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Dane County'',Land Conservation Division <br /> DINAP - ` Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: David Phone#: 608-712-9062 <br /> Landowner: I Phone#: <br /> Contact email: <br /> Project Address: 7119 Gehin RD <br /> Location: Township: Montrose Sec: 27 1/4 SW <br /> Parcel#: 0508-273-8600-3 <br /> Project Description: Construct a 30' x 64' pole shed. <br /> Planned Size of Disturbance: <4000 ft2 Planned Size of New Impervious: 1920 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* ODOES NOT require a permit <br /> Determination Made By: ❑JAH DAS ❑JDB 'T EIRLS <br /> *Type of permit required: ❑EC CIES ❑SM ESE ❑SS <br /> ❑Disturbance >4000 ft2 111Slopes> 12% ElExcavate/Fill>400 yds3 <br /> ❑Disturbing 100' of ditch/channel 0125' New road/driveway IN Shoreland Zone disturbance <br /> ❑Addition of 20,000 ft2 New Imp. EISubdivision Plat/CSM ❑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). Disturbance must be limited to less <br /> than 4000 square feet or a permit will be required. <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 />