Private and Confidential

YOUR NAME (YOUR COMPANY NAME), City, State - Section 333 Exemption Petition

DATE

U. S. Department of Transportation Docket Management System

1200 New Jersey Ave,

SE Washington, DC 20590 

Re: Exemption Request Section 333 of the FAA Reform Act of the Federal Aviation Regulations 

from 14 C.F.R. 45.23(b); 14 C.F.R. Part 21; 14 C.F.R. 61.113(a)&(b); 91.7(a); 91.9(b) (2); 

91.103(b); 91.109; 119.121; 91.151(a); 91.203(a)&(b); 91.405(a); 91.407(a) (1); 91.409(a) (2); 

91.417(a)&(b) 

Dear Sir or Madam, I, YOUR NAME (YOUR COMPANY NAME), am writing pursuant 

to the FAA Modernization and Reform Act of 2012 and the procedures contained within 14 

C.F.R. 11, to request that I, YOUR NAME (YOUR COMPANY NAME), an owner and 

operator of small unmanned aircraft, be exempted from the Federal Aviation Regulations 

(“FARs”) listed below so that I, YOUR NAME (YOUR COMPANY NAME), may operate 

my small ultra lightweight unmanned aircraft system (“UAS”) in commercially regulated 

airspace by the Federal Aviation Administration (“FAA”). 

Following exemption and approval by the FAA, I, YOUR NAME (YOUR COMPANY NAME), will 

primarily use my professionally built KIND OF DRONE ( EXAMPLE DJI Inspire 1 and DJI 

Phantom 3) UAS equipped with cameras for the following applications: Closed-Set Film 

Operations on Film and Television Productions, as well as aerial videography/cinematography 

to safely enhance films and commercials; augmentation of real estate listing videos; and the 

creation of visual and topography layout videos for Search and Rescue (SAR) missions for state 

and local agency’s, education, agricultural inspections and building and construction zone 

inspections. 
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My, YOUR NAME (YOUR COMPANY NAME)’s, exemption request would permit the 

operation of ultra lightweight, unmanned (i.e. piloted by remote control) UAS’s for the 

development of community and government use videos, permissible within property 

boundaries for individual homeowners and within in tightly controlled, limited airspaces 

predetermined in areas away from the general public, airports, heliports and vehicular traffic. 

Currently, similar lightweight, remote controlled UAS's are legally operated by unmonitored 

amateur hobbyists with no safety plan or controls in place to prevent catastrophe. Furthermore, 

it is my intent to assist future FAA safety protocols and regulations exclusive to lightweight 

UAS's for specific video and photography usage by sharing information with the FAA as I, 

YOUR NAME (YOUR COMPANY NAME), record flight data and other pertinent information 

gained through permitted flight operations. 

In addition, granting my, YOUR NAME (YOUR COMPANY NAME)’s, exemption 

request will comply with the Secretary of Transportation’s (FAA Administrator’s) instructions to 

not only integrate UAS's into the national airspace system, but to “...establish requirements for

the safe operation of such aircraft systems [UAS's] in the national airspace system” under 

Section 333(c) of the Reform Act specific to the use of UAS's for real estate/Realtor purposes, 

educational videos, Search and Rescue, land/trusts inspections, agricultural field monitoring, 

film/video productions, closed-set motion picture film operations and television, and structure 

inspections, to aid state and local agency’s. 

Further I, YOUR NAME (YOUR COMPANY NAME), will conduct my operations in compliance 

with the protocols described herein or as otherwise established by the FAA. 

For the reasons stated below, I, YOUR NAME (YOUR COMPANY NAME), respectfully 

request the grant of an exemption allowing me to operate ultra lightweight, remote controlled 

UAS’s to aid academic community awareness, to benefit/stimulate attraction to the metro 

YOUR AREA and to enhance personal and public video feeds. A grant that will ultimately 

allow UAS’s to play a more positive role in our local community by increasing employment 

opportunities, heightening security measures and decreasing government expenditures by 

reducing the need for heavier manned aircraft, containing costly, combustible fuel- a potential 

public hazard in and of itself. 

I. Contact Information:
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YOUR NAME

YOUR COMPANY NAME

CITY, STATE ZIP CODE

Phone: XXX-XXX-XXXX

Email: drone@drone.com

II. The Specific Sections of Title 14 of the Code of Federal Regulations From Which 

YOUR NAME (YOUR COMPANY NAME) Requests Exemption are: 

14 CFR 21; 14 C.F.R. 45.23(b); 

14 CFR 61.113 (a) & (b); 

14 C.F.R. 91, et seq.; 

14 CFR 407 (a) (1); 

14 CFR 409 (a) (2); and, 

14 CFR 417 (a) & (b). 

III. The Extent of relief YOUR NAME (YOUR COMPANY NAME) Seeks and the 

Reason He Seeks Such Relief: 

I, YOUR NAME (YOUR COMPANY NAME), submit this application in 

accordance with the Reform Act, 112 P.L. 95 §§ 331-334, seeking relief from any 

currently applicable FARs operating to prevent me, YOUR NAME (YOUR COMPANY NAME), 

contemplated commercial cinematic, academic and other flight operations within the national 

airspace system. The Reform Act in Section 332 provides for such integration of civil unmanned 

aircraft systems into our national airspace system as it is in the public’s interest to do so. My, 

YOUR NAME (YOUR COMPANY NAME)’s, ultra lightweight UAS meets the definition of “small 

unmanned aircraft” as defined in Section 331 and therefore the integration of my ultra light 

weight UAS is expressly contemplated by the Reform Act. I would like to operate my ultra 

lightweight UAS prior to the time period by which the Reform Act requires the FAA to 

promulgate rules governing such craft. Thereby, providing direct experience and valuable 

information for formal regulation that can be administered uniformly to all related UAS aerial 

video and photography. The Reform Act guides the Secretary in determining the types of UAS's 

that may operate safely in our national airspace system. Considerations include: The weight, 

size, speed and overall capabilities of the UAS's; Whether the UAS will be operated near 

airports or heavily populated areas; and, Whether the UAS will be operated by line of sight. 112 

P.L. 95 § 333 (a). 

