HomeMy WebLinkAboutOTHER-2025-081-Public hearing record INTEGRATED Attachment 3
MOBILITY\ _ �Gj DIVISION I '0 0l
WOO SO
UNIFIED GRANT AP
PUBLIC HEARING RECORD
Important — 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 4 , 2025
PLACE : WHITTED BUILDING , 300 W TRYON ST , HILLSBOROUGH , NC
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
(NO public comments)
❑ (Public Comments were made and meeting minutes
will be submitted after board approval)
The timated date for board approval of meeting minutes is : nokop l 71 .
Affix Seal Here
Signature or Cle to the Board
C [c�� ttrtf�
Printed Name and Title
F
am
Dat � :zf
c� ar Get
FY27 PUBLIC HEARING RECORD a 0 0 0 0 a 0 0 0 6 1 a a 5 0 0 0 0 2 9 a a 9 '•
Last Updated : 02/ 11 /2025
INTEGRATED
MOBILITY
tO1114
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 (a 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 ❑ 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 .
FY27 VOLUNTARY TITLE VI PUBLIC INVOLVEMENT
Last Updated : 02/ 11 /2025
\� DIVISION INTEGRATED Attachment 3
MOBILITY
F 1C07
UNIFIE
PUBLIC HEARING RECORD
Important — 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 4 , 2025
PLACE : WHITTED BUILDING , 300 W TRYON ST , HILLSBOROUGH , NC
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
IVOO(NO public comments)
❑ (Public Comments were made and meeting minutes
will be submitted after board approval)
The esti ted date for board approval of meeting minutes is : O 'W 1 Acwi
.. . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... ... . . . . . . . . . . . . . . ..... . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
Affix re
SicYnature or Cler t the Board 00 orvnge #
�r
Printed ame and Title
01,14 �' S?
Date
� �r& rrrlin�
FY27 PUBLIC HEARING RECORD ... . . . . . . ................ . ... . . . . . . . . . ............. . . . . .. ...... . . . ......... ..... . . . . . . ..... . . . . .
Last Updated : 02/ 11 /2025
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 ( ncdot . gov .
Project Name : Date : f
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 .
FY27 VOLUNTARY TITLE VI PUBLIC INVOLVEMENT
Last Updated : 02/ 11 /2025
INTEGRATED Attachment 3
\ MOBILITY
'0 /DIVISION Q % / ' �
UNIFIED GRANT APPLICATION
PUBLIC HEARING RECORD
Important — 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 4 , 2025
PLACE : WHITTED BUILDING , 300 W TRYON ST , HILLSBOROUGH , NC
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
A (NO public comments)
❑ (Public Comments were made and meeting minutes
will be submitted after board approval)
The imated da e for board approval of meeting minutes is : OcD\W , off
A� 1aR5� Here
ignature or C to the Board .C,�}�
d �
Printed Name and Title
el ILA
Date
grill
FY27 PUBLIC HEARING RECORD 9,61,1911 ,,,099 ,,9950a W, ...,..,. , , , , , ..,,1111 '
. . . . . .. ......... . . . . .............. ... . . . . . . . . .... . .
Last Updated : 02/ 11 /2025
INILGRATLD
R108I1 ITY
DIVISION
RANT APPLICATION
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 (o ncdot . gov .
Project Name : Date :
- i
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 .
FY27 VOLUNTARY TITLE VI PUBLIC INVOLVEMENT
Last Updated : 02/ 11 /2025