Appendix 4. Glideslope Outage Authorization Request
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Request for Authorization to Conduct Simultaneous Independent Approaches with Glideslope Out After 29 Days |
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Submit via Email to: |
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Section 1 |
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Facility Identification: (KXYZ) |
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Runway (###) Glideslope OTS: |
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Dates of Expected Outage: |
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Reason Glideslope is OTS: |
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Section 2 |
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(Simultaneous) Approaches Impacted: |
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Runway Usage Percentage: |
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IFR Limits/Weather Minimum: |
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RNAV Capability/Equipage: |
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Peak IFR Airport Arrival Rate: |
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Section 3 |
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Impact if Authorization is Not Granted: |
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Facility Manager must include a narrative of the operational impact if continuation of this procedure is not approved. |
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Section 4 |
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Attach a copy of the facility Contingency Authorization for Glideslope Out Procedures. |
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