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2009 Massachusetts Statewide Airport System Plan Airport Inventory & Data Survey As a follow up to the letter you should have received in August, MassDOT Aeronautics Division requests your participation in this airport inventory and data survey. This information will be used by our consulting team to conduct the 2009 Massachusetts Statewide Airport System Plan. It will be personally collected by a member of the consultant team who will be calling you within the next few weeks to schedule a visit to your airport. Please complete the form to the best of your ability prior to the visit, but do not return it. During the visit any unanswered questions associated with the data collection will be answered and the survey will be collected. All study airports will be visited between September and November, 2009. Meanwhile, if you have questions about this form or the Statewide Airport System Plan, please contact Nicholas Stefaniak of The Louis Berger Group, Inc. at nstefaniak@louisberger.com or 518 432 9545. Your attention and time is appreciated. Thank you for your assistance. Airport Name: Name: Phone Number: Fax Number: 3 letter Identifier: Survey Completed by: Title/Position/Organization: Cell Phone Number: Email: GENERAL AIRPORT INFORMATION Airport Ownership (Name & Public or Private) Airport Owner Address Airport Manager Airport Mailing Address County Phone Number Fax Number Airport Website URL Current FAA designated Airport Reference Code (ARC): Part 139 certificated? Airport Acreage Airport Hours Attended Unicom or CTAF Frequency Unicom CTAF. Control Tower FAA or Contract Tower: FAA Contract 1

AIRSIDE FACILITIES Runway/Taxiway Primary Runway Secondary Runway Other Other Orientation (RWY # s) Length/Width Taxiway Type 1 (associated with RWY) Typical Taxiway Width Declared Distances: Reason for Declared Distances: Displaced Threshold (Dist. In ft.) Reason for Displaced Threshold: Runway Safety Area (RSA) Compliance (Circle) (UK=unknown) Y / N / UK Y / N / UK Y / N / UK Y / N / UK If no to question above, which ends do not comply? And why? Notes: Lighting/Navaids Runway Lighting 2 Taxiway Lighting 3 PAPI or VASI which end(s) 4 REIL Approach Lighting System 5 Notes : 1 Full Parallel, Partial Parallel, Turnaround, Stub 2 HIGH, MED, LOW for Runways, Please note if lighting is non standard 3 MED, LOW, REFL (Reflectors), Please note if lighting is non standard 4 P= PAPI, V= VASI 5 MALS, MALSR, MALSF, ALSF, etc. Considering the airport s current ARC and approach minima, are FAA separation standards being met for: Separation Criteria YES NO Separation Distance (ft.) Runway Centerline to Parallel Taxiway Centerline Runway Centerline to Aircraft Parking Area Taxiway\Taxilane Centerline to Fixed or Moveable Object 2

OTHER NAVIGATIONAL AIDS Please confirm the following information for navigational aids at your airport. Navaids YES NO Rotating Beacon Operating Schedule: Wind Indicator Lighted? Segmented Circle Weather Reporting Equip. Which Type? Instrument Approaches Runway End Instrument(s) Lowest Approach Minimums Runway Runway Other Other With regard to Runway Protection Zones (RPZ s), does the airport have controlling interest (land ownership or easements) over the RPZ s for each runway end? No Control Partial Control Complete Control Notes: AIRCRAFT HANGARS Hangars Number % Occupied Total Square Footage T HANGARS CONVENTIONAL PORTABLES/OTHER TRANSIENT HANGAR N/A TOTAL Hangar Waiting List # of A/C on list 3

AIRCRAFT PARKING APRONS Tie downs Paved Grass Total Square Yards How many tie downs does the airport provide? How many are provided for based aircraft? How many are for provided for transient aircraft? TOTAL Tie down Waiting List # of A/C on list LANDSIDE FACILITIES Terminal Building YES NO Does the airport have a Terminal building? Terminal Building Owner Date Constructed/Rahbilitated? Approximate Square Footage Terminal Occupants (i.e., FBO, Administration, Flight school, etc.) Does the Airport have a restaurant? Food/Beverage/Vending Machines? Pilot Lounge? Conference Room? Flight Planning Room? ARFF Building YES NO Does the airport have a dedicated ARFF building? If so, list ARFF vehicles/equipment Does the airport have a mutual aid agreement? Equipment Buildings YES NO Does the airport have an SRE building? Does the airport have a Maintenance building? 4

EQUIPMENT PURCHASED WITH AIP OR ASMP FUNDS SRE Equipment Type Year Make Date Acquired Funding Source Maintenance Equipment Type Year Make Date Acquired Funding Source Does any of the above SRE or maintenance equipment have any environmental conservation benefits? (e.g. electric; hybrid; low emission; natural gas; etc.) Notes: 5

