Aircraft Operators

TSNFAA Waiver 8.Airspace Access Program
Lopln to the System

1

Reg~steresa new usor

I Rrques:

a new password

PRIVACY ACT NOTICE
AUTHORITY: 4 9 2.s.c.5 114; Pub. L. 108.176. PRINC~PALPURPOSEIS): This inionation will be user! to cnndcct
backsrcund chesks in cocnection wiVI flight aulhvrizatiuns and .waivers o l flGhr resuictlons. ROUTINE USE(S): Thin
informalon may be shared wlth aircraA and airpcrtopemtors, the FBI. ard the FAA. ur fcr roulins uses identified inTSA
system of recods, DHS,TSA 002,Tnnspowtian Sec~rib, Thrrnt Asseswent 5ys:em. DISCLOSURE: VoluntaPf: fhium la
bmish the requested inFormatlon may resuii in delays in processing your applrcatlon or a Cen~alof yr'ur oppiication Failure to
furnish your SSN may result ir: deisys in pmcassina your apflicatian
Paperwork Rcl,ctlon Act Buroen Sr~temenf.T l r c q h tna n f ; ~ a : cn ccl ecr c l . T5A 1s ;sirorr.l; nlcrmdour obcl.
pi :c
mc~iirara"0L.r acj,,cilBon f i r J fight a ~ 1 h ~ r . i a t o'il:o
n r; zul :f R-nac 6,'tpan W ~ s ngxn
n
F.nt!cna Aiocn (3CA). Tns IS a
anda at ow CC?I'EC;U~ cf ~ r f c m a t u n:vc.. srsn to cclan a 1 snl rulhmzntlon nro cr from CCA I1 'Y eu:lnarec tnat ine !a0

aueraae b ~ r d e nonr resoonse
assaaitel wtth tnis collechon-!s aDcror~malak
Q5 mlnutes A n aaencl
~,
..
. . may. not Conducl or
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xon&r. all: a derscn s ~nrrr;,.rwJ !o resccld rz, a odrcnorl c' ,mrcrrndlor -nr*ss II c!csFtays a ralrd Chi9 [email protected] c m ~ ~ r
Tr.0 can~r: P-mter as: jn20 to tP.5 c:.lec: on s 0216 IG52403:> .,:r.c? exp.?zsCg.:C8
About Waiver Processing
,ou arc dt?termnec lo se et'p~c.o'cr 3 nnwor :icu ntll La
n:~ led an; oariccd nltn 3 .~n$l;ueho..er a-m~rizsr~n
AMhowh comclel cnmrnal hlstow checks take :ins b
ccnplete. we anticipate retuming;esclts as soon as hey are
received, proneed there is no indication of a cdmfiai history.
Normaily ~ * eprnwss may take UP (0 7 W s to mmg*Q fcju
we ~ x p e the
d re5ult.s ta b6 r e c ~ i v d
saoner under thlri
ex~ledileoprocess. YCUwill be granted 3rcvieionar
au'torizaaoq, ba.& upon you~sutrnisiiancf all required
infcrmation an his h m .
,f

Tbis process will he supplemented hy a lingepcrt-base0
crlninal history check. That prccesa is eeing &evslopehA
lisl of Anprpnnt sites will be publishes on this ivemik. There
viill be a fee estnblisbed for this serdice. Tho fingerpdnc
results will be reviewd by TSA and wlll lrvm ihe Snsls ior
appmving or denyimj your recuest. The di*:califying cr%rnss
used :n this process are lis:ed in Part 1 3 0 of the Code c f
Fedemi Reyuiations (49 C. F. R. 150C) anC npresgn: the
same standards applied lo auiotjon 'no&ers at zwunty
controlled airpons.
&i previous waivers pet?ainmg to Eis Qpe offli~htooRr?tio
ln

are vcid.
PBaw campiere each biock oi wques:sd ~nformatimxxd
describe y h r pianfled schedule of flight uperaticns
tndicatizy me tame or mo rtadiurn(s) or
tl da!e
e
( 5 ) at your planned operations.

Tha irrrormatian on this Corn should be subrritied only once.
Do not resunmil information to lhis srk, 11may result in a
do$y in pwcessirg yaur appficaticn. Dc not us@Lbi:lis foml to
submit changes or additions.
ifvou timw anv ouesfi~ns conceixin~this secrrntv

About DASSP Flrght Authorization Pmcsssing
; ~ l c i n c al.s:2c ce.o.:, s 2 croao oremnew 31 lne fl5rc
a.mcnatbr. 336 .a:cn ~rccesslar cpcnccns ctc DCA.
,I oriler to
T ~an oprator
~ ,
apsrztor i~st.
anc ctilie a TSA

an autmma:icnfor
from
most be on me T$A D,-A apFmv&
05 b m ar, appwved TSA Gatewag Airpcrt
approved A m r e S e c u w O f b r ( ~ O j .

