Form FCC Form 347 FCC Form 347 Application for A Low Power TV, TV Translator or TV Boos

Not Yet
Approved

Federal Communications Commission
Washington, D.C. 20554

INSTRUCTIONS FOR FCC 347
APPLICATION FOR A LOW POWER TV, TV TRANSLATOR
OR TV BOOSTER STATION LICENSE
should file an original and two copies of this application and
all exhibits. Applicants should follow the procedures set
forth in Part 0 and Part 74 of the Commission's Rules.
Amendments to previously filed applications should be
prepared, signed and filed in the same manner as the
original application, and should contain the following
information to identify the associated application:

GENERAL INSTRUCTIONS
A. This FCC Form is to be used in all cases when applying for
a low power television (LPTV), TV translator or TV
booster broadcast station license. 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)

(1)
(2)
(3)
(4)
(5)
(6)

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.

Electronic Filing of Application Forms. The Commission
is currently developing electronic versions of various
broadcast station application and reporting forms, such as
this application form. As each application form and report
goes online, the Commission will by Public Notice
announce its availability and the procedures to be followed
for accessing and filing the application form or report
electronically via the Internet. For a six-month period
following the issuance of the Public Notice, the subject
application form or report can be filed with the Commission
either electronically or in a paper format. Electronic filing
will become mandatory, on a form-by-form basis, six
months after each application form or report becomes
available for filing electronically.
D. Applicants that prepare this application in paper form

All previous editions obsolete.

(7)

Applicant's name.
Service.
Call letters.
Channel number.
Community of license.
File number of application being amended (if
known).
Date of filing of application being amended (if file
number is not known).

E. A copy of the completed application and all related
documents shall be made available for inspection by the
public. 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. Sections 74.781, 73.1125.
F.

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.

G. 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.
H. This application requires applicants to certify compliance
with many 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

FCC 347
Instructions Draft
January 2015

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.
I.

J.

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 1-800418-3676. Questions concerning the FCC Registration
Number can be directed to the Commission’s Registration
System help desk at http://[email protected] or by
calling
1-877-480-3201.

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
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.

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
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.

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

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.
C. Item 3: Fees. The Commission is statutorily required to
collect charges for certain regulatory services to the public.
Generally, applicants seeking a license to cover a LPTV,
TV translator, or TV booster facility authorized by and
constructed pursuant to an outstanding construction permit
are required to pay and submit a fee with the filing of FCC
Form 347. 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 and permittees of noncommercial educational
FM and full-service television broadcast stations seeking to
construct new LPTV, TV translator or TV 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. Applicants that
earlier obtained either a fee refund because of a NTIA
facilities grant for the station or a fee waiver because of
demonstrated compliance with the eligibility and service
requirements of 47 C.F.R. Section 73.621, are similarly
exempt from payment of this fee. See 47 C.F.R. Section
1.1114.
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

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.
2

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.

Guide."

INSTRUCTIONS
INFORMATION

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 347 applications
requiring the remittance of a fee, or for which a waiver or
deferral from the fee requirement is 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 347 should be mailed
or otherwise delivered are also set forth in the "Mass 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.

FOR

SECTION

II:

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.
B. Item 2: Permit Conditions. This question requires the
applicant to certify that all terms, conditions, and
obligations set forth in the underlying construction permit
have been fully met. Each applicant should review its
underlying construction permit carefully prior to making its
certification to confirm that the facility was constructed
exactly in accordance with the permit. If any such term,
condition, or obligation has not been fulfilled, the applicant
should respond "No" to Section II, Item 2 and provide an
appropriate explanatory exhibit. See 47 C.F.R. Section
74.1251.

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.

C. Item 3: Changed Circumstances. This question requires
the applicant to certify that all information provided in the
underlying construction permit application remains correct.
If any circumstance has arisen which would cause any
statement or representation contained in the construction
permit application to be incorrect, the applicant should
respond "No" to Section II, Item 3 and provide an
appropriate explanatory exhibit.

Payment of application fees may 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.

D. Item 4: Programming. 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 4
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."

Applicants hand-delivering FCC Forms 347 may receive
dated receipt copies by presenting copies of the applications
to the acceptance clerk at the time of delivery. For mailedin applications, a "return copy" of the application should be
furnished and clearly marked as a "return copy." The
applicant should attach this copy to a stamped, selfaddressed envelope.
Only one piece of paper per
application will be stamped for receipt purposes.