AUTOMOBILE PARKING Does the airport have sufficient automobile parking in all areas of the airport? If not, please explain: AIRPORT SECURITY/ACCESS Airport Security YES NO Date Adopted Does the airport have a General Aviation Security Plan? Is your airport subject to TSA 1542 security requirements? Is the airport equipped with an access control system to the airport operating areas? Does the control system use an ID badging system and/or card readers to grant access? Is the airport equipped with CCTV? Is there a law enforcement agency on site? If so, list the agency(s)? (State Police, TSA, ICE, DEA, etc.) Complete Partial None Does the airport have a perimeter road? Does the airport have security fencing? YES NO Is airport access signage adequate? What is the Airport s main entrance road? 2 lane 4 lane other Who is responsible for the capital improvement and maintenance of this road? What is the road leading up to the Airport s main entrance road? 2 lane 4 lane other Who is responsible for the capital improvement and maintenance of this road? Notes: 6

AIRPORT FUELING INFRASTRUCTURE AND SERVICES Airport Fueling AvGas Jet A What types of fuel does the airport provide? What is the storage capacity? (in gallons) Who operates and controls the fuel farm(s)? Airport FBO(s) Other: YES NO Does the airport offer self fueling? Are fueling services offered 24 hours a day? If not, what are the hours that aircraft fueling is available? Does the airport have active underground fuel storage? HISTORICAL AIRPORT FUEL SALES Please provide the volume of fuel sales (in gallons) at the airport by type, for the last 10 years. Year AvGAS JetA 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 Notes: 7

AIRPORT SERVICES AND ACCOMMODATIONS Please check the services/accommodations that the airport offers. Service YES NO Fixed Base Operator (FBO) How Many? On site car rental Courtesy car Crew car On Airport Intermodal Transportation Services (Circle) Public Bus Light Rail Taxi Access Flight Instruction Full Time Flight School Aircraft Maintenance Services Airframe Repairs Power Plant Repairs Avionics Repair Shop FAA Part 145 Repair Station Aircraft Sales Snow Removal Operations Aircraft Deicing Aircraft Oxygen Catering Services Aircraft Lavatory Disposal Services Amenities Number of hotels within 3 miles of the airport: Number of restaurants within 3 miles of the airport: AIRCRAFT OPERATIONS ACTIVITY TYPES Operation Daily Weekly Monthly Seasonal Never Operation Based at the Airport? Air Carrier Air Taxi Aircraft Charter Air Cargo Operations Emergency Medical Aircraft Operations Angel Flight 8

Operation Daily Weekly Monthly Seasonal Never Operation Based at the Airport Agricultural Aircraft Operations Law Enforcement Aircraft Operations Power line or Pipeline Control Operations Skydiving Operations Flight Training Operations Other: Other: Other: ENVIRONMENTAL STEWARDSHIP Please check all that apply to the airport. In compliance with current EPA s SPCC (Spill Prevention, Spill Control, Spill Countermeasure) requirements. In compliance with current EPA s SWPPP (Stormwater pollution prevention plan) requirements. Alternative fuel vehicles or other alternative fuel equipment at the airport. Recycling Program. Surrounding municipalities with appropriate zoning controls to make land use in the airport environs compatible with airport operations and development. Notes: 9

EXISTING AIRPORT PLANS Please indicate which of the following studies, plans or policies have been completed or implemented at the airport, estimate the completion date for each. Plan/Study/Policy YES NO Date Completed Airport Master Plan Airport Layout Plan Capital Improvement Plan Airport Business Plan Economic Development Plan or Economic Impact Assessment Airport Minimum Standards Airport Rules and Regulation Policy Aeronautical Obstruction Survey Obstruction Charts Obstruction/Approach Analysis Airport Noise Study (Part 150) Airport Noise Contours Established Airport Noise Abatement Procedures Wildlife Management Plan Airport Security Plan Airport Emergency Plan Snow and Ice Control Plan/Winter Operations Plan Airport Pavement Management Plan Is the airport recognized in local/regional comprehensive plans N/A Is the airport recognized in local/regional transportation plans N/A Environmental Plans Yes No Date Completed Environmental Assessment/Environmental Impact Statement Vegetation Management Plan (VMP) VMP Yearly Operational Plan (YOP) NHESP Conservation Management Plan Grassland Management Plan Comprehensive Solid Waste Management Plan Wetland Delineation 10

AVIATION OUTREACH/AIRPORT EDUCATION Does your airport have an outreach program to improve the community s understanding of what the airport means to the community? If yes, please describe: Does your airport have an educational outreach program that illustrates aviation career opportunities to students? If yes, please describe: Does your airport have a political outreach program? If so, how frequent are your interactions? Level Weekly Monthly Bi Monthly Quarterly Bi Annually Annually Local State Federal Please describe/provide additional information: 11

MISCELLANEOUS Does your airport host an air show or fly in? Annual Biennial Time of year held (month)? Approximate Attendance: Is your airport a member of the local chamber of commerce? On a scale of 1 to 10, with 10 being the greatest, please rank your airport s expansion potential: 1 2 3 4 5 6 7 8 9 10 What factors may limit or restrict the future growth of your airport? Manmade Factors Environmental Factors Community Relations Financial Shortfalls Does the airport have land available on airport for future development? If YES: Is electric power available to the site? If so, at what power rating? Is water available to the site? Is wastewater treatment available to the site? Is natural gas available at the site? Is a communication transmission medium available to the site? Is this land depicted on the current ALP? Approximate Acreage: Additional explanation: Does the airport have an established or developable industrial park abutting or in close proximity to the airport? Does the industrial park have access to the airfield? Approximate Acreage: 12