1. @@fore
completing the RigM el*horizaticn .ppiicatioc f o m
Elease resew an FAA slot roseo/aU'on a1 lhis website:
www.fly.ba.gov, Th~siesenralbn is tantative until the aight
autharizaticn 15 approved, at which tineTSA OWce of
Spocial Opendonr ,mil confin tks slot resawatiw with FAA

2. Thc apprcved security codir131?r, or cornpany
EqUCaienl, n u $ t 6ti out the flight auLW.utim ap~iiialion

9. T h e appiicaticn for.7 must be received na ihter than 24
hours prrcr to yaw departure 2irno. Any application rocaivec
within 24 houm of deyRwre wi:l no1 be processed.
4. Tne zppliwtion must be fil!ed OL: completely in crder for
?roras5ing to be CCnplClod wthin 24 hours.
5 . Pasumg~r,Cwv, and Armed Security ORt2r LASO)
manifest changes are prohibited within 24 hours ol the
Oepamre lime.
6 . Once the requestor receives hg night auihonration
approval iellar, b a y must contact t
W spec~bcgateway 6xeb
based opentors iFaQ) and Signature ~v!ai%nat DCA ru
notify h e m of the data and time of their aniicip~ledadva! at
tho gatmay Fa0 an? DCA FBO reapecll$ely.
7. All fl;gh?z.from Gateway airpolts into DCA are non.otwp.
Any intermediate sslp wai void :he operaws night
autMriLitCon. The flight au1ho~a:ian process mus: t?,er!
begin again and a nav request for an F G Z slot r e m a t i o n
m l i d be made. This will result in a new flicht authcclzalicn
request ant: a nevl 24 hcur rewiremeot.
8. For oues!ims, please corhct (703)563-2248

False statements submined in connoctlon with an application may be punlshabb under 18 U.S.C. 7001.

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Page 1 of 2

Airspace Waiver

Federal Aviation Administration
~ r i n ~s ai f azt y

t4

RmgriCE'S ~ t t e ;

Airspace Waiver

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~

I--

Authorization Number
- - -- - -- -

i

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Submitted

Approved

Confirmation #: 89N80340

waiver Type: Domestic

Proponent

F

Requestor

r

operator

r

Owner

Requestor
'Title:
'First Name:
Middle Name:
.Last Name:
'Organization/Company:
'Street:
*City:
*State/Province:
Zip Code:
*Country:
A

United States

'Phone:
"24 hr Phone

'Fax:
*Email:

Itinerary
*Waiver Subtype:

DOM

.Approved Distance:
'Application Date:

9/23/2008

Date Information

*Start Date

DCA Information
'Radial Distance from the
DCA VOR

FRZ Information
'FRZ Airport Destinations:
or
*FRZ Overflights:

*End Date

Radial Distance from the

4 letter IdentifiersIlCAO cl
Street Address or Intersec

Purpose of Flight
'Purpose / Comments:
7--

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A i r c r a f t --

Page 2 of 2

Airspace Waiver

*Tail Number

'Call Sign

phireraft Type

Mazifest
Date
Middle 'Last ~ a r n e - .F ~ i r t h

b i r t h stateo r Province

Country

'Social
I ~ e c u r i t yNO.
I

Security Statement

-

SeCUriN
, Reauirement
the a rcrah secureo urnen no: operaronal ar m e place of or1g.17
(Lockea hanger, fencea area wnrr gate access, secLr!lr g-aro etc 1
-nu* are rnc persons on rne rnan.fesr ooslrtvely menrlfnea oefore
boarding the aircraft?
Provide additional security measures taken, if any
' r l O N .5

Affirmation Under Penalty of Pej u r y
'Name
*Title
912312008
*Date

*

r

Accepted

Documents
Flle Attachment

r

l~ile
Description

1

Cl~ckhere t o a t t a c h a YeJ

l ~ a t e g ~ r y- F a r -

j~scr

R e j e c t i o n Messages
Rejection Reason

Testing

U.S. Department of Transportathon
Federal Avlatlon Adrntnlstratlon
800 Independence Avenue, SW
Washington, DC 20591
1-866-TELL-FAA (1-866-835-5322)

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