing board, and owners or
subscribers to membership with ownership interests of
one percent or more in the applicant.
C. Item 3: Local Public Notice. An applicant seeking to
make a major change in the authorized facilities of a
Class A television station (as defined in 47 C.F.R. Section
73.3572) must give local notice in a newspaper of general
circulation in the community or area to be served by such
station. Local notice is also required to be broadcast over
the station, if operating. However, if the station is the
only operating station in its broadcast service licensed to
the community involved, publication of the notice in a
newspaper is not required.

For further information regarding the applicability of a
fee, the amount of the fee, or the payment of the fee,
applicants should consult the " Media Bureau Fee Filing
Guide."
D. Item 4: Service Type. This question requires the
applicant to identify the facility for which the application
is filed.

Completion of publication may occur within 30 days after
the tender of the application to the Commission. Intent to
comply with the public notice requirements must be
certified to by the major change applicant in Item 3 of
Section II of this application. The required content of the
local notice is described in paragraph (f) of 47 C.F.R.
Section 73.3580.
Worksheet #1 attached to these
instructions provides additional guidance. Proof of
publication need not be filed with this application.

E. Item 5: Purpose of Application. This question requires
the applicant to identify the purpose of the application.

INSTRUCTIONS
INFORMATION

FOR

SECTION

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LEGAL

A. Item 1: Certification. Each applicant is responsible for
the information that the application instructions convey.
As a key element in the Commission's streamlined
licensing process, a certification that these materials have
been reviewed and that each question response is based
on the applicant's review is required.

D. Item 4: Rebroadcast Certification. A Class A television
station operator proposing to rebroadcast the signal of a
primary station which it does not own must obtain written

3

arrangement it had entered into relating to the
competitive bidding process. See 47 C.F.R. Section
1.2107(d).

permission of that station prior to retransmission of that
signal. See 47 C.F.R. Section 74.784. If applicable,
Section II, Item 4 requires the applicant to certify that such
written authority has been received.
(2)

Section 1.2110(j) requires applicants claiming
designated entity status to describe how they
satisfy the requirements for eligibility for such
status, and to list and summarize all agreements
that affect designated entity status, such as
partnership agreements, shareholder agreements,
management agreements, and any other
agreements, including oral agreements, which
establish that the designated entity will have both
de facto and de jure control of the entity. See 47
C.F.R. Section 1.2110(i).

(3)

Section 1.2112(a) requires that each long-form
application fully disclose the real party or parties in
interest and disclose specified ownership
information, including identifying any party
holding a 10 percent or greater interest in the
applicant. See 47 C.F.R. Section 1.2112(a).

(4)

Section 1.2112(b) requires each applicant claiming
status as a "small business" to disclose specified
gross revenue information; to list and summarize
all agreements or instruments that support the
applicant's eligibility as a small business, including
the establishment of de facto and de jure control;
and to list and summarize any investor protection
agreements. See 47 C.F.R. Section 1.2112(b).

E. Item 6: Program Service Certification. Low power
television stations must offer a broadcast program service.
A non-broadcast service is not permitted.
F.

Item 7: Local Public Notice. Applicants for construction
permits for a new low power, TV translator or TV booster
station or to make changes in the existing facilities of
such a station (as defined in 47 C.F.R. Section
73.3572(a)) give local notice in a daily, weekly or
biweekly newspaper of general circulation in the
community or area to be served. See 47 C.F.R. Section
73.3580. However, if there is no newspaper published or
circulated in the community or area to be served, the
applicant can choose an appropriate means of providing
this notice to the public.
Completion of publication may occur within 30 days after
the tender of the application to the Commission.
Compliance or intent to comply with the public notice
requirements must be certified by the applicant in Item 7
of Section II of this application. The required content of
the local notice is described in Paragraph (g) of 47 C.F.R.
Section 73.3580. Worksheet #1 attached to these
instructions provides additional guidance. Proof of
publication need not be filed with this application.

G. Item 8: Rebroadcast Certification. A LPTV or TV
translator station operator proposing to rebroadcast the
signal of a primary station which it does not own must
obtain written permission of that station prior to
retransmission of that signal. See 47 C.F.R. Section
74.784. Section II, Item 8 requires the applicant to certify
that such written authority has been received. TV
translator applicants proposing to rebroadcast the signal
of stations that they own, as well as applicants for TV
booster stations, should mark the box labelled "Yes."

I.

