HomeMy WebLinkAboutContracts & Agreements_01-2023STATE OF CALIFORNIA - DEPARTMENT OF TRANSPORTATION
STATE MATCHING GRANT FOR FAA AIRPORT IMPROVEMENT PROGRAM - APPLICATION
DOA-0012 (REV 12/2021)
PLEASE PRINT OR TYPE AND COMPLETE ALL APPLICABLE ITEMS
AIRPORT INFORMATION
PUBLIC ENTITY
COUNTY
City of Redlands
San Bernardino
AIRPORT NAME
PERMIT NUMBER
Redlands Municipal Airport
CONTACT NAME
TITLE
Adarian Lawson
Airport Supervisor
MAILING ADDRESS
EMAIL
PHONE
35 Cajon St., Ste 222
alawson@cityofredlands.org
(909) 557-8520
PROJECT INFORMATION
Project must be in the Department's most recent Gapital Improvement Flan ana the project cannot commence prior to the State's award of a matching grant or the project ® Check to acknowledge statement
becomes ineligible for a matching grant.
DESCRIPTIVE TITLE OF APPLICANT'S PROJECT (as shown on page one of the executed federal grant
and in the adopted Capital Improvement Plan):
Develop a plan to minimize the potential of wildlife strikes with aircraft at Redlands Municipal Airport
REQUIRED SUPPORTING DOCUMENTS
FEDERAL GRANT NUMBER
3-06-0195-021-2022
FEDERAL $ 98,650
GRANT
APPLICANT $ 5 282
FUNDS
STATE $ 5 282
FUNDS*
TOTAL COST $109,214
OF PROJECT
*Maximum is 5% of the federi
grant amount.
Pursuant to Public Utilities Code Section 21681-21684 and Section 4067 of the CAAP Regulations, submit the following documents with this
application:
• Local government approval (resolution or minute order) as described in Section 4067(a).
• FAA Grant Agreement with FAA and sponsor signatures.
• Verification of full compliance with the California Environmental Quality Act (CEQA) by submitting information to fulfill either 1. or 2. below:
1. Copy of Notice of Exemption or provide the Categorical Exemption Class # 15306
(CEQA Guidelines Sections 15300-15333).
2. Copy of Notice of Determination or provide the following information:
o Environmental Impact Report (Title/Date)
o Negative Declaration (Title/Date)
State Clearinghouse (SCH) #
State Clearinghouse (SCH) #
o National Environmental Policy Act (NEPA) document (Title/Date)
(NEPA documents -Environmental Impact Statement or Finding of No Significant Impact must comply with CEQA provisions).
• Airport Layout Plan (ALP) showing project location(s) and dimensions or project sketch if no ALP exists.
• Completed CAAP Certification (Form DOA-0007), if not submitted to the Division of Aeronautics earlier for this fiscal year.
• Additional documentation maybe required if items in the FAA AIP grant are not eligible for CAAP funding.
AUTHORIZATION
AUTHORIZED OFFICIAL'S SIGNATURE DATE
/-/0 -23
PRINT NAME TITLE
Eddie Tejeda Mayor
MAILING ADDRESS EMAIL PHONE
35 Cajon Street, Suite 222, Redlands, CA 92373 etejeda@cityofredlands.org (909) 798-7531
SEND COMPLETED FORM AND ALL REQUIRED DOCUMENTS TO:
AeronauticsGL65)dot.ca.aov
or
or
ADA Notice This document is available in alternative accessible formats. For more information, please contact the Forms Management Unit at (279) 234-2284,
TTY 711, in writing at Forms Management Unit, 1120 N Street, MS-89, Sacramento, CA 95814, or by email at Forms.Management.Unit@dot.ca.gov.