HomeMy WebLinkAboutOTHER-2024-071-Public Hearing Record Raw, game V
INTEGRATED
i
MOBILITY
DIVISION
PUBLIC HEARING RECORD
Important FROM A public hearing MUST be conducted whether or not requested by the Public .
Section 5311 ( including ADTAP 5310 5339 5307 and applicable State funding , or combination
thereof.
APPLICANT : ORANGE COUNTY
DATE . SEPTEMBER 17 , 202
PLACE : Southern Human Services Center
OFF
TIME : 7 : 00 PM
How many BOARD MEMBERS attended the public hearing ?
How many members of the PUBLIC attended the public hearing ?
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
'pu (NO public comments)
❑ (Public Comments were made and meeting minutes
will be submitted after board approval)
The timated d to for board approval of meeting minutes is :
Oum Masao * woo * Samoa *Magee Sam FOR too 0 * 0 FAR woo see as FROM Famous 46
AA •e
ignature or Cyrk to the Board
n
Printed Name and Title
17
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Date
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FY26 PUBLIC HEARING RECORD
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Last Updated : 04/01 /2024
NAINTEGRATED
MOBILITY
DIVISION
VOLUNTARY TITLE VI PUBLIC INVOLVEMENT
Title VI of the Civil Rights Act of 1964 requires the North Carolina Department of
Transportation ( NC DOT) to gather statistical data regarding participants and
beneficiaries of the agency ' s federal - aid programs and activities . NC DOT 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 impacted by a proposed
project .
NCDOT wishes to clarify that this information gathering process is completely
voluntary and that you are not required to disclose the statistical data requested to
participate in this meeting . This form is a public document used to collect data , only .
The completed forms will be held on file at the North Carolina Department of
Transportation . For Further information regarding this process please contact the
NCDOT Title VI Program at telephone number 919 . 508 . 1808 or email at
titlevi cdot . 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 ❑ Asian /Pacific Islander Other :
American
Color : National Origin :
After completing this form , please fold and place it inside the designated box on the
registration table .
Thank you for your cooperation .
FY26 VOLUNTARY TITLE VI PUBLIC INVOLVEMENT
Last Updated : 04/01 /2024