FEDERAL COMMUNICATIONS COMMISSION
APPLICATION FOR SPECIAL TEMPORARY AUTHORITY

Applicant Name
Name of Applicant:  Carlson Wireless Technologies, Inc

Address
Attention: Jerry Moore
Street Address: 1385 8th Street
P.O. Box:
City: Arcata
State: CA
Zip Code: 95521
Country: United States
E-Mail Address: jmoore@carlsonwireless.com

Best Contact
Give the following information of person who can best handle inquiries pertaining to this application:  
Last Name: Moore
First Name: Gerald
Title: Sales Engineer
Phone Number: 707-822-7000x112

Explanation
Please explain in the area below why an STA is necessary:
Testing White space radio technology in rural locations of Hawaii prior to database and device certification.

Purpose of Operation
Please explain the purpose of operation:  Comparing performance of White Space radio propogation vs WiMax and 900 MHz radios in very dense tropical cover and in heavy rain conditions

Information
Callsign: WF9XIX
Class of Station: FX
Nature of Service: Experimental

Requested Period of Operation
Operation Start Date: 02/25/2012
Operation End Date: 08/25/2012

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
Carlson Wireless Technologies SCRIP-AP-UHF-N 2 Yes

Certification
Neither the applicant nor any other party to the application is subject to a denial of Federal benefits that includes FCC benefits pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 862, because of a conviction for possession or distribution of a controlled substance. The applicant hereby waives any claim to the use of any particular frequency or electromagnetic spectrum as against the regulatory power of the United States because of the prvious use of the same, whether by license or otherwise, and requests authorization in accordance with this application. (See Section 304 of the Communications Act of 1934, as amended.) The applicant acknowledges that all statements made in this application and attached exhibits are considered material representations, and that all the exhibits part hereof and are incorporated herein as if set out in full in this application; undersigned certifies that all statements in this application are true, complete and correct to the best of his/her knowledge and belief and are made in good faith. Applicant certifies that construction of the station would NOT be an action which is likely to have a significant environmental effect. See the Commission's Rules, 47 CFR1.1301-1.1319.
Signature of Applicant (Authorized person filing form): Gerald S Moore
Title of Applicant (if any): Sales Engineer, Carlson Wireless Technologies
Date: 2011-12-19 00:00:00.0

Station Location
City State Latitude Longitude Mobile Radius of Operation
Pahoa Hawaii North  19  27  21 West  154  54  59 5.00
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:  
(c) Orientation in vertical plane:  
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?   Yes
(a) Overall height above ground to tip of antenna in meters:   30.00
(b) Elevation of ground at antenna site above mean sea level in meters:   259.10
(c) Distance to nearest aircraft landing area in kilometers:   22.00
(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: Homes and buildings, surrounded by groves of agricultural and native trees and foilage
Action Frequency Station Class Output Power/ERP Mean Peak Frequency Tolerance (+/-) Emission Designator Modulating Signal
New 470.00000000-608.00000000 MHz FX 1.000000 W 4.000000 W M 6M00F1D QPSK
Action Frequency Station Class Output Power/ERP Mean Peak Frequency Tolerance (+/-) Emission Designator Modulating Signal
New 614.00000000-698.00000000 MHz FX 1.000000 W 4.000000 W M 6M00F1D QPSK

City State Latitude Longitude Mobile Radius of Operation
Keaau Hawaii North  19  30  49 West  155  3  47 5.00
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:  
(c) Orientation in vertical plane:  
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?   Yes
(a) Overall height above ground to tip of antenna in meters:   30.00
(b) Elevation of ground at antenna site above mean sea level in meters:   409.00
(c) Distance to nearest aircraft landing area in kilometers:   6.10
(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: Antenna is surrounded by home and agricultural buildings as well as rain forest conditions beyond the residential area.
Action Frequency Station Class Output Power/ERP Mean Peak Frequency Tolerance (+/-) Emission Designator Modulating Signal
New 470.00000000-608.00000000 MHz FX 1.000000 W 4.000000 W M 6M00F1D QPSK
Action Frequency Station Class Output Power/ERP Mean Peak Frequency Tolerance (+/-) Emission Designator Modulating Signal
New 614.00000000-698.00000000 MHz FX 1.000000 W 4.000000 W M 6M00F1D QPSK