HomeMy WebLinkAboutS North Carolina Community Transportation Program Administrative and Capital Local Share Certification for Funding $48,244LOCAL SHARE CERTIFICATION FOR FUNDING
Orange County
(Legal Name of Applicant)
Requested Funding Amounts
Project Total Amount Local Share
Administrative $ 166,765 � $ 25,095 (15 %)
Capital (Vehicles & Other) $232,286 $ 23,229 (10 %)
Operating (Small fixed route, regional, and $ $ *(50% or more)
consolidated urban -rural systems) Note: Small fixed route systems
contribute more than 50%
TOTAL $ 399,851 $ 48,244
Total Funding Requests Total Local Share
The Local Share is available from the following sources:
Source of Funds Amount
Local -general operating fund $ 48,244
TOTAL
$ 48,244
I, the undersigned representing (Legal Name of Applicant) Orange County do hereby certify to
the North Carolina Department of Transportation, that the required local funds for the F'Y2016
Community Transportation Program will be available as of July 1, 2015, which has a period of
performance of July 1, 2015 — June 30, 2016.
Sighabdre of
Barry Jacobs, and of County Commissioners
Type Name and T'tle of uthorized Official
/ /
Date
Important — A public hearing MUST be conducted whether or not requested by the Public.
PUBLIC HEARING RECORD
APPLICANT: Orange County
DATE: November 6, 2014
PLACE: O.C. Whitted Human Services 300 W. Tryon St. Hillsborough NC 27278
TIME: 7:00 p.m.
How many BOARD MEMBERS attended the public Dearing? 7
How many members of the PUBLIC attended the public hearing? 6
Public Attendance Surveys
❑ (Attached)
❑ (Offered at Public Hearing but none completed)
i, the undersigned, representing (Legal Name of Applicant) Orange County do hereby certify to
the North Carolina Department of Transportation, that a Public Hearing was held as indicated
above and
During the Public Hearing
® (NO public comments)
❑ (Public Comments were made and meeting minutes
will be submitted after board approval)
The estimated date for board approval of meeting minutes is:
, fi,
December 2 014
....................
Signature or Clerk to the B d
Prin ed Name and Title
1111b i
Date
Voluntary Title VI Public Involvement
Title V1 of the Civil Right's Act of 1954 requires North Carolina Department of
Transportation to gather statistical data on participants and beneficiaries of the agency's
federal -aid highway programs and activities. The North Carolina Department of
Transportation collects information on race, color, national origin and gender of the
attendees to this public meeting to ensure the inclusion of all segments of the population
affected by a proposed project.
The North Carolina Department of Transportation wishes to clarify that this information
gathering process is completely voluntary and that you are not required to disclose the
statistical data requested in order to participate in this meeting. This form is a public
document.
The completed forms will be held on file at the North Carolina Department of
Transportation. For Further information regarding this process please contact Sharon
Lipscomb, the Title VI Manager at telephone number 919.508.1808 or email at
slipscomb@ncdot.gov.
Project Name: Date:
Meeting Location:
Name (please print)
Gender:
❑ Male ❑ Female
General ethnic identification categories (check one)
❑
Caucasian
❑
Hispanic American
❑ American Indian/Alaskan Native
❑
African Amcrican
❑
Asian/Pacific Islander
Other:
Color:
National Origin:
After you complete this form, please fold it and place it inside the designated box on the
registration table.
Thank you for your cooperation.