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C4 Proprietorship

Appendix A-G

Petitioner	 submits	 the	 Appendix	 and	 Manuals	 marked	

“CONFIDENTIAL,”	as	they	contain	proprietary	confidential	

business	information	that	is	not	released to	the	public	and	

is	protected	under	the	Freedom	of	Information	Act	5	USC	

§552	et.	seq.	5	Reform	Act	Section	333	(b).

Submitted	on	October	21,	2015

Anthony	Cannone

C4	Proprietorship

1819	Brevor	Dr

Walla	Walla,	WA	99362

C4’s Consultant

Gowdy	Brothers	Aerospace,	LLC

8170	Old	Carriage	Court	N.	Suite	#200

Shakopee,	MN	55379

www.GowdyBrothersAerospace.com

Info@GowdyBrothers.com
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Table of Contents

APPENDIX	A	- EXEMPTION	PATTERN..........................................................................................3

APPENDIX	B	- TECHNICAL	MANUALS	AND	SPECIFICATIONS...............................................4

APPENDIX	C	- COMMERCIAL	(MISSION/OPERATION)	PURPOSE	- FAA	PREVIOUS	

APPROVED	EXEMPTION	NUMBERS..............................................................................................5

APPENDIX	D	- EQUIPMENT	- FAA	PREVIOUS	APPROVED	EXEMPTION	NUMBERS.......7

APPENDIX	E	- EXEMPTION	14	C.F.R	- FAA	PREVIOUS	APPROVED	EXEMPTION	

NUMBERS...............................................................................................................................................8

APPENDIX	F	- MONTHLY	MAINTENANCE	AND	REPAIR	LOG................................................9

APPENDIX	G	– MOTION	PICTURE	AND	TELEVISION	FLIGHT	OPERATIONS	MANUAL	

VERSION	1.0....................................................................................................................................... 10

I. Introduction...................................................................................................................... 12

A. Purpose....................................................................................................................................... 12

B. Operator/Pilot	Organization .............................................................................................. 12

C. Persons	Authorized................................................................................................................ 12

D. Area	of	Operations ................................................................................................................. 12

E. Plan	of	Activities ...................................................................................................................... 12

F. Permission	to	Operate........................................................................................................... 13

G. Security....................................................................................................................................... 14

H. Briefing	of	Pilot/Production	Personnel ......................................................................... 14

I. Certifications/Airworthiness............................................................................................... 15

J. Pilot	Personnel/Minimum	Requirements....................................................................... 15

K. Communications ..................................................................................................................... 16

L. Accident	Notification.............................................................................................................. 16

M. Recall/Stop	Procedures ....................................................................................................... 16

N. Aerobatic	Competency.......................................................................................................... 16

O. Special	Provisions................................................................................................................... 17

II. Company	Organization................................................................................................ 17

A. Chief	Pilot................................................................................................................................... 17

B. Pilot	in	Command.................................................................................................................... 18

Appendix	A	List	of	Approved	Pilots........................................................................................... 19

Appendix	B	List	of	Approved	Aircraft ...................................................................................... 20

Appendix	C	– Permission	Acquisition	Form........................................................................... 21

Appendix	D.	Revisions	Letter ...................................................................................................... 22

Appendix	E	– Form	7711-2........................................................................................................... 23
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APPENDIX A - EXEMPTION PATTERN

The	following	table	summarizes	relief	sought	by	the	Aeryon	Labs,	Inc.,	and	the	FAA’s	

determination	per	Exemption	#11213,	dated	March	24,	2015.

Relief	considered	(14	CFR)	FAA	determination	(14	CFR)	

