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JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 4, 1997
Philip Brito, Manager
New York Airports District Office
USDOT -FAA
600 Old Country Road, Suite 446
Garden City, New York 11530
Dear Mr. Brito:
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
Enclosed is one executed copy of the Master Agreement on Terms and
Conditions of Accepting Airport Improvement Program Grants.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Enclosure
-cc: Fishers Island Ferry District
Accounting E Finance
JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE
SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON SEPTEMBER 2, 1997:
RESOLVED that the Town Board of the Town of Southold hereby authorizes
and directs Supervisor Jean W. Cochran to execute a Master Agreement on
Terms and Conditions of Accepting Airport Improvement Program Grants,
as required by the U.S. Department of Transportation, Federal Aviation
Administration, for incorporation into every Grant Agreement for Elizabeth
Field, Fishers Island, New York; said agreement all in accordance with the
approval of the Town Attorney.
Judith T. Terry
Southold Town Clerk
September 3, 1997
0
U. S. Department
of Transportation
Federal Aviation
Administration
Mrs. Jean W. Cocharn
Supervisor, Town of Southhold
Main Road
Southhold, NY 11971
Dear Mrs. Cocharn:
RE: Airport Improvement Program
Master Agreement
New York Airports District Office
600 Old Country Rd, Suite 446
Garden City, New York 11530
Telephone: 516-227-3800
Fax: 516-227-3813
August 22, 1997
In an effort to reduce the volume and redundancy of
paperwork and to increase the effectiveness and efficiency
of Airport Improvement Program grant process we are revising
the grant application and grant offer process and
introducing the AIP grant Master Agreement.
A Master Agreement will be established between each sponsor
and the FAA. The Master Agreement will contain the grant
assurances, general conditions and typical special
conditions previously included in each grant agreement,
thereby eliminating the need to attach them to every grant
agreement.
The Master Agreement will be incorporated into every Grant
Agreement by reference.
Enclosed are two (2) copies of the Master Agreement. Please
sign each copy of the Master Agreement acknowledging
acceptance, and return one copy to this office.
91 �' 27
X946. 1996
Celebrating 50 Years of Airport Development
.. ... .
Any future revisions to the Master Agreement will likewise
require your signed acceptance. Only grant agreements
executed subsequent to the revision will incorporate the
revision. We therefore, recommend that you safely retain the
Master Agreement and any revisions to it.
New Grant Offers will not be forwarded until we have a
signed Master Agreement in this office.
As stated above, changes are also being made with the grant
application. From now on only one copy of the grant
application is to be submitted. As with the Master
Agreement, the grant application will be incorporated into
the grant agreement by reference.
The grant application shall include only the following
documents:
■ a standard Form 424,
■ a project description,or program narrative
■ a cost breakdown by project description, i.e.
taxiway overlay, apron expansion, etc.
■ a cost breakdown using Part III Budget Page(s),
■ a sketch of the work to be contained in the grant if
not already provided in the ACIP package
■ An Exhibit "A" property map if there has been a
change in land interest since the last grant or if
the application includes property acquisition, and
■ evidence of the intergovernmental review
coordination, if not included with the ACIP package
Also attached are some
application.
sample forms for the grant
1*1
You will also notice some changes in the Grant Offer as we
issue them.
We trust that these changes will facility all of our efforts
in the AIP grant process.
Sincerely,
PhilipB ito
Manager, New York Airports District Office
01
April10, 1997
U. S. Department SPONSOR: Town of Southhold, New York
of Transportation AIRPORT: Elizabeth Field, Fishers Island, NY
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Administration
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This document contains the terms and conditions of accepting Airport Improvement Program (AIP) grants from the Federal Aviation
Administration (FAA) for the purpose of carrying out the provisions of Title 49, United States Code. These terms and conditions become
applicable when the sponsor accepts a Grant Offer from the FAA that references this document. The terms and conditions may be
unilaterally amended by the FAA, by notification in writing, and such amendment will only apply to grants accepted after notification.
DEFINITIONS
A. Sponsor - An agency that is legally, financially, and otherwise able to assume and carry out the certifications, representations,
warranties, assurances, covenants and other obligations required in this document and in the accepted Grant Agreement.
B. Project - Work as identified in the Grant Agreement.
C. Primary Airport - a commercial service airport the Secretary of Transportation determines to have more than 10,000 passenger
boardings each year.
II. GENERAL CONDITIONS
A. The allowable costs of the project shall not include any costs determined by the FAA to be ineligible for consideration under the Title
49 U.S.C..
B. Payment of the United States' share of the allowable project costs will be made pursuant to and in accordance with the provisions
of such regulations and procedures as the Secretary shall prescribe. Final determination of the United States' share will be based
upon the final audit of the total amount of allowable project costs, and settlement will be made for any upward or downward
adjustments to the Federal share of costs.
C. The Sponsor shall carry out and complete the Project without undue delays and in accordance with the terms hereof, and such
regulations and procedures as the Secretary shall prescribe.
D. The FAA reserves the right to amend or withdraw a grant offer at any time prior to its acceptance by the Sponsor.
E. A grant offer will expire, and the United States shall not be obligated to pay any part of the costs of the project unless the grant
offer has been accepted by the Sponsor on or before 60 days after the grant offer but no later than September 30 of the federal
fiscal year the grant offer was made, or such subsequent date as may be prescribed in writing by the FAA.
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING, AIRPORT IMPROVEMENT PROGRAM GRANT
April 10, 1997
The Sponsor shall take all steps, including litigation if necessary, to recover Federal funds spent fraudulently, wastefully, or in
violation of Federal antitrust statutes, or misused in any manner in any project upon which Federal funds have been expended. For
the purposes of this grant agreement, the term "Federal funds" means funds however used or disbursed by the Sponsor that were
originally paid pursuant to this or any other Federal grant agreement. It shall obtain the approval of the Secretary as to any
determination of the amount of the Federal share of such funds. It shall return the recovered Federal share, including funds
recovered by settlement, order or judgment, to the Secretary. It shall furnish to the Secretary, upon request, all documents and
records pertaining to the determination of the amount of the Federal share or to any settlement, litigation, negotiation, or other
efforts taken to recover such funds. All settlements or other final positions of the Sponsor, in court or otherwise, involving the
recovery of such Federal share shall be approved in advance by the Secretary.
G. The United States shall not be responsible or liable for damage to property or injury to persons which may arise from, or be incident
to, compliance with a grant agreement.
If, during the life of the project, the FAA determines that a grant amount exceeds the expected needs of the Sponsor by $5,000 or
five percent (5%), whichever is greater, a grant amount can be unilaterally reduced by letter from FAA advising of the budget
change. Conversely, with the exception of planning projects, if there is an overrun in the eligible project costs, FAA may increase a
grant for an airport development project to cover the amount of the overrun not to exceed 15% percent of the original grant amount.
For a grant for non•primary airports to acquire an interest in land, the FAA may increase the grant amount by not more than the
greater of the following, based on current creditable appraisals or a court award in a condemnation proceeding , (1) 15% percent of
the original grant amount or (2) 25% percent of the total increase in allowable project costs attributable to acquiring an interest in
land. FAA will advise the Sponsor by letter of the increase. Planning projects will not be increased above the planning portion of the
maximum obligation of the United States shown in the grant agreement. Upon issuance of either of the aforementioned letters, the
maximum obligation of the United States is adjusted to the amount specified. In addition, the Sponsor's officially designated
representative, is authorized to request FAA concurrence in revising the project description and grant amount within statutory
limitations. A letter from the FAA concurring in the said requested revision to the project work description and grant amount shall
constitute an amendment to a Grant Agreement.
I. If requested by the Sponsor and authorized by the FAA, the letter of credit method of payment may be used. It is understood and
agreed that the sponsor agrees to request cash withdrawals on the letter of credit only when actually needed for its disbursements
and to timely reporting of such disbursements as required. It is understood that failure to adhere to this provision may cause the
letter of credit to be revoked.
J. Unless otherwise approved by the FAA, the Sponsor will not acquire or permit any contractor or subcontractor to acquire any steel
or manufactured products produced outside the United States to be used for any project for airport development or noise
compatibility for which funds are provided under this grant. The sponsor will include in every contract a provision implementing this
condition.
K.. It is understood and agreed by and between the parties hereto that the Sponsor shall complete this project to provide a safe and
usable unit.
L.. It is understood and agreed by and between the parties hereto that the typewritten description of airport development appearing in
Item 11 of the Project Application is hereby deleted and the typewritten description of airport development appearing on Page 1 of
the Grant Offer is substituted in its place and stead..
M. Private sponsors shall provide, when requested by the FAA, for an audit of the project to be made at the completion of the grant
objective in accordance with accepted standard audit practices. Two copies of that audit shall be forwarded to the FAA. Airports
District Office.
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MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM GRANTS
April 10, 1997
III. ASSURANCES
A. General.
These assurances shall be complied with in the performance of grant agreements for airport development, airport
planning, and noise compatibility program grants for airport sponsors.
2. These assurances are required by sponsors requesting funds under the provisions of Title 49, U.S.C., subtitle VII, as
amended. As used herein, the term "public agency sponsor" means a public agency with control of a public -use
airport; the term "private sponsor" means a private owner of a public -use airport; and the term "sponsor" includes
both public agency sponsors and private sponsors.
3. Upon acceptance of the grant offer by the sponsor, these assurances are incorporated in and become part of the
grant agreement.
B. Duration and Applicability.
Airport development or Noise Compatibility Program Projects Undertaken by a Public Agency Sponsor. The terms,
conditions and assurances of the grant agreement shall remain in full force and effect throughout the useful life of
the facilities developed or equipment acquired for an airport development or noise compatibility program project, or
throughout the useful life of the project items installed within a facility under a noise compatibility program project,
but in any event not to exceed twenty (20) years from the date of acceptance of a grant offer of Federal funds for
the project. However, there shall be no limit on the duration of the assurance against exclusive rights or the terms,
conditions and assurances with respect to real property acquired with Federal funds. Furthermore, the duration of
the Civil Rights assurance shall be specified in the assurances.
Airport Development or Noise Compatibility Projects Undertaken by a Private Sponsor. The preceding paragraph 1
also applies to a private sponsor except that the useful life of project items installed within a facility or the useful
life of the facilities developed or equipment acquired under an airport development or noise compatibility program
project shall be no less than ten (10) years from the date of acceptance of Federal aid for the project.
Airport Planning Undertaken by a Sponsor. Unless otherwise specified in the grant agreement, only Assurances 1, 2,
3, 5, 6, 13, 18, 30, 32, 33, and 34 in section C apply to planning projects. The terms, conditions, and assurances of
the grant agreement shall remain in full force and effect during the life of the project.
C. Sponsor Certification. The sponsor hereby assures and certifies, with respect to this grant that:
General Federal Requirements. It will comply with all applicable Federal laws, regulations, executive orders, policies,
guidelines, and requirements as they relate to the application, acceptance and use of Federal funds for this project
including but not limited to the following:
Federal Legislation
a. Title 49, U.S.C., subtitle VII, as amended.
b. Davis -Bacon Act - 40 U.S.C. 276(a), et sea.1
C. Federal Fair Labor Standards Act - 29 U.S.C. 201, et sea.
d. Hatch Act - 5 U.S.C. 1501, etsea.2
e. Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 - 42 U.S.C.
4601, et sea.1 2
f. National Historic Preservation Act of 1966 - Section 106. 16 U.S.C. 470(f).1
g. Archeological and Historic Preservation Act of 1974. 16 U.S.C. 469 through 469c.1
h. Flood Disaster Protection Act of 1973 - Section 102(a) - 42 U.S.C. 4012a.
i. Rehabilitation Act of 1973.29 U.S.C. 794.
j. Civil Rights Act of 1964 - Title VI.42 U.S.C. 2000d through d-4.
3
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM GRANTS
April 10, 1997
k. Age Discrimination Act of 1975.42 U.S.C. 6101, et sea.
I. Architectural Barriers Act of 1968.42 U.S.C. 4151, et sea.1
M. Powerplant and Industrial Fuel Use Act of 1978 - Section 403.2 U.S.C. 8373.1
n. Contract Work Hours and Safety Standards Act - 40 U.S.C. 327, et sea.►
o. Copeland Antikickback Act -18 U.S.C. 874.1
P. National Environmental Policy Act of 1969.42 U.S.C. 4321, et sea.1
q. Endangered Species Act -16 U.S.C. 668(a), e1=1
r. Single Audit Act of 1984 - 31 U.S.C. 7501, et sea.2
S. Drug -Free Workplace Act of 1988.41 U.S.C. 702 through 706.
Executive Orders
Executive Order 12372 - Intergovernmental Review of Federal Programs.
Executive Order 11246 - Equal Employment Opportunityl
Executive Order 12699 - Seismic Safety of Federal and Federally Assisted New Building Construction)
Federal Regulations
a. 49 CFR Part 18 - Uniform administrative requirements for grants and cooperative agreements
to state and local governments.3
b. 49 CFR Part 21 - Nondiscrimination in federally -assisted programs of the Department of
Transportation - effectuation of Title VI of the Civil Rights Act of 1964.
C. 49 CFR Part 23 - Participation by minority business enterprise in Department of Transportation
programs.
d. 49 CFR Part 24 - Uniform relocation assistance and real property acquisition for Federal and
federally assisted programs.) 2
e. 49 CFR Part 27 - Nondiscrimination on the basis of handicap in programs and activities
receiving or benefitting from Federal financial assistance.)
f. 49 CFR Part 29 - Governmentwide debarment and suspension (non -procurement) and
governmentwide requirements for drug-free workplace (grants).
g. 49 CFR Part 30 - Denial of public works contracts to suppliers of goods and services of
countries that deny procurement market access to U.S. contractors.
h. 29 CFR Part 1 - Procedures for predetermination of wage rates.)
i. 29 CFR Part 3 - Contractors and subcontractors on public building or public work financed in
whole or part by loans or grants from the United States.)
j. 29 CFR Part 5 - Labor standards provisions applicable to contracts covering federally financed
and assisted construction (also labor standards provisions applicable to nonconstruction
contracts subject to the Contract Work Hours and Safety Standards Act).1
k. 41 CFR Part 60 - Office of Federal Contract Compliance Programs, Equal Employment
Opportunity, Department of Labor (Federal and federally assisted contracting requirements).)
I. 14 CFR Part 150 - Airport noise compatibility planning.
M. 49 CFR Part 41 - Seismic safety of Federal and federally assisted or regulated new building
construction.)
n. 49 CFR Part 20 - New restrictions on lobbying.
Office of Management and Budget Circulars
a. A-87 - Cost Principles Applicable to Grants and Contracts with State and Local Governments.
b A-128 - Audits of State and Local Governments.
1 These laws do not apply to airport planning sponsors.
2 These laws do not apply to private sponsors.
3 49 CFR Part 18 and OMB Circular A-87 contain requirements for State and Local
Governments receiving Federal assistance. Any requirement levied upon State and Local
Governments by this regulation and circular shall also be applicable to private sponsors
receiving Federal assistance under the Airport and Airway Improvement Act of 1982, as
amended.
4
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM GRANTS
April 10, 1997
Specific assurances required to be included in grant agreements by any of the above laws, regulations or circulars
are incorporated by reference in the grant agreement.
2. Responsibility and Authority of the Sponsor.
a. Public Agency Sponsor: It has legal authority to apply for the grant, and to finance and carry
out the proposed project; that a resolution, motion or similar action has been duly adopted or
passed as an official act of the applicant's governing body authorizing the filing of the
application, including all understandings and assurances contained therein, and directing and
authorizing the person identified as the official representative of the applicant to act in
connection with the application and to provide such additional information as may be required.
b. Private Sponsor: It has legal authority to apply for the grant and to finance and carry out the
proposed project and comply with all terms, conditions, and assurances of this grant
agreement. It shall designate an official representative and shall in writing direct and authorize
that person to file an application, including all understandings and assurances contained
therein; to act in connection with this application; and to provide such additional information as
may be required.
3. Sponsor Fund Availability. It has sufficient funds available for that portion of the project costs which are not to be
paid by the United States. It has sufficient funds available to assure operation and maintenance of items funded
under the grant agreement which it will own or control.
4. Good Title.
a. It holds good title, satisfactory to the Secretary, to the landing area of the airport or site
thereof, or will give assurance satisfactory to the Secretary that good title will be acquired.
b. For noise compatibility program projects to be carried out on the property of the sponsor, it
holds good title satisfactory to the Secretary to that portion of the property upon which
Federal funds will be expended or will give assurance to the Secretary that good title will be
obtained.
