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Dane County Water Resource Engineering Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Date of Contact: 4/14/15 <br /> Caller/Contact: Jason Hughes Phone#: 608.359.0984 <br /> Landowner: same Phone#: <br /> Contact Email: jason@hughesflooring.com <br /> Project Address: <br /> Location: Township: Verona Sec: 17 '/4 SW <br /> Parcel#: 0608-173-9701-0 <br /> Project Description: Single family home (SFR) construction <br /> Planned Size of Disturbance: n.a. if Planned Size of New Impervious: ^'8500 ft2 <br /> Water Resource Engineering Division Response : <br /> Based on information above the project: ❑DOES* n DOES NOT require a permit <br /> Determination Made By: IN 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: Single-family home construction regulated by UDC. <br /> Project area is outside the shoreland zone, does not trigger Ch 14 EC requirements <br /> Planned disturbance is limited to well,septic, foundation, retaining wall work <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 />