Orange County NC Website
Browse       Search
Caro inG <br /> Name of Propel) 6 =}` County and State <br /> 10 . Geographical Data <br /> Acreage of Property 4T '= ? acres <br /> UTM References <br /> ( Place additional UTM references on a continuation sheet. ) <br /> Zcne Easting (INorthing Zone East ; ; � �Jort~ uiy <br /> , <br /> See connnu ,: vcn aneet <br /> Verbai Souncary 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 /> _ WEEN <br /> name/title Dr . Keith A . Zahniser <br /> organization data February 1 . 1998 <br /> street & number 3710 Knollwood Drive talepi^ cne ( 919 ) ? 83 -a269 <br /> city or town Durham state NC zip ccde 2771. 2 <br /> Additional Documentation <br /> Submit the following items with the completed form. <br /> Continuation Streets <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 Elizalbetlri P . Davidson <br /> street & number 7015 NC 57 telephone ( 1919 ) 64. 4-- 1 685 <br /> city or town Roucremont state NC code 27572 <br /> Paoer ,vork Reduction Act Statement: This information is being coilec:ed 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 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 aspect <br /> of this form to the Chief, Administrative Services Division , National Park Service, P . O . Box 37127, Washington , DC 200134127; and the Office of <br /> Management and Budget , Paperwork Reductions Projects ( 102"018). Washington , DC 20503. <br /> US MVERMENT PRINTING OFFICE : 1993 0 - 350-416 QL 3 <br />