Remote Controlled Aircraft Permit Application Packet

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) The use of remote controlled aircraft is regulated within State Parks by WAC 352-32-130 (5) which allows for the flying of remote controlled aircraft with written permission of the Director, or designee. Remote controlled aircraft, also known as unmanned aircraft systems (UAS), may be permitted on a single occurrence or limited duration bases with written permission from the Director, or designee. The request may be for recreational or commercial purposes and permittees are required to comply with all State and Federal rules and regulations. Persons desiring to utilize a remote controlled aircraft in commercial or educational filming/still photography must obtain a commercial filming/still photography permit in addition to the Remote Control Aircraft permit.

Examples  Educational  Hobby/Recreation  Personal Photography  Geotechnical Evaluation  Aerial Survey  Aerial Inspections

Regulations The current WAC 352-32-130 (5), which allows for the flying of remote controlled aircraft with written permission of the Director, or designee, reads as:

“Remote controlled aircraft may be flown in any state park area pursuant to written permission from the director or designee. In granting such permission, the director or designee may specify time, geographic, and elevation restrictions, and any other restrictions necessary to protect the public, park visitors or staff, or park resources. While operating a remote controlled aircraft pursuant to written permission under this subsection, the operator shall be in possession of a copy of the written permission and shall produce it upon request by parks staff. Permission granted by the director or designee to fly a remote controlled aircraft is subject to rescission as necessary to protect the public, park visitors or staff, or park resources.”

WAC 352-32-130’s permit requirements applies in instances where an individual pilots a remote control aircraft from within State Parks’ property (i.e., the pilot, him- or herself is on State Parks Property) or where a remote control aircraft takes off or lands on State Parks property.

The use of remote controlled aircraft is also regulated by the Federal Government. The two most relevant rules are Title 14 of the Code of Federal Regulation (14 CFR) Part 107 and Public Law 112-95, Section 336 Special Rules for Model Aircraft.

FAA Requirements FAA Requirements Fly for Fun Fly for Work Pilot Requirements No pilot requirements Must have Remote Pilot Airman Certificate Must be 16 years old Must pass TSA vetting Aircraft Requirements Must be registered if over 0.55 lbs. Must be less than 55 lbs. Must be registered if over 0.55 lbs. (online) Must undergo pre-flight check to ensure UAS is in condition for safe operation Location Requirements 5 miles from airports without prior notification to Class G airspace* airport and air traffic control Operating Rules Must ALWAYS yield right of way to manned Must keep the aircraft in sight (visual line-of-sight)* aircraft Must fly under 400 feet* Must keep the aircraft in sight (visual line-of- Must fly during the day* sight) Must fly at or below 100 mph* UAS must be under 55 lbs. Must yield right of way to manned aircraft* Must follow community-based safety guidelines Must NOT fly over people* Must NOT fly from a moving vehicle* Example Applications Educational or recreational flying only Flying for commercial use (e.g. providing aerial surveying or photography services)

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) Flying incidental to a business (e.g. doing roof inspections or real estate photography) Legal or Regulatory Basis Public Law 112-95, Section 336 – Special Rule Title 14 of the Code of Federal Regulation (14 CFR) Part for Model Aircraft 107 FAA Interpretation of the Special Rule for Model Aircraft You can learn more by visiting the FAA website - https://www.faa.gov/uas/getting_started/

Definitions  Applicant – An individual or organization who desires to fly a remote controlled aircraft within State Parks for purposes other than commercial or educational filming/still photography.  Remote Controlled Aircraft – Unmanned aircraft systems (UAS), including those commonly known as “drones” that fly by using internal combustion, electric motors, elastic tubing, or gravity/wind for propulsion. The flight is controlled by a person on the ground using a hand held radio control transmitter.  Hobby/Recreational Purpose – Hobby or recreational flying (i.e. flying for fun).  Commercial Purpose – Flying for non-recreational purposes; as part of or related to commercial activities (i.e. flying for work/business).  Film and filming – To capture a movie image magnetically or digitally.  Still photography – To capture a single (non-movie) image with film, magnetic, or digital media to include portraits and scenic photography.  Permittee – An individual or organization approved by State Parks and Recreation Commission to fly a remote controlled aircraft within State Parks.

Applying for a Permit Applications may be obtained on the State Park website or by contacting a park, Region office, or the Headquarters Info Center.  Any State Park (see State Park Contact List)  Region Offices: Eastern Region – (509) 665-4319 Northwest Region – (360) 755-9231 Southwest Region – (360) 725-9770  State Parks Headquarters Info Center – (360) 902-8500

Application Requirements Applicants must provide the following information to ensure compliance with Federal regulations:  Identify if request is for hobby/recreational or commercial purposes.  Provide weight of aircraft.  If request is for aircraft over 0.55 lbs. include proof of Federal Aviation Administration (FAA) registration.  If request is for work/business include proof of remote pilot airman certification or certificate of waiver per 14 CFR part 107.  Provide description of flight location and flight plan including, location of pilot, take off/landing location(s), elevation, time of day, and maximum speed. Providing a map that shows the flight plan is preferred.  Acknowledge compliance with community-based safety guidelines for hobby/recreational use and FAA operation rules for commercial use.

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) Applicants must provide proof of insurance listing the Washington State Parks and Recreation Commission as “ADDITIONALLY INSURED” for a minimum of $1,000,000 for the period of the requested activity: Washington State Parks and Recreation Commission P.O. Box 42650 Olympia, WA 98504-2650

The application is to be returned to the Area Manager for the park of interest along with the permit fee, see fee schedule below. Additional fees may be assessed based on additional impacts to the park, public, and environmental reviews based upon Area Manager’s review and consultation with the Region Manager. Additional fees will be assessed at the time of the approval and must be paid in full to the Area Manager before activity commences.

