Appendix 1 FAA FORM 7711-2. APPLICATION FOR CERTIFICATE OF WAIVER OR
AUTHORIZATION http://www.faa.gov/documentLibrary/media/form/faa7711-2.pdf http://www.faa.gov/forms/index.cfm No certifloate may be locued unle a completed appiloation form hac been reoelved (14 C.F.R. 91. 101. and 106).
From Approved: O.M.B. No.2120-0027 08/31/2008 US Department of Transportation APPLICANTS - DO NOT USE THESE SPACES Federal Aviation Administration Region Date APPLICATION FOR Action • Approved • Disapproved - "Explain under "Remarks" CERTIFICATE OF WAIVER Signature of authorized FAA representative
OR AUTHORIZATION
INSTRUCTIONS Submit this application in triplicate (3) to any FAA Flight Standards district office Applicants requesting a Certificate of Waiver or Authorization for an aviation event must complete all the applicable items on this for and attach a properly marked Topographic Quadrangle Map(s), published by the U.S.
Geological Survey (scale 1:24,000), of the proposed operat ing area. The map(s) must include scale depictions of the flightlines, showlines, race courses, and the location of the air event control point, Police dispatch, ambulance, and fire fighting equipment. The applicant may also wish to submit photographs and scale diagrams as supplemental material to assist in the FAA's evaluation of a particular site Application for a Certificate of Waiver or Authorization must be submitted 45 days prior to the requested date of the event Applicants requesting a Certificate of Waiver or Authorization for activities other than an aviation event will complete items 1 through 10 only and the certification, item 17, on the reverse.
1. Name of organization 2. Name of responsible person
3. Permanent House number and street or route number City State and ZIP code Telephone No.
ddret
4. State whether the applicant or any • T in son or wave raffice of the FAA
6. FAR section and number to be walved
7. Detailed description of proposed operation (Attach supplement if needed)
• Area or operaton pocaten a ga. Beginning (Date and hour) b. Ending (bate and hour
10. make and model Pilot's Name Certain ber (Ф) FAA Form 7711 -2 (8-08) Supersedes Previous Edition Page 3
Appendix 1 FAA FORM 7711-2. APPLICATION FOR CERTIFICATE OF WAIVER OR AUTHORIZATION (Continued) ITEMS 11 THROUGH 16 TO BE FILLED OUT FOR AIR SHOWIAIR RACE WAIVER REQUESTS ONLY.
11. The alr event will be sponsored by:
12. Perm maling ni House number and street or route number city State and ZIP code Telephone No.
address
13. Policing (Describe provisions to be made for policing the event)
14. Emergency facilities (Mark all that wil be avalable at time and place of air event.)
• Physician • Fire truck • Other - Specify
• Ambulance • Crash wagon
15. AIr Trafic control / Describe method of controlling traffic, inciluding provision for arrival and departure of scheduled alcraft.)
16. Schedule of Events (Include arrival and departure of scheduled aircraft and other periods the airport maybe open.)
Hour Dat Event If sufficlent space is not avallable, the entire schedule of events may be submitted on separate sheets, in the order and manner Indicated above.
The undersigned applicant accepts full responsibility for the strict observance of the terms of the Certificate Please Read of Waiver or Authorization, and understands that the authorization contained in such certificate will be strictly limited to the above described operation.
17. Certification - I CERTIFY that the foregoing statements are true.
Date Signature of Applicant Remarks FAA Form 7711-2 (8-08) Supersedes Previous Edtion Page 4
Appendix 1
SAMPLE DOCUMENTS FAA Form 7711-2. Instructions for Application Under NAFTA
1. Block 1. Provide the proper and complete name of the organization.
2. Block 2. Name of Responsible Person (include email address). This is the person in charge of operations of the organization (typically it would be the owner, president, operations manager, chief pilot, or comparable management personnel). This person signs block 17.
3. Block 3. List the company’s permanent mailing address. This is a location where certified mail can be received. The company telephone and fax number are required, and a company email address is preferred to allow faster processing of the application.
4. Block 4. This block is not applicable for NAFTA operations.
5. Block 5. This block is not applicable for NAFTA operations.
6. Block 6. Enter “None”. No waivers to 14 CFR may be granted as part of a NAFTA application.
7. Block 7. List all requested SAS operations the company intends to provide (see SAS Definitions in paragraph 4). Include a brief description of the operation to be conducted if it will not clearly fit one of the definitions contained in paragraph 4.