Each of these items reflect in favor of an exemption for me, YOUR NAME (YOUR COMPANY 

NAME). My UAS’s utilize eight (8) or less rotating propellers for balance, control and stability. 

My UAS’s are equipped with the following via video and data telemetry:
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1) Altimeter 

2) Attitude indicator 

3) Ground Speed indicator 

4) Magnetic compass 

5) Heading indicator 

6) Vertical speed indicator 

7) Course deviation indicator 

8) Radio magnetic indicator 

9) GPS location 

10) Battery consumption and Battery Left with approximate time. 

11) Loiter and circle mode. 

12) Auto safety or RTL ( Return To Launch) 

13) Auto landing technology. 

Each UAS weighing less than thirty (35) pounds (far below the maximum 55 pound limit); 

Including camera(s) with or without gimbal (a camera stabilizer). I, YOUR NAME (YOUR 

COMPANY NAME), considers safety as foremost with each flight. My small unmanned 

aircraft is designed to hover in place, circle in a specific place or loiter via GPS 

and can be operated in winds up to 30.4 knots (35mph) wind. For safety, stability and fear of 

financial loss I will not fly in winds exceeding 21.7 knots (25 mph). Built in safety systems 

include a GPS mode that allows my UAS to hover/circle in place or land when radio controls 

are released. 

With three (3) modes to choose from, I will fly with the modes safest to complete the videos for 

aerial videography/photography and have the ability to choose the safest, most reliable and 

stable mode to prevent accident and hazard. When pilot communication from the radio 

control is lost, UAS is designed slowly descend to point of takeoff and or to land at point of 

launch after ascending to a pre-set altitude to ensure the UAS will clear any obstacles that 

may be between the takeoff point and the current position of the UAS. This failsafe altitude 

will not be set more than 200ft and is determined before each flight. 

I, YOUR NAME (YOUR COMPANY NAME), will not operate my UAS near airports, hospitals 

nor police heliports, and do not operate near areas where general public is within fifty to one 

hundred (50-100) yards depending on location, conditions and weather. I am constantly on alert 

for any manned aircraft (police/medical helicopters, etc.) and prepared to land/abort immediately 

to the nearest and safest ground point should a manned aircraft approach my location or I 
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suspect manned aircraft may approach near my location. My UAS’s are capable of vertical and 

horizontal operations, and is flown only within my line of sight, as the remote control pilot. My 

UAS's are also flown with a second operator who aids in watching for any obstacles, including 

manned aircraft, within the flight zone of the UAS. Utilizing battery power rather than 

combustible fuels, flights generally last between three (10) to fifteen (25) minutes, with an 

altitude under one hundred fifty (150) feet. (3 )Smart Mode includes, position hold, self-leveling, 

altitude command, GPS, return home feature, and safety control to return home or land in the 

event of communication interruption between RC transmitter and UAS.

I, YOUR NAME (YOUR COMPANY NAME), utilize a fresh fully charged battery with 

each flight as a safety precaution; full flight time limit for each battery is eight (8) to thirty (30) 

minutes as tested. I do not operate my UAS at or below manufacturer recommend minimum 

charge levels for operation; preferring to remain well within a safe operating range to insure 

adequate communication between radio control and UAS to eliminate potential for crash, loss of 

control or hazard. Reserve batteries are at hand with each exercise to insure replacement for 

sufficient safe level of operation. I do not believe in taking risk that may cause a crash, that 

could create hazard to the public/property/manned aircraft, and have no desire to lose an 

investment. I have clocked numerous practice flights in remote areas as a hobbyist simulating 

flights for future commercial use to gain familiarization with the characteristics of this specific 

UAS's performance under different temperature and weather conditions. I also practice 

computerized simulated flights to maintain adequate skills and response reflex time. All for the 

sake of safety. 

I, YOUR NAME (YOUR COMPANY NAME), am extremely cautious when operating of 

my UAS/ultra lightweight unmanned aircraft and will not “create a hazard to users of the national 

airspace system or the public.” 112 P.L. 95 § 333 (b). Given the small size and weight of my 

UAS it falls well within Congress’s contemplated safety zone when it promulgated the Reform 

Act and the corresponding directive to integrate UAS's into the national airspace system. YOUR 

NAME (YOUR COMPANY NAME)’s UAS, used in hobby flight, has a demonstrable safety 

record and does not pose any threat to the general public or national security. 

IV. How YOUR NAME (YOUR COMPANY NAME)’s Request Will Benefit the 

Public As A Whole: Aerial videography for geographical awareness, education, search and 

rescue, land management, structure inspections and for real estate marketing has been around 

for a long time through manned fixed wing aircraft and helicopters. For small budget companies, 

average homeowners and property owners the expense of such aerial videography is cost 

prohibitive. Only large companies and high end Realtors or luxury homeowners can afford to 

absorb such expense; depriving non-luxury owners and lower budget companies from a 

valuable marketing tool. Manned aircraft pose a threat to the public through potential 

catastrophic crash that the YOUR CITY community has experienced in the past with military 

aircraft, medical helicopters, and news helicopters crashes within the city of YOUR AREA. Each 

resulting in loss of life. 

