(b) (7)(E), (b) (6), (b) (7)(C)
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1 ASN Case Status Date Created Date Submitted, (b) (6), (b) (7)(C) Proponent Organization Declaration Sponsor Attn Of Address Address2 City State Postal Code Telephone Declaration(a) Declaration(b) Point of Contact Operational Description Requested Effective Period Representative Address Address2 City State Postal Code Telephone Beginning End Light out operation VFR opera ion IFR operation Day operation Night operation
2 , (b) (6), (b) (7)(C) Program Executive Summary Operational Summary Location State County Nearest Airport AOR Class Of Airspace Class-A Class-B Class-C Class-D Class-E Class-G System Description Aircraft Type Aircraft Type And Model Description Control Station Communications System List Certified Components (TSO) Other
3 , (b) (6), (b) (7)(C) Performance Characteristics Climb Rate (feet/minute) Descent Rate (feet/minute) Turn Rate (Degrees/Second) Cruise Speed Maximum Minimum Approach Speed Operating Attributes Maximum MSL Minimum MSL Gross Takeoff Wt Launch/Recovery Airworthiness FAA Type Certificate If No FAA Certificate (Public Aircraft Only) Procedures Lost Link/Mission Procedures Lost Communications Procedures Emergency Procedures Avionics/Equipment Equipment Suffix Type GPS Moving map indicator (Command Station) Tracking capability TCA/MCAS ELT
4 Transponder Transponder On Off Standby Ident Mode S Mode C Transponder Retuneable in Flight Lights Landing Position/Navigation Anti-collision Infrared (IR) Spectrum Analysis Approval Data Link Data Link Control Link(s) Control Link Operations utilizing Radio Control (R/C) frequencies as described in Title 47 CFR 95 NTIA/FCC Au horiza ion ATC Communica ions Transmitter VHF Band Transmitter UHF Band VHF Band UHF Band
5 Transmitter HF band HF Band Receiver VHF Band VHF Band Receiver UHF Band UHF Band Receiver HF band HF Band Guard (Emergency) Frequencies VHF Band VHF Band Guard (Emergency) Frequencies UHF Band Instantaneous Two- Way Voice UHF Band Direct to pilot SATCOM Relay via aircraft Electronic Surveillance/Detection Capability EO/IR Terrain detection
6 Weather/icing detection Radar Other Electronic detec ion systems Electronic detec ion systems attachment Radar observation NAS Operational Capability Visual Surveillance/Detection Capability Maximum Distance from UA Vertical Horizontal Airborne based (Chase Aircraft) Ground based Visual observation from one or more ground sites Forward or side looking cameras for All Aircraft Performance Recording Flight data recording Control sta ion recording Voice Recording Flight Aircrew Qualifications Pilots Private (Written) Private (Certified) Instrument Commercial
7 Air Transport Unique Trained Pilot Unique Trained Pilot Description DOD certified/trained Other Certified Training Trained on FAR Part 91 Requirement Medical Certification Class (FAA or DOD equivalent) Currency Status Duty Time Restrictions Single UAS Control UAS Description Total Numbers of UAS Controlled Observers Private (Written) Private (Certified) Instrument Commercial Air Transport Unique Trained Pilot Unique Trained Pilot Description DOD certified/trained Other Certified Training Trained on FAR Part 91 Requirement DOD Cer ified Training
8 Total Map Medical Certification Class (FAA or DOD equivalent) Currency Status Duty Time Restrictions Single UAS Control UAS Description Total Numbers of UAS Controlled Special Circumstances Special Circumstances Flight Operations Area/Plan Type User Define Area ID DEPARTURE Point Loc ID Degree Distance Latitude Longitude MSL Ceiling MSL Floor Maximum Speed Minimum Speed Radius SUA Description
(b) (7)(E) (b) (7)(E) (b) (7)(E) (b) (7)(E) (b) (7)(E)
Class Of Airspace County Nearest Airport AOR Class-A Class-B Class-C Class-D Class-E Class-G Washington System Description Aircraft Type Predator B Performance Characteristics Cruise Speed Operating Attributes
(b) (7)(E) Minimum MSL Gross Takeoff Wt Launch/Recovery Attachment 1
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