8. Block 8. Enter country or countries of the operator’s intended operations as “Canada,” “Mexico,” or “Canada and Mexico.” Canadian or Mexican operators are required to list specific geographic areas of operation in the United States for the intended SAS operations, to include a principle operating location (i.e., airport(s) or nearest airport(s)).
9. Block 9a. Enter the date the operator intends to begin operations.
Block 9b. Enter the date the operator intends to end operations. Since NAFTA authorizations can not be granted for greater than 12 months, the date in block 9b can be less than, but no more than 12 months from the date in block 9a (e.g., 12/09/2010 – 12/08/2011).
NOTE: For Canadian and Mexican operators, the requested dates should not exceed the dates authorized by the respective Canadian OpSpecs/Mexican AOC.
10. Block 10a. Due to requirements of Web-based Operations Safety System (WebOPSS), list each aircraft by make, model, registration number, and serial number, even though the FAA Form 7711-2 only requests make and model.
• Block 10b. List each pilot’s full name (as it appears on his/her pilot certificate).
• Block 10c. List each pilot’s certificate level (e.g., Commercial or airline transport pilot (ATP)) and certificate number.
• Block 10d. This block is not applicable for NAFTA operations.
Appendix 1 NOTE: Blocks 10a, b, c, and d may be listed on a separate attachment.
11. Blocks 11 through 16. Blocks 11 through 16 are not applicable to NAFTA operations. Leave blank.
12. Block 17. Date the application was certified by the responsible person, along with the responsible party’s signature.
Appendix 2 APPENDIX 2. CONTACT INFORMATION Country CAA Contact Office Contact Information Canada Manager, Certification Foreign Inspection Division, AARJF Tower C, Place de Ville, 330 Sparks Street Ottawa, Ontario K1A 0N5 Phone: 613-990-1100
Fax: 613-991-5188 Mexico Dirección de Transporte y Control Aeronáutico Dirección General de Aeronáutica Civil Boulevard Adolfo Lopez Mateos, # 1990, Piso 3 Col. Los Alpes Tlacopac, Del. Alvaro Obregón, C.P. 01010, México, México, D.F.
Phone: 5255-5723-9300, ext. 18108 and 18104
Email: NAFTA@sct.gob.mx United States For North American Free Trade Agreement (NAFTA) Policy and Procedures Federal Aviation Administration General Aviation and Commercial Division AFS-800 800 Independence Avenue, SW Washington, DC 20591 Phone: 202-385-9600
Fax: 202-385-9597
Email: NAFTA@faa.gov
Web site:
http://www.faa.gov/about/off ice_org/headquarters_offices/ avs/offices/afs/afs800/afs820 /nafta_oper/ United States Drug and Alcohol Program Office Program Administration Branch AAM-810 800 Independence Avenue, SW Washington, DC 20591 Phone: 202-267-8442
Fax: 202-267-5200 United States Department of Transportation (DOT) Foreign Air Carrier Licensing Division 400 7th St, SW Washington, DC 20590 Phone: 202-366-2399
Fax: 202-366-3694 Pipeline and Hazardous Materials Safety Administration (PHMSA) Associate Administrator for Hazardous Materials Safety (Attention: General Approvals and Permits, PHH–31) Pipeline and Hazardous Materials Safety Administration U.S. Department of Transportation, East Building 1200 New Jersey Avenue, SE Washington, DC 20590–0001 Fax 1: 202-366-3753
Fax 2: 202-366-3308
Email:
specialpermits@dot.gov
Web site:
http://www.phmsa.dot.gov/h azmat/regs/sp-a
Appendix 2
United States FAA Flight Standards District Offices (FSDO) http://www.faa.gov/about/office_org/field_offices/fsdo/ NAFTA Specialty Air Services Information Packet (U.S. DOT) http://www.dot.gov/policy/aviation-policy/nafta-specialty-airservices-information-packet Canada http://www.tc.gc.ca/eng/menu.htm Mexico http://www.sct.gob.mx/transporte-y-medicina-preventiva/aeronauticacivil/inicio/
Appendix 3 APPENDIX 3. FLIGHT TRAINING—GENERAL
Description of Flight Training under a NAFTA Authorization
Certificated Flight Schools (e.g.
14 CFR Part 141) Flight Training Operators (e.g.
14 CFR Part 142) Specialty Air Services (SAS) Operators Who may provide the training?
The below flight training activities must be conducted by certified flight instructors under the authority of the certificated flight school.
The below flight training may be conducted by certificated flight schools or by instructors operating under the authority of a flight training operator.