Each with combustible fuel that exploded and burned on impact. Police helicopters have 
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made emergency hard landings within city limits. My, YOUR NAME (YOUR COMPANY 

NAME)'s, UAS poses no such threat since size and lack of combustible fuel 

alleviates any potential threat to the public. Congress has already proclaimed that it is in the 

public’s interest to integrate commercially flown UAS's into the national airspace system, 

hence the passing of the Reform Act. Granting my, YOUR NAME (YOUR COMPANY NAME)’s, 

exemption request furthers the public interest through academic/visual 

awareness of the geographical benefits in and around the metro YOUR AREA area. My ultra 

light 

weight UAS is battery powered and creates no emissions that can harm the environment. The 

consequence of my ultra light weight UAS crashing is far less than a full size helicopter or 

fixed wing aircraft; which are heavy, contain combustible fuel and can cause catastrophic 

devastation to the public. The public’s interest is furthered by minimizing ecological and crash 

threat by permitting aerial video/photo capture through my battery operated ultra lightweight 

UAS's. 

Permitting me, YOUR NAME (YOUR COMPANY NAME), to immediately fly within 

national air space furthers economic growth. Granting my exemption request substantially 

furthers the economic impact for the metro YOUR CITY and surrounding community for 

companies looking to relocate or build around the YOUR CITY metro area as well as individuals 

looking to relocate for career advancement through academic and geographical awareness. 

Both of which serve as a stimulus to the community. 

V. Reasons Why YOUR NAME (YOUR COMPANY NAME)’s Exemption

Will Not Adversely Affect Safety Or How The Exemption Will Provide a Level of Safety At 

Least Equal To Existing Rule: My, YOUR NAME (YOUR COMPANY NAME)’s, exemption will 

not adversely affect safety. Quite the contrary, for the reasons stated permitting me, YOUR 

NAME (YOUR COMPANY NAME), to log more flight time in FAA controlled airspace, with 

communication with the FAA, will allow me to contribute to the innovation and implementation of 

new and novel, as of yet undiscovered safety protocols for Realtors, land and structured 

owners. For development in cooperation with the FAA. In addition I,YOUR NAME (YOUR 

COMPANY NAME), submit the following representations of enhancements to current aerial 

videography and photography: My UAS’s weigh less than seven (7) pounds complete with a an 

integrated ultra-light weight camera.; I only operate my UAS below 200 feet (well within the 400 

foot permissible ceiling set by the FAA Modernization and Reform Act of 2012); My UAS only 

operate for 3-30 minutes per flight; I land my UAS prior to manufacturer recommended minimum 

level of battery power; I pilot my UAS through remote control only by line of sight; and have live 

video feed for a secondary pilot to monitor video recording; I receive a live telemetry feed from 

my UAS during all flights which include remaining battery voltage, distance, altitude, and any 

anomalies that may occur during flight;

My UAS’s Command and Control utilizes spread spectrum 2.4Ghz-2.485Ghz frequencies in 

accordance with CFR 47, Part 15 for model aircraft use.

My UAS’s camera system utilizes 5.725Ghz-5.875Ghz frequencies in accordance with CFR 47, 

Part 15.

My UAS’s have a GPS controlled flight controller- a flight safety feature whereby it hovers or 
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circles and then lands at the GPS takeoff point if communication with the remote control pilot 

is lost; I actively record and analyze flight data through the DJI Inspire 1 and DJI phantom 3 

flight controller app to constantly update and enhance safety protocols; I only operate in 

reasonably safe environment that are strictly controlled, are away from power lines, elevated 

lights, airports and actively populated areas; I conduct extensive preflight inspections and 

protocol, during which safety carries primary importance; I always obtain all necessary 

permissions prior to operation; and, I have procedures in place to abort flights in the event of 

safety breaches or potential danger. My, YOUR NAME (YOUR COMPANY NAME)’s, safety 

protocols provide a level of safety equal to or exceeding existing rules. It is important to note 

that absent the integration of commercial UAS into our national airspace system, helicopters are 

the primary means of aerial video and photography for community awareness real estate, 

structured inspections, land management and search and rescue. While the safety record of 

such helicopters is remarkably astounding, there has been local incident involving loss of life as 

well as extensive property damage; it is far safer to operate a battery powered ultra lightweight 

UAS. First, the potential loss of life is diminished because UAS's carry no people on board and I 

only operates my UAS in specific areas away from mass populations. Second, there is no fuel 

on board a UAS and thus the potential for fire or explosions is greatly diminished. Third, the 

small size and extreme maneuverability of my UAS allow me to remotely pilot away from and 

avoid hazards quickly and safely. Lastly, given its small size and weight, even when close 

enough to capture amazing images, my UAS need not be so close to the objects they are 

focused on through the technology and use of post editing software allowing pan and zoom. 

Accordingly, my UAS has been experimentally operated for familiarization/competency and will 

continue to operate at and above current safety levels. 

VI. A Summary The FAA May Publish in the Federal Register: 

14 C.F.R. 21 and 14 C.F.R. 91: Airworthiness Certificates, Manuals and The Like. 

14 C.F.R. 21, Subpart H, entitled Airworthiness Certificates, sets forth requirements for 

procurement of necessary airworthiness certificates in relation to FAR §91.203(a)(1). The 

size, weight and enclosed operational area of my, YOUR NAME (YOUR COMPANY NAME)’s, 

UAS permits exemption from Part 21 because my UAS meets (and exceeds) an equivalent level 

of safety pursuant to Section 333 of the Reform Act. The FAA is authorized to exempt aircraft 

from the airworthiness certificate requirement under both the Act (49 U.S.C. § 44701 (f)) and 

Section 333 of the Reform Act. Both pieces of legislation permit the FAA to exempt UAS's from 

the airworthiness certificate requirement in consideration of the weight, size, speed, 

maneuverability and proximity to areas such as airports and dense populations. My, YOUR 

NAME (YOUR COMPANY NAME)’s, current and projected UAS's meet or exceed each of the

elements.

