Wayne County Historical Society
Historic Preservation Awards
Nomination Form
Current owner of Property:
Current owner’s mailing address:
Phone:
E-mail:
Address of the site (If different than above) :
Why is this site nominated?
Awards will be given to those projects which follow the US Department of Interior
Guidelines for Historic Preservation (available for reference at WCHS library) as
closely as possible. How does the project do that?
Name of person making nomination
Phone:
e-mail:
Complete this form, enclose at least two color photographs of the project, and
forward to:
WCHS Chairman Historic Preservation Committee
P.O. Box 446
Honesdale, PA. 18431