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Dane County Water Resource Engineering Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Date of Contact: 4/27/2015 <br /> Caller/Contact: Dale Fredenberg Phone#: (608) 575-0405 <br /> Landowner: Janice Lange Phone#: _ <br /> Contact Email: cgwi @aol.com <br /> Project Address: 3257 Brooklyn Dr <br /> Location(Municipality): Town of Dunn Section: 25 '/4: SE <br /> Parcel#: 0610-254-9295-8 <br /> Project Description: Construct 16' x 16' living room addition off front of house, 16' x 10' deck and <br /> 31' x 26' master suite addition. <br /> Planned Size of Disturbance: <4,000 ft' Planned Size of New Impervious: 1,062 ft2 <br /> Water Resource Engineering Division Response: <br /> Based On Information Above the Project:❑DOES* ODOES NOT Require a Permit <br /> Determination Made by: ❑RLS EJDB ❑JAS ❑JAH rA 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 /> 0125'Long new access road/driveway❑ Subdivision Nat/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 meet permit triggers of 11.05(3)(b). Land disturbing activity must be limited <br /> 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 />