Fillable RPA Authentication Form Blank (Masterton District Council New Zealand)

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RPA Authentication Form Blank (Masterton District Council New Zealand)

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_____________ AIRPORT – Remotely Piloted Aircraft (RPA) Within 4km of Airport
Operator Agreement / Authorisation
(once signed by the airport operator)
Date Issued
Period of
authorisation
This Agreement/Authorisation is issued to:
First Name Last Name
Business
Details
Residential
Address
Email
Postal Address
Business
Phone
Operator
Qualification
Cellphone
RPA Details:
Make Model Weight (kg)
Max 25kg
or Pt 102
Make Model Weight (kg)
Max 25kg
or Pt 102
Make Model Weight (kg)
Max 25kg
or Pt 102
If over 15kg provide certification and separate supervisor details
Supervisor details (if Operator is not qualified):
Supervisor
Name
Cellphone
Licence
Number
CAA Radio
Licence
If intending to communicate with aircraft
or ATC
Location where the RPA will be operated:
Operation
Address
Description of
operation
Attach map/diagram showing area of proposed operation
When signed by the airport operator, this document confirms that the above RPA Operator has been
authorised to operate the above RPA within 4 kilometres of ________________ Airport at the location
described above, during the period of authorisation and subject to the following conditions:
1. Compliance with all aspects of Civil Aviation Rule Part 101 at all times, or Operating certificate if
operated under Part 102
2. The Permission of the property owner or occupier will be obtained before operating over any
property
3. The Manager of _____________ Airport is to be notified the day before, or on the day of and prior to,
operation of the RPA on each occasion (delete or modify as required)
4. Compliance with further attached conditions (delete if not required)
Declaration: I have read, understood, and will comply with all aspects of this agreement when operating the
above RPA and understand that this authorisation is not transferable
Name:_____________________________________ Signature__________________________ Date:____________
NOTE: This only authorises RPA operations within 4km of the named airport. An additional agreement would be needed for any other
airport with an area that overlaps
Signed on behalf of airport operator: ______________________________ Date:_______________ version 2
FORM FOR UNATTENDED (UNCONTROLLED) AIRPORTS AND CONTROLLED AIRPORTS OUTSIDE ATC HOURS
4
Km
Flying a drone within
4km of an airport or in
an airport control
zone?
You need
authorisation!
• Maps: to know where to fly
• My Flights: to log your flights and request access to controlled
airspace
• Top Tips: to understand Civil Aviation Rules
• Council Policies: on consent for flying over parks and Council land
• Buzz: to share your footage and news
• Quiz: to test your knowledge
• Directory: NZ’s largest directory to find drone operators or service
providers
NZ Airports Association | Level 6, 99-105 Customhouse Quay, Wellington | Ph 04 384 3217
Once you have authorisation
You need to comply with Civil Aviation Rules – be familiar with
Rule Part 101. Once you have authorisation from the Airport
Operator (and/or in the case of an ‘air traffic controlled airport’,
Airways Corporation of NZ), these are some key rules you will need
to comply with (in addition to any conditions attached to your
authorisation/agreement):
• The operator must have an approved pilot qualification or be
under the supervision instruction of an approved person (or
hold a Part 61 or Part 149 pilot licence)
• The RPA must not be flown over any part of the aerodrome
unless specifically approved in the authorisation
• In addition to the airport authorisation, you must have
consent of the occupier or property owner of land over which
the RPA is to be flown (this includes roads and local Council
reserves and parks)
• Must not fly the RPA higher than 400 feet above ground level
without CAA approval
• Each pilot must have an observer in attendance while the RPA
is in flight
• The operator must not drop any object from the RPA if it
creates a hazard to any person or property
• Must have unobstructed view of surrounding airspace, and
meteorological conditions that enable visual line of sight of
the RPA to be maintained
• Must not operate at night unless indoors or alternatively is
within 100m of, and below the top of, a natural or man-made
object
• Must not operate in a designated low flying area or
designated restricted area or military operating area unless
approved by the authority responsible for that airspace.
To apply for an authorisation –
• For flying within the control zone of an ‘air traffic controlled
airport’ apply for authorisation from Airways Corporation of NZ
through www.airshare.co.nz. Note that most regional airports
are not ‘controlled’ for 24 hours. Depending on the time of day
you may need Airport Operator authorisation as well.
• For flying within 4km of an ‘uncontrolled’ airport, contact the
airport operator concerned. Use the attached application form to
provide the necessary detail.
Visit www.airshare.co.nz the one-
stop-shop for information and
resources to fly your drone (RPA)
safely. Airshare is quick and easy
to use and provides:
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RPA Authentication Form Blank (Masterton District Council New Zealand)

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Completed 16 July 2020

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