![](media/image1.png) AIRPORT LAYOUT PLAN CHECKLIST

***(REVISED FOR ALASKAN REGION --March 16, 2005)***

***To be used in conjunction with Advisory Circular 150/5300-13 Change
8.***

**Proposed airport improvements must be pursuant to 49 U.S.C. Section
47107 (a)(16): Utilization of Navigable Airspace must be pursuant to 49
U.S.C. 44718 and 14 CFR Part 77. All Projects depicted on the ALP are
subject to NEPA Environmental Analysis. The proposed project must meet
the conditions described in Chapter 3 of FAA Order 1050.1E and/or FAA
Order 5050.4A as appropriate.**

**• All sheets should be standard sized 22\" x 34\" (D Size).**

**• All sheets should contain title and revision blocks.**

**• All sheets shall have the FAA Airspace number shown.**

**• In the case of smaller airports, some of the following sheets may be
combined if practical and approved by FAA.**

**• Submit the final ALP with its original electronic files in a CD-ROM.
Include a copy in PDF format.**

**COMPONENTS**

**1. Narrative Report (Summarized and captured on a Standard D size
sheet)**

**2. Airport Layout Drawing**

**3. Airport Airspace (Part 77) Drawing**

**4. Inner Portion of the Approach Surface Drawing**

**5. Terminal Area Drawing (if applicable, or include a Building Table
with top building elevations within the Airport Layout Drawing)**

**6. Land Use Drawing**

**7. Airport Property Map (Exhibit A)**

**8. Declared Distances Drawing (if applicable)**

**Name of Airport:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Date of Sponsor Review:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Name of Sponsor Project Manager responsible for
ALP:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Signature of Sponsor submitting Airport Layout Plan to FAA for
review:**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Date of FAA Review: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Name of FAA Project Manager responsible for ALP:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Airspace NRA #:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

***AIRPORT LAYOUT PLAN CHECKLIST***

+------------------------------------------------+----+----+-----------+
| *Is this airport/runway an Utility runway      |    |    |           |
| (\<12,500 lb. Aircraft, ref, 14 CFR Part 77    |    |    |           |
| par. 77.2)? If yes ensure narrative and other  |    |    |           |
| ALP sheets clearly note \"Utility Runway\".*   |    |    |           |
+------------------------------------------------+----+----+-----------+
| *How does the information in the Alaska        |    |    |           |
| Supplement compare to this ALP set? If the     |    |    |           |
| information in the Supplement is not accurate, |    |    |           |
| provide 5010 update to FAA.*                   |    |    |           |
+------------------------------------------------+----+----+-----------+
| **NARRATIVE REPORT SHEET \_\_\_\_\_\_\_\_\_**  | Y  | NO | NOT       |
| (REVIEW DATE)                                  | ES |    | A         |
|                                                |    |    | PPLICABLE |
| AC 150/5300-13 Appendix 7 p. 131               |    |    |           |
+------------------------------------------------+----+----+-----------+
| Note: The Narrative Report sheet is the last   |    |    |           |
| sheet of an ALP set.                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 1\. Forecasts (0-5, 6-10, 11-20 years)         |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Total annual operations                      |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Itinerant and local operations split         |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Number based aircraft                        |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Critical Aircraft- approach speed, wingspan, |    |    |           |
| weight                                         |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Annual Operations of current critical        |    |    |           |
| aircraft                                       |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Annual Operations of future critical         |    |    |           |
| aircraft                                       |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Number enplanements                          |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Airport Reference Code- existing/ future (p. |    |    |           |
| 4)                                             |    |    |           |
+------------------------------------------------+----+----+-----------+
| 2\. Rationale for proposed development - for   |    |    |           |
| new runways discuss                            |    |    |           |
|                                                |    |    |           |
| items in paragraph 202 (p.9).                  |    |    |           |
+------------------------------------------------+----+----+-----------+
| 3\. Rationale for Non-Standard Conditions      |    |    |           |
| and/or Modifications of                        |    |    |           |
|                                                |    |    |           |
| Standards (p. 5)                               |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Equivalent Level of Safety (Appendixes 8 &   |    |    |           |
| 9)                                             |    |    |           |
+------------------------------------------------+----+----+-----------+
| 4\. Summary of staged development with         |    |    |           |
| estimated costs (CIP)                          |    |    |           |
+------------------------------------------------+----+----+-----------+
| 5\. Letters of Coordination with all levels of |    |    |           |
| Govt. units, as needed.                        |    |    |           |
+------------------------------------------------+----+----+-----------+
| 6\. Is coordination with FHWA required?        |    |    |           |
|                                                |    |    |           |
| • If yes is adequate documentation provided    |    |    |           |
+------------------------------------------------+----+----+-----------+
| 7\. Would increasing runway width be justified |    |    |           |
| for wind coverage?                             |    |    |           |
+------------------------------------------------+----+----+-----------+
| 8\. Threshold Siting Rationale (Appendix 2)    |    |    |           |
+------------------------------------------------+----+----+-----------+
| REMARKS:                                       |    |    |           |
+------------------------------------------------+----+----+-----------+

