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Dane County Land Conservation Division <br /> DINAP - "DO I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Matt Shaw Phone#: 206 - 3299 <br /> Landowner: Gregory Main Phone#: <br /> Contact email: matt @shawbuilders.com <br /> Project Address: 2812 LAKEWOOD CIR STOUGHTON, WI 53589 <br /> Location: Township: Pleasant Springs Sec: 7 '/4 NW <br /> Parcel#: 0611-072-9910-0 <br /> Project Description: Construction of a 18' x 30' garage addition <br /> Planned Size of Disturbance: —1000 ft2 Planned Size of New Impervious: "' 560 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* ZDOES NOT require a permit <br /> Determination Made By: ❑JAH ❑JAS ❑JDB ❑JRT A' S <br /> *Type of permit required: ❑EC as ❑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 /> ❑Addition of 20,000 ft2 New Imp. Subdivision Plat/CSM ❑Other: <br /> Basis for Determination: Project lies in the secondary shoreland zone and does not <br /> trigger the erosion control requirements of Ch.11 or 14, DCCO. <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 />