Okaloosa County BOCC — April 27, 2013 — FAA Pre-Applications FY 2013 — reading text

(850)651-7200, ext 4381 Fax Number: (850)609-5029 “Email: bbailey@clerkofcourts.cc OMB Number: 4040-0004 Expiration Date: 03/31/2012 Application for Federal Assistance SF-424 9. Type of Applicant 1: Select Applicant Type: B. County Government Type of Applicant 2: Select Applicant Type: - Select One - Type of Applicant 3: Select Applicant Type: - Select One - * Other (specify): * 10. Name of Federal Agency: Federal Aviation Administration 11. Catalog of Federal Domestic Assistance Number: 20.106 CFDA Title: Airport Improvement Program 12. Funding Opportunity Number: Title: 13. Competition Identification Number: Title: 14. Areas Affected by Project (Cities, Counties, States, etc.): Counties * 145. Descriptive Title of Applicant's Project: Rehabilitate Taxiway D-1 at VPS Attach supporting documents as specified in agency instructions. OMB Number: 4040-0004 Expiration Date: 03/31/2012 Application for Federal Assistance SF-424 16. Congressional Districts Of: *a. Applicant 1st *b. Program/Project: ‘st Attach an additional list of Program/Project Congressional Districts if needed. 17. Proposed Project: * a. Start Date: *b. End Date: 18. Estimated Funding ($): *a. Federal $450,000.00 *b. Applicant PFCs $25,000.00 *c. State oon *d. Local $25,000.00 *e. Other *f, Program Income *g. TOTAL $500,000.00 *19. Is Application Subject to Review By State Under Executive Order 12372 Process? [_] a. This application was made available to the State under the Executive Order 12372 Process for review on [_] b. Program is subject to E.O. 12372 but has not been selected by the State for review. c. Program is not covered by E.O. 12372. *20. Is the Applicant Delinquent On Any Federal Debt? (If “Yes”, provide explanation.) (] Yes No 21. *By signing this application, | certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. | also provide the required assurances** and agree to compl with any resulting terms if | accept an award. | am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001). “| AGREE * The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. ‘FirstName: Don Middle Name: R, *Last Name: Amunds Suffix: *Title’ Chairman, Okaloosa County Board of Commissioners "Telephone Number. (850)651-7105 Fax Number: (850)651-7142 “Email: damunds@co.okaloosa.fl.us *Signature of Authorized Representative: Date Signed: Februarv 19. 2013 FAA ORLANDO AIRPORTS DISTRICT OFFICE - CATEGORICAL EXCLUSION FORM Airport: VPS Nwead Project Title: fal Tiway P=! The Proposed Action is a Federal action subject to NEPA. List applicable paragraph number from FAA Order 5050.4B Chapter | paragraph 9g. . The Proposed Action is identified as one that can normally be Categorically Excluded. List applicable category from FAA Order 1050.1E paragraphs 307 through 312. 310.2.» Attach a list of and clearly describe ALL components of the Proposed Action including all Connected Actions. Include a brief summary of existing conditions at the Proposed Action site. Attach a site map identifying the Proposed Action area on the airports’ most current ALP and a recent aerial photograph of the Proposed Action area. The Airport Sponsor must certify that the Proposed Action and its Connected Actions are to: a. NOT likely Have an adverse effect on properties protected under Section 106 of the Historic Preservation Act of 1966, as amended, Section 4(f) of the Department of Transportation Act of 1966, or Section 6(f) of the Land and Water Conservation Act; b. Be highly 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 threatened and endangered species, wetlands, floodplains, coastal zones or barriers, 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 properties. 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 a controversy with respect to the availability of adequate relocation properties; 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. Have a significant impact on minority or low-income populations; g. Cause a significant increase in surface traffic congestion; h. Have a significant impact on noise levels in noise sensitive areas; i. Have a significant impact on water quality or contaminate a public water supply system; j. Have a significant impact on air quality or violate the local, state or Federal standards of air quality; k. Be inconsistent with any Federal, state, or local law or administrative determination relating to the environment. Based on the information contained in the attached Categorical Exclusion Environmental Determination Checklist and supporting information, I certify that the Proposed Action described above, including its Connected Actions, meet(s) all of the requirements for a Categorical Exclusion in accordance with FAA Order 1050.1E and paragraphs a thru k above. a, Z-$-/3 Sigdattre of Authorized Airport Representative Date FAA Determination (by Program Manager signature): Categorically Excluded: Date: Requires further environmental analysis: Date: Final 4-10-2012 CATEGORICAL EXCLUSION ENVIRONMENTAL DETERMINATION CHECKLIST Airport: Naweef. hesiowat Arrhotr (vps ) = Prepared and certified by: Jou Moeeis Date: 2-$- 1/3 YES** NO