Application Fee

$25 (A permit fee is not required if the permit request is in addition to a commercial film/still photography permit for which all Standard fees have been paid.)

Potential Additional Fees (Impact Fees)

Higher impact fees may be assessed depending on degree of disruption of normal park use and activities. Establishment of higher impact fees will be done in consultation with the Region Manager, Stewardship program, and/or Business Development program. Examples of conditions where additional fees may be accessed:  Impact on park staff  Loss of revenue to park  Impact on park operating costs  Facility use charges  Potential damage to park resources (may require bond or damage deposit)  Archeological impacts  Possible impact review (see below) The Discover Pass requirement and all other standard park fees apply.

SEPA Review $32.86 / hour (plus any impact fees as determined by review)

Archaeological Review $41.70 / hour (plus any impact fees as determined by review)

Natural Resources Review $43.79 / hour (plus any impact fees as determined by review)

Historic Preservation Review $48.33 / hour (plus any impact fees as determined by review)

Application Review & Approval All applications require agency staff review and approval by the Operations Manager, Director’s designee.  Area Manager will review the application within 10 days. For exceptional circumstances, the timeframe may be extended for environmental. Applicant will be notified of any review that extends the process beyond 10 days.  Region Manager will review the application within 5 days. For exceptional circumstances, the timeframe may be extended for environmental. Applicant will be notified of any review that extends the process beyond 5 days.  Operations Manager will review and approval are required for all permit applications. They will review the application and approve/deny within 5 days. Applicant will be notified of any review that extends the process beyond 5 days.

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017)

Frequently the time frame is too short to allow the application process to be completed by mail. Fifteen working days are preferred, if possible, but the use of scans (email), faxes, and express mail services is permitted in order to accommodate short turnaround times. To ensure a successful completion of the application, it is important for the applicant to stay in close telephone and/or e-mail contact with the Area Manager or designated staff.

The Area Manager will be responsible to provide the applicant with approved permit or notification of denial. The Area Manager is also responsible to monitor and ensure compliance with the terms, conditions, rules, and restrictions.

No flying of remote controlled aircraft may take place without written approval from the Operations Manager, Washington State Parks.

Applicants may be required to obtain additional permits depending on the location and activities. It is the permittees responsibility to be aware of what additional permits are required.

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) State Park Contact Sheet

AREA MANAGER PHONE PARK NAME PARK AREA ADDRESS EMAIL (@parks.wa.gov) REGION Alta Lake State Sharon Soelter (509) 923-2473 Alta Lake Area 1B OTTO ROAD Park [email protected] Eastern PATEROS WA 98846 STATE PARK Anderson Lake Brian Hageman (360) 344-4442 200 BATTERY WAY Olympic View Area [email protected] State Park Southwest PORT TOWNSEND, WA 98368- 3621 BATTLE GROUND STATE Battle Ground Heath Yeats (360) 687-4621 PARK Battle Ground Area [email protected] Lake State Park Southwest PO BOX 148 HEISSON, WA 98622 Bay View State Kevin Kratochvil (360) 757-0227 Rasar Area 38730 CAPE HORN ROAD Park [email protected] Northwest CONCRETE, WA 98237 BATTLE GROUND STATE Beacon Rock Heath Yeats (509) 427-8265 PARK Battle Ground Area [email protected] State Park Southwest PO BOX 148 HEISSON, WA 98622 Joel Pillers (360) 275-0668 Belfair State Park South Sound Area 3151 N.E. SR 300 [email protected] Southwest BELFAIR, WA 98528 STATE Ben Ure Island Jack Hartt (360) 675-3767 PARK Deception Pass Area [email protected] Marine State Park Northwest 41020 STATE ROUTE 20 OAK HARBOR, WA 98277 Birch Bay State Ted Morris (360) 371-2800 Birch Bay Area 5105 HELWEG ROAD Park [email protected] Northwest BLAINE WA 98230 MANCHESTER STATE PARK Paul Ruppert (360) 731-8330 Kitsap Area PO BOX 338 Marine State Park [email protected] Southwest MANCHESTER, WA 98353 Blind Island VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD Marine State Park [email protected] Northwest OLGA, WA 98279 Bogachiel State Erik Plunkett (360) 374-6356 Sequim Bay Area 269035 HIGHWAY 101 Park [email protected] Southwest SEQUIM, WA 98382 GRAYLAND BEACH STATE PARK Bottle Beach Gary Vierra (360) 268-1457 South Beach Area 925 CRANBERRY BEACH State Park [email protected] Southwest ROAD GRAYLAND, WA 98547

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) AREA MANAGER PHONE PARK NAME PARK AREA ADDRESS EMAIL (@parks.wa.gov) REGION ALTA LAKE STATE PARK Bridgeport Sharon Soelter (509) 686-7231 Alta Lake Area 1B OTTO ROAD State Park [email protected] Eastern PATEROS WA 98846 LAKE SAMMAMISH STATE Bridle Trails Richard Benson (425) 649-4275 PARK Cascade Foothills Area [email protected] State Park Northwest 2000 N.W. SAMMAMISH ROAD ISSAQUAH, WA 98027-8940 Brooks Memorial Lem Pratt (509) 773-3145 Goldendale Area 50 HWY 97 State Park [email protected] Eastern GOLDENDALE WA 98620 MORAN STATE PARK Burrows Island VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD Marine State Park [email protected] Northwest OLGA, WA 98279 Cama Beach Jeff Wheeler (360) 387-7542 Historical State Cama Beach Area 1880 CAMANO DR [email protected] Park Northwest CAMANO ISLAND WA 98282 CAMA BEACH STATE PARK Camano Island Jeff Wheeler (360) 387-3031 Cama Beach Area 1880 CAMANO DR State Park [email protected] Northwest CAMANO ISLAND WA 98282 Cape Evan Roberts (360) 642-3078 CAPE DISAPPOINTMENT Disappointment Long Beach Area [email protected] PO BOX 488 State Park Southwest ov ILWACO, WA 98624-0488 MORAN STATE PARK Clark Island VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD Marine State Park [email protected] Northwest OLGA, WA 98279 Columbia Hills MARYHILL STATE PARK Lem Pratt (509) 773-3145 Historical State Goldendale Area 50 HWY 97 [email protected] Park Eastern GOLDENDALE WA 98620 Diana Dupuis (509) 465-5064 Riverside Area 9711 W. CHARLES ROAD [email protected] Columbia Plateau Eastern NINE MILE FALLS, WA 99026 State Park Trail LEWIS & CLARK TRAIL Audra Sims (509) 337-6457 Blue Mountain Area 36149 HWY 12 [email protected] Eastern DAYTON WA 99328-9500 Rick Lewis PEARRYGIN STATE PARK Conconully State Okanogan Highlands (509) 826-7408 561 BEAR CREEK ROAD Park Area [email protected] Eastern WINTHROP WA 98862 Rick Lewis PEARRYGIN STATE PARK Curlew Lake Okanogan Highlands (509) 341-4047 561 BEAR CREEK ROAD State Park Area [email protected] Eastern WINTHROP WA 98862 WENATCHEE CONFLUENCE Matt Morrison (509) 664-6373 Wenatchee Valley Area 333 OLDS STATION ROAD [email protected] Eastern WENATCHEE WA 98801-5938

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) AREA MANAGER PHONE PARK NAME PARK AREA ADDRESS EMAIL (@parks.wa.gov) REGION FLAMING GEYSER STATE PARK Dash Point State Jeff Vassallo 253-735-8839 Tahoma Gateway Area 23700 SE FLAMING GEYSER Park [email protected] Northwest RD AUBURN WA 98092-9031 DECEPTION PASS STATE Deception Pass Jack Hartt (360) 675-3767 PARK Deception Pass Area [email protected] State Park Northwest 41020 STATE ROUTE 20 OAK HARBOR, WA 98277 MORAN STATE PARK Doe Island Marine VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD State Park [email protected] Northwest OLGA, WA 98279 Dosewallips Douglas Hinton (360) 796-4415 Dosewallips Area 306996 HIGHWAY 101 State Park [email protected] Southwest BRINNON, WA 98320 MARYHILL STATE PARK Doug’s Beach Lem Pratt (509) 773-3145 Goldendale Area 50 HWY 97 State Park [email protected] Eastern GOLDENDALE WA 98620 FLAMING GEYSER STATE PARK Federation Forest Jeff Vassallo (253) 735-8839 Tahoma Gateway Area 23700 SE FLAMING GEYSER State Park [email protected] Northwest RD AUBURN WA 98092-9031 LEWIS & CLARK TRAIL Fields Spring Audra Sims (509) 337-6457 Blue Mountain Area 36149 HWY 12 State Park [email protected] Eastern DAYTON WA 99328-9500 FLAMING GEYSER STATE PARK Flaming Geyser Jeff Vassallo (253) 735-8839 Tahoma Gateway Area 23700 SE FLAMING GEYSER State Park [email protected] Northwest RD AUBURN WA 98092-9031 FORT CASEY STATE PARK Jon Crimmins (360) 678-4519 Historical State Central Whidbey Area 1280 ENGLE ROAD [email protected] Park Northwest COUPEVILLE WA 98239 (360) 642-3078 Fort Columbia Evans Roberts CAPE DISAPPOINTMENT (360) 642-3662 Historical State Long Beach Area PO BOX 488 Southwest [email protected] Park ov ILWACO, WA 98624-0488 FORT CASEY STATE PARK Fort Ebey State Jon Crimmins (360) 678-4519 Central Whidbey Area 1280 ENGLE ROAD Park [email protected] Northwest COUPEVILLE WA 98239 FORT WORDEN STATE PARK Fort Flagler Brian Hageman 200 BATTERY WAY Historical State (360) 344-4442 Olympic View Area [email protected] PORT TOWNSEND, WA 98368- Park Southwest 3621

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) AREA MANAGER PHONE PARK NAME PARK AREA ADDRESS EMAIL (@parks.wa.gov) REGION MARYHILL STATE PARK Lem Pratt (509) 773-3145 Historical State Goldendale Area 50 HWY 97 [email protected] Park Eastern GOLDENDALE WA 98620 FORT WORDEN STATE PARK Fort Townsend Brian Hageman (360) 344-4442 200 BATTERY WAY Historical State Olympic View Area [email protected] PORT TOWNSEND, WA 98368- Park Southwest 3621 FORT WORDEN STATE PARK Fort Worden Brian Hageman (360) 344-4442 200 BATTERY WAY Historical State Olympic View Area [email protected] PORT TOWNSEND, WA 98368- Park Southwest 3621 Ginkgo Petrified Jason Both (509) 656-2586 Central Cascades Area 150 LAKE EASTON SP ROAD Forest State Park [email protected] Eastern EASTON WA 98925 GRAYLAND BEACH STATE PARK Grayland Beach Gary Vierra (360) 267-4301 South Beach Area 925 CRANBERRY BEACH State Park [email protected] Southwest ROAD GRAYLAND, WA 98547 Griffith-Priday Jim Schmidt (360) 289-3553 Northern Shores Area 148 STATE ROUTE 115 State Park [email protected] Southwest HOQUIAM, WA 98550 Hope Island BELFAIR STATE PARK Joel Pillers (360) 275-0668 (Mason) Marine South Sound Area 3151 N.E. SR 300 [email protected] State Park Southwest BELFAIR, WA 98528 DECEPTION PASS STATE Hope Island Jack Hartt (360) 675-3767 PARK (Skagit) Marine Deception Pass Area [email protected] 41020 STATE ROUTE 20 State Park Northwest OAK HARBOR, WA 98277 Pam Wilkins LEWIS & CLARK STATE PARK Ike Kinswa State Upper Cowlitz River (360) 864-2643 4583 JACKSON HIGHWAY Park Area [email protected] Southwest WINLOCK, WA 98596 Kinnan Murray (360) 478-6460 Illahee State Park Kitsap Peninsula Area 3540 NE SYLVAN WAY [email protected] Southwest BREMERTON, WA 98310 Jason Both OLMSTED PLACE Central Cascades (509) 925-1943 [email protected] 921 FERGUSON ROAD Area Iron Horse State V ELLENSBURG, WA 98926-8109 Eastern Park Trail LEWIS & CLARK TRAIL Audra Sims (509) 337-6457 Blue Mountain Area 36149 HWY 12 [email protected] Eastern DAYTON WA 99328-9500 MORAN STATE PARK James Island VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD Marine State Park [email protected] Northwest OLGA, WA 98279

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) AREA MANAGER PHONE PARK NAME PARK AREA ADDRESS EMAIL (@parks.wa.gov) REGION BELFAIR STATE PARK Jarrell Cove Joel Pillers (360) 275-0668 South Sound Area 3151 N.E. SR 300 State Park [email protected] Southwest BELFAIR, WA 98528 BELFAIR STATE PARK Joemma Beach Joel Pillers (360) 275-0668 South Sound Area 3151 N.E. SR 300 State Park [email protected] Southwest BELFAIR, WA 98528 MORAN STATE PARK Jones Island VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD Marine State Park [email protected] Northwest OLGA, WA 98279 FLAMING GEYSER STATE PARK Kanaskat-Palmer Jeff Vassallo (253) 735-8839 Tahoma Gateway Area 23700 SE FLAMING GEYSER State Park [email protected] Northwest RD AUBURN WA 98092-9031 KITSAP MEMORIAL STATE Kitsap Memorial Seth Mason-Todd (360) 779-3205 PARK Kitsap Peninsula Area [email protected] State Park Southwest 202 N.E. PARK ST. POULSBO, WA 98370 Klickitat State Goldendale Area Park Trail BELFAIR STATE PARK Kopachuck State Joel Pillers (360) 275-0668 South Sound Area 3151 N.E. SR 300 Park [email protected] Southwest BELFAIR, WA 98528 Lake Chelan Dwight Keegan (509) 687-3710 Lake Chelan Area 7544 S LAKESHORE ROAD State Park [email protected] Eastern CHELAN WA 98816 LAKE EASTON STATE PARK Lake Easton Jason Both (509) 656-2586 Central Cascades Area 150 LAKE EASTON SP ROAD State Park [email protected] Eastern EASTON WA 98925 LAKE SAMMAMISH STATE Lake Sammamish Richard Benson (425) 649-4275 PARK Cascade Foothills Area [email protected] State Park Northwest 2000 N.W. SAMMAMISH ROAD ISSAQUAH, WA 98027 OCEAN CITY STATE PARK Lake Sylvia Jim Schmidt (360) 289-3553 Northern Shores Area 148 STATE ROUTE 115 State Park [email protected] Southwest HOQUIAM, WA 98550 LAKE WENATCHEE STATE Lake Wenatchee Rick Halstead (509) 763-3101 PARK

[email protected] State Park Eastern 21588 SR 207 LEAVENWORTH WA 98826 Larrabee State Amber Forest (360) 676-2093 245 CHUCKANUT DR. Park [email protected] Northwest BELLINGHAM, WA 98229

