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•T_ Washington State <br />i department of Transportation <br />Aviation Division <br />Airport Aid Application <br />�W 7702 Terminal Street SW <br />Date of Request <br />Tumwater, Washington 98501-7264 <br />1 Applicant: <br />2 Project to be Managed by: <br />Kittitas County, Washington <br />Company: J-U-B Engineers, Inc. <br />Name: Spencer Stephens <br />Applicant's Authorized Representative: <br />Name: Josh Fredrickson <br />Address: 999 W. Riverside Ave, Suite 700 <br />Title: Airport Manager <br />Address 2: <br />Address: 411 North Ruby Street, Suite #1 <br />City: Spokane State: WA Zip: 99201 <br />Address 2: <br />Phone: (509) 458-3727 Cell: (509) 280-8784 <br />City: Ellensburg State: WA Zip:98926 <br />Email: sstephens@jub.com <br />Phone: (509) 962-7609 Cell: <br />Email: josh.fredrickson@co.kittitas.wa.us <br />Find your legislative and congressional district at: <br />hnp.11anp.lezwa. zov/distr&dinde,/ <br />National / Regional Legislative District: 13th <br />3 Airport: FAA Classification: <br />�X NPIAS Non-NPIAS State Classification: <br />Community Congressional District: 8th <br />4 <br />Total <br />Aviation <br />Other <br />Project <br />Local <br />Division <br />Federal <br />Funds <br />No. <br />Project Name and Description (list in order of priority) <br />Cost <br />Funds <br />Funds <br />Funds <br />(Name Source) <br />1 <br />East Taxilane Pavement Rehab and Apron Reconfig. Const. <br />451,374.94 <br />22,568.97 <br />22,568.97 <br />406,237.00 <br />2 <br />3 <br />Totals <br />451,374.94 <br />22,568.97 <br />22,568.97 <br />406,237.00 <br />0.00 <br />rJ Does the airport have an up4o-date Master Plan or ALP Narrative Report? �X Yes []No Date: 8/31/2018 <br />Does the airport have an approved Airport Layout Plan (ALP)? EDYes No Date: 8/31/2018 <br />Was annual requirement to review and update Airport Information System EflYes ❑ No <br />(AIS) data met for the preceeding calendar year? <br />Does the airport sponsor have policies to reduce greenhouse gas emissions? [E]Yes []No <br />- If yes, submit a copy of the policies. Submitting copy via: Emailing - Electronic Document <br />Submit signed acceptance of Airport Aid Grant Assurances. Submitting signed grant assurances via: Emailing - Electronic Document <br />Submit adopted resolution; 1) Authorizing submittal of grant application, Submitting copy via: Entailing - Electronic Document <br />2) Stating matching funds are available, and 3) Support of elected officials. <br />'Does not apply to private airport sponsors <br />6 Signature of Applicant's Authorized Representative <br />A signed application is not required when the airport's authorized <br />representative submits the completed application ((liable form _pdf <br />document by email. <br />DOT Form 900-030EF <br />Revised 5/2023 <br />