The below flight training may be conducted by a certified flight instructor operating under the authority of an SAS under the North American Free Trade Agreement (NAFTA) for that type of SAS operation.
What type of training may be provided?
All training authorized under a certificate; refer to Canadian Aviation Regulation 406.02;
Title 14 of the Code of Federal Regulations (14 CFR) part 141, §§ 141.11 and 141.57, the Ley de Aviación Civil, Article 39; and Reglamento de la Ley de Aviación Civil.
Recreational, Private (aeroplane and helicopter), Commercial (aeroplane and helicopter), Flight instructor rating (aeroplane and helicopter), Night-flying privileges (aeroplane and helicopter) Specialized training facilities (for example, Flight Safety International) may train pilots for a rating in category and/or class and aircraft type ratings.
Agricultural license (DGAC).
Seaplane rating, Multiengine rating, Type rating, Instrument rating, and Airline transport license Training of pilots, regardless of whether they are employed by that operator, is allowed for authorized SAS operations and to maintain flight currency in conducting those operations.
Appendix 3 Additional Pilot-Instructor Qualifications
1. NIGHT TRAINING IN MEXICO.
a. A Canadian instructor must hold an instrument rating.
b. A U.S. instructor must hold a certificated flight instructor – instrument (CFII) rating.
2. SEAPLANE TRAINING. Canada requires instructors from Mexico and the United States to have 50 hours of flight time in seaplanes.
3. VFR OVER-THE-TOP TRAINING IN CANADA.
a. A U.S. instructor must hold a CFII rating.
b. A Mexican instructor must hold an instrument rating.
4. AEROBATICS TRAINING IN CANADA. Instructors certified in Mexico and the United States who wish to teach aerobatics must hold a Canadian authorization.
5. AEROBATICS TRAINING IN MEXICO. Canadian instructors wishing to teach aerobatics must hold a special permit and/or authorization.
6. TRAINING FOR A FLIGHT INSTRUCTOR RATING—AEROBATICS IN CANADA. Instructors certified in Mexico and the United States who wish to conduct training for a flight instructor rating aeroplane aerobatics must hold a Canadian authorization.
7. FLIGHT TRAINING FOR AN INSTRUCTOR RATING—AEROPLANE OR HELICOPTER.
a. In Canada, TCCA requires instructors from Mexico and the United States to have 750 hours flight instruction in the category (600 hours dual flight instruction for a civil pilot license), and have recommended 10 applicants for the private, commercial, or recreational pilot permit (RPP) flight test (maximum of three for the RPP). Instructors from the Unites States must take an evaluation flight.
b. In Mexico, the DGAC requires U.S. instructors to have 3 years experience as a flight instructor, 350 hours flight time in the category and class (150 hours in the aircraft), 30 hours as pilot in command (PIC) in the preceding 2 months, a written examination, and a flight test.
Appendix 4 Page 1 (and 2) APPENDIX 4. INSURANCE REQUIREMENTS
1. CANADA. SAS operators must meet the insurance requirements contained in CAR 606.02 and have passenger and third-party liability coverage to the limits specified.
2. MEXICO. SAS operators must meet the insurance requirements contained in Article 64 of the Ley de Aviación Civil and have passenger and third-party liability coverage to the limits specified.
3. UNITED STATES. Sightseeing operators must meet the insurance requirements contained in 14 CFR part 205 and have passenger and third-party liability coverage to the limits specified.
Appendix 5 Page 1 (and 2) APPENDIX 5. SURVIVAL EQUIPMENT
1. OPERATIONS IN CANADA. Survival equipment must be carried to satisfy CAR 602.61 (http://www.tc.gc.ca/eng/civilaviation/regserv/cars/part6-602-2436.htm) requirements, which include provisions for shelter, water, fire, and signaling. This section does not apply where the aircraft is being operated in an area and at a time of year such that survivability is not jeopardized. Specific information on the geographic location requirements is included in TC AIM. AIM information can be obtained by visiting:
http://www.tc.gc.ca/eng/civilaviation/publications/tp14371-gen-menu-2565.htm.
2. OPERATIONS IN MEXICO. Survival equipment must be carried to satisfy Articles 191, 193, 194, and 195 of the Reglamento de la Ley de Aviación Civil:
(http://aicm.com.mx/Dependencias/DGAC/). These requirements include provisions for a first-aid kit, shelter, flotation devices for over water operations, a fire extinguisher, an emergency locator transmitter, emergency rations and clothing, and signaling. Emergency rations and clothing are required for remote locations only, appropriate to the area being over flown. This information can be obtained by contacting the DGAC directly.