OREGON SHPO CLEARANCE FORM <br />Do not use this form for ODOT or Federal Highway projects or to record archaeological sites <br />This form is for federal cultural resource reviews (Section 906); state cultural resource reviews (ORS 358.653) <br />SECTION 1: PROPERTY INFORMATION <br />SHPO Case Number: <br />Property Name: Midgley Building <br />Street Address: 409 & 411 High St. <br />City: Eugene County: Lane <br />Agency Project #51134 Project Name: Midgley Building Demolition <br />If there is not a street address, include the Township, Range, and Section, cross streets, or other address description <br />Owner: <br />❑ Private <br />N Local Gov <br />❑ State Gov <br />❑ Federal Gov <br />❑ Other: <br />Are there one or more buildings or structures? N YES ❑ NO _ If no, skip to Section 2 and append photo(s) <br />Is the property listed in the National Register of <br />El <br />YES -Individually El YES - In a district ®NO <br />Historic Places? <br />Original Construction date: 1922 ❑ Check box if date is estimated <br />Siding Type(s) and Material(s): Corrugated steel Window Type(s) and Material(s): Fixed aluminum <br />Has the property been physically altered? ❑ No Alterations ❑ Few Alterations N Major/ Many Alterations <br />SECTION 2: APPLICANT DETERMINATION OF ELIGIBILITY - Check the appropriate box <br />The purpose of this review is to avoid impacts to properties that are "eligible" (historic) or already listed in the National Register of Historic <br />Places. Fully establishing historic significance can be very costly and time consuming. Therefore initial evaluations are based on age (50 <br />years or greater) and integrity (historic appearance), which are the minimum qualifications for listing in the National Register. Additional <br />documentation may be needed further in the process, but typically initial evaluations allow the review process to proceed eveditiously. <br />❑ The property is considered Eligible at this time because it is already listed in the National Register or <br />• is at least 50 years old and retains its historic integrity (minimal alterations to key features) <br />• has potential significance architectural or historical <br />The property is considered Not Eligible at this time because it: <br />• is less than 50 years old or is 50 years or older but there have been major alterations to key features <br />• is known to have no significance, based on National Register-level documentation and evaluation <br />SECTION 3: APPLICANT DETERMINATION OF EFFECT - Check the appropriate box <br />N The project has NO EFFECT on historic properties, either because there is no eligible property involved or because the <br />. property will not be impacted physically or visually. <br />❑ The project will have a minor impact on a property that is eligible or already listed in the National Register, and therefore <br />there is NO ADVERSE EFFECT. Minor impacts include replacement of some, but not all, siding, doors, or windows, etc. <br />❑ The project will have a major impact on a property that is eligible or already listed in the National Register, therefore there <br />is an ADVERSE EFFECT. Major impacts include full or partial demolition, complete residing, full window replacement, etc. <br />STATE HISTORIC PRESERVATION OFFICE COMMENTS - Official use only <br />Eligibility: ❑ Concur with the eligibility determination above. <br />❑ Do not concur with the eligibility determination above. <br />Effect: <br />❑ Concur with the effect determination above. <br />❑ Do not concur with the effect determination above. <br />RLS <br />Signed: Date: <br />iLS <br />Comments: <br />Oregon State Historic Preservation Office Page 1 <br />Revised 2/18/2014 <br />