5. Preserving Rights and Powers.
a. It will not take or permit any action which would operate to deprive it of any of the rights and
powers necessary to perform any or all of the terms, conditions, and assurances in the grant
agreement without the written approval of the Secretary, and will act promptly to acquire,
extinguish or modify any outstanding rights or claims of right of others which would interfere
with such performance by the sponsor. This shall be done in a manner acceptable to the
Secretary.
b. It will not sell, lease, encumber, or otherwise transfer or dispose of any part of its title or other
interests in the property shown on Exhibit A to this application or, for a noise compatibility
program project, that portion of the property upon which Federal funds have been expended, for
the duration of the terms, conditions, and assurances in the grant agreement without approval
by the Secretary. If the transferee is found by the Secretary to be eligible under the Airport
and Airway Improvement Act of 1982 to assume the obligations of the grant agreement and to
have the power, authority, and financial resources to carry out all such obligations, the sponsor
shall insert in the contract or document transferring or disposing of the sponsor's interest, and
make binding upon the transferee all of the terms, conditions, and assurances contained in this
grant agreement.
.1
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM GRANT
April 10, 1997
C. For all noise compatibility program projects which are to be carried out by another unit of local
government or are on property owned by a unit of local government other than the sponsor, it
will enter into an agreement with that government. Except as otherwise specified by the
Secretary, that agreement shall obligate that government to the same terms, conditions, and
assurances that would be applicable to it if it applied directly to the FAA for a grant to
undertake the noise compatibility program project. That agreement and changes thereto must
be satisfactory to the Secretary. It will take steps to enforce this agreement against the local
government if there is substantial non-compliance with the terms of the agreement.
d. For noise compatibility program projects to be carried out on privately owned property, it will
enter into an agreement with the owner of that property which includes provisions specified by
the Secretary. It will take steps to enforce this agreement against the property owner
whenever there is substantial non-compliance with the terms of the agreement.
e. If the sponsor is a private sponsor, it will take steps satisfactory to the Secretary to ensure
that the airport will continue to function as a public -use airport in accordance with these
assurances for the duration of these assurances.
If an arrangement is made for management and operation of the airport by any agency or
person other than the sponsor or an employee of the sponsor, the sponsor will reserve
sufficient rights and authority to insure that the airport will be operated and maintained in
accordance with the Airport and Airway Improvement Act of 1982, the regulations and the
terms, conditions and assurances in the grant agreement and shall insure that such
arrangement also requires compliance therewith.
6. Consistency with Local Plans. The project is reasonably consistent with plans (existing at the time of submission of
this application) of public agencies that are authorized by the State in which the project is located to plan for the
development of the area surrounding the airport. For noise compatibility program projects, other than land
acquisition, to be carried out on property not owned by the airport and over which property another agency has land
use control or authority, the sponsor shall obtain from each such agency a written declaration that such agency
supports that project and the project is reasonably consistent with the agency's plans regarding the property.
Consideration of Local Interest. It has given fair consideration to the interest of communities in or near where the
project may be located.
Consultation with Users. In making a decision to undertake any airport development project under the Airport and
Airway Improvement Act of 1982, it has undertaken reasonable consultations with affected parties using the airport
at which project is proposed.
9. Public Hearings. In projects involving the location of an airport, an airport runway, or a major runway extension, it
has afforded the opportunity for public hearings for the purpose of considering the economic, social, and
environmental effects of the airport or runway location and its consistency with goals and objectives of such
planning as has been carried out by the community and it shall, when requested by the Secretary, submit a copy of
the transcript of such hearings to the Secretary. Further, for such projects, it has on its management board either
voting representation from the communities where the project is located or has advised the communities that they
have the right to petition the Secretary concerning a proposed project.
9
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM GRANTS
April 10, 1997
10. Air and Water Duality Standards. In projects involving airport location, a major runway extension, or runway
location it will provide for the Governor of the state in which the project is located to certify in writing to the
Secretary that the project will be located, designed, constructed, and operated so as to comply with applicable air
and water quality standards. In any case where such standards have not been approved and where applicable air
and water quality standards have been promulgated by the Administrator of the Environmental Protection Agency,
certification shall be obtained from such Administrator. Notice of certification or refusal to certify shall be provided
within sixty days after the project application has been received by the Secretary.
11. Pavement Preventive Maintenance. With respect to a project approved after January 1, 1995, for the replacement
or reconstruction of pavement at the airport, it assures or certifies that it has implemented an effective airport
pavement maintenance -management program and it assures that it will use such program for the useful life of any
pavement constructed, reconstructed or repaired with Federal financial assistance at the airport. It will provide such
reports on pavement condition and pavement management programs as the Secretary determines may be useful.
12. Terminal Development Prerequisites. For projects which include terminal development at a public airport, it has, on
the date of submittal of the project grant application, all the safety equipment required for certification of such
airport under section 612 of the Federal Aviation Act of 1958 and all the security equipment required by rule or
regulation, and has provided for access to the passenger enplaning and deplaning area of such airport to passengers
enplaning and deplaning from aircraft other than air carrier aircraft.
13. Accounting System, Audit, and Recordkeeping Requirements.
a. It shall keep all project accounts and records which fully disclose the amount and disposition by
the recipient of the proceeds of the grant, the total cost of the project in connection with
which the grant is given or used, and the amount or nature of that portion of the cost of the
project supplied by other sources, and such other financial records pertinent to the project. The
accounts and records shall be kept in accordance with an accounting system that will facilitate
an effective audit in accordance with the Single Audit Act of 1984.
b. It shall make available to the Secretary and the Comptroller General of the United States, or
any of their duly authorized representatives, for the purpose of audit and examination, any
books, documents, papers, and records of the recipient that are pertinent to the grant. The
Secretary may require that an appropriate audit be conducted by a recipient. In any case in
which an independent audit is made of the accounts of a sponsor relating to the disposition of
the proceeds of a grant or relating to the project in connection with which the grant was given
or used, it shall file a certified copy of such audit with the Comptroller General of the United
States not later than six (6) months following the close of the fiscal year for which the audit
was made.
14. Minimum Wage Rates. It shall include, in all contracts in excess of $2,000 for work on any projects funded under
the grant agreement which involve labor, provisions establishing minimum rates of wages, to be predetermined by
the Secretary of Labor, in accordance with the Davis -Bacon Act, as amended (40 U.S.C. 276a -276a-5), which
contractors shall pay to skilled and unskilled labor, and such minimum rates shall be stated in the invitation for bids
and shall be included in proposals or bids for the work.
15. Veteran's Preference. It shall include in all contracts for work on any project funded under the grant agreement
which involve labor, such provisions as are necessary to insure that, in the employment of labor (except in executive,
administrative, and supervisory positions), preference shall be given to Veterans of the Vietnam era and disabled
veterans as defined in Section 515(c)0) and (2) of the Airport and Airway Improvement Act of 1982. However, this
preference shall apply only where the individuals are available and qualified to perform the work to which the
employment relates.
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MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM GRANTS
April 10, 1997
16. Conformity to Plans and Specifications. It will execute the project subject to plans, specifications, and schedules
approved by the Secretary. Such plans, specifications, and schedules shall be submitted to the Secretary prior to
commencement of site preparation, construction, or other performance under this grant agreement, and, upon
approval of the Secretary, shall be incorporated into this grant agreement. Any modification to the approved plans,
specifications, and schedules shall also be subject to approval of the Secretary, and incorporated into the grant
agreement.
17. Construction Inspection and Approval. It will provide and maintain competent technical supervision at the
construction site throughout the project to assure that the work conforms to the plans, specifications, and
schedules approved by the Secretary for the project. It shall subject the construction work on any project contained
in an approved project application to inspection and approval by the Secretary and such work shall be in accordance
with regulations and procedures prescribed by the Secretary. Such regulations and procedures shall require such cost
and progress reporting by the sponsor or sponsors of such project as the Secretary shall deem necessary.
18. Planning Projects. In carrying out planning projects:
a. It will execute the project in accordance with the approved program narrative contained in the
project application or with the modifications similarly approved.
b. It will furnish the Secretary with such periodic reports as required pertaining to the planning
project and planning work activities.
C. It will include in all published material prepared in connection with the planning project a notice
that the material was prepared under a grant provided by the United States.
d. It will make such material available for examination by the public, and agrees that no material
prepared with funds under this project shall be subject to copyright in the United States or any
other country.
e. It will give the Secretary unrestricted authority to publish, disclose, distribute, and otherwise
use any of the material prepared in connection with this grant.
f. It will grant the Secretary the right to disapprove the sponsor's employment of specific
consultants and their subcontractors to do all or any part of this project as well as the right to
disapprove the proposed scope and cost of professional services.
g. It will grant the Secretary the right to disapprove the use of the sponsor's employees to do all
or any part of the project.
h. It understands and agrees that the Secretary's approval of this project grant or the Secretary's
approval of any planning material developed as part of this grant does not constitute or imply
any assurance or commitment on the part of the Secretary to approve any pending or future
application for a Federal airport grant.
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM GRANTS
April 10, 1997
19. Operation and Maintenance.
a. It will suitably operate and maintain the airport and all facilities thereon or connected
therewith, with due regard to climatic and flood conditions. Any proposal to temporarily close
the airport for nonaeronautical purposes must first be approved by the Secretary. The airport
and all facilities which are necessary to serve the aeronautical users of the airport, other than
facilities owned or controlled by the United States, shall be operated at all times in a safe and
serviceable condition and in accordance with the minimum standards as may be required or
prescribed by applicable Federal, state and local agencies for maintenance and operation. It will
not cause or permit any activity or action thereon which would interfere with its use for airport
purposes.
In furtherance of this assurance, the sponsor will have in effect at all times arrangements for -
(1) Operating the airport's aeronautical facilities whenever required;
(2) Promptly marking and lighting hazards resulting from airport conditions, including
temporary conditions; and
(3) Promptly notifying airmen of any condition affecting aeronautical use of the
airport.
Nothing contained herein shall be construed to require that the airport be operated for
aeronautical use during temporary periods when snow, flood or other climatic conditions
interfere with such operation and maintenance. Further, nothing herein shall be construed as
requiring the maintenance, repair, restoration, or replacement of any structure or facility which
is substantially damaged or destroyed due to an act of God or other condition or circumstance
beyond the control of the sponsor.
It will suitably operate and maintain noise compatibility program items that it owns or controls
upon which Federal funds have been expended.
20. Hazard Removal and Mitigation. It will take appropriate action to assure that such terminal airspace as is required
to protect instrument and visual operations to the airport (including established minimum flight altitudes) will be
adequately cleared and protected by removing, lowering, relocating, marking, or lighting or otherwise mitigating
existing airport hazards and by preventing the establishment or creation of future airport hazards.
21. Compatible Land Use. It will take appropriate action, including the adoption of zoning laws, to the extent
reasonable, to restrict the use of land adjacent to or in the immediate vicinity of the airport to activities and
purposes compatible with normal airport operations, including landing and takeoff of aircraft. In addition, if the
project is for noise compatibility program implementation, it will not cause or permit any change in land use, within
its jurisdiction, that will reduce its compatibility, with respect to the airport, of the noise compatibility program
measures upon which Federal funds have been expended.
22. Economic Nondiscrimination.
a. It will make its airport available as an airport for public use on fair and reasonable terms and
without unjust discrimination, to all types, kinds and classes of aeronautical use.
b. In any agreement, contract, lease, or other arrangement under which a right or privilege at the
airport is granted to any person, firm, or corporation to conduct or engage in any aeronautical
activity for furnishing services to the public at the airport, the sponsor will insert and enforce
provisions requiring the contractor to -
(1) furnish said services on a fair, reasonable, and not unjustly discriminatory basis to all users
thereof, and
7
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM GRANTS
April 10, 1997
(2) charge fair, reasonable, and not unjustly discriminatory prices for each unit or service,
provided that the contractor may be allowed to make reasonable and nondiscriminatory
discounts, rebates, or other similar types of price reductions to volume purchasers.
C. Each fixed -based operator at any airport owned by the sponsor shall be subject to the same
rates, fees, rentals, and other charges as are uniformly applicable to all other fixed -based
operators making the same or similar uses of such airport and utilizing the same or similar
facilities.
d. Each air carrier using such airport shall have the right to service itself or to use any fixed -based
operator that is authorized or permitted by the airport to serve any air carrier at such airport.
e. Each air carrier using such airport (whether as a tenant, nontenant, or subtenant of another air
carrier tenant) shall be subject to such nondiscriminatory and substantially comparable rules,
regulations, conditions, rates, fees, rentals, and other charges with respect to facilities directly
and substantially related to providing air transportation as are applicable to all such air carriers
which make similar use of such airport and utilize similar facilities, subject to reasonable
classifications such as tenants or nontenants and signatory carriers and
nonsignatory carriers. Classification or status as tenant or signatory shall not be unreasonably
withheld by any airport provided an air carrier assumes obligations substantially similar to
those already imposed on air carriers in such classification or status.
f. It will not exercise or grant any right or privilege which operates to prevent any person, firm, or
corporation operating aircraft on the airport; from performing any services on its own aircraft
with its own employees (including, but not limited to maintenance, repair, and fueling) that it
may choose to perform.
g. In the event the sponsor itself exercises any of the rights and privileges referred to in this
assurance, the services involved will be provided on the same conditions as would apply to the
furnishing of such services by contractors or concessionaires of the sponsor under these
provisions.
h. The sponsor may establish such fair, equal, and not unjustly discriminatory conditions to be met
by all users of the airport as may be necessary for the safe and efficient operation of the
airport.
i. The sponsor may prohibit or limit any given type, kind or class of aeronautical use of the airport
if such action is necessary for the safe operation of the airport or necessary to serve the civil
aviation needs of the public.
23. Exclusive Rights. It will permit no exclusive right for the use of the airport by any person providing, or intending to
provide, aeronautical services to the public. For purposes of this paragraph, the providing of the services at an
airport by a single fixed -based operator shall not be construed as an exclusive right if both of the following apply:
a. It would be unreasonably costly, burdensome, or impractical for more than one fixed -based
operator to provide such services, and
If allowing more than one fixed -based operator to provide such services would require the
reduction of space leased pursuant to an existing agreement between such single fixed -based
operator and such airport.
10
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM GRANTS
April 10, 1997
It further agrees that it will not, either directly or indirectly, grant or permit any person, firm, or corporation, the
exclusive right at the airport to conduct any aeronautical activities, including, but not limited to charter flights, pilot
training, aircraft rental and sightseeing, aerial photography, crop dusting, aerial advertising and surveying, air carrier
operations, aircraft sales and services, sale of aviation petroleum products whether or not conducted in conjunction
with other aeronautical activity, repair and maintenance of aircraft, sale of aircraft parts, and any other activities
which because of their direct relationship to the operation of aircraft can be regarded as an aeronautical activity,
and that it will terminate any exclusive right to conduct an aeronautical activity now existing at such an airport
before the grant of any assistance under the Airport and Airway Improvement Act of 1982.
24. Fee and Rental Structure. It will maintain a fee and rental structure consistent with Assurance 22 and 23 for the
facilities and services being provided the airport users which will make the airport as self-sustaining as possible
under the circumstances existing at the particular airport, taking into account such factors as the volume of traffic
and economy of collection. No part of the Federal share of an airport development, airport planning or noise
compatibility project for which a grant is made under the Airport and Airway Improvement Act of 1982, the Federal
Airport Act or the Airport and Airway Development Act of 1970 shall be included in the rate basis in establishing
fees, rates, and charges for users of that airport.
25. Airport Revenues. If the airport is under the control of a public agency, all revenues generated by the airport and any
local taxes on aviation fuel established after December 30, 1987, will be expended by it for the capital or operating
costs of the airport; the local airport system; or other local facilities which are owned or operated by the owner or
operator of the airport and directly and substantially related to the actual air transportation of passengers or
property; or for noise mitigation purposes on or off the airport. Provided, however, that if covenants or assurances
in debt obligations issued before September 3, 1982, by the owner or operator of the airport, or provisions enacted
before September 3, 1982, in governing statutes controlling the owner or operator's financing, provide for the use of
the revenues from any of the airport owner or operator's facilities, including the airport, to support not only the
airport but also the airport owner or operator's general debt obligations or other facilities, then this limitation on the
use of all revenues generated by the airport land, in the case of a public airport, local taxes on aviation fuel) shall not
apply.