+------------------------------------------------+----+----+-----------+
| **AIRPORT LAYOUT DRAWING \_\_\_\_\_\_\_\_**    | Y  | NO | NOT       |
| (REVIEW DATE)                                  | ES |    | A         |
|                                                |    |    | PPLICABLE |
| (Scale 1\" = 200\' to 1\" = 600\') (p. 132)    |    |    |           |
+------------------------------------------------+----+----+-----------+
| 1\. North Arrow, magnetic declination and date |    |    |           |
+------------------------------------------------+----+----+-----------+
| 2\. Layout of existing and future facilities   |    |    |           |
+------------------------------------------------+----+----+-----------+
| • If interim development is planned, provide   |    |    |           |
| separate drawing to show interim dimensions    |    |    |           |
| and locations.                                 |    |    |           |
+------------------------------------------------+----+----+-----------+
| 3\. Wind Rose and coverage analysis (pp. 10,   |    |    |           |
| and 87)                                        |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Data Source and time period of data          |    |    |           |
| collection                                     |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Crosswind Coverage 10.5k, 13k, 16k and 20 k  |    |    |           |
+------------------------------------------------+----+----+-----------+
| 4\. Airport Data Table (Include English units  |    |    |           |
| to 0.1' if metric ALP)                         |    |    |           |
+------------------------------------------------+----+----+-----------+
| • ICAO and National Airport Identifiers        |    |    |           |
+------------------------------------------------+----+----+-----------+
| • FAA Site Number (See Airport Master Record)  |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Airport Elevation (MSL calculated from       |    |    |           |
| NAVD88) (p. 1)                                 |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Airport Reference Point (NAD 83 Datum) (pp.  |    |    |           |
| 1 and 107)                                     |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Mean Maximum Temperature                     |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Airport and Terminal Navaids (i.e. VOR, NDB, |    |    |           |
| ASR...)                                        |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Airport Design Group (pp. 1, 4, 5, 7 and     |    |    |           |
| 251)                                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Airport Approach Category (pp. 1, 4, 5, 7    |    |    |           |
| and 251)                                       |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Taxiway Lighting & Marking                   |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Survey Source and Type (Appendix 16 pg. 295) |    |    |           |
+------------------------------------------------+----+----+-----------+
| 5\. Runway Data Table (Include English units   |    |    |           |
| to 0.1' if metric ALP)                         |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Identify runway as "Utility" or "Other Than  |    |    |           |
| Utility"                                       |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Instrument Runway                            |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Approach Surfaces (Ratio) (see Appendix 16)  |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Visibility Minimum (V, 1 SM, ¾ SM, ½ SM, CAT |    |    |           |
| II, CAT III)                                   |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Runway Marking Type                          |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Threshold True Bearing or Azimuth to the     |    |    |           |
| nearest 0.01\" degree                          |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Magnetic Declination for 2005 and 2010 Epoch |    |    |           |
| Years (Order 8260.19C, Chapter 2, Section 5)   |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Pavement Strength (Weight Bearing Capacity,  |    |    |           |
| AC 150/5335-5)                                 |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Percentage Wind Coverage (p. 87)             |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Runway Dimensions                            |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Runway Safety Area Dimensions -- Width,      |    |    |           |
| Landing Threshold                              |    |    |           |
|                                                |    |    |           |
| and Runway End (pp. 21, 24, 25, 26 and 139)    |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Threshold or Displaced Threshold Runway      |    |    |           |
| Coordinates (NAD 83 Datum - nearest 0.01       |    |    |           |
| second)                                        |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Runway End Coordinates (NAD 83 Datum -       |    |    |           |
| nearest 0.01 second)                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Runway Touchdown Zone Elevation (Appendix 7, |    |    |           |
| 2.b.7. (a))                                    |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Runway Lighting Type                         |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Runway Protection Zone (RPZ) dimensions (In  |    |    |           |
| table & on drawing)                            |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Runway Marking Type                          |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Runway Object Free Area (ROFA) (p. 22)       |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Runway Obstacle Free Zone (OFZ), & Precision |    |    |           |
| Object Free Zone (POFZ) Dimensions (pp. 2, 21, |    |    |           |
| 22 & 139)                                      |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Runway Visual and Instrument Navaids (i.e.   |    |    |           |
| PAPI, ILS, MALSR, REIL....)                    |    |    |           |
+------------------------------------------------+----+----+-----------+

