HomeMy WebLinkAbout20191190 Ver 1_Historic Site Survey_20190905F
STATE OF NORTH CAROLINA
DIVISION OF ARCHIVES AND HISTORY
HISTORIC SITES SURVEY
(Type all entries — Complete applicable sections)
1. NAME
NORTH CAROLINA
COUNTY
COMMON: yp
�C/l
V
ANO/OR HISTORIC:
/
:•
CATION
e
STREET AND NUMBER
OR OTHER DESCRIPTION OF LOCATION
-
7 �
3 D 5
v�
CITY. TOWN OR TOWNSHIP
CONGRESSIONAL
DISTRICT
STATE
I CODE
COUNTY:
CODE
NORTH CAROLINA
37
3.
CLASSIFICATION
CATEGORY
ACCESSIBLE
(Check One)
OWNERSHIP
STATUS
TO THE PUBLIC
District ❑ Building ❑
Public ❑
Public Acquisition:
Occupied
❑
Yes:
Site ❑ Structure ❑
Private ❑
In Process
❑
Unoccupied
❑
Restricted ❑
Object ❑
Both ❑
Being Considered
❑
Preservation work
Unrestricted ❑
in progress
❑
No: E]ZO
PRESENT USE (Check One or More as Appropriate)
Agricultural ❑ Government ❑ Park ❑
Transportation ❑
Zoning (Specify) ❑
y
Commercial ❑ Industrial ❑ Private Residence ❑
Other(Specify)A
❑
Comments ❑
O
Educational ❑ Military ❑ Religious ❑
z
D
Entertainment ❑ Museum ❑ Scientific ❑
4. OWNER OF PROPERTY
OWNERS NAME:
STREET AND NUMBER: /
/
CITY OR TOWN:
STATE:
ZIP CODE
CODE
5. LOCATION OF LEGAL DESCRIPTION
COURTHOUSE. REGISTRY OF DEEDS. ETC:
STREET AND NUMBER:
CITY OR TOWN:
STATE:
ZIP CODE
CODE
NORTH CAROLINA
0
F 37
C
z
6. REPRESENTATION IN EXISTING SURVEYS
? .,;A
K
TITLE OF SURVEY:
DATE OF SURVEY: Federal
State O County
❑ Local
DEPOSITORY FOR SURVEY RECORDS:
STREET AND NUMBER:
O
CITY OR TOWN:
STATE:
ZIP CODE
CODE
A
nm HSS -1/69/R -71/3M
(Check One)
CONDITION Excellent ❑ Good ❑ Fair ❑ Deteriorated ❑ Ruins ❑ Unexposed ❑
(Check One) (Check One)
INTEGRITY Altered ❑ Unaltered ❑ Moved ❑ Original Site ❑
DESCRIBE THE PRESENT AN��— IGINAL (if known) PHYSICAL APPEARANCE
o,,f sem,
w/
l
))AeV o `jl< A
�' 1
8. SIGNIFICANCE
More
as Appropriate)
❑
16th Century ❑
18th Century
19th Century
20th Century ❑
❑
ESPECIFIC
17th Century ❑
1st Qtr. ❑
3rd Qtr. ❑
1st Qtr. ❑
3rd Qtr. ❑2nd
Qtr. ❑
4thQtr. ❑
2nd Qtr. ❑
4th Qtr. ❑plicable
and Known)
AREAS OF SIGNIFICANCE (Check One or More as Appropriate)
Aboriginal
Education
❑
Political
❑
Urban Planning
❑
Prehistoric ❑
Engineering
❑
Religion/Phi.
Other (Specify)
❑
Historic ❑
Industry
❑
losophy
❑
Agriculture ❑
Invention
❑
Science
❑
Architecture ❑
Landscape
Sculpture
❑
Art ❑
Architecture
❑
Social/Human.
Commerce ❑
Literature
❑
itarian
❑
Communications ❑
Military
❑
Theater
❑
Conservation ❑
Music
❑
Transportation
❑
STATEMENT OF HISTORICAL SIGNIFICANCE
(Include
Builder/-Architect, Original & Subsequent Owners, Dates, Events, Etc.)