26. Reports and Inspections. It will:
(a) submit to the Secretary such annual or special financial and operations reports as the Secretary may reasonably
request and make such reports available to the public;
(b) make available to the public at reasonable times and places a report of the airport budget in a format prescribed
by the Secretary;
(c) for airport development projects, make the airport and all airport records and documents affecting the airport,
including deeds, leases, operation and use agreements, regulations and other instruments, available for inspection by
any duly authorized agent of the Secretary upon reasonable request;
(d) for noise compatibility program projects, make records and documents relating to the project and continued
compliance with the terms, conditions, and assurances of the grant agreement including deeds, leases, agreements,
regulations, and other instruments, available for inspection by any duly authorized agent of the Secretary upon
reasonable request; and
(e) in a format prescribed by the Secretary, provide to the Secretary and make available to the public, not later than
60 days following each of its fiscal years, ending after March 1, 1995, an annual report listing in detail :
(i) all amounts paid by the airport to any other unit of government and the purposes for which each such
payment was made; and
(ii) all services and property provided by the airport to other units of government and the amount of
compensation received for provision of each such service and property.
11
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AlppnpT IMpgOVEMENT pgoGgAM GRANTS
April 10, 1997
27. Use by Government Aircraft. It will make available all of the facilities of the airport developed with Federal financial
assistance and all those usable for landing and takeoff of aircraft to the United States for use by Government
aircraft in common with other aircraft at all times without charge, except, if the use by Government aircraft is
substantial, charge may be made for a reasonable share, proportional to such use, for the cost of operating and
maintaining the facilities used. Unless otherwise determined by the Secretary, or otherwise agreed to by the
sponsor and the using agency, substantial use of an airport by Government aircraft will be considered to exist when
operations of such aircraft are in excess of those which, in the opinion of the Secretary, would unduly interfere with
use of the landing areas by other authorized aircraft, or during any calendar month that -
a. Five (5) or more Government aircraft are regularly based at the airport or on land adjacent thereto; or
b. The total number of movements (counting each landing as a movement) of Government aircraft is 300 or
more, or the gross accumulative weight of Government aircraft using the airport (the total movement of
Government aircraft multiplied by gross weights of such aircraft) is in excess of five million pounds.
28. Land for Federal Facilities. It will furnish without cost to the Federal Government for use in connection with any air
traffic control or air navigation activities, or weather -reporting and communication activities related to air traffic
control, any areas of land or water, or estate therein, or rights in buildings of the sponsor as the Secretary considers
necessary or desirable for construction, operation, and maintenance at Federal expense of space or facilities for such
purposes. Such areas or any portion thereof will be made available as provided herein within four months after
receipt of a written request from the Secretary.
29. Airport Layout Plan.
a. It will keep up to date at all times an airport layout plan of the airport showing (1) boundaries
of the airport and all proposed additions thereto, together with the boundaries of all offsite
areas owned or controlled by the sponsor for airport purposes and proposed additions thereto;
(2) the location and nature of all existing and proposed airport facilities and structures (such as
runways, taxiways, aprons, terminal buildings, hangars and roads), including all proposed
extensions and reductions of existing airport facilities; and (3) the location of all existing and
proposed nonaviation areas and of all existing improvements thereon. Such airport layout plans
and each amendment, revision, or modification thereof, shall be subject to the approval of the
Secretary which approval shall be evidenced by the signature of a duly authorized
representative of the Secretary on the face of the airport layout plan. The sponsor will not
make or permit any changes or alterations in the airport or any of its facilities which are not in
conformity with the airport layout plan as approved by the Secretary and which might, in the
opinion of the Secretary, adversely affect the safety, utility or efficiency of the airport.
If a change or alteration in the airport or the facilities is made which the Secretary determines
adversely affects the safety, utility, or efficiency of any federally owned, leased, or funded
property on or off the airport and which is not in conformity with the airport layout plan as
approved by the Secretary, the owner or operator will, if requested, by the Secretary (1)
eliminate such adverse effect in a manner approved by the Secretary; or (2) bear all costs of
relocating such property (or replacement thereof) to a site acceptable to the Secretary and all
costs of restoring such property (or replacement thereof) to the level of safety, utility,
efficiency, and cost of operation existing before the unapproved change in the airport or its
facilities.
12
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING, AIRPORT IMPROVEMENT PROGRAM GRANTS
April 10, 1997
30. Civil Rights. It will comply with such rules as are promulgated to assure that no person shall, on the grounds of race,
creed, color, national origin, sex, age, or handicap be excluded from participating in any activity
conducted with or benefitting from funds received from this grant. This assurance obligates the
sponsor for the period during which Federal financial assistance is extended to the program,
except where Federal financial assistance is to provide, or is in the form of personal property or
real property or interest therein or structures or improvements thereon in
which case the assurance obligates the sponsor or any transferee for the longer of the following
periods: (a) the period during which the property is used for a purpose for which Federal
financial assistance is extended, or for another purpose involving the provision of similar services
or benefits, or (b) the period during which the sponsor retains ownership or possession of the
property.
31. Disposal of Land.
a. For land purchased under a grant for airport noise compatibility purposes, it will dispose of the
land, when the land is no longer needed for such purposes, at fair market value, at the earliest
practicable time. That portion of the proceeds of such disposition which is proportionate to the
United States' share of acquisition of such land will, at the discretion of the Secretary, 1) be
paid to the Secretary for deposit in the Trust Fund, or 2) be reinvested in an approved noise
compatibility project as prescribed by the Secretary.
b. (1) For land purchased under a grant for airport development purposes (other than noise
compatibility), it will, when the land is no longer needed for airport purposes, dispose of such
land at fair market value or make available to the Secretary an amount equal to the United
States' proportionate share of the fair market value of the land. That portion of the proceeds
of such disposition which is proportionate to the United States' share of the cost of acquisition
of such land will, (a) upon application to the Secretary, be reinvested in another eligible airport
improvement project or projects approved by the Secretary at that airport or within the national
airport system, or (b) be paid to the Secretary for deposit in the Trust Fund if no eligible project
exists.
12) Land shall be considered to be needed for airport purposes under this assurance if la) it may
be needed for aeronautical purposes (including runway protection zones) or serve as noise
buffer land, and (b) the revenue from interim uses of such land contributes to the financial self-
sufficiency of the airport. Further, land purchased with a grant received by an airport operator
or owner before December 31, 1987, will be considered to be needed for airport purposes if the
Secretary or Federal agency making such grant before December 31, 1987, was notified by the
operator or owner of the uses of such land, did not object to such use, and the land continues
to be used for that purpose, such use having commenced no later than December 15, 1989.
C. Disposition of such land under (a) or (b) will be subject to the retention or reservation of any
interest or right therein necessary to ensure that such land will only be used for purposes which
are compatible with noise levels associated with operation of the airport.
32. Engineering and Design Services. It will award each contract, or sub -contract for program management,
construction management, planning studies, feasibility studies, architectural services, preliminary engineering,
design, engineering, surveying, mapping or related services with respect to the project in the same manner as a
contract for architectural and engineering services is negotiated under Title IX of the Federal Property and
Administrative Services Act of 1949 or an equivalent qualifications -based requirement prescribed for or by the
sponsor of the airport.
13
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM GRANTS
April 10, 1997
33. Foreign Market Restrictions. It will not allow funds provided under this grant to be used to fund any project which
uses any product or service of a foreign country during the period in which such foreign country is listed by the
United States Trade Representative as denying fair and equitable market opportunities for products and suppliers of
the United States in procurement and construction.
34. Policies, Standards, and Specifications. It will carry out the project in accordance with policies, standards, and
specifications approved by the Secretary including but not limited to the advisory circulars listed in the Current FAA
Advisory Circulars for AIP projects, dated 511195 and included in this grant, and in accordance with applicable state
policies, standards, and specifications approved by the Secretary.
35. Relocation and Real Property Acquisition. It► It will be guided in acquiring real property, to the greatest extent
practicable under State law, by the land acquisition policies in Subpart B of 49 CFR Part 24 and will pay or
reimburse property owners for necessary expenses as specified in Subpart B. (2) It will provide a relocation
assistance program offering the services described in Subpart C and fair and reasonable relocation payments and
assistance to displaced persons as required in Subpart D and E of 49 CFR Part 24. (3) It will make available within a
reasonable period of time prior to displacement, comparable replacement dwellings to displaced persons in
accordance with Subpart E of 49 CFR Part 24.
14
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM ,RANTS
April 10, 1997
CURRENT FAA ADVISORY CIRCULARS FOR AIP PROJECTS
Updated on: 5/1/95
NUMBER
SUBJECT
7017460.1 H
Obstruction Marking and Lighting
CHG 1 &2
15015000.13
Announcement of Availibility--RTCA Inc., Document RTCA-221, Guidance and
Recommended Requirements for Airport Surface Movement Sensors
15015100.14C
Architectural, Engineering, and Planning Consultant Services for Airport Grant Projects
15015210-56
Painting, Marking and Lighting of Vehicles Used on an Airport
15015210.76
Aircraft Fire and Rescue Communications
15015210.14
Airport Fire and Rescue Personnel Protective Clothing
15015210.15
Airport Rescue & Firefighting Station Building Design
15015210-18
Systems for Interactive Training of Airport Personnel
15015220-413
Water Supply Systems for Aircraft Fire and Rescue Protection
15015220.1 OA
Guide Specification for Water/Foam Type Aircraft Rescue and Firefighting Vehicles
15015220.13B
Runway Surface Condition Sensor Specification Guide
15015220-14A
Airport Fire and Rescue Vehicle Specification Guide
15015220-16A
Automated Weather Observing Systems for NonFederal Applications
15015220-17A
Design Standards for Aircraft Rescue Firefighting Training Facilities
15015220.18
Buildings for Storage and Maintenance of Airport Snow and Ice Control Equipment and
Materials
15015220.19
Guide Specification for Small, Dual -Agent Aircraft Rescue and Firefighting Vehicles
15015220.20
Airport Snow and Ice Control Equipment
CHG 1
15015220.21
Guide Specification for Lifts Used to Board Airline Passengers With Mobility
CHG1
Impairments
15015300.13
Airport Design
CHG 1, 2,3&4
15015300-14
Design of Aircraft Deicing Facilities
15
MASTER
AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM GRANTS
April 10, 1997
15015300.15
Use of Value Engineering for Engineering Design of Airport Grant Projects
15015320.513
Airport Drainage
15015320.6C
Airport Pavement Design and Evaluation
CHG 1 &2
15015320-12B
Measurement, Construction, and Maintenance of Skid Resistant Airport Pavement
Surfaces
15015320-14
Airport Landscaping for Noise Control Purposes
15015325.4A
Runway Length Requirements for Airport Design
CHG 1
15015340.1 G
Standards for Airport Markings
15015340.4C
Installation Details for Runway Centerline Touchdown Zone Lighting Systems
CHG 1 &2
15015340-513
Segmented Circle Airport Marker System
CHG 1
15015340.14B
Economy Approach Lighting Aids
CHG 1 &2
15015340-17B
Standby Power for NonFAA Airport Lighting Systems
15015340-18C
Standards for Airport Sign Systems
CHG 1
15015340.19
Taxiway Centerline Lighting System
15015340.21
Airport Miscellaneous Lighting Visual Aids
15015340.236
Supplemental Wind Cones
15015340-24
Runway and Taxiway Edge Lighting System
CHG 1
15015340.27A
Air -to -Ground Radio Control of Airport Lighting Systems
15015345-313
Specification for L821 Panels for Remote Control of Airport Lighting
15015345.5A
Circuit Selector Switch
15015345.713
Specification for L824 Underground Electrical Cable for Airport Lighting Circuits
CHG 1
15015345.10E
Specification for Constant Current Regulators Regulator Monitors
150/5345.12C
Specification for Airport and Heliport Beacon
15015345-13A
Specification for L841 Auxiliary Relay Cabinet Assembly for Pilot Control of Airport
16
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM GRANTS
April 10, 1997
17
Lighting Circuits
15015345-26B
Specification for L823 Plug and Receptacle, Cable Connectors
CHG 1 &2
15015345-27C
Specification for Wind Cone Assemblies
15015345.28D
Precision Approach Path Indicator (PAPI) Systems
CHG 1
15015345.396
FAA Specification L853, Runway and Taxiway Centerline Retroreflective Markers
CHG 1
15015345.42C
Specification for Airport Light Bases, Transformer Housings, Junction Boxes and
CHG 1
Accessories
15015345-43D
Specification for Obstruction Lighting Equipment
15015345.44F
Specification for Taxiway and Runway Signs
15015345-45A
Lightweight Approach Light Structure
15015345-46A
Specification for Runway and Taxiway Light Fixtures
15015345-47A
Isolation Transformers for Airport Lighting Systems
15015345-49A
Specification L854, Radio Control Equipment
15015345-50
Specification for Portable Runway Lights
CHG 1
15015345-51
Specification for Discharge -Type Flasher Equipment
CHG 1
15015345-52
Generic Visual Glideslope Indicators (GVGI)
15015345.53
Airport Lighting Equipment Cerification Program
15015360.9
Planning and Design of Airport Terminal Facilities at NonHub Locations
15015360-12A
Airport Signing & Graphics
15015360-13
Planning and Design Guidance for Airport Terminal Facilities
CHG 1
15015370.2C
Operational Safety on Airports During Construction
15015370.66
Construction Progress and Inspection Report -Airport Grant Program
15015370.10A
Standards for Specifying Construction of Airports
CHG 1, 2, 3, 4, 5,
6, 7,8
15015370-11
Use of Nondestructive Testing Devices in the Evaluation of Airport Pavements
CHG 1
17
MASTER AGREEMENT TERMS AND CONDITIONS OF ACCEPTING AIRPORT IMPROVEMENT PROGRAM GRANTS
April 10, 1997
15015370-12
Quality Control of Construction for Airport Grant Projects
15015390.2A
Heliport Design
15015390.3
Vertiport Design
ACCEPTANCE
The Sponsor does hereby ratify and adopt all assurances, statements, representations, warranties, covenants, and agreements
contained in this Master Agreement as part of all Grant Agreements between the Sponsor and the Federal Aviation
Administration as provided by Title 49 U.S.C. which are executed subsequent to the date of acceptance of this Master
Agreement.
Date: September 2, 1997
Name:
Je n W. Cochran
Title: Sup rvisor, Town of Southold
Sponsor: Town of Southhold, NY
Airport: Elizabeth Field, Fishers Island, NY
iE:
GRANT APPLICATION
11/21/94
APPLICATION FOR
FEDERAL ASSISTANCE
AppficatIbn pmeppocetion
Dconstruction ❑construction
L APPLICANT INFORMATION
'LegalName:
(B111PLOYER IDENTIFICATION NUMBER (EINI:
TYPE OF APPLICATION:
❑New
Revision, enter appropriate letters) in box(es):
A. Increase Award B. Decrease Award
O. Decrease Durat(o Other (SpecW
OMB
2. DATE SUBNIITiEO
No. 0348-0043
matters kwolving this application (give area code)
11. DESCRIPTIVE TITLE OF APPLICANTS PROJECT
CATALOG OF FEDERAL DOMESTIC
ASSISTANCE NUMBER:
TITLE:
1. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF:_
Start Date
Ending Date I. Applicant b. Project
ESTIMATED FUNDING:
R
a. YES. THIS PRFJIPPUCATIOWAPPL•ICA710N WAS MADE AVAILABLE TO THE
^ STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON:
DATE
ie
ocs b. NO. L�PROGRAM IS NOT COVERED BY E.O. 12372
�OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW
DMR I OF.UKUUENT UK ANY FEDERAL OLD] Itha(
ram me '
Yes If 'Yes; attach an explanation. allo
TOTAL TDULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT VALL COMPLY WITH THE ATTACHED ASSURANCES IF THE
ASSISTANCE IS AWARDED
Typed Name of Authorized Representative
b. Title c. Telephone number
. Signature of Authorized Representative
e. Date Signed
Prescribed by OMB Circular A-102
7. TYPE OF APPLICANT:
1
A.State
H. Independent School District
B•County
I. State Institution of Higher team
aContinuaUUotr
aRevision
C Mesal
J. Private University
D. Township
K. Indian Tribe
E. Interstate
L. indrAdyal
a
❑
F. Intermunicipal
M. Profit Organization
C. Increase Duration
G. Special District
N. Other (SpecKYly1�__
11. DESCRIPTIVE TITLE OF APPLICANTS PROJECT
CATALOG OF FEDERAL DOMESTIC
ASSISTANCE NUMBER:
TITLE:
1. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF:_
Start Date
Ending Date I. Applicant b. Project
ESTIMATED FUNDING:
R
a. YES. THIS PRFJIPPUCATIOWAPPL•ICA710N WAS MADE AVAILABLE TO THE
^ STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON:
DATE
ie
ocs b. NO. L�PROGRAM IS NOT COVERED BY E.O. 12372
�OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW
DMR I OF.UKUUENT UK ANY FEDERAL OLD] Itha(
ram me '
Yes If 'Yes; attach an explanation. allo
TOTAL TDULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT VALL COMPLY WITH THE ATTACHED ASSURANCES IF THE
ASSISTANCE IS AWARDED
Typed Name of Authorized Representative
b. Title c. Telephone number
. Signature of Authorized Representative
e. Date Signed
Prescribed by OMB Circular A-102
PROJECT DESCRIPTION
Widen Runway 18-36 (approximately 50' x 60001); extend
Runway 18-36 (approximately 1,000 x 1501); Relocate VASI-4,
Runway 18; Extend Parallel Taxiway "N" (approximately 1,500'
x 501); Construct General Aviation Apron including Taxiway
Extension; Extend Access Road (approx. 1000' x 25').
0
WORK ITEM COST BREAKDOWN
1. Widen Runway 18-36 $1,182,000
2. Extend Runway 18-36 $ 655,000
3. Extend Parallel Taxiway "N" $ 570,000
4. Relocate Runway 18-36 VASI (reimb. Agrmt) $ 35,000
5. Construct GA Apron $ 250,000
6. Extend Access Road $ 100,000
Total $2,762,000
ATTACHMENT III -13
DEPARTMENT U TIRANSPORTATION •FEDERAL AVIATION ADMINISTRATION
PART 111 - BUDGET INFORMATION - CONSTRUCTION
SECTION A - GENERAL
r
Federal Domestic Assistance Catalog No. _
12. Functional or Other Breakout- .......................... _
SECTION B - CALCULATION OF FEDERAL GRANT
Use only for revisions
Total
Cost Classification Amount
Latest Approved Adjustment Required
Amount + or (-)
1. Administrative expense
2. Preliminary expense
3. Land, structures, right-ot-way
4. Architectural engineering basic fees
5. Other architectural engineering fees
6. Project inspection fees
7. Land development
Relocation expenses
9. Relocation payments to individuals and businesses
10. Demolition and removal
11. Construction and project improvement
12. Equipment
13. Miscellaneous
14. Total (Lines 1 through 13)
15. Estimated Income (if applicable)
16. Net Project Amount (Line 14 minus 15)
17. Less: Ineligible exclusions
18. Add: Contingencies
19. Total Project Amt. (Excluding rehabilitation grants)
20. Federal share requested on Line 19
21. Add: Rehabilitation grants requested (100 percent)
22. Total Federal grant requested
23. Grantee share
Other shares -
2
5.
hares25. Total Project (Lines 22, 23, and 24)
FAA Form 5100-100
d
IS
PAGE 4
DEPARTMENT DF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ATTACHMENT III -14
FAA Form 5100-100 PAGE 5
SECTION C - EXCLUSIONS
26..
Classification
Ineligible for
Participation
(11 _
Excluded from
Contingency Provision
_(2)
a.
$
$
b.
C.
d.
C.
f.
9,
- Totals
$
$
SECTION D - PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE
27.
Grantee Share
$
a. Securities
b. Mortgages
c. Appropriations (by applicant)
d. Bonds
e. Tax Levies
f. Non Cash
g. Other (Explain)
h. TOTAL - Grantee Share
28.
Other Shares
a. State
b. Other
c. Total Other Shares
29.
TOTAL
$
SECTION E - REMARKS
PART IV PROGRAM NARRATIVE (Attach -- See Instructions)
FAA Form 5100-100 PAGE 5
ATTACHMENTS
1. Exhibit "A" property map (if there has been a change in
land interest since the last grant or if the application
includes property acquisition)
2. a completed environmental checklist (if not already
furnished with the ACIP)
v
3. evidence of the intergovernmental review coordination
(if not included in the ACIP package)
JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
February 26, 1993
Sheila NI. Farley
Grants Administrator
C8S Engineers, Inc.
1020 Seventh North Street
Liverpool, New York 13088-6199
Re: Fishers Island -Elizabeth Field
FY 93 Preapplication
.Apron, Access Taxiway 8 Access
Road, Auto Parking
Dear Ms. Farley:
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1801
Enclosed is the executed Preapplication for Federal Assistance for the
proposed projects referenced above.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Enclosures
cc: Accounting 8 Finance
JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1801
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE
SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON FEBRUARY 23, 1993:
RESOLVED that the Town Board of the Town of Southold hereby authorizes
and directs Supervisor Scott L. Harris to execute an Application for Federal
Assistance to the Federal Aviation Administration, under the Airport
Improvement Program, for the Apron, Access Taxiway & Access Road; Auto
Parking (Design) Program, all in accordance with the recommendation of
C&S Engineers, Inc., the Town's engineering consultants for the project.
Judith T. Terry
Southold Town Clerk
February 24, 1993
CSS
Ve Eo Engineers, Inc.
FEB 8 �g 1020 Seventh North Street, Liverpool, New York 13088-6199
(315)457-6711 Fax (315) 457-9803
Southold Tnwn MaA
To: Mr. R. Philip Knauff
Manager
Fisher's Island Ferry District
P.O. Box H
Fisher's Island, NY 06390
Attention:
Enclosed please find the following:
Re: Fishers Island -Elizabeth Field
FY 93 Preapplication
Apron, Access Taxiway & Access
Road, Auto Parking
File: 211
Date: 21 -Jan -93
- Two copies of the Preapplication for Federal Assistance for the proposed projects
referenced above for your review and appropriate signature.
Remarks:
Please have Mr. Harris sign one copy of the Preapplication on the pages indicated
and return them to me for further distribution. Keep one copy for your files.
If you have any questions or need additional information, please do not
hesitate to contact us.
C&S ENGINEERS, INC.
Enclosures
ccf, cv�
'Sheila M. Farley
Grants Administrator
OMB Approval No. 0348-0043
APPLICATION 1-tJ
7i. DATE SUBMITTED
Applicant Identifier
FEDERAL ASSISTANCE
01/20/93
211
1. TYPE OF SUBMISSION:
Application Preapplication
Construction 1XI Construction
3. DATE RECEIVED BY STATE
State Applicant Identifier
4. DATE RECEIVED BY FEDERAL AGENCY
Federal Identifier
Non—Construction F-1 Non—Construction
5. APPLICANT INFORMATION
Legal Name:
Organizational Unit:
Town of Southold
Fishers Island Ferry District
Address (g" city, county, stats, and zip cods)
Name and telephone number of the person to be contacted on matters involving
Suffolk County
this application (give area code)
Town Hall, 53095 Main Road
P.O. Box 1179
R. Philip Knauff
Southold, New York 11971
(516) 788-7463
6. EMPLOYER IDENTIFICATION NUMBER (EIN):
7. TYPE OF APPLICANT: (enter appropriate letter in box)
0 3 3 0 7
A. State H. Independent School Dist
B. County 1. State Controlled Institution of Higher Learning
C. Municipal J. Private University
8. TYPE OF APPLICATION:
D. Township K. Indian Tribe
® New Continuation E-1 Revision
E. Interstate L. Individual
F. Intermunicipal M. Profit Organization
If Revision, enter appropriate letter(s) in box(es)f-1 r-1
G. Special District N. Other (Specify)
A. Increase Award B. Decrease Award C. Increase Duration
D. Decrease Durations Other (Specity):
9. NAME OF FEDERAL AGENCY:
Federal Aviation Administration
New York Airports District Office
10. CATALOG OF FEDERAL DOMESTIC
11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
ASSISTANCE NUMBER: 2 O 0 1 O 6
TITLE Airport: Improvement Program (AIP)
APRON, ACCESS TAXIWAY & ACCESS
ROAD, AUTO PARKING (Design)
12. AREAS AFFECTED BY PROJECT (cities, counties, states, etc.):
Fishers Island
13. PROPOSED PROJECT:
14. CONGRESSIONAL DISTRICTS OF:
Start Date
Ending Date
a. Applicant
b. Project
2nd
2nd
IS. ESTIMATED FUNDING:
16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS?
a. YES THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE
a Federal
.00
STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON
01/20/93
b Applicant
$ .00
DATE
c State
$ .00
b. NO PROGRAM IS NOT COVERED BY E.O. 12372
d Local
$ .00
OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW
e Other
$ .00
I Program Income
$ .00
17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
F� Yes If "Yes," attach an explanation. ® No
g TOTAL
$ .00
18 TO THE BEST OF MV KNOWLEDGE AND BELIEF ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY
AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE 1s AWAHOED.
a Typed Name of Authorized Representative
b Title number
Scott L. Harris
Town Supervisor
d Signature of Authorized Representative
_.(516)'765-1800
rF, Data Signed
i
a o
Previ us Editions of U ie
Authorized for Local Reproduction
Standard Form 424 (REV 4-88)
Prescribed by OMB Circular A-102
January 20, 1993
Mr. Philip Brito, Manager
Federal Aviation Administration
New York Airports District Office
181 South Franklin Avenue - Room 305
Valley Stream, New York 11581
Re: Fishers Island Elizabeth Field Airport
Apron, Access Taxiway and Access Road, Auto Parking
Subj: Preapplication Supporting Documentation
Dear Mr. Brito:
In support of our request for Federal Funding on the above -referenced project, the Town of Southold
provides the following statements:
Project Narrative Statement
Description:
(Design): Design of a 9,000 square yard aircraft parking apron and a connecting taxiway to
Runway 7-25. Design of a auto parking area and access road connecting to the existing entrance
road. Project includes all drainage, pavement, grading, lighting and marking design.
Justification:
(Design): Increased aircraft parking area is required to satisfy existing aircraft operational
demands.
Runway Grooving Statement
Elizabeth Field Airport is a basic utility airport accommodating Airplane Design Group I aircraft.
Aircraft operations at the Airport are primarily light general aviation traffic and there is no history of
hydroplaning causing veeroffs or overruns. In view of the above, the Town has determined that runway
grooving is not required.
Mr. Philip Brito
January 20, 1993
Page 2
Coordination Statement
The Town of Southold confirms that Operators at the Fishers Island Airport have been consulted and are
aware of the proposed development projects.
Displaced Persons Statement
The airport projects proposed in this aid application do not involve the displacement or relocation of
persons residing on land needed for such development.
Specific Opposition Statement
The Town of Southold is not aware of any significant community opposition to the proposed projects.
Negative Environmental Declaration Statement
Construction of the proposed projects at Elizabeth Field Airport will require earthmoving and paving —
equipment as well as trucks to haul materials to and from the job site. The trucks used to haul material
to the job site will not significantly interfere with normal traffic patterns. The distance between the area
of proposed construction and developed residential area(s) is sufficient to dissipate the impact of
construction noise. Soil erosion resulting from the construction operation into undisturbed areas will be
limited by requiring the Contractor to comply with contract provisions for environmental protection as
well as State and local environmental regulations.
On the basis of these, and other pertinent factors associated with the projects, the Town of Southold
concludes that the proposed development work included in this request for aid for Elizabeth Field Airport
will not be controversial on environmental grounds; will not affect the ambient noise level; will not dis-
place persons residing on land needed for such development; will not have a significant aesthetic or visual
effect; will not divide or disrupt an established community or divide existing use areas; will not have any
effect on areas of unique interest or scenic beauty; will not destroy or derogate from important
recreational areas; will not alter the pattern of behavior of a species; will not interfere with important
wildlife, breeding, nesting or feeding grounds; will not increase air or water pollution; and will not affect
the water table of the area. We are not aware of any objections of Federal agencies or State or local bod-
ies in respect to the environmental aspects of this project.
The Town of Southold has a long-standing and vital concern for and interest in the protection and
enhancement of the quality of the environment in the region, particularly at its facilities and in areas
adjacent to its facilities.
Mr. Philip Brito
January 20, 1993
Page 3
It is the studied judgement of the Town of Southold that the development work included in this
application for aid is fully consistent with the concern for environmental enhancement and protection.
Summary
The above statements are provided with and form a part of our application for the referenced project.
We will promptly answer your questions or provide additional information upon request.
Very truly yours,
TOWN OF SOUTHOLD
Scott L. 71arris
Town Supervisor
SLH:SMF:jmc
OMB Approved No. 0348-0041
BUDGET INFORMATION --Construction Programs
NOTE. • Certain Federal assistance programs require additional computations to arrive at the Federal share ofproiect costs eligible for participation. If such Is the case you will be notified.
atanaaro corm vzvv, i14-001
1 Prescribed by OMB Circular A-102
Authorized for Local Reproduction
COST CLASSIFICATION
a. Total Cost
b. Costs Not Allowable
for Participation
c. Total Allowable Costs
(Column a -b)
1.
Administrative and legal expenses
AUDIT
$
$3,500
.00
$ .00
$
$3;500
.00
2.
Land, structures, rights-of-way, appraisals, etc.
$
.00
$ .00
$
.00
3.
Relocation expenses and payments
$
.00
$ .00
$
.00
4.
Architectural and engineering fees
$
$60,000
.00
$ .00
$
$60,000
.00
5.
Other architectural and engineering fees
$
.00
$ .00
$
.00
6.
Project inspection fees
$
.00
$ .00
$
.00
7.
Site work
$
.00
$ .00
$
.00
8.
Demolition and removal
$
.00
$ .00
$
.00
9.
Construction
$
.00
$ .00
$
.00
10.
Equipment
$
.00
$ .00
$
.00
11.
Miscellaneous
$
.00
$ .00
$
.00
12.
SUBTOTAL
$
$63,500
.00
$ .00
$
$63,500
.00
13.
Contingencies (sum of lines 1-11)
$
.00
$ .00
$
.00
14.
SUBTOTAL
$
$63,500
.00
$ .00
$
$63,500
.00
15.
Project (program) income
$
.00
$ .00
$
.00
16.
TOTAL PROJECT COSTS (subtract 1115 from 1114)
$
$63,500
.00
$ .00
$
$63,500
.00
FEDERAL FUNDING
17.
Federal assistance requested, calculate as follows: Enter eligible costs from line 16c Multiply x 900/0
(Consult Federal agency for Federal percentage share). APRON ACCESS TAXIWAY & ACCESS
Enter the resulting Federal share ROAD, XUTO PARKING (Design)
01120193 211
$o0
$57,150
atanaaro corm vzvv, i14-001
1 Prescribed by OMB Circular A-102
Authorized for Local Reproduction
Agency Compliance Statement
State Environmental Ouality Review
In accordance with the rules, regulations and procedures
adopted by the Town of Southold
(Name of Municipal Corporation)
pursuant to the intent of the State Environmental Quality
Review Act, the project described below -is classified as a:
Check One
[X]
[ ]
[ ]
Project Description
Type I Action
Type II Action
Ministerial Action
Exempt Action
Unlisted Action
APRON ACCESS TAXIWAY & ACCESS
ROAD, AUTO PARKING (Design)
Scott L. Harris
Town Supervisor
Date
3/1/91
CHECKLIST FOR ENVIRONMENTAL IMPACTS
AIRPORT IMPROVEMENT PROGRAM
V-19
AIRPORT: Fisher Island Airport
PROJECT DESCRIPTION: Apron Access Taxiway and Access Road,
Auto Parking (Design)
In order for the FAA to determine the appropriate course of action,
it is necessary that the proposed action is not likely to:
a. Have an effect that is not minimal on properties protected
under Section 106 of the Historic Preservation Act of 1966, as
amended, or Section 4(f);
b. Be controversial on environmental grounds. A proposed Federal
action is considered highly controversial when the action is
opposed by a Federal, state or local government agency or by a
substantial number of persons affected by such action on
environmental grounds;
c. Have a significant impact on natural, ecological, cultural, or
scenic resources of national, state, or local significance,
including endangered species, wetlands, floodplains, coastal zones,
prime or unique farmland, energy supply and natural resources, or
resources protected by the Fish and Wildlife Coordination Act;
d. Be highly controversial with respect to the availability of
adequate relocation housing. In an action involving relocation of
persons or businesses, a controversy over the amount of the
acquisition or relocation payments is not considered to be
controversy with respect to the availability of adequate relocation
housing.
e. Cause substantial division or disruption of an established
community, or disrupt orderly, planned development, or is likely to
be not reasonably consistent with plans or goals that have been
adopted by the community in which the project is located;
f. Cause a significant increase in surface traffic congestion;
g. Have a signification impact on noise levels of noise sensitive
areas;
h. Have a significant impact on water quality or contaminate a
public water supply system;
3/1/91 V-20
i. Have a significant impact on air quality or violate the local,
state or Federal standards of air quality;
j. Be inconsistent with a Federal, state, or local law or
administrative determination relating to the environment.