+------------------------------------------------+----+----+-----------+
| **AIRPORT LAYOUT DRAWING (continued)**         | Y  | NO | NOT       |
|                                                | ES |    | A         |
| (Scale 1\" = 200\' to 1\" = 600\')             |    |    | PPLICABLE |
+------------------------------------------------+----+----+-----------+
| 6\. Legend Tables (existing and future)        |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Airport Reference Point (ARP)                |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Buildings                                    |    |    |           |
+------------------------------------------------+----+----+-----------+
| • BRL                                          |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Fencing                                      |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Property Line                                |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Roads                                        |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Rotating Beacon                              |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Shoreline                                    |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Threshold                                    |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Trees                                        |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Topographic Contours                         |    |    |           |
+------------------------------------------------+----+----+-----------+
| • VASI or PAPI (Is PAPI pad shown on the       |    |    |           |
| drawings?)                                     |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Wind Cone/ Segmented Circle                  |    |    |           |
+------------------------------------------------+----+----+-----------+
| 7\. Non-Standard Conditions and/or             |    |    |           |
| Modification to Standards                      |    |    |           |
|                                                |    |    |           |
| Block (p. 5, appendixes 8 & 9)                 |    |    |           |
+------------------------------------------------+----+----+-----------+
| 8\. Vicinity and Location Maps                 |    |    |           |
+------------------------------------------------+----+----+-----------+
| 9\. Airport Reference Point (p. 107)           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 10\. Topographic Contours (2\' to 10\')        |    |    |           |
+------------------------------------------------+----+----+-----------+
| 11\. Elevations (nearest 1/10 of a foot,       |    |    |           |
| NAVD88 datum) (p. 132)                         |    |    |           |
+------------------------------------------------+----+----+-----------+
| 12\. Building Restriction Line (BRL) and       |    |    |           |
| associated Part 77 height at                   |    |    |           |
|                                                |    |    |           |
| the BRL (pp. 1 & 12)                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 13\. Runway Visibility Zone (if not on Land    |    |    |           |
| Use Drawing) (p. 56)                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 14\. Runway Dimensions (length & width) pp.21, |    |    |           |
| 24, 25, 26 and AC                              |    |    |           |
|                                                |    |    |           |
| 150/5325-4                                     |    |    |           |
+------------------------------------------------+----+----+-----------+
| 15\. Runway Orientation (runway numbers)       |    |    |           |
+------------------------------------------------+----+----+-----------+
| 16\. Runway Threshold Lights                   |    |    |           |
+------------------------------------------------+----+----+-----------+
| 17\. Runway Safety Areas                       |    |    |           |
+------------------------------------------------+----+----+-----------+
| 18\. Runway Stage Lengths (existing and        |    |    |           |
| future, discuss interim in                     |    |    |           |
|                                                |    |    |           |
| narrative report)                              |    |    |           |
+------------------------------------------------+----+----+-----------+
| 19\. Runway End Coordinates (may be in Runway  |    |    |           |
| Data Table)                                    |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Key RW Stationing is shown (TW & RW          |    |    |           |
| intersections,                                 |    |    |           |
|                                                |    |    |           |
| p.132)                                         |    |    |           |
+------------------------------------------------+----+----+-----------+
| 20\. Displaced Threshold Coordinates           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 21\. Monuments (survey monuments & markers)    |    |    |           |
+------------------------------------------------+----+----+-----------+
| 22\. Object Free Area (OFA) (pp. 2, 22,24-26 & |    |    |           |
| 139)                                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 23\. Runway Obstacle Free Zone (OFZ), &        |    |    |           |
| Precision Object Free Zone                     |    |    |           |
|                                                |    |    |           |
| (POFZ) Dimensions (pp. 2, 21, 22 & 139)        |    |    |           |
+------------------------------------------------+----+----+-----------+
| 24\. Runway Separations (OFZ may increase      |    |    |           |
| standard)(pp. 12, 14-16)                       |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Aircraft Parking                             |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Building Restriction Line                    |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Parallel Runway                              |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Parallel Taxiway/ Taxilane                   |    |    |           |
+------------------------------------------------+----+----+-----------+
| 25\. Taxiway Dimensions (length & width) (p.   |    |    |           |
| 33)                                            |    |    |           |
+------------------------------------------------+----+----+-----------+
| 26\. Taxiway Separations (pp. 33 & 141)        |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Aircraft Parking                             |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Parallel Taxiway                             |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Runway Centerline                            |    |    |           |
+------------------------------------------------+----+----+-----------+
| 27\. Taxiway Object Free Area (pp 2, 33, 141)  |    |    |           |
+------------------------------------------------+----+----+-----------+
| 28\. Taxiway Safety Area Dimension (pp. 3, 33, |    |    |           |
| 142)                                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 29\. Aprons- locations and dimensions (p. 117) |    |    |           |
+------------------------------------------------+----+----+-----------+
| 30\. Compass Calibration Pad, 300-foot         |    |    |           |
| critical area and last                         |    |    |           |
|                                                |    |    |           |
| calibration date (Appendix 4)                  |    |    |           |
+------------------------------------------------+----+----+-----------+
| 31\. Roads (pp. 23, 123)                       |    |    |           |
+------------------------------------------------+----+----+-----------+
| 32\. Building Tables                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 33\. Location and Vicinity Maps                |    |    |           |
+------------------------------------------------+----+----+-----------+
| 34\. Hold Position Signs and Markings (p. 134) |    |    |           |
+------------------------------------------------+----+----+-----------+
| 35\. Statement "NO THRESHOLD SITING SURFACE "  |    |    |           |
| Reference the                                  |    |    |           |
|                                                |    |    |           |
| applicable Appendix 2 paragraph (p. 101 and    |    |    |           |
| 133)                                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 38\. Statement "NO OFZ OBJECT PENETRATIONS"    |    |    |           |
| (p. 133)                                       |    |    |           |
+------------------------------------------------+----+----+-----------+
| 39\. FAA Airspace Review number is shown on    |    |    |           |
| each ALP sheet.                                |    |    |           |
+------------------------------------------------+----+----+-----------+