9, MAJOR BIBLIOGRAPHICAL REFERENCES (DOCUMENTS, PUBLICATIONS, REPORTS, NEWSPAPERS)
I
kd_ gOGRAPHICAL DATA
LATITUDE AND LONGITUDE COORDINATES
DEFINING A RECTANGLE LOCATING THE PROPERTYO
A
LATITUDE AND LONGITUDE COORDINATES
DEFINING THE CENTER POINT OF A PROPERTY
OF LESS THAN ONE ACRE
CORNER
LATITUDE
LONGITUDE
LATITUDE
LONGITUDE
NW
NE
SE
SW
Degrees Minutes Seconds
°1 „
o 11°
°
e
Degrees Minutes Seconds
o1 11
Degrees Minutes Seconds
1 11°1
Degrees Minutes Seconds
„
LIST ALL STATES AND COUNTIES FOR PROPERTIES
APPROXIMATE ACREAGE
STATE:
CODE
COUNTY:
CODE
STATE:
CODE
COUNTY:
CODE
STATE:
CODE
COUNTY:
CODE
STATE:
CODE
COUNTY:
CODE
:'IFORM:PREPARED BY
Survey and Planning Unit
State Department of Archives & History
DATE
STREET AND NUMBER:
109 East Jones Street
CITY OR TOWN:
Raleigh
STATE
North Carolina 27611
CODE
37
127 LOCAL ORGANIZATION OR INTERESTS (INDICATE NAMES AND ADDRESSES)
RECOMMENDED LEVEL OF SIGNIFICANCE: National ❑ Slare ❑ Local ❑
County &Ja"L+r
NORTH CAROLINA HISTORIC STRUCTURE DATA SHEET
READ and USE the instruction manual to complete this form. Fill it out as completely and consistently as possible. PLEASE NOTE: not all variables are provided for each question and
reference to the instruction manual will be necessary. In all cases: 0 or 00 denotes an undetermined or not applicable response
9 or 99 denotes a variable other than those provided.
SURVEY SITE NUMBER �it�G'i �✓� (To be filled in by S 8 P Branch unless otherwise specified)
I. SITE NAME: &)Ia I/ II I PI� 14 II) I/ Vs ISI/ d� Ih L�lae I� 1� IGS I/ I� Ibis 1i'7 Lo is I I
2. OTHER NAMES: [ /� /1
3. ABBREVIATED LOCATION DESCRIPTION OR STREET ADDRESS: '�; 15I / IGT'le I 15W 11 17p I k Qj nI • j'3I ykI / j j.SI 10V I
YIanLClil,'I�I Iejen IA"V9121 I I I I I I I I I
4. NEAREST TOWN/COMMUNITY: V 1)Ja ILIt2 I jCICJ Ir Ie [5 N- I I I I
PROXIMITY: J W/in Town/Community Limits Outside Town/Community Limits
1 2
5.
7.
8.
9.
COUNTY: n- (� 6. DATE RECORDED INFIELD: MONTH LZ_]2jr DAY YEAR 19 IG�-
FIELD RECORDER:
ADDITIONAL VISITS:
OWNER PARTICIPATION: LI
Hostile to Survey Opposed to Nom/Survey
1 2
10. OWNER NAME:
11. OWNER ADDRESS:
Uncommitted or Agreeable to Nom/Survey Requests Nom/Survey Owner/ Interested Party Provides Research
3 4 5
wfJ ? /U'60l I'I-'U I, :'1/1 I I I I I I I I I I I I I I
TELE; I 1 1 - ' -
12.
TENANT/CARETAKER NAME/ADDRESS:
13.
USE: Original Primary 1�1-LJ
Other:
Present Primary I (^I '�It-,I I
Other:
Resid: Farm Resid: Non -Farm
Farm Bldg: Indep of Resid School Office Bank Gen'I
Retail Store Industrial Courthse
0101 0102
0201 0301 0401 0402
0501 0601-0614 0901
Post Office Church Clubhse/lodge
Museum Cemetery Site Aban: Unocc Mobile Home Adjac
FHA Home Adjac Other Occ Sin Adjac
0902 1001 1501
1701 1802 2001 2002
2003 2004
14.
ADAPTIVE USE STATUS: U N/A
Neg Impact Low/Modest Interest High Interest
1
2 3 4
15.
CONDITION: e I Excellent Good Fair Deteriorated Ruin Unexposed
1 2
3 4 5 6
16.
OCCUPANCY: u Owner Tenont(s) Vacant
1
2 3
17.
