BUSSELTON-MARGARET RIVER AIRPORT AIRSPACE CONTROLLED ACTIVITY APPLICATION FORM PART 1 COMPANY DETAILS – COMPANY: CONTACT: POSTAL ADDRESS: EMAIL: ONSITE CONTACT: MOB No: PART 2 ACTIVITY DETAILS – ACTIVITY ADDRESS COORDINATES (S) (E) (or provide map with location) CRANE Specify crane type………………………………………………………… ACTIVITY TYPE BUILDING OTHER provide details………………………………………………………………… (e.g. stacks, vents, smoke, dust, steam) START DATE END DATE: DAILY START TIME END TIME: ACTIVITY MAX. HEIGHT ABOVE GROUND LEVEL m ………………… IF CRANE / OBSTICAL, CAN IT BE LOWERED AT: NIGHT YES NO REQUIRED LOW VISABILITY YES NO REQUIRED ARRIVING AND DEPARTING AIRCRAFT YES NO REQUIRED OTHER REQUIREMENTS / COMMENTS
BUSSELTON-MARGARET RIVER AIRPORT AIRSPACE CONTROLLED ACTIVITY APPLICATION FORM PART 1 – COMPANY DETAILS COMPANY: CONTACT: POSTAL ADDRESS: EMAIL: ONSITE CONTACT: MOB No: PART 2 – ACTIVITY DETAILS ACTIVITY ADDRESS COORDINATES (S) (E) (or provide map with location) ACTIVITY TYPE CRANE Specify crane type………………………………………………………… BUILDING OTHER provide details………………………………………………………………… (e.g. stacks, vents, smoke, dust, steam) START DATE END DATE: DAILY START TIME END TIME: ACTIVITY MAX. HEIGHT ABOVE GROUND LEVEL ………………… m IF CRANE / OBSTICAL, CAN IT BE LOWERED AT: NIGHT LOW VISABILITY ARRIVING AND DEPARTING AIRCRAFT YES NO REQUIRED YES NO REQUIRED YES NO REQUIRED OTHER REQUIREMENTS / COMMENTS