Section 5301 of the Anti-Drug Abuse Act of 1988
provides federal and state court judges the discretion to
deny federal benefits to individuals convicted of offenses
consisting of the distribution or possession of controlled
substances. Federal benefits within the scope of the
statute include FCC authorizations. A "Yes" response to
Item 10 constitutes a certification that neither the
applicant nor any party to this application has been
convicted of such an offense or, if it has, it is not
ineligible to receive the authorization sought by this
application because of Section 5301.

H. Item 9: Auction Authorization. The Commission's Part
1 auction rules require all winning bidders for
construction permits or licenses to include certain exhibits
with their long-form applications. If this application is
being submitted to obtain a construction permit for
which the applicant was a winning bidder in an
auction, then the applicant must, pursuant to 47 C.F.R.
Section 73.5005(a), include an exhibit containing the
information required by the following Part 1 auction
rules, if applicable.
(1)

Item 10: Anti-Drug Abuse Act Certification. This
question requires the applicant to certify that neither it nor
any party to the application is subject to denial of federal
benefits pursuant to the Anti-Drug Abuse Act of 1988,
21 U.S.C. Section 862.

NOTE: With respect to this question only, the term
"party to the application" includes if the applicant is an
individual, that individual; if the applicant is a
corporation or unincorporated association, all officers,
directors, or persons holding 5 percent or more of the
outstanding stock or shares (voting and/or non-voting) of
the applicant; all members if a membership association;

Section 1.2107(d) requires the applicant to provide
a detailed explanation of the terms, conditions, and
parties involved in any bidding consortium, joint
venture, partnership, or other agreement or

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and if the applicant is a partnership, all general partners
and all limited partners, including both insulated and noninsulated limited partners, holding a 5 percent or more
interest in the partnership.

F. Items 5-7: Elevation and Heights. All heights must be
in meters, rounded to the nearest whole number.
G. Items 8-9: Effective Radiated Power. The effective
radiated power must be entered in kilowatts, and rounded
pursuant to 47 C.F.R. Section 73.212.

INSTRUCTIONS FOR SECTION III – ENGINEERING
DATA (Analog) AND PREPARE’S CERTIFICATION

H. Item 10: Transmitting Antenna. Specify the make and
model of the proposed antenna. Applicants proposing a
directional antenna must complete the table in Item 12.
Relative field values (0.001-1.000) must be entered for
every 10 degrees on the unit circle. Up to five azimuths
may be added at the bottom of the table for additional
accuracy. If the "No Rotation" box is checked, the
antenna pattern will be entered with 0 Degrees oriented
towards True North in the Commission's database.
However, if the "Rotation" question is completed the
antenna pattern will be rotated clockwise by the number
of whole degrees indicated in the "Rotation" box. For
example, if the maximum relative field value from the
table is 0 Degrees, and the Rotation is 135 Degrees, the
maximum lobe of the antenna will be oriented at 135
Degrees in the Commission's database.

A. Tech Box: The applicant must accurately specify the
requested facilities in Items 1 through 12 of the Tech
Box. Conflicting data found elsewhere in the application
will be disregarded. All items must be completed. The
response "on file" is not acceptable. The response "not
applicable" is not acceptable unless otherwise noted
below.
B. Item 1: Channel. The proposed channel must be
between 2 and 69. See 47 C.F.R. Section 74.702.
C. Item 2: Frequency Offset. The frequency offset must be
specified. See 47 C.F.R. Section 74.750.
D. Item 3: Antenna Location Coordinates. The latitude
and longitude coordinates for all points in the United
States are based upon the 1927 North American Datum
(NAD 27). The National Geodetic Survey is in the
process of replacing NAD 27 with the more accurate
1983 North American Datum (NAD 83) and updating
current topographic maps with NAD 83 datum. In
addition, coordinates determined by use of the satellitebased Global Positioning System already reflect the NAD
83 datum. To prevent intermixing of data using two
different datums, however, the Commission announced
that until further notice, applicants are to furnish
coordinates based on the NAD 27 datum on all
submissions and the Commission will continue to specify
NAD 27 coordinates in its data bases and authorizations.
In addition, applicants who have already filed
applications with coordinates that reflect NAD 83 datum
must provide NAD 27 coordinates to the appropriate
Commission licensing bureau. See Public Notice, entitled
"FCC Interim Procedures for the Specification of
Geographic Coordinates," 3 FCC Rcd 1478 (1988).
E. Item 4: Antenna Structure Registration Number. The
Antenna Structure Registration number should be entered
here. Most towers greater than 61 meters (200 feet) in
height, or those located near airports require antenna
registration numbers. See 47 C.F.R. Section 17.4. If the
tower does not require registration, indicate that
registration is Not Applicable, or if the FAA has not yet
ruled on a proposed structure, indicate whether the FAA
Notification has been filed with the FAA.

