Form 1050-8 Special Flight Authorization (Noise)

Paperwork Reduction Act Statement: The FAA will use the information to issue special flight authorizations for non-revenue operations of Stage 2 airplanes at
U.S. airports. A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to
comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently
valid OMB Control Number. The OMB Control Number for this information collection is 2120-0652. Public reporting for this collection of information is
estimated to be approximately 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, completing and reviewing the collection of information. All responses to this collection of information are required by PL 106-113. Send
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the FAA at: 800
Independence Ave. SW Washington, DC 20591 Attn: Information Collection Clearance Officer, AES-200.

Federal Aviation
Administration

OMB No. 2120-0652
Exp. 11/30/2012

Special Flight Authorization (Noise)
For Stage 2 Airplanes

1. Applying Operator
a) Operator’s Name:
b) Address:
c) City:
d) State and Zip Code:
e) Country:
Contact
f) Name:
g) Phone Number:
h) Fax Number:
i)

Email Address:

2. Airplane
a) Make, Model, and Series:
b) Registration Number:
Country of Registration (if not U.S. registered):
c) Serial Number:
d) Current Noise Certification (check one):

e)

□ Stage 1

□ Stage 2

Airplane weight (check one):

□

over 75,000 pounds

□ less than 75,000 pounds

(address Purpose column 1)

(address Purpose column 2)

3. Purpose (provide name and address):
Name:
Address:

FAA Form 1050-8 (10/12) SUPERSEDES PREVIOUS EDTION

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When over 75,000 pounds (check one below):

□
□
□
□

a) Sell, lease or use the airplane outside the contiguous 48 States.
b) Scrap the airplane.
c) Modify the airplane to meet Stage 3 noise levels.
d) Perform scheduled heavy maintenance or significant

When less than 75,000 pounds (check one below):

□
□
□
□

□

□

Other significant modifications (describe):

3) Modify the airplane to meet Stage 3 noise levels.
4) Perform scheduled heavy maintenance or significant

48 States. Maintenance (check all that apply):

48 States. Maintenance (check all that apply):
“C” Check

2) Scrap the airplane.

modifications at a maintenance facility in the contiguous

modifications at a maintenance facility in the contiguous

□

1) Sell, lease or use the airplane outside the contiguous 48 States.

□

“C” Check

“D” Check

□

□

“D” Check

□

Other significant mods(describe):

5) Deliver the airplane to a lessee or return the airplane to the lessor.
(give name & address below):
Name:

□

e) Deliver the airplane to a lessee. (give name & address below):

□

storage or maintenance facility below): Name/address:

Address:

□

6) Prepare, park or store the airplane in anticipation of any of the
activities described in (1) through (5). (give name & address of

Name:

□

Address:

f) Return the airplane to the lessor. (give name & address below):

□

7) Provide transport of persons & goods in the relief of an

Name:

emergency situation (describe emergency):

Address:

Location/event:

g) Prepare, park or store the airplane in anticipation of any of the

□

8) Divert the aircraft to an alternate airport in the 48 contiguous

activities described in (a) through (f). (give name & address of

States on account of weather, mechanical, fuel, air traffic

storage or maintenance facility below):

control, or other safety reasosns while conducting a flight to

Name:

perform activities described in (1) through (7).(give unsafe

Address:

conditon & original purpose below):
Recovery condition/purpose:

4. Flights Dates (approximate start & end dates). Use mm/dd/yyyy:
Flight 1:
Flight 2:
Flight

:

5. Number of persons on board (up to 5 total).
Pilots

Officers

Flight Engineers

Maintenance/Tech Representatives

Fax This Form
Attention: Special Flight Authorization (Noise)
Fax number: (202) 267-5594

FAA Form 1050-8 (10/12) SUPERSEDES PREVIOUS EDTION

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Questions about this form?
Please call (202) 267-3577
Note: This form is an application for a special flight authorization only. It may not be used to fly an
airplane. It must be submitted to the FAA, which will issue a special flight authorization based on
the information provided above.
When issued, the Special Flight Authorization must be carried on board the airplane during the authorized
flight. Persons on board are limited to flight crew only. A Special Flight Authorization issued pursuant
to this application is for noise only and may not be used as a substitute for other ferry permit or
authorization that may be required for airworthiness or other purposes, such as 14 CFR 21.199, Issue of
special flight permits or 43.3, Persons authorized to perform maintenance, preventative maintenance,
rebuilding, and alterations.

FAA Form 1050-8 (10/12) SUPERSEDES PREVIOUS EDTION

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