No certificate may be Issued unless a completed application 

form has been received (14 C.F.R. 91. 101. and 106). 

0 US Department of Transportation 

Federal Aviation Administration 

APPLICATION FOR 

CERTIFICATE OF WAIVER 

OR AUTHORIZATION 

From Approved: O.M.B. No.2120-0027 08/31/2008 

APPLICANTS - DO NOT USE THESE SPACES 

Region I Date 

Action 

OApproved 0 Disapproved - "Explain under "Remarks" 

Signature of authorized FAA representative 

INSTRUCTIONS 

Submit this application in triplicate (3) to any FAA Flight fighting equipment. The applicant may also wish to submit 

Standards district office. photographs and scale diagrams as supplemental material 

to assist in the FAA's evaluation of a particular site. Applicants requesting a Certificate of Waiver or Authoriza- Application for a Certificate of Waiver or Authorization must 

tion for an aviation event must complete ail the applicable be submitted 45 days prior to the requested date of the 

items on this form and attach a properly marked 7.5 series event. 

Topographic Quadrangle Map(s), published by the U.S. 

Geological Survey (scale 1 :24,000), of the proposed opera!- Applicants requesting a Certificate of Waiver or Authorizaing area. The map(s) must include scale depictions of the lion for activities other than an aviation event will complete 

flightlines, showiines, race courses, and the location of the items 1 through 10 only and the certification, item 17, on the 

air event control point, Police dispatch, ambulance, and fire reverse. 

1. Name of organization 2. Name of responsible person 

ADVANCED AERIAL CINEMATOGRAPHY LLC LANEWOODER 

3. Permanent House number and street or route number City State and ZIP code Telephone No. mailing 

address 5909 CHATHAM COURT TUCKER GA, 30084 4049198430 

4. Slate whether the applicant or any of its principal officers/owners has an application for waiver pending at any other office of the FAA 

NO 

5. State whether the applicant or any of its principal officers owners has ever had ns application for waiver denied. or whether the FAA has ever withdrawn a waiver from the applicant or any of its 

principal officers/owners. 

NO 

6. FAR section and number to be waived 

14 C.F.R. 91.119 (b) and (c). 

7. Detailed description of proposed operation (Attach supplement if needed) 

CLOSED-SET AERIAL FILMING FOR THE FILM & TELEVISION INDUSTRIES. 

ts. Area or operatton (Location, altitudes. etc.) 

UNITED STATES OF AMERICA AND IrS TERRITORIES. 

9a. Beginning (Date and hour) b. Ending (Date and houtj 

05/04/2015 00:01:00 05/04/2017 00:01:00 

10. Aircraft Pilot's Name Certificate number Home address make and model and rating (Street ity, State) (a) (b) (c) 

Cinestar 8 HL, MikroKopter FC LaneWooder NA 5909 Chatham Court, Tucker. GA 

Cinestar 8 HL, MikroKopter FC West Chambless NA 1045 Kentucky Avenue NE, Atlanta, GA 

FAA Form 7711 -2 (8-08) Supersedes Previous Edition 
.... ITEMS 11 THROUGH 16 TO BE FILLED OUT FOR AIR SHOW/AIR RACE WAIVER REQUESTS ONLY. 

11 . The air event will be sponsored by: 

12. Permanent House number and street or route number 

mailing 

City State and ZIP code Telephone No. 

address 

13. Policing (Describe provisions to be made for policing the event) 

Policing and security will be planned and coordinated with film production officials per the requirements in our MPTOM, and any other provisions 

required by the location(s) and public safety officials involved. Agreed upon policing/security plans will be in place before any UAV operation will 

occur. 

14. Emergency facilities (Mark all that will be available at time and place of air event.) 

0 Physician 0 Fire truck liD Other - Specify Ranges from Paramedic to mutiple 

D Ambulance 0 Crash wagon EMS personnel/equip. depending on action involved. 

15. Air Traffic control (Describe method of controlling traffic. including provision for arrival and deparlure of scheduled aircraft.) 

16. Schedule of Events (include arrival and departure of scheduled aircraft and other periods the airport maybe open.) 

Hour Date Event 

(a) (b) (c) 

Sunrise to Entire range All operation will be simple movements that can be achieved by a multi-rotor RC helicopter, such as rising, 

Sunset listed in descending, and moving horizontally through airspace. All operation will be line-of-sight only, and no stunts or 

Section 9 inverted flying will be conducted. Maximum operation altitude is 400 feet AGL, maximum flight speed is 40 

above. mph. 

If sufficient space is not available, the entire schedule of events may be submitted on separate sheets, in the order and manner indicated above. 

PleaseRe? 

The undersigned applicant accepts full responsibility for the strict observance of the terms of the Certificate 

of Waiver or Authorization, and understands that the authorization contained in such certificate will be strictly 

limited to the above described operation. 

17. Certification- I CERTIFY that the foregoing statements are true. 

Date Signature of Applicant 

05/02/2015 -;:;?~~ ~ --cRemarl<s 

FAA Form n11-2 (8-08) Supersedes Previous Edition