Form 5010-3 Airport Master Record (Newly established public use airp

U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION

AIRPORT MASTER RECORD

FORM APPROVED OMB 2120-0015
Exp. 1/31/2012

Paperwork Reduction Act Statement: The information collected on this form is necessary because it is the description of the
physical and operational characteristics of the airport that will be on file with the FAA. The information will be maintained in
FAA computers for record keeping purposes and used in airspace studies. Some of the information on this form is critical to
aviation safety and will be published in flight information handbooks and charts for pilot use. The data is public in nature and
is the agency's source for the information used in aeronautical charts and flight information publications. It is used by various
entities of the civil and military aeronautical communities. Other users of the data include private industry, State agencies,
and other government agencies. A federal agency may not conduct or sponsor, and a person is not required to respond to,
nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of
the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB
Control Number for this information collection is 2120-0015. Public reporting for this collection of information is estimated to
be approximately 2 hours per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this
collection of information are required to obtain or retain a benefit by 49 USC 329(b). Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the FAA at:
800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, AES-200.

U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION
>1 ASSOC CITY:
>2 AIRPORT NAME:
3 CBD TO AIRPORT (NM):

4 STATE:

LOC ID:
5 COUNTY:

7 SECT AERO CHT:

6 REGION/ADO:

GENERAL

FAA SITE NR:

SERVICES

10 OWNERSHIP:
>11 OWNER:
>12 ADDRESS:

BASED AIRCRAFT

>70 FUEL:

90 SINGLE ENG:
91 MULTI ENG:
92 JET:
TOTAL

>71 AIRFRAME RPRS:
>72 PWR PLANT RPRS:
>73 BOTTLE OXYGEN:
>74 BULK OXYGEN:
75 TSNT STORAGE:
76 OTHER SERVICES:

>13 PHONE NR:
>14 MANAGER:
>15 ADDRESS:
>16 PHONE NR:
17 ATTENDANCE SCHEDULE:
MONTHS
DAYS

FORM APPROVED OMB 2120-0015
1/31/2012

AIRPORT MASTER RECORD

HOURS

93 HELICOPTERS:
94 GLIDERS:
95 MILITARY:
96 ULTRA-LIGHTS:

OPERATIONS

FACILITIES

100 AIR CARRIER:
101 INTENTIONALLY LEFT BLANK:
102 AIR TAXI:
103 G A LOCAL:
104 G A ITNRNT:
105 MILITARY:
TOTAL

>80 ARPT BCN:
>81 ARPT LGT SKED:
>82 UNICOM:
>83 WIND INDICATOR:
84 SEGMENTED CIRCLE:
85 CONTROL TWR:
86 FSS:
87 FSS ON ARPT:
88 FSS PHONE NR:
89 TOLL FREE NR:

18 AIRPORT USE:
19 ARPT LAT:
20 ARPT LONG:
21 ARPT ELEV:
22 ACREAGE:
>23 RIGHT TRAFFIC:
24 NON-COMM LANDING:
25 NPIAS/FEDERAL AGREEMENTS:
26 PART 139 INDEX:

OPERATIONS FOR 12
MONTHS ENDING

RUNWAY DATA
>30 RUNWAY IDENT:
>31 LENGTH:
>32 WIDTH:
33 SURF TYPE-COND:
34 SURF TREATMENT:
35 GROSS WT: S
36 (IN THSDS) D
37
2D
222
38
2D/2D2
39 PCN:
LIGHTING/APCH AIDS
>40 EDGE INTENSITY:
>42 RWY MARK TYPE-COND:
>43 VGSI:
44 THR CROSSING HGT:
45 VISUAL GLIDE ANGLE:
>46 CNTRLN-TDZ:
>47 RVR-RVV:
>48 REIL:
>49 APCH LIGHTS:

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OBSTRUCTION DATA
50 PART 77 CATEGORY:
>51 DISPLACED THLD
>52 CTLG OBSTN:
>53 OBSTN MARKED/LGTD:
>54 HGT ABOVE RWY END:
>55 DIST FROM RWY END:
56 CNTRLN OFFSET:
57 OBSTN CLNC SLOPE:
58 CLOSE-IN OBSTN:
DECLARED DISTANCES
>60 TAKE OFF RUN AVBL (TORA)
>61 TAKE OFF DIST AVBL (TODA)
>62 ACLT STOP DIST AVBL (ASDA)
>63 LNDG DIST AVBL (LDA)

(>) ARPT MGR PLEASE ADVISE FSS IN ITEM 86 WHEN CHANGES OCCUR TO ITEMS PRECEDED BY>
>110 REMARKS:

111 INSPECTOR ( 5 )
FAA Form 5010-3 (6-03) SUPERSEDES PREVIOUS EDITION

112 LAST INSP:

113 LAST INFO REQ: