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Accidents · NTSB ERA21FA194 · Final report

Beech C23 accident near Middleburg, Florida, April 28, 2021

On April 28, 2021 at about 1:00 pm local time, a 1978 Beech C23, registered N6009U, was destroyed in an accident during takeoff near Middleburg, Florida (Spencers Airpark airport). It was a personal flight under general aviation rules (Part 91). 3 people were killed. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The pilot's decision to depart from a soft grass runway with a tailwind, which resulted in an increased takeoff distance and subsequent impact with trees during the initial climb.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
April 28, 2021 · about 1:00 pm local time
Place
Middleburg, Florida · Spencers Airpark · map
Type
Accident
Injuries
3 people were killed.
Weather
visual conditions (good weather)
Aircraft
Beech C23, built 1978 · all C23s on the register
Registration
N6009U · no longer on the register · serial M-2088
Damage
Destroyed
Flight
Personal flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

The pilot and two passengers were departing from a grass runway. The grass was several inches high and the ground was soft. There were no eyewitnesses to the accident; however, examination of wheel impressions left in the soft soil of the runway revealed that the airplane became airborne about 2,300 ft down the 3,700-ft-long runway and impacted 70- to 80-ft-tall trees about 800 ft past the runway end. Examination of the wreckage revealed no evidence of mechanical malfunctions with the airframe or engine that would have precluded normal operation. A witness who arrived at the accident site about 30 minutes after the accident, and a nearby weather observation around the time of the accident, indicated that the pilot likely departed with a tailwind. Review of the airplane’s takeoff performance chart indicated that, on a grass runway, the airplane’s predicted ground roll would be about 1,285 ft and about 2,151 ft was required to clear a 50-ft obstacle; however, the chart was based on the runway being dry, the grass short, and no wind. Based on the available information, it is likely that the pilot failed to account for the decreased takeoff performance due to the runway condition and the tailwind, which both would have increased required takeoff distance. Toxicology testing of specimens from the pilot detected the non-impairing local anesthetic medication lidocaine and the high blood pressure medication valsartan in blood and urine. It is unlikely that the pilot’s medical conditions or medications were factors in the accident. Toxicology testing of specimens from the pilot-rated passenger revealed the anti-anxiety medication alprazolam at 8 ng/mL in heart blood and in liver tissue. The antidepressant sertraline and its metabolite desmethylsertraline were detected in heart blood and liver tissue. The over-the-counter motion sickness medication meclizine was detected in liver. While it is unknown how well these conditions were controlled or if the pilot-rated passenger experienced any impairing side effects, the effects from the use of these medications would not have influenced the outcome of the takeoff, and it is unlikely that his anxiety or depression or the effects from his use of medication contributed to the accident.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Collision with terrain or object (not controlled flight into terrain) during takeoff defining event

The NTSB's findings

  • Environmental issues › Conditions/weather/phenomena › Wind › Tailwind › Decision related to condition
  • Environmental issues › Physical environment › Runway/land/takeoff/taxi surface › Soft surface › Effect on equipment
  • Aircraft › Aircraft oper/perf/capability › Aircraft capability › Takeoff distance › Not attained/maintained
  • Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Pilot

Pilot

  • Certificate: private
  • Ratings: single-engine land
  • Flight time: 435 hours in all
  • Medical certificate: BasicMed (with waivers/limitations)
  • Seat: left
  • Injury: fatal

Pilot

  • Certificate: private
  • Ratings: single-engine land
  • Flight time: 840 hours in all
  • Medical certificate: BasicMed (with waivers/limitations)
  • Seat: rgt
  • Injury: fatal

The aircraft

  • Last inspection: inspection type not recorded
  • Maximum gross weight: 2,450 lb
  • Seats: 4
  • Landing gear: fixed
  • Engine: Lycoming O&VO-360 SER (piston); 3,720 hours total
  • Fire on the ground

The flight

  • Flight plan: none
  • Runway 27, 3,700 ft by 75 ft
  • A second pilot was aboard

Weather at the time

  • Light: daylight
  • Wind: from 140° at 7 knots
  • Visibility: 5 statute miles
  • Sky: clear
  • Temperature: 73°F (23°C), dew point 64°F (18°C)
  • Altimeter: 30.16 inHg
  • Observation at 9:15 am from HEG, 16 miles away

Weather report (METAR): KHEG 281315Z AUTO 14007KT 5SM HZ CLR 23/18 A3016 RMK AO2

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers2

Documents from the investigation the NTSB's docket: the evidence folder behind the report

13 documents, released by the NTSB on February 24, 2023. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

#DocumentWhat it is
1 Witness Statements PDF, 2 pages · our copy View Download
2 Poh-section 5-PERFORMANCE PDF, 22 pages · our copy View Download
3 Excerpt from FAA Pilot's Handbook of Aeronautical Knowledge PDF, 1 page · our copy View Download
4 Memorandum of Record Color Performance Calculations PDF, 1 page · our copy View Download
5 Maintenance Records PDF, 4 pages · our copy View Download
6 Investigative Photographs PDF, 4 pages · our copy View Download
7 Investigative Photographs -runway PDF, 4 pages · our copy View Download
8 Toxicological Report- Right Seat Pilot PDF, 1 page · our copy View Download
9 Toxicological Report- Left Seat Pilot PDF, 1 page · our copy View Download
10 Autopsy Memorandum of Record 1 PDF, 1 page · our copy View Download
11 NTSB Medical Factual Report PDF, 4 pages · our copy View Download
12 Release of Aircraft Wreckage, NTSB Form 6120.15 PDF, 1 page · our copy View Download
13 Wreckage Examination PDF, 5 pages · our copy View Download

The same docket at the NTSB.

Other NTSB records under N6009U the same tail number, which may have belonged to a different aircraft at the time

2019-09-09GAA19CA585 · accident near Keystone Heights, FL · substantial damage · no injuries

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.