14 C.F.R. 91.7(a) prohibits the operation of an aircraft without an airworthiness certificate. As no 

such certificate will be applicable in the form contemplated by the FARs, this Regulation is 

inapplicable. 
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14 C.F.R. § 91.9 (b) (2) requires an aircraft flight manual in the aircraft. As there are no on 

board pilots or passengers, and given the size of the UAS's, this Regulation is inapplicable. An 

equivalent level of safety will be achieved by maintaining a safety/flight manual delineating 

areas of where safety can be defined. 

The FAA has previously issued exemptions to this regulation in Exemption Nos. 8607, 8737, 

8738, 9299, 9299A, 9565, 9565B, 10167, 10167A, 10602, 10700 and 32827. 

14 C.F.R. § 91.121 regarding altimeter settings is inapplicable insofar as my UAS utilizes 

electronic global positioning systems with a barometric sensor or controlled GPS “geofencing” 

14 C.F.R. § 91.203 (a) and (b) provides for the carrying of civil aircraft certifications and 

registrations. They are inapplicable for the same reasons described above. The equivalent level 

of safety will be achieved by maintaining any such required certifications and registrations by 

me, YOUR NAME (YOUR COMPANY NAME). 

B. 14 C.F.R. § 45.23: Marking of The Aircraft. Applicable Codes of Federal Regulation require 

aircraft to be marked according to certain specifications. My UAS can be marked with the 

appropriate “N” number once this “N” number has been given.

C. 14 C.F.R. § 61.113: Private Pilot Privileges and Limitations: PIC. Pursuant to 14 C.F.R. §§ 

61.113 (a) & (b), private pilots are limited to non-commercial operations. I, YOUR NAME (YOUR 

COMPANY NAME), The sUAS Pilot in Command must possess at least a sport pilot certificate 

and a driver's license. The PIC must also meet the flight review requirements specified in 14 

CFR § 61.56 in which the PIC is rated on his/her pilot certificate as outlined in 14 C.F.R. § 61.

D. 14 C.F.R. 91.119: Minimum Safe Altitudes. 14 C.F.R. § 91.119 prescribes safe altitudes for 

the operation of civil aircraft. It allows helicopters to be operated at lower altitudes in certain 

conditions. My UAS will never operate at an altitude greater than 300fclose AGL; safely below 

the standard of 400 AGL. I, YOUR NAME (YOUR COMPANY NAME), will however operate my 

UAS in safe areas away from public and traffic, providing a level of safety at least equivalent to 

or below those in relation to minimum safe altitudes. Given the size, weight, maneuverability 

and speed of my UAS, an equivalent or higher level of safety will be achieved.

E. 14 C.F.R. 91.405 (a); 407 (a) (1); 409 (a) (2); 417(a) & (b): Maintenance Inspections.1,2,

Manual

The above-cited Regulations require, amongst other things, aircraft owners and operators to 

“have [the] aircraft inspected as prescribed in subpart E of this part and shall between required 

inspections, except as provided in paragraph (c) of this section, have discrepancies repaired as 

prescribed in part 43 of this chapter. . . .”These Regulations only apply to aircraft with an 

airworthiness certificate. They will not, therefore, apply to my,YOUR NAME (YOUR COMPANY 

NAME)'s, UAS. However, as a safety precaution I inspect my UAS before and after each flight. 
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A Summary The FAA May Publish in the Federal Register: A. 14 C.F.R. 21 and 14 C.F.R. 91: 

Airworthiness Certificates, Manuals and The Like. 14 C.F.R. 21, Subpart H, entitled 

Airworthiness Certificates, sets forth requirements for procurement of necessary airworthiness 

certificates in relation to FAR § 91.203(a)(1). The size, weight and enclosed operational area 

of my UAS permits exemption from Part 21 because my,YOUR NAME (YOUR COMPANY 

NAME)’s, UAS meets an equivalent level of safety pursuant to Section 333 of the 

Reform Act. The FAA is authorized to exempt aircraft from the airworthiness certificate 

requirement under both the Act (49 U.S.C. § 44701 (f)) and Section 333 of the Reform Act. 

Both pieces of legislation permit the FAA to exempt UAS's from the airworthiness certificate 

requirement in consideration of the weight, size, speed, maneuverability and proximity to 

areas such as airports and dense populations. My UAS meets or exceeds each of the 

elements. 14 C.F.R. 91.7(a) prohibits the operation of an aircraft without an airworthiness 

certificate. As no such certificate will be applicable in the form contemplated by the FARs, this 

Regulation is inapplicable. 14 C.F.R. § 91.9 (b) (2) requires an aircraft flight manual in the 

aircraft. As there are no pilots or passengers, and given the size of the UAS's, this Regulation 

is inapplicable. An equivalent level of safety will be achieved by maintaining a manual. The 

FAA has previously issued exemptions to this regulation in Exemption Nos. 8607, 8737, 8738, 

9299, 9299A, 9565, 9565B, 10167, maintenance program that involves regular software 

updates and curative measures for any damaged hardware. Therefore, an equivalent level of 

safety will be achieved. In summary, YOUR NAME (YOUR COMPANY NAME) seeks 

an exemption from the following Regulations:14 C.F.R. 21, subpart H; 14 C.F.R. 45.23(b); 14 

C.F.R. §§ 61.113 (a) & (b); 14 C.F.R. §91.7 (a); 14 C.F.R. § 91.9 (b)(2); 14 C.F.R. § 91.103(b); 

14 C.F.R. § 91.109; 14 C.F.R. §91.119; 14 C.F.R. § 91.121; 14 C.F.R. § 91.151(a); 14 C.F.R. 

§§ 91.203(a) and (b); 14 C.F.R. § 91.405 (a); 14 C.F.R. § 91.407 (a)(1); 14 C.F.R. § 91.409 (a)

(2); 14 C.F.R. § 91.409 (a ) (2); and, 14 C.F.R. §§ 91.417 (a) & (b) to commercially operate my, 

YOUR NAME (YOUR COMPANY NAME)'s, small unmanned vehicle/lightweight unmanned 

aircraft vehicle in community awareness, education, structural inspection land management, 

search and rescue and real estate operations, and to develop economic platforms for the 

aforementioned to enhance the experience of those seeking to relocate, 

rebuild, reevaluate and to find in the metro YOUR CITY area. 