I.

Item 11: Interference. The applicant must certify that
the proposal complies with all applicable interference
protection requirements governing LPTV and TV
translator stations.

J.

Item 12: Environmental Protection Act. The National
Environmental Policy Act of 1969 requires all federal
agencies to ensure that the human environment is given
consideration in all agency decision-making. Since
January 1, 1986, applications for new broadcast stations,
modifications of existing stations, and license renewals
must contain either an environmental assessment that will
serve as the basis for further Commission review and
action, or an indication that operation of the station will
not have a significant environmental impact. See 47
C.F.R. Section 1.1307(b). In this regard, applicants are
required to look at eight environmental factors. These
factors are relatively self-explanatory, except for the
evaluation of whether the station adequately protects the
public and workers from potentially harmful
radiofrequency (RF) electromagnetic fields.
New RF Exposure Requirements. In 1996, the
Commission adopted new guidelines and procedures for
evaluating environmental effects of RF emissions. All
applications subject to environmental processing filed on
or after October 15, 1997 must demonstrate compliance
with the new requirements. These new guidelines
incorporate two tiers of exposure limits:
General population/uncontrolled exposure limits apply
to situations in which the general public may be exposed
or in which persons who are exposed as a consequence of

5

their employment may not be made fully aware of the
potential for exposure or cannot exercise control over
their exposure. Members of the general public are always
considered under this category when exposure is not
employment-related.
Occupational/controlled exposure limits apply to human
exposure to RF fields when persons are exposed as a
consequence of their employment and in which those
persons who are exposed have been made fully aware of
the potential for exposure and can exercise control over
their exposure. These limits also apply where exposure is
of a transient nature as a result of incidental passage
through a location where exposure levels may be above
the general populations/uncontrolled limits as long as the
exposed person has been made fully aware of the
potential for exposure and can exercise control over his or
her exposure by leaving the area or some other
appropriate means.

(2)

A statement as to the zoning classification of the
site, and communications with, or proceedings
before and determinations (if any) by zoning,
planning, environmental and other local, state, or
federal authorities on matters relating to
environmental effects.

(4)

A discussion of environmental and other
considerations that led to the selection of the
particular site and, if relevant, the particular
facility; the nature and extent of any unavoidable
adverse environmental effects; and any alternative
sites or facilities that have been or reasonably
might be considered.

(5)

If relevant, a statement why the site cannot meet
the FCC guidelines for RF exposure with respect to
the public and workers.

A. Tech Box: The applicant must accurately specify the
requested facilities in Items 1 through 12 of the Tech
Box. Conflicting data found elsewhere in the application
will be disregarded. All items must be completed. The
response "on file" is not acceptable. The response "not
applicable" is not acceptable unless otherwise noted
below.
B. Item 1: Channel. The proposed channel must be
between 2 and 69. See 47 C.F.R. Section 74.702.
C. Item 2: Antenna Location Coordinates. The latitude
and longitude coordinates for all points in the United
States are based upon the 1927 North American Datum
(NAD 27). The National Geodetic Survey is in the
process of replacing NAD 27 with the more accurate
1983 North American Datum (NAD 83) and updating
current topographic maps with NAD 83 datum. In
addition, coordinates determined by use of the satellitebased Global Positioning System already reflect the NAD
83 datum. To prevent intermixing of data using two
different datums, however, the Commission announced
that until further notice, applicants are to furnish
coordinates based on the NAD 27 datum on all
submissions and the Commission will continue to specify
NAD 27 coordinates in its data bases and authorizations.
In addition, applicants who have already filed
applications with coordinates that reflect NAD 83 datum
must provide NAD 27 coordinates to the appropriate
Commission licensing bureau. See Public Notice, entitled
"FCC Interim Procedures for the Specification of
Geographic Coordinates," 3 FCC Rcd 1478 (1988).

