HomeMy WebLinkAboutHLP22-1659CAP#________
DATE:
TO:FAAOFFICE
REFERENCE:CONGESTED / CONTINGENCY - SAFETYPLAN
**SHOULD A WEATHER,MECHANICALORMATERIALDELAYBEEXPERIENCED,T
ISAPPROVEDFORABOVE PLUS14CALENDARDAYS.**
AIRCRAFTINFORMATION: N6BL
N4XY
SIKORSKY S-58T TRANSPORT CATEGORY
SIKORSKY S-58T TRANSPORT CATEGORY
^/<KZ^<z^ͲϱϴddZE^WKZdd 'KZzEϵsz
N170MC
EϲϬ
MESSERSCHMITT TRANSPORTCATEGORY
PILOTINFORMATION: ROBERTSMITH
PREPAREDBY:
APPROVED BY:
OPERATING CERTIFICATE #LDUL599B
285 BLACKLAND ROAD
FATE,TEXAS75189
(972) 636-4009
OFFICE@5STATE.COM
WWW.5STATE.COM
^/<KZ^<zh,ͲϲϬZ ^dZ/d d 'KZz
SHAWN HARRIS
:^KE>ZK^^
COMMERCIALCERTIFICATE # 3493515
ATP # 2727633
KDD Z/> Zd/&/d ηϮϳϮϵϭϲϮ
051822
North Texas FSDO
May 18, 2022 0DUVKDOOV6WH
*UDSHYLQH0LOOV3DUNZD\
*UDSHYLQH7;
7RWDO&RPIRUW*URXS
,QGXVWULDO:D\:HVW6XLWH4
(DWRQWRZQ1-07724
.HOO\6DQ]R
Samuel Howard
07:30A 09:00A
May 10, 2022
.HOO\6DQ]R
Digitally signed by
MATTHEW G SPAWN
Date: 2022.05.13 14:53:21
-05'00'
LOAD DESCRIPTION
HAZMAT: YES (DOT-SP 16606 & DOT-SP 20490) NO
ROOFTOP UNITS
MATERIALS
EQUIPMENT
OTHER:
NUMBER OF TOTAL LIFTS (RANGE) -
WEIGHT RANGE - PERCENTAGE OF LIFT ABILITY OF AIRCRAFT
LOAD AERODYNAMIC: YES NO
LENGTH OF ATTACHING GEAR (FROM HOOK TO BOTTOM OF LOAD)
BUILDING OCCUPIED DURING LIFT: YES NO
* IF YES, ESTIMATED LOAD PENETRATION OF FLOORS
AREA CONSIDERED CONGESTED: YES NO
OPERATING CERTIFICATE # LDUL599B
285BLACKLANDROAD
FATE,TEXAS75189
(972) 636-4009
WWW.5STATE.COM
XX
XX
60%
XX
8
XX
XX
500 2,500
5 20
Digitally signed
by MATTHEW G
SPAWN
Date: 2022.05.13
14:54:05 -05'00'
285 BLACKLAND ROAD
FATE, TEXAS 75189
(972) 636-4009
WWW.5STATE.COM
______ CONGESTED COMMERCIAL AREA
______ CONGESTED RESIDENTIAL AREA
______ CONGESTED AREA PROBABILITY/POSSIBILITY
This is congested area operations. Items are located in staging area(s) on either transportable
vehicles or ground surface. Item(s) to be placed on building/structure roof top(s) or designated
areas. Direct flight path(s) from staging area(s) to placement area(s) will occur unless otherwise
notated on provided maps. Lift(s) amount(s), description(s), order and placement could be
altered by contractor personnel, however, pick up site and drop site shall not be outside the
parameter of this request.
Helicopter landing area(s) will be secured at all times (prior, during and departure). Flight
path(s) during lift operations inside the designated operational area(s) will remain clear of
unauthorized personnel, equipment, obstacles at all times. Flight path(s) will remain within
operational area(s) at all times.
The operational area(s) has been surveyed for hazard(s) and mitigated to the lowest risk level
acceptable to, or able to obtain, by both 5 State Helicopters, Inc. and contractor(s). Should a
unforeseen, or additional hazard(s) surface, lifting will immediately halt till the hazard(s) have
been rectified or mitigated. Primary means of communication via radio will be maintained
constantly during the operation. Secondary means of communication via hand signals will be
immediately incorporated should radio communications fail. Appropriate ATC communications
will be maintained by pilot in all possible and/or feasible situations.
Narrative: Due to the job-site being in a Commercial area, we classify this to be a potential
congested area.
However, all entrances will be blocked and controlled by security personnel so that no unauthorized
persons shall enter or cross the operational area.
The building will be vacant during operations.
