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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Jon & Toni Skala Phone#: 608-839-1700 <br /> Landowner: Same Phone#: <br /> Contact email: skalapix @charter.net <br /> Project Address: 2546 Gaston RD <br /> Location: Township: Cottage Grove Sec:4 '/4 NW <br /> Parcel#: 0711-042-8290-7 <br /> Project Description: Demolish the existing SFR and construct a new SFR on the existing <br /> foundation. <br /> Planned Size of Disturbance: <43,560 ft2 Planned Size of New Impervious: 1 172 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: —DOES* [DOES NOT require a penuit <br /> Determination Made By: ❑JAH JAS DDB F✓IJRT ❑RLS <br /> *Type of permit required: DEC [ES USM I SE PISS <br /> ❑Disturbance >4000 ft2 Slopes> 12% ❑Excavate/Fill>400 yds3 <br /> ❑Disturbing 100' of ditch/channel PI125' New road/driveway I Shoreland Zone disturbance <br /> PI Addition of 20,000 ft2 New Imp. PISubdivision Plat/CSM ❑Other: <br /> Basis for Determination: Project is not located in the shoreland zone and is exempt <br /> from Chapter 14 requirements under 14.47(2)(a). Slopes over 12% will not <br /> be disturbed based on topographic survey provided. <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 />