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DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION <br /> OM6 NO. BO-FCIez <br /> PART II <br /> PROJECT APPROVAL INFORMATION <br /> SECTION A <br /> Item 1. <br /> Does this assistance request require State, local, Name of Governing Body <br /> regional, or other priority rating? Priority Rating <br /> Yes X No <br /> Item 2. <br /> Does this assistance request require State, or local Name of Agency or <br /> advisory, educational or health clearances? Board <br /> Yes X No (Attach Documentation) <br /> Item 3. <br /> Does this assistance request require clearinghouse review (Attach Comments) <br /> in accordance with OMB Circular A-95? <br /> X Yes No <br /> Item 4. <br /> Does this assistance request require State, local, Name of Approving Agency <br /> regional or other planning approval? Date <br /> Yeses— No <br /> tftm 5. <br /> Is the proposed project covered by an approved Check one: State —_ <br /> comprehensive plan? Local <br /> Regional <br /> _x Yes No Location of plan Airport Manager' s Office <br /> Item 6. <br /> Will the assistance requested serve a Federal Name of Federal Installation <br /> installation? Yes X No Federal Population benefiting from Project <br /> Item 7. <br /> Will the assistance requested be.on Federal land. Name of Federal Installation <br /> or installation? Location of Federal Land <br /> —Yes__X_—No Percent of Project <br /> Item 8. <br /> Will the assistance requested have an impbetor effect See instruction for additional information to be <br /> on the environment? provided. <br /> Yes.}i—_No <br /> Item 9. Number of: <br /> Will the assistance requested cause the displacement of Individuals <br /> individuals families, businesses, or farms? Families <br /> Businesses <br /> Yes. X No Farms <br /> em 10. <br /> ' there other related Federal assistance on this See instructions for additional information to be <br /> project previous, pending, or anticipated? provided. <br /> Yes X No <br /> FAA Form 5100-100 (6-731 SUPERSEDES FAA FORM 5100-10 PAGES 1 THRU 7 Page 2 <br />