Scott L. Harris
Town Supervisor
Town of Southold
Date
OMB Approved No. 0348-0042
ASSURANCES — CONSTRUCTION PROGRAMS
Note: Certain of these assurances may not be applicable to your project or program. If you have questions,
please contact the Awarding Agency. Further, certain federal assistance awarding agencies may require
applicants to certify to additional assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1. Has the legal authority to apply for Federal
assistance, and the institutional, managerial and
financial capability (including funds sufficient to
pay the non -Federal share of project costs) to
ensure proper planning, management and
completion of the project described in the
application.
2. Will give the awarding agency, the Comptroller
General of the United States, and if appropriate,
the State, through any authorized representative,
access to and the right to examine all records,
books, papers, or documents related to the
assistance; and will establish a proper accounting
system in accordance with generally accepted
accounting standards or agency directives.
3. Will not dispose of, modify the use of, or change
the terms of the real property title, or other
interest in the site and facilities without
permission and instruction from the awarding
agency. Will record the Federal interest in the
title of real property in accordance with awarding
agency directives and will include a covenant in
the title of real property acquired in whole or in
part with Federal assistance funds to assure
nondiscrimination during the useful life of the
project.
4. Will comply with the requirements of the
assistance awarding agency with regard to the
drafting, review and approval of construction
plans and specifications.
S. Will provide and maintain competent and
adequate engineering supervision at the
construction site to ensure that the complete work
conforms with the approved plans and specifica-
tions and will furnish progress reports and such
other information as may be required by the
assistance awarding agency or State.
6. Will initiate and complete the work within the
applicable time frame after receipt of approval of
the awarding agency.
7. Will establish safeguards to prohibit employees
from using their positions for a purpose that
constitutes or presents the appearance of personal
or organizational conflict of interest, or personal
gain.
8. Will comply with the Intergovernmental
Personnel Act of 1970 (42 U.S.C. §§ 4728-
4763) relating to prescribed standards for
merit systems for programs funded under one
of the nineteen statutes or regulations specified
in Appendix A of OPM's Standards for a
Merit System of Personnel Administration (5
C.R.F. 900, Subpart F).
9. Will comply with the Lead -Based Paint
Poisoning Prevention Act (42 U.S.C. §§ 4801
et seq.) which prohibits the use of lead based
paint in construction or rehabilitation of
residence structures.
10. Will comply with all Federal statues relating to
non-discrimination. These include but are not
limited to: (a) Title VI of the Civil Rights Act
of 1964 (P.L. 88-352) which prohibits
discrimination on the basis of race, color or
national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C.
§§ 1681-1683, and 1685-1686) which prohibits
discrimination on the basis of sex (c) Section
504 of the Rehabilitation Act of 1973, as
amended (29 U.S.C. § 794) which prohibit
discrimination on the basis of handicaps; (d)
the Age Discrimination Act of 1975, as
amended (42 U.S.C. §§ 6101-6107) which
prohibits discrimination on the basis of age;
(e) the Drug Abuse Office and Treatment Act
of 1972 (P.L. 93-255), as amended, relating to
non-discrimination on the basis of drug abuse;
(f) the Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (P.L. 91-616), as
amended, relating to nondiscrimination on the
basis of alcohol abuse or alcoholism; (g) §§
523 and 527 of the Public Health Service Act
of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3),
as amended, relating to confidentiality to
alcohol and drug abuse patient records; (h)
Title VIII of the Civil Rights Act of .1968 (42
U.S.C. § 3601 et seq.), as amended, relating
to non-discrimination in the sale, rental or
financing of housing; (i) any other non-
discrimination provisions in the specific
statute(s) under which application for Federal
assistance is being made, and 6) the
requirements on any other non-discrimination
Statute(s) which may apply to the application.
Standard Form 424D (4-88)
11. Will comply, or has already compiled, with the
requirements of Titles II and III of the Uniform
Relocation Assistance and Real property
Acquisitions Policies Act of 1970 (P.L. 91-646)
which provides for fair and equitable treatment
of persons displaced or whose property is
acquired as a result of Federal and federally
assisted programs. These requirements apply to
all interests in real property acquired for project
purposes regardless of Federal participation in
purchases.
12. Will comply with the provisions of the Hatch
Act (5 U.S.C. §§ 1501-1508 and 7324-7328)
which limit the political activities of employees
whose principal employment activities are
funded in whole or in part with Federal funds.
13. Will comply, as applicable, with the provisions
of the Davis -Bacon Act (40 U.S.C. §§ 276a to
276a-7), the Copeland Act (40 U.S.C. § 276c
and 18 U.S.C. § 874), the Contract Work Hours
and Safety Standards Act (40 U.S. §§ 327-333)
regarding labor standards for federally assisted
construction subagreements.
14. Will comply with the flood insurance purchase
requirements of Section 102(a) of the Flood
Disaster Protection Act of 1973 (P.L. 93-234)
which requires recipients in a special flood
hazard area to participate in the program and to
purchase flood insurance is the total cost of
insurance construction and acquisition is
$10,000 or more.
15. Will comply with environmental standards which
may be prescribed pursuant to the following: (a)
institution of environmental quality control
measures under the National Environmental
Policy Act of 1969 (P.L. 91-190) and Executive
Order (EO) 11514; (b)
Environmental Policy Act of 1969 (P.L. 91-
190) and Executive Order (EO) 11514; (b)
notification of violating facilities pursuant to
EO 11738; (c) protection of wetlands pursuant
to EO 11990; (d) evaluation of flood hazards
in floodplains in accordance with EO 11988;
(e) assurance of project consistency with the
approved State management program
developed under the Coastal Zone
Management Act of 1972 (16 U.S.C. §§ 1451
et. seq.); (f) conformity of Federal actions to
State (Clean Air) Implementation Plans under
Section 176(c) of the Clean Air Act of 1955,
as amended (42 U.S.C. § 7401 et seq.); (g)
protection of underground sources of drinking
water under the Safe Drinking Water Act of
1974, as amended, (P.L. 93-523); and (h)
protection of endangered species under the
Endangered Species Act of 1973, as amended,
(P.L. 93-205).
16. Will comply with the Wild and Scenic Rivers
Act of 1968 (16 U.S.C. §§ 1271 et seq.)
related to protecting components or potential
components of the national wild and scenic
rivers system.
17. Will assist the awarding agency in assuring
compliance with Section 106 of the National
.Historic Preservation Act of 1966, as amended
(16 U.S.C. 470), EO 11593 (identification and
preservation of historic properties), and the
Archaeological and Historic Preservation Act
of 1974 (16 U.S.C. 469a-1 et seq.)
18. Will cause to be performed the required
financial and compliance audits in accordance
with the Single Audit Act of 1984.
19. Will comply with all applicable requirements
of all other Federal laws, Executive Orders,
regulations and policies governing this
program.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
TrTLE
1
Town Supervisor
APPLICANT ORGANZ ON
DATE SUBMITTED
Town of Southold
01/20/93
Fishers Island Ferry District
SF 424D (4-88) Back
PRELIMINARY PROJECT COST
ELIZABETH
FIELD AIRPORT
211.000
FISHERS ISLAND,
NEW YORK
--------
APRON, ACCESS TAXIWAY AND
01/20/93
ACCESS ROAD, AUTO PARKING
ITEM
FAA
UNIT
NO.
SPEC
NO. DESCRIPTION
QUANTITY
UNITS PRICE
TOTAL
1 P-152 COMMON EXCAVATION
10,200
CY
$7.00
$71,400.00
2
P-156
SOIL EROSION AND SILTATION CONTROL
1
LS
$8,000.00
58,000.00
3
P-209
CRUSHED STONE BASE COURSE
4,100
CY
$33.00
$135,300.00
4
P-409
BITUMINOUS CONCRETE - TYPE 6F, TOP
1,700
TON
$60.00
5102,000.00
5
P-409
BITUMINOUS CONCRETE - TYPE 3, BINDER
1,700
TON
560.00
$102,000.00
6
P-612
FIELD OFFICE
1
LS
56,000.00
56,000.00
7
P-620
RUNWAY & TAXIWAY PAINTING
2,300
SF
51.00
$2,300.00
8
D-701
12 -INCH RCP
400
LF
518.00
57,200.00
9
D-710
STABILIZATION FABRIC
95,400
SF
50.15
514,310.00
10
T-1901
SEEDING
4,800
SY
S0.40
$1,920.00
11
T-1905
TOPSOILING (OBTAINED ON-SITE)
400
CY
S15.00
56,000.00
12
T-'908
MULCHING
4,800
SY
SO.30
51,440.00
13
L-108
CABLE TRENCHING FOR THE INSTALLATION OF
UNDERGROUND CABLE
1,750
LF
$5.00
58,750.00
14
L-108
NO. 8 AWG, 5KV, TYPE C SINGLE CONDUCTOR
UNDERGROUND CABLE INSTALLED IN TRENCH
1,750
LF
50.80
51,400.00
15
L-108
NO. 8 AWG, BARE COPPER COUNTERPOISE WIRE
INSTALLED IN TRENCH INCLUDING GROUNDING RODS
AND EXOTHERMIC CONNECTIONS
1,750
LF
50.80
$1,400.00
16
L-110
4 -WAY ELECTRICAL DUCT BANK, TYPE I
200
LF
$60.00
$12,000.00
22
L-115
CATCH BASIN
3
EACH
$5,000.00
$15,000.00
16
L-125
MEDIUM INTENSITY TAXIWAY EDGE LIGHTS, STAKE
MOUNTED, IN PLACE
30
EACH
5350.00
510,500.00
17
L-125
MEDIUM INTENSITY TAXIWAY EDGE LIGHTS, BASE
MOUNTED, IN PLACE
10
EACH
5600.00
56,000.00
18
L-125
TAXIWAY GUIDANCE SIGN, BASE MOUNTED,
IN PLACE
3
EACH
$2,500.00
57,500.00
19
M-100
MAINTENANCE AND PROTECTION OF TRAFFIC
1
LS
$4,000.00
54,000.00
20
M-150
PROJECT SURVEY & STAKEOUT
1
LS
$7,000.00
57,000.00
21
M•200
MOBILIZATION
1
LS
$21,256.80
521,256.80
----------------------------------------------------------------------------------------------------
CONSTRUCTION COST
5552,676.80
22
ENGINEERING AND ADMINISTRATION (+/-20X)
$110,323.20
PRELIMINARY PROJECT COST
--------------
5663,000.00
AIRCOST.WRI Page 1 01/20/93
d o
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U.S. Department
of Transportation
Federal Aviation
Administration
Mr. Scott L. Harris
Superintendent, Town
Main Road
Southold, New York
Dear Mr. Harris:
�n. yam, A
181 A. YwAtn , R^. 305
My &., ny 11581
z +a.
of Southol �, r" 3 �
11971
Elizabeth Field Airport,
Preapplication - Runways
Apron and Access Taxiway
4
Fisher's Island -
12-30 & 7-25 Rehabilitation,
Please be advised that we have reviewed the projects listed
in your preapplication dated 2/25/92 and have no objection
subject to the following comments:
1. During construction on either of the two runways
that facility must be closed. However, work done near the
intersection of the two runways require that the airport is
closed to all air traffic during that period of time.
In addition, whenever construction is in progress a NOTAM
must be issued to notify the airmen of the construction
status, in addition to radio announcements over assigned
frequencies to pilots.
2. The Flight Procedures and FSS must be notified of
any runway or airport closure so that the NOTAM is properly
issued.
3. When the exact height and location of the
construction equipment is known, you must complete the
attached Form 7460-1 and submit it to us promptly for review
and approval by various divisions within FAA.
If you have any questions, please call at 516-295-9343.
Sincerely,
Dan Vornea
Airport Engineer
Enclosure
Fiefore completing this form it is recommended that the following excerpts he
fed ation Regulations. Part 77, Subchapter B below be review
USE BACK OF THIS SHEET AS WORKSHEET
NOTICE OF PROPOSED CONSTRUCTION OR ALTERATION
§77.13 Construction or alteration requiring notice. §77.15 Construction or alteration not requiring notice.
(a) Except as provided in §77.15, each sponsor who proposes any of the fotlowing
construction or alteration shall notify the Administrator in the form and manner
prescribed in §77.17:
(1) Anyconstruction oralteration of more than 200 feet in height above the ground
level at its site.
(2) Any construction or alteration of greater height than an imaginary surface
extending outward and upward at one of the following slopes:
(i) 100 to 1 for a horizontal distance of 20,000 feet from the nearest point of the
nearest runway of each airport specified in subparagraph (5) of this paragraph
with at leastone runway more than 3,200 feet in actual length, excluding heliports.
(if) 50 to 1 for a horizontal distance of 10,000 feet from the nearest point of the
nearest runway of each airport specified in subparagraph (5) of this paragraph
with its longest runway no more than 3,200 feet in actual length, excluding
heliports.
(iii) 25 to 1 for a horizontal distance of 5.000 feet from the nearest point of the
nearest landing and takeoff areaof each heliport specified in subparagraph (5) of
this paragraph.
(3) Any highway, railroad, or other traverse way for mobile objects, of a height
which, if adjusted upward 17 feet for an Interstate Highway that is part of the National
System of Military and Interstate Highways where overcrossings are designed for a
minimum of 17 feet vertical distance, 15 feet for any other public roadway, 10 feet or the
height of the highest mobile object that would normally traverse the road, whichever is
greater, for a private road, 23 feet for a railroad, and for a waterway or any other
traverse way not previously mentioned, an amourit equal to the height of the highest
mobile object that would normally traverse it, would exceed a standard of
subparagraph (1) or (2) of this paragraph.
(4) When requested by the FAA, anyconstruction or alteration that would be in an
instrument approach area (defined in the FAA standards governing instrument
approach procedures) and available information indicates it might exceed a standard
of Subpart C of this part.
(5) Any construction or alteration on any of the following airports (including
heliports):
(i) An airport that isavailable for public use and is listed in the Airport Directoryof
thecurrent Airman's Information Manual or in either the Alaska or Pacific Airman's
Guide and Chart Supplement.
(ii) An airport under construction, that is the subject of a notice or proposal on file
with the Federal Aviation Administration, and except for military airports, it is
Clearly indicated that that airport will be available for public use.
(iii) An airport that is operated by an armed force of the United States.
(b) Each sponsor who proposes construction or alteration that is the subject of a
notice under paragraph (a) of this section and isadvised by an FAA regional office that
a supplemental notice is required shall submit that notice on a prescribed form to be
received by the FAA regional office at least 48 hours before the start of the construction
or alteration.
(c) Each sponsor who undertakes construction or alteration that is the subject of a
notice under paragraph (a) of this section shall, within 5 days after that construction or
alteration reaches its greatest height, submit a supplemental notice on a prescribed
form to the FAA regional office having jurisdiction over the area involved, if—
(1) The construction oralteration is more than 200 feet above the surface level of its
site: or
(2) An FAA regional office advises him that submission of the form is required.
Alaskan Region
AK
Alaskan Regional Office
Air Traffic Division AAL -530
701 "C" Street
Anchorage, AK 99513
Mail Address:
701 "C" Street, Box 14
Anchorage, AK 99513
Tale. 907-271-5892
Northwest Mountain Region
WA, OR, MT, ID, WY, t1T, CO
No person is required to notify the Administrator for any of the following
construction or alteration:
(a) Any object that would be shielded by existing structures of a permanent and
substantial character or by natural terrain or topographic features of equal or greater
height, and would be located in the congested area of a city, town, or settlement where
it is evident beyond all reasonable doubt that the structure so shielded will not
adversely affect safety inairnavigation. - -
(b) Anyantenna structure of 20 feet or less in height except one that would increase
the height of another antenna structure.
(c) Any ai, navigation facility, airport visual approach or landing aid, aircraft
arresting device, or meteorological device, of a type approved by the Administrator, or
an appropriate military service on military airports, the location and height of which is
fixed by its functional purpose.
(d) Any construction or alteration for which notice is required by any other FAA
regulation.
§77.17 Form and time of notice.
(a) Each person who is required to notify the Administrator under &77.13 (a) shall
send one executed form set of FAA Form 7460.1, Notice of Proposed Construction or
Alteration, to the Manager, Air Traffic Division, FAA Regional Office having jurisdiction
over the area within which the construction or alteration will be located. Copies of FAA
Form 7460.1 may be obtained from the headquarters of the Federal Aviation
Administration and the regional offices.