21	 Relief	not	necessary	

45.23(b)	 Relief	not	necessary	

61.23(a)	and	(c)	 Relief	granted	with	conditions	and	limitations	

61.101(e)(4)	and	(5)	 Relief	granted	with	conditions	and	limitations	

61.113(a)	 Relief	granted	with	conditions	and	limitations	

61.133	 Relief	not	necessary	

61.315(a)	 Relief	granted	with	conditions	and	limitations	

91.7(a)	 Relief	granted	with	conditions	and	limitations	

91.7(b)	 Relief	not	necessary	

91.9(b)(2)	 Relief	not	necessary	

91.9(c)	 Relief	not	granted	

91.103	 Relief	not	granted	

91.109	 Relief	not	necessary	

91.119(a)	 Relief	not	granted	

91.119(b)	and	(d)	 Not	applicable	

91.119(c)	 Relief	granted	with	conditions	and	limitations	

91.121	 Relief	granted	with	conditions	and	limitations	

91.151(a)(1)	 Relief	granted	with	conditions	and	limitations	

91.203(a)	and	(b)	 Relief	not	necessary	

91.405(a)	 Relief	granted	with	conditions	and	limitations	

91.407(a)(1)	 Relief	granted	with	conditions	and	limitations	

91.409(a)(1)	and	(2)	 Relief	granted	with	conditions	and	limitations	

91.417(a)	and	(b)	 Relief	granted	with	conditions	and	limitations
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APPENDIX B - TECHNICAL MANUALS AND SPECIFICATIONS

DJI	- Phantom	2

http://download.djiinnovations.com/downloads/phantom_2/en/PHANTOM2_User_Manual_v1.2_en.pdf

DJI	- Phantom	3

http://download.djiinnovations.com/downloads/phantom_3/en/Phantom_3_Advanced_User_Manual_v1.0_en.pdf

DJI	- Inspire	1

http://download.djiinnovations.com/downloads/inspire_1/en/Inspire_1_User_Manual_v1.2_en.pdf

DJI	- S800

http://download.dji-innovations.com/downloads/s800/S800_User_Manual_en.pdf

DJI	- S900

http://download.dji-innovations.com/downloads/s900/en/S900_User_Manual_v1.2_en.pdf

DJI	- S1000

http://download.dji-innovations.com/downloads/s1000/en/S1000_User_Manual_v1.10_en.pdf

DJI	– Matrice	100

http://store.dji.com/product/matrice-100

Cinestar	8	Octo

http://d27w8s76bjlz9v.cloudfront.net/wp-content/uploads/2014/07/cinestar8Manual-v4.pdf

Altavian	Nova	F6500

http://www.troybuiltmodels.com/items/ALT-F6500.html

Blade QX3

http://www.horizonhobby.com/pdf/BLH8100-Manual-EN.pdf

AgEagle

http://ageagle.com/wp-content/uploads/2014/12/AgEagle-RAPID-122014-email.pdf

3DRobotics	- X8

http://3drobotics.com/wp-content/uploads/2014/11/X8+-Operation-Manual-vA.pdf

3DRobotices	- Iris

http://3drobotics.com/wp-content/uploads/2014/10/IRIS-Plus-Operation-Manual-vE-web.pdf

3DR	Solo

http://3drobotics.com/kb/solo-user-manual/

SenseFly	eBee

https://www.sensefly.com/drones/ebee.html

Yuneec	Q500	Typhon

http://www.yuneec.com/download/20150209080300.pdf

DraganFlyer	X4-ES

http://www.draganfly.com/uav-helicopter/draganflyer-x4es/specifications/

Trimble	UX5

http://kmcgeo.com/Products/Gatewing/UX5AerialImagingUserGuide_100A.pdf

Microdrones MD4

http://www.microdrones.com/en/support/support-and-repair/
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APPENDIX C - COMMERCIAL (MISSION/OPERATION) PURPOSE - FAA 

PREVIOUS APPROVED EXEMPTION NUMBERS

1. Bridge	Inspections:	

11603,	11564,	11422,	11171

2. Flare	stack	inspection:	

11251,	11581,	11241,	11156

3. Utility-power	generation	system	inspections	and	patrolling:	

11581,	11512,	11238,	11467

4. Aerial	inspection,	photography	and	videography	of	residential and	

commercial	real	estate, weddings	and	wedding	receptions:

11784,	11786,	11787,	11789

5. Aerial	inspection, photography	and	videography	of	utility	infrastructure	

including	but	not	limited	to	electrical	power	lines,	wind	turbines	and	cell	

towers:	