HISTORICAL BASED AIRCRAFT AND OPERATIONS DATA Please complete the following tables regarding the number of based aircraft and operations at the airport. 10 Year Based Aircraft Data Year Single engine Multi engine Jet Helo Glider Ult light Military Total Piston Turbine Piston Turbine 2009 5010 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 Source: 10 Year Aircraft Operations Data Year Air Carrier Regional/ Commuter Air Taxi General Aviation (Local) General Aviation (Itinerant) Military Total 2009 5010 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 Source: Notes: 13

HISTORICAL PASSENGER ENPLANEMENT AND AIR CARGO DATA If applicable to your airport, please complete the following tables regarding historical passenger enplanement and air freight data. 10 Year Passenger Enplanement Data Year Passenger Enplanements 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 Source: 10 Year Air Freight Data (Tonnage) Year Integrated (TONS) ALL CARGO (TONS) 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 Source: Notes: 14

EMPLOYMENT/ECONOMIC QUESTIONNAIRE During 2009, how many year round and seasonal full time and part time employees were employed by airport management? YEAR ROUND: SEASONAL ONLY: 2009 Full time employees 2009 Full time employees EXPENDITURES 2009 Part time employees 2009 Part time employees Please estimate your total 2009 operating expenses (do not include capital expenses in this estimate). $ 2009 Operating Expenses Please estimate how much of your 2009 operating expenses were paid to employees in Question #3 as payroll, including salary, wages, and benefits. $ 2009 Payroll Please estimate how much the airport spent for capital improvements in the following years. Include federal, state, and local funding. $ 2006 $ 2008 $ 2007 $ 2009 Does the airport s revenue equal or exceed the airport operating expenses? Estimated Annual Airport Expenditures (in dollars): Estimated Annual Revenue (in dollars): Airport Revenue Trend (last 5 years): Growing Declining Unchanged Please provide/attach the airport s schedule of rates/charges. Notes: 15

AIRPORT BUSINESSES Please list any on airport businesses currently operating at your airport. These businesses should include all operators/businesses located on airport property that have at least one full time or part time on airport employee. Businesses can include, but not be limited to FBOs, flight schools, air ambulances, government agencies, charter, agricultural spraying, corporate flight departments, etc. Please estimate the number of fulland/or part time employees for each. Attach additional sheets as needed. On Airport Business & Type of Service Provided EXAMPLE: WINGS FLIGHT SERVICE (FBO) Contact Name & Phone Number JOE SMITH 781 555 1212 (PHONE) 413 555 1313 (FAX) Full Mailing Address & Zip Code 100 AIRPORT ROAD ANYWHERE, MA 01970 Estimated Full & Part Time Employment 10 FULL TIME 4 PART TIME 16

RUNWAY PAVEMENT CONDITIONS Please complete this section to the best of your ability. Assistance from your consultant is recommended. Primary Secondary Other Other Designation (RWY # s) Runway Runway Length/Width / / Surface Type (Asphalt, Concrete, Turf or Gravel) Paved Shoulders/Width Overall Pavement Quality (Excellent, Good, Fair, or Poor) (PLEASE COMMENT) feet feet feet feet Overall Pavement Smoothness (Excellent, Good, Fair, or Poor) (PLEASE COMMENT) Cracks (None, Minimal, Moderate, Many, or Excessive) Rate Current Conditions Are cracks greater than 2 inches Potholes or Isolated depressions? (None, Minimal, Moderate, Many, or Excessive) Poor Surface Drainage (i.e. ponding) (None, Minimal, Moderate, Many, or Excessive) Seasonal Frost Heaves (None, Minimal, Moderate, Many, or Excessive) Rutting from excessive loading (None, Minimal, Moderate, Many, or Excessive) Migration of stones through surface (None, Minimal, Moderate, Many, or Excessive) Cracking, heaving, or settlements that coincide with culverts, storm drain piping, or electrical trenches (None, Minimal, Moderate, Many, or Excessive) De lamination of an asphalt overlay (None, Minimal, Moderate, Many, or Excessive) Portland cement concrete underlay (Excellent, Good, Fair, or Poor) Maintenance Dates (Mo/Year) Crack Filling/Sealing / / / / Pavement Patching / / / / Overlays / / / / Crack repairs performed (Cut Patch) / / / / 17

Primary Secondary Other Other Runway Runway When was Pavement last Constructed/ Reconstructed or maintained to entire length? Date: Date: Date: Date: If not to entire length, identify segments and approximate sizes In your opinion, what is the remaining Service Life (in years) Do you have a scheduled runway project in the next 5 years? Overlay Overlay Overlay Overlay Extension Extension Extension Extension Closure Closure Closure Closure Reconstruct Reconstruct Reconstruct Reconstruct Narrowing Narrowing Narrowing Narrowing Shortening Shortening Shortening Shortening Date: Date: Date: Date: Is this project shown on your 5 year Capital Improvement Plan (CIP)? Does your airport have a Pavement Management Plan Please provide any additional notes/comments on runway pavements. Use the back of this sheet if necessary. 18