F. Additional FAA Required Operating Conditions and Limitations

When not covered elsewhere in this Operations Manual, the following conditions and 

limitations apply:

1. The UA must weigh less than 55 pounds (25kg), including energy source(s) 

and equipment
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2. The UA may not be flown at a speed exceeding a ground speed of 85 knots.

3. Flights must be operated at an altitude of no more than 500 feet above ground level 

(AGL), as indicated by the procedures specified in the operator's manual. All 

altitudes reported to ATC must be in feet AGL.

4. The UAS must be operated within visual line of sight (VLOS) of the PIC at all times.

This requires the PIC to be able to use human vision unaided by any device other 

than corrective lenses, as specified on the PIC's state driver’s license.

5. All operations must utilize a visual observer (VO). The VO may be used to satisfy the 

VLOS requirement, as long as the PIC always maintains VLOS capability. The VO 

and PIC must be able to communicate verbally at all times.

6. If a discrepancy exists between these limitations and any procedure outlined elsewhere 

in this operations manual, the conditions and limitations herein take precedence and 

must be followed.

7. Prior to each flight, the PIC must inspect the UAS to ensure it is in a condition for safe 

flight. If the inspection reveals a condition that affects the safe operation of the UAS, 

the aircraft is prohibited from operating until the necessary maintenance has been 

performed and the UAS is found to be in a condition for safe flight. The Ground 

Control Station, if utilized, must be included in the preflight inspection. All 

maintenance and alterations must be properly documented in the aircraft records.

8. Any UAS that has undergone maintenance or alterations that affect the UAS operation 

or flight characteristics, e.g. replacement of a flight critical component, must undergo a 

functional test flight in accordance with the operator's manual. The PIC who conducts 

the functional test flight must make an entry in the UAS aircraft records of the flight.

9. The operator must follow the manufacturer's UAS aircraft/component, maintenance, 

overhaul, replacement, inspection, and life limit requirements. When unavailable, aircraft 

maintenance/component/overhaul, replacement, and inspection/maintenance

requirements must be established and identified in the operator's manual. At a minimum, 

the following must be included in the operator's manual:

a. Actuators / Servos

b. Transmission (single rotor)

c. Powerplant (motors)

d. Propellers
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e. Electronic speed controller 

f. Batteries

g. Mechanical dynamic components (single rotor)

h. Remote command and control

i. Ground control station (if used)

j. Any other components as determined by the operator

10. The Pilot in Command (PIC) must possess at least a sport pilot certificate and at least a 

current state driver’s license. The PIC must also meet the flight review requirements 

specified in 14 CFR § 61.56 in an aircraft in which the PIC is rated on his/her pilot 

certificate.

11. Prior to operations conducted for the purpose of motion picture filming (or similar 

operations), the PIC must have accumulated and logged, in a manner consistent with 14

CFR § 61.51 (b), a minimum of 200 flight cycles and 25 hours of total time as a UAS 

rotorcraft pilot and at least ten hours logged as a UAS pilot with a similar UAS type (single 

blade or multirotor). Prior documented flight experience that was obtained in compliance 

with applicable regulations may satisfy this requirement. Training, proficiency, and 

experience-building flights can also be conducted under this grant of exemption to 

accomplish the required flight cycles and flight time. During training, proficiency, and 

experience-building flights, all persons not essential for flight operations are considered 

non-participants, and the PIC must operate the UAS with appropriate distance from nonparticipants in accordance with 14 CFR § 91.119.

12. Prior to operations conducted for the purpose of motion picture filming (or similar 

operations), the PIC must have accumulated and logged, in a manner consistent with 14

CFR § 61.51 (b), a minimum of five hours as UAS pilot operating the make and model of UAS 

to be utilized for operations under the exemption and three take-offs and three landings in the 

preceding 90 days. Training, proficiency, experience-building, and take-off and landing 

currency flights can be conducted under this grant of exemption to accomplish the required 

flight time and 90 day currency. During training, proficiency, experience-building, and take-off 

and landing currency flights, all persons not essential for flight operations are considered nonparticipants, and the PIC must operate the UAS with appropriate distance from non-participants 

in accordance with 14 CFR § 91.119.
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13. Prior to any flight operations authorized by this grant of exemption, the PIC and visual 

observer (VO) must have successfully completed a qualification process, as outlined in

the operator’s manual. As this is a requirement stipulated by the operator, the test must be 

developed and implemented by a qualified person designated at the sole discretion of the 

operator. A record of completion of this qualification process must be documented and made 

available to the Administrator upon request.

14. Prior to operations conducted for the purpose of motion picture filming (or similar 

operations), a flight demonstration, administered by an operator-approved and -qualified pilot 

must be successfully completed and documented. This documentation must be available for 

review upon request by the Administrator. Because the knowledge and airmanship test 

qualifications have been developed by the operator, and there are no established practical 

test standards that support a jurisdictional FAA FSDO evaluation and approval of company 

designated examiners, the petitioner will conduct these tests in accordance with the operator’s 

manual.

15. The UAS may not be operated directly over any person, except authorized and consenting 

production personnel, below an altitude that is hazardous to persons or property on the surface 

in the event of a UAS failure or emergency.