+------------------------------------------------+---+----+-----------+
| **AIRPORT AIRSPACE DRAWING \_\_\_\_\_\_\_**    | Y | NO | NOT       |
| (REVIEW DATE)                                  | E |    | A         |
|                                                | S |    | PPLICABLE |
| (Part 77) Scale 1\"= 2000\' plan view, 1\"=    |   |    |           |
| 1000\' approach profile                        |   |    |           |
+------------------------------------------------+---+----+-----------+
| **ENGLISH UNITS [ONLY]{.underline} FOR THIS    |   |    |           |
| SHEET.**                                       |   |    |           |
+------------------------------------------------+---+----+-----------+
| 1\. Plan View (based on ultimate runway        |   |    |           |
| lengths)                                       |   |    |           |
+------------------------------------------------+---+----+-----------+
| • USGS Quad for base map                       |   |    |           |
+------------------------------------------------+---+----+-----------+
| • Runway End Numbers                           |   |    |           |
+------------------------------------------------+---+----+-----------+
| • 50\' elevation contours on sloping surfaces  |   |    |           |
| (NAVD88 datum)                                 |   |    |           |
+------------------------------------------------+---+----+-----------+
| • Top Elevations of Penetrating Objects (add   |   |    |           |
| note for penetrations located within the inner |   |    |           |
| portion of the approach surfaces, p. 135)      |   |    |           |
+------------------------------------------------+---+----+-----------+
| • Note specifying height restriction           |   |    |           |
| (ordinances/statutes) (p. 135)                 |   |    |           |
+------------------------------------------------+---+----+-----------+
| 2\. Profile View (existing & ultimate          |   |    |           |
| approaches)                                    |   |    |           |
+------------------------------------------------+---+----+-----------+
| • Ground profile                               |   |    |           |
+------------------------------------------------+---+----+-----------+
| • Significant Objects (Bluffs, Rivers, Roads,  |   |    |           |
| Schools, Towers)                               |   |    |           |
+------------------------------------------------+---+----+-----------+
| • Existing & Ultimate Runway Ends and Approach |   |    |           |
| Slopes                                         |   |    |           |
+------------------------------------------------+---+----+-----------+
| 3\. Obstruction Data Tables                    |   |    |           |
+------------------------------------------------+---+----+-----------+
| • Obstruction Identification Number            |   |    |           |
+------------------------------------------------+---+----+-----------+
| • Description                                  |   |    |           |
+------------------------------------------------+---+----+-----------+
| • Amount of Surface Penetration                |   |    |           |
+------------------------------------------------+---+----+-----------+
| • Proposed Disposition of the Obstruction      |   |    |           |
+------------------------------------------------+---+----+-----------+

