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picture1_Business Spread Sheet 28946 | Drone Template Application Jan 2022


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File: Business Spread Sheet 28946 | Drone Template Application Jan 2022
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 ...

icon picture DOCX Filetype Word DOCX | Posted on 07 Aug 2022 | 3 years ago
Partial capture of text on file.
                 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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...Application for sua and drone operations within shoreham frz this form is used all applications flights the important warning notice office use only it must be noted that an does not constitute permission to fly or operate any model aircraft unless written permit no approval received by applicant from brighton city airport of a kad xxx permitted please note fields marked with asterisk are required pilot details completed in block capitals business name address telephone mobile phone email if different contact caa flyer op id type including size weight kilograms equipment camera yes audio annotate as appropriate recording other information registration marking insurance cover provider date expiry copy policy schedule submitted possible operation purpose flight provide brief description period start finish time take off position area location landing max height feet risk assessment on separate sheet declaration submitting i event sponsor declare have checked above best my knowledge corre...

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