(b) The notice required under §77.13 (a) (1) through (4) must be submitted at Ieast30
days before the earlier of the following dates—
(1) The date the proposed construction or alteration is to begin.
(2) The date an application for a construction permit is to be filed.
However, a notice relating to proposed construction or alteration that is subject to the
licensing requirements of the Federal Communications Act may be sent to the FAA at
the same time the application for construction is filed with the Federal Communica-
tions Commission, or at any time before that filing.
(c) A proposed structure or an alteration to an existing structure that exceeds 2,000
feet in height above the ground will be presumed to be a hazard to air navigation and to
result in an inefficient utilization of airspace and the applicant has the burden of
ovefcoming that presumption. Each notice submitted under the pertinent provisions
of Part 77 proposing a structure in excess of 2.000 feet above ground. or an alteration
that will make an existing structure exceed that height must contain a detailed showing
directed to meeting this burden. Only in exceptional cases, where the FAA concludes
that a clear and compelling showing has been made that it would not result in an
inefficient utilization of the airspace and would not result in a hazard to air navigation,
will a determination of no hazard be issued.
(d) In the case of an emergency involving essential public services, public health, or
public safety, that requires immediate construction or alteration, the 30 day require-
ment in paragraph (b) of this section does not apply and the notice may be sent by
telephone, telegraph, or other expeditious means, with anexecuted FAA Form )460-1
submitted within five days thereafter. Outside normal business hours, emergency
notices by telephone or telegraph maybe submitted to the nearest FAA Flight Service
Station.
(e) Each person who is required to notify the Administrator by paragraph (b) or (c) of
§77.13, or both, shall send an executed copy of FAA Form 7461}2. Notice of Actual
Construction or Alteration, to the Manager Air Traffic Division, FAA Regional Office
having jurisdiction over the area involved.
ADDRESSES OF THE REGIONAL OFFICES AND SAN JUAN OFFICE
Northwest Mountain Regional Office
Air Traffic Division ANM-530
17900 Pacific Hwy. South
C-68966
Seattle, WA 98168
Tel. 206-431-2530
Grist Lakes Region
NO, Wt, MI, SO, IL, ON, MN, IN
Great Lakes Regional Office
Air Traffic Division AGL-530
2300 East Devon Avenue
Des Plaines, IL 60018
Tel. 312-694-7458
FAA Form 7460-1 (8-85)
Central Region
NE, IA, MO, KS
Central Regional Office
Air Traffic Division ACE -530
601 East 12th Street
Kansas City, MO 64106
Tel. 816-374-3408
Eastern Region
NY, PA, WV, VA, DC, MD, DE, NJ
Eastern Regional Office
Air Traffic Division AEA -530
JFK International Airport
Fitzgerald Federal Building
Jamaica, NY 11430
Tel. 718.917-1228
New England Region
MA, NH, VT, RI, CT, ME
New England Regional Office
Air Traffic Division ANE -530
12 New England Executive Park
Burlington, MA 01803
Tel. 617-273.7141
Western -Pacific Region
HI, CA, NV, AZ, GU
Western -Pacific Regional Office
Air Traffic Division AWP -530
15000 Aviation Boulevard
Hawthorne, CA 90260
Mail Address:
AWP -530
P.O. Box 92007
Worldway Postal Center
Los Angeles, CA 90009
Tel. 213-297-1182
Southwest Region
NM, TX, OK, AR, LA
Southwest Regional Office
Air Traffic Division ASW -530
4400 Blue Mound Road
Fort Worth, TX 76106
Mail Address:
P.O. Box 1689
Fort Worth, TX 76101
Tel. 817-877-2640
Southern Region
KY, TN, NC, SC, GA, AL, MS, FL
Southern Regional Office
Air Traffic Division ASO -530
3400 Norman Berry Drive
East Point, GA 30344
iii Address:
0. Box 20636
;:'ansa, GA 30320
Tel. 404-763-7646
Sen Juan Oftlrx
VI, PR
OOT/FAA
San Juan CERAP
ATTN: ML 8 SO
GPO Section
San Juan, PR 00936
Tel. 809-791-1615
DO NOT REMOVE CARBONS Form Approved OMB No. 2120-0001
USDepWrnervofTionsoonaim NOTICE OF PROPOSED CONSTRUCTION OR ALTERATION
Fadaral Aviation Administration
1. Nature of Proposal 2. Complete Description of Structure
A. Type B. Class C Work Schedule Dates A Include effective radiated power and assigned Irequency of
❑ New Construction ❑ Permanent Beginning all existing. proposed or modified AM. FM. or TV broadcast
❑ Alteration ❑ Temporary (Duration months) End stations utilizing this structure
B Include size and configuration of power transmission lines
3 A. Name and address of individual, company, corporation, etc. proposing the and their supporting towers in the vicinity of FAA facilities
construction Or alteration. (Number. Street. City, State and Zip Code) and public airports
C Include information showing site orientation. dimensions
t and construction materials of the proposed structure
arta colt Telephone Number
F
TO
telephone number of
(if more space is required, continue on a separate sheet.)
4# Location of Structure 5. Height and Elevation (Complete to the nearest foot)
A. Coordinates B. Nearest City. Town and State C Name of nearest airport, heliport. flightpark, A. Elevation of site above mean sea level
(To nearest second) or seaplane base
01 1 s+ (1) Distance to 4B (1) Distance from structure to nearest point of B. Height of Structure including all
Mlles nearest runway appurtenances and lighting (it any) above
_atitude ground, or water if so situated
' 1 ' of (2) Direction to 4B (2) Direction from structure to airport C. Overall height above mean sea level (A • B)
Longitude
D. Description of location of site with respect to highways, streets, airports, prominent terrain features, existing structures, etc. Attach a U.S. Geological Survey quadrangle map or
equivalent showing the relationship of construction site to nearest airport(s). (it more space is required. continue on a separate sheet of paper and attach to this notice.)
Notice is required by Part 77 of the Federal Aviation Regulations (14 C.F.R. Part 77) pursuant to Section 1101 of the Federal Aviation Act of 1958. as amended (49 U.S. C. 1101).
Persons who knowingly and willingly violate the Notice requirements of Part 77 are subject to a fine (cnntmal penalty) of not more than $500 for the first offense and not more
than $2,000 for subsequent offenses, pursuant to Section 902(a) of the Federal Aviation Act of 1958. as amended (49 U.S.C. 1472(a)).
1 HEREBY CERTIFY that all of the above statements made by me are true, complete, and correct to the best of my
knowledge. In addition, I agree to obstruction mark and/or light the structure in accordance with established marking &
lighting standards if necessary.
Dale typed Narne/Title of Person Filing Notice Signature
❑ Is not identified 8,
any standard of Fit
and would not be a`
[] Is identified as an
standards of ;FAR,
would not be a hazy
❑ Should be obstruct
lighted per FAi
7o17460.1, Chapter(
❑ Obstruction maricii
necessary.
Romnrkw
Issued In
'AA Form 7460-1(8-5)
DO NOT REMOVE CARBONS
JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
February 26, 1992
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1801
Sheila M. Farley
Grants Administrator
Calocerinos & Spina
Engineers, P.C.
1020 Seventh North Street
Liverpool, New York 13088-6199
Re: FY -92 Pre -applications
Elizabeth Field Airport
Dear Ms. Farley:
Transmitted herewith is one (1) executed FY -92 Pre -application
package for the Runway 12-30 & Runway 7-25 Rehabilitation, and Apron
& Access Taxiway at Elizabeth Field Airport, Fishers Island, New York.
Very truly yours,
'A
Judith T. Terry
Southold Town Clerk
Enclosure
cc: Accounting S Finance
JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1801
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE
SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON FEBRUARY 25, 1992:
RESOLVED that the Town Board of the town of Southold hereby authorizes
and directs Supervisor Scott L. Harris to execute a Fiscal Year - 1992 Pre -
Application for Federal Assistance for design and construction of Runway
12-30 Rehabilitation, Runway 7-25 Rehabilitation, and Apron and Access
Taxiway at Elizabeth Field Airport, Fishers Island, all in accordance with
the approval of the Town's consultants Calocerinos & Spina Engineers, P.C.
Judith T. Terry
Southold Town Clerk
February 26, 1992
C 'S
Calocerinos & Spina
En�lin��F.�is, P.C_
To: Mr. R. Philip Knauff
Manager
Fisher's Island Ferry District
P.O. Box H
Fisher's Island, New York 06390
Enclosed please find the following:
Re: FY -92 Pre -applications
Runway 12-30 Rehabilitation
Runway 7-25 Rehabilitation
Apron & Access Taxiway
File: 211.000
Date: 04 -Feb -92
- Three copies of the FY -92 Pre -application package for your review and signature.
Remarks: Please send one signed copy back to me in the enclosed envelope, and keep
two copies for your files.
If you have any questions or need additional information, please do not
hesitate to contact us.
Enclosures
cc: Mr. Thomas J. McDonald
Ms. Susan Windesheim
CALOCERINOS & SPINA ENGINEERS, P.C.
Sheila M. Farley
Grants Administrator
1020 Seventh North Street, Liverpool, NY 13088-6199 (315) 457-6711 FAX (315) 457-9803
OMB Approval No. 0348-0043
,,APr" WCATION FOR
2. DATE SUBMITTED
Applicant Identifier
FEDERAL ASSISTANCE
01/30/92
211
1. TYPE OF SUBMISSION:
3. DATE RECEIVED BY STATE
State Applicant Identifier
Application Preapplkation
1-1 Construction XLH Construction
4. DATE RECEIVED BY FEDERAL AGENCY
Federal Identifier
Non -Construction F-1 Non -Construction
5. APPLICANT INFORMATION
Legal Name:
Organizational Unit:
Town of Southold
Fishers Island Ferry District
Address (give city, county, state, and zip code)
Name and telephone number of the person to be contacted on matters involving
Suffolk County
this application (give area code)
Town Hall, 53095 Main Road
P.O. Box 1179
R. Philip Knauff
Southold, New York 11971
(516) 788-7463
6. EMPLOYER IDENTIFICATION NUMBER (EIN):
7. TYPE OF APPLICANT: (enter appropriate /offer in box) LUJ
1 1 -- 6 0 0 1 3 3 0 7
A. State H. Independent School Dist
B. County I. State Controlled Institution of Higher Learning
C. Municipal J. Private University
8. TYPE OF APPLICATION:
D. Township K. Indian Tribe
® New F] Continuation ❑ Revision
E. Interstate L. Individual
F. Intermunicipal M. Profit Organization
If Revision, enter appropriate letters) in box(es)�
G. Special District N. Other (Specify)
A. Increase Award B. Decrease Award C. Increase Duration
D. Decrease Duration Other (Specify):
9. NAME OF FEDERAL AGENCY:
Federal Aviation Administration
New York Airports District Office
10. CATALOG OF FEDERAL DOMESTIC
11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
ASSISTANCE NUMBER: 2 O O 1 O 6
TITLE Airport Improvement Program (AIP)
RUNWAY 12-30 REHABILITATION
RUNWAY 7-25 REHABILITATION
APRON & ACCESS TAXIWAY
12. AREAS AFFECTED BY PROJECT (cities, counties, states, etc.):
Fishers Island
13. PROPOSED PROJECT:
14. CONGRESSIONAL DISTRICTS OF:
Start Date
Ending Date
a. Applicant
b. Project
2nd
2nd
15. ESTIMATED FUNDING:
16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS?
a. YES THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE
a Federal
$ .00
STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON
01/30/92
b Applicant
$ .00
DATE
c State
$ .00
b. NO F] PROGRAM IS NOT COVERED BY E.O. 12372
d Local
$ .00
F] OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW
e Other
$ .00
f Program Income
$ .00
17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
❑ Yes If 'Yes,' attach an explanation. ® No
g TOTAL
$ .00
18 TO THE BEST OF MY KNOWLEDGE AND BELIEF ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY
AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
a Typed Name of Authorized Representative
b Title
c Telephone number
Scott L. Harris
Town Supervisor
(516) 765-1800
d Signature of Authorized Repfesentative
a Date Signed
J-c-v,4�
February 25,1992
Previous Editions t4bt Usable Standard Form 424 (REV 4-88)
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
OMB Approved No. 0348-0041-
pp
BUDGET INFORMATION --Construction Programs
Prescribed by OMB Circular A-10.
Authorized for Local Reproduction
..- . �..-........... _.- ............ .. r....y. ... ... y.... ., ...............,...',........,.....
.........,.., ,... ..........
, ... , �,. wa.a .. r.y..nv .an rav
a eayauar6 II yYaill Iy U/O (:Caa rw w///
[xf l/pl//IfJO.
COST CLASSIFICATION
a. Total Cost
b. Costs Not Allowable
for Participation
c. Total Allowable Costs
(Column a -b)
1.
Administrative and legal expenses
$
.00
$ AO
$
00
$6,622
$6,622
2.
Land, structures, rights-of-way, appraisals, etc.
r
$
.00
$ .00
$
.00
3.
Relocation expenses and payments
$
.00
$ .00
$
,00
4.
Architectural and engineering fees
$
.00
$ .00
$
.00
$171,000
$171,000
5.
Other architectural and engineering fees
$
.00
$ .00
$
.00
6.
Project inspection fees
$
.00
$ .00
$
.00
$171,000
$171,000
7.
Site work
$
.00
$ .00
$
.00
8.
Demolition and removal
$
.00
$ .00
$
.00
9.
Construction
$
.00
$ .00
$
.00
$1,772,378
$1,772,378
10.
Equipment
$
.00
$ .00
$
.00
11.
Miscellaneous
$
.00
$ .00
$
.00
AUDIT
$6,000
$6,000
12.
SUBTOTAL
$
.00
$ .00
$
.00
$2,127,000
$2,127,000
13.
Contingencies (sum of lines 1-11)
$
.00
$ .00
$
.00
14.
SUBTOTAL
$
.00
$ .00
$
.00
$2,127,000
$2,127,000
15.
Project (program) income
$
.00
$ .00
$
.00
16.
TOTAL PROJECT COSTS (subtract #15 from #14)
$
.00
$ .00
$
.00
$2,127,000
$2,127,000
FEDERAL FUNDING
17.
Federal assistance requested, calculate as follows: Enter eligible costs from line 16o Multiply x 90%
(Consult Federal agency for Federal percentage share).
RUNWAY 12-30 REHABILITATION
$o0
Enter the resulting Federal share
RUNWAY 7-25 REHABILITATION
$1,914,300
APRON & ACCESS TAXIWAY
Prescribed by OMB Circular A-10.
Authorized for Local Reproduction
January 29, 1992
Mr. Philip Brito, Manager
Federal Aviation Administration
New York Airports District Office
181 South Franklin Avenue - Room 305
Valley Stream, New York 11581
Re: Elizabeth Field Airport
Runway 12-30 Rehabilitation (Design)
Runway 12-30 Rehabilitation (Construction)
Runway 7-25 Rehabilitation (Design)
Runway 7-25 Rehabilitation (Construction)
Apron and Access Taxiway (Design)
Apron and Access Taxiway (Construction)
Subj: Preapplication Supporting Documentation
Dear Mr. Brito:
In support of our request for Federal Funding on the above -referenced projects, the Town of
Southold provides the following statements:
Project Narrative Statement
Description:
Runway 12-30 Rehabilitation (Design): Design of a bituminous overlay of Runway 12-30 (2328'
x 100') including all related surface preparation, grading, marking and surface restoration.
Runway 12-30 Rehabilitation (Construction): Construction of a bituminous overlay of Runway
12-30 (2328' x 100')including all related surface preparation, grading, marking and surface
restoration work.
Runway 7-25 Rehabilitation (Design): Design of a 1940' x 75' bituminous overlay of Runway
7-25 including all related surface preparation, grading, marking and restoration.
Runway 7-25 Rehabilitation (Construction): Construction of a 1940' x 75' bituminous overlay
of Runway 7-25 including all related surface preparation, grading, marking and restoration.
Apron and Access Taxiway (Design): Design of a 9,000 square yard parking apron and a
connecting taxiway. Project includes all drainage , pavement, grading, lighting and marking
design.
' � w
Mr. Philip Brito
Page 2
January 29, 1992
Apron and Access Taxiway (Construction): Construction of a 9,000 square yard parking apron
and a connecting taxiway including all related drainage, pavement, grading, lighting and marking
work.
