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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Steve Ottman Phone#: 608-845-8567 <br /> Landowner: Same Phone#: <br /> Contact email: N/A <br /> Project Address: 2072 Spring Rose RD <br /> Location: Township: Springdale Sec: 25 1/4 NE <br /> Parcel#: 0607-251-9955-9 <br /> Project Description: Construct a 24' x 24' addition to the existing SFR. <br /> Planned Size of Disturbance: <2000 ft2 Planned Size of New Impervious: 576 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: DOES* ✓DOES NOT require a permit <br /> Determination Made By: I IJAH JAS JDB nJRT RLS <br /> *Type of permit required: DEC DES SM fSE SS <br /> I I Disturbance >4000 ft2 I !Slopes > 12% I lExcavate/Fill>400 yds3 <br /> Disturbing 100' of ditch/channel 125' New road/driveway Shoreland Zone disturbance <br /> Addition of 20,000 ft2 New Imp. ❑Subdivision Plat/CSM 'Other: <br /> Basis for Determination: Project is not located in the shoreland zone and does not <br /> meet permit triggers of s. 14.45. The addition is located approximately 330' <br /> from the intermittent stream to the east. <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 />