11787,	11512,	11581,	11238

6. Pipeline	inspection	and	patrolling:	

11467,	11422,	11554,	11561,	11564

7. Filmmaking,	cinematography,	and	videography:	

11581,	11251,	11256,	11659

8. Precision	agriculture	with	on	board	sensors:	

11759,	11222,	11673,	11769

9. Wildlife	and	forestry	monitoring	and	mosquito	and	insect	control:	

11684,	11648,	11790,	11551

10. Aerial	surveying:	

11593,	11600,	11567,	11581

11. Construction	site inspection	and	monitoring:	

11591,	11508,	11535,	11469

12. Public	entity	support	operations:	

11471,	11426,	11412,	11389

13. Aerial	imaging	for	safety,	monitoring	and	comparing	work	efforts	and	

completion	percentages,	and	security	of controlled	environment	of	various	

sites:	

11649,	11524,	11522,	11481

14. Aerial	video	and	live	video	feed	to	assist	with	search	and	rescue	operations	

under	the	authority	and	support	of	local	authority:	

11327,	11282,	11558,	11842

15. Aerial	video	and	photography for	public	and	private	use	including	television,	

public	events,	and	cinematography	live	feed	and	live	newsgathering:	

11408,	11406,	11787,	11760

16. Training	to	persons	individually	or	belonging	to	both	private	and	public	

organizations	to	increase	awareness	and	improve	safety	for	current	and	

future	UAS	operations	within	the	NAS:	

11789,	11663,	11668,	11683
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17. Special	Events (including	High	Schools,	Colleges,	Professional	Sports,	open	

air	and	fairs):	

11787,	11792,	11777,	11757

18. Research:	

11424,	11389,	11370,	11368

19. Risk	Management	and	Assessment:	

11293,	11494,	11481,	11293

20. Motion	Picture	Production:	

11312,	11289,	11284,	11308

21. Surface	Mining:	

11272,	11257,	11227,	11508

22. Closed	Set	Filming:	

11541,	11488,	11477,	11065

23. Disaster	and	Catastrophe	events:	

11309,	11487, 11370,	11327
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APPENDIX D - EQUIPMENT - FAA PREVIOUS APPROVED EXEMPTION 

NUMBERS

DJI	- Phantom	2: 11784.	11795,	11785,	11767

DJI	- Phantom	3: 11783,	11788,	11711,	11696

DJI	- Inspire	1: 11710,	11711,	11712,	11714

DJI	- S800: 11788,	11756,	11401,	11252

DJI	- S900: 11794,	11779,	11714,	11697

DJI	- S1000: 11671,	11672,	11677,	11638

DJI	– Matrix	100: 11814

Cinestar	8	Octo: 11408,	11284,	11251,	11488

Altavian	Nova	F6500: 11456,	11472,	11605,	11552

Blade 350	QX3: 11737,	11879

AgEagle,: 11480,	11567,	11504

3DR	X8: 11335,	11626,	11617,	11486

3DR	Iris: 11778,	11533,	11496,	11673

3DR	Solo: 11832

SenseFly	eBee: 11745,	11754,	11764,	11673

Yuneec	Q500	Typhon: 11734,	11696,	11618,	11787

DraganFlyer	X4-ES: 11487,	11571,	11577,	11527

Trimble	UX5: 11806,	11666,	11432,	11329

Microdrones MD4: 11546,	11525,	11522,	11713
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APPENDIX E - EXEMPTION 14 C.F.R - FAA PREVIOUS APPROVED 

EXEMPTION NUMBERS

14	C.F.R.	§	61.113	(a)	&	(b)	:	

11062,	11109,	11112,	and 11213;

14	C.F.R.	§	61.133(a)	:	

11062,	11109,	11112,	and 11213;

14	C.F.R.	§	91.7(a)	:	

11062,	11109,	11112,	and 11213;

14	C.F.	R.§	91.119:	

11062,	11109,	11112,	and 11213;

14	C.F.R.	§	91.121:	1

1062,	11109,	11112,	and 11213;

14	C.F.R.	§	91.151	(a)	:	

11062,	11109,	11112,	and 11213;

14	C.F.R.	§	91.405	(a)	:	

11062,	11109,	11112,	and 11213;

14	C.F.R.	§	407	(a)	(1)	:	

11062,	11109,	11112,	and 11213;

14	C.F.R.	§	409	(a)	(2)	:	

11062,	11109,	11112,	and 11213;

14	C.F.R.	§	417	(a)	&	(b)	:	

11062,	11109,	11112,	and 11213;
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APPENDIX F - MONTHLY MAINTENANCE AND REPAIR LOG

C4 pilot/operators’	will	be	using	logbooks:	logging	all	PIC	time,	successful	takeoffs	

and	landings,	flight	simulator	time,	recorded	by	type,	make	and	model.