16. Regarding the distance from participating persons, the operator’s manual has safety 

mitigations for authorized and consenting production personnel. At all times, those persons 

must be essential to the closed-set film operations. Because these procedures are specific to 

participating persons, no further FSDO or Aviation Safety Inspector (ASI) approval is 

necessary for reductions to the distances specified in the petitioner’s manuals. This is 

consistent with the manned aircraft procedures described in FAA Order 8900.1, V3, C8, S1 

Issue a Certificate of Waiver for Motion Picture and Television Filming.

17. Regarding distance from non-participating persons, the operator must ensure that no 

persons are allowed within 500 feet of the area except those consenting to be involved and 

necessary for the filming production. This provision may be reduced to no less than 200 feet 

if it would not adversely affect safety and the Administrator has approved it. For example, an 

equivalent level of safety may be determined by an aviation safety inspector’s evaluation of 

the filming production area to note terrain features, obstructions, buildings, safety barriers, 
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etc. Such barriers may protect non-participating persons (observers, the public, news media, 

etc.) from debris in the event of an accident. This is also consistent with the same FAA Order 

8900.1, V3, C8, S1. 18. If the UAS loses communications or loses its GPS signal, the UA 

must return to a pre-determined location within the security perimeter and land or be 

recovered in accordance with the operator’s manual.

18. If the UAS loses communications or loses its GPS signal, the UA must return to a predetermined location within the security perimeter and land or be recovered in accordance 

with the operator’s manual.

19. The UAS must abort the flight in the event of unpredicted obstacles or emergencies in 

accordance with the operator’s manual.

20. Each UAS operation must be completed within 30 minutes flight time or with 25%

battery power remaining, whichever occurs first.

21. The operator must obtain an Air Traffic Organization (ATO) issued Certificate of Waiver or 

Authorization (COA) prior to conducting any operations under this grant of

exemption. This COA will also require the operator to request a Notice to Airman 

(NOTAM) not more than 72 hours in advance, but not less than 48 hours prior to the 

operation.

22. All aircraft operated in accordance with this exemption must be identified by serial 

number, registered in accordance with 14 CFR part 47, and have identification (NNumber) markings in accordance with 14 CFR part 45, Subpart C. Markings must 

be as large as practicable.

23. The operator must develop procedures to document and maintain a record of the UAS 

maintenance, preventative maintenance, alterations, status of replacement/overhaul 

component parts, and the total time in service of the UAS. These procedures must be 

added to the operator’s manual.

24. Each UAS operated under this exemption must comply with all manufacturer Safety

Bulletins.

25. The operator must develop UAS technician qualification criteria. These criteria must be 

added to the operator’s manual.

26. The preflight inspection section in the operator’s manual must be amended to include the 

following requirement: The preflight inspection must account for all discrepancies, i.e. 

inoperable components, items, or equipment, not covered in the relevant preflight 

inspection sections of the operator’s manual.
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27. Before conducting operations, the radio frequency spectrum used for operation and 

control of the UAS must comply with the Federal Communications Commission (FCC) or 

other appropriate government oversight agency requirements.

28. At least three days before scheduled filming, the operator of the UAS affected by this 

exemption must submit a written Plan of Activities to the local FSDO with jurisdiction 

over the area of proposed filming. The 3-day notification may be waived with the 

concurrence of the FSDO. The plan of activities must include at least the following:

a. Dates and times for all flights

b. Name and phone number of the person responsible for the UAS filming 

production under this grant of exemption

c. Name and phone number of the person responsible for the on-scene operation 

of the UAS.

d. Make, model and serial or N-number of the UAS to be used

e. Name and certificate number of the UAS PIC's involved in the filming 

production event 

f. A statement that the operator has obtained permission from property 

owners and/or local officials to conduct the filming production event; the 

list of those who gave permission must be made available to the 

inspector upon request.

g. Signature of exemption-holder or representative

h. A description of the flight activity, including maps or diagrams of any area, 

city, town, county, and/or state over which filming will be conducted and the 

altitudes essential to accomplish the operation

29. The documents required under 14 CFR § 91.9 and § 91.203 must be available to the PIC 

at the ground control station of the UAS any time the aircraft is operating. These 

documents must be made available to the Administrator or any law enforcement official 

upon request.

30. The UAS must remain clear and yield the right of way to all other manned operations 

and activities at all times (including, but not limited to, ultralight vehicles, parachute 

activities, parasailing activities, hang gliders, etc.).

31. UAS operations may not be conducted during night, as defined in 14 CFR § 1.1. All 

operations must be conducted under visual meteorological conditions (VMC). Flights 

under special visual flight rules (SVFR) are not authorized.
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32. The UAS cannot be operated by the PIC from any moving device or vehicle.

33. The UAS may not be operated less than 500 feet below or less than 2,000 feet 

horizontally from a cloud or when visibility is less than 3 statute miles from the PIC.

34. The UAS may not operate in Class B, C, or D airspace without written approval from the 

FAA. The UAS may not operate within 5 miles of the geographic center of a non-towered 

airport as denoted on a current FAA-published aeronautical chart unless a letter of 

agreement with that airport’s management is obtained, and the operation is conducted in 

accordance with a NOTAM as required by the operator’s COA. The letter of agreement 

with the airport management must be made available to the Administrator upon request.

35. Any 1) incident, 2) accident, or 3) flight operation that transgresses the lateral or vertical 

boundaries of the operational area as defined by the applicable COA must be reported to 

the Federal Aviation Administration’s (FAA) UAS Integration Office (AFS-80) within 24 

hours. Accidents must be reported to the National Transportation Safety Board (NTSB) per 

instructions contained on the NTSB Web site: www.ntsb.gov. Further flight operations may 

not be conducted until the incident, accident, or transgression is reviewed by AFS-80 and 

authorization to resume operations is provided.

