FCC FORM 442 - FEDERAL COMMUNICATIONS COMMISSION
APPLICATION FOR NEW OR MODIFIED RADIO STATION UNDER PART 5 OF FCC RULES - EXPERIMENTAL RADIO SERVICE (OTHER THAN BROADCAST) 		Approved by OMB
3060 - 0065
Expires 09/30/98

Applicant's Name (company):  Massachusetts Department of Transportation Aeronautics Division        File No.:  0022-EX-CN-2024

Mailing Address
Attention: Rodolfo Cuevas
Street Address: One Harborside Drive, Suite 205N
P.O. Box: 02128
City: East Boston
State: MA
Country: United States
Zip Code: 02128
E-Mail Address: rodolfo.cuevas@dot.state.ma.us

Application Purpose
Application is for:   NEW LICENSE

For Modification indicate below
File No.:   Callsign:  

Government Contract
Is this authorization to be used for fulfilling the requirement of a government contract with an agency of the United States Government?  If "YES", include as an exhibit a narrative statement describing the government project, agency and contract number.  No

Foreign Government Use
Is this authorization to be used for the exclusive purpose of developing radio equipment for export to be employed by stations under the jurisdiction of a foreign government?   If "YES", include the contract number and the name of the foreign government concerned as an exhibit.  No

Research Project
Is this authorization to be used for providing communications essential to a research project? (The radio communication is not the objective of the research project)?  If "YES", include as an exhibit the following information:
  1. A description of the nature of the research project being conducted.
  2. A showing that the communications facilities requested are necessary for the research project involved.
  3. A showing that existing communications facilities are inadequete.
  No

Exhibit Information
If all the answers to Items 4, 5, 6 are "NO", include as an exhibit a narrative statement describing in detail the following items:
  1. The complete program of research and experimentation proposed including description of equipment and theory of operation.
  2. The specific objectives sought to be accomplished.
  3. How the program of experimentation has a reasonable promise of contribution to the development, extension, expansion or utilization of the radio art, or is along line not already investigated.

Estimated Duration
Give an estimate of the length of time that will be required to complete the program of experimentation proposed in this application:   24   Months

Environmental Impact
Would a commission grant of this application come within Section 1.1307 of the FCC Rules, such that it may have a significant environmental impact?   If "YES", include as an exhibit an Environmental Assessment as required by Section 1.1311.   No

Manufacturer
List below transmitting equipment to be installed (if experimental, so state) if additional rows are required, please submit equipment list as an exhibit :  
Manufacturer Model Number No. Of Units Experimental
Fortem Technologies, Inc. R30 4 No

Station ID
Is the equipment listed in Item 10 capable of station identification pursuant to Section 5.115?   No

Applicant Type
Applicant is:  Other

Foreign Government
Is applicant a foreign government or a representative of a foreign government?   No

License Denied or Revoked
Has applicant or any party to this application had any FCC station license or permit revoked or any application for permit, license or renewal denied by this Commission?
If "YES", include as an exhibit a statement giving call sign of license or permit revoked and relate circumstances.   No

Owner and Operator
Will applicant be owner and operator of the station?   Yes

Contact Information
Give the following information of person who can best handle inquiries pertaining to this application:   First Name: Rodolfo
Last Name: Cuevas
Title: CUAS Program Lead
Phone Number: 9178160650
E-Mail Address: rodolfo.cuevas@dot.state.ma.us

Drug Abuse Question
APPLICANT ANTI-DRUG ABUSE CERTIFICATION:   By checking "YES", the individual applicant certifies that he or she is eligible for this license. This requires that he or she is not subject to a denial of federal benefits, including FCC benefits, as a result of a drug offense conviction pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 862. A non-individual applicant, e.g., corporation. partnership or other unincorporated association, certifies that no party to the application is subject to a denial of federal benefits, pursuant to that section. For definition of a "party" for these purposes, see 47CFR 1.2002(b).   Yes

Certification
THE APPLICANT CERTIFIES THAT:
  1. Copies of the FCC Rule Parts 2 and 5 are on hand; and
  2. Adequete financial appropriations have been made to carry on the program of experimentation which will be conducted by qualified personnel; and
  3. All operations will be on an experimental basis in accordance with Part 5 and other applicable rules, and will be conducted in such a manner and at such a time as to preclude harmful interference to any authorized station; and
  4. Grant of the authorization requested herein will not be construed as a finding on the part of the Commission:
    1. that the frequencies and other technical parameters specified in the authorization are the best suited for the proposed program of experimentation, and
    2. that the applicant will be authorized to operate on any basis other than experimental, and
    3. that the Comission is obligated by the results of the experimental program to make provision in its rules including its table of frequency allocations for applicant's type of operation on a regularly licensed basis.
THE APPLICANT FURTHER CERTIFIES THAT:
  1. All the statements in the application and attached exhibits are true, complete and correct to the best of the applicant's knowledge; and
  2. The applicant is willing to finance and conduct the experimental program with full knowledge and understanding of the above limitations; and
  3. The applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the USA.

