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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Daryl Schindler Phone#: 608.356.3618 <br /> Landowner: Don's Mobile Manor c/o Carl Riccardi Phone#: 608.206.1654 <br /> Contact email: n.a. <br /> Project Address: Lot 92, Kelesey Ct. <br /> Location: Township: Springfield Sec: 22 'y4 SE <br /> Parcel#: 0808-224-8160-9 <br /> Project Description: Pouring a concrete slab for the construction of SFR w/ garage <br /> Planned Size of Disturbance: <4000 ft2 Planned Size of New Impervious: <2000 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* QDOES NOT require a permit <br /> Determination Made By: DJAH EIJAS ❑JDB EIJRT 1RLS <br /> *Type of permit required: DEC DES ❑SM ❑SE ❑SS <br /> ❑Disturbance >4000 ft2 ❑Slopes> 12% ❑Excavate/Fill>400 yds3 <br /> ❑Disturbing 100' of ditch/channel 0125' New road/driveway ❑Shoreland Zone disturbance <br /> 0 Addition of 20,000 ft2 New Imp. ❑Subdivision Plat/CSM ❑Other: <br /> Basis for Determination: Site is outside the shoreland zone and does not trigger <br /> DCCO Ch. 14 requirements <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 />