FCC Form 608 Schedule C

FCC Form 608 FEDERAL COMMUNICATIONS COMMISSION Approved by OMB

Schedule C 3060-1058

See 608 Main Form Instructions

Information and Instructions for public burden estimate

Instructions for Schedule for Modification of a Geographically Licensed Lease or Sublease

to Add, Modify or Delete Technical Location Information

for International Coordination, Environmental Assessment, or Quiet Zone Location

FCC Form 608, Schedule C

Schedule C is a supplementary schedule that is used to provide information regarding a Modification of a Geographically Licensed Lease or Sublease to add, modify or delete technical location information for locations that require International Coordination, an Environmental Assessment, or are located in a Quiet Zone. All filings for Subleases must be filed manually and sent to the appropriate address. The mailing address can be found under the Application Fees and Filing Locations section found on page 8 of the Main Form Instructions.

Location Detail

Item 1 This item must be completed. It indicates the action that the applicant wants the FCC to take with respect to the specified location. Enter ‘A’ for add, ‘M’ for Modify, or ‘D’ for Delete.

Item 2 This item must be completed. If the location has been previously licensed by the FCC under this lease or sublease, enter its FCC-assigned location number. For a new location, assign a temporary code to represent the location. This temporary code should begin with ‘L’ to indicate it is a location and end with a number to uniquely identify it (e.g., L1, L2, L3, etc.). The FCC will assign an official number to the new location.

Items 3 and 4 This item must be completed. Enter the geographic coordinates (latitude and longitude) of the location.

Enter the latitude using the format DD-MM-SS, where the degrees (DD) term can have a value in the range of 0 to 72, minutes (MM) can range from 0 to 59, and seconds (SS) can range from 0 to 59.9. If desired, seconds can be rounded to the nearest tenth of a second (in which case, use the format DD-MM-SS.S). In the right corner, specify the direction as either N for North or S for South.

Enter the longitude using the format DDD-MM-SS, where the degrees (DDD) term can have a value in the range of 64 to 180, minutes (MM) can range from 0 to 59, and seconds (SS) can range from 0 to 59.9. If desired, seconds can be rounded to the nearest tenth of a second (in which case, use the format DDD-MM-SS.S). In the right corner, specify the direction as either E for East or W for West.

All coordinates must be referenced to the North American Datum of 1983 (NAD83). This information can be determined in many ways, including a GPS receiver, a 7.5-minute topographical guadrangle map of the area, or you may consult the city or county/borough/parish or equivalent entity surveyor in your area. Topographical maps may be purchased from the U.S. Geological Survey, Washington, DC 20242 or from its office in Denver, Colorado 80225.

Note: Location coordinates (latitude and longitude) for sites in the Continental United States, Puerto Rico, the U.S. Virgin Islands, Alaska, Hawaii, American Samoa, and Guam must be referenced to the North American Datum of 1983 (NAD83). Coordinates for sites in the Northern Mariana Islands, Wake Island, and Midway Island should be referenced to the applicable local datum. If the source from which you obtain the coordinates still utilizes an older datum (i.e., NAD27, PRD40) you must convert to NAD83. Conversion routines are available through the internet at http://wireless.fcc.gov/uls/utilities/nadcon.html.

Item 5 Enter the city or town name for the location in this item.

FCC Form 608 – Schedule C Instructions

Edition Date – Page 1

Item 6 Enter the State of the location in this item. Refer to FCC Form 608 Main Form Instructions, Appendix I, for a list of valid state, jurisdiction, and area codes.

Item 7 Enter the County/Borough/Parish or equivalent entity for the location unless any of the following pertain to the location:

1. The City entered in Item 6 is an Independent City that is not affiliated with a County/Borough/Parish (e.g., Baltimore, MD), or

2. The State code entered in Item 7 is GM, Gulf of Mexico

Coordination and Environmental Impact

International Coordination

Item 8 This item must be completed. Enter ‘Y’ if you propose to operate in a Canadian border area. Otherwise, enter ‘N’.

Item 9 This item must be completed. Enter ‘Y’ if you propose to operate in a Mexican border area. Otherwise, enter ‘N’.