Should the applicant be unable to conclude that its
proposal will have no significant impact on the quality of
the human environment, it must submit an Environmental
Assessment containing the following information:
A description of the facilities as well as supporting
structures and appurtenances, and a description of
the site as well as the surrounding area and uses. If
high-intensity white lighting is proposed or utilized
within a residential area, the EA must also address
the impact of this lighting upon the residents.

A statement as to whether construction of the
facilities has been a source of controversy on
environmental grounds in the local community.

INSTRUCTIONS FOR SECTION III – ENGINEERING
DATA (Digital) AND PREPARE’S CERTIFICATION

The new guidelines are explained in more detail in OET
Bulletin 65, entitled Evaluating Compliance with FCC
Guidelines for Human Exposure to Radiofrequency
Electromagnetic Fields, Edition 97-01, released August,
1997, and Supplement A: Additional Information for
Radio and Television Broadcast Stations (referred to here
as "OET Bulletin 65" and "Supplement A," respectively).
Both OET Bulletin 65 and Supplement A can be viewed
and/or downloaded from the FCC Internet site at
http://www/fcc.gov/oet/rfsafety. Copies of any available
materials can be made in the FCC Reference Center or
obtained through the FCC’s copy contractor, Best Copy
Printing, Inc. (BCPI) at (202) 48-5300 Voice, (202) 4885563 or www.bcpiweb.com. Additional information may
be obtained from the RF Safety Group at
[email protected] or (202) 418-2464 or from the FCC
Call Center at 1-888-CALL FCC (225-5322).

(1)

(3)

D. Item 3: Antenna Structure Registration Number. The
Antenna Structure Registration number should be entered
here. Most towers greater than 61 meters (200 feet) in
height, or those located near airports require antenna

6

protection requirements governing LPTV and TV
translator stations.

registration numbers. See 47 C.F.R. Section 17.4. If the
tower does not require registration, indicate that
registration is Not Applicable, or if the FAA has not yet
ruled on a proposed structure, indicate whether the FAA
Notification has been filed with the FAA.

K. Item 12: Environmental Protection Act. Refer to Item
12 analog section.

E. Items 4-6: Elevation and Heights. All heights must be
in meters, rounded to the nearest whole number.
F.

L. Item 13: Channels 52-59. Applicants for digital LPTV
and TV translator operation on channels 52-59 must
complete two certifications. See 47 C.F.R. § 74.786(d).
First, if the applicant is applying for a digital companion
channel it must certify that no suitable channel from
channel 2-51 ("suitable in-core channel") is available.
"Suitable in-core channel" is defined as one that would
enable the station to produce a digital service area
comparable to its analog service area. Second, all
applicants for digital operations on channels 52-59 must
notify all potentially affected 700 MHz commercial
wireless licensees of the spectrum comprising the
proposed TV channel and the spectrum in the first
adjacent channels thereto. See 47 C.F.R. § 74.786(d).
Notification must be made to wireless licensees within
those licensed geographic boundaries a digital LPTV or
TV translator station propose to locate. Notification is
also required to co-channel and first adjacent channel
licensees whose geographic service area boundaries lie
within 75 miles and 50 miles, respectively, of the
proposed digital LPTV or TV translator station location.
A station seeking an on-channel digital conversion must
provide such written notifications at least 30 days in
advance of filing its minor change application. An
applicant for a digital companion channel must provide
the required notifications within 30 days of submitting its
"long-form" application.
The identity and contact
information for all wireless entities in the 700 MHz band
is readily available through the Commission's Universal
Licensing System on the Commission's web site
(www.fcc.gov). Digital LPTV and TV translator stations
may continue to operate on channels 52-59 on a
secondary basis as long as they do not technically conflict
with the operations of a primary service licensee.

Items 7: Effective Radiated Power. The effective
radiated power must be entered in kilowatts, and rounded
pursuant to 47 C.F.R. Section 73.212.

