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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Kelly Mikula Phone#: (608) 567-6566 <br /> Landowner: Same Phone#: <br /> Contact email: kelly.mikula @us.qbe.com <br /> Project Address: 2663 Happy Valley RD <br /> Location: Township: Bristol Sec: 29 / NE <br /> Parcel#: 0911-291-8060-0 <br /> Project Description: Construct a 36' x 40' barn for livestock use. <br /> Planned Size of Disturbance: <4000 ft2 Planned Size of New Impervious: 1440 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* EIDOES NOT require a permit <br /> Determination Made By: ❑JAH ❑JAS ❑JDB ✓❑IRT ❑RLS <br /> *Type of permit required: DEC DES EISM ❑SE ❑SS <br /> Disturbance >4000 ft2 ❑Slopes> 12% ❑Excavate/Fill>400 yds3 <br /> ❑Disturbing 100' of ditch/channel ❑125'New road/driveway EShoreland Zone disturbance <br /> ❑Addition of 20,000 ft2 New Imp. ❑Subdivision Plat/CSM ❑Other: <br /> Basis for Determination: Project is not located in the shoreland zone and does not <br /> meet permit triggers of s. 14.45. Land disturbing activity must be limited to <br /> less than 4000 square feet. <br /> Permit determination based upon information provided by caller/landowner. Changes in project size,scope or <br /> location may trigger changes to permit requirements. It is the responsibility of the owner to ensure all required <br /> permits have been obtained prior to commencing work. <br />