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Dane County Water Resource Engineering Division <br /> DINAP - "DO I NEED A PERMIT" <br /> General Information: <br /> Date of Contact: 7/31/15 <br /> Caller/Contact: Kristi Hills, JG Development Phone#: (608) 437-6184 <br /> Landowner: Trevor & Sarah Berceau Phone #: <br /> Contact Email: Kristi@JGDevelopment.com <br /> Project Address: CTH PB <br /> Location: Township: Verona Sec: 26 1/o NW <br /> Parcel #: 0608-262-9571-0 <br /> Project Description: New SFR, driveway and septic <br /> Planned Size of Disturbance: +/-10,000 ft2 Planned Size of New Impervious: +1- 3,500 ft2 <br /> Water Resource Engineering Division Response : <br /> Based on information above the project: is DOES* ❑DOES NOT require a permit <br /> Determination Made By: ❑RLS ❑JDB JAS ❑JAH ❑JRT ❑AJM ❑JRR <br /> Digitally signed by Jess Starks <br /> *Type of permit required: ❑EC ❑ SM NI SE DN:cn=Jess St arks,o=Dane County land&Water Resources,ou=Water <br /> Resoource Engineering,email=starks@countyofdane.com,r=US <br /> Date:2015.08.03 10:57:08 <br /> 51 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: This area of the lot is within the secondary Shoreland Zone, between <br /> 300' and 1000' from a navigable lake or pond. The project will disturb over 4,000 sq.ft., <br /> which requires a Shoreland Erosion Control Permit under DCCO Sec. 11.05(3)(b). A Professional Engineer's <br /> stamp is not required, but any ditches or structural management practices must be designed. <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 al required permits have been obtained prior to commencing work. <br />