Orange County NC Website
CEDAR GROVE RURAL CROSSROADS ORANGE COUNTY. NC A23 <br /> Name of Property County and State <br /> 10 Geographical Data <br /> Acreage of Property 105 ACRES <br /> UTM References <br /> (Place additional UTM references on a continuation sheet.) <br /> 111 ,71 1616 ,418 ,0101 141010, 414, 0101 3 L.1J 1616141918101 {41 01 01 41 21 61 01 <br /> Zone Easting Northing Zone Easting Northing <br /> 21 ' 171 j6161419,8,0I 14,010,414, 0101 4 11171 161614{91010{ 14, 010,412, 6101 <br /> d See continuation sheet <br /> Verbal Boundary Description <br /> (Describe the boundaries of the property on a continuation sheet.) <br /> Boundary Justification <br /> (Explain why the boundaries were selected on a continuation sheet.) <br /> 11. Form Prepared By <br /> namettitle KAYE CRAYBEAL h SHANNON SEXTON (ORANGE COLINTY PI ANNI Nn F nEVEI nPMFNT) <br /> organizationDSATLANTI C CORPORATION date <br /> street & number 7820 NORTH POINT BOULEVARD, SUITE 200 telephone (.,n) 759_74no <br /> city or town WINSTON-SALEM state NC zip code 77106 <br /> Additional Documentation <br /> Submit the following items with the completed form: <br /> Continuation Sheets <br /> Maps <br /> A USGS map (7.5 or 15 minute series) indicating the property's location. <br /> A Sketch map for historic districts and properties having large acreage or numerous resources. <br /> Photographs <br /> Representative black and white photographs of the property. <br /> Additional items <br /> (Check with the SHPO or FPO for any add'diortal items) <br /> Property Owner <br /> (Complete this item at the request of SHPO or FPO.) <br /> name <br /> street & number telephone <br /> city or town state zip code <br /> Paperwork Reduction Act Statement: This information is being collected for applications to the National Register of Historic Places to nominate <br /> properties for listing or determine eligibility for listing,to list properties, and to amend existing listings. Response to this request is required to obtain <br /> a benefit in accordance with the National Historic Preservation Act, as amended(16 U.S.C.470 of seq.). <br /> Estimated Burden Statement: Public reporting burden for this form is estimated to average 18.1 hours per response including time for reviewing <br /> instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding this burden estimate or any aspect <br /> of this form to the Chief, Administrative Services pivision, National Park Service. P.O. Box 37127,Washington,DC 200137127;and the Office of <br /> Management and Budget, Paperwork Reductions Projects(1024.0018),Washington, DC 20503. <br /> US GovLV u2n PttINTING OFFICE 1993 O - 350-416 QL 3 <br />