G. Item 8: Transmitter Output Power. The transmitter
output power must be entered in kilowatts.
H. Item 9: Transmitting Antenna. Specify the make and
model of the proposed antenna. Applicants proposing a
directional antenna must complete the table in Item 12.
Relative field values (0.001-1.000) must be entered for
every 10 degrees on the unit circle. Up to five azimuths
may be added at the bottom of the table for additional
accuracy. If the "No Rotation" box is checked, the
antenna pattern will be entered with 0 Degrees oriented
towards True North in the Commission's database.
However, if the "Rotation" question is completed the
antenna pattern will be rotated clockwise by the number
of whole degrees indicated in the "Rotation" box. For
example, if the maximum relative field value from the
table is 0 Degrees, and the Rotation is 135 Degrees, the
maximum lobe of the antenna will be oriented at 135
Degrees in the Commission's database. Exhibit
Instructions: The elevation antenna (or radiation) pattern
data shall be submitted in Office Open XML ("Excel
Spreadsheet") format with the first column containing
depression angle values and second (and subsequent,
when applicable) column(s) containing relative field
values. When applicable, the first row shall list the
azimuth angle being tabulated. The range of depression
angles shall be 10 degrees above horizontal (-10 degrees
depression) to 90 degrees below horizontal (90 degrees
depression) and shall include data points spaced not more
than 0.5-degree between -5 and 10 degrees depression
angle, and not more than 5 degrees elsewhere. All pattern
minima and maxima shall be included. Additional
elevation antenna (or radiation) pattern data may be
included following the column corresponding to 350
degrees TN so that the direction(s) of maximum and
minimum radiation are provided. A relative field value of
1 shall correspond to the azimuth and depression angles
corresponding to the direction of maximum ERP.
I.

Item 10. Out-of-Channel Emission Mask. Specify what
kind of mask is employed.

J.

Item 11: Interference. The applicant must certify that
the proposal complies with all applicable interference

M. Preparer's Certification. When someone other than the
applicant has prepared the engineering section of FCC
Form 346, Section III requires that person to certify, to
the best of his/her knowledge and belief, the veracity of
the technical data supplied. The Section III preparer's
certification in FCC Form 346 need not be completed if
the engineering portion of the application has been
prepared by the applicant. In that event, the applicant's
certification in Section III of FCC Form 346 will
encompass both the legal and engineering sections of the
application.

FCC NOTICE REQUIRED BY THE PAPERWORK
REDUCTION ACT

7

We have estimated that each response to this collection of
information will take 9.5 hours. Our estimate includes the time
to read the instructions, look through existing records, gather
and maintain the required data, and actually complete and
review the form or response. If you have any comments on this
burden estimate, or on how we can improve the collection and
reduce the burden it causes you, please e-mail them to
[email protected] or send them to the Federal Communications
Commission, AMD-PERM, Paperwork Reduction Project
(3060-0932), Washington, DC 20554. Please DO NOT SEND
COMPLETED APPLICATIONS TO THIS ADDRESS.
Remember - you are not required to respond to a collection of
information sponsored by the Federal government, and the
government may not conduct or sponsor this collection, unless it
displays a currently valid OMB control number or if we fail to
provide you with this notice. This collection has been assigned
an OMB control number of 3060-0932.
THE FOREGOING NOTICE IS REQUIRED BY THE
PAPERWORK REDUCTION ACT OF 1995, P.L.104-13,
OCTOBER 1, 1995, 44 U.S.C. 3507.

8

Federal Communications Commission
Washington, D.C. 20554

Not Approved by OMB
3060-0932

FCC 301-CA
APPLICATION FOR AUTHORITY TO
CONSTRUCT OR MAKE CHANGES IN A CLASS
A TELEVISION BROADCAST STATION

FOR
FCC
USE
ONLY

FOR COMMISSION USE ONLY
FILE NO.

Section I - General Information
1.

Legal Name of the Applicant

Mailing Address
City

State or Country (if foreign address)

Telephone Number (include area code)

E-Mail Address (if available)

FCC Registration Number

2.

Call Sign

Contact Representative (if other than Applicant)

ZIP Code

Facility Identifier

Firm or Company Name

Mailing Address

3.

City

State or Country (if foreign address)

Telephone Number (include area code)

E-Mail Address (if available)

If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):
Governmental Entity

4.

ZIP Code

Noncommercial Educational Licensee

a.

Service Type:

Analog

b.

Community of License:

City

Other

Digital
State

5. Purpose of Application:
New Station

Minor Change in licensed facility

Major Change in licensed facility

Minor Modification of construction permit

Major Modification of construction permit

Amendment to pending application

Digital Flash Cut

Digital LPTV Companion Channel

Displacement

Exhibit No.

a. File number of original construction permit or pending application:
If an amendment, submit as an Exhibit a listing by Section and Question Number the
portions of the pending application that are being revised.

Not applicable
Exhibit No.

FCC Form 301 -CA
Draft

NOTE: In addition to the information called for in this section, an explanatory exhibit providing full particulars must be
submitted for each question for which a ''No'' response is provided.
Section II - Legal
1.