XX
Digitally signed by
MATTHEW G
SPAWN
Date: 2022.05.13
14:54:34 -05'00'
285 BLACKLAND ROAD
FATE, TEXAS 75189
(972) 636-4009
office@5state.com
www.5state.com
Notification of Grapevine City Officials
5 State Helicopters has contacted the following city officials about the lift to be
performed on May 18, 2022: Marshalls, Grapevine Mills Parkway, Grapevine, TX 76051
City Manager: Connie Cook817-410-3155
Your message has been delivered to the following recipients:
nlgale@grapevinetexas.gov (nlgale@grapevinetexas.gov)
ccook@grapevinetexas.gov (ccook@grapevinetexas.gov)
Subject: 5 State Helicopter Lift of HVAC Equipment on May 18 , 2022 in Grapevine, TX at approximately
7:30 AM - 9:00AM.
Police: Mike Hamlin817-410-3225
Your message has been delivered to the following recipients:
mhamlin@grapevinetexas.gov (mhamlin@grapevinetexas.gov)
Subject: First Responders: 5 State Helicopter Lift of HVAC Equipment on May 18, 2022 in Grapevine,
Texas at approximately 7:30AM- 9:00AM.
Fire Chief: Darrell Brown 817-410-4400
Your message has been delivered to the following recipients:
dbrown@grapevinetexas.gov (dbrown@grapevinetexas.gov)
rbatchelor@grapevinetexas.gov (rbatchelor@grapevinetexas.gov)
ccook@grapevinetexas.gov (ccook@grapevinetexas.gov)
Subject: First Responders: 5 State Helicopter Lift of HVAC Equipment on May 18, 2022 in Grapevine,
Texas at approximately 7:30AM- 9:00AM.
ATC: Dallas Fort Worth Intl. Airport 972-615-2650
Your message has been delivered to the following recipients:
matthew.y.segleski@faa.gov (matthew.y.segleski@faa.gov)
Lantz, Dallas W (FAA) (dallas.w.lantz@faa.gov)
john.short@faa.gov (john.short@faa.gov)
Subject: 5 State Helicopters lift operations 4NM of KDFW on May 18, 2022.
Best Regards,
5 State Helicopters5St t Hli t
Digitally signed by
MATTHEW G SPAWN
Date: 2022.05.13
14:55:05 -05'00'
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5-18-22 5-29-22
Marshalls 3000 Grapevine Mills Pkwy Ste #703Grapevine, TX 76051
13th May 2
Shawn Harris
TEXAS Rockwall
13th May 2
TEXAS
08-26-2024
CAP#________
DATE:
TO:FAAOFFICE
REFERENCE:CONGESTED / CONTINGENCY - SAFETYPLAN
**SHOULD A WEATHER,MECHANICALORMATERIALDELAYBEEXPERIENCED,T
ISAPPROVEDFORABOVE PLUS14CALENDARDAYS.**
AIRCRAFTINFORMATION: N6BL
N4XY
SIKORSKY S-58T TRANSPORT CATEGORY
SIKORSKY S-58T TRANSPORT CATEGORY
^/<KZ^<z^ͲϱϴddZE^WKZdd 'KZzEϵsz
N170MC
EϲϬ
MESSERSCHMITT TRANSPORTCATEGORY
PILOTINFORMATION: ROBERTSMITH
PREPAREDBY:
APPROVED BY:
OPERATING CERTIFICATE #LDUL599B
285 BLACKLAND ROAD
FATE,TEXAS75189
(972) 636-4009
OFFICE@5STATE.COM
WWW.5STATE.COM
^/<KZ^<zh,ͲϲϬZ ^dZ/d d 'KZz
SHAWN HARRIS
:^KE>ZK^^
COMMERCIALCERTIFICATE # 3493515
ATP # 2727633
KDD Z/> Zd/&/d ηϮϳϮϵϭϲϮ
051822
North Texas FSDO
May 18, 2022 0DUVKDOOV6WH
*UDSHYLQH0LOOV3DUNZD\
*UDSHYLQH7;
7RWDO&RPIRUW*URXS
,QGXVWULDO:D\:HVW6XLWH4
(DWRQWRZQ1-07724
.HOO\6DQ]R
Samuel Howard
07:30A 09:00A
May 10, 2022
.HOO\6DQ]R
Digitally signed by
MATTHEW G SPAWN
Date: 2022.05.13 14:53:21
-05'00'
LOAD DESCRIPTION
HAZMAT: YES (DOT-SP 16606 & DOT-SP 20490) NO
ROOFTOP UNITS
MATERIALS
EQUIPMENT
OTHER:
NUMBER OF TOTAL LIFTS (RANGE) -
WEIGHT RANGE - PERCENTAGE OF LIFT ABILITY OF AIRCRAFT
LOAD AERODYNAMIC: YES NO
LENGTH OF ATTACHING GEAR (FROM HOOK TO BOTTOM OF LOAD)
BUILDING OCCUPIED DURING LIFT: YES NO
* IF YES, ESTIMATED LOAD PENETRATION OF FLOORS
AREA CONSIDERED CONGESTED: YES NO
OPERATING CERTIFICATE # LDUL599B
285BLACKLANDROAD
FATE,TEXAS75189
(972) 636-4009
WWW.5STATE.COM
XX
XX
60%
XX
8
XX
XX
500 2,500
5 20
Digitally signed
by MATTHEW G
SPAWN
Date: 2022.05.13
14:54:05 -05'00'
285 BLACKLAND ROAD
FATE, TEXAS 75189
(972) 636-4009
WWW.5STATE.COM
______ CONGESTED COMMERCIAL AREA
______ CONGESTED RESIDENTIAL AREA
______ CONGESTED AREA PROBABILITY/POSSIBILITY
This is congested area operations. Items are located in staging area(s) on either transportable
vehicles or ground surface. Item(s) to be placed on building/structure roof top(s) or designated
areas. Direct flight path(s) from staging area(s) to placement area(s) will occur unless otherwise
notated on provided maps. Lift(s) amount(s), description(s), order and placement could be
altered by contractor personnel, however, pick up site and drop site shall not be outside the
parameter of this request.