National Environmental Policy Act (NEPA)

Item 10 This item must be completed. This item is required for compliance with the National Environmental Policy Act of 1969 (NEPA), as amended, 42 U.S.C. 4321-4335. See also Part 1, Subpart I of the FCC rules (47 CFR 1.1301 - 1.1319). Enter Yes if an FCC grant of this application will have a significant environmental effect. Section 1.1307 of the FCC rules lists categories of environmental effects for which the applicants must file an environment assessment. Otherwise, enter ‘N’.

Examples of facilities that may have a significant effect on the environment include:

• An antenna structure located in a residential area (as defined by applicable zoning laws) that will utilize high intensity aviation obstruction lighting

• A facility located in an officially designated wilderness area, wildlife preserve, or floodplain

• A facility that affects a site significant in American history

• A facility whose construction involves extensive changes in surface features

• Facilities, operations, or transmitters that would cause human exposure to levels of radio frequency radiation in excess of the limits as detailed in § 1.1310 of the Commission's Rules

Quiet Zone

Item 11a Applicants filing for a new or modified location located in one of the Quiet Zone areas listed below in Item 11b must notify the proper authority and indicate the date such notification was sent in Item 12a. See Part 1, Subpart F of the FCC Rules (47 CFR 1.924)

Item 11b If the applicant has obtained prior written consent from the Quiet Zone entity for the location specified in the application, enter “Y” and include a copy of the consent as a Quiet Zone consent attachment. If prior written consent has not been obtained, enter “N”.

Quiet Zone areas:

1. National Radio Astronomy Observatory, Green Bank, Pocohontas County, West Virginia. The quiet zone is located within Virginia, West Virginia, and Garrett County, Maryland and bounded by N 39 degrees 15’ 0.4” on the north, W 78 degrees 29’ 59.0” on the east, N 37 degrees 30’ 0.4” on the south, and W 80 degrees 29’ 59.2” on the west. Contact the Director, National Radio Astronomy Observatory, P. O. Box 2, Green Bank, WV 24944.

2. Arecibo Observatory, Puerto Rico. The quiet zone consists of the Puerto Rico, Desecheo, Mona, Vieques, and Culebra islands. Contact the Interference Office, Arecibo Observatory, Post Office Box 53995, Arecibo, Puerto Rico 00612, or electronically at prcz@naic.edu.

Certifications

By signing the Main Form, FCC Form 608, the Licensee, Lessee and Sublessee certify that the applicable statements listed in this schedule are true, complete, correct, and made in good faith.

FCC Form 608 – Schedule C Instructions

Edition Date – Page 2

FCC Form 608 Federal Communications Commission Approved by OMB

Schedule C 3060 - 1058

See 608 Main Form Instructions

for public burden estimate

Schedule for Modification of a Geographically Licensed Lease or Sublease

to Add, Modify or Delete Technical Location Information

for International Coordination, Environmental Assessment, or Quiet Zone Location

Location Detail

1) Action Requested: ( ) Add Modify Delete		2) Location Number:
3) Latitude (DD-MM-SS.S): NAD 83 ( ) N or S			4) Longitude (DDD-MM-SS.S): NAD 83 ( ) E or W
5) City:	6) State:			7) County/Borough/Parish:

Coordination and Environmental Impact

International Coordination

8) Do you propose to operate in an area that requires frequency coordination with Canada?	( ) Yes No
9) Do you propose to operate in an area that requires frequency coordination with Mexico?	( ) Yes No

National Environmental Policy Act (NEPA)

10) Would a Commission grant of authorization for this location be an action that may have a significant environmental effect? See Section 1.1307 of 47 CFR. If the response to Item 11 is ‘Y’, attach as an exhibit an environmental assessment as required by Sections 1.1308 and 1.1311 of the Commission’s Rules.

( ) Yes No

Quiet Zone

11a) If the site is located in one of the Quiet Zones listed in Item 11b of the Instructions, provide the date (mm/dd/yyyy) that the proper Quiet Zone entity was notified:	____/_____/______
11b) Has the applicant obtained prior written consent from the proper Quiet Zone entity for the same technical parameters that are specified in this filing? If the response to Item 11b is ‘Y’, attach a copy of the consent as a Quiet Zone consent attachment.	( ) Yes No

FCC Form 608 – Schedule C

Edition Date – Page 1