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  U.S. Department AIRPORTS DIVISION                  FAA Alaskan Region

  of Transportation                                  222 W. 7th Avenue,
                                                     Box 14

                                                     Anchorage, Alaska

  **Federal Aviation**                               99513-7587

  **Administration**                                 
  -------------------------------------------------- --------------------

## 

## Date

## 

## Tribal Leader

## Address

Dear **\_\_\_\_\_\_\_\_\_\_\_**

**\[Project name and AIP #\]**, **Airport Location,**
Government-to-Government Consultation Initiation

The Federal Aviation Administration (FAA) in cooperation with the owner
and operator of \_\_\_\_\_\_\_\_\_\_ Airport, **(fill in the Sponsor's
name)** is **(conducting an Airport Master Plan/ Initiating an airport
improvement project described below at (Airport Name and Location).**

[Purpose of Government-to-Government Consultation]{.underline}

The primary purpose of government-to-government consultation as
described in Federal Executive Order 13175 "Consultation and
Coordination with Indian Tribal Governments" and FAA's Order 1210.20
"American Indian and Alaska Native Tribal Consultation Policy and
Procedures" is to ensure that Federally Recognized Tribes are given the
opportunity to provide meaningful and timely input regarding proposed
FAA actions that uniquely or significantly affect Tribes.

[Consultation Initiation]{.underline}

With this letter, the FAA is seeking input on concerns that uniquely or
significantly affect your Tribe related to planned and proposed airport
improvements. Early identification of Tribal concerns will allow the FAA
and the airport owner and operator to consider ways to avoid and
minimize potential impacts to Tribal resources and practices as project
planning and alternatives are developed and refined. We would be pleased
to discuss details of the proposed project with you.

[Project Information]{.underline}

The purpose of the proposed project is **... list the identified project
need and alternatives, if they have been developed; Describe the project
location, indicate its location by reference to the section(s),
township(s), range(s), Meridian, and USGS topographical map; reference
attached figures illustrating the Airport need and alternatives
identified and other relevant figures and descriptive information to
inform the Tribe and allow the Tribe to provide meaningful input,
provide at least one figure that illustrates the potential project
location and area; and include an anticipated project development
timeline and indicate the current stage of project within that
timeline.**

[Confidentiality]{.underline}

We understand that you may have concerns regarding the confidentiality
of information on areas or resources of religious, traditional and
cultural importance to the Tribe. We would be happy to discuss these
concerns and develop procedures to ensure the confidentiality of such
information is maintained.

# FAA Contact Information

If you wish to provide comments related to this proposed project, please
contact **\[Name and Title of FAA project manager\]**, at the address
above, at 907-271-**\[xxxx\]**, or by e-mail at **\[xxxx\]**; or please
feel free to contact me directly.

[Airport Owner and Operator Contact Information]{.underline}

In addition, you may wish to include the Airport owner and operator
**(list the sponsor's name)** in your response so that they may be aware
of your comments. The Airport owner and operator's point of contact for
this project is:

> **Sponsor Point of Contact Name and Title**
>
> **Sponsor's Name**
>
> Address, phone and email contact information

### Project Consultation Options Form

Your timely response will greatly assist us in incorporating your
concerns into project planning. For that purpose, we respectfully
request that you complete the enclosed Project Consultation Options form
and forward it to the FAA within thirty days of your receipt of this
correspondence.

Sincerely,

Debbie Roth

Assistant Manager

Airports Division

Enclosures:

> **\[Left indent, and list enclosures (do not say, "as stated")\]**
>
> Tribal Consultation Options form
>
> **List the Project information and figures listed above and attached**

Cc:

**Sponsor's Point of Contact**

**DOTPF Regional Environmental Coordinator, for DOTPF Projects**

**Tribal Consultation Options**

**\[Name of Tribe**

**address\]**

Project Name: **\[Name\]**

Federal/State Project Numbers: **\[Federal/State Project Numbers\]**

**Please check the appropriate response:**

\_\_\_\_ The **\[Name of Tribe\]** will continue coordination for this
proposed project directly with Owner / Operator of the airport. *Please
note that if the* *Tribe initially chooses to consult / coordinate with
the airport owner/operator, the Tribe may later decide to consult
directly with the FAA.*

\_\_\_\_ The **\[Name of Tribe\],** a federally recognized tribe, and
would like to consult directly with the Federal Aviation Administration
in a government-to-government relationship for this proposed project.

\_\_\_\_ The **\[Name of Tribe\]** has no interest associated with this
proposed project and further consultation is not required.

Use the back of this form or additional sheets if you would like to make
additional comments.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Tribal Leader (Please print) Telephone

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Tribal Leader (Signature) Date

Mail:

Phone:

Fax:

e-mail:

Other: (please describe)

If you have chosen to proceed with consultation, please identify a
Tribal Representative for the consultation.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name of Formal Tribal Representative (Please print) Telephone

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name of Formal Tribal Representative (Signature) Date

Please mail to: **XXXXXXXXXXXXXXXXXX**

Or, fax to: **XXXXXXXXXXXXXXXXX**