COMMENTS THE PROPOSED ACTION MUST BE LISTED IN FAA ORDER 1050.1E PARA 307-312 AS AN ACTION THAT WOULD NORMALLY BE CATEGORICALLY EXCLUDED* Blow. THE PROPOSED ACTION CONSISTS OF: First Time ALP Approval Commercial Service Airport Location Approval New Air Carrier Runway New Airport Location New Runway Runway Extension Runway Strengthening Construction or Relocation of a Roadway Land Acquisition VPM ATYE MAT YIATMI AT 9 ILS or ALS THE PROPOSED ACTION WILL AFFECT: Section 4(f) or Section 6(f) Resources Historic/Archaeological Resources Prime, Unique or State Significant Farmlands Wetlands Floodplains Coastal Zone or Coastal Barriers \EWAT MAT Endangered or Threatened Species (state or Federal) THE PROPOSED ACTION IS LIKELY TO: Be Highly Controversial on Environmental Grounds or be inconsistent with local, state or Federal Laws Cause Natural Resource Impacts Cause Community Disruption or Relocations NINAY IRS Alter Surface Traffic or Increase Congestion Increase noise levels over Noise Sensitive Land Uses within the 65 dBA noise contour or newly include Noise Sensitive Land Uses within the 65 dBA noise contour. sy Cause an Adverse Effect on Air Quality Cause an Adverse Effect on Water Quality Cause Environmental Justice Impacts Pz s Contain or Affect Hazardous Materials/Sites Create a Wildlife Hazard per AC 150/5200-33 * Some actions that would normally be Categorically Excluded could require additional analysis if extraordinary circumstances exist. See FAA Order 1050.1E, paragraph 304. ** Attach detailed explanations or analysis for all “yes” answers on a separate sheet that support a determination of Categorical Exclusion. Final 4-10-2012 1-800:723-745%5 26 Photo; by Florida: Aerial Services; Inc 030217-3588 OMB Number: 4040-0004 Expiration Date: 03/31/2012 Application for Federal Assistance SF-424 *4. Type of Submission * 2. Type of Application * If Revision, select appropriate letter(s): Preapplication New CL Application (J Continuation * Other (Specify) [_] Changed/Corrected Application | [[] Revision * 3. Date Received: 4. Application Identifier: 5a. Federal Entity Identifier: * 5b. Federal Award Identifier: State Use Only: 6. Date Received by State: 8. APPLICANT INFORMATION: *a, LegalName: OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS * b. Employer/Taxpayer Identification Number (EIN/TIN): *c. Organizational DUNS: 59-6000795 613277649 d. Address: *Streett: 1804 Lewis Turner Blvd (Ste 206) Street 2: * City: Fort Walton Beach, County: Okaloosa *State: Florida, Province: Country: e. Organizational Unit: Department Name: Northwest Florida Regional Airport (VPS) Administration | 7. State Application Identifier: *Zip/ Postal Code: 32547 Division Name: f. Name and contact information of person to be contacted on matters involving this application: Prefix: Ms. First Name: Brenda Middle Name: “LastName: Bailey Suffix: Title: Grants and Contracts Manager Organizational Affiliation: * Telephone Number: (850)651-7200-7200, ext 4381 Fax Number: (850)609-5029 “Email: bbailey@clerkofcourts.cc OMB Number: 4040-0004 Expiration Date: 03/31/2012 Application for Federal Assistance SF-424 9. Type of Applicant 1: Select Applicant Type: B. County Government Type of Applicant 2: Select Applicant Type: - Select One - Type of Applicant 3: Select Applicant Type: - Select One - * Other (specify): * 10. Name of Federal Agency: Federal Aviation Administration 11. Catalog of Federal Domestic Assistance Number: 20.106 CFDA Title: Airport Improvement Program 12. Funding Opportunity Number: Title: 13. Competition Identification Number: Title: 74, Areas Affected by Project (Cities, Counties, States, etc.): Counties * 15. Descriptive Title of Applicant's Project: Purchase and Install Bag Lifts for Three Passenger Loading Bridges Attach supporting documents as specified in agency instructions. OMB Number: 4040-0004 Expiration Date: 03/31/2012 Application for Federal Assistance SF-424 16. Congressional Districts Of: *a. Applicant 1st *b. Program/Project: 1st Attach an additional list of Program/Project Congressional Districts if needed. 17. Proposed Project: * a, Start Date: * b. End Date: 18. Estimated Funding ($): *a. Federal $83,700.00 *b. Applicant PFCs $4,650.00 *c. State Aen *d. Local $4,650.00 *e, Other *f, Program Income *g. TOTAL $93,000.00 *19. Is Application Subject to Review By State Under Executive Order 12372 Process? [_] a. This application was made available to the State under the Executive Order 12372 Process for review on [_] b. Program is subject to E.O. 12372 but has not been selected by the State for review. [v] c. Program is not covered by E.O. 12372. *20. Is the Applicant Delinquent On Any Federal Debt? (If “Yes”, provide explanation.) (] Yes No 21. *By signing this application, | certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. | also provide the required assurances** and agree to compl with any resulting terms if | accept an award. | am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001). [¥] “1 AGREE * The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr “First Name: Don Middle Name: R, *Last Name: Amunds Suffix: *Title: Chairman, Okaloosa County Board of Commissioners