Nomination Form for Archaeological/Historic Sites or Ruins

Town of Madison, Connecticut

Nominate a site or ruin for an inventory of archaeological or historical entities or remains in Madison. These may include mill sites, road markers, Native American sites, Selectmen boundry cairns, isolated headstones, barns or corn cribs, charcoal mounds, etc.

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* 1. Type of archaeological or historical resource:

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* 2. Site Location:

On Public Property

Along a Public Roadway

On Private Land

Other (please specify)

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* 3. Site Address: (address and nearest cross street)

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* 4. Reason for Nomination:

Significant Size

Unusual Appearance

Archaeological or Historic Interest

Other (please specify)