Form 1050-8 Special Flight Authorization (Noise) For Stage 2 Airplan

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Control Number for this information collection is 2120-0652. Public reporting for this collection of information is estimated to be approximately 15 minutes per response,
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Federal Aviation
Administration

OMB No. 2120-0652
Exp. 6/30/2019

Special Flight Authorization (Noise)
For Stage 2 Airplanes

1. Applying Operator
a) Operator’s Name:
b) Address:
c) City:
d) State and Zip Code:
e) Country:
Contact
f) Name:
g) Phone Number:
h) Fax Number:
i)

Email Address:

2. Airplane
a) Make, Model, and Series:
b) Registration Number:
Country of Registration (if not U.S. registered):
c) Serial Number:
d) Current Noise Certification (check one):

e)

□ Stage 1

□ Stage 2

Airplane weight (check one):

□

over 75,000 pounds

□ less than 75,000 pounds

(address Purpose column 1)

(address Purpose column 2)

3. Purpose (provide name and address):
Name:
Address:

FAA Form 1050-8 (06/19) SUPERSEDES PREVIOUS EDITION

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When over 75,000 pounds (check one below):

□
□
□
□

a) Sell, lease or use the airplane outside the contiguous 48 States.
b) Scrap the airplane.
c) Modify the airplane to meet Stage 3 noise levels.
d) Perform scheduled heavy maintenance or significant

When less than 75,000 pounds (check one below):

□
□
□
□

□

□

Other significant modifications (describe):

3) Modify the airplane to meet Stage 3 noise levels.
4) Perform scheduled heavy maintenance or significant

48 States. Maintenance (check all that apply):

48 States. Maintenance (check all that apply):
“C” Check

2) Scrap the airplane.

modifications at a maintenance facility in the contiguous

modifications at a maintenance facility in the contiguous

□

1) Sell, lease or use the airplane outside the contiguous 48 States.

□

“C” Check

“D” Check

□

□

“D” Check

□

Other significant mods(describe):

5) Deliver the airplane to a lessee or return the airplane to the lessor.
(give name & address below):
Name:

□

e) Deliver the airplane to a lessee. (give name & address below):

□

storage or maintenance facility below): Name/address:

Address:

□

6) Prepare, park or store the airplane in anticipation of any of the
activities described in (1) through (5). (give name & address of

Name:

□

Address:

f) Return the airplane to the lessor. (give name & address below):

□

7) Provide transport of persons & goods in the relief of an

Name:

emergency situation (describe emergency):

Address:

Location/event:

g) Prepare, park or store the airplane in anticipation of any of the

□

8) Divert the aircraft to an alternate airport in the 48 contiguous

activities described in (a) through (f). (give name & address of

States on account of weather, mechanical, fuel, air traffic

storage or maintenance facility below):

control, or other safety reasosns while conducting a flight to

Name:

perform activities described in (1) through (7).(give unsafe

Address:

conditon & original purpose below):
Recovery condition/purpose:

4. Flight departure/arrival airports (codes) and dates (approximate start & end dates). Use mm/dd/yyyy:
Flight1:
Flight 2:
Flight

:

5. Number of persons on board (up to 5 total).
Pilots

Officers

Flight Engineers

Maintenance/Tech Representatives

FAA Form 1050-8 (2019) SUPERSEDES PREVIOUS EDITION

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To submit this form either:
Fax to:
(202) 267-5594
Attention: Special Flight Authorization (Noise)
or
Email to:
sandy.liu@faa.gov
or
Mail to:
FAA Office of Environment and Energy
ATTN: Noise Division (AEE-100)
800 Independence Ave., SW
Washington, DC 20591
Questions about this form?
Please call: (202) 267-3577
Note: This form is an application for a special flight authorization only. It may not be used to fly an
airplane. It must be submitted to the FAA, which will issue a special flight authorization based on
the information provided above.
When issued, the Special Flight Authorization must be carried on board the airplane during the authorized
flight. Persons on board are limited to flight crew only. A Special Flight Authorization issued pursuant
to this application is for noise only and may not be used as a substitute for other ferry permit or
authorization that may be required for airworthiness or other purposes, such as 14 CFR 21.199, Issue of
special flight permits or 43.3, Persons authorized to perform maintenance, preventative maintenance,
rebuilding, and alterations.

FAA Form 1050-8 (2019) SUPERSEDES PREVIOUS EDITION

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