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<br />DEPARTMENT OF TRÃNSPORTATION. FEDERAL AVIATION ADMINISTRATION <br /> <br />o....e NO. 8Q-RO184 <br /> <br />PART II <br /> <br />PROJECT APPROVAL INFORMATION <br />SECTION A <br /> <br />Item 1. <br />Does this assistance request require State, local, <br /> <br />regional, or other priority rating? <br />Yes X <br /> <br />Name of Governing Body <br />Priority Rating <br /> <br />No <br /> <br />Item 2. <br /> <br />Does this assistance request require State, or local <br />advisory, educational or health clearances? <br /> <br />Yes <br /> <br />Item 3. <br />Does this assi stance request require clearinghouse review <br />in accordance with OMB Circular A.95? <br /> <br />Yes <br /> <br />X <br /> <br />No <br /> <br />Item 4. <br />Does this assistance request require State, local, <br />regional or other planning approval? X <br />Yes <br /> <br />No <br /> <br />Item 5. <br />Is the propased project covered by an approved <br />comprehensive plan? <br /> <br />X <br /> <br />Yes <br /> <br />Item 6. <br />Will the assistance requested serve a Federal <br />installation? Yes <br /> <br />Item 7. <br />Will the assistance requested be on Federal land <br />or installation? <br /> <br />Yes <br /> <br />Item 8. <br /> <br />Wi II the ass i stance requested have an impact or effect <br /> <br />on the environment? X <br />Yes <br /> <br />No <br /> <br />Item 9. <br />Will the assi stance requested cause the displacement of <br />individual s families, businesses, or farms? <br /> <br />Yes <br /> <br />Name of Agency or <br />Board <br /> <br />X <br /> <br />No (Attach Documentation) <br /> <br />(Attach Comments) <br /> <br />Name of Approving Agency <br />Date <br /> <br />Check one: State 'l <br />Local ~, <br />Regional ~: <br />No Locatian of plan City nf <br /> <br />~;:¡n M;:¡'!"l"n!': <br /> <br />X <br /> <br />Name of Federal Installation <br />No Federal Population b~nefiting from Project <br /> <br />x <br /> <br />Name of Federal Installation <br />Location of Federal Land <br />No Percent of Project <br /> <br />See instruction for additional information to be <br />provided. <br /> <br />X <br /> <br />Number of: <br />Individual s <br />Families <br />Businesses <br />Farms <br /> <br />No <br /> <br />Item 10. <br />Is there other related Federal assistance on this <br />project previous, pending, or anticipated? <br /> <br />Yes <br /> <br />Pag~2 <br /> <br />See instructions for additional information to be <br />provided. <br /> <br />X <br /> <br />No <br /> <br />FAA Form 5100.100 (6-73) SUPERSEDES FAA FORM 5100- 10 PAGES I TH RU 7 <br />