Certification. Licensee certifies that it has answered each question in this application
based on its review of the application instructions and worksheets. Licensee further
certifies that where it has made an affirmative certification below, this certification
constitutes its representation that the application satisfies each of the pertinent
standards and criteria set forth in the application instructions and worksheets.

Yes

No

2.

Continued Eligibility. License certifies that its station does, and will continue to,
broadcast: (a) a minimum of 18 hours per day; and (b) an average of at least 3 hours
per week of programming each quarter produced within the market area served by the
station, or the market area served by a group of commonly controlled low-power or
Class A stations that carry common local programming produced within the market
area served by such groups.

Yes

No

3.

Local Public Notice. (For major change Applicants Only) Applicant certifies that it
will comply with the public notice requirements of 47 C.F.R. Section 73.3580.

Yes

No

4.

Rebroadcast Certification. (For Applicants proposing rebroadcasts that are not the
licensee of the primary station) Applicant certifies that written authority has been
obtained from the licensee of the station whose programs are to be retransmitted.

Yes

No

5.

Auction Authorization. If the application is being submitted to obtain a construction
permit for which the applicant was the winning bidder in an auction, then the applicant
certifies, pursuant to 47 C.F.R. Section 73.5005(a), that it has attached an exhibit
containing the information required by 47 C.F.R. Sections 1.2107(d), 1.2110(i),
1.2112(a) and 1.2112(b), if applicable.

Yes

No

See Explanation
in Exhibit No.

N/A

Exhibit No.

An exhibit is required unless this question is inapplicable.
6.

Anti-Drug Abuse Act Certification. Applicant certifies that neither applicant nor any
party to the application is subject to denial of federal benefits pursuant to Section 5301
of the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 862.

Yes

No

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. I acknowledge that all certifications and attached Exhibits are considered material representations. I hereby waive any
claim to the use of any particular frequency as against the regulatory power of the United States because of the previous use of the
same, whether by license or otherwise, and request an authorization in accordance with this application. (See Section 304 of the
Communications Act of 1934, as amended.)

Typed or Printed Name of Person Signing

Typed or Printed Title of Person Signing

Signature

Date

FCC Form 301 -CA (Page 2)

Section III - Engineering (Analog)
TECHNICAL SPECIFICATIONS
Ensure that the specifications below are accurate. All items must be completed. The response ''on file'' is not acceptable.
NOTE: In addition to the information called for in this section, an explanatory exhibit providing full particulars must be
submitted for each question for which a ''No'' response is provided
TECH BOX
1.

Channel:

2.

Frequency Offset:
Zero offset

No offset
3.

4.

Plus offset

Minus offset

Antenna Location Coordinates: (NAD 27)

°

'

"

°

'

"

N

S Latitude

E

W Longitude

Antenna Structure Registration Number:

Not applicable

See Explanation in
Exhibit No.

FAA Notification Filed with FAA

5.

Antenna Location Site Elevation Above Mean Sea Level:

meters

6.

Overall Tower Height Above Ground Level:

meters

7.

Height of Radiation Center Above Ground Level:

meters

8.

Maximum Effective Radiated Power (ERP) Towards Radio Horizon:

kW

9.

Maximum ERP in any Horizontal and Vertical Angle:

kW

10.

Nondirectional

Transmitting Antenna:

Directional composite

Directional "Off-the-shelf''

Manufacturer

Model

Directional Antenna Relative Field Values:

°

Rotation:
Degree

Value

Degree

N/A (Nondirectional)

No rotation
Value

Degree

Value

Degree

Value

Degree

Value

Degree

0

60

120

180

240

300

10

70

130

190

250

310

20

80

140

200

260

320

30

90

150

210

270

330

40

100

160

220

280

340

50

110

170

230

290

350

Value

Additional
Azimuths

FCC Form 301 -CA (Page 3)

CERTIFICATION
11.

Interference. The proposed facility complies with all of the following applicable rule
sections. 47 C.F.R. Sections 73.6011, 73.6012, 73.6013, 73.6014, 73.6020, 73.1030 and
74.709.

12.

Environmental Protection Act. The proposed facility is excluded from environmental
processing, under 47 C.F.R. Section 1.1306 (i.e., the facility will not have a significant
environmental impact and complies with the maximum permissible radio frequency
electromagnetic exposure limits for controlled and uncontrolled environments). Unless the
applicant can determine RF compliance. An Exhibit is required.
By checking ''Yes'' above, the applicant also certifies that it, in coordination with other
users of the site, will reduce power or cease operation as necessary to protect persons
having access to the site, tower or antenna from radio frequency electromagnetic exposure
in excess of FCC guidelines.

