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State of Wisconsin DEPARTMENT OF NATURAL RESOURCES South Central Region Headquarters Scott Walker,Governor 1 y "• 3911 Fish Hatchery Road Cathy Stepp,Secretary Fitchburg,WI 53711-5397 Mark Aquino,Regional Director A I RIWIM Telephone (608)275-3266 WISCONSIN FAX (608)275-3338 DEPT.OF NATURAL RESOURCES TDD (608)275-3231 June 28,2016 Jason Stangland 448 Prairie Way Boulevard Verona WI 53593 Re: Coverage Under WPDES General Permit No.WI-S067831-04: Construction Site Storm Water Runoff Permittee Name: Jason Stangland Site Name: Stangland Residence WDNR FIN: 57144 Dear Mr.Stangland The Wisconsin Department of Natural Resources received your Water Resources Application for Project Permits or Notice of Intent,on May 31,2016,for Stangland Residence and has evaluated the information provided regarding storm water discharges from your construction site. We have determined that your construction site activities will be regulated under ch.283,Wis.Stats.,ch.NR 216,Wis.Adm.Code,and in accordance with Wisconsin Pollutant Discharge Elimination System (WPDES)General Permit No.WI-S067831-04,Construction Site Storm Water Runoff. All erosion control and storm water management activities undertaken at the site must be done in accordance with the terms and conditions of the general permit. The Start Date of permit coverage for this site is June 28,2016. The maximum period of permit coverage for this site is limited to 3 years from the Start Date. Therefore,permit coverage automatically expires and terminates 3 years from the Start Date and storm water discharges are no longer authorized unless another Notice of Intent and application fee to retain coverage under this permit or a reissued version of this permit is submitted to the Department 14 working days prior to expiration. A copy of the general permit along with extensive storm water information including technical standards,forms,guidance and other documents is accessible on the Department's storm water program Internet site. To obtain a copy of the general permit,please download it and the associated documents listed below from the following Department Internet site: http://dnr.wi.eov/topic/stormwater/construction/forms.html ) • Construction Site Storm Water Runoff WPDES general permit No.WI-5067831-04 • Construction site inspection report form • Notice of Termination form If,for any reason,you are unable to access these documents over the Internet,please contact me and I will send them to you. To ensure compliance with the general permit,please read it carefully and be sure you understand its contents. Please take special note of the following requirements(This is not a complete list of the terms and conditions of the general permit.): 1. The Construction Site Erosion Control Plan and Storm Water Management Plan that you completed prior to submitting your permit application must be implemented and maintained throughout construction. Failure to do so may result in enforcement action by the Department. dnr.wi.gov aRNOTED wisconsin.gov Naturally WISCONSIN PAPER