Name of Applicant: Massachusetts Department of Transportation Aeronautics Division
Signature (Authorized person filing form): Rodolfo Cuevas
Signature Date (Authorized person filing form): 01/05/2024
Title of Person Signing Application: Counter-UAS Program Lead
Classification: Authorized employee
WILLFUL FALSE STATEMENTS MADE 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).
NOTIFICATION TO INDIVIDUALS UNDER PRIVACY ACT OF 1974 AND THE PAPERWORK REDUCTION ACT OF 1980
Information requested through this form is authorized by the Communications Act of 1934, as amended, and specified by Section 308 therein. The information will be used by Federal Communications Commission staff to determine eligibility for issuing authorizations in the use of the frequency spectrum and to effect the provisions of regulatory responsibilities rendered by the Commission by the Act. Information requested by this form will be available to the public unless otherwise requested pursuant to 47 CFR 0.459 of the FCC Rules and Regulations. Your response is required to obtain this authorization.
Public reporting burden for this collection of information is estimated to average four (4) hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden to the Federal Communications Commission, Records Management Branch, Paperwork Reduction Project (3060-0065), Washington DC 20554. DO NOT send completed applications to this address. Individuals are not required to respond to this collection unless it displays a currently valid OMD control number.
THE FOREGOING NOTICE IS REQUIRED BY THE PRIVACY ACT OF 1974, P.L. 93-579, DECEMBER 31, 1974, 5 U.S.C. 552a(e)(3), AND THE PAPERWORK REDUCTION ACT OF 1980, P.L. 96-511, DECEMBER 11, 1980, 44 U.S.C. 3507.