C4 will	 be	 using	 sUAV	 log	 books	 for	 each	 type,	 make	 and	 model	 Drone	 with	

accompanying	 FAA	 registration	 Number	 “November	 Number”:	 logging	 all	 drone	

operator	 time,	 successful	 takeoffs	 and	 landings,	 maintenance	 and	 repair	 records,	

insurance	coverage,	software	and	hardware	upgrades,	pre-flight	inspection	checks,	

etc.

C4 will	 be	 using	 maintenance	 and	 repair	 logbook	for	 each	 sUAV	in	 operation,	the	

following	is	an	example	of	the	minimum	logged	information:

Aircraft:	

N-Number:

Hours:	

Date:	

Date	Issue	

Discovered	

Date	Issue	

Resolved	

Issue	Description/

Maintenance	

Conducted	

Repair/Maintenance	

Performed	By	

Airframe	

Motors	

Propellers	

Flight	Control	

Update	

Gimbal	

Misc.
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APPENDIX G – MOTION PICTURE AND TELEVISION FLIGHT OPERATIONS 

MANUAL VERSION 1.0

MOTION	PICTURE	AND	TELEVISION	

FLIGHT	OPERATION	MANUAL

October	21,	2015

Written	and	maintained	by	

Gowdy	Brothers	Aerospace,	LLC	for	

Petitioner:

Anthony	Cannone

C4	Propritership

1819	Brevor	Dr

Walla	Walla,	WA	99362
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Table	of	Contents

I. Introduction................................................................................12

A. Purpose.................................................................................................... 12

B. Operator/Pilot	Organization............................................................ 12

C. Persons	Authorized ............................................................................. 12

D. Area	of	Operations............................................................................... 12

E. Plan	of	Activities ................................................................................... 12

F. Permission	to	Operate........................................................................ 13

G. Security.................................................................................................... 14

H. Briefing	of	Pilot/Production	Personnel....................................... 14

I. Certifications/Airworthiness............................................................ 15

J. Pilot	Personnel/Minimum	Requirements.................................... 15

K. Communications................................................................................... 16

L. Accident	Notification........................................................................... 16

M. Recall/Stop	Procedures..................................................................... 16

N. Aerobatic	Competency ....................................................................... 16

O. Special	Provisions................................................................................ 17

II. Company	Organization...........................................................17

A. Chief	Pilot................................................................................................ 17

B. Pilot	in	Command................................................................................. 18

Appendix	A	List	of	Approved	Pilots ...................................................... 19

Appendix	B	List	of	Approved	Aircraft.................................................. 20

Appendix	C	– Permission	Acquisition	Form....................................... 21

Appendix	D.	Revisions	Letter.................................................................. 22

Appendix	E	– Form	7711-2....................................................................... 23
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I. Introduction

A. Purpose

This	manual	has	been	developed	by	 C4 hereafter	 referred	to	as	 C4 in	 conjunction	

with	an	application	for	a	Certificate	of	Waiver	of	Authorization	of	the	provisions	of	

FAR	 91.119	(b)	 and	(c)	for	the	 purposes	 of	filming.	 C4 pilots	 and	 other	 company	

personnel	when	applicable	will	comply	with	the	policies,	procedures	and	conditions	

of	 this	 manual,	 whenever	 motion	 picture	 or	 television	 flight	 operations	 are	

performed	that	require	a	Waiver	of	Authorization	as	mentioned	above.	

B. Operator/Pilot Organization

Pilot	-

Anthony	Cannone

C4	Propritership

1819	Brevor	Dr

Walla	Walla,	WA 99362

C. Persons Authorized

FAR	91.119	(c)	is	waived	only	with	respect	to	those	persons,	vehicles	and	structures	

directly	 involved	 in	 the	 performance	 of	 the	 actual	 filming.	 The	 certificate	 holder	

shall	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	 an	 equivalent	 level	 of	 safety	 can	 be	

achieved	and	the	Administrator	has	approved	it.	For	example,	an	equivalent	level	of	

safety	may	be	determined	by	an	ASI’s	evaluation	of	the	filming	production	area	to	

note	 terrain	 features,	 obstructions,	 buildings,	 etc.	 Such	 barriers	 may	 protect	

nonparticipating	persons	(observers,	the	public,	news	media,	etc.)	from	debris	in	the	

event	of	an	accident.	

