Nomination Form

(IZC\. 10"PU) TPS Form 10-9flb 0\1n Yo. 1024-0018 I 'aitcd Sfa tcs Departmct~tof the Interior Yational Park Scrvice SATTONAL IEGISTER OF 311STORIC PIACES IZEGTSTRATIOTV FORM 1'11!sli>l-m IS tor LISC in t?ornirlnringor rcqilestlr~gdctcnnitr;~tious for indivirlual p:npcn!cs and dictr~cti Scc ~r~srri~ction*111 iIc~~toC~ez~~~cl.: ~llcNnriorul I*cysrcr ol' F I ~stor~cPlaccs I<cci>rr.!tion1-om1 ( Sat~onzlKC~~SILT I<ullcr~n I bA j. Cnmpleic tach 1 [en) I?y marktng "x" rrl the appl oprittte 170x or by e~ircri~i~ rtlt infbrnla~~or>rcquuslcd, lfnn~t?r~n does not aly7ly tu tllc prcpcny b~ir~gd~umentcd. cnter "N'A" for "nst a;,pli;ahlc." For rrrnckic>ns.arzh~~e:l~~r~! ~l;1~31lic;l!lin>,III:IICTI~I!F, and ,1rc;13 ofrlpnilic:~nce.cnrcr nnly c~tcpclncsail(! s~~l)carcgor~csIron1 thc ~~~srrucllons.place adtlit iona 1 cnrrrcs and narl;trlvc Itcrni or) cunrinu:itzoti ~I~t'ets(NPS Fonn 10-WCa). IJrr a typ~zlrrtrr.8.uord provcsrur, or computer, lo conrpfelc all itan?. I. B:~rnuof Prowcrtc 11~storicIinmc EDGEWOOD other 11ames51ten11mbcr 044-5172 2. Location strerl & nmber I50 OLD S TAGE liOhD not for publication NtA c~tyor tonPn SEA Y.IJYTII\IT vxin~ty K'A state V~re~n~a code VA county I-IENRY codc OF9 Lip 241 frb 3. State/Fcdcral I\~catvCertificatinn As tllc dr.rizn3!cd ;~uthorltyr~ndrr thc h'n~~onalll~srnr~c I'rcscrviitrtw Act of 196b. 2s amcndcd, f hcrehy certtfy that *h~s+-L nomrnntlntl -rcqucs~ for detcrrnrna\ion of c11g161[1~yn~cctstl~cdocuntcnta~~on standards for rcgrstrrlop propcrtles in the Nailanal Rt~ts~crof H~<toric Placcs and rneers rhc prncdunl :tnd professional ter/uircn~cn!sset Surrli in 30 OFK Part 60. In my oplnion, the propcrty -x,tncets -docs nut mcct thc National Reylster Crrtcrla I rcconmtcnd that this propem he considered sign~ficant- - nst~onally,- stntca~dcX locally ( - Scc continuation 4wt.t for nddrrrunal eor~~rncnts.) -.------- - Signanire of'certityir~goflicial Date Virpinia Bcpartrncat of' Hktoric Rcse~~rces ~IJICcjr f.cl!cr~l ,~CI>L~4t~~~lIIWI~C.~~ [n nry t~p~~\ton.thc nropcny -- nlccts-tlou* 1101 mur' [he N~tlonnCRcgl~t~r cr~tcrta (-- S~ccont~nua~ionsl~ccl for n3dltronal iUn7rUWal$&=1zz=e:;.= SF-.* -_ , -. --. ------- ------- --------- ---- Stat~'or Ftderal asency at~dbureau 4. National Park Service Certification I hr~ebycertrfy that ahls prupcrty is. -entered In tlrc National Register -Sec cu~lt~nualionsllccl. Sig11"t~rc ofKcepcr .-- -detenru11c.d eligible for thc National Rrgistcr -See continuatio~lbI1ec.r. de:c.rinined nct cl~g:bIefor rhc National Rcgrster mate Acllon . - of -- - - ~ - - removed rrotn thc Katlnrl~lRt.~isrcr .- othcr (explain): - _ ,_- NPS Form 10-900 OMB No. 1024-4018 (Rev. 10-90) U. S. Department of the Interior Edgewood National Park Service Henry County, Virginia 5. Classification Ownership of Property (Check as many boxes as apply) _X_ private ___ public-local ___ public-State ___ public-Federal Category of Property (Check only one box) _X_ building(s) ___ district ___ site ___ structure ___ object Number of Resources within Property Contributing Noncontributing __1__ __1__ buildings __0__ __0__ sites __0__ __0__ structures __0__ __0__ objects __1__ __1___ Total Number of contributing resources previously listed in the National Register _0__ Name of related multiple property listing (Enter "N/A" if property is not part of a multiple property listing.) N/A 6. Function or Use Historic Functions (Enter categories from instructions) Cat: _____Domestic______________ Sub: ___Single Dwelling_______ ____________________________ ____________________________ Current Functions (Enter categories from instructions) Cat: _____Domestic _____________ Sub: ____Single Dwelling_________ ____________________________ ____________________________ 7. Description Architectural Classification (Enter categories from instructions) Mid-19th Century – Greek Revival Materials (Enter categories from instructions) foundation ______Brick___________________ roof ___________Metal____________________ walls __________Brick_____________________ other ___________________________________ Narrative Description (Describe the historic and current condition of the property on one or more continuation sheets.) NPS Form 10-900 OMB No. 1024-4018 (Rev. 10-90) U. S. Department of the Interior Edgewood National Park Service Henry County, Virginia 8. Statement of Significance Applicable National Register Criteria (Mark "x" in one or more boxes for the criteria qualifying the property for National Register listing) ____ A Property is associated with events that have made a significant contribution to the broad patterns of our history. _____B Property is associated with the lives of persons significant in our past. __X_ C Property embodies the distinctive characteristics of a type, period, or method of construction