Helicopter landing area(s) will be secured at all times (prior, during and departure). Flight
path(s) during lift operations inside the designated operational area(s) will remain clear of
unauthorized personnel, equipment, obstacles at all times. Flight path(s) will remain within
operational area(s) at all times.
The operational area(s) has been surveyed for hazard(s) and mitigated to the lowest risk level
acceptable to, or able to obtain, by both 5 State Helicopters, Inc. and contractor(s). Should a
unforeseen, or additional hazard(s) surface, lifting will immediately halt till the hazard(s) have
been rectified or mitigated. Primary means of communication via radio will be maintained
constantly during the operation. Secondary means of communication via hand signals will be
immediately incorporated should radio communications fail. Appropriate ATC communications
will be maintained by pilot in all possible and/or feasible situations.
Narrative: Due to the job-site being in a Commercial area, we classify this to be a potential
congested area.
However, all entrances will be blocked and controlled by security personnel so that no unauthorized
persons shall enter or cross the operational area.
The building will be vacant during operations.
XX
Digitally signed by
MATTHEW G
SPAWN
Date: 2022.05.13
14:54:34 -05'00'
285 BLACKLAND ROAD
FATE, TEXAS 75189
(972) 636-4009
office@5state.com
www.5state.com
Notification of Grapevine City Officials
5 State Helicopters has contacted the following city officials about the lift to be
performed on May 18, 2022: Marshalls, Grapevine Mills Parkway, Grapevine, TX 76051
City Manager: Connie Cook817-410-3155
Your message has been delivered to the following recipients:
nlgale@grapevinetexas.gov (nlgale@grapevinetexas.gov)
ccook@grapevinetexas.gov (ccook@grapevinetexas.gov)
Subject: 5 State Helicopter Lift of HVAC Equipment on May 18 , 2022 in Grapevine, TX at approximately
7:30 AM - 9:00AM.
Police: Mike Hamlin817-410-3225
Your message has been delivered to the following recipients:
mhamlin@grapevinetexas.gov (mhamlin@grapevinetexas.gov)
Subject: First Responders: 5 State Helicopter Lift of HVAC Equipment on May 18, 2022 in Grapevine,
Texas at approximately 7:30AM- 9:00AM.
Fire Chief: Darrell Brown 817-410-4400
Your message has been delivered to the following recipients:
dbrown@grapevinetexas.gov (dbrown@grapevinetexas.gov)
rbatchelor@grapevinetexas.gov (rbatchelor@grapevinetexas.gov)
ccook@grapevinetexas.gov (ccook@grapevinetexas.gov)
Subject: First Responders: 5 State Helicopter Lift of HVAC Equipment on May 18, 2022 in Grapevine,
Texas at approximately 7:30AM- 9:00AM.
ATC: Dallas Fort Worth Intl. Airport 972-615-2650
Your message has been delivered to the following recipients:
matthew.y.segleski@faa.gov (matthew.y.segleski@faa.gov)
Lantz, Dallas W (FAA) (dallas.w.lantz@faa.gov)
john.short@faa.gov (john.short@faa.gov)
Subject: 5 State Helicopters lift operations 4NM of KDFW on May 18, 2022.
Best Regards,
5 State Helicopters5St t Hli t
Digitally signed by
MATTHEW G SPAWN
Date: 2022.05.13
14:55:05 -05'00'
32
°
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