Fill - Free fillable Responsible Person: Thomas Sugahara Waiver Number: 107W-2022-00223 Salem, PDF form

U.S. DEPARTMENT OF TRANSPORTATION

FEDERAL AVIATION ADMINISTRATION

CERTIFICATE OF WAIVER

ISSUED TO

A-Cam Aerials

Responsible Person: Thomas Sugahara

Waiver Number: 107W-2022-00223

ADDRESS –

1730 Misty Pl NW

Salem, OR 97304

This certificate is issued for the operations specifically described hereinafter. No person shall conduct any operation pursuant to the

authority of this certificate except in accordance with the provisions contained in this certificate.

OPERATIONS

AUTHORIZED

Small unmanned aircraft system (sUAS) operations beyond the visual line of sight of the remote pilot in command (PIC).

LIST OF WAIVED REGULATIONS BY SECTION AND TITLE

14 CFR § 107.31—Visual line of sight aircraft operation

STANDARD PROVISIONS

1. A copy of the application made for this certificate shall be attached to and become a part hereof.

2. This certificate shall be presented for inspection upon the request of any authorized representative of the Administrator of the

Federal Aviation Administration, or of any State or municipal official charged with the duty of enforcing local laws

or regulations.

3. The holder of this certificate shall be responsible for the strict observance of the terms and provisions contained herein.

4. This certificate is nontransferable.

NOTE—This certificate constitutes a waiver of those Federal rules or regulations specifically referred to above. It does not constitute

a waiver of any State law or local ordinance.

SPECIAL PROVISIONS

Special Provisions Nos. 1 to 32, inclusive, are set forth on the attached pages.

This Certificate of Waiver is effective from April 7, 2022, to April 30, 2026, and is subject to cancellation at any time upon notice by

the Administrator or an authorized representative.

BY DIRECTION OF THE ADMINISTRATOR

General Aviation and Commercial Division, AFS–800

DEREK W HUFTY

Digitally signed by DEREK W

HUFTY

Date: 2022.04.10 16:46:41 -05'00'

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Page 2 of 6

Certificate of Waiver Number 107W-2022-00223

SPECIAL PROVISIONS ISSUED TO

A-Cam Aerials

General.

The FAA’s Flight Standards Service has reviewed your application to ensure compliance with the requirements

of 14 CFR § 107.200 and § 107.205. Pursuant to these authorities, the Administrator finds that the proposed

small unmanned aircraft (sUA) operation can be conducted safely under the provisions of this Certificate of

Waiver (Waiver) as listed below because you have established adequate mitigations for risks involved with

operating your sUA in the manner you described. Adherence to the provisions of this Waiver establishes the

required level of safety within the national airspace system.

The Administrator may cancel this Waiver at any time. As a general rule, this Waiver may be canceled when it

is no longer required, there is an abuse of its provisions, or when unforeseen safety factors develop. Failure to

comply with any provision listed below is a violation of the terms of this Waiver and will serve as justification

for cancellation.

List of Regulations Waived by Section and Title. The following regulations are waived:

14 CFR § 107.31, Visual line of sight aircraft operation, is waived to allow operation of the small

unmanned aircraft (sUA) beyond the direct visual line of sight of the remote pilot in command

(PIC).

No part of this waiver will function as an airspace authorization under 14 CFR § 107.41. The FAA’s Air Traffic

Organization responds directly to requests for such authorizations.

Common Special Provisions. The Responsible Person is directly responsible for safety of operations

conducted under this Waiver and will ensure the Remote Pilot in Command (remote PIC), manipulator of the

controls, and visual observer(s) (VO)

comply with all provisions of this Waiver.

1. The Responsible Person listed on the Waiver is responsible to the FAA for the safe conduct of the

operations. Prior to conducting operations that are the subject of this Waiver, the Responsible Person:

a. Must ensure the remote PIC and manipulators of the controls are informed of the terms and

provisions of this Waiver and strictly observe the terms and provisions herein;

b. Must ensure the remote PIC and manipulators of the controls are informed and familiar with part 107

regulations; and

c. Evidence of the above (a and b) must be documented and must be presented for inspection upon

request from the Administrator or an authorized representative;

2. This Waiver may not be combined with any other waiver(s), authorizations(s), or exemption(s) without

specific authorization from the FAA;

3. The FAA has the authority to cancel or delay any or all flight operations if the safety of persons or

property on the ground or in the air are in jeopardy or there is a violation of the terms of this Waiver;

4. A copy of this Waiver must be accessible and available to the remote PIC at the ground control station

during sUA operations that are the subject of this Waiver;

Title 14 CFR § 107.3 defines the term “visual observer.” Any VO participating in operations conducted under this Waiver must meet

the requirements listed in § 107.33 throughout the duration of flight operations.