N
ACCESSIBILITY: LLA
Pub Owner/Open to Pub Priv Owner/Open to Pub Pub Owner/Restricted Priv Owner/ Restricted Pub
Owner/ No Access Priv Owner/ No Access
1
2 3 4
5 6
18.
THREATS TO STRUCTURE: Other:
None/Prop Stable Abusive Alterations
Neglect/Deterioration/Vandalism Road Construction Impoundments
Private Dev't Urban Dev't Gov't Activity
1 2I�,�
3 4 5
6 7 8
19.
�
DESTROYED: Year: l ;.
Decay 8 ColllAapsseC Fire: Natural, Accidental, Undetermined Arson
Private Demolition Gov't Demolition
4/85
/ /, 3
4 5
ARCHITECTURAL DATA z5e'a
20. DIMENSIONS: Depth I I IJ X Width Square Footage
(Right Justify)
21. STYLE DEVELOPMENT: Exterior u Interior u High/Academic
National/Popular Regional/Vernac Vig Vernacular
1
2 3 4
22. ALTERATION RESTORATION STATUS: Exterior u Interior u
3 4 5
Little or No Alt/Hist Fab Intact Mod Alt Maj Unsymp Alt/Bldg Compromised
Adaptive Renov/Symp Maj Acad Rest in Prog/Complete
1 2 3
4 5
23. GENERAL STYLE GROUPS: Exterior: First Second Third It
Interior: First �_� Second Third U, I
Platform Frame/Cut Nails
Geo Geo/Fad Fed Fed/Gk Rev Gk Rev holianate
Goth Rev 19-20c Trod/Vern Q Anne
01 02 03 04 05
06 07 09 11
Neo -Class Rev Col Rev Misc Vict Std Commercial/Industrial Beaux-Arts
Tudor Rev Bungalow Art Deco Coastal Plain Cottage
12 13 15 16 21
22 25 26 33
24. PLAN (Primary Domestic Buildings): 1 1 Other:
12
One Rm Holl 8 Parlor Other 2 Rm "Quaker" 3 Rm Side Hall
Cntr Hall Cntr Hall/Quaker Vor Irregular T -Hall
01 02 03 04 06
07 08 14 15
25. PLAN (Non -Domestic Buildings): Typical Notable
Other:
1 2
Gable Sides Gable Front
26. HEIGHT: u Other: —
1 Story 1 Story/Habitable Attic
1 A
1'h Story 2 Story 2 Story/Habitable Attic 2'h Story 3 Story 3 Story/Habitable Attic 31h Story
2 3 B 4 5 C 6
4 or more, Not a Skyscraper Skyscraper
7 8
27. FACADE WIDTH (Main Block): u 1 Bay 2 Bay 3 Bay
1 2 3
28. DEPTH: U 1 Room/Single Pile 2 Room/Double Pile 3 or More Rooms
1 2 3
29 WINGS AND ADDITIONS: Primary U Secondary U Other:
4 Bay 5 Bay 6 or More Bay
4 5 6
32. ROOF
Rear Shed Rear Ell
Sides Front Addit Stories
Ong Strt Incorp into New
1 2
3 4 5
6
30. CONSTRUCTION: Primary
! SecondaryOther:Other:
Mortise & Tenon
Platform Frame/Cut Nails
Load -Bearing
Masonry
03
05
07
Frame Cnst, Type Unknown
Masonry Walls, Type Cnst Unknown
Log
12
13
14.21
31. ROOF CONFIGURATION: Primary
Secondary
Other:
Gable Sides Gable Front
Ped Gable Triple A
"X" Gable
Parapet Gable
01 02
03 04
05
07
IF THE FOLLOWING ELEMENTS ARE PRESENT, CODE AS SECONDARY:
Belfry Steeple
Cupola/Lantern
Belvedere
Clock Tower
23 24
25
26
27
MATERIAL P
�J Seconder ��J Other
Rear Other Front Ell Front Shed
7 8 A
Steel Frame Reinforced Concrete
08 11
High Hip Low Hip
09 10
Widow's Walk
28
Flat Front Ell
19 30
Tower/Turret
29
rmry y
Shake Wood Shingle Tin Shingle Metal Ceramic Material Slate Asphalt Shingle Built-up Tar Standing Seam Metal
01 02 03 04 05 06 07 08 09
33. EXTERIOR WALL MATERIALS (Original): Primary LII Secondary W Other:
Plain W'bd Molded/beaded W'bd Brick/Common Bond Brick/Flemish Bond Brick Veneer
01 02 06 07 10
34. EXTERIOR WALL MATERIALS (Replacement): U Other:
Aluminum Asphalt Asbestos Vinyl Brick Veneer W'bd Ger Siding
1 2 3 4 5 6 7
FOR STRUCTURES WITHOUT A PORCH, ANSWER 835 AND GO TO R41
35. PRINCIPAL PORCH INTEGRITY: I_j OTHER:
Original Altered Not Original Reconstruction
1 2 3 5
36. PORCH TYPE: U Other:
Engaged Attached Recessed Stoop
1 2 3 4
Stuccoed Board 8 Batten Brick/Stretcher Bond
13-16 33 35
Similar/In Kind Material
8
Removed/Fallen
6
Stone Veneer
A
wl -'sca �tAC�i✓tQfy
j nSi �
z V% 5�ory
bath
�a -Fronk 1 in Co.
