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• <br /> Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Deb Gllle Phone#: 831-1900 <br /> Landowner: Jeff & Deb Tracy Phone#: <br /> Contact email: dgille@lorenimhoff.com <br /> Project Address: 6963 CTH K <br /> Location: Township: Springfield Sec: 27 1/4 SE <br /> Parcel#: 0808-274-8570-3 <br /> Project Description: Construct a 1200 square foot addition to the existing residence. <br /> Planned Size of Disturbance: <4000 ft2 Planned Size of New Impervious: 1200 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* PDOES NOT require a permit <br /> Determination Made By: ❑JAH ❑JAS ❑JDB ligJRT ❑RLS <br /> *Type of permit required: ❑EC LIES ❑SM ❑SE ❑SS <br /> ['Disