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<br /> DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION <br /> P ART II OMG NO. 80-RO 186 <br /> PROJECT APPROVAL INFORMATION <br /> Item 1. <br /> Docs this assi stance request require State, local, Nome of Governing Body <br /> regional, or other priority rating? Priority Rating <br /> Yes X No <br /> <br /> n 2. <br /> Does this assistance request require State, or local Nome of Agency or <br /> advisory, educational or health clearances? Boord <br /> <br /> Yes X No (Attach Documentation) <br /> <br /> Item 3. <br /> Does this assistance request require clearinghouse (Attach Comments) This application has been <br /> review in accordance with OMB Circular A-95? submitted. to the Capital Area Planning Council <br /> for A-95 review. Response will be forwarded <br /> X Yes No when available. <br /> Item 4. <br /> Does this assi stance request require State, loco!, Nome of Approving Agency <br /> regional or other planning approval? Dote <br /> Yes X No <br /> <br /> Item 5. <br /> I s the proposed project covered by on approved compre- Check one: State [I <br /> hensive plan? Local ¡-- i <br /> R e9iol1al [ I <br /> Yes X No Location of Plan <br /> - <br /> I 6. <br /> V the assistance requested serve a Federal Name of Federal Installation <br /> Installation? Yes~No Federal Population benefiting from Project <br /> <br /> Item 7. <br /> Will the assistance requested be on Federal land or Nome of Federal Installation <br /> installation? Location of Federal land <br /> Yes X No Percent of Project <br /> <br /> Item 8. <br /> Will the assistance requested have an impact or effect See instructions for additional information to be <br /> on the environment? provided. <br /> Yes X No <br /> <br /> Item 9. ~Number of: <br /> Will the assistance requested couse the displacement Individual s <br /> of individuals, families, businesses, or farms? Families <br /> Businesses <br /> Yes X No Forms <br /> <br /> Item 10. <br /> Is there other related assistance on this proiect previous, See instructions for additional information to be <br /> pending, or anticipated? provided. <br /> Yes X No <br /> - <br /> FA orm 5100.101 (5-?3) SUPERSEDES FAA FORM 5910.1 AND 5920-1 Page 2 <br />