U
SR ��
dia'"r CO
,h;jQI,R1
D
�orvter hse Sr�.e,
0
Posf� he��"
veli hou52
eta+� an
Q9 rani �
4o
�rPs�
37. PORCH HEIGHT: U Other:
1 Story 2 Tiers 2 or More w/o Tiers Multiple Heights
1 2 3 4
38. PORCH WIDTH: U Other:
Entrance Bay Only Multiple Bays, Less than Full Facade
1 2
39. PORCH ROOF CONFIGURATION: u Other:
Shed Hip Gable Ped Gable
1 2 3 4
40. PORCH DETAILS: A. U B. U C. Other:
Chamfered Posts Turned Posts Sawn Work/Turned Ornament
1 2 3
41. FOUNDATION MATERIALS: U Other:
Flat
5
1 Story w/ Deck 2 Story Portica w/1 Story Porc
5 6
Full Facade Wrap -Around
3 4
Engaged Flat w/ Deck Hood
6 7 8
Classical Flush Sheathing on Facade Enclosed End Boy(s) Porte Cocher
4 5 6 7
Brick Piers Brick/Flem Bond Brick/Eng Bond Brick/Common Bond Fieldstone
1 2 3 4 5
FOR STRUCTURES WITHOUT CHIMNEYS, ANSWER #42 AND GO TO #47
42. CHIMNEY INTEGRITY: A. U B. " Other:
Original Partially Rebuilt Replaced
1 2 3
43. CHIMNEY PLACEMENT: A. U B. U Other:
Interior Interior End Interior End/Exposed Face Exterior End
1 2 3 4
44. CHIMNEY FORM: A. U B. U Other:
Single Shoulder Stepped SS Paved Double Shoulder Stepped DS Paved
1 2 3 4
45. CHIMNEY MATERIAL: A. B. I I I Other: _
Brick/Flom Bond Brick/Common Bond
01 02
Stuccoed Brick Stone w/Brick Stack
07 09
46. CHIMNEY DETAILS: A. U B. U C. U Other: _
Glazed Headers Patterned Brickwork Tumbled Shoulders
1 2 4
47, INTERIOR FINISH: Primary U Secondary U Other:
Exposed Construction Material Flush Sheathing
1 2
Cut Stone Stuccoed Brick Piers w/Inti
6 7 D
Removed/Fallen
4
Exterior Front/Rear Interior Rec
5 6
"Picturesque" Concave Shoulde
5 6
Brick/Other or Undetermined Bond Fieldstone Cut Stone
03 05 06
Brick/Stretcher Bond
11
Free -Standing Stack(s) Painted/Scared Stucco Decorative Cap(s) Paneled Stockl
5 6 7 8
Plaster Manufactured/Tongue & Groove Sheathing
3 4
48. PRIMARY STAIR: u Enclosed Open, Closed String
1 2
49. SPECIAL INTERIOR FEATURES: A. B. LII C. �J
Open, Open String Exterior Front or Rear Primary Stair
3 4
D. I I I E. F. Other:
Modern Reploceme
5
Semi -Enclose
5
Wood Graining Marbleizing Stenciled/ Painted Plaster Notable Hardware
Fully Paneled Interior
Paneled Wainscot Sheathed Wainscot
Over Monts
01 02 03
04
05
06
07
08
Notable Mantels Notable Stair Molded Plaster Notable Woodwork
Pressed
Tin Decoratively Painted
Wood
Notable Glass
Whitewo
09 10 11
12
13
14
15
18
50. OUTBUILDINGS AND SUPPORT FEATURES:
Type: aio
u�
1
Ali I
/,s
i t i
,.,, 2
IYJ Ill
/y
1-7,10U
�,s
1017, 7,
�s
U I/ I
Ul�l
LLLJ
9
Construction: L!Jj LL
L
Lh
U
ai
I� �
I r
Uj
L/i
—�
�
'
�
U
L
L
51
U
Estimated Const. Date: L ZJ I
L2
7 I
