Form 2120-0653 Grand Canyon Commercial Air Tour Reporting Data

Commercial Air Tour Limitations in the Grand Canyon National Park Special Flight Rules Area

Grand Canyon Air Tour Operator Name -Designator Master Submittal Template - Blank.xlsx

93.325 Quarterly Reporting

OMB: 2120-0653

Document [xlsx]
Download: xlsx | pdf

Overview

Submittal Template (Example)
Quarter 1
Quarter 2
Quarter 3
Quarter 4

Sheet 1: Submittal Template (Example)
Grand Canyon Commercial Air Tour Reporting Data
As Mandated by the National Parks Overflight Act of 1987, 14 CFR § 93.325 Allocation Reporting
Please Fill In White Areas Below Where and As Appropriate
Note: Cells With A Red Triangle in the Upper Right Corner Have Mouse-Over Guidance
Paperwork Reduction Act Burden Statement: 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 2120-0653. Public reporting for this collection of information is estimated to be approximately 2 hours 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 mandatory per The National Parks Overflight Act of 1987. 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, ASP-110. Flight Standards Organization: Keith - I need the date changed here as shown to 9/30/2021 OMB CONTROL NUMBER 2120-0653 Exp. 09/30/2024
Operator/Company Name:

Operator Designator dba: 1 (CT) Commercial Tour 5 (TP) Training/Proving
dba: 2 (TR) Transportation 6 (GW) Grand Canyon West

dba: 3 (RP) Reposition


Report for Months of: January 1 to March 31 20XX 4 (MF) Maintenance Flight




Notes
Please submit the required Alternatively, you may submit a CD/DVD diskette(s) via physical mail 1 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
flight activity information in the format Federal Aviation Administration 2 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
below by e-mail as an attachment to: Las Vegas Flight Standards District Office 3 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.

Attn. Grand Canyon Unit 4 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.

7181 Amigo, Suite 180 Departure Airports

Las Vegas, NV 89119 EAST


WEST

Grand Canyon (GCN) If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates Mc Carran International (LAS)
NOTE: Mouse-over below for further guidance Monument Valley (GMV) If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates Boulder City (BVU)
The date must be formatted using a 4-digit year as shown: M/D/YYYY Format Departure Date will be annotaed in UTC/ZULU Time The date must be formatted in using the 24 hr clock. EX: (1:00 PM = 13:00) Departure The "N" number will be formatted to Include the "N" prefix as shown: EX: N123AB "N" The Aircraft M/M/S must be entered as noted in the D085 Operations Specification: EX: Make-Model-Series AS-350-BA AS-350-B2 BHT-206-L1 BHT-206-L3 BHT-407-407 EC-130-B4 BE-1900D DHC-6-300 CE-208-B AS-355-F1 etc. Aircraft Use the 3-letter "Departure Airports" designator: GCN Grand Canyon GMV Monument Valley OV7 Kayenta BCE Bryce Canyon PGA Page HND Henderson LAS McCarren BVU Boulder City 1G4 Grand Canyon West Departure Use 2-letter "Type of Operation" code: CT Commercial Tour TR Transportation RP Reposition MF Maintenance Flight TP Training / Proving GW Grand Canyon West Type of Enter the 3-4 digit abbreviation for the route associated with this operation. Consult the standardized table of route codes to the right - - - - - - - - - - - - - > Divide Multiple Entries with a forward slash "/" SFAR If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates
Date Time Number Make/Model Airport Operation Route If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 East End Routes West End Routes
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 BK1 Black 1 GR1 Green 1 GR4 Green 4
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 BK1A Black 1A GR1A Green 1A GR4X Green 4 Exit
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 BK1R Black 1 Reverse GR1R Green 1 Reverse

1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 BK1E Black 1 Entrance GR2 Green 2 BL2 Blue 2
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 BK2 Black 2

BL2X Blue 2 Exit
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 BK3 Black 3 BDN Blue Direct North

