5010-5 Airport Master Record (new private-use airport)

U.S. Department
of Transportation
Federal Aviation
Administration

FAA Form 5010-5, Airport Master Record
Paperwork Reduction Act Burden Statement
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 60 minutes 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 mandatory per 49 U.S. Code 329(b) and U.S. Code Title 49 Section 47130. The data is
critical to aviation safety and will be published in flight information handbooks and charts for pilot use.
The data is also necessary for airspace studies conducted under 49 USC 329(b). The data is public in
nature and is the agency's source for the information used in aeronautical charts and flight information
publications. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden to: Information Collection Clearance Officer,
Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.

Instructions for Form 5010-5, Airport Master Record
Use this form when establishing a new private-use landing area to notify the FAA that the landing area is
now operational. Please complete the form and return it to the FAA Regional Office or Airports District
Office that airspaced the landing area.
For a complete description of each data element and acceptable entries, see
Advisory Circular 150/5200-35.
Contact the office if you have any questions regarding this form. Find the mail or email address for
FAA Regional or Airports District Offices.

FAA Form 5010-5

U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION

OMB CONTROL NUMBER: 2120-0015
EXPIRATION DATE: 8/31/2019

AIRPORT MASTER RECORD
> 1 ASSOC CITY:
> 2 AIRPORT NAME:
3 CBD TO AIRPORT (NM):

4 STATE:

LOC ID:
FAA SITE NR:
5 COUNTY:
7 SECT AERO CHT:

6 REGION/ADO:

GENERAL

SERVICES

BASED AIRCRAFT

> 70 FUEL:

10 OWNERSHIP:

90 SINGLE ENG:

11 OWNER:

91 MULTI ENG:

12 ADDRESS:

92 JET:
TOTAL:

13 PHONE NR:

93 HELICOPTERS:

14 MANAGER:

94 GLIDERS:

15 ADDRESS:

95 MILITARY:
96 ULTRA-LIGHT:

16 PHONE NR:

FACILITIES

17 ATTENDANCE SCHEDULE:
MONTHS

DAYS

> 80 ARPT BCN:

HOURS

> 81 ARPT LGT SKED:
> 82 UNICOM:
83 WIND INDICATOR:
18 AIRPORT USE:

84 SEGMENTED CIRCLE:

19 AIRPORT LAT:

85 CONTROL TWR:

20 AIRPORT LONG:

86 FSS:

21 AIRPORT ELEV:

87 FSS ON ARPT:

22 ACREAGE:

88 FSS PHONE NR:
89 TOLL FREE NR:

> 23 RIGHT TRAFFIC:
24 NON-COMM LANDING:
RUNWAY DATA

Runway 1

Runway 2

Runway 3

Runway 4

Runway 5

/

/

/

/

/

Runway 1

Runway 2

Runway 3

Runway 4

Runway 5

Runway 1

Runway 2

Runway 3

Runway 4

Runway 5

50 FAR 77 CATEGORY:

/

/

/

/

/

51 DISPLACED THLD:

/

/

/

/

/

52 CTRLG OBSTN:

/

/

/

/

/

53 OBSTN MARKED/LGTD:

/

/

/

/

/

54 HGT ABOVE RWY END:

/

/

/

/

/

55 DIST FROM RWY END:

/

/

/

/

/

> 30 RUNWAY IDENT:
> 31 LENGTH:
> 32 WIDTH:
33 SURF TYPE-COND:
LIGHTING/APCH AIDS
> 40 EDGE INTENSITY:
> 42 RWY MARK TYPE-COND:
OBSTRUCTION DATA

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

111 OWNER/MANAGER SIGNATURE:
FAA Form 5010-5 (7/19) SUPERCEDES PREVIOUS EDITION

113 DATE: