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Predesignated Landing Zone Form
For Database of Predesignated LZ's in HSC. To be shared with all Air Medical Services serving HSC.
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* Indicates required question
Fire Department District for LZ:
*
Choose
70 West FD
Bismarck FD
Bonnerdale FD
Glen Rose FD
Lake Hamilton FD
Lono-Rolla FD
Magnet Cove FD
Malvern FD
Morning Star FD
New DeRoche FD
Ouachita FD
Perla FD
Point Cedar FD
Poyen FD
Rockport FD
South Malvern FD
Southwest FD
Coordinates - Latitude, Longitude
*
Decimal Degrees Preferred. Ex: 34.362735, -92.814881
Your answer
Landing Zone Designation?
Label for LZ, Two character from Dept. Name then two digit #. Ex: MC01 for Magnet Cove LZ #1. If not stated we will number them per district once all are Received.
Your answer
Ground Cover
*
Asphalt
Bare Dirt
Concrete
Grass - Maintained under 1' Tall
Grass - Not Maintained
Gravel
Other:
Obstructions within' 300'
Any Obstructions within 500' of LZ. Check ALL that apply.
Animals
Antenna Tower
Fencing
Light Poles / Telephone Poles
Powerlines
Trees
Ruts in Ground
Slopes/Hills in Ground (within 300')
Water Tower
Other:
Has this LZ been used before ?
*
No - Not Used previously.
Unknown - But know has been used by someone.
AirEvac
LifeNet
MedFlight
Survival Flight
Required
Comments?
Any notes for the LZ or other information you feel is relevant.
Your answer
Please Email or Text a picture of LZ along with the LZ Designation (ex:MC01) to
cgaines@hotspringdem.org
or (501) 492-6869
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