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) AREA MANAGER PHONE PARK NAME PARK AREA ADDRESS EMAIL (@parks.wa.gov) REGION (360) 642-3078 CAPE DISAPPOINTMENT Leadbetter Point Evan Roberts Long Beach Area (360) 642-3662 PO BOX 488 State Park Southwest [email protected] ov ILWACO, WA 98624-0488 Pam Wilkins LEWIS & CLARK STATE PARK Lewis & Clark Upper Cowlitz River (360) 864-2643 4583 JACKSON HIGHWAY State Park Area [email protected] Southwest WINLOCK, WA 98596 LEWIS & CLARK TRAIL Lewis & Clark Audra Sims (509) 337-6457 Blue Mountain Area 36149 HWY 12 Trail State Park [email protected] Eastern DAYTON WA 99328-9500 MORAN STATE PARK Lime Kiln Point VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD State Park [email protected] Northwest OLGA, WA 98279 WENATCHEE CONFLUENCE Lincoln Rock Matt Morrison (509) 664-6373 Wenatchee Valley Area 333 OLDS STATION ROAD State Park [email protected] Eastern WENATCHEE WA 98801-5938 MANCHESTER STATE PARK Manchester State Kinnan Murray (360) 871-4065 Kitsap Area PO BOX 338 Park [email protected] Southwest MANCHESTER, WA 98353 MARYHILL STATE PARK Maryhill State Lem Pratt (509) 773-3145 Goldendale Area 50 HWY 97 Park [email protected] Eastern GOLDENDALE WA 98620 MORAN STATE PARK VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD Marine State Park [email protected] Northwest OLGA, WA 98279 BELFAIR STATE PARK McMicken Island Joel Pillers (360) 275-0668 South Sound Area 3151 N.E. SR 300 Marine State Park [email protected] Southwest BELFAIR, WA 98528 MILLERSYLVANIA STATE Millersylvania Tom Pew (360) 753-1519 PARK Millersylvania Area [email protected] State Park Southwest 12245 TILLEY ROAD SOUTH OLYMPIA, WA 98512-9167 MORAN STATE PARK VACANT (360) 376-2326 Moran State Park San Juan Area 3572 OLGA ROAD [email protected] Northwest OLGA, WA 98279 WALLACE FALLS STATE Mount Pilchuck Richard Benson (425) 766-2083 PARK Cascade Foothills Area [email protected] State Park Northwest 14503 WALLACE FALLS ROAD GOLD BAR, WA 98251 STATE PARK Mount Spokane Steve Christensen (509) 238-4258 Mount Spokane Area N 26107 [email protected] Eastern PARK DR MEAD WA 99021

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) AREA MANAGER PHONE PARK NAME PARK AREA ADDRESS EMAIL (@parks.wa.gov) REGION FLAMING GEYSER STATE PARK Jeff Vassallo (253) 735-8839 Tahoma Gateway Area 23700 SE FLAMING GEYSER [email protected] Northwest RD AUBURN WA 98092-9031 MORAN STATE PARK Obstruction Pass VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD State Park [email protected] Northwest OLGA, WA 98279 OCEAN CITY STATE PARK Ocean City State Jim Schmidt (360) 289-3553 Northern Shores Area 148 STATE ROUTE 115 Park [email protected] Southwest HOQUIAM, WA 98550 LAKE SAMMAMISH STATE Richard Benson (425) 766-2083 PARK Cascade Foothills Area [email protected] Northwest 2000 N.W. SAMMAMISH ROAD ISSAQUAH, WA 98027 Olmstead Place LAKE EASTON STATE PARK Jason Both (509) 656-2586 Historical State Central Cascades Area 150 LAKE EASTON SP ROAD [email protected] Park Eastern EASTON WA 98925 OCEAN CITY STATE PARK Pacific Beach Jim Schmidt (360) 289-3553 Northern Shores Area 148 STATE ROUTE 115 State Park [email protected] Southwest HOQUIAM, WA 98550 LEWIS & CLARK TRAIL STATE Audra Sims (509) 337-6457 PARK Blue Mountain Area [email protected] State Park Eastern 36149 HWY 12 DAYTON WA 99328-9500 BATTLE GROUND STATE Paradise Point Chris Guidotti (360) 687-8290 PARK Battle Ground Area [email protected] State Park Southwest PO BOX 148 HEISSON, WA 98622 MORAN STATE PARK VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD Marine State Park [email protected] Northwest OLGA, WA 98279 Peace Arch BIRCH BAY STATE PARK Ted Morris (360) 371-2800 Historical State Birch Bay Area 5105 HELWEG ROAD [email protected] Park Northwest BLAINE WA 98230 Rick Lewis PEARRYGIN STATE PARK Pearrygin Lake Okanogan Highlands (509) 996-2370 561 BEAR CREEK ROAD State Park Area [email protected] Eastern WINTHROP WA 98862 BELFAIR STATE PARK Penrose Point Joel Pillers (360) 275-0668 South Sound Area 3151 N.E. SR 300 State Park [email protected] Southwest BELFAIR, WA 98528 Peshastin Matt Morrison (509) 664-6373 WENATCHEE CONFLUENCE Pinnacles State Wenatchee Valley Area [email protected]. 333 OLDS STATION ROAD Park Eastern gov WENATCHEE WA 98801-5938

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) AREA MANAGER PHONE PARK NAME PARK AREA ADDRESS EMAIL (@parks.wa.gov) REGION MORAN STATE PARK Posey Island VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD Marine State Park [email protected] Northwest OLGA, WA 98279 SUN LAKES-DRY FALLS Potholes State Denis Felton (509) 632-5136 Coulee Corridor Area 34875 PARK LAKE ROAD N.E. Park [email protected] Eastern COULEE CITY, WA 99115 DOSEWALLIPS STATE PARK Potlatch State Douglas Hinton (360) 796-4415 Dosewallips Area 306996 HIGHWAY 101 Park [email protected] Southwest BRINNON, WA 98320 MILLERSYLVANIA STATE Rainbow Falls Tom Pew (360) 956-4814 PARK Millersylvania Area [email protected] State Park Southwest 12245 TILLEY ROAD SOUTH OLYMPIA, WA 98512-9167 RASAR STATE PARK Kevin Kratochvil (360) 826-3942 Rasar State Park Rasar Area 38730 CAPE HORN ROAD [email protected] Northwest CONCRETE, WA 98237 RIVERSIDE STATE PARK Riverside State Diana Dupuis (509) 465-5064 Riverside Area 9711 W. CHARLES ROAD Park [email protected] Eastern NINE MILE FALLS, WA 99026 RASAR STATE PARK Rockport State Kevin Kratochvil (360) 826-3942 Rasar Area 38730 CAPE HORN ROAD Park [email protected] Northwest CONCRETE, WA 98237 WENATCHEE CONFLUENCE Rocky Reach Matt Morrison (509) 664-6373 333 OLDS STATION ROAD Trail Wenatchee Valley Area [email protected]. Eastern gov WENATCHEE WA 98801-5938 LEWIS & CLARK TRAIL STATE Sacajawea Audra Sims (509) 337-6457 PARK Historical State Blue Mountain Area [email protected] 36149 HWY 12 Park Eastern DAYTON WA 99328-9500 MORAN STATE PARK Saddlebag Island VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD Marine State Park [email protected] Northwest OLGA, WA 98279 Saint Edward Richard Benson (425) 823-2992 Cascade Foothills Area 14445 JUANITA DR. N.E. State Park [email protected] Northwest KENMORE, WA 98028 FLAMING GEYSER STATE PARK Saltwater State Jeff Vassallo (253) 735-8839 Tahoma Gateway Area 23700 SE FLAMING GEYSER Park [email protected] Northwest RD AUBURN WA 98092-9031 KITSAP MEMORIAL STATE Scenic Beach Steve Kendall (360) 478-6460 PARK Kitsap Peninsula Area [email protected] State Park Southwest 202 N.E. PARK ST. POULSBO, WA 98370