Justification:
Runway 12-30 Rehabilitation (Design & Construction): Runway 12-30 is the primary runway
at Elizabeth Field. The pavement is cracked and worn and in need of rehabilitation to preserve
the structural integrity of the pavement.
Runway 725 Rehabilitation (Design & Construction): The runway pavement is cracked and
worn but in good condition. A maintenance overlay is required in order to provide a smoother
riding surface and to prevent further deterioration of the pavement.
Apron and Access Taxiway (Design & Construction): Increased aircraft parking area is required
to satisfy existing aircraft operational demands. The taxiway will provide access to Runway 7-25
from the parking area.
Runway Grooving Statement
Elizabeth Field Airport is a basic utility airport accommodating Airplane Design Group I aircraft.
Aircraft operations at the Airport are primarily light general aviation traffic and there is no history of
hydroplaning causing veeroffs or overruns. In view of the above, the Town has determined that runway
grooving is not required.
Coordination Statement
The Town of Southold confirms that Operators at the Fishers Island Airport have been consulted
and are aware of the proposed development projects.
Displaced Persons Statement
The airport projects proposed in this aid application do not involve the displacement or relocation
of persons residing on land needed for such development.
Specific Opposition Statement
The Town of Southold is not aware of any significant community opposition to the proposed
projects.
a
L
Mr. Philip Brito
Page 3
January 29, 1992
Negative Environmental Declaration Statement
Construction of the proposed projects at Elizabeth Field Airport will require earthmoving and
paving equipment as well as trucks to haul materials to and from the job site. The trucks used to haul
material to the job site will not significantly interfere with normal traffic patterns. The distance between
the area of proposed construction and developed residential area(s) is sufficient to dissipate the impact
of construction noise. Soil erosion resulting from the construction operation into undisturbed areas will
be limited by requiring the Contractor to comply with contract provisions for environmental protection
as well as State and local environmental regulations.
On the basis of these, and other pertinent factors associated with the projects, the Town of
Southold concludes that the proposed development work included in this request for aid for Elizabeth
Field Airport will not be controversial on environmental grounds; will not affect the ambient noise level;
will not displace persons residing on land needed for such development; will not have a significant
aesthetic or visual effect; will not divide or disrupt an established community or divide existing use areas;
will not have any effect on areas of unique interest or scenic beauty; will not destroy or derogate from
important recreational areas; will not alter the pattern of behavior of a species; will not interfere with
important wildlife, breeding, nesting or feeding grounds; will not increase air or water pollution; and will
not affect the water table of the area. We are not aware of any objections of Federal agencies or State
or local bodies in respect to the environmental aspects of this project.
'The Town of Southold has a long-standing and vital concern for and interest in the protection and
enhancement of the quality of the environment in the region, particularly at its facilities and in areas
adjacent to its facilities.
It is the studied judgement of the Town of Southold that the development work included in this
application for aid is fully consistent with the concern for environmental enhancement and protection.
Summary
The above statements are provided with and form a part of our application for the referenced
project. We will promptly answer your questions or provide additional information upon request.
SLH: SMF: jm�
0
Very truly yours,
TOWN OF SOUTH�OOLD
Scott L. Harris
Town Supervisor
Agency Compliance Statement
State Environmental Quality Review
In, accordance with the rules, regulations and procedures
adopted by the Town of Southold
(Name of Municipal Corporation)
pursuant to the intent of the State Environmental Quality
Review Act, the project described below is classified as a:
Check One
[ ]
[X]
[ ]
Project Description
Type I Action
Type II Action
Ministerial Action
Exempt Action
Not Classified
RUNWAY 12-30 REHABILITATION
RUNWAY 7-25 REHABILITATION
Scott L. Harris
Town Supervisor
February 25, 1992
Date
Ageft4y Compliance Statement
State Environmental Quality Review
In accordance with the rules, regulations and procedures
adopted by the Town of Southold
(Name of Municipal Corporation)
pursuant to the intent of the State Environmental Quality
Review Act, the project described below is classified as a:
Check One
LX]
L ]
L ]
L l
Project Description
Type I Action
Type II Action
Ministerial Action
Exempt Action
Not Classified
APRON & ACCESS TAXIWAY
r
Scott L. Harris
Town Supervisor
February 25, 1992
Date
OMB Approved No. 0348-0041
BUDGET INFORMATION --Construction Programs
NOTE: Certain Federal assistance programs require additional computations to arrive at the Federal share oforoiect costs eligible for oarticioation. if such is the case wwi will ha nntitlad
COST CLASSIFICATION
a. Total Cost
b. Costs Not Allowable
for Participation
c. Total Allowable Costs
(Column a -b)
1. Administrative and legal expenses
$
.00
$
.00
$
,00
2. Land, structures, rights-of-way, appraisals, etc.
$
.00
$
.00
$
.00
3. Relocation expenses and payments
$
.00
$
.00
$
.00
4. Architectural and engineering fees
$
$72,500
.00
$
.00
$
$72,500
.00
5. Other architectural and engineering fees
$
.00
$
.00
$
.00
6. Project inspection fees
$
.00
$
.00
$
.00
7. Site work
$
.00
$
.00
$
.00
8. Demolition and removal
$
.00
$
.00
$
.00
9. Construction
$
.00
$
.00
$
.00
10. Equipment
$
.00
$
.00
$
.00
11. Miscellaneous
AUDIT
$
.00
$
.00
$
.00
12. SUBTOTAL
$
$72,500
.00
$
.00
$
$72,500
.00
13. Contingencies (sum of lines 1-11)
$
.00
$
.00
$
.00
14. SUBTOTAL
$
$72,500
.00
$
.00
$
$72,500
.00
15. Project (program) income
$
.00
$
.00
$
.00
16. TOTAL PROJECT COSTS (subtract #15 from #14)
$
$72,500
.00
$
.00
$
$72,500
.00
FEDERAL FUNDING
17. Federal assistance requested, calculate as follows: Enter eligible costs from line 16C Multiply x 90%
(Consult Federal agency for Federal percentage share). RUNWAY 12-30 REHABILITATION (Design)
Enter the resulting Federal share
$ $65,250
vaanuau ruin YLYV �YroO)
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
OMB Approved No. 0348-0041
BUDGET INFORMATION --Construction Programs
NOTE: Certain Federal assistance programs require additional computations to arrive at the Federal share of project costs eligible /or participation. If such is the case you will be notified.
COST CLASSIFICATION
a. Total Cost
b. Costs Not Allowable
for Participation
c. Total Allowable Costs
(Column a -b)
i. Administrative and legal expenses
$
$2,876
.00
$
.00
$
$2,876
.00
2. Land, structures, rights-of-way, appraisals, etc.
$
.00
$
.00
$
.00
3. Relocation expenses and payments
$
.00
$
.00
$
.00
4. Architectural and engineering fees
$
.00
$
.00
$
.00
5. Other architectural and engineering fees
$
.00
$
.00
$
.00
S. Project inspection fees
$
$72,500
.00
$
00
$
$72,500
.00
7. Site work
$
.00
$
.00
$
.00
8. Demolition and removal
$
.00
$
.00
$
.00
9. Construction
$
$748,124
.00
$
.00
$
$748,124
.00
10. Equipment
$
.00
$
.00
$
.00
11. Miscellaneous
AUDIT
$
$2,000$2,000
.00
$
.00
$
.00
12. SUBTOTAL
$
$825,500
.00
$
.00
$
$825,500
.00
13. Contingencies (sum of lines 1-11)
$
.00
$
.00
$
.00
14. SUBTOTAL
$
$825,500
.00
$
.00
$
$825,500
.00
15. Project (program) income
$
.00
$
.00
$
.00
18. TOTAL PROJECT COSTS (subtract 1115 from #14)
$
$825,500
.00
$
.00
$
$825,500
.00
FEDERAL FUNDING
17. Federal assistance requested, calculate as follows: Enter eligible costs from line 18c Multiply x 90%
(Consult Federal agency for Federal percentage share). RUNWAY 12-30 REHABILITATION (Construction)
Enter the resulting Federal share
$ 742,950
.00
vtanualu rwm - %,-vv,
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
PRELIMINARY PROJECT COST
ELIZABETH FIELD AIRPORT
211.000
FISHERS
ISLAND,
NEW YORK
-'------
RUNWAY 12-30
REHABILITATION
01/21/92
ITEM
FAA
UNIT
NO.
SPEC NO.
DESCRIPTION
QUANTITY UNITS PRICE
TOTAL
1
P-153
COLD MILLING EXISTING PAVEMENT
6,000 SY
S4.00
524,000.00
2
P-400
PREPARATION OF EXISTING PAVEMENT, TYPE 1
5,000 SY
$1.00
$5,000.00
3
P-400
PREPARATION OF EXISTING PAVEMENT, TYPE 11
1 LS
$10,000.00
$10,000.00
4
P-409
BITUMINOUS CONCRETE - TYPE 6F, TOP
6,500 TON
$60.00
5390,000.00
5
P-409
TRUE AND LEVEL COURSE
3,500 TON
560.00
$210,000.00
6
P-603
BITUMINOUS TACK COAT
5,700 GAL
51.50
$8,550.00
7
P-612
FIELD OFFICE
1 LS
$6.000.00
56.000.00
8
P-620
RUNWAY 8 TAXIWAY PAINTING
27,000 SF
51.00
$27,000.00
9
P-625
SAND SLURRY COAL -TAR PITCH EMULSION SEALCOAT
8,000 SY
$2.00
516,000.00
10
L-125
MODIFICATION OF MEDIUM INTENSITY RUNWAY EDGE
LIGHTS, BASE MOUNTED, IN PAVEMENT
26 EACH
$300.00
$7,800.00
11
M-100
MAINTENANCE AND PROTECTION OF TRAFFIC
1 LS
$8,000.00
$8,000.00
12
M-150
PROJECT SURVEY 3 STAKEOUT
1 LS
$7,000.00
$7,000.00
13
M-200
MOBILIZATION
1 LS
$28,774.00
$28,774.00
----••-----------------------------------------------------------------------------------------------
CONSTRUCTION COST
$748.124.00
14
ENGINEERING AND ADMINISTRATION (+/-20X)
--------------
5149,876.00
PRELIMINARY PROJECT COST
$898,000.00
FIE4.WR! Page 1
A
01/24/92
OMB Approved No. 0348-0041
BUDGET INFORMATION --Construction Programs
NOTE: Certain Federal assistance programs require additional computations to arrive at the Federal share o/ project costs eligible /or participation. If such is the case You will be notified.
aianoaro ram 4[4-, tq-aal
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
COST CLASSIFICATION
a. Total Cost
b. Costs Not Allowable
for Participation
c. Total Allowable Costs
(Column a -b)
1.
Administrative and legal expenses
$
.00
$
.00
$
.00
2.
Land, structures, rights-of-way, appraisals, etc.
w
$
.00
$
.00
$
.00
3.
Relocation expenses and payments
$
.00
$
.00
$
.00
4.
Architectural and engineering fees
$
$53,000
.00
$
.00
$
$53,000
,00
5.
Other architectural and engineering fees
$
.00
$
.00
$
.00
8.
Project inspection fees
$
.00
$
.00
$
.00
7.
Site work
$
.00
$
.00
$
.00
S.
Demolition and removal
$
.00
$
.00
$
.00
9.
Construction
$
.00
$
.00
$
.00
10.
Equipment
$
.00
$
.00
$
.00
11.
Miscellaneous
AUDIT
$
.00
$
.00
$
.00
12.
SUBTOTAL
$
$53,000
.00
$
.00
$
$53,000
.00
13.
Contingencies (sum of lines 1-11)
$
.00
$
.00
$
.00
14.
SUBTOTAL
$
$53,000
.00
$
.00
$
$53,000
.00
15.
Project (program) income
$
.00
$
.00
$
.00
le.
TOTAL PROJECT COSTS (subtract 1115 from #14)
$
$53,000
.00
$
.00
$
$53,000
.00
FEDERAL FUNDING
17.
Federal assistance requested, calculate as follows: Enter eligible costs from line 16c Multiply x 90%
(Consult Federal agency for Federal percentage share). RUNWAY 7-25 REHABILITATION (Design)
Enter the resulting Federal share
$
$47,700
.00
aianoaro ram 4[4-, tq-aal
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
OMB Approved No. 0348-0041
BUDGET INFORMATION --Construction Programs
NOTE: Certain Federal assistance programs require additional computations to arrive at the Federal share of proiect costs eliaible for oarticination. If such is the case vim will ha nntirha l
Standard Form 4240 (4-88)
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
COST CLASSIFICATION
a. Total Cost
b. Costs Not Allowable
for Participation
c. Total Allowable Costs
(Column a -b)
i.
Administrative and legal expenses
$
$2,072
00
$
00
$
$2,072
.00
2.
Land, struckres, rights-of-way, appraisals, etc.
$
.00
$
.00
$
.00
3.
Relocation expenses and payments
$
.00
$
.00
$
.00
4.
Architectural and engineering fees
$
.00
$
.00
$
.00
5.
Other architectural and engineering fees
$
.00
$
.00
$
.00
e.
Project inspection fees
$
$53,000
.00
$
.00
$
$53,000
.00
7.
Site work
$
.00
$
.00
$
.00
8.
Demolition and removal
$
.00
$
.00
$
.00
9.
Construction
$
$551,928
.00
$
.00
$
$551,928
.00
10.
Equipment
$
.00
$
.00
$
.00
11.
Miscellaneous
AUDIT
$
$2,000
.00
$
.00
$
$2,000
.00
12.
SUBTOTAL
$
$609,000
.00
$
.00
$
$609,000
.00
13.
Contingencies (sum of lines 1-11)
$
.00
$
.00
$
.00
14.
SUBTOTAL
$
$609,000
.00
$
.00
$
$609,000
.00
15.
Project (program) income
$
.00
$
.00
$
.00
16.
TOTAL PROJECT COSTS (subtract 1115 from #14)
$
$609,000
.00
$
.00
$
$609,000
.00
FEDERAL FUNDING
17.
Federal assistance requested, calculate as follows: Enter eligible costs from line tec Multiply x 90%
(Consult Federal agency for Federal percentage share). RUNWAY 7-25 REHABILITATION (Construction)
Enter the resulting Federal share
$
$548,100
o0
Standard Form 4240 (4-88)
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
PRELIMINARY PROJECT COST
ELIZABETH FIELD AIRPORT
FISHERS ISLAND, NEW YORK
RUNWAY 7-25 REHABILITATION
211.000
01/21/92
ITEM FAA
UNIT
NO. SPEC NO. DESCRIPTION
QUANTITY UNITS
PRICE
TOTAL
1 FI -153
COLD MILLING EXISTING PAVEMENT
4,000 SY
$4.00
$16,000.00
2 P-400
PREPARATION OF EXISTING PAVEMENT, TYPE 1
5,000 SY
$1.00
$5,000.00
3 P-400
PREPARATION OF EXISTING PAVEMENT, TYPE II
1 LS
$10,000.00
$10,000.00
4 FO -409
BITUMINOUS CONCRETE - TYPE 6F, TOP
4,500 TON
$60.00
$270,000.00
5 P-409
TRUE AND LEVEL COURSE
2,500 TON
560.00
$150,000.00
6 FI -603
BITUMINOUS TACK COAT
3,000 GAL
$1.50
54,500.00
7 FI -612
FIELD OFFICE
1 LS
$6,000.00
$6,000.00
8 P-620
RUNWAY & TAXIWAY PAINTING
25,000 SF
51.00
525,000.00
9 P-625
SAND SLURRY COAL -TAR PITCH EMULSION SEALCOAT
11,000 SY
$2.00
$22,000.00
10 L-125
MODIFICATION OF MEDIUM INTENSITY RUNWAY EDGE
LIGHTS, BASE MOUNTED, IN PAVEMENT
24 EACH
$300.00
57,200.00
11 M-100
MAINTENANCE AND PROTECTION OF TRAFFIC
1 LS
$8,000.00
58,000.00
12 M-150
PROJECT SURVEY & STAKEOUT
1 LS
$7,000.00
57,000.00
13 M-200
----------------------------------------------------------------------------------------------------
MOBILIZATION
1 LS
$21,228.00
521,228.00
CONSTRUCTION COST
5551,928.00
14
ENGINEERING AND ADMINISTRATION C+/ -20X)
--------------
$110,072.00
PRELIMINARY PROJECT COST
5662,000.00
3
FIE4.WR!