FCC Form 301 -CA (Page 4)

Yes

No

See Explanation
in Exhibit No.

See Explanation
in Exhibit No.

Section III - Engineering (Digital)
TECHNICAL SPECIFICATIONS
Ensure that the specifications below are accurate. All items must be completed. The response ''on file'' is not acceptable.
NOTE: In addition to the information called for in this section, an explanatory exhibit providing full particulars must be
submitted for each question for which a ''No'' response is provided.
TECH BOX
1.

Channel:

2.

Antenna Location Coordinates: (NAD 27)
.

°

N

S Latitude

E

W Longitude

"

.
1

'

°
3.

"

'

Antenna Structure Registration Number:
See Explanation in
Exhibit No.

Not applicable

FAA Notification Filed with FAA

4.

Antenna Location Site Elevation Above Mean Sea Level:

meters

5.

Overall Tower Height Above Ground Level:

meters

6.

Height of Radiation Center Above Ground Level:

meters

7.

Maximum Effective Radiated Power (ERP):

kW

8.

Transmitter Output Power:

kW

9.

a. Transmitting Antenna:

Directional "Off-the-shelf''

Nondirectional

Directional composite

Model

Manufacturer

b. Electrical Beam Tilt:

Not applicable

degrees

c. Directional Antenna Relative Field Values:

°

Rotation:
Degree

Value

Degree

N/A (Nondirectional)

No rotation
Value

Degree

Value

Degree

Value

Degree

Value

Degree

0

60

120

180

240

300

10

70

130

190

250

310

20

80

140

200

260

320

30

90

150

210

270

330

40

100

160

220

280

340

50

110

170

230

290

350

Value

Additional
Azimuths
d. Does the proposed antenna propose elevation radiation patterns that vary with azimuth for reasons

other than the use of mechanical beam tilt?

Out-of-channel Emission Mask:

Simple

No

Exhibit No.

If Yes, attach an Exhibit (see instructions for details).

10.

Yes

Stringent

Full Service
FCC Form 301 -CA (Page 5)

CERTIFICATION
11.

Interference. The proposed facility complies with all of the following applicable rule
sections. 47 C.F.R. Sections 73.6016. 73.6017, 73.6018, 73.6019, 73.6020, 73.6027 and
74.794(b).

See Explanation
in Exhibit No.

Yes

No

Yes

No See Explanation
in Exhibit No.

12. Environmental Protection Act. The proposed facility is excluded from environmental

processing under 47 C.F.R. Section 1.1306 (i.e., the facility will not have a significant
environmental impact and complies with the maximum permissible radio frequency
electromagnetic exposure limits for controlled and uncontrolled environments). Unless
the applicant can determine RF compliance. An Exhibit is required.
By checking ''Yes'' above, the applicant also certifies that it, in coordination with other
users of the site, will reduce power or cease operation as necessary to protect persons
having access to the site, tower or antenna from radio frequency electromagnetic
exposure in excess of FCC guidelines.
13.

Exhibit No.

Channels 52-59. If the proposed channel is within channels 52-59, the applicant certifies
compliance with the following requirements, as applicable:

Yes

No See Explanation
in Exhibit No.

The applicant is applying for a digital companion channel for which no suitable
channel from channel 2-51 is available.
Pursuant to Section 74.786(d), the applicant has notified, within 30 days of filing
this application, all commercial wireless licensees of the spectrum comprising the
proposed TV channel and the first adjacent channels thereto, for which the
proposed digital LPTV or TV translator antenna site lies inside the licensed
geographic boundaries of the wireless licensees or within 75 miles and 50 miles,
respectively, of the geographic boundaries of co-channel and adjacent-channel
wireless licensees.
SECTION III PREPARER'S CERTIFICATION
I certify that I have prepared Section III (Engineering Data) on behalf of the applicant, and that after such preparation, I have
examined and found it to be accurate and true to the best of my knowledge and belief.

Name

Relationship to Applicant (e.g., Consulting Engineer)

Signature

Date

Mailing Address

City

State or Country (if foreign address)

Telephone Number (include area code)

E-Mail Address (if available)

ZIP Code

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).

FCC Form 301 -CA (Page 6)