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) AREA MANAGER PHONE PARK NAME PARK AREA ADDRESS EMAIL (@parks.wa.gov) REGION OCEAN CITY STATE PARK Jim Schmidt (360) 289-3553 Northern Shores Area 148 STATE ROUTE 115 [email protected] Southwest HOQUIAM, WA 98550 Pam Wilkins LEWIS & CLARK STATE PARK Seaquest State Upper Cowlitz River (360) 864-2643 4583 JACKSON HIGHWAY Park Area [email protected] Southwest WINLOCK, WA 98596 SEQUIM BAY STATE PARK Sequim Bay Erik Plunkett (360) 683-4235 Sequim Bay Area 269035 HIGHWAY 101 State Park [email protected] Southwest SEQUIM, WA 98382 DECEPTION PASS STATE Skagit Island Jack Hartt (360) 675-3767 PARK Deception Pass Area [email protected] Marine State Park Northwest 41020 STATE ROUTE 20 OAK HARBOR, WA 98277 FORT CASEY STATE PARK South Whidbey Jon Crimmins (360) 678-4519 Central Whidbey Area 1280 ENGLE ROAD State Park [email protected] Northwest COUPEVILLE WA 98239 MORAN STATE PARK Spencer Spit VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD State Park [email protected] Northwest OLGA, WA 98279 Spokane River RIVERSIDE STATE PARK Diana Dupuis (509) 465-5064 Centennial State Riverside Area 9711 W. CHARLES ROAD [email protected] Park Trail Eastern NINE MILE FALLS, WA 99026 LAKE SAMMAMISH STATE Richard Benson (425) 766-2083 PARK Cascade Foothills Area [email protected] State Park Northwest 2000 N.W. SAMMAMISH ROAD ISSAQUAH, WA 98027 WENATCHEE CONFLUENCE Squilchuck State Matt Morrison (509) 664-6373 333 OLDS STATION ROAD Park Wenatchee Valley Area [email protected]. Eastern gov WENATCHEE WA 98801-5938 SUN LAKES-DRY FALLS Steamboat Rock Denis Felton (509) 632-5136 Coulee Corridor Area 34875 PARK LAKE ROAD N.E. State Park [email protected] Eastern COULEE CITY, WA 99115 MORAN STATE PARK Stuart Island VACANT (360) 376-2326 San Juan Area 3572 OLGA ROAD Marine State Park [email protected] Northwest OLGA, WA 98279 MORAN STATE PARK VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD Marine State Park [email protected] Northwest OLGA, WA 98279 SUN LAKES-DRY FALLS Sun Lakes-Dry Denis Felton (509) 632-5583 Coulee Corridor Area 34875 PARK LAKE ROAD N.E. Falls State Park [email protected] Eastern COULEE CITY, WA 99115 MILLERSYLVANIA STATE Tom Pew (360) 956-4814 PARK Millersylvania Area [email protected] Southwest 12245 TILLEY ROAD SOUTH OLYMPIA, WA 98512-9167

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) AREA MANAGER PHONE PARK NAME PARK AREA ADDRESS EMAIL (@parks.wa.gov) REGION MORAN STATE PARK VACANT (360) 376-2329 San Juan Area 3572 OLGA ROAD Marine State Park [email protected] Northwest OLGA, WA 98279 BELFAIR STATE PARK Twanoh State Joel Pillers (360) 552-2314 South Sound Area 3151 N.E. SR 300 Park [email protected] Southwest BELFAIR, WA 98528 LAKE CHELAN STATE PARK Twenty-Five Mile Dwight Keegan (509) 687-3710 Lake Chelan Area 7544 S LAKESHORE ROAD Creek State Park [email protected] Eastern CHELAN WA 98816 GRAYLAND BEACH STATE PARK Twin Harbors Gary Vierra (360) 268-1457 South Beach Area 925 CRANBERRY BEACH Beach State Park [email protected] Southwest ROAD GRAYLAND, WA 98547 WALLACE FALLS STATE Wallace Falls Richard Benson (253)766-2083 PARK Cascade Foothills Area [email protected] State Park Northwest 14503 WALLACE FALLS ROAD GOLD BAR, WA 98251 Wenatchee Matt Morrison (509) 664-6373 WENATCHEE CONFLUENCE Confluence State Wenatchee Valley Area [email protected]. 333 OLDS STATION ROAD Park Eastern gov WENATCHEE WA 98801-5938 GRAYLAND BEACH STATE PARK Westhaven State Gary Veirra (360) 268-1457 South Beach Area 925 CRANBERRY BEACH Park [email protected] Southwest ROAD GRAYLAND, WA 98547 GRAYLAND BEACH STATE PARK Westport Light Gary Vierra (360) 268-1457 South Beach Area 925 CRANBERRY BEACH State Park [email protected] Southwest ROAD GRAYLAND, WA 98547 MILLERSYLVANIA STATE Willapa Hills Tom Pew (360) 956-4814 PARK Millersylvania Area [email protected] State Park Trail Southwest 12245 TILLEY ROAD SOUTH OLYMPIA, WA 98512-9167 Yakima LAKE EASTON STATE PARK Jason Both (509) 656-2586 Sportsman State Central Cascades Area 150 LAKE EASTON SP ROAD [email protected] Park Eastern EASTON WA 98925