Page 1
01/27/92
OMB Approved No. 0348-0041
BUDGET INFORMATION --Construction Programs
NOTE: Certain Federal assistance programs require additional computations to arrive at the Federal share otproject costs eligible /or participation, //such is the case you will be notified
COST CLASSIFICATION
a. Total Cost
b. Costs Not Allowable
for Participation
c. Total Allowable Costs
(Column a -b)
1. Administrative and legal expenses
$
.00
$
.00
$
.00
2. Land, structures, rights-of-way, appraisals, etc.
$
.00
$
.00
$
.00
3. Relocation expenses and payments
$
.00
$
.00
$
.00
4. Architectural and engineering fees
$
$45,500
.00
$
.00
$
$45,500
.00
5. Other architectural and engineering fees
$
.00
$
.00
$
.00
6. Project inspection fees
$
.00
$
.00
$
.00
7. Site work
$
.00
$
.00
$
.00
8. Demolition and removal
$
.00
$
.00
$
.00
9. Construction
$
.00
$
.00
$
.00
10. Equipment
$
.00
$
.00
$
.00
11. Miscellaneous
AUDIT
$
.00
$
.00
$
.00
12. SUBTOTAL
$
$45,500
.00
$
.00
$
$45,500
.00
13. Contingencies (sum of lines 1-11)
$
.00
$
.00
$
.00
14. SUBTOTAL
$
$45,500
.00
$
.00
$
$45,500
.00
15. Project (program) income
$
.00
$
.00
$
.00
16. TOTAL PROJECT COSTS (subtract #15 from #14)
$
$45,500
.00
$
.00
$
$45,500
.00
FEDERAL FUNDING
17. Federal assistance requested, calculate as follows: Enter eligible costs from line 160 Multiply x 90%
(Consult Federal agency for Federal percentage share). APRON & ACCESS TAXIWAY (Design)
Enter the resulting Federal share
$
$40,950
o0
bZanaara Form 424V 14-66)
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
OMB Approved No. 0348-0041
BUDGET INFORMATION --Construction Programs
NOTE: Certain Federal assistance Proarams reauire additional comoutations to arrive at the Federal share of oroiect costs alinibin rnr narticinatinn a aueh ;a tha wai hn n^t;r ,r
aianaare rorm 4z4u (4 --dal
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
COST CLASSIFICATION
a. Total Cost
b. Costs Not Allowable
for Participation
c. Total Allowable Costs
(Column a -b)
1.
Administrative and legal expenses
$
$1,674
.00
$
.00
$
$1,674
,00
2.
Land, structures, rights-of-way, appraisals, etc.
$
.00
$
.00
$
.00
3.
Relocation expenses and payments
$
.00
$
.00
$
.00
4.
Architectural and engineering fees
$
.00
$
.00
$
.00
5.
Other architectural and engineering fees
$
.00
$
.00
$
.00
e.
Project inspection fees
$
$45,500
.00
$
.00
$
$45,500
.00
7.
Site work
$
.00
$
.00
$
.00
S.
Demolition' and removal
$
.00
$
.00
$
.00
9.
Construction
$
$472,326
.00
$
.00
$
$472,326
.00
10.
Equipment
$
.00
$
.00
$
.60--
11.
Miscellaneous
AUDIT
$
$2,000
.00
$
.00
$
$2,000
.00
12.
SUBTOTAL
$
$521,500
.00
$
.00
$
$521,500
.00
13.
Contingencies (sum of lines 1-11)
$
.00
$
.00
$
.00
14.
SUBTOTAL
$
$521,500
.00
$
.00
$
$521,500
.00
15.
Project (program) income
$
.00
$
.00
$
.00
16.
TOTAL PROJECT COSTS (subtract #15 from #14)
$
$521,500
.00
$
.00
$
$521,500
.00
FEDERAL FUNDING
17. Federal assistance requested, calculate as follows: Enter eligible costs from line 16c Multiply x 900
(Consult Federal agency for Federal percentage share). APRON & ACCESS TAXIWAY (Construction)
Enter the resulting Federal share
$
$469,350
.00
aianaare rorm 4z4u (4 --dal
Prescribed by OMB Circular A-102
Authorized for Local Reproduction
PRELIMINARY PROJECT COST
ELIZABETH FIELD AIRPORT
FISHERS ISLAND, NEW YORK
APRON AND ACCESS TAXIWAY
01/08/92
ITEM FAA
UNIT
NO. SPEC N0. DESCRIPTION
QUANTITY UNITS PRICE
TOTAL
1 P-152
COMMON EXCAVATION
9,400 CY
$8.00
$75,200.00
2 P-156
SOIL EROSION AND SILTATION CONTROL
1 LS
$5,000.00
$5,000.00
3 P-209
CRUSHED STONE BASE COURSE
3,500 CY
$33.00
$115,500.00
4 P-409
BITUMINOUS CONCRETE - TYPE 6F, TOP
1,300 TON
$60.00
$78,000.00
5 P-409
BITUMINOUS CONCRETE - TYPE 3, BINDER
1,300 TON
$60.00
578,000.00
6 P-612
FIELD OFFICE
1 LS
$6,000.00
$6,000.00
7 P-620
RUNWAY & TAXIWAY PAINTING
2,000 SF
$1.00
$2,000.00
8 D-710
STABILIZATION FABRIC
95,400 SF
50.15
$14,310.00
9 T-901
SEEDING
4,500 SY
SO.40
51,800.00
10 T-905
TOPSOILING (OBTAINED ON-SITE)
400 CY
S15.00
56,000.00
11 T-908
MULCHING
4,500 SY
SO.30
51,350.00
12 L-108
CABLE TRENCHING FOR THE INSTALLATION OF
UNDERGROUND CABLE
1,750 LF
$8.00
$14,000.00
13 L-108
NO. 8 AWG, 5KV, TYPE C SINGLE CONDUCTOR
UNDERGROUND CABLE INSTALLED IN TRENCH
1,750 LF
51.00
51,750.00
14 L-108
NO. 8 AWG, BARE COPPER COUNTERPOISE WIRE
INSTALLED IN TRENCH INCLUDING GROUNDING RODS
AND EXOTHERMIC CONNECTIONS
1,750 LF
51.00
51,750.00
15 L-109
ELECTRICAL VAULT EQUIPMENT
1 LS
57,000.00
57,000.00
16 L-110
4 -WAY ELECTRICAL DUCT BANK, TYPE I
200 LF
570.00
$14,000.00
17 L-125
MEDIUM INTENSITY TAXIWAY EDGE LIGHTS, STAKE
MOUNTED, IN PLACE
30 EACH
5300.00
$9,000.00
18 L-125
MEDIUM INTENSITY TAXIWAY EDGE LIGHTS, BASE
MOUNTED, IN PLACE
10 EACH
5600.00
56,000.00
19 L-125
TAXIWAY GUIDANCE SIGN, BASE MOUNTED,
IN PLACE
3 EACH
$2,500.00
57,500.00
20 M-100
MAINTENANCE AND PROTECTION OF TRAFFIC
1 LS
55,000.00
55,000.00
21 M-150
PROJECT SURVEY & STAKEOUT
1 LS
55,000.00
55,000.00
22 M-200
MOBILIZATION
1 LS
518,166.40
518,166.40
----------------------------------------------------------------------------------------------------
CONSTRUCTION COST
$472,326.40
23
ENGINEERING AND ADMINISTRATION W -20X)
--------------
594,673.60
PRELIMINARY PROJECT COST
5567,000.00
AIRCOST.WR!
Page 1
01/24/92
� R -
OMB Approved No. 0348-WQ
ASSURANCES — CONSTRUCTION PROGRAMS
Note: Certain of these assurances may not be applicable to your project or program, If you have questions,
please contact the Awarding Agency. Further, certain federal'assistance awarding agencies may require
applicants to certify to additional assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1. Has the legal authority to apply for Federal
assistance, and the institutional, managerial and
financial capability (including funds sufficient to
pay the non -Federal share of project costs) to
ensure proper planning, management and
completion of the project described in this
application.
2. Will give the awarding agency, the Comptroller
General of the United States, and if appropriate,
the State, through any authorized representative,
access to and the right to examine all records,
books, papers, or documents related to the
assistance; and will establish a proper accounting
system in accordance with generally accepted
accounting standards or agency directives.
3. Will not dispose of, modify the use of, or change
the terms of the real property title, or other
interest in the site and facilities without
permission and instructions from the awarding
agency. Will record the Federal interest in the
title of real property in accordance with awarding
agency directives and will include a covenant in
the title of real property acquired in whole or in
part with Federal assistance funds to assure
nondiscrimination during the useful life of the
project.
4. Will comply with the requirements of the
assistance awarding agency with regard to the
drafting, review and approval of construction
plans and specifications.
5. Will provide and maintain competent and
adequate engineering supervision at the
construction site to ensure that the complete work
conforms with the approved plans and specifica-
tions and will furnish progress reports and such
other information as may be required by the
assistance awarding agency or State.
6. Will initiate and complete the work within the
applicable time frame after receipt of approval of
the awarding agency.
7 Will establish safeguards to prohibit employees
from using their positions for a purpose that
constitutes or presents the appearance of personal
or organizational conflict of interest, or personal
gain.
8. Will comply with the Intergovernmental
Personnel Act of 1970 (42 U.S.C. 4f 4728-4763)
relating to prescribed standards for merit systems
for programs funded under one of the nineteen
statutes or regulations specified in Appendix A of
OPM's Standards for a Merit System of Personnel
Administration (5 C.F.R. 900, Subpart F).
9. Will comply with the Lead -Based Paint Poisoning
Prevention Act (42 U.S.C. If 4801 et seq.) which
prohibits the use of lead based paint in
construction or rehabilitation of residence
structures.
10. Will comply with all Federal statues relating to
non-discrimination. These include but are not
limited to: (a) Title VI of the Civil Rights Act of
1964 (P.L. 88-352) which prohibits discrimination
on the basis of race, color or national origin; (b)
Title IX of the Education Amendments of 1972, as
amended (20 U.S.C. It 1681-1683, and 1685-
1686) which prohibits discrimination on the basis
of sex; (c) Section 504 of the Rehabilitation Act of
1973, as amended (29 U.S.C. 1794) which prohibit
discrimination of the basis of handicaps; (d) the
Age Discrimination Act of 1975, as amended (42
U.S.C. If 6101-6107) which prohibits discrimi-
nation on the basis of age; (e) the Drug Abuse
Office and Treatment Act of 1972 (P. L. 93-255), as
amended, relating to non-discrimination on the
basis of drug abuse; (0 the Comprehensive
Alcohol Abuse and Alcoholism Prevention,
Treatment and Rehabilitation Act of 1970 (P.L.
91-616), as amended, relating to nondiscrimi-
nation on the basis of alcohol abuse or alcoholism;
(g) H 523 and 527 of the Public Health Service
Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as
amended, relating to confidentiality of alcohol and
drug abuse patient records; (h) Title VIII of the
Civil Rights Act of 1968 (42 U.S.C. 13601 et seq.),
as amended, relating to non-discrimination in the
sale, rental or financing of housing; (i) any other
non-discrimination provisions in the specific
statute(s) under which application for Federal
assistance is being made, and Q) the requirements
on any other non-discrimination Statute(s) which
may apply to the application.
St3i%Ard FYM Q40 A 681
Prescr,oed or CM9 Cuc6w A•102
Authorized for Local Reproduction
11. Will compijr, or has already complied, with the
requuvmerds of Titles 11 and III of the Uniform
Relocation Assistance and -Real Property
Acquisition Policies Act of 1970 (P.L. 91-646)
which provides for fair and equitable treatment
of persons displaced or whose property is
acquired as a result of Federal 'and federally
assisted programs. These requirements apply to
all interests in real property acquired for project
Purposes regardless of Federal participation in
purchases.
12. Will comply with the provisions of the Hatch Act
(5 U.S.C. 11 1501-1508 and 7324-7328) which
limit the political activities of employees whose
principal employment activities are funded in
whole or in part with Federal funds.
13. Will comply, as applicable, with the provisions of
the Davis -Bacon Act (40 U.S.C. 11 276a to 276a-
7), the Copeland Act (40 U.S.C. 1 276c and 18
U.S.C. 1 874), the Contract Work Hours and
Safety Standards Act (40 U.S. 11 327-333)
regarding labor standards for federally assisted
construction subagreements.
14. Will comply with the flood insurance purchase
requirements of Section 102(x) of the Flood
Disaster Protection Act of 1973 (P.L. 93-234)
which requires recipients in a special flood
hazard area to participate in the program and to
purchase flood insurance if the total cost of
insurable construction and acquisition is $10,000
or more,.
Environmental Policy Act of 1969 (P.L. 91-190)
and Executive Order (EO) 11514; (b) notification
of violating facilities pursuant to EO 11738; (c)
protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in
accordance with EO 11988; (e) assurance of
project consistency with the approved State
management program developed under the
Coastal Zone Management Act of 1972 (16 U.S.C.
11 1451 et seq.); (fl conformity of Federal actions
to State (Clean Air) Implementation Plans under
Section 176(c) of the Clean Air Act of 1955, as
amended (42 U.S.C. 17401 et seq.); (g) protection
of underground sources of drinking water under
the Safe Drinking Water Act of 1974, as
amended, (P.L. 93-523); and (h) protection of
endangered species under the Endangered
Species Act of 1973, as amended, (P. L. 93-205).
16. Will comply with the Wild and Scenic Rivers Act
of 1968 (16 U.S.C. 11 1271 et seq.) related to
protecting components or potential components
of the national wild and scenic rivers system.
17. Will assist the awarding agency in assuring
compliance with Section 106 of the National
Historic Preservation Act of 1966, as amended
(16 U.S.C. 470), EO 11593 (identification and
preservation of historic properties), and the
Archaeological and Historic Preservation Act of
1974 (16 U.S.C. 469a-1 et seq.).
18.
15. Will comply with environmental standards
which may be prescribed pursuant to the 19
following: (a) institution of environmental
quality control measures under the National
Environmental Policy Act'of 1969 (P.L. 91-190)
and Executive Order (EO) 11514; (b)
Will cause to be performed the required financial
and compliance audits in accordance with the
Single Audit Act of 1984.
Will comply with all applicable requirements of
all other Federal laws, Executive Orders,
regulations and policies governing this program.
S;GNATURE: OF AUTHORIZED CERTIFYING OFFICIAL
TITLE
Town Supervisor
oa°! ICANT ORGANIZATION
DATE SUBMITTED
Town of Southold
February 25, 1992
Fishers Island Ferry District
y l: A" : 977+'-
3/1/91
. ....... .. .•.�. ..:..... ... .�.»..X•ar'daE.� �:.i�`f715:ua •b Joc.•.v:::•.;..v.:.:: ....... �a::i:J::N:ti::V . .
CHECKLIST FOR ENVIRONMENTAL IMPACTS
AIRPORT IMPROVEMENT PROGRAM
AIRPORT: Fishers Island - Elizabeth Field
PROJECT DESCRIPTION: Runway 12-30 Rehabilitation;
Runway 7-25 Rehabilitation; Apron & Access Taxiway
V-19
In order for the FAA to determine the appropriate course of
action, it is necessary to certify that the proposed action
Is not likely to:
a. Have an effect that is not minimal on properties
protected under Section 106 of the Historic Preservation Act
Of 1966, as amended, or Section 4(f);
b. Be controversial on environmental grounds. A proposed
Federal action is considered highly controversial when the
action is opposed by a Federal, state or local government
agency or by a substantial number of persons affected by
such action on environmental grounds;
C. Have a significant impact on natural, ecological,
cultural, or scenic resources of national, state, or local
significance, including endangered species, wetlands.
floodplains, coastal zones, prime or unique farmland, energy
supply and natural resources, or resources protected by the
Fish and Wildlife Coordination Act;
d. Be highly controversial with respect to the
availability of adequate relocation housing. In an action
Involving relocation of persons or businesses, a controversy
over the amount of the acquisition or relocation payments is
not considered to tie controversy with respect to the
availabiliLy of adequate relocation housing;
e. Cause sub-3LanLial division or disruption of an
established community, or disrupt orderly, planned
development, or is likely to be not reasonably consistent
With plans or goals that have been adopted by the community
in which the project is located;
f. Cause a significant increase in surface traffic
congestion;
g. Have a significant impact on noise levels of noise
sensitive areas;
h. Have a significant impact on water quality or
contaminate a public water supply system;
3/1/91 V-20
i. Have a significant impact on air quality or violate the
local, state or Federal standards of air quality;
J. Be inconsistent with a Federal, state, or local law or
administrative determination relating to the environment.
Signature of Airport Sponsor
s
February 25, 1992
Date
L
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