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Application For Aerodrome Licence - Initial: Particulars Regarding The Applicant/Holder

This document contains an application for an aerodrome license. It requests details about the applicant, proposed aerodrome/landing strip, facilities, and supporting documents. Information requested includes the applicant's name and address, aerodrome name and category, runway details, obstructions, markings, equipment, and approvals. The applicant must declare the particulars are true and that they will keep the aerodrome in a serviceable condition.

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David Toma
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52 views3 pages

Application For Aerodrome Licence - Initial: Particulars Regarding The Applicant/Holder

This document contains an application for an aerodrome license. It requests details about the applicant, proposed aerodrome/landing strip, facilities, and supporting documents. Information requested includes the applicant's name and address, aerodrome name and category, runway details, obstructions, markings, equipment, and approvals. The applicant must declare the particulars are true and that they will keep the aerodrome in a serviceable condition.

Uploaded by

David Toma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Section/division: AERODROME OPERATIONS Form Number: CA 139-01

Telephone number: 011-545-1000 Fax Number: 011-545-1451


Physical address: Ikhaya Lokundiza, 16 Treur Close, Waterfall Park, Bekker Street, Midrand, Gauteng
Postal address: Private Bag X73, Halfway House 1685 Website: www.caa.co.za
DETAILS OF BANK ACCOUNT FOR PAYMENT OF PRESCRIBED FEE
Bank: Standard Bank of SA Ltd Branch: Brooklyn, Pretoria Branch Code: 011245 Account Number: 013007971
COMPULSORY CLIENT PAYMENT CODE (to be completed on deposit slip)
Service/transaction Over the counter payments EFT, Internet, Wire, Electronic payments
Fees: See CAR Part
187.01.33

APPLICATION FOR AERODROME LICENCE - INITIAL

Notes:
1. An application for the issuing of an aerodrome licence must comply with the provisions of CAR 139.02.2.
2. The original application must be submitted to the Director of Civil Aviation.
3. All other sections must be completed.
4. Where the required information cannot be furnished in the space provided, the information must be submitted as a
separate memorandum and attached hereto.
5. Please indicate if not applicable.
6. Failure to complete all sections will result in the application not being processed.

1. PARTICULARS REGARDING THE APPLICANT/HOLDER


1.1 Full name
1.2 Trade name
1.3 Full business/residential address:
Postal code
1.4 Postal address:
Postal code
1.5 Telephone number 1.6 Fax number
1.7 Cellular phone number 1.8 E-mail address
1.9 Legal status of applicant/holder (individual/close corporation/company/trust/other - specify:

1.10 Registration number in the case of a close corporation/company/trust


1.11 Full particulars in respect of the individual/each responsible director/shareholders/partner/ member/office bearer:
Country of
Name Position Identity number Nationality
permanent residence

2. APPLICATION FOR THE ISSUING OF AN AERODROME LICENCE


2.1 a) Proposed name for aerodrome/ landing strip
b) Alternative name
c) Aerodrome
d) Aerodrome category
2.2 a) For what purpose is the aerodrome/landing strip intended?
b) Night flying?
2.3 Type of aircraft for which the aerodrome is planned
2.4 a) i. Geographical Latitude ° ’ ”
Position Longitude ° ’ ”
OR

CA 139-01 07 APRIL 2021 Page 1 of 3


ii. Real Property Description
OR
iii. Bearing and distance from Nearest Town or Populous Area
b) Elevation feet
c) Direction and distance from nearest town / city
d) Have you previously applied to licence this aerodrome?
e) Name of nearest existing aerodrome
f) Distance from this aerodrome
g) For what period is the aerodrome intended years
2.5 Runway particulars:
Surface Strength
a) Runway bearing (Magnetic) Length (m) Width (m)
(Type) (PCN)
1)
2)
3)
4)
Remarks (if any)

b) Slopes on runways:
Longitudinal Transverse
1) One in One in
2) One in One in
3) One in One in
4) One in One in
2.6 Obstructions :
Height above
Height above Direction from Distance from
Type aerodrome
ground level nearest runway nearest runway
elevation

2.7 Safe approach slope


2.8 Aerodrome markings affixed Mark the appropriate block
a) Runway designation markings
b) Threshold
c) Runway edge
d) Centre line
e) Circle and wind cone
f) Private aerodrome
g) Identification
2.9 Apron
a) Size
b) Tie-down facilities
2.10 a) Fire extinguishing service
b) First Aid

CA 139-01 07 APRIL 2021 Page 2 of 3


c) Rescue Equipment
2.11 Other facilities
a) Hangars
b) i. Fuel and oil (Mention grades)
ii. Supplier of aviation fuel: Name
Address
Telephone Number
c) Telephone on aerodrome YES NO
d) Terminal facilities and/or restrooms
e) Water supply
2.12 Additional information required:
a) Nearest police station
b) Is the aerodrome fenced?
c) Do animals graze on the aerodrome?
d) In the case of an unmanned aerodrome, please submit the following details of the person with
whom arrangements for landing may be made:
Name
Address
Telephone number
Fax number
e) Has a responsible person been appointed for the aerodrome? YES NO
f) If so, name and address

Are you the owner or tenant of the land on which the aerodrome is
g) YES NO
situated?
h) If not the owner, what rights do you hold over the land and for what period?

i) Is the ownership of the land vested in a South African person? YES NO


2.13 Supporting documents: Mark the appropriate block
a) Operations manual
b) Plans of the aerodrome
c) Written approval of local government
d) Written approval of interested Government institutions
e) Particulars of non-compliance with, or deviations from -
i. the appropriate aerodrome design, operation or equipment
standards
OR
ii. the appropriate airspace classification requirements

2.14 I hereby declare that the above particulars are true in every respect and undertake in so far as possible
to keep the aerodrome/landing strip in a serviceable condition.

SIGNATURE OF APPLICANT NAME IN BLOCK LETTERS DATE

CA 139-01 07 APRIL 2021 Page 3 of 3

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