Orange County NC Website
t <br /> Nationai Register of Historir,; Places 023 <br /> Registration Form <br /> This form is for use in Nominating or requesting determinations of et � gibilih,, for individual properties or districts . See instructions in GuidE ;ices <br /> for Camoiating Naliona; Register Forms ( National Register Bulleti :t 161 , Complete each . ( am by marking 'Y ' In the appropriate box or by � nterinc <br /> the requested in (ormr: ( ion . If an Item does not apply to the property' t}iinq doci : mented , enter " N /A. " for " nor applicable . " ccr functions , st)' tt� s , malef 'Is <br /> artd & S.1oas of Si � ni (icc? nce enter, Cnl clot Cate UfieS bnC il; :? .: al _ _ i: rit: 3 kl4d its the instwctlQnS . For additional .il'. n 511 CtS <br /> y y _ space Use con 'si . uatif, c <br /> ( Form 10- 900a ) . Type all entries . <br /> Name of Prolierty <br /> historic name r4nt *sr* Ptt,.3 1 and 14011 -se <br /> other names /sits nUlTiber " (roach House " <br /> Chatwood <br /> 2 . Location <br /> street E number Slide SR 1328 ( Faucette Mi Rd ) on E side of Eno lover Iu,,' aot for pub ! icaticn <br /> at , town jji, 1 1 q'� rn � lah _ LX� vicinity <br /> state North Carolina code NC county Orange cqde� 715 zip code 27278 <br /> 3 . Classification <br /> Ownership of Property Category of Property Number of Resources within Property <br /> .3 R private ❑ building (s) Contributing Noncontributing <br /> ❑ public - local � district 4 2 buildings <br /> ❑ public • State ❑ site 1 1 sites <br /> ❑ public- Federal ❑ structure structures <br /> object objects <br /> 5__ 3 Total <br /> Name of rotated multiple property listing : Number of contributing resources previously <br /> ".. T�, listed in the National Register — 0 - <br /> 4 . State / Federal Agency Certification <br /> As the designated authority under the National Historic Preservation Act of 1 .066 , as amellded , I hereby cerflty that this <br /> ER nomination ❑ request for determination of eligibility meets the documentation s ! andards for registering properties in the <br /> National register of Historic Places a d meets the procedural and professional requirements set forth in 36 CFR Part 60 . <br /> In my a t i , the p e y ee ❑ does not meet the National Register criteria . ❑ See continuation shell . <br /> ` 6 �• <br /> Signature of certifying official Cate <br /> _State Historic Pres , /vation Officer <br /> St PAP or Federal agency and bureau <br /> In my opinion , the property ❑ meets ❑ does not meet the National Register criteria . ❑ See continuation sheet . <br /> Signature of commenting or other official Gale <br /> Stato or Federal agency and bureau ! - <br /> 5 . 14ationai Park Service Certification <br /> 1 , hereby , certify that tr. is property <br /> L.j entered in the Nemonal Register . <br /> ❑ See continuation sheet. <br /> ❑ determined eligible for the National - <br /> ,Register . ❑ ace con : inuetion - shaet.� - <br /> dcterrnined not. eligible for the -- -- <br /> Nal ! onal Register . _ <br /> E) remcved from the t4ational Resister . <br /> ❑ othei, (explain : ) <br /> Signature o : tt: P ?: eepe : va : e of Actik <br />