Submitted by Anonymous (not verified) on Wed, 2016-12-21 14:47 Application for Two-Year Authorization to Operate UAS on Smith PropertySmith College is committed to promoting the use of new technologies in a safe and responsible manner. After you have submitted the form below, Margaret Rakas will contact you to confirm that you are approved to operate your UAS at the time and location requested. If you have any questions about the approval process, please reach out to Margaret Rakas during regular business hours at 413-585-3877, or by email at mrakas@smith.edu. Name * Affiliation with Smith College * - Select -FacultyStaff Department * Title * Email * Phone * Details of Operation Scope of Operations * Please provide a comprehensive summary of how you plan to operate your UAS during the 2-year period. Safety Measures * Please describe any safety measures you will be taking to mitigate risks while operating UAS on college property (e.g. use of netting or tethers). Crowd * Generally, UAS should not be operated near crowds such as sporting events, tours, concerts or graduation. I will not be operating near crowds. I will be operating near crowds. Location * MacLeish Field Station Athletic Fields Main Campus Indoors Other... Location Other... Weights of UAS * Under 250 g (0.55 lb) 250 g - 4.5 kg (0.55 lb - 10 lb) 4.5 kg - 25 kg (10 lb - 55 lb) Estimated Altitude (AGL) * Please enter the highest estimated altitude at which you will need to operate your UAS above ground level. Note that operation of your UAS above the altitude entered here will be considered a breach of authorization. This estimate will factor into our evaluation of the risks associated with your operation request, but will not necessarily result in automatic rejection of your proposal. Operation Date Start Date * Year Year202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 End Date * Year Year202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Requirements FAA Authorization Number * Enter the seven (or eight) digit number associated with your Remote Pilot Certificate. To learn how this number can be obtained, visit the FAA website: www.faa.gov/uas FAA License Expiration Date * Year Year202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 FAA UAS Registration Number * Please enter your UAS registration numbers for all UAS > 250 g (0.55 lb). These can either begin with an FA followed by eight numbers, or an N followed by a combination of five letters and numbers. If you have not registered your UAS already, you may do so at the FAA website: https://registermyuas.faa.gov/ UAS Identification * While UAS weighing less than 250 grams may not require registration, the owner's name and contact information should be marked on the UAS in question. Check to make sure the UAS you are using is marked accordingly. If the UAS is your own personal device, be sure to mark it with your own details. I will make sure my UAS is appropriately marked. Compliance with Procedure * Operators are expected to carry their authorization on their person while piloting a UAS. I will be sure to have my authorization materials on hand.
