Fillable Faa Form 6000-26 Airport Sponsor Strategic Event Submission Form printable pdf download

Faa Form 6000-26 Airport Sponsor Strategic Event Submission Form

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AIRPORT SPONSOR STRATEGIC EVENT SUBMISSION FORM

Submit this form preferably 45 days prior to the event to the Federal Aviation Administration, Air Traffic Organization,

Planning and Requirements, Eastern/Central/Western Service Area

Please email form to:

9-AJV-SEC-ESA@faa.gov (Eastern Service Area)

9-AJV-SEC-CSA@faa.gov (Central Service Area)

9-AJV-SEC-WSA@faa.gov (Western Service Area)

AIRPORT NAME___________________________LOCATION ID_____________________

CITY, STATE_________________________________________________________________

Referenced NRA NUMBER______________________________________________________

PROJECT SCOPE (Example: Reconstruct Runway 18/36)

______________________________________________________________________________

PROJECT PHASE (Example: Phase 1 of 3) _________________________________________

EVENT (Example: Runway 18/36 closure) __________________________________________

Duration: Start Date___________________

End Date_______________________________

Hours: 24 hrs a day

or from ___________________to_______________________ daily.

Other hours of Operations Specify__________________________________________________

FACILITIES IMPACTED

Are any facilities impacted? Yes

. If yes, list impacted facilities below along with the

duration of the impacts if different than duration of the event (these facilities may be found on the

Non Rulemaking Action (NRA) determination letter).

________________________________

Facility

____________________________________

Facility

(Example: RWY 18 localizer)

Start Date____________End date____________

Start Date______________ End date_____________

Hours: Start/End Time_____________________

Hours: Start/End Time________________________

Facility

Facility ____________________________________

________________________________

Start Date___________ End date_____________

Start Date______________ End date_____________

Hours: Start/End Time__________________

Hours: Start/End Time________________________

Facility _________________________________

Facility ____________________________________

Start Date___________End date_____________

Start Date______________ End date_____________

Hours: Start/End Time_____________________

Hours: Start/End Time________________________

Submitted by Sponsor Representative:

Print Name______________________________________________________________

Title____________________________________________________________________

Signature

____________________________

Date _______________________________

FAA Form 6000-26 (08/13)

Faa Form 6000-26 Airport Sponsor Strategic Event Submission Form

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