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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Mary Cushman Phone#: 798-2001 <br /> Landowner: Nancy Anderson Phone#: <br /> Contact email: Ijcushman @charter.net <br /> Project Address: 8518 Ellington Way <br /> Location: Township: Middleton Sec: 05 '/, NE <br /> Parcel#: 0708-051-2196-0 <br /> Project Description: Detached garage addition <br /> Planned Size of Disturbance: <4000 ft2 Planned Size of New Impervious: <4000 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: DOES* ✓DDOES NOT require a permit <br /> Determination Made By: I JAH DAS DDB DRT DRLS AJM <br /> *Type of permit required: DEC DES DSM OSE OSS <br /> 0 Disturbance >4000 ft2 DSlopes> 12% DExcavate/Fill>400 yds3 <br /> 0 Disturbing 100' of ditch/channel 0125' New road/driveway OShoreland Zone disturbance <br /> 0 Addition of 20,000 ft2 New Imp. ❑Subdivision Plat/CSM DOther: <br /> Basis for Determination: NW half of lot is outside the shoreland zone(left side of lot when facing the front of the existing home). <br /> The garage is to be constructed and all land disturbing activity is to occur on portions of the lot that are outside the shoreland zone. <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 />