Airway Manual Services & Flight Information Jeppesen GmbH BOTTLANG AIRFIELD MANUAL P.O. Box 1535 Tel.: +49 6102 5070 63235 Neu-Isenburg Fax: +49 6102 507547 GERMANY e-mail: fra-services@jeppesen.com Dear Sirs, For the required information we kindly request you to complete this questionnaire. In addition we need a copy of your actual aerodrome layout. Also a copy of a chart where we can see the exact location of your Aerodrome would be helpful. Please return the filled out pages to one of the above mentioned address. Thank you for your assistance. JEPPESEN GmbH BOTTLANG AIRFIELD MANUAL AERODROME GENERAL INFORMATION 1 Aerodrome Operator's Address (with postal code) 2 Phone/Fax-numbers (with Prefix) PHONE: FAX: a) AIS: b) TWR: c) MET d) FUEL: e) OPR: e-mail address (if available): f) OTHER: 3 Aerodrome permitted for (X) 4 Use of Aerodrome (X) IFR-Flights VFR at night NORDO Acft International Flights Without prior notification PPR (via Tel) PPO (in writing) O/R (Tel or PLN) 1
5 Aerodrome Operating Hours (Local) a) Summer time period b) Winter time period: 6 Aerodrome closed on following days/holidays: 7 Fuel Grades No Fuel Services offered at this time 8 Oil Grades No Oil Services offered at this time 80/87 OCtane (F-2 Gasoline) 80 100LL Octane (F-3 Gasoline) 100 100/130 Octane (F-4 Gasoline) MOGAS (F-6) Jet A-1 Other: D80 D100 15W50 Other: 9 CARNET/CREDIT CARD ACCEPTED (X): No YES EURO-/MASTERCARD VISA AMERICAN EXPRESS Other: 10 REFUELLING POSSIBLE (Hours Local) a) Summer time period: b) Winter time period: 11 CUSTOMS AVAILABLE (Local time) No PPR PPR O/R Without prior notification a) Summer time period: b) Winter time period: 2
12 COMPETENT ATS UNIT (pre-flight briefing, flight plan) & phone/fax number (when known): 13 COMPETENT MET OFFICE (MET briefing) & phone/fax number (if known): SPECIAL INFORMATION 14 AERODROME ELEVATION: ft m 15 ICAO LOCATION INDICATOR: 16 COORDINATES (ARP): WGS-84 format if available 17 VARIATION: 18 DISTANCE (NM)/DIRECTION TO NEAREST TOWN/CITY: 19 RADIO COMMUNICATION FACILITIES AVAILABLE: Service Call Sign Frequency Language VDF Yes No 20 RADIO NAVIGATIONAL AIDS AT AERODROME OR USABLE FOR APPROACH: Type of aid Frequency Identification Position or Distance and magnetic bearing to ARP 3
21 PROMINENT OBSTACLES AT OR NEAR AERODROME (altitude or height in ft or m) lighted or non-lighted: 22 AREAS TO BE AVOIDED (near Aerodrome) due Noise Abatement reasons or due to dangers: 23 PRESCRIBED APPROACH/DEPARTURE ROUTES AND REPORTING POINTS: distance/bearing to nearest navigational facility/coordinates(in WGS-84 format if available): 24 PRESCRIBED VFR HOLDING PATTERN (Heading, altitude, height): 4
25 TRAFFIC CIRCUITS RWY Left Hand (LH) Right Hand (RH) Altitude (ft MSL) or Height (ft GND) a) Aeroplanes: b) Gliders: b) ULM: d) Others: 26 RESTRICTIONS/SPECIAL REGULATIONS/ADDITIONAL INFORMATION: 5
27 AERODROME AVAILABLE TO (X): Aeroplanes Helicopters Powered Gliders Gliders Parachuting ULM Para-glider Balloon(s) Airship(s) Model-flights Other 28 LOCATION OF THE FOLLOWING: (if possible, please use sketch to illustrate) a) TWR/Aerodrome Reporting Office b) Aerodrome Beacon (ABN/IBN) c) Windsock (WDI) d) Signal Area (Landing T) e) HEL Alighting area f) Taxiways (asphalt or grass) g) Apron/Parking Area (Asphalt or grass) h) Refuelling Station i) Restaurant or Buffet j) Hangars k) Winch launching run 29 AVAILABLE AT AERODROME: YES NO Obervations a) Repair facility Minor Major b) Overnight accomodation near AD c) Flying School Licenses: d) Aircraft Charter e) Hangar space for visiting ACFT Number for visiting ACFT: f) Transport facilities (X) Bus Train Taxi Car Rental Other g) Others 30 RUNWAYS RWY (QFU) Dimensions (m) Surface TORA (m) LDA (m) MAX Load (tons) Lighting THR elevation 6
31 DETAILS OF AERODROME LIGHTING (X) Approach Lighting (ALS) RWY-Centerline Taxiway Windsock Signal Area (Landing-T) VASIS PAPI Obstacles Others: 32 CHANGES DEFINITELY PLANNED FOR THE NEXT FUTURE (next 4 months): PLEASE ADD ATC AFFECTING INFORMATION/COPY OF LICENSING OF AERODROME IF AVAILABLE. DATE: (Stamp, Signature) Person(s)/address/phone-/faxnumber/e-mail to be contacted in case of clarification: Thank you very much for filling out our form. Your support will enable us to continue with our services to the aviation community. JEPPESEN BOTTLANG AIRFIELD MANUAL 7