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Dane County Water Resource Engineering Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Date of Contact: 10/8/2014 <br /> Caller/Contact: Matt Tills, Tills Architecture Phone#: (608) 235-6240 <br /> Landowner: Basil Tikoff & Sara Hotchkiss Phone#: <br /> Contact Email: matt@tillsarchitecture.com <br /> Project Address: 2517 Balden St <br /> Location(Municipality): Town of Madison Section: 27 1/4: SW <br /> Parcel#: 0709-273-6656-5 <br /> Project Description: Construct a garage/bedroom addition, screen porch addition, and deck <br /> addition to existing residence, and resurface driveway. <br /> Planned Size of Disturbance: <2,000 ft2 Planned Size of New Impervious: —1 ,000 ft2 <br /> Water Resource Engineering Division Response: <br /> Based On Information Above the Project:❑DOES* Q DOES NOT Require a Permit <br /> Determination Made by: ❑RLS ❑JDB ❑JAS ❑JAH A JRT ❑AJM ❑JRR <br /> Type of Permit Required: ❑Erosion Control ❑Shoreland Erosion Control ❑Stormwater Management <br /> ❑Disturbance >4000 ft2 ❑ Excavate/Fill>400 yds3 ❑ Disturbing 100' of ditch/channel <br /> ❑ 125'Long new access road/driveway❑ Subdivision Plat/CSM ❑ 20,000 ft2 New Impervious areas <br /> ❑Shoreland Zone Disturbance ❑ Other: <br /> Basis for Determination: Project is located in the secondary shoreland zone and does <br /> not trigger a permit under s. 11 .05(3)(b). Land disturbing activity must be <br /> limited to less than 4,000 sq. ft. <br /> Permit determination is based upon the information provided by caller/landowner on the date of contact. <br /> Changes in project size,scope or location may trigger changes to permit requirements. <br /> It is the responsibility of the owner to ensure all required permits have been obtained prior to commencing work. <br />