or represents the work of a master, or possesses high artistic values, or represents a significant and distinguishable entity whose components lack individual distinction. ____ D Property has yielded, or is likely to yield information important in prehistory or history. Criteria Considerations (Mark "X" in all the boxes that apply.) ____ A owned by a religious institution or used for religious purposes. ____ B removed from its original location. ____ C a birthplace or a grave. ____ D a cemetery. ____ E a reconstructed building, object or structure. ____ F a commemorative property. ____ G less than 50 years of age or achieved significance within the past 50 years. Areas of Significance (Enter categories from instructions)___Architecture__________________ Period of Significance _ __ca 1830 – 1953______ Significant Dates _ca. 1830;_1951-53 _______ Significant Person (Complete if Criterion B is marked above)_____N/A__________________________ Cultural Affiliation _N/A___________________________ Architect/Builder ___ Wallace, William Roy (architect for 1950s plans) Narrative Statement of Significance (Explain the significance of the property on one or more continuation sheets.) 9. Major Bibliographical References Bibliography (Cite the books, articles, and other sources used in preparing this form on one or more continuation sheets.) Previous documentation on file (NPS) __ preliminary determination of individual listing (36 CFR 67) has been requested. ___ previously listed in the National Register ___ previously determined eligible by the National Register ___ designated a National Historic Landmark ___ recorded by Historic American Buildings Survey # __________ ___ recorded by Historic American Engineering Record # __________ NPS Form 10-900 OMB No. 1024-4018 (Rev. 10-90) U. S. Department of the Interior Edgewood National Park Service Henry County, Virginia Primary Location of Additional Data _X_ State Historic Preservation Office ___ Other State agency ___ Federal agency ___ Local government ___ University ___ Other Name of repository: __Virginia Department of Historic Resources_________________ 10. Geographical Data Acreage of Property ___8.26 acres_______ UTM References (Place additional UTM references on a continuation sheet) Zone Easting Northing Zone Easting Northing 1 17 593645 4066410 2 __ ______ _______ ___ See continuation sheet. Verbal Boundary Description (Describe the boundaries of the property on a continuation sheet.) Boundary Justification (Explain why the boundaries were selected on a continuation sheet.) 11. Form Prepared By name/title:__Sam & Carolyn Davis (owners) and Michael Pulice (VDHR)_ date September 15, 2006 street & number__150 Old Stage Road_______________ telephone___276-629-7224_ city or town___Stanleytown_______________________ state__VA_ zip code __24168___ Additional Documentation Submit the following items with the completed form: Continuation Sheets Maps A USGS map (7.5 or 15 minute series) indicating the property's location. A sketch map for historic districts and properties having large acreage or numerous resources. Photographs Representative black and white photographs of the property. Additional items (Check with the SHPO or FPO for any additional items) Property Owner (Complete this item at the request of the SHPO or FPO.) name ___Samuel W. & Carolyn D. Davis________________________________ street & number__150 Old Stage Road_______________ telephone___276-629-7224_ city or town___Stanleytown_______________________ state__VA_ zip code __24168___ ================================================================================== Paperwork Reduction Act Statement: This information is being collected for applications to the National Register of Historic Places to nominate properties for listing or determine eligibility for listing, to list properties, and to amend existing listings. Response to this request is required to obtain a benefit in accordance with the National Historic Preservation Act, as amended (16 U.S.C. 470 et seq.). Estimated Burden Statement: Public reporting burden for this form is estimated to average 18.1 hours per response including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding this burden estimate or any aspect of this form to the Chief, Administrative Services Division, National Park Service, P.0. Box 37127, Washington, DC 20013-7127; and the Office of Management and Budget, Paperwork Reductions Project (1024-0018), Washington, DC 20503. NPS Form 10-900-a OMB No. 1024-0018 (8-86) United States Department of the Interior National Park Service National Register of Historic Places Edgewood Continuation Sheet Henry County, Virginia Section __7__ Page __1__ 7. Summary Description: A fine manor

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