FORM FOR THE TERMS OF APPROVAL OF AN LUC HOLDER
| LIGHT UAS OPERATOR CERTIFICATE (LUC)
(Terms of approval of an LUC holder) |
|---|
| (3) | State of the operator (1): | (3) |
| Issuing competent authority(2): |
| LUC # (4): | Operator name (5):
Registration number of the UAS operator (6):
Operator address (8):
Telephone (9):
Email (10): | Contact details, at which operational management can be contacted without undue delay (7): |
|
| This certificate certifies that ……………………..(5) is authorised to perform UAS operations, as defined in the attached UAS operations specifications, in accordance with the LUC manual, with the Annex to Regulation (EU) No 2019/947 and with Annex IX to Regulation (EU) 2018/1139. |
| Date of issue (11):____ | Name and signature (12):________
Title: _______ |
1.Enter the name of the State of the operator.
2.Enter the identification of the issuing competent authority.
3.Reserved for use of the competent authority.
4.Enter the approval reference (digital and/or letter code) of the LUC, as issued by the competent authority.
5.Enter the name of the legal entity of the UAS operator and UAS operator’s trading name, if different from the name of the legal entity.
6.Enter the registration number of the UAS operator, provided according to Article 14 of the UAS Regulation.
7.Enter contact details such as the telephone numbers, including the country code, and the email address at which operational management can be contacted without undue delay for issues related to UAS operations, the airworthiness of UAS, remote crew competency and other matters as appropriate.
8.Enter the UAS operator’s principal place of business address.
9.Enter the UAS operator’s principal place of business telephone details, including the country code.
10.Enter the UAS operator’s email.
11.Enter the issue date of the LUC (dd-mm-yyyy).
12.Enter the title, name and signature of the competent authority representative. In addition, an official stamp may be applied on the LUC.
| UAS OPERATIONS SPECIFICATIONS |
|---|
| LUC (1): |
| Operator name (2): |
| The UAS operator (2)__________ has the privilege to ___________________(3), subject to the following: |
| UAS model (4): _______________; UAS serial number or registration mark (5): _________________ |
| Type(s) of UAS operation (6) or : | Specifications (7): | Special limitations (8): | Remarks(9) |
| 1. _____________;
2. _____________; | | | |
| Issuing competent authority (10):
Telephone(11):
Email(12): |
| Date (13): |
| Signature(14): |
1.Enter the approval reference (digital and/or letter code) of the LUC, as issued by the competent authority.
2.Enter the name of the legal entity of the UAS operator and UAS operator’s trading name, if different from the name of the legal entity.
3.Enter any privilege listed in AMC1 UAS.LUC.060 that has been granted.
4.Enter the UAS model.
5.Enter the UAS serial number or the UAS registration mark if applicable.
6.Specify the type(s) of UAS operation (e.g. STS, PDRA when applicable, or type of UAS operations in case the operation is not covered by an STS or a PDRA; the type of UAS operation may be: survey, linear inspection, urban delivery; agricultural, photography, advertising, calibration, construction work, stringing power line, aerial mapping, pollution control, news media, television and movie, flying display, competition, etc.).
7.Enter the relevant specifications describing where the operation is allowed to take place (area of operation or class of airspace for operations; maximum height, BVLOS/VLOS; range; etc.).
8.Enter the limitations related to: restriction of the ground area (i.e. controlled ground area, population density; ground risk buffer); the UAS performance and equipment (i.e. maximum speed; maximum weight etc.); data link or communications; external systems or loads; carriage of dangerous goods, possibility of handover, etc.
9.Enter remarks such as the remote pilot’s competency; normal, contingency and emergency procedures.
10.Enter the identification of the issuing competent authority.
11.Enter the telephone number of the competent authority, including the country code.
12.Enter the email address of the competent authority.
13.Issue date of the operations specifications (dd-mm-yyyy).
14.Signature of the competent authority representative.