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4 <br /> North Carolina Industrial Home for Colored Girls Orange County, NC <br /> Name of Property County and State <br /> 10. Geographical Data <br /> Acreage of Property 2.4 acres <br /> UTM References <br /> (Place additional UTM references on a continuation sheet.) <br /> See continuation sheet <br /> 1 3 <br /> Zone Easting Northing Zone Easting Northing <br /> 2 4 <br /> 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 /> name/title Heather Fearnbach <br /> organization Fearnbach History Services, Inc. date July 18, 2017 <br /> street&number 3334 Nottingham Road telephone 336-765-2661 <br /> city or town Winston-Salem state NC zip code 27104 <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 additional items.) <br /> Property Owner <br /> (Complete this item at the request of SHPO or FPO.) <br /> name Mary E. Grant and Virginia Wise <br /> street& number 201 Redman Crossing telephone 919-625-5040 <br /> city or town Mebane state NC zip code 27302 <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 listing. 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 et 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 <br /> aspect of this form to the Chief,Administrative Services Division,National Park Service,P.O.Box 37127,Washington,DC 20013-7127;and the <br /> Office of Management and Budget,Paperwork Reductions Projects(1024-0018),Washington,DC 20303. <br />