NOTE: LPTV and TV translator stations are required to
broadcast station identification announcements. This can be
done in one of two ways. First, the LPTV or TV translator
station not originating local programming as defined by 47
C.F.R. Section 74.701(h) can arrange with the primary
station whose signal is to be rebroadcast to identify the
LPTV or TV translator by call sign and location. If this
method of station identification is utilized, there must be
two such identifications between 7 a.m. and 9 a.m. and
another two identifications between 3 p.m. and 5 p.m. each
broadcast day at approximately one hour intervals during

For further information regarding the applicability of a fee,
the amount of the fee, or the payment of the fee, applicants
should consult the "Mass Media Services Fee Filing
3

each time period. Alternatively, the LPTV or TV translator
may transmit its call sign in International Morse Code at
least once each hour. See 47 C.F.R. Sections 74.783 and
73.1201.

Commission in an application filed on behalf of this station
or in another broadcast station application and the
Commission, by specific ruling or by subsequent grant of
the application, found the adverse finding not to be
disqualifying, it need not be reported again and the
applicant may respond "Yes" to this item. However, an
adverse finding that has not been reported to the
Commission and considered in connection with a prior
application would require a "No" response.

Also, where the station's identification is to be made by a
primary station, the LPTV or TV translator station must
provide to the primary station and arrange for the
maintenance of current information as to the LPTV or TV
translator station's call letters and location, and the name,
address and telephone number of the person to be contacted
in an emergency to suspend LPTV or TV translator
operation.
F.

Where the response to Item 6 is "No," the applicant must
provide in 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 pending application, or as required
by 47 U.S.C. Section 1.65(c), the applicant need only
provide 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.
The applicant should also fully explain why the adverse
finding is not an impediment to a grant of this application.

Items 5 and 6: Character Issues/Adverse Findings. Item
5 requires the applicant to certify that neither it nor any
party to the application has had any interest in or connection
with an application that was or is the subject of unresolved
character issues. An applicant must disclose in response to
Item 6 whether the applicant or any party to the application
has been the subject of a final adverse finding with respect
to certain relevant non-broadcast matters.
The
Commission's character policies and litigation reporting
requirements for broadcast applicants focus on misconduct
which violates the Communications Act or a Commission
rule or policy and on certain specified non-FCC
misconduct. In responding to Items 5 and 6, applicants
should review the Commission's character qualifications
policies, which are fully set forth in Character
Qualifications, 102 FCC 2d 1179 (1985), reconsideration
denied, 1 FCC Rcd 421 (1986), as modified, 5 FCC Rcd
3252 (1990) and 7 FCC Rcd 6564 (1992).

G. Item 7: 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.
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 7 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.

NOTE: As used in this question, the term "party to the
application" includes any individual or entity whose
ownership or positional interest in the applicant is
attributable. An attributable interest is an ownership interest
in or relation to an applicant or licensee which will confer
on its holder that degree of influence or control over the
applicant or licensee sufficient to implicate the
Commission's multiple ownership rules. See Report and
Order in MM Docket No. 83-46, 97 FCC 2d 997 (1984),
reconsideration granted in part, 58 RR 2d 604 (1985),
further modified on reconsideration, 61 RR 2d 739 (1986).

NOTE: With respect to this question, 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; and if the applicant is
a partnership, all general partners and all limited partners,
including both insulated and non-insulated limited partners,
holding a 5 percent or more interest in the partnership.

Where the response to Item 5 is "No," the applicant must
submit an exhibit that includes an identification of the party
having had the interest, the call letters and location of the
station or file number of the application or docket, and a
description of the nature of the interest or connection,
including relevant dates. The applicant should also fully
explain why the unresolved character issue is not an
impediment to a grant of this application.
In responding to Item 6, the applicant should consider any
relevant adverse finding that occurred within the past ten
years. Where that adverse finding was fully disclosed to the

INSTRUCTIONS FOR SECTION III: ENGINEERING
DATA AND PREPARER'S CERTIFICATION
4

portion of the application has been prepared by the
applicant. In that event, the applicant's certification in
Section II of FCC Form 347 will encompass both the legal
and engineering sections of the application.

A. Tech Box: The applicant must specify the information
requested in Items 1 through 5 of the Tech Box. The data
should accurately reflect the specifications set forth in the
underlying construction permit.
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 satellite-based 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).

FCC NOTICE REQUIRED BY THE PAPERWORK
REDUCTION ACT
If you do not provide the information requested on this form, 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.
We have estimated that each response to this collection of
information will take 1 hour and 30 minutes. 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 (3060-0017), 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 of if we
fail to provide you with this notice. This collection has been
assigned an OMB control number of 3060-0017.

B. Item 6: Constructed Facility. The applicant must certify
that the facility was constructed as authorized in the
underlying construction permit. If there are any differences
between the facilities constructed compared with those
authorized in the construction permit, the applicant may
need to seek approval for the change on FCC Form 346.
See Section 74.751.

THE FOREGOING NOTICE IS REQUIRED BY THE
PAPERWORK REDUCTION ACT OF 1995, P.L. 104-13,
OCTOBER 1, 1995, 44 U.S.C. 3507.