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Certificate of Waiver Number 107W-2022-00223

5. The Responsible Person listed on this Waiver must maintain a current list of pilots by name and

remote pilot certificate number used in operations under this Waiver. This list must be presented for

inspection upon request from the Administrator or an authorized representative;

6. The Responsible Person listed on this Waiver must maintain a current list of sUA by registration

number(s) used in operations under this Waiver. This list must be presented for inspection upon request

from the Administrator or an authorized representative;

7. For the purposes of this Waiver, direct participants are the remote PICs, persons manipulating the

controls, VOs (if used), and any persons whose involvement is necessary for safety of the sUA

operation. All other persons are considered non-participants;

Visual Line of Sight Operations Special Provisions The remote PIC may conduct sUAS operations without

the ability to see the unmanned aircraft throughout the entire flight, provided:

OPERATIONAL

8. Operations may not be conducted at night, as defined in 14 CFR § 1.1;

9. The Responsible Person must ensure all operations conducted under this Waiver follow the procedures

outlined in the operations manual. If a discrepancy exists between the provisions in this Waiver and the

procedures outlined in the operations manual, the provisions of this Waiver take precedence and must be

followed;

The operations manual contains at least the following items:

a. Operator name, address, and telephone number,

b. Method of manual distribution and revision,

c. Certificate of Waiver. The operations manual must include a copy of the current Waiver(s),

d. Aircraft description and limitations list by aircraft type and model,

e. Method to ensure safety of non-participating persons and aircraft,

f. Safety briefing of Direct Participants,

g. Direct Participant Minimum Requirements,

h. Method of communications,

i. Normal operating procedures,

j. Abnormal operating procedures,

k. Emergency procedures,

l. Non-participate intrusion into the operational area,

m. Crew Resource Management,

n. Risk management,

o. Accident Notification. The operations manual must contain procedures for notification and reporting

of accidents in accordance with this 14 CFR § 107.9; and

p. Method to control access to the operations area;

10. The Responsible Person may update or revise its operations manual. The Responsible Person must track

such revisions and present revised documents to the Administrator or an authorized representative upon

request. The Responsible Person must also present revised documents when applying for extension of or

amendment to this Waiver. If any revision to the manual would be contrary to the information provided

in the waiver application or obviate a condition or limitation of this waiver, then the Responsible Person

must apply for an amendment to this Waiver;

Page 4 of 6

Certificate of Waiver Number 107W-2022-00223

11. The Responsible Person must ensure a copy of the operations manual is available to the remote PIC and

all other direct participants prior to and during sUAS operations that are the subject of this Waiver;

12. The Responsible Person listed on this Waiver must ensure each remote PIC who will conduct operations

under this Waiver is trained in a manner that addresses the items listed in § 107.49(a)-(e) and in a

manner that is consistent with how the sUAS will be operated under this Waiver. All training and

demonstration for all remote PICs and VOs (if used) must be documented and made available upon

request by the Administrator or an authorized representative. Training operations may only be conducted

under the standard requirements of part 107 (without waiver). The training must include:

a. sUA limitations,

b. sUA programming,

c. sUA operational procedures,

d. Abnormal procedures,

e. Air traffic avoidance procedures,

f. Crew Resource Management,

g. sUA flight training, and

h. Demonstration of sUA ground and flight skills;

13. Prior to operations under this Waiver, all Direct Participants must attend a safety briefing that addresses,

at minimum, the following items:

a. Designated positions, physical locations, responsibilities, and Crew Resource Management,

b. Planned flight operating area,

c. Designated launch and recovery areas,

d. Verification of geo-fence boundaries,

e. Verification of return home and land flight profile, and course,

f. Verification of emergency landing site(s), land profile, and course,

g. Procedures for avoidance of other aircraft, and

h. Procedures for operating under this Waiver;

