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GPS-RTK
System Worksheet for Governmental Entities ONLY!
The
FCC filing deadline for wideband systems has been postponed.
We recommend filing as soon as possible.
Base Fee for GPS-RTK license application for Government entities is $600.00.
Print this page, fill in all information
possible and mail or fax to Atlas!
Scroll Down to view the entire page or Click
Here for Next Step.
| Applicant
Information Worksheet : GPS Governmental Entity |
| Date: |
Atlas
Processor: |
| Legal
Name of Applicant: |
|
| Applicant
9-Digit Federal Tax ID Number: |
|
| Contact
Person: |
|
| Telephone
Number: |
|
| Fax
Number: |
|
| Mailing
Street Address (Physical): |
|
| Mailing
Suite, PO Box: |
|
| Mailing
City, State, Zip: |
|
| County
of Mailing Address: |
|
| Applicant's
email Address: |
|
| Dealer
(Referred by): |
|
| Expected
# of RTK Units within 10 Years: |
|
| Transmitting
Power: |
Watts |
| Frequency
Band: |
(
) UHF
( ) VHF |
| Radius
of Operation (in miles): |
|
| PLEASE
fill in the manufacturer of the RTK radio transmitter attached to your GPS
equipment:
|
If your antenna will be at a FIXED location, please proceed to the next
section.
Otherwise, proceed to Next Step.
In
the spaces below, provide Transmitter
Street Address; OR Nearest Major Intersection and Distance from Intersection? |
| |
City |
County |
State |
|
In the spaces below, please
provide Coordinates, Elevation and Height Above Average
Terrain if known. (Not Required) |
Latitude |
Longitude |
Elevation FT |
HAAT
|
What
type of structure supports the antenna?
( )
Building
( ) Tower
( ) Other ____________________________ |
Building
or tower height (in feet) ? (A) |
Height
of antenna only (in feet) ? (B) |
Overall
Height (building or tower plus antenna, in feet) (A+B) |
Are
there any existing call signs at this site?
( )
Yes
( ) No |
If
Yes, please provide a current call sign. |
Is
this site filed with the FAA?
( )
Yes
( ) No |
In
the spaces below, please provide the antenna site owner’s name and phone number. |
Name: |
Phone Number: |
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