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s <br /> DANE COUNTY <br /> 0 i', Land and Water Resources Department CoB <br /> )e%, fm_,I ``. Land Conservation Division <br /> `��,,rcoNS Kevin Connors, Director <br /> Patrick Sutter,County Conservationist <br /> INFORMATION FOR THOSE OBTAINING EROSION CONTROL <br /> & STORMWATER MANAGEMENT PERMITS <br /> .- Please read your approval letter and familiarize yourself with the conditions indicated in it. If <br /> you see any problems or do not understand it, contact the Land Conservation staff member <br /> who wrote it immediately, at(608)224-3730. All parties will be responsible for meeting all of <br /> the conditions and timelines unless you are granted written revisions. <br /> Your Dane County Erosion Control/Stormwater Management/Redevelopment Permit under <br /> Chapter 11 or 14 of the Dane County Ordinance will expire on the stabilization date noted in <br /> your approval letter from the Dane County Land Conservation Division. These permits may <br /> only be revised or extended with the written approval of D.C. Land Conservation before the <br /> stabilization date. <br /> To apply for an extension, you must contact Dane County Land Conservation in writing before <br /> the stabilization date and they must acknowledge receipt of the request, and then issue written <br /> approval of the extension request. <br /> Once a permit expires, it is considered null and void, and if the site has not been stabilized to <br /> Dane County standards, you will be required to cease all work on the property,apply for a new <br /> permit in complete form,pay double permit fees,and wait the 15 or more working day waiting <br /> period for approval of the new permit, as well as face possible citations and fines for each day <br /> the site is in violation. <br /> As-built plans for Stormwater Management Permits must be submitted after site stabilization <br /> for review to Land Conservation Division. After the as-builts are approved and the final <br /> inspection is made,the permit will be closed-out. <br /> STATEMENT FOR APPLICANT TO READ AND SIGN BEFORE <br /> PERMIT CARD ISSUED:.: <br /> ,Permit Number: y >` ". �`� <br /> Project Name: _s (2.,,� .. • • ..( _. . L _ ---Tz <br /> I,' Printed Name ` '../2' . ; '" <br /> � ,����� � �" :' ) have read;understand, <br /> and will take responsibility as owner, applicant, or agent, for all points <br /> addressed in the above notice. <br /> Signature Date: '7',//2:1 ,-, <br /> � y <br /> .**Original- to LCD for Permit File, Yellow- to Applicant, Pink- to Owner <br /> Land Conservation Division,Lyman F. Anderson Agriculture&Conservation Center <br /> 1 Fen Oak Court, Room 208, Madison,Wisconsin 53718-8812; PH 608/224-3730, FAX 608/224-3745 <br /> www.countyofdane.com/landconservation <br />