| 1. |
Legal Name of the Applicant
GREG COMBS DBA PROVIDENTIAL BROADCASTING
|
Mailing Address
1771 LONG BRANCH LANE
|
City
MT. PLEASANT |
State or Country (if foreign address)
TN |
Zip Code
38474 - |
Telephone Number (include area code)
9317971114 |
E-Mail Address (if available)
COMB587@BELLSOUTH.NET |
FCC Registration No
0029101102 |
Call Sign
WXRQ |
Facility ID Number
48497 |
| 2. |
Contact Representative (if other than licensee/permittee)
LARRY PERRY
|
Firm or Company Name
ATTORNEY
|
Mailing Address
11464 SAGA LANE
|
City
KNOXVILLE |
State or Country (if foreign address)
TN |
ZIP Code
37931 - 2819 |
Telephone Number (include area code)
8659278474
|
E-Mail Address (if available)
LARRYPERRY@ATT.NET
|
| 3. |
Purpose:
 Engineering STA |
 Extension of Existing Engineering STA File Number: BSTA - 20200326AAA |
| Legal STA |
| Extension of Existing Legal STA |
| 4. |
Service: AM |
| 5. |
Community of License:
City: MOUNT PLEASANT State: TN |
| 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) |
| 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 33]
|
| 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 34] |
| 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 |
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
GREG COMBS
|
Typed or Printed Title of Person Signing
PRESIDENT |
Signature
|
Date (mm/dd/yyyy)
04/21/2021 |
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).