+------------------------------------------------+----+----+-----------+
| **INNER PORTION OF THE APPROACH SURFACE        | Y  | NO | NOT       |
| DRAWING**                                      | ES |    | A         |
|                                                |    |    | PPLICABLE |
| (Pp. 2, 13, 19, 20, 134, 135 and 140)          |    |    |           |
|                                                |    |    |           |
| Scale 1\"=200\' Horizontal, 1\"=20\' Vertical  |    |    |           |
+------------------------------------------------+----+----+-----------+
|                                                |    |    |           |
+------------------------------------------------+----+----+-----------+
| 1\. Plan View (Existing & Ultimate)            |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Inner Portion of approach                    |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Aerial Photo for base map when available     |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Obstructions (identified by numbers)         |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Property Line within the approaches          |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Road & Railroad (RR) Elevations              |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Physical End of RWY, End Number, Elevation   |    |    |           |
| (NAVD88)                                       |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Ground Contours                              |    |    |           |
+------------------------------------------------+----+----+-----------+
| 2\. Profile View                               |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Projected View of Plan View                  |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Approach Surface                             |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Terrain in Extended RWY Safety Area (fences, |    |    |           |
| streams, etc.)                                 |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Obstructions (same numbers as plan view)     |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Touchdown zone elevation (highest point in   |    |    |           |
| first 3,000 of RWY)                            |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Cross Section of Road & Railroad             |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Part 77 Approach Surface - Does it start at  |    |    |           |
| threshold? (p. 133)                            |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Location of waste facilities (label)         |    |    |           |
+------------------------------------------------+----+----+-----------+
| 3\. Obstruction Tables for each approach       |    |    |           |
| surface                                        |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Obstruction Identification Number            |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Description                                  |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Amount of Surface Penetration                |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Proposed Disposition of the Obstruction      |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Obstruction Clearance Slope (FAA Order       |    |    |           |
| 5010.4, Appendix 1, paragraph 57).             |    |    |           |
+------------------------------------------------+----+----+-----------+