Type: Kitchen Slave Hse Other Hse
Office
Barn Tobacco Barn
Smokehse
Dairy-
Crib
Shed
Privy W
11
01 02 03
Fence/Wall Dam Orig Equip/Machinery
04
Cemetery
07
Formal Gardens
08 10 11 15
Landscape/Plant Material Granary/Wheat Hse
20
Spring Hse
23
Chicken F
27 30 32
33
37
38
39
44
45
Construction: Frame Log Brick Stone
Modern Materials
1 2 3 4
5
Estimated Const Date: SEE NO. 51 FOR DATE RANGES
HISTORICAL DATA I`�
51. DATE OF CONSTRUCTION: Estimated: I �� Actual:
Date: Pre -1780 1781-1800 1801-1825 1826-1865 1866-1885 1886.1915 1916-1930 1931-1945 Post 1945
1 2 3 4 5 6 7 8 9
52. DATES OF MAJOR ALTERATIONS AND ADDITIONS: First u Second u Third U
SEE NO. 51 FOR DATE RANGES
53. AREAS OF SIGNIFICANCE: A. LY!_ZLJ B. �J C. �J Other:
Agriculture Architecture Commerce Education Exploration/Settlement Industry Law
03 04 06 11 13 15 18
Religion Social/Humanitarian
26 29
54. LEVEL OF SIGNIFICANCE: u Local State National (FOR NATIONAL REGISTER PROPERTIES ONLY)
1 2 3
55. PERSONS OR EVENTS OF SIGNIFICANCE ASSOCIATED WITH THE BUILDING: (CODE LAST NAME FIRST)
A. Type s Date: (yJ Name/Event: I4Aa II I/ I II/ I/ I / IC Iti/I I I I I I I
B. Type: I I I Date: U Nome/Event: I I I I I I I I I I I I I I I I I I I I
Politics/Gov't
24
C. Type: I I I Date: U Name/Event: I I I I I I I I I I I I I I I 1 1 1 1 I
Type: Trod Builder/Craftsman Architect Contractor Attributed Builder Orig Owner Significant Later Owner Historically Signif Person
O1 02 03 04 05 06 07
Hist Signif Event Author of Pattern Book Landscape Design Developer Architect for Later Major Remod/Renov/Over-Building
08 09 10 11 12
56. CULTURAL/ETHNIC AFFILIATIONS: A. L�� B. J C. Other:
English Scotch -Irish Scottish Gar Moravian German Other Black Eastern European Other European American Indian
01 02 04 05 06 07 11 12 15
57. RELIGIOUS AFFILIATIONS: A. L.1<1LJ B. Other:
Catholic Episcopalian Presbyterian Moravian Lutheran Reformed Baptist Methodist AME Zion Christ Sci Prim Baptist
01 04 05 07 08 09 10 11 12 14 18
ENVIRONMENTAL DATA
58. SITE INTEGRITY: L-41 DISTANCE MOVED:
Original Moved <'A Mi 'h-3 Mi 3-10 Mi 10.20 Mi
> 20 Mi
1 2 1 2
3 4
5
59. ACREAGE: I I I (Right Justify)
60, SETTING: Rural, Undist Rural, Bit up
Small Town
Urban, Pop. Over 12,500
1 2
3
4
61. QUAD MAP USED:I
I77ss I I QUAD NAME'
`-1 Al
����
62. UTM DATA: Zone: LJ Northing: I I I
Easiing:
Zone: 16 17
1 2
63. DIRECTION BUILDING FACES: L( N S E
W NE
NW SE SW
1 2 3
4 5
6 7 8
64. OTHER COORDINATES:
65. FREE COMMENT: C5/ b In 1/ Imo/ 10/14V7IA
Ie 15 1/ I/ 1PI(!I
'I/IdV I I I I I I
18
3
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