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Ai) Coo <br /> Dane County Water Resource Engineering Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> DaOato of Contact: 3-20-2014 <br /> Caller/Contact: Henery Topinka Phone#: 608.520.2534 <br /> Landowner: Henery Topinka Phone#: <br /> Contact Email: heydalkyahoo.com <br /> Project Address: 7211 RIVERSIDE RD <br /> Location:Township: Town of Verona Sec: 33 '/4 NW <br /> Parcel#: 0608-331-8544-9 <br /> Project Description: Driveway to be widened approximately 12 feet. <br /> Planned Size of Disturbance: <2000 ft2 Planned Size of New Impervious: <1000 ft2 <br /> Water Resource Engineering Division Response : <br /> Based on information above the project: ❑DOES* 151 DOES NOT require a permit <br /> Determination Made By: ❑RLS ❑JDB ❑JAS Q 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: Does not exceed land disturbance threshold, or satisfy any <br /> other permit applicability criteria. <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 />