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Dane County Land Conservation Division <br /> DINAP - "DO I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Dale Seidel Phone#: 608.577.4268 <br /> Landowner: Same Phone#: <br /> Contact email: NA <br /> Project Address: 501 Windmill Rd <br /> Location: Township: Rutland Sec: 30 y, SE <br /> Parcel#: 0510-302-8000-8 <br /> Project Description: Shed construction on grade <br /> Planned Size of Disturbance: <4000 ft2 Planned Size of New Impervious: <4000 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* ✓❑DOES NOT require a permit <br /> Determination Made By: ✓❑JAH DAS DDB ❑JRT ❑RLS AJM <br /> *Type of permit required: DEC ❑ES ❑SM ESE ❑SS <br /> ❑Disturbance >4000 ft2 ['Slopes> 12% ❑Excavate/Fill>400 yds3 <br /> ❑Disturbing 100' of ditch/channel 11125'New road/driveway ❑Shoreland Zone disturbance <br /> ❑Addition of 20,000 ft2 New Imp. ❑Subdivision Plat/CSM ❑Other: <br /> Basis for Determination: project is in secondary shoreland zone (>300 and <1000 ft from a <br /> navigable pond). Project will not exceed 4000 sq ft of disturbance or disturb slopes > 12% <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 />