D. Area of Operations

C4'	approved	area	of	operations	will	be	the	continental	United	States,	and Alaska	

and	Hawaii.

E. Plan of Activities

At	least	three	(3)	days	prior	to	any	scheduled	filming,	C4 will	submit	a	written	plan	

of	 activities	 to	 the	 local	 FSDO	 having	 jurisdiction	 over	 that	 area.	 The	 plan	 of	

activities	should	include	the	following:	
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(1)	Dates	and	times	for	all	flights.	

(2)	 Name	 and	 phone	 number	 of	 person	 responsible	 for	 the	 filming	

production							event.	

(3)	Name	and	phone	number	of	person	responsible	for	aircraft.	

(4)	Make,	model,	and	 serial	or	N-number	of	aircraft	to	be	used	and	type	of	

airworthiness	certificate,	including	category.	

(5)	Name	and	certificate	number	of	pilots	involved	in	the	filming	production	

event,	 including	 any	 notation	 of	 external	 load	 endorsements	 or	 aerobatic	

competency,	if	required.	

(6)	 A	 statement	 that	 the	 waiver	 holder	 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	from	the	waiver	holder.	

(7)	Signature	of	waiver	holder	or	representative.	

(8)	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	

minimum	altitudes	essential	to	accomplish	the	operations.

The	three	(3)	day	notification	equipment’s	may	be	waived,	however,	the	operator	

should	contact	the	FSDO	as	 soon	as	possible	with	this	 request	and	be	prepared	to	

explain	in	detail	why	the	three	(3)	day	notification	is	not	practical.	

F. Permission to Operate

Before	any	flight	operations	is	conducted	at	less	than	500	feet	under	the	provisions	

of	the	certificate	of	waiver	and	this	manual,	the	operator	will	obtain	permission	to	

conduct	these	operations	from	property	owners	and	local	officials	as	necessary	or	

appropriate.	Persons	from	whom	permission	may	be	required	are	listed	below:	

(1)	Property	owners	

(2)	Law	enforcement	officials	

(3)	Fire	department	officials	

(4)	Local,	State	and	Federal	government	
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(5)	Air	traffic	control

The	 C4 personnel	 obtaining	 such	 permission	 will	 do	 so	 in	 writing	 whenever	

practical,	 however,	 verbal	 permission	 is	 acceptable	 otherwise.	 A	 standard	

permission	form	is	provided	in	Appendix	A	and	may	be	used	when	obtaining	written	

permission.	 C4 personnel	 will	 assure	 a	 sufficient	 number of	 those	 forms	 are	

available	at	the	job	site.	Written	permission	forms	will	be	maintained	at	the	job	site	

until	flight	operations	are	completed,	and	then	turned	into	the	chief	pilot	to	be	kept	

on	file	for	a	minimum	of	six	(6)	months.	 The	FAA	or	other	official	personnel	upon	

request	will	make	these	forms	available	for	inspection.	

G. Security

Prior	 to	 any	 flight	 operation	 the	 operator	 will	 coordinate	 with	 appropriate	

production	personnel	to	devise	a	plan	of	securing	the	area(s)	of	operation	from	all	

unauthorized	 persons	 and	 vehicles.	 Provisions	 will	 be	 made	 to	 immediately	

discontinue	 operations	 should	 the	 area(s)	 become	 unsecured	 or	 for	 any	 other	

reason	in	the	interest	of	safety.	