1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 BK4 Black 4 BDS Blue Direct South BR1 Brown 1
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 BK4X Black 4 Exit

BR2 Brown 2
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 BK5 Black 5

BR4 Brown 4
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 BK5R Black 5 Reverse

BR5 Brown 5
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 BK6E Black 6 Entrance

BR6 Brown 6
1/1/2011 14:30 N1234XX EC-130-B4 GCN CT GR4 BK6X Black 6 Exit



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BDN Blue Direct North
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BDS Blue Direct South
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Sheet 2: Quarter 1
Grand Canyon Commercial Air Tour Reporting Data
As Mandated by the National Parks Overflight Act of 1987, 14 CFR § 93.325 Allocation Reporting
Please Fill In White Areas Below Where and As Appropriate
Note: Cells With A Red Triangle in the Upper Right Corner Have Mouse-Over Guidance
Paperwork Reduction Act Burden Statement: 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-XXXX. Public reporting for this collection of information is estimated to be approximately 2 hours 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 mandatory per The National Parks Overflight Act of 1987. 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. OMB CONTROL NUMBER 2120-0653
Operator/Company Name:
Type of Operation
Operator Designator dba: 1 (CT) Commercial Tour 5 (TP) Training/Proving
dba: 2 (TR) Transportation 6 (GW) Grand Canyon West
0 dba: 3 (RP) Reposition


Report for Months of: January 1 to March 31 20XX 4 (MF) Maintenance Flight




Notes
Please submit the required Alternatively, you may submit a CD/DVD diskette(s) via physical mail 1 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
flight activity information in the format Federal Aviation Administration 2 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
below by e-mail as an attachment to: Las Vegas Flight Standards District Office 3 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
0 Attn. Grand Canyon Unit 4 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
0 7181 Amigo, Suite 180 Departure Airports
0 Las Vegas, NV 89119 EAST


WEST

Grand Canyon (GCN) If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates Mc Carran International (LAS)
NOTE: Mouse-over below for further guidance Monument Valley (GMV) If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates Boulder City (BVU)
The date must be formatted using a 4-digit year as shown: M/D/YYYY Format Departure Date will be annotaed in UTC/ZULU Time The date must be formatted in using the 24 hr clock. EX: (1:00 PM = 13:00) Departure The "N" number will be formatted to Include the "N" prefix as shown: EX: N123AB "N" The Aircraft M/M/S must be entered as noted in the D085 Operations Specification: EX: Make-Model-Series AS-350-BA AS-350-B2 BHT-206-L1 BHT-206-L3 BHT-407-407 EC-130-B4 BE-1900D DHC-6-300 CE-208-B AS-355-F1 etc. Aircraft Use the 3-letter "Departure Airports" designator: GCN Grand Canyon GMV Monument Valley OV7 Kayenta BCE Bryce Canyon PGA Page HND Henderson LAS McCarren BVU Boulder City 1G4 Grand Canyon West Departure Use 2-letter "Type of Operation" code: CT Commercial Tour TR Transportation RP Reposition MF Maintenance Flight TP Training / Proving GW Grand Canyon West Type of Enter the 3-4 digit abbreviation for the route associated with this operation. Consult the standardized table of route codes to the right - - - - - - - - - - - - - > Divide Multiple Entries with a forward slash "/" SFAR If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates
Date Time Number Make/Model Airport Operation Route If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates







If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates







If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates














East End Routes West End Routes







BK1 Black 1 GR1 Green 1 GR4 Green 4







BK1A Black 1A GR1A Green 1A GR4X Green 4 Exit







BK1R Black 1 Reverse GR1R Green 1 Reverse








BK1E Black 1 Entrance GR2 Green 2 BL2 Blue 2







BK2 Black 2

BL2X Blue 2 Exit







BK3 Black 3 BDN Blue Direct North








BK4 Black 4 BDS Blue Direct South BR1 Brown 1







BK4X Black 4 Exit

BR2 Brown 2







BK5 Black 5

BR4 Brown 4







BK5R Black 5 Reverse

BR5 Brown 5







BK6E Black 6 Entrance

BR6 Brown 6







BK6X Black 6 Exit














BDN Blue Direct North











BDS Blue Direct South

Sheet 3: Quarter 2
Grand Canyon Commercial Air Tour Reporting Data
As Mandated by the National Parks Overflight Act of 1987, 14 CFR § 93.325 Allocation Reporting
Please Fill In White Areas Below Where and As Appropriate
Note: Cells With A Red Triangle in the Upper Right Corner Have Mouse-Over Guidance
Paperwork Reduction Act Burden Statement: 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-XXXX. Public reporting for this collection of information is estimated to be approximately 2 hours 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 mandatory per The National Parks Overflight Act of 1987. 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. OMB CONTROL NUMBER 2120-0653
Operator/Company Name:
Type of Operation
Operator Designator dba: 1 (CT) Commercial Tour 5 (TP) Training/Proving
dba: 2 (TR) Transportation 6 (GW) Grand Canyon West
0 dba: 3 (RP) Reposition


Report for Months of: April 1 to June 30 20XX 4 (MF) Maintenance Flight




Notes
Please submit the required Alternatively, you may submit a CD/DVD diskette(s) via physical mail 1 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
flight activity information in the format Federal Aviation Administration 2 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
below by e-mail as an attachment to: Las Vegas Flight Standards District Office 3 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
0 Attn. Grand Canyon Unit 4 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
0 7181 Amigo, Suite 180 Departure Airports
0 Las Vegas, NV 89119 EAST


WEST

Grand Canyon (GCN) If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates Mc Carran International (LAS)
NOTE: Mouse-over below for further guidance Monument Valley (GMV) If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates Boulder City (BVU)
The date must be formatted using a 4-digit year as shown: M/D/YYYY Format Departure Date will be annotaed in UTC/ZULU Time The date must be formatted in using the 24 hr clock. EX: (1:00 PM = 13:00) Departure The "N" number will be formatted to Include the "N" prefix as shown: EX: N123AB "N" The Aircraft M/M/S must be entered as noted in the D085 Operations Specification: EX: Make-Model-Series AS-350-BA AS-350-B2 BHT-206-L1 BHT-206-L3 BHT-407-407 EC-130-B4 BE-1900D DHC-6-300 CE-208-B AS-355-F1 etc. Aircraft Use the 3-letter "Departure Airports" designator: GCN Grand Canyon GMV Monument Valley OV7 Kayenta BCE Bryce Canyon PGA Page HND Henderson LAS McCarren BVU Boulder City 1G4 Grand Canyon West Departure Use 2-letter "Type of Operation" code: CT Commercial Tour TR Transportation RP Reposition MF Maintenance Flight TP Training / Proving GW Grand Canyon West Type of Enter the 3-4 digit abbreviation for the route associated with this operation. Consult the standardized table of route codes to the right - - - - - - - - - - - - - > Divide Multiple Entries with a forward slash "/" SFAR If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates
Date Time Number Make/Model Airport Operation Route If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates







If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates







If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates














East End Routes West End Routes







BK1 Black 1 GR1 Green 1 GR4 Green 4







BK1A Black 1A GR1A Green 1A GR4X Green 4 Exit







BK1R Black 1 Reverse GR1R Green 1 Reverse








BK1E Black 1 Entrance GR2 Green 2 BL2 Blue 2







BK2 Black 2

BL2X Blue 2 Exit







BK3 Black 3 BDN Blue Direct North








BK4 Black 4 BDS Blue Direct South BR1 Brown 1







BK4X Black 4 Exit

BR2 Brown 2







BK5 Black 5

BR4 Brown 4







BK5R Black 5 Reverse

BR5 Brown 5







BK6E Black 6 Entrance

BR6 Brown 6







BK6X Black 6 Exit














BDN Blue Direct North











BDS Blue Direct South

Sheet 4: Quarter 3
Grand Canyon Commercial Air Tour Reporting Data
As Mandated by the National Parks Overflight Act of 1987, 14 CFR § 93.325 Allocation Reporting
Please Fill In White Areas Below Where and As Appropriate
Note: Cells With A Red Triangle in the Upper Right Corner Have Mouse-Over Guidance
Paperwork Reduction Act Burden Statement: 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-XXXX. Public reporting for this collection of information is estimated to be approximately 2 hours 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 mandatory per The National Parks Overflight Act of 1987. 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. OMB CONTROL NUMBER 2120-0653
Operator/Company Name:
Type of Operation
Operator Designator dba: 1 (CT) Commercial Tour 5 (TP) Training/Proving
dba: 2 (TR) Transportation 6 (GW) Grand Canyon West
0 dba: 3 (RP) Reposition


Report for Months of: July 1 to September 30 20XX 4 (MF) Maintenance Flight




Notes
Please submit the required Alternatively, you may submit a CD/DVD diskette(s) via physical mail 1 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
flight activity information in the format Federal Aviation Administration 2 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
below by e-mail as an attachment to: Las Vegas Flight Standards District Office 3 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
0 Attn. Grand Canyon Unit 4 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
0 7181 Amigo, Suite 180 Departure Airports
0 Las Vegas, NV 89119 EAST


WEST

Grand Canyon (GCN) If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates Mc Carran International (LAS)
NOTE: Mouse-over below for further guidance Monument Valley (GMV) If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates Boulder City (BVU)
The date must be formatted using a 4-digit year as shown: M/D/YYYY Format Departure Date will be annotaed in UTC/ZULU Time The date must be formatted in using the 24 hr clock. EX: (1:00 PM = 13:00) Departure The "N" number will be formatted to Include the "N" prefix as shown: EX: N123AB "N" The Aircraft M/M/S must be entered as noted in the D085 Operations Specification: EX: Make-Model-Series AS-350-BA AS-350-B2 BHT-206-L1 BHT-206-L3 BHT-407-407 EC-130-B4 BE-1900D DHC-6-300 CE-208-B AS-355-F1 etc. Aircraft Use the 3-letter "Departure Airports" designator: GCN Grand Canyon GMV Monument Valley OV7 Kayenta BCE Bryce Canyon PGA Page HND Henderson LAS McCarren BVU Boulder City 1G4 Grand Canyon West Departure Use 2-letter "Type of Operation" code: CT Commercial Tour TR Transportation RP Reposition MF Maintenance Flight TP Training / Proving GW Grand Canyon West Type of Enter the 3-4 digit abbreviation for the route associated with this operation. Consult the standardized table of route codes to the right - - - - - - - - - - - - - > Divide Multiple Entries with a forward slash "/" SFAR If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates
Date Time Number Make/Model Airport Operation Route If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates







If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates







If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates














East End Routes West End Routes







BK1 Black 1 GR1 Green 1 GR4 Green 4







BK1A Black 1A GR1A Green 1A GR4X Green 4 Exit







BK1R Black 1 Reverse GR1R Green 1 Reverse








BK1E Black 1 Entrance GR2 Green 2 BL2 Blue 2







BK2 Black 2

BL2X Blue 2 Exit







BK3 Black 3 BDN Blue Direct North








BK4 Black 4 BDS Blue Direct South BR1 Brown 1







BK4X Black 4 Exit

BR2 Brown 2







BK5 Black 5

BR4 Brown 4







BK5R Black 5 Reverse

BR5 Brown 5







BK6E Black 6 Entrance

BR6 Brown 6







BK6X Black 6 Exit














BDN Blue Direct North











BDS Blue Direct South

Sheet 5: Quarter 4
Grand Canyon Commercial Air Tour Reporting Data
As Mandated by the National Parks Overflight Act of 1987, 14 CFR § 93.325 Allocation Reporting
Please Fill In White Areas Below Where and As Appropriate
Note: Cells With A Red Triangle in the Upper Right Corner Have Mouse-Over Guidance
Paperwork Reduction Act Burden Statement: 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-XXXX. Public reporting for this collection of information is estimated to be approximately 2 hours 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 mandatory per The National Parks Overflight Act of 1987. 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. OMB CONTROL NUMBER 2120-0653
Operator/Company Name:
Type of Operation
Operator Designator dba: 1 (CT) Commercial Tour 5 (TP) Training/Proving
dba: 2 (TR) Transportation 6 (GW) Grand Canyon West
0 dba: 3 (RP) Reposition


Report for Months of: October 1 to December 31 20XX 4 (MF) Maintenance Flight




Notes
Please submit the required Alternatively, you may submit a CD/DVD diskette(s) via physical mail 1 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
flight activity information in the format Federal Aviation Administration 2 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
below by e-mail as an attachment to: Las Vegas Flight Standards District Office 3 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
0 Attn. Grand Canyon Unit 4 Use these cells to list any notes that you feel are important to be recorded. For example, if you used a departure airport other than the ones listed in the table below ("Departure Airports"), use this Notes section to briefly state the reason.
0 7181 Amigo, Suite 180 Departure Airports
0 Las Vegas, NV 89119 EAST


WEST

Grand Canyon (GCN) If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates Mc Carran International (LAS)
NOTE: Mouse-over below for further guidance Monument Valley (GMV) If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates Boulder City (BVU)
The date must be formatted using a 4-digit year as shown: M/D/YYYY Format Departure Date will be annotaed in UTC/ZULU Time The date must be formatted in using the 24 hr clock. EX: (1:00 PM = 13:00) Departure The "N" number will be formatted to Include the "N" prefix as shown: EX: N123AB "N" The Aircraft M/M/S must be entered as noted in the D085 Operations Specification: EX: Make-Model-Series AS-350-BA AS-350-B2 BHT-206-L1 BHT-206-L3 BHT-407-407 EC-130-B4 BE-1900D DHC-6-300 CE-208-B AS-355-F1 etc. Aircraft Use the 3-letter "Departure Airports" designator: GCN Grand Canyon GMV Monument Valley OV7 Kayenta BCE Bryce Canyon PGA Page HND Henderson LAS McCarren BVU Boulder City 1G4 Grand Canyon West Departure Use 2-letter "Type of Operation" code: CT Commercial Tour TR Transportation RP Reposition MF Maintenance Flight TP Training / Proving GW Grand Canyon West Type of Enter the 3-4 digit abbreviation for the route associated with this operation. Consult the standardized table of route codes to the right - - - - - - - - - - - - - > Divide Multiple Entries with a forward slash "/" SFAR If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates
Date Time Number Make/Model Airport Operation Route If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates

0:00




If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates







If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates If you use a different departure airport than any that are authorized, please note the 3-character designator here, and note the reason in the "Notes" section above. Use this cell for alternates














East End Routes West End Routes







BK1 Black 1 GR1 Green 1 GR4 Green 4







BK1A Black 1A GR1A Green 1A GR4X Green 4 Exit







BK1R Black 1 Reverse GR1R Green 1 Reverse








BK1E Black 1 Entrance GR2 Green 2 BL2 Blue 2







BK2 Black 2

BL2X Blue 2 Exit







BK3 Black 3 BDN Blue Direct North








BK4 Black 4 BDS Blue Direct South BR1 Brown 1







BK4X Black 4 Exit

BR2 Brown 2







BK5 Black 5

BR4 Brown 4







BK5R Black 5 Reverse

BR5 Brown 5







BK6E Black 6 Entrance

BR6 Brown 6







BK6X Black 6 Exit














BDN Blue Direct North











BDS Blue Direct South

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