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) FLIGHT DATE(s) NAME OF STATE PARK(s) FLIGHT TO TAKE PLACE

NAME OF APPLICANT

PERMANENT APPLICANT ADDRESS

CITY STATE ZIP

PERMANENT TELEPHONE EMAIL

FLIGHT DETAILS PURPOSE OF REQUEST: RECREATIONAL WORK/BUSINESS (Provide proof of remote pilot airman certification or certificate of waiver per 14 CFR Part 107)

AIRCRAFT WEIGHT: LESS THAN 0.55 LBS 0.55 – LESS THAN 55 LBS 55 LBS OR OVER (Aircraft over 55 lbs. require proof of FAA operational approval)

PROPOSED FLIGHT PLAN INCLUDING FLIGHT TAKE OFF/LANDING ZONE AND LOCATION OF PILOT DURING FLIGHT. MAP INCLUDED? YES NO (If no, please provide detailed information)

PROPOSED ELEVATION OF FLIGHT:

PROPOSED TIME OF DAY AND DURATION OF FLIGHT:

PROPOSED MAXIMUM SPEED:

ACKNOWLEDGEMENT OF COMPLIANCE: RECREATIONAL - (By checking the applicant acknowledges they will follow community-based safety guidelines for the operation of an unmanned aircraft system and Public Law 112-95, Section 336-Special Rules for Model Aircraft) WORK/BUSINESS (By checking the applicant acknowledges they will comply with FAA operating rules and 14 CRF Part 107)

GENERAL CONDITIONS Washington Administrative Code 352-32-130 states in part that remote controlled aircraft may be flown in any state park area pursuant to attaining written permission from the Director or designee. All applicants shall agree to operate their remote controlled aircraft in a manner which: 1) Is compatible with the activities of the public and park visitor 2) Will not interfere with park operations and staff 3) Will not damage or disturb facilities or the natural, cultural, or historic resources 4) Will conform to all of the applicable statutes, rules, policies, and procedures of the Commission, and the instructions of the Commission staff who supervise the recreational remote controlled aircraft activities.

ADDITIONAL PERMIT CONDITIONS PROHIBITED ACTIVITIES:

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) FLIGHT DATE(s) NAME OF STATE PARK(s) FLIGHT TO TAKE PLACE

Activities having the potential to significantly impact, alter or damage park resources are prohibited. The following are also prohibited: (1) altering, damaging or removing vegetation, (2) loud noises (160 decibels or higher), between 10:00 p.m. and 6:30 a.m., and (3) harassment of wildlife. FEDERAL AVIATION ADMINISTRATION (FAA): The permittee agrees to comply with all rules and regulations as set forth by the FAA for the use and operation of unmanned aircraft systems to include, but not limited to, Public Law 112-95, Section 336 and 14 CFR Part 107. FEES: In addition to the application fee, designated site and other additional fees (copy attached) may be required and are due and payable to State Parks upon signature of this Permit. DISRUPTION OF VISITOR ACTIVITIES: Flying activities may not unduly conflict with visitor use or experience in the park. The public shall be informed, at the Permittee’s expense, of any unusual or long-term closure or delay expected due to the flying activity. The Permittee should avoid the operation of remote controlled aircraft in high public use areas and on weekends and holidays. The Permittee understands that this Permit may be cancelled for those locations that are subject to intensive public use, or if the activity is scheduled during busy weekend and holiday dates. CLOSURES: The Permittee is not allowed to conduct activities or have access to areas not generally accessible to the general public, unless specific written approval is received from State Parks. No flying will be permitted during periods of extreme weather conditions, fire danger, or fire closure. ADDITIONAL PERMITTING: Permittee shall obtain and keep in force all additionally required permits, licenses, permissions, consents, and approval required by governmental agencies or third parties in connection with activities performed under this permit. Application for permits shall be at the sole risk, cost, and expense of the permittee. Permittee is solely responsible for determining what permits are required and obtaining required permits. NATURAL AND CULTURAL RESOURCES: Geological and archaeological resources must not be disturbed. No materials, adhesives, paints, etc. may be used on any of these park resources. No devices may be driven into the rocks, or cliff areas. Any damage to park resources may result in closing the area to future remote controlled aircraft use. MOTOR VEHICLES: The Permittee agrees to abide by all motor vehicle laws of the state of Washington. The Permittee shall describe any proposed activity that would result in the operation of a vehicle outside of the motor vehicle laws in the general description portion of this permit. BONDS AND DAMAGE DEPOSITS: State Parks may require the Permittee to post a bond or damage deposit payable to State Parks in an amount sufficient to cover any potential damages to park resources or facilities that may occur during the use of the remote controlled aircraft. INSURANCE: The Permittee agrees to provide a certificate of insurance in the amount of $1,000,000 general liability and $1,000,000 personal injury naming State Parks as an additional insured. The Permittee shall provide to State Parks a copy of the certificate of insurance evidencing such coverage prior to flying. Should claims arise which result in an award in excess of $1,000,000, the Permittee shall be wholly responsible for the amount of the excess. PERMIT ASSIGNMENT: This Permit is non-transferable and non-assignable. Any attempt to transfer or assign an issued permit shall cause immediate cancellation of the Permit. WAIVER OF RIGHTS: State Parks’ failure to insist upon the strict performance of any provision of this Permit or to exercise any right based upon breach thereof or the acceptance of any performance during such breach shall not constitute a waiver of any right under this Permit. HOLD HARMLESS: It is understood and agreed by State Parks and the Permittee that this Permit is solely for the benefit of the parties hereto and gives no right to any other party. No joint venture or partnership is formed as a result of this Permit. Permittee agrees to be responsible and assumes liability for its own wrongful or negligent acts or omissions, or those of its officers, agents, or employees to the fullest extent required by law, and agrees to save, indemnify, defend, or hold the State Parks harmless for any such liability. SUSPENSION OF REMOTE CONTROLLED AIRCRAFT AUTHORIZATION: State Parks reserves the right to suspend remote controlled aircraft authorization if, in the opinion of State Parks’ representative, there appears to be abuse of or a likelihood of damage to any of the properties, road surfaces, or facilities of

