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Dane County Water Resource Engineering Division <br /> DINAP - "DO I NEED A PERMIT" <br /> General Information: <br /> Date of Contact: 5/26/2016 <br /> Caller/Contact: Michael Knipfer Phone#: (608) 712-7531 <br /> Landowner: Michael Knipfer Phone#: (608) 712-7531 <br /> Contact Email: bigmikesconcrete @hotmail.com <br /> Project Address: 1770 N. Jargo Rd <br /> Location(Municipality): Town of Cottage Grove Section: 13 t/<: <br /> Parcel#: 0711-133-9780-2 <br /> Project Description: Single family residence with driveway <br /> Planned Size of Disturbance: 5800 ft2 Planned Size of New Impervious: 4800 ft2 <br /> Water Resource Engineering Division Response: <br /> Based On Information Above the Project:❑DOES* 0 DOES NOT Require a Permit <br /> Determination Made by: I JAN ❑JDB ❑JAS ❑JAH ❑JRT ❑AJM EIJRR <br /> Type of Permit Required: ['Erosion Control ❑Shoreland Erosion Control ❑Stormwater Management <br /> 0 Disturbance >4000 ft2 ❑ Excavate/Fill>400 yds3 ❑Disturbing 100' of ditch/channel <br /> ❑ 125'Long new access road/driveway❑ Subdivision Plat/CSM ❑ 20,000 ft2 New Impervious areas <br /> ❑Shoreland Zone Disturbance ❑ Other: <br /> Basis for Determination: Not in shoreland zone, single family residence covered by UDC, <br /> Disturbance will only be associated with house construction, including well, <br /> septic and driveway shorter than 125 feet in length. <br /> Permit determination is based upon the information provided by caller/landowner on the date of contact. <br /> Changes in project size,scope or location may trigger changes to permit requirements. <br /> It is the responsibility of the owner to ensure all required permits have been obtained prior to commencing work. <br />