C. Item 7: Special Operating Conditions. The special
operating conditions are located on the final pages of the
construction permit. Attach exhibits, if required, to
document compliance with the special operating conditions.
NOTE: SPECIAL OPERATING CONDITIONS MAY
PROHIBIT
AUTOMATIC
PROGRAM
TEST
AUTHORITY.
Automatic Program Test Authority: The permittee of an
LPTV, TV Translator or Booster station may begin
program tests upon filing FCC Form 347 with the FCC. See
47 C.F.R. Section 74.14. This provision does not apply if
the underlying construction permit contains a special
operating condition prohibiting automatic program test
authority.
D. Preparer's Certification. When someone other than the
applicant has prepared the engineering section of FCC Form
347, 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 347 need not be completed if the engineering
5

Not Yet Approved

Federal Communications Commission
Washington, D.C. 20554

FOR
FCC
USE
ONLY

FCC 347
APPLICATION FOR A
LOW POWER TV, TV TRANSLATOR OR TV
BOOSTER STATION LICENSE

FOR COMMISSION USE ONLY
FILE NO.

Section I - General Information
1.

Legal Name of the Licensee/Permittee

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

ZIP Code

Facility Identifier

Contact Representative (if other than licensee/permittee)

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/Permittee

Other

Facility Information:
a.

TV Translator

Low Power Television

TV Booster
Exhibit No. 1

Shared
b.

5.

Fac ID

Call Sign

Community of License:

City

State

Purpose of Application:
Cover construction permit (list original construction permit file number -- starts with the
prefix BPTTL, BPTT, BPTVL, BPTTV, BMPTTL, BMPTT, BMPTVL, BMPTTV,
BPVB, BPUB, BMPVB or BMPUB):
Amend a 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.

Exhibit No. 2
FCC Form 347
Draft January
2015

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/Permittee certifies that it has answered each question in this
application based on its review of the application instructions and worksheets.
Licensee/Permittee 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.

Licensee/Permittee certifies that all terms, conditions, and obligations set forth in the
underlying construction permit have been fully met.

Yes

No

See Explanation
in Exhibit No.
3

3.

Licensee/Pennittee certifies that, apart from changes already reported, no cause or
circumstance has 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.

Yes

No

See Explanation
in Exhibit No.
4

4.

Programming. The applicant certifies that it is either the licensee of the primary station
whose programming is to be retransmitted or has obtained written authority from the
licensee of that station.

Yes

No

See Explanation
in Exhibit No.
5

5.

Character Issues. Licensee/Permittee certifies that neither licensee/permittee nor any party
to the application has or has had any interest in, or connection with:

Yes

No

See Explanation
in Exhibit No.
6

See Explanation
in Exhibit No.
7

a.

b.

any broadcast application in any proceeding where character issues were left
unresolved or were resolved adversely against the applicant or party to the
application; or
any pending broadcast application in which character issues have been raised.

6.

Adverse Findings. Licensee/Permittee certifies that, with respect to the licensee/permittee
and any party to the application, no adverse finding has been made, nor has an adverse
final action been taken by any court or administrative body in a civil or criminal
proceeding brought under the provisions of any law related to the following: any felony;
mass media-related antitrust or unfair competition; fraudulent statements to another
governmental unit; or discrimination.

Yes

No

7.

Anti-Drug Abuse Act Certification. Licensee/Permittee certifies that neither
licensee/permittee 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 347 (Page 2)
Draft January 2015

SECTION III - Engineering
TECHNICAL SPECIFICATIONS Ensure that the specifications below are accurate. Contradicting data found elsewhere in this
application will be disregarded. All items must be completed. The response ''on file'' is not acceptable.

TECH BOX

1.
2.

Channel
:
Frequency Offset
No offset

3.

Zero offset

Plus offset

Minus offset

Antenna Location Coordinates: (NAD 27)
°

'

"

°

'

"

N

S Latitude

E

W Longitude

4.

Maximum Effective Radiated Power (ERP) Toward Radio Horizon:

kW

5.

Maximum ERP in any horizontal and vertical angle:

kW

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.
CERTIFICATION
All applicants must complete this section.
6.

Constructed Facility. The facility was constructed as authorized in the underlying
construction permit.

Yes

No

See Explanation
in Exhibit No.
8

7.

Special Operating Conditions. The facility was constructed in compliance with all special
operating conditions, terms, and obligations described in the construction permit.

Yes

No

See Explanation
in Exhibit No.
9

An exhibit may be required. Review the underlying construction permit.

Exhibit No.
10

PREPARER'S CERTIFICATION ON PAGE 4 MUST BE COMPLETED AND SIGNED.

FCC Form 347 (Page 3)
Draft January
2015

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 I 00 1), 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 347 (Page 4)
Draft January 2015