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<br />DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION <br /> <br />OMB NO. eO-ROte. <br /> <br />PART II <br /> <br />PROJECT APPROVAL LNFORMA TION <br />SECTION A <br /> <br />Item 1. <br />Does this assistance request require Stote, local, <br />regional, or other priority rating? <br /> <br />Yes <br /> <br />tem 2. <br /> <br />)oes this assistance request require State, or local <br />advisory, educational or health clearances? <br /> <br />Yes <br /> <br />Item 3. <br />Does this assistance request require clearinghouse review <br />in accordance with OMB Circular A-95? <br /> <br /> Yes X <br />Item 4. <br />Does this assistance request require State, local, <br />regional or other planning approval? <br /> Yes X <br /> <br />Name of Governing Body <br />Priority Rating <br /> <br />X <br /> <br />No <br /> <br />Name of Agency or <br />Board <br /> <br />X <br /> <br />No (Attach Documentation) <br /> <br />(Attach Comments) <br /> <br />No <br /> <br />Nome of Approving Agency <br />Date <br /> <br />No <br /> <br />Item 5. <br /> <br />I s the proposed pro ject covered by an approved <br />comprehensive plan? <br /> <br />Yes <br /> <br />Item 6. <br /> <br />Will the assistance requested serve a Federal <br />installation? Yes <br /> <br />x <br /> <br />Check one: State <br />Local <br />Regional <br />No Location of plan <br /> <br />r' <br />, , <br /> <br />," <br /> <br />x <br /> <br />Nome of Federal Installation <br />No Federal Population benefiting from Project <br /> <br />Item 7. <br />Will the assistance requested be on Federal land <br />or installation? <br /> <br />Yes <br /> <br />Item 8. <br />Will the assistance requested have an impact or effect <br />on the environment? <br /> <br />Yes <br /> <br />Item 9. <br />Will the assistance requested cause the displacement of <br />individuals families, businesses, or farms? <br /> <br />Yes <br /> <br />X <br /> <br />Nome of Federal Installation <br />Location of Federal Land <br />No Percent of Project <br /> <br />x <br /> <br />See instruction for additional information to be <br />provi ded. <br /> <br />No <br /> <br />X <br /> <br />Number of: <br />Individual s <br />Families <br />Businesses <br />Farms <br /> <br />No <br /> <br />Item 10. <br /> <br />Is there other related Federal assistance on this <br /> <br />project previous, pending, or anticipated? <br /> <br />x <br /> <br />Yes <br /> <br />FAA Form 5100-100 (6-73) SUPERSEDES FAA FORM 5100-10 PAGES 1 THRU 7 <br /> <br />No <br /> <br />See instructions for additional information to be <br />provided. Remaining funds authorized <br />through special legislation <br />for the Department of Labor. <br />Page 2 <br />