H. Briefing of Pilot/Production Personnel

Prior	to	the	start	of	any	operation	under	the	provisions	of	this	manual,	the	pilot	in	

command	will	conduct	a	briefing	of	all	procedures	to	participating	personnel	of	the	

risks	 involved,	 emergency	 procedures,	 and	 safeguards	 to	 be	 followed	 during	 the	

filming	 production	 event.	 Personnel	 will	 also be	 briefed	 on	 additional	 provisions	

that	 may	 be	 issued	 by	 the	 FSDO	 that	 has	 geographic	 responsibility	 for	 the	

operational	 area,	including	the	 location	 of	 boundaries	or	time	 limits.	The	briefing	

shall	cover:	

• Authorization	for	motion	picture	and	television	certificate	of	waiver	and	the	

attached	special	provisions	

• Operations	manual	

• Plan	of	activities	

• Aircraft	parking	and	starting	

• Taxi	procedures	

• Radio	Communications	

• Takeoff	procedures	

• Aviation	activities	to	be	conducted	during	the	filming	production	event	

• Approach	and	landing	procedures	

• Recall	procedures	

• Emergency	procedures	

• Risks	to	participating	personnel	

• How	to	control	nonparticipating	persons	
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I. Certifications/Airworthiness

All	C4 aircraft	used	in	operations	requiring	a	waiver	of	FAR	91	.119	(b)	and	(c)	for	

the	purpose	of	filming	will	be	properly	certified	and	hold	airworthiness	certificates.	

However,	 restricted	 category	 aircraft	 cannot	 be	 used	 as	 the	 filming	 "vehicle"	 in	

motion	 picture	 and	 television	 filming.	 Also,	 aircraft	 in	 the	 experimental	 category	

must	have	an	airworthiness	certificate	issued	for	the	purpose	of	exhibition	in	order	

to	 be	 used	 in	 motion	 picture	 and	 television	 filming.	 The	 aircraft	 will	 be	

100hr/annual	 inspection program.	 Other	 required	 tests	 and	 inspections	 will	 be	

performed	as	per	Part	91,	if	applicable	and	when	necessary.	Each	aircraft	will	have	a	

flight	 log	 containing	 upcoming	 scheduled	 maintenance	 and	 inspections	 and	 the	

dates	or	times	they	must	be	performed. A	section	for	discrepancies	is	also	found	in	

the	 flight	 log.	 The	 pilot	 in	 command	 will	 assure	 the	 aircraft	 to	 be	 flown	 is	 in	

airworthy	 condition	 and	 all	 required	 inspections	 and	 maintenance	 has	 been	

completed	before	each	flight.	

J. Pilot Personnel/Minimum Requirements

The	 pilot/operator	 shall	 establish	 and	 specify	 the	 minimum	 pilot	 requirements.	

Minimum	requirements	shall	meet	or	exceed	the	following:	

(1)	A	 current	U.S.	pilot	 certificate	with	 ratings	 appropriate	to	the	 category,	

class	 and	type	(if	 applicable)	 of	 aircraft	to	 be	 used	 under	the	terms	 of	the	

waiver.	

(2)	At	least	100	hours	logged	as	PIC	and	at	least	20	hours	logged	as	the	PIC	in	

the	aircraft	type.	

(3)	A	minimum	of	20 hours	in	the	category	and	class	of	aircraft	to	be	used.	

(4)	A	minimum	of	5	hours	in	the	make	and	model	aircraft	to	be	used	under	

the	waiver.	

(5)	In	the	event	that	the	1,500-foot	minimum	 standard	contained	in	the	14	

CFR	 91.303(e)	 is	 to	 be	 waived,	 the	 pilot	 performing	 aerobatic	 maneuvers	

must	hold	FAA	Form	8710-7,	Statement	of	Acrobatic	Competency,	to	perform	

the	operations.	

(6)	 In	 the	 event	 the	 operation	 to	 be	 conducted	 contains	 elements	 of	 an	

external-load	operation,	whether	fixed	or	rotary	wing	operations,	pilots	used	

in	 the	 operation	 shall	 be	 qualified.	 This	 qualification	 may	 be	 obtained	
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through	a	knowledge	test	(which	may	be	oral	and/written)	and/or	skill.	The	

inspector	 or	 another	 company	 pilot	 approved	 by	 the	 geographically	

responsible	 FSDO	 who	 is	 qualified	 to	 carry	 loads	 externally	 will	 give	 the	

test(s)	which	are	 similar	to	part	133	 requirements	and	 cover	the	following	

subjects:	

(a)	Steps	to	be	taken	before	starting	operations,	including	a	survey	of	

the	Flight	area.

(b)	Proper	method	of	loading,	rigging,	or	attaching	the	external	load.	

(c)	Aircraft	performance	capabilities	under	motion	picture	operating	

procedures	and	the	aircraft	flight	manual.	