Currently, the aforementioned aerial videography/photography relies primarily on the use of 

larger aircraft running on combustible fuel. Posing potential risk to the public. Granting my, 

YOUR NAME (YOUR COMPANY NAME)’s, request for exemption will reduce current 

risk levels and thereby enhance safety. My UAS craft do not contain potentially explosive fuel, 

is smaller, lighter and more maneuverable than conventional video and photographic aircraft 

with much less flight time. 

Further, I operate at lower altitudes and in controlled airspace eliminating potential public risk 

flying to and from established airfields. I,YOUR NAME (YOUR COMPANY NAME), 

have been informally analyzing and recording flight information and will compile safety 

protocols and the implementation of a flight operations manual for usage that exceeds 

currently accepted means and methods for safe flight. Formal collection of information shared 

with the FAA will enhance the FAA's internal efforts to establish protocols for complying with 

the FAA Modernization and Reform Act of 2012. There are no personnel on board my, YOUR 

NAME (YOUR COMPANY NAME)’s, UAS and therefore the likelihood of death or serious bodily 

injury is significantly diminished. My, YOUR NAME (YOUR COMPANY NAME)’s, operation of 

my UAS, weighing less than forty (40) pounds and traveling at lower speeds within limited areas 

low to the ground will provide an equivalent level of safety as that achieved under current FARs. 

Accordingly I, YOUR NAME (YOUR COMPANY NAME), respectfully request that the FAA grant 

my exemption request and am willing to cooperate in sharing information to benefit the FAA, 

safety of manned aircraft, and the general public at large. 
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Respectfully submitted, 

YOUR NAME (YOUR COMPANY NAME)

YOUR ADDRESS HERE

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Appendix A

List of Aircraft

No. Make and Model Description Serial No. Registration

No.

1 DJI Inspire Electric powered, 8 rotor, small 

unmanned multirotor helicopter

Enter Serial 

Number

Pending

2 DJI Phantom 3 Electric powered, 4 rotor small 

unmanned multirotor helicopter

Enter Serial 

Number

Pending

3 CineChopper Rapid 

Pro X

Electric powered, 8 rotor, small 

unmanned multirotor helicopter

Enter Serial 

Number

Pending

1. DJI INSPIRE ONE

The operation of the DJI INSPIRE ONE system is as follows.

1. Build Materials

I. Plastic

II. Aluminum 

2. Motor Configuration

I. The DJI INSPIRE ONE flight in a 4 motor quadcopter setup. ,
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3. Payload 

I. The DJI INSPIRE ONE flies it’s own light-weight integrated camera. 

II. Maximum All-up weight- 6lbs

4. Maintaining the DJI INSPIRE ONE

I. Before each flight:

1. Check all hardware to ensure it is securely tightened.

2. Check that the motor is level and locked in place.

3. Check the propeller to ensure it is tight and there are no visible signs of cracks, stress, 

4. Check all wiring to motors, motor controllers, batteries, and flight controller for signs of 

5. Check all navigational lighting to ensure it is properly working.

II. After 45 hours of flight

1. Remove and check all motors and motor mounts for signs of wear and tear. Replace as 

necessary. 

2. Remove motor controllers and visually inspect and check for damage. Replace as necessary. 

3. Remove flight controllers and visually inspect and check for damage. Replace as necessary. 

and/or chips. Replace if propeller is questionable. 

4. Check for cuts, fraying, cracks, and/or loose/cold solder connections. Fix before flying.

5. Check for updates to flight controller firmware. If available, install and 

perform a minimum of 15 test flights before conducting commercial work.

Appendix B 

2. DJI Phantom 3 

The operation of the DJI Phantom 3 system is as follows.

1. Build Materials

I. Plastic

II. Aluminum 

2. Motor Configuration

I. The Phantom 3 flight in a 4 motor quadcopter setup. ,

3. Payload

I. The Phantom 3 it’s own integrated camera. 

II. Maximum All-up Weight- 4lbs

4. Maintaining the Phantom 3

I. Before each flight:

1. Check all hardware to ensure it is securely tightened.

2. Check that the motor is level and locked in place.

3. Check the propeller to ensure it is tight and there are no visible signs of cracks, stress, 
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4. Check all wiring to motors, motor controllers, batteries, and flight controller for signs of 

5. Check all navigational lighting to ensure it is properly working.

II. After 45 hours of flight

1. Remove and check all motors and motor mounts for signs of wear and tear. Replace as 

necessary. 

2. Remove motor controllers and visually inspect and check for damage. Replace as necessary. 

3. Remove flight controllers and visually inspect and check for damage. Replace as necessary. 

and/or chips. Replace if propeller is questionable. 

4. Check for cuts, fraying, cracks, and/or loose/cold solder connections. Fix before flying.

5. Check for updates to flight controller firmware. If available, install and 

perform a minimum of 15 test flights before conducting commercial work.

Appendix C

3. CineChopper X8 Multirotor 

The operation of the CineChopper X8 multirotor system are as follows (the flight controller 

operation

manual is NOT explained in this manual but can be found in Appendix E, Section 1).

1. Build Materials

I. Carbon Fiber

II. ABS Plastic

III. Stainless Steel Hardware

2. Motor Configuration

I. X8 configuration utilizing 8 motors (KDEDirect 5215-435KV) which is powered by the 

Herkules III motor controller. The motors are configured with 2 motors per arm, one top 

and one bottom spinning in a counter-rotating direction. We have tested this situation 

and can confirm it works as described.

II. In this configuration the CineChopper x8 can handle up to four (4) motors failing and still be 

able to fly.

3. Payload 

I. The CineChopper x8 will carry the Freefly Systems MoVI M5, M10, or M15 camera gimbal. 

II. The cameras that will be flown on the CineChopper X8 include, but are not limited to, Canon

5DMKIII, Canon 1D-C, RED Epic, RED Dragon, and Sony FS700. 