+------------------------------------------------+----+----+-----------+
| **TERMINAL AREA DRAWING \_\_\_\_\_\_\_\_**     | Y  | NO | NOT       |
| (REVIEW DATE)                                  | ES |    | A         |
|                                                |    |    | PPLICABLE |
| Scale 1\" = 50\' to 1\" = 100\'                |    |    |           |
+------------------------------------------------+----+----+-----------+
| 1\. Plan View of Aprons, Buildings, Hangars,   |    |    |           |
| Parking Lots                                   |    |    |           |
+------------------------------------------------+----+----+-----------+
| 2\. Building Data Table                        |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Structure Identification Number              |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Top Elevation of Structures                  |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Obstruction Marking (existing/future)        |    |    |           |
+------------------------------------------------+----+----+-----------+
| 3\. Buildings to be Removed or Relocate d      |    |    |           |
| noted                                          |    |    |           |
+------------------------------------------------+----+----+-----------+

+------------------------------------------------+----+----+-----------+
| **DECLARED DISTANCES DWG \_\_\_\_\_\_\_**      | Y  | NO | NOT       |
| (REVIEW DATE)                                  | ES |    | A         |
|                                                |    |    | PPLICABLE |
| (Page 1 & Appendix 14, pages 275 - 282)        |    |    |           |
|                                                |    |    |           |
| Scale same as Airport Layout Drawing           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 1\. Clearway Identified (500' x 1000' on a     |    |    |           |
| 1.25% plane or 80:1 slope)                     |    |    |           |
+------------------------------------------------+----+----+-----------+
| 2\. Stopway Identified                         |    |    |           |
+------------------------------------------------+----+----+-----------+
| 3\. Displaced Threshold identified             |    |    |           |
+------------------------------------------------+----+----+-----------+
| 4\. Relocated Threshold identified             |    |    |           |
+------------------------------------------------+----+----+-----------+
| 5\. End Coordinates of each threshold          |    |    |           |
+------------------------------------------------+----+----+-----------+
| 6\. Declared Distances Table                   |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Takeoff Run Available (TORA)                 |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Takeoff Distance Available (TODA)            |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Accelerated Stop Distance Available (ASDA)   |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Landing Distance Available (LDA)             |    |    |           |
+------------------------------------------------+----+----+-----------+
| • All RPZ dimensions                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 7\. Runway Safety Area                         |    |    |           |
+------------------------------------------------+----+----+-----------+
| 8\. Runway Object Free Area (ROFA) & Precision |    |    |           |
| Object Free Area (POFA)                        |    |    |           |
+------------------------------------------------+----+----+-----------+
| 9\. Approach RPZ                               |    |    |           |
+------------------------------------------------+----+----+-----------+
| 10\. Departure RPZ                             |    |    |           |
+------------------------------------------------+----+----+-----------+
| NOTIFICATION to Alaska Supplement (5010        |    |    |           |
| Update) done?                                  |    |    |           |
+------------------------------------------------+----+----+-----------+

