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(Duplicate as needed . ) North Carolina State Historic Preservation Office CERTIFIED LOCAL GOVERNMENT PROGRAM IV. Inventory Update Form for Destroyed Architectural and Archaeological Resources Federal and state CLG regulations require that certified local governments periodically update their surveys of historic properties by adding properties whose existence or significance was previously overlooked or unknown and by noting those properties which have been destroyed . The purpose of this form is to provide basic information about resources which have been lost . This information is to be completed by the CLG concession and forwarded to the State Historic Preservation Office for incorporation into the statewide inventory of historic buildings and archaeological resources . CLGs are encouraged to submit the forms throughout the year, but may submit them at the end of the year along with the Year-End Report . CLG Preservation Commission Orange County Historic Preservation Commission Historic Name of Property Miller ' s House Location : Street or Route 5800 Efland - Cedar Grove Road Town or Vicinity Cedar Grove County ns� e Was the property ( check all applicable) : Listed individually in the National Register X Part of a National Register Historic District A locally designated historic property Within a locally designated historic district Not listed in the National Register or locally designated , but recorded during an inventory of historic resources Under consideration for local historic property designations or inclusion in a local historic district Please identify the means by which the property was , destroyed or lost : Neglect/deterioration X Fire Vandalism Demolition by private owner Demolition by federal , state or local government Demolition by owner with a certificate of appropriateness granted by the local properties or district commission Moved outside of CLG Jurisdiction Other (please specify)