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Dane County Land Conservation Division <br /> DINAP - "DO I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Ellen Elsing Phone#: (608) 289-0128 <br /> Landowner: same Phone#: <br /> Contact email: ellen elsing @charter.net <br /> Project Address: 133 CHEROKEE DR, EDGERTON, WI 53534 <br /> Location:Township: T. of Albion Sec:25 vs SE <br /> Parcel#: 0512-254-5988-6 <br /> Project Description: 20' by 20' addition to house <br /> Planned Size of Disturbance: <4000 ft2 Planned Size of New Impervious: 400 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: []DOES* ['DOES NOT require a permit <br /> Determination Made By: UTAH QJAS DJDB DIRT DRLS MM <br /> *Type of permit required: QEC DES QSM QSE QSS <br /> ❑Disturbance >4000 ft2 plopes> 12% QExcavate/Fill>400 yds3 <br /> Disturbing 100'of ditch/channel 0125'New road/driveway QShoreland Zone disturbance <br /> 0 Addition of 20,000 ft2 New Imp. subdivision Plat/CSM QOther: <br /> Basis for Determination: Site is 1,000 feet from Lake Koshkonong, and disturbing less <br /> than 4,000 square feet. <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 />