Station Location
City State Latitude Longitude Mobile Street (or other indication of location) County Radius of Operation
0 Lynn Massachusetts North  42  27  0 West  70  58  0 Lynn, MA 1000 Western Ave 0.50 km
Datum:  NAD 83
Is a directional antenna (other than radar) used?   No
Exhibit submitted:  No
(a) Width of beam in degrees at the half-power point:  
(b) Orientation in horizontal plane (degrees from True North): 
(c) Orientation in vertical plane (degrees from horizontal): 
Will the antenna extend more than 6 meters above the ground, or if mounted on an existing building, will it extend more than 6 meters above the building, or will the proposed antenna be mounted on an existing structure other than a building?   No
(a) Overall height above ground to tip of antenna in meters:  
(b) Elevation of ground at antenna site above mean sea level in meters:  
(c) Distance to nearest aircraft landing area in kilometers:  
(d) List any natural formations of existing man-made structures (hills, trees, water tanks, towers, etc.) which, in the opinion of the applicant, would tend to shield the antenna from aircraft:  
Action Frequency Station Class Output Power/ERP Mean Peak Frequency Tolerance (+/-) Emission Designator Modulating Signal
New 16.30000000-16.70000000 GHz MO 8.000000 W 194.200000 W P 0.00010000 % 180MQXN FMCW
City State Latitude Longitude Mobile Street (or other indication of location) County Radius of Operation
0 Devens Massachusetts North  42  34  18 West  71  36  16 Devens, MA. Moore Army Air Field 90 Fitchburd Rd MIDDLESEX 2.50 km
Datum:  NAD 83
Is a directional antenna (other than radar) used?   No
Exhibit submitted:  No
(a) Width of beam in degrees at the half-power point:  
(b) Orientation in horizontal plane (degrees from True North): 
(c) Orientation in vertical plane (degrees from horizontal): 
Will the antenna extend more than 6 meters above the ground, or if mounted on an existing building, will it extend more than 6 meters above the building, or will the proposed antenna be mounted on an existing structure other than a building?   No
(a) Overall height above ground to tip of antenna in meters:  
(b) Elevation of ground at antenna site above mean sea level in meters:  
(c) Distance to nearest aircraft landing area in kilometers:  
(d) List any natural formations of existing man-made structures (hills, trees, water tanks, towers, etc.) which, in the opinion of the applicant, would tend to shield the antenna from aircraft:  
Action Frequency Station Class Output Power/ERP Mean Peak Frequency Tolerance (+/-) Emission Designator Modulating Signal
New 16.30000000-16.70000000 GHz MO 8.000000 W 194.200000 W P 0.00010000 % 180MQXN FMCW
City State Latitude Longitude Mobile Street (or other indication of location) County Radius of Operation
0 Leominster Massachusetts North  42  32  6 West  71  44  10 Leominster, MA. Fitchburg MBTA 44 Nashua St WORCESTER 18.50 km
Datum:  NAD 83
Is a directional antenna (other than radar) used?   No
Exhibit submitted:  No
(a) Width of beam in degrees at the half-power point:  
(b) Orientation in horizontal plane (degrees from True North): 
(c) Orientation in vertical plane (degrees from horizontal): 
Will the antenna extend more than 6 meters above the ground, or if mounted on an existing building, will it extend more than 6 meters above the building, or will the proposed antenna be mounted on an existing structure other than a building?   No
(a) Overall height above ground to tip of antenna in meters:  
(b) Elevation of ground at antenna site above mean sea level in meters:  
(c) Distance to nearest aircraft landing area in kilometers:  
(d) List any natural formations of existing man-made structures (hills, trees, water tanks, towers, etc.) which, in the opinion of the applicant, would tend to shield the antenna from aircraft:  
Action Frequency Station Class Output Power/ERP Mean Peak Frequency Tolerance (+/-) Emission Designator Modulating Signal
New 16.30000000-16.70000000 GHz MO 8.000000 W 194.200000 W P 0.00010000 % 180MQXN FMCW
City State Latitude Longitude Mobile Street (or other indication of location) County Radius of Operation
0 Westfield Massachusetts North  42  9  28 West  72  42  58 Westfield, MA. Westfield-Barnes Regional Airport 110 Airport Road HAMPDEN 2.00 km
Datum:  NAD 83
Is a directional antenna (other than radar) used?   No
Exhibit submitted:  No
(a) Width of beam in degrees at the half-power point:  
(b) Orientation in horizontal plane (degrees from True North): 
(c) Orientation in vertical plane (degrees from horizontal): 
Will the antenna extend more than 6 meters above the ground, or if mounted on an existing building, will it extend more than 6 meters above the building, or will the proposed antenna be mounted on an existing structure other than a building?   No
(a) Overall height above ground to tip of antenna in meters:  
(b) Elevation of ground at antenna site above mean sea level in meters:  
(c) Distance to nearest aircraft landing area in kilometers:  
(d) List any natural formations of existing man-made structures (hills, trees, water tanks, towers, etc.) which, in the opinion of the applicant, would tend to shield the antenna from aircraft:  
Action Frequency Station Class Output Power/ERP Mean Peak Frequency Tolerance (+/-) Emission Designator Modulating Signal
New 16.30000000-16.70000000 GHz MO 8.000000 W 194.200000 W P 0.00010000 % 180MQXN FMCW
City State Latitude Longitude Mobile Street (or other indication of location) County Radius of Operation
0 Plymouth Massachusetts North  41  54  33 West  70  43  52 Plymouth, MA. Plymouth Municipal Airport 246 South Meadow Road PLYMOUTH 1.00 km
Datum:  NAD 83
Is a directional antenna (other than radar) used?   No
Exhibit submitted:  No
(a) Width of beam in degrees at the half-power point:  
(b) Orientation in horizontal plane (degrees from True North): 
(c) Orientation in vertical plane (degrees from horizontal): 
Will the antenna extend more than 6 meters above the ground, or if mounted on an existing building, will it extend more than 6 meters above the building, or will the proposed antenna be mounted on an existing structure other than a building?   No