(d)	Proper	instructions	for	flight	and	ground	crew	personnel.	

(e)	Aircraft	flight	manual,	pilot	operations	handbook,	or	a	rotorcraftload	combination	flight	manual	and	limitations,	if	appropriate.	

K. Communications

Prior	to	the	start	of	any	operation	covered	by	this	manual,	the	pilot	in	command	will	

formulate	a	plan	to provide	communications	capability	to	all	participants	during	the	

actual	operation	and	filming.	Oral,	visual	or	radio	communications	may	be	used	as	

long	 as	 it	 is	 effective	 and	 is	 capable	 of	 keeping	 the	 participants	 continuously	

appraised	of	the	current	status	of	the	operation.	

L. Accident Notification

Should	 an	 accident	 or	 incident	 requiring	 notification	 of	 the	 NTSB	 occur,	 the	

notification	requirements	of	FAR	Part	830	would	need	to	be	applied.

M. Recall/Stop Procedures

Radio	 communication,	 oral,	 visual	 or	 a	 combination	 will	 be	 utilized	 to	 keep	 the	

participants	continuously	apprised	of	the	current	status	of	operation.	

N. Aerobatic Competency
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If	the	 filming	 operations	 require	the	 issuance	 of	 FAA	 Form	 8710-7,	Statement	 of	

Aerobatic	Competency,	 refer	to	Volume	5,	Chapter	9,	 and	Issue/Renew/Rescind	 a	

Statement	of	Aerobatic	Competency.	

O. Special Provisions

The	 controls,	 procedures,	 and	 conditions	 set	 forth	 in	 the	 C4 motion	 picture	 and	

television	operations	manual	is	the	primary assurance	that	persons	on	the	surface	

will	not	be	jeopardized.	

The	 aircraft	 and	 pilots	 used	 under	this	 authorization	 and/or	 waiver	 will	 only	 be	

those	 specified	 in	 the	 C4 motion	 picture	 and	 television	 operations	 manual	

(“Appendix	 A”	 page	 11)	 or	 associated	 plan	 of	 activities.	 Each	 pilot’s	 name	 and	

certificate	number	 shall	appear	on	each	daily	plan	of	activity.	All	 civil	aircraft	and	

pilot(s)	participating	in	the	activity	shall	be	available	for	FAA	inspection	before	the	

scheduled	event.	

Each	 pilot-in-command	 conducting	 operations	 authorized	 under	 this	 certificate	

understands	 the	 conditions	 of	 issuance,	 and	 that	 it	 constitutes	 a	 waiver	 of	 FAR	

91.119 (b)	and	(c).	(See attached	document	under	original	FAA	Exemption	filing)	

Rotorcraft	takeoff	and	landing	areas	will	be	protected	in	a	manner	that	will	prevent	

unauthorized	persons	from	entering	the	takeoff	and	landing	area.	

C4 will	 ensure	 that	 the	 participating	 persons	 involved	 in	 the	 operations	 are	

thoroughly	briefed	on	 special	procedures,	 communication,	emergency	procedures,	

and	 on	 the	 provisions	 of	 the	 authorization	 and/or	 waiver	 before	 beginning	 the	

activities.	No	person	may	participate	in	any	event	unless	that	person	has	received	a	

briefing	on	the	provisions	of	the	waiver.	

II. Company Organization

A. Chief Pilot

Duties	and	Responsibilities:	

• Final	 word	 in	 the	 formulation	 of	 policy and	 procedures	 concerning	 this	

manual.	

• Act	as	liaison	between	C4 and	the	FAA	on	matter	concerning	this	manual.	

• Assure	that	each	approved	pilot	is	issued	a	copy	of	this	manual	and	obtain	a	

signed	statement	from	each	that	they	have	read	and	understand	its	contents.	

• Maintain	a	current	copy	of	this	manual	at	the	main	base	of	operations	for	C4.	

• Responsible	for	assuring	that	all	 revisions	to	this	manual	are	distributed	and	

processed	properly.	

• Must	approve	or	disapprove	each	proposed	job	or	operation	performed	by	 C4
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under	the	provisions	of	this	manual.	

• Assume	the	responsibilities	of	pilot	in	command	when	acting	as	such.	