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) FLIGHT DATE(s) NAME OF STATE PARK(s) FLIGHT TO TAKE PLACE

State Parks. CANCELLATION OF PERMIT: The Permittee, by signature of this Permit, agrees that State Parks may cancel this Permit for any of the following reasons: (1) if there is clear danger to public health and safety; (2) if, in the opinion of State Parks’ representative, the remote controlled aircraft activity requested represents an unreasonable threat to park resources, facilities, or wildlife; (3) if it is determined that supervisory requirements for the proposed activity will place unreasonable burdens on staff capacity, irrespective of the Permittee's willingness to pay supervisory costs; (4) if the proposed activity would unduly conflict with visitors’ normal use of the park; (5) if the Permittee enters areas closed to the general visiting public, or allow activities not permitted to the average visitor except for cooperative activities as an agent of State Parks. This Permit may also be cancelled by State Parks without notice if the terms of the Permit are violated. The deliberate making of false or misleading statements concerning intended actions in order to obtain a Permit are causes for immediate cancellation of the permit and cause for possible prosecution. The Permit may be cancelled by State Parks if the location is changed and/or expanded without the written permission of State Parks. Reimbursement for services performed by State Parks and not otherwise paid for by the Permittee prior to the effective date of such cancellation shall be as State Parks reasonably determines. GOVERNING LAW: This Permit shall be construed and enforced in accordance with, and the validity and performance hereof shall be governed by the laws of the state of Washington. Venue of any suit between the parties arising out of this Permit shall be the Superior Court of Thurston County, Washington. SEVERABILITY: In the event any term or condition of this Permit or application thereof to any person or circumstances is held invalid, such invalidity shall not affect other terms, conditions, or applications of this Permit which can be given effect without the invalid term, condition, or application. To this end, the terms and conditions of this Permit are declared severable. SEND COMPLETED APPLICATION Standard Application Fee - $25 To pay by: Credit Card – email application to Park email address (per the park contact list) and include call back information in the email. The park will call to obtain payment information over the phone. Check – mail application and check, made payable to Washington State Parks, to the specific park location per the park contact list. APPLICATION FEE ADDITIONAL FEE (per Fee Schedule)

Certificate of Insurance attached (Insurance Binder)

AGREEMENT I, the undersigned, and the organization which I represent, will comply with the rules and procedures of the Washington State Parks and Recreation Commission on filming. By signature below, I hereby acknowledge understanding and acceptance of the terms and conditions of this Permit, including the additional conditions appended hereto, and agree to comply with State Parks orders in administration of said Permit requirements. AUTHORIZED REPRESENTATIVE (typed or printed name) TITLE

SIGNATURE DATE

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) FLIGHT DATE(s) NAME OF STATE PARK(s) FLIGHT TO TAKE PLACE

FOR STATE PARKS USE ONLY

ADDITIONAL CONDITIONS

Administrative Review Application fee paid $_ _ Stewardship fee paid $ _ _ (as determined)

Additional fee paid $ _ __ (if required) Proof of aircraft registration attached (if required) Proof of Remote Airman Certification or Certificate of Waiver as issued by the FAA attached Certificate of Insurance received & attached Map of proposed flight plan attached

Conditional Approval AREA MANAGER RECOMMENDED APPROVAL NO YES SIGNATURE: ENVIRONMENTAL REVIEW REQUIRED ENVIRONMENTAL RECOMMENDED APPROVAL, if required (electronic approval may be appended to permit) NO YES NO YES SIGNATURE: REGION MANAGER RECOMMENDED APPROVAL (review and recommended approval required prior to Operations Manager review) NO YES SIGNATURE: FINAL APPROVAL By signature below, State Parks does hereby issue this Remote Control Aircraft Permit, subject to the terms and conditions as set forth above and any requirements appended hereto, and as accepted by the Permittee. OPERATIONS MANAGER NAME (Typed or Printed)

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017) SIGNATURE DATE ISSUED:

REMOTE CONTROLLED AIRCRAFT PERMIT APPLICATION (4/14/2017)