Free Airport Master Record - Federal

U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION

AIRPORT MASTER RECORD
4. STATE: 6 REGION/ADO:
>70 FUEL:

FORM APPROVED OMB 2120-0015 11/30/2008

>1 ASSOC. CITY: >2 AIRPORT NAME: 3 CBD TO AIRPORT (NM):
GENERAL 10 OWNERSHIP: 11 OWNER: 12 ADDRESS: 13 PHONE NR: 14 MANAGER: 15 ADDRESS: 16 PHONE NR: 17 ATTENDANCE SCHEDULE: MONTHS DAYS

LOC ID: 5 COUNTY: 7 SECT AERO CHT:
SERVICES

FAA SITE NR:

BASED AIRCRAFT 90 SINGLE ENG: 91 MULTI ENG: 92 JET: TOTAL 93 HELICOPTERS: 94 GLIDERS: 95 MILITARY: 96 ULTRA-LIGHT:

HOURS

FACILITIES >80 ARPT BCN: >81 ARPT LGT SKED: >82 UNICOM: 83 WIND INDICATOR: 84 SEGMENTED CIRCLE: 85 CONTROL TWR: 86 FSS: 87 FSS ON ARPT: 88 FSS PHONE NR: 89 TOLL FREE NR:

18 AIRPORT USE: 19 ARPT LAT: 20 ARPT LON: 21 ARPT ELEV: 22 ACREAGE: >23 RIGHT TRAFFIC: 24 NON-COMM LANDING:

RUNWAY DATA >30 RUNWAY IDENT: >31 LENGTH: >32 WIDTH: 33 SURF TYPE-COND:

LIGHTING/APCH AIDS >40 EDGE INTENSITY: >42 RWY MARK TYPE-COND:

OBSTRUCTION DATA 50 PART 77 CATEGORY: 51 DISPLACED THLD: 52 CTLG OBSTN: 53 OBSTN MARKED/LGTD: 54 HGT ABOVE RWY END: 55 DIST FROM RWY END: / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /

(>) ARPT MGR PLEASE ADVISE FSS IN ITEM 86 WHEN CHANGES OCCUR TO ITEMS PRECEDED BY> >1 I 0 REMARKS:

111 OWNER/MANAGER SIGNATURE
FAA Form 5010-5 (4/96) SUPERSEDES PREVIOUS EDITION

113 DATE:
NSN: 0052-00-845-3003

Note: The intent of this form is to notify the FAA that the landing area on the reverse side is now operational. Please complete the form and return it to the FAA Regional Office or Airports District Office that airspaced the landing area when the landing area is fully operational. Contact the office if you have any questions regarding this form.

Paperwork Reduction Act Statement: The information collected on this form is necessary because it is the description of the physical and operational characteristics of the airport that will be on file with the FAA. The information will be maintained in FAA computers for record keeping purposes and use in airspace studies. Some of the information on this form is critical to aviation safety and will be published in flight information handbooks and charts for pilot use. The burden associated with completing this form is estimated to be 2 hours. Providing this information is mandatory if the proponent wishes to have the airport on file with the FAA and entered into the National Airspace System. No assurances of confidentiality are given. An Agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number associated with this collection is 2120-0015.Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at:800 Independence Ave SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ABA-20

TO MAIL THE COMPLETED FORM:

1. Reverse fold the form so that the address is on the outside. 2. After folding, fasten the folded form together with a piece of tape at the place marked ''Tape Here''. 3. No postage is required for mailing.

FAA Form 5010-5 (4-96) SUPERSEDES PREVIOUS EDITION

U.S. Department of Transportation Federal Aviation Administration
Washington D.C. 20591

OFFICIAL BUSINESS PENALTY FOR PRIVATE USE $300

NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES

BUSINESS REPLY MAIL
FIRST CLASS PERMIT NO. 12438 WASHINGTON. D.C.

POSTAGE WILL BE PAID BY THE FEDERAL AVIATION ADMINISTRATION

PLACE ADDRESS LABEL HERE

Tape
Here