Indiana Division of Historic Preservation and Archaeology 402 West Washington Street, Room W274 Indianapolis, IN 46204 317-232-1646 National Register of Historic Places – Sample Nomination Form Helton-Mayo Farm, Lawrence County, Indiana Rural properties typically include buildings and structures diverse in age, building materials, and use. Indiana farms were usually diversified operations that practiced a high degree of self- sufficiency. This photo of the Helton- Mayo Farm captures the overall layout of the farmstead. Don’t forget to give your application the big picture as well as the details! This nomination documents a southern Indiana farm that includes an early vernacular brick house, log barn, various special-use farm buildings, as well as a 1950 arched-roof dairy barn. The authors drew on census data, local histories, and evidence offered in the buildings themselves to explain how the property meets the National Register Criteria in the areas of agriculture, settlement and architecture. If you’re having trouble classifying the vernacular architecture of your farm, the Indiana Division of Historic Preservation and Archaeology can help. The map provides the reader with a sense of the organization of the farm and helps define contributing (historic) from non- contributing (non-historic) buildings. Many internet services or county offices provide aerial mapping or other graphic mapping systems that can be used to prepare maps for properties with numerous support buildings. NPS Form 10-900 OMB No. 10024-0018 (Oct. 1990) United States Department of the Interior National Park Service National Register of Historic Places Registration Form This form is for use in nominating or requesting determinations for individual properties and districts. See instructions in How to Complete the National Register of Historic Places Registration Form (National Register Bulletin 16A). Complete each item by marking "x" in the appropriate box or by entering the information requested. If an item does not apply to the property being documented, enter "N/A" for "not applicable." For functions, architectural classification, materials, and areas of significance, enter only categories and subcategories from the instructions. Place additional entries and narrative items on continuation sheets (NPS Form 10-900a). Use a typewriter, word processor, or computer, to complete all items. 1. Name of Property historic name Helton-Mayo Farm other names/site number 093-032-20006 2. Location street & number Junction of Boyd Lane and State Route 58 N/A not for publication city or town Bedford vicinity state IN code IN county Lawrence code 093 zip code 47421 3. State/Federal Agency Certification As the designated authority under the National Historic Preservation Act, as amended, I hereby certify that this nomination request for determination of eligibility meets the documentation standards for registering properties in the National Register of Historic Places and meets the procedural and professional requirements set forth in 36 CFR Part 60. In my opinion, the property meets does not meet the National Register criteria. I recommend that this property be consider significant nationally statewide locally. ( See continuation sheet for additional comments.) (signed) Patrick Ralston, 9-26-95 Signature of certifying official/Title Date Indiana Department of Natural Resources State or Federal agency and bureau In my opinion, the property meets does not meet the National Register criteria. ( See continuation sheet for additional comments.) Signature of certifying official/Title Date State or Federal agency and bureau 4. National Park Service Certification I hereby certify that the property is: Signature of the Keeper Date of Action entered in the National Register. See continuation sheet determined eligible for the National Register. See continuation sheet determined not eligible for the National Register. removed from the National Register. other, (explain:) Helton-Mayo Farm Lawrence Co., IN Name of Property County and State 5. Classification Ownership of Category of Number of Resources within Property Property Property (Do not include previously listed resources in the count.) (Check as many boxes as (Check only one box) apply) Contributing Noncontributing 6 1 buildings private ⌧ building(s) 0 0 public-local district sites 1 0 public-state site structures public- structure 0 0 objects Federal 7 1 Total object Number of contributing resources previously listed Name of related multiple property listing (Enter "N/A" if property is not part of a multiple property listing.) in the National Register N/A 0 6. Function or Use Historic Functions Current Functions (Enter categories from instructions) (Enter categories from instructions) DOMESTIC: single dwelling DOMESTIC: single dwelling AGRICULTURE: animal facility AGRICULTURE: animal facility AGRICULTURE: storage AGRICULTURE: storage 7. Description Architectural Classification Materials (Enter categories from instructions) (Enter categories from instructions) EARLY REPUBLIC: federal foundation STONE: limestone OTHER: hall and parlor walls BRICK OTHER: single pen log barn WOOD: weatherboard roof METAL: steel other CONCRETE Narrative Description (Describe the historic and current condition of the property on one or more sheets.) Helton-Mayo Farm Lawrence Co., IN Name of Property County and State 8. Statement of Significance Applicable National Register Criteria Areas of significance (Mark "x" in one or more boxes for the criteria qualifying the property (Enter categories from instructions) for the National Register listing.) AGRICULTURE A Property is associated with events that have SETTLEMENT made a significant contribution to the broad patterns ARCHITECTURE of our history. B Property is associated with the lives of persons significant in our past. C Property embodies the distinctive characteristics of a type, period, method of construction or represents the work of a master, or possesses high artistic Period of Significance values, or represents a significant and distinguishable entity whose components lack c.1837-1950 individual distinction. D Property has yielded, or is likely to yield, information important in prehistory or history. Significant Dates Criteria Considerations c.1837 (Mark "x" in all the boxes that apply.) Property is: Significant Person A owned by a religious institution or used for (Complete if Criterion B is marked above) religious purposes. N/A B removed from its original location. Cultural Affiliation C a birthplace or grave. N/A D a cemetery. E a reconstructed building, object, or structure. Architect/Builder F a commemorative property. unknown G less than 50 years of age or achieved significance within the past 50 years. 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 if individual listing (36 Primary location of additional data: CFR 67) has been requested State Historic Preservation Office previously listed in the National Register Other State agency previously determined eligible by the National Federal agency Register Local government designated a National Historic Landmark University recorded by Historic American Buildings Survey Other # Name of repository: recorded by Historic American Engineering Record National Register files Helton-Mayo Farm Lawrence Co., IN Name of Property County and State 10. Geographical Data Acreage of Property 13 acres UTM References (Place additional UTM references on a continuation sheet.) 1 3 Zone Easting Northing Zone Easting Northing 2 4 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 Kay Mayo Emery and Paul Diebold organization N/A date 1-3-95 street & number 107 Brookside Dr. telephone city or town Bedford state IN zip code 47421 Additional Documentation Submit the following items with the completed form: Continuation Sheets Maps - A USGS map (7.5 0r 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 SHPO or FPO.) name Kay Mayo Emery street & number 107 Brookside telephone city or town Bedford state IN zip code 47421 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 listings. Response to this request is required to obtain a benefit in accordance to the National Historic Preservation Act, as amended (16 U.S.C. 470 et seq.) Estimated Burden Statement: Public reporting burden for this is estimated to average 18.1 hours per response including time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or any aspect of this form to the Chief, Administrative Services Division, National Park Service,