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A 9805 709/21/201 0 15:2 9 FAX 202493514 2 FA A+ DM S 21003/00 3 REPLYFOR M NOTIC E O F PROPOSE D CIVI L PENALT Y Dat e Cas e Name : Kof^ C ^VPg<^S S Cas e No . ::^j rt 4 r^ n or^JL o ^ I n repl yt o you rNotic e o f Civi l Penalty , I elec t t o procee d a s indicate d b ym ychec k mar k besid e th e numbere d paragrap h below : 1 . [ ] I hereb ysubmi t th e amoun t o f th e propose d civi l penalt ywit h th e understandin g tha t a n orde r assessin g a civi l penalt ywil l b e issue d i n tha t amoun t withou t furthe rnotice . I ALS O UNDERSTAN D THA TI A M WAIVIN G M YRIGH TT O AHEARING . 2 . [ ] I hav e pai d th e propose d civi l penalt ywit h a credi t car d ove rth e Interne t a t th e followin g website : https://www.pav.qov . / understan d tha t a n orde rassessin g a cM I penalt ywil l b e issue d I n th e amoun t withou t furthe rnotice . I ALS O UNDERSTAN D TH AT I A M WAIVIN G M YRIGH TTO AHEARING . 3 . [ ] I hereb ysubmi t evidenc e an d information , demonstratin g tha t a violatio n o f th e regulation s di d no t occu ro rtha t th e amoun t o f th e penalt yI s no t warrante d b yth e circumstances . 4 . [ ] I hereb ysubmi t informatio n an d record s showin g tha t I a m financiall yunabl e t o payth e propose d civi l penalty , o rtha t paymen t o f th e penaltywoul d preven t m e fro m continuin g i n business . 5 . [ ] I hereb yreques t tha t a civi l penalt yb e assesse d i n th e amoun t o f $ _ an d I submi t th e reason s fo rth e reduction . M yreques t constitute s m yagreemen t tha t i f th e FAA accept s thi s offer , a n orde rassessin g civi l penaltyi n th e amoun t I hav e specifie d mayb e issue d withou t furthe rnotice . M YREQUES TALS O CONSTITUTE S M YAGREEMEN TTHA TI HAV E WAIVE D M Y RIGH TT O AHEARIN G I F M Y OFFE R I S ACCEPTED . I F TH E FAADOE S NO T ACCEP TTHI S OFFER . HOWEVER , M YRIGH T T O AHEARIN G I S NO TAFFECTED . 6-3 - [ ] I hereb yreques t a telephoni cinforma l conferenc e t o discus s thi s matte rwit h a FA Aattorney - (A n attorne ywil l cal l yo u a t th e telephon e numbe ryo u provid e here : ( ) - Yo u wil l b e provide d a t leas t 2 week s advanc e notic e o f th e dat e an d tim e o f thi s conference. ) NOTE : I f yo u choos e t o discus s thi s matte rinformall yb ytelephone , yo u shoul d provid e an ydocument s o rothe r informatio n yo u wis h t o hav e considere d o n you rbehal f befor e th e dat e o f th e informa l conference . 6.b . [ ] I hereb yreques t a n in-perso n informa l conferenc e wit h a FA Aattorne yt o discus s thi s matte r a t (choos e a FA Aoffic e fro m th e attache d list) . 6.C . [ ] 1 hereb yreques t a n in-perso n informa l conferenc e wit h a FAAattorne yt o discus s thi s matte r at . I a m requestin g a n in-perso n informa l conferenc e a t thi s locatio n becaus e . I hav e als o indicate d a n alternat e locatio n fro m th e attache d lis t unde rite m 6.b . I n th e even t th e FA Ai s unabl e t o gran t m yreques t unde rthi s option . 7 . [ ] I hereb yreques t tha t th e FA Aimpos e a civi l penalt ywithou t makin g finding s o f violations , an d submi t m yreasons . M yreques t constitute s m yagreemen t tha t i f thi s offe ri s accepted , a compromis e orde rwil l b e issue d i n th e amoun t se t fort h i n th e Notic e o f Propose d Civi l Penalty . M YREQUES T09/21/201 0 15:2 9 FAX 202493514 2 FA A* DM S @1001/00 1 ALS O CONSTITUTE S M YAGREEMEN TTHATI F THI S OFFE R I S ACCEPTED . 1 HAV E WAIVE D M YRIGH TT O AHEARING . 8 . b o I hereb yreques t a hearin g I n accordanc e wit h Subpar t G o f Part 1 3 o f th e Federa l Aviatio n Regulation s wit h th e understandin g tha t a Complain t wil l b e filed . I reques t tha t th e hearin g b e hel d i n

. I a m sendin g thi s reques t bot h t o th e FA Aattorne ya t Th e Offic e o f th e Regiona l Counse l Northwes t Mountai n Region , an d t o th e Federa l Aviatio n Administration . 80 0 Independenc e Avenue , SW. . Washington , D C 20591 , Attention : Hearin g Docke t Clerk . AGC-430 . Wilbu rWrigh t Buildin g - Suit e 2W1000 . 9 - [ 1 I hereb yclai m entitlemen t t o a waive ro f penaltyunde rth e Aviatio n Safet yReportin g Progra m an d enclos e evidenc e tha t a timel yrepor t wa s filed. A s t o th e allegation s o f fac t an d violation s ~ [ 1 I reques t tha t a n orde rassessin g civi l penaltywit h waive ro f penalt yb e issue d an d I waiv e m y right t o a hearing . [ ] I reques t a hearin g i n thi s matte ri n accordanc e wit h paragrap h 8 . above . Signature : Name : Address : Telephone : Date : 

## ^\.:i n u^rVc . cpcg>< ; e p Cas e No. : J^jOr/M.r l IOCQJ:) ^ [ ] I reques t tha t futur e document s i n thi s cas e b e sen t t o myrepresentative : Name : Address : Telephone :