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For Office Use Only <br /> Erosion Control Permit <br /> Simplified Application Checklist Permit Number: <br /> Date: <br /> Project Name: Shed <br /> Plan Requirements X Location of Information: <br /> Page Number or Attachment <br /> 1. Narrative describing the proposed project Construct a machine shed 52" by 70". The <br /> existing drieveay will be used to access the new <br /> builiding. <br /> V <br /> 2. * Site plan(of known scale that includes:property lines,disturbed area limits, submitted to Jim Ninehart via email <br /> impervious area limits(existing and proposed),natural and artificial water tf'40(4 ill <br /> features, 100-yr flood plain,delineated wetland boundaries,location of all ✓ <br /> proposed erosion control practices) <br /> NOTE: Grading within 5'of the property line requires department approval <br /> 3. * Contours(existing and proposed) <br /> Sep c;/1lr,d::e(4 5'j fe 1"Ircj,) <br /> 4. * Watershed size for each drainage area located at top of watershed <br /> (include area draining to the site and within project boundaries) V <br /> 5. Tracking control Spray off tires beofore leave property so mud <br /> (provisions to prevent mud-tracking onto public streets and roads during ✓ will not reach neighbor or county rd f <br /> construction,e.g.tracking pad or existing gravel drive) <br /> 6. Sediment control practices to protect stormwater facilities or N/A <br /> storm sewer inlets,existing and proposed,on or adjacent to the ✓ <br /> site(e.g.inlet protection or stone weeper) <br /> 7. Proposed erosion control practices appliy a silt fence or sock running north to <br /> (list of erosion control practices) <br /> V <br /> south to catch run off <br /> 8. Proposed start date 4/15/2016 <br /> (date for installation of all erosion control practices and start of land disturbing ✓ <br /> activity) <br /> 9. Proposed stabilization date 9/1/2016 <br /> (date for placement of seed&mulch,sod or permanent surfacing) ✓ <br /> 10. Culvert sizes niA <br /> (existing and proposed culverts on or adjacent to the site) ✓ <br /> 11. Any other information necessary to reasonably determine the <br /> location,nature and condition of any physical or environmental ✓ <br /> features of the site <br /> Note: Any proposed changes to the erosion control plan must be submitted and approved prior to <br /> implementation. The permit will expire on the stabilization date indicated in the plan (see checklist item#9). <br /> *Information to address the items above is available on the following Dane County websites: <br /> http://accessdane.co.dane.wi.us/html/public.asp <br /> http://www.co.dane.wi.us/lwrd/permit/ <br />