LAND USE / PROPERTY & OCCUPANCY PLANS

+------------------------------------------------+----+----+-----------+
| **LAND USE DRAWING** (pp.137 - 138)            | Y  | NO | NOT       |
|                                                | ES |    | A         |
| Scale same as ALP Drawing. (Provide English    |    |    | PPLICABLE |
| units if metric ALP)                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 1\. Plan View of Land Uses by Category         |    |    |           |
| (Agricultural, Aeronautical, Commercial,       |    |    |           |
| Residential, etc.)                             |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Land Use Legend is provided                  |    |    |           |
+------------------------------------------------+----+----+-----------+
| 2\. Public Facilities (schools, hospitals,     |    |    |           |
| parks, etc.)                                   |    |    |           |
+------------------------------------------------+----+----+-----------+
| 3\. Runway Visibility Zones for Intersecting   |    |    |           |
| Runways                                        |    |    |           |
+------------------------------------------------+----+----+-----------+
| 4\. Show off airport property out to 65 LDN    |    |    |           |
| (p.136 a.)                                     |    |    |           |
+------------------------------------------------+----+----+-----------+
| 5\. Drawing Details - show Aprons, BRL,        |    |    |           |
| Property Boundary, Runways, Taxiways, RPZs &   |    |    |           |
| Navaids                                        |    |    |           |
+------------------------------------------------+----+----+-----------+

+------------------------------------------------+----+----+-----------+
| **AIRPORT PROPERTY MAP (EXHIBIT A)** (pp. 136  | Y  | NO | NOT       |
| -137 & Order 5100-17 page 1-2)                 | ES |    | A         |
|                                                |    |    | PPLICABLE |
| Scale same as ALP Drawing. (Provide English    |    |    |           |
| units if metric ALP)                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 1\. Plan View showing Tracts and Parcels of    |    |    |           |
| Land                                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 2\. Legend - symbols indicating type of        |    |    |           |
| monumentation                                  |    |    |           |
+------------------------------------------------+----+----+-----------+
| 3\. Data Table (Property Status)               |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Number or Letter and area for each tract /   |    |    |           |
| parcel                                         |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Date Property was acquired or property       |    |    |           |
| status                                         |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Federal Aid Project \# under which property  |    |    |           |
| was acquired                                   |    |    |           |
+------------------------------------------------+----+----+-----------+
| • Grantor of property                          |    |    |           |
+------------------------------------------------+----+----+-----------+
| 4\. Distances and drawing scale (Meanders,     |    |    |           |
| line and curve data)                           |    |    |           |
+------------------------------------------------+----+----+-----------+
| 5\. Township / Range Meridian and vicinity map |    |    |           |
| is shown                                       |    |    |           |
+------------------------------------------------+----+----+-----------+
| 6\. US Survey is shown when available          |    |    |           |
+------------------------------------------------+----+----+-----------+
| 7\. Sponsor surveyor certification             |    |    |           |
+------------------------------------------------+----+----+-----------+
| 8\. Revision Block                             |    |    |           |
+------------------------------------------------+----+----+-----------+
| 9\. Approval Blocks (design and ROW)           |    |    |           |
+------------------------------------------------+----+----+-----------+

  ------------------------------------------------ ----- ---- ------------
  **LAND OCCUPANCY DRAWING - Is one required?      YES   NO   NOT
  Check with FAA Airport Planner** (Provide                   APPLICABLE
  English units if metric ALP)                                

  1\. Plan View indicating Lease Lot Locations                

  2\. Reference lines showing distance right or               
  left of runway centerline including the Building            
  Restriction Line (BRL)                                      

  3\. Stationing for runway thresholds, safety                
  areas, taxiway, aprons, runway intersections and            
  at least one station per lease blocks.                      

  4\. Stationing every 500' on the runway, with               
  tick marks every 100'                                       

  5\. Runway true bearing, length and width                   

  6\. RPZ dimensions and airport boundary                     

  7\. Airport boundary, buildings, towers,                    
  navaids, streams, lakes, ponds, roads, utilities            
  (power lines, fuel tanks, water & sewer lines)              

  8\. Land Occupancy Block showing lessee, ADA#,              
  square footage, and expiration date of lease                

  9\. Revision Block                                          

  10\. Signature Blocks for DOT&PF                            
  ------------------------------------------------ ----- ---- ------------