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Dane County Water Resource Engineering Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Date of Contact:08/17/2015 <br /> Caller/Contact: Wendy Gasch Phone#: 608.347.4847 <br /> Landowner: same Phone#: <br /> Contact Email: wendy@artisanremod.com <br /> Project Address: 3000 Cty Hwy P Mount Horeb, WI 53572 <br /> Location:Township: Springdale Sec:04 y4 SE <br /> Parcel#: 0607-044-9302-0 <br /> Project Description: Addition to existing home <br /> Planned Size of Disturbance: < 1,000 ft2 Planned Size of New Impervious: 375 ft2 <br /> Water Resource Engineering Division Response : <br /> Based on information above the project: ❑DOES* DOES NOT require a permit <br /> Determination Made By: 12 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 ditcb/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: Planned disturbance is outside the shoreland zone <br /> and does not trigger EC requirements of DCCO CH 14 <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 />