(a) Overall height above ground to tip of antenna in meters:  
(b) Elevation of ground at antenna site above mean sea level in meters:  
(c) Distance to nearest aircraft landing area in kilometers:  
(d) List any natural formations of existing man-made structures (hills, trees, water tanks, towers, etc.) which, in the opinion of the applicant, would tend to shield the antenna from aircraft:  
Action Frequency Station Class Output Power/ERP Mean Peak Frequency Tolerance (+/-) Emission Designator Modulating Signal
New 16.30000000-16.70000000 GHz MO 8.000000 W 194.200000 W P 0.00010000 % 180MQXN FMCW
City State Latitude Longitude Mobile Street (or other indication of location) County Radius of Operation
0 North Andover Massachusetts North  42  43  2 West  71  7  26 North Andover, MA. Lawrence Municipal Airport 492 Sutton St ESSEX 1.00 km
Datum:  NAD 83
Is a directional antenna (other than radar) used?   No
Exhibit submitted:  No
(a) Width of beam in degrees at the half-power point:  
(b) Orientation in horizontal plane (degrees from True North): 
(c) Orientation in vertical plane (degrees from horizontal): 
Will the antenna extend more than 6 meters above the ground, or if mounted on an existing building, will it extend more than 6 meters above the building, or will the proposed antenna be mounted on an existing structure other than a building?   No
(a) Overall height above ground to tip of antenna in meters:  
(b) Elevation of ground at antenna site above mean sea level in meters:  
(c) Distance to nearest aircraft landing area in kilometers:  
(d) List any natural formations of existing man-made structures (hills, trees, water tanks, towers, etc.) which, in the opinion of the applicant, would tend to shield the antenna from aircraft:  
Action Frequency Station Class Output Power/ERP Mean Peak Frequency Tolerance (+/-) Emission Designator Modulating Signal
New 16.30000000-16.70000000 GHz MO 8.000000 W 194.200000 W P 0.00010000 % 180MQXN FMCW
City State Latitude Longitude Mobile Street (or other indication of location) County Radius of Operation
0 Burlington Massachusetts North  42  28  40 West  71  11  35 Burlington, MA. 141 S. Bedford St Northeastern University Innovation Campus MIDDLESEX 1.00 km
Datum:  NAD 83
Is a directional antenna (other than radar) used?   No
Exhibit submitted:  No
(a) Width of beam in degrees at the half-power point:  
(b) Orientation in horizontal plane (degrees from True North): 
(c) Orientation in vertical plane (degrees from horizontal): 
Will the antenna extend more than 6 meters above the ground, or if mounted on an existing building, will it extend more than 6 meters above the building, or will the proposed antenna be mounted on an existing structure other than a building?   No
(a) Overall height above ground to tip of antenna in meters:  
(b) Elevation of ground at antenna site above mean sea level in meters:  
(c) Distance to nearest aircraft landing area in kilometers:  
(d) List any natural formations of existing man-made structures (hills, trees, water tanks, towers, etc.) which, in the opinion of the applicant, would tend to shield the antenna from aircraft:  
Action Frequency Station Class Output Power/ERP Mean Peak Frequency Tolerance (+/-) Emission Designator Modulating Signal
New 16.30000000-16.70000000 GHz MO 8.000000 W 194.200000 W P 0.00010000 % 180MQXN FMCW
City State Latitude Longitude Mobile Street (or other indication of location) County Radius of Operation
0 West Boylston Massachusetts North  42  23  2 West  71  47  16 West Boylston, MA. Massachusetts DCR 180 Beaman St WORCESTER 2.00 km
Datum:  NAD 83
Is a directional antenna (other than radar) used?   No
Exhibit submitted:  No
(a) Width of beam in degrees at the half-power point:  
(b) Orientation in horizontal plane (degrees from True North): 
(c) Orientation in vertical plane (degrees from horizontal): 
Will the antenna extend more than 6 meters above the ground, or if mounted on an existing building, will it extend more than 6 meters above the building, or will the proposed antenna be mounted on an existing structure other than a building?   No
(a) Overall height above ground to tip of antenna in meters:  
(b) Elevation of ground at antenna site above mean sea level in meters:  
(c) Distance to nearest aircraft landing area in kilometers:  
(d) List any natural formations of existing man-made structures (hills, trees, water tanks, towers, etc.) which, in the opinion of the applicant, would tend to shield the antenna from aircraft:  
Action Frequency Station Class Output Power/ERP Mean Peak Frequency Tolerance (+/-) Emission Designator Modulating Signal
New 16.30000000-16.70000000 GHz MO 8.000000 W 194.200000 W P 0.00010000 % 180MQXN FMCW
City State Latitude Longitude Mobile Street (or other indication of location) County Radius of Operation
0 Buzzards Bay Massachusetts North  41  44  26 West  70  37  28 Buzzards Bay, MA. Massachusetts Maritime Academy 101 Academy Dr BARNSTABLE 1.00 km
Datum:  NAD 83
Is a directional antenna (other than radar) used?   No
Exhibit submitted:  No
(a) Width of beam in degrees at the half-power point:  
(b) Orientation in horizontal plane (degrees from True North): 
(c) Orientation in vertical plane (degrees from horizontal): 
Will the antenna extend more than 6 meters above the ground, or if mounted on an existing building, will it extend more than 6 meters above the building, or will the proposed antenna be mounted on an existing structure other than a building?   No
(a) Overall height above ground to tip of antenna in meters:  
(b) Elevation of ground at antenna site above mean sea level in meters:  
(c) Distance to nearest aircraft landing area in kilometers:  
(d) List any natural formations of existing man-made structures (hills, trees, water tanks, towers, etc.) which, in the opinion of the applicant, would tend to shield the antenna from aircraft:  
Action Frequency Station Class Output Power/ERP Mean Peak Frequency Tolerance (+/-) Emission Designator Modulating Signal
New 16.30000000-16.70000000 GHz MO 8.000000 W 194.200000 W P 0.00010000 % 180MQXN FMCW