• The	 chief	 pilot	 may	 delegate	 functions	 to	 other	 personnel	 but	 retains	

responsibility.	

B. Pilot in Command

Duties	and	Responsibilities:	

• Assure	that	 aircraft	to	be	flown	is	in	 airworthy	 condition	 and	 all	inspections	

and	required	maintenance	have	been	performed	as	per	appropriate	FAR's.	

• Acquire	 permission	 from	 the	 chief	 pilot	 before	 any	 operation	 under	 the	

provisions	of	this	manual.	

• Be	 very	 knowledgeable	 of	 the	 contents	 of	 this	 manual	 and	 abide	 by	 the	

procedures,	policies	and	conditions	contained	herein.	

• Coordinate	 with	 movie	 and	 television	 personnel	 to	 formulate	 plans,	 routes,	

locations,	etc.	with	safety	of	all	persons	involved	in	the	primary	concern.	

• Maintain	their	copy	of	this	manual	in	current	condition	and	have	it	on	site	at

any	job	or	operation	requiring	the	waiver.	

• The	pilot	in	command	may	delegate	functions	to	other	personnel,	but	retains	

responsibility.	
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Appendix A List of Approved Pilots

Chief	Pilot

Name :		___________________________________________

Certificate	Number :		___________________________________________

Medical	Class	/	Date :		___________________________________________

Contact	Number :		___________________________________________

Pilot	#1

Name :		___________________________________________

Certificate	Number :		___________________________________________

Medical	Class	/	Date :		___________________________________________

Contact	Number :		___________________________________________

Pilot	#2

Name :		___________________________________________

Certificate	Number :		___________________________________________

Medical	Class	/	Date :		___________________________________________

Contact	Number :		___________________________________________

Pilot	#3

Name :		___________________________________________

Certificate	Number :		___________________________________________

Medical	Class	/	Date :		___________________________________________

Contact	Number :		___________________________________________

Pilot	#4

Name :		___________________________________________

Certificate	Number :		___________________________________________

Medical	Class	/	Date :		___________________________________________

Contact	Number :		___________________________________________
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Appendix B List of Approved Aircraft

Make	and	Model Registration	Number

1.)		_______________________________________________ ________________________

2.)	_______________________________________________ ________________________

3.)	_______________________________________________ ________________________

4.)	_______________________________________________ ________________________

5.)	_______________________________________________ ________________________

6.)	_______________________________________________ ________________________
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Appendix C – Permission Acquisition Form

Permission	Acquisition	Form	

In	signing	this	form,	I	am	giving	the	pilots	of	C4	Propritership Permission	to	operate	

their	aircraft	at	less	than	500	feet	from	property,	or	in	some	jurisdiction	in	which	I	

am	 responsible	 for	 or	 affiliated	 with,	 for	 the	 purpose	 of	 film	 or	 television	

production.	

Name:		_________________________________

Title:	___________________________________

Basis	of	Authority	to	Grant	Permission:		___________________________________

Location:	_______________________________

Date	of	Operation:	________________________

Signature:		__________________________________	Date:	________________

C4 Representative	receiving	this	authority:	____________________________
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Appendix D. Revisions Letter

Revision	# Section	 Page Action

___________________ _____________________ _____________________ ________________________

Remarks Initials

_____________________________________________________________________ ________________________

Revision	# Section	 Page Action

___________________ _____________________ _____________________ ________________________

Remarks Initials

_____________________________________________________________________ ________________________

Revision	# Section	 Page Action

___________________ _____________________ _____________________ ________________________

Remarks Initials

_____________________________________________________________________ ________________________

Revision	# Section	 Page Action

___________________ _____________________ _____________________ ________________________

Remarks Initials

_____________________________________________________________________ ________________________

Revision	# Section	 Page Action

___________________ _____________________ _____________________ ________________________

Remarks Initials

R	•	Remove and	Replace D	•	Delete	and	Destroy	 N	•	Insert	New	Page	

Manual	Serial#	___________________	Issued	To	___________________________	

Revised	By	_________________________________	Date	_______________________	

This	form	must	be	returned	to	the	Chief	Pilot	no	later	than	_____________________________.
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Appendix E – Form 7711-2

http://www.faa.gov/documentlibrary/media/form/faa7711-2.pdf