III. Maximum All-up Weight- 34lbs

4. Maintaining the CineChopper x8

I. Before each flight:

II. After 45 hours of flight

1. Check all hardware to ensure it is securely tightened.

2. Check that all motors are level and locked in place.
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3. Check all propellers to ensure they are tight and there are no visible signs of cracks, 

stress, and/or chips. Replace if any propeller is questionable. 

4. Check all wiring to motors, motor controllers, batteries, and flight controller for signs of cuts, 

fraying, cracks, and/or loose/cold solder connections. Fix before flying.

5. Check all navigational lighting to ensure it is properly working.

6. Remove and check all motors and motor mounts for signs of wear and tear. Replace as 

necessary.

7. Remove motor controllers and visually inspect and check for damage. Replace as 

necessary.

8. Remove flight controllers and visually inspect and check for damage. Replace as 

necessary. Check for updates to flight controller firmware. If available, install and perform a 

minimum of 15 test flights before conducting commercial work. 

Appendix D 

Personal Protocols/Controls/Flight Manual 

Protocols and Controls 

YOUR NAME (YOUR COMPANY NAME), City, State.

Safety for public on the ground as well as manned aircraft above is an essential and utmost 

consideration for aerial videos and photography. As such, safety protocols and controls must be 

implemented through preflight preparation and during flight. PreFlight Protocol: 

Check batteries with voltage meter to insure fully charged and ready for use. 

Inspect batteries for damage or leakage that may affect proper operation. 

Inspect propellers for cracks, chips or damage that may cause sudden loss of propulsion or 

unmanageable/uncontrolled flight. 

Check all GPS and Telemetry connections prior to flight. 

Check weather forecasts for wind advisory or other conditions that my impact flight. 

Consult Sky Vector aeronautical Charts (Skyvector.com)for airport vicinity and flight paths of 

possible air traffic.

Contact respective airport to advise of estimated flight time, estimated flight duration, estimated 

elevation of flight, and any other pertinent information. 

Inspect flight area for 

Vicinity of public safety helipads/heliports
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Vicinity of medical helipads/heliports 

Vicinity of light poles vicinity or utility wires 

Vicinity of trees flocks of birds that may cause interference and potential flight impact 

Vicinity of any elevated obstructions that may pose potential flight hazard 

Vicinity of roadways with moderate to heavy traffic that can be distracted public 

Gatherings that may attract viewers optional point of control for best visual site of UAS 

while in flight 

Emergency landing areas 

Takeoff and landing 

Inspect area for best and safest point of takeoff and landing 

If in a subdivision or area that is within 150 feet of a residential street, post warning 

Sign(s)/stand(s) "Attention Aerial Photography In Progress  Remain Back 150 Feet " 

Flight Protocol: takeoff and land from same location ( have alternate landing areas in case of 

emergencies) remain alert to birds, sound or aircraft, curious public, and approaching vehicles 

do not allow anyone to engage in conversation or distract the remote control pilot restrict flight to 

minimal elevation sufficient to acquire desired results remained prepared for emergency landing 

at all times pay attention to flight time – warning meter for low voltage. 

Set voltage meter alarm for low voltage and flight timer as a safety alert land UAS and shut 

down propulsion immediately following landing – priority of disconnecting batteries 

Post flight: 

1. a) Disconnect battery to prevent accidental activation of propulsion system 

2. b) Secure UAS in a safe location 

c) Remove all warning signs from public access areas Emergency or Suspected Hazard: 

Immediate land UAS at safest and closet ground location in the event 

Manned aircraft is heard or seen in vicinity of flight 

There is a public gathering within established safety boundary wanting to observe flight 

Pilot is being distracted from focusing on flight and safety 

Sudden change in weather (wind bursts) 

Sudden increase in vehicular traffic in vicinity of flight 

Birds enter into proximity of flight 

Any sudden unsafe event that can cause collision, distraction or interruption of control 

Safety for public on the ground as well as manned aircraft above is an essential and utmost 

consideration for aerial videos and photography. 
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Maintaining a record of safe flight for FAA request and for determining future UAS safety 

protocols is imperative. 

Date:____________________ 

Location:___________________________________________________ 

preflight Inspection: 

o Yes o No 

Comment: _________________________________________________ 

Elements 

Proximity to airport: _________________ (see attached map pinpointing approximate location 

of flight) 

Airport notified: No Yes 

Date:_______________ Time: ______________ 

Phone Number: _______________________ 

Contact Name:___________________________________ 

Nearest major intersection: 

______________________________________________________________ 

Proximity to medium traffic road: 

_________________________________________________________ 

Proximity to heavily traveled roadway road: 

_________________________________________________ 

Proximity to congested population: 

________________________________________________________ 

Approx. Takeoff Time : GMT: 

Weather Good Fair Poor Comment : 
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Visibility Good Fair Poor Comment : 

Wind Speed ___mph ___Gusts/MPH ___avg/MPH Comment : 

Approx. Landing Time: GMT: Estimated Elevation Ground level: 

Safety Concerns: 

Additional Comments: 

sea level: 

Appendix 'D'

Aircraft Manuals

This Appendix includes UAS manufacturer's user manuals, maintenance instructions, and 

illustrated parts catalogs. These manuals may be attached to the docket when submitted. 

Information regarding design, aircraft performance, fail-safe features, operating limitations, 

normal and emergency procedures, and maintenance and inspection procedures is contained 

within the manuals and supplemental information documents listed below:

1. DJI Inspire Manual V1.0

2. Inspire 1 Maintenance Manual v1.0

3. Intelligent Flight Battery Safety Guidelines v1.4

4. Inspire 1 Safety Guidelines

5. Phantom 3 Professional Manual V1.0

6. Phantom 3 Intelligent Flight Battery Safety Guidelines v1.0 (EN)

For more information or questions about this manual please contact:

YOUR Company

YOUR Address

Your Phone Number