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| 1. | Legal Name of the Applicant ACM JCE IV B LLC |
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| Mailing Address 426 SOUTH RIVER ROAD |
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| City TRYON |
State or Country (if foreign address) NC |
Zip Code 28782 - |
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| Telephone Number (include area code) 8288596982 |
E-Mail Address (if available) |
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| FCC Registration No 0024486094 |
Call Sign WMEN |
Facility ID Number 61080 |
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| 2. | Contact Representative (if other than licensee/permittee) MILES S. MASON, ESQ. |
Firm or Company Name PILLSBURY WINTHROP SHAW PITTMAN LLP |
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| Mailing Address 1200 SEVENTEENTH STREET, NW |
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| City WASHINGTON |
State or Country (if foreign address) DC |
ZIP Code 20036 - |
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| Telephone Number (include area code) 2026638195 |
E-Mail Address (if available) MILES.MASON@PILLSBURYLAW.COM |
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| 3. | Purpose: Engineering STA |
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 Extension of Existing Engineering STA |
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| Legal STA |
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| Extension of Existing Legal STA |
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| 4. | Service: AM | ||
| 5. | Community of License: City: ROYAL PALM BEACH State: FL |
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| 6. | If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114): Governmental Entity Noncommercial Educational Licensee/Permittee Other N/A (Fee Required) |
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| 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. |
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| TECH BOX | ||
| 7.0. | STA is requested for use of Licensed Antenna system with: Reduced power Reduced hours of operation Required equipment out of service Other variance [Exhibit 13] Antenna system authorized by Construction Permit: - Describe requested modes of operation [Exhibit 14]
Other antenna system: (Complete Items 7.1 - 7.7) |
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| 7.1. | Frequency: 640 kHz | |
| 7.2. | Class (select one): A B C D |
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| 7.3. | Hours of Operation: Unlimited Limited Daytime Share Time Specified Hours: |
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| 7.4. | Daytime: Yes No [Daytime Operation] | |
| 7.5. | Nighttime: Yes No [Nighttime Operation] | |
| 7.6. | Critical Hours Operation: Yes No [Critical Hours Operation] | |
| 7.7. |
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 radiofrequency electromagnetic exposure limits for controlled and uncontrolled environments). Unless the applicant can determine compliance through the use of the RF worksheets in Appendix A, 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 radiofrequency electromagnetic exposure in excess of FCC guidelines. |
Yes No See Explanation in [Exhibit 15] |
| 8. | Please explain in detail the "extraordinary circumstances" which warrant temporary operations at variance from the Commission's Rules. In addition, please specify 1)the specific rules and/or policies from which the applicant seeks temporary relief; 2) how the public interest will be furthered by grant; and 3) the expected duration of the STA and the licensee's plan for restoration of licensed operation. If requesting variance with other than authorized technical facilities, please specify the exact facilities sought. | [Exhibit 16] |
| 9. | 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 |
| Name RICHARD RIEKE |
Relationship to Applicant (e.g., Consulting Engineer) CONTRACT ENGINEER |
| Signature |
Date (mm/dd/yyyy) 12/01/2016 |
| Mailing Address 701 NORTHPOINT PARKWAY SUITE 500 |
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| City WEST PALM BEACH |
State or Country (if foreign address) FL |
Zip Code 33407 - |
| Telephone Number (No dashes or parentheses, include area code) 5616321200 |
E-Mail Address (if available) RICK.RIEKE@ALPHAMEDIAUSA.COM |
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I hereby 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.
| Typed or Printed Name of Person Signing MARK JORGENSON |
Typed or Printed Title of Person Signing SOLE MEMBER AND MANAGER OF LICENSEE'S SOLE MEMBER |
| Signature |
Date (mm/dd/yyyy) 12/05/2016 |
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).