14. Operations subject to this waiver must cease as soon as possible in a manner that does not jeopardize the

safety of human beings, property or other aircraft, if, at any time;

a. Safety of human beings or property on the ground or in the air is in jeopardy,

b. Any failure to comply with the provisions of this Waiver exists,

c. Full-duplex communications cannot be maintained between the remote PIC and any VO

participating in the operation,

d. A non-participating aircraft enters the designated flight operating area,

e. GPS signal is lost, or

f. sUA GPS location information is degraded;

15. No sUA flight that occurs under this waiver may carry the property of another for compensation or hire;

16. Operations conducted under this Waiver may only occur with the make and model sUAS described in

the waiver application Proposed operations of any other manufacturer, make or model of sUAS will

require a new waiver application or an request to amend this Waiver;

17. All sUAS operations conducted in accordance with this Waiver must adhere to all manufacturer

recommendations and limitations for the sUAS;

Page 5 of 6

Certificate of Waiver Number 107W-2022-00223

18. The Responsible Person must maintain each sUAS and its components in accordance with

manufacturer's instructions and recommendations. sUAS maintenance includes scheduled and

unscheduled overhaul, repair, inspection, modification, replacement, and system software upgrades of

the sUAS and its components necessary for flight. A log of all maintenance performed must be kept for

each aircraft operated under this waiver. This log must be available to the remote PIC for review prior to

conducting operations that are the subject of this waiver. Each sUAS maintenance log must be presented

to the Administrator when requested. The log must contain the following information for each

maintenance activity:

a. A description (or reference data acceptable to the Administrator) of work performed,

b. The date of completion of the work performed,

c. The name of the person who performed the work, and

d. The signature of the person who performed the work;

19. Any sUAS that has undergone maintenance must undergo a functional test flight prior to conducting

operations under this Waiver. A log entry must be made for each functional test flight. The log entry

must contain at minimum the:

a. Calendar date,

b. sUA registration number,

c. Remote PIC who performed the functional test flight,

d. Duration of the flight, and

e. The result of the functional flight test;

20. Operational areas must be pre-designated and monitored to keep any human being who is not directly

participating in the operation out of the areas prior to and during flight operations;

TECHNICAL

21. All sUAS operations conducted in accordance with this Waiver must adhere to all manufacturer

recommendations and limitations for the sUAS;

22. Any sUAS that has undergone maintenance must undergo a functional test flight prior to conducting

operations under this Waiver. A log entry must be made for each functional test flight. The log entry

must contain at minimum the:

a. Calendar date,

b. sUA registration number,

c. Remote PIC who performed the functional test flight,

d. Duration of the flight, and

e. The result of the functional flight test;

23. As described in the waiver request, the sUAS ground control station must display in real time the

following information: sUA altitude, sUA position, sUA direction of flight, and sUAS flight mode. This

information must be available at all times to the remote PIC;

24. Prior to conducting operations under this Waiver, the remote PIC must determine all control links used

in the sUAS will work properly at the maximum planned distance for the proposed operation. At all

times during operations that are the subject of this Waiver, the remote PIC must maintain the ability to

direct the sUA to ensure compliance with the applicable provisions of this chapter;

25. A functional test flight may only be conducted under the standard requirements of part 107 (without

waiver);

Page 6 of 6

Certificate of Waiver Number 107W-2022-00223

26. The sUA must be equipped with high visibility markings and lighting to increase the conspicuity of the

sUA;

27. If the remote PIC loses command or control link with the sUA, the sUA must follow a predetermined

route to either reestablish link or immediately recover/land at a predesignated location;

28. ADS-B out (1090/978 MHz) may not be transmitted from the sUAS when operating pursuant to this

Waiver; and

29. All emitters used in sUAS must be in compliance with all applicable FCC regulations and all provisions

of the FCC authorization granted for the emitter. A FCC experimental authorization may not be used for

sUAS operations under this Waiver;

ENVIRONMENTAL

30. Operations will occur only under a completely enclosed forest canopy. The forest canopy must extend

250 feet beyond the operational area in all directions;

31. The operations area will be marked as described in the waiver application;

32. Operations may occur within Class G airspace below forest canopy only on access controlled private

property;

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