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Dane County Water Resource Engineering Division <br /> DINAP - "DO I NEED A PERMIT" <br /> General Information: <br /> Date of Contact: 3/23/15 <br /> Caller/contact: Mary Cushman - Cushman Construction Phone#: 608-798-2001 <br /> Landowner: Mitchel Sersch & Michelle Altenburg Phone#: n.a. <br /> Contact Email: Ijcushman @charter.net <br /> Project Address: 4143 Twin Valley Rd <br /> Location: Township: Middleton Sec: 17 '/4 SW <br /> Parcel#: 0708-173-8120-1 <br /> Project Description: construction of a garage <br /> Planned Size of Disturbance: <4000 ft2 Planned Size of New Impervious: ^'420 ft2 <br /> Water Resource Engineering Division Response : <br /> Based on information above the project: ❑DOES* J DOES NOT require a permit <br /> Determination Made By: d RLS ❑JDB ❑JAS ❑JAH ❑JRT ❑AJM ❑JRR <br /> *Type of permit required: ❑EC ❑ SM ❑ SE <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 does not trigger erosion control requirements of DCCO <br /> Chapter 14 and is not in the shoreland zone <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 />