192x Filetype DOCX File size 1.04 MB Source: flybrighton.com
Application for SUA and Drone operations within Shoreham FRZ THIS FORM IS USED FOR ALL DRONE AND SUA APPLICATIONS FOR FLIGHTS WITHIN THE SHOREHAM FRZ. IMPORTANT WARNING NOTICE: OFFICE USE ONLY IT MUST BE NOTED THAT THIS IS AN APPLICATION FORM ONLY AND IT DOES NOT CONSTITUTE PERMISSION TO FLY OR TO USE OR OPERATE ANY MODEL AIRCRAFT/DRONE/SUA. UNLESS PERMISSION AND WRITTEN Drone/SUA Permit No. APPROVAL IS RECEIVED BY THE APPLICANT FROM BRIGHTON CITY AIRPORT, USE OF A SUA, DRONE OR MODEL KAD XXX- 01/22 AIRCRAFT IS NOT PERMITTED WITHIN THE SHOREHAM FRZ. PLEASE NOTE THAT ALL FIELDS MARKED WITH AN ASTERISK (*) ARE REQUIRED. 1) APPLICANT / PILOT DETAILS – (TO BE COMPLETED IN BLOCK CAPITALS) Applicant/Business Name* Applicant/Business Address Applicant/Business Telephone* Mobile Phone Pilot email address* Pilot Address (if different from applicant) * Pilot Contact Telephone* Mobile Phone CAA Flyer and OP ID 2) DETAILS OF SUA / DRONE Type of Drone (Including size and weight in kilograms) Drone Equipment Camera Yes / No Audio Yes / No (Annotate as appropriate) Recording Any other information Registration Marking (if any) Insurance cover/provider Date of Expiry (Copy of policy schedule to be submitted if possible) 3) SUA / DRONE OPERATION DETAILS* Purpose of Drone / SUA flight (Provide brief description) Flight Period Date Start / Finish time Take-off position Area of use Flight Location Landing position Max Height (in feet) Risk Assessment (if any). Provide brief details on separate sheet 4) DECLARATION* By submitting this Form, I, as the event sponsor, declare that I have checked the above information and that to the best of my knowledge it is correct, and that I am aware of my obligations under the UK Air Navigation Order. Name: Date: Form – SUA/Drone Application Issue 02 - October 2021 Brighton City Airport Limited is a company registered in England and Wales: Company Number 08556136. Registered Office: The Terminal Building, Cecil Pashley Way, West Sussex, BN43 5FF VAT No. 166607883 5) ASSESSMENT - TO BE COMPLETED BY AIR TRAFFIC CONTROL TEAM* Assessments (add ‘x’ as required) * Decision Comments Is there interaction with fixed-wing circuits and/or Yes No visual approach to runway(s)? Is there interaction with helicopter circuits? Yes No Air Traffic Control to be Notified BEFORE Operations Yes No commence? Air Traffic Control to be Notified AFTER Operations Yes No completed? Drone/SUA Operation Approved Subject to any Yes No Operating Conditions? NOTAM Required? Yes No Add text for NOTAM: 5.4 Distribution of Permit to Stakeholders* Air Traffic Control, Applicant 5.6 Permit Approval * Granted / Refused (if refused – email providing reason to be sent) Name* Signature* Date* Additional Information By submitting this application, the applicant confirms that: 1. The restrictions and conditions contained in the website https://dronesafe.uk/ are acknowledged and confirmed. 2. The details provided in this application form are true, accurate and complete. 3. It is acknowledged that any permission granted by Shoreham Airport will be granted strictly subject to the terms and conditions set out in the permission provided. 4. The pilot and person in command of the SUA/drone/model aircraft agrees to be bound by those terms and conditions. 5. A copy of this permit is kept with the pilot operator of the drone/SUA for the duration of the operation and will be produced when requested by an Aerodrome, CAA official, or a police officer. 6) Airport Contact Information: Please email a copy of the completed Drone/SUA Permit Application form and any further questions to: Note: In case of emergencies and out of working hours, Barry Hawkins please contact: Manager Air Traffic Control Brighton City Airport – Air Traffic Control Telephone Number: 01273 467377 Phone: +44 (0) 1273 467377 / +44 (0) 1273 467378 Email: airtraffic@flybrighton.com AFTN: EGKAZTZX Appendix A - Restrictions and Conditions Form – SUA/Drone Application Issue 02 – January 2022 Brighton City Airport Limited is a company registered in England and Wales: Company Number 08556136. Registered Office: The Terminal Building, Cecil Pashley Way, West Sussex, BN43 5FF VAT No. 166607883 No additional requirements. Location map Form – SUA/Drone Application Issue 02 – January 2022 Brighton City Airport Limited is a company registered in England and Wales: Company Number 08556136. Registered Office: The Terminal Building, Cecil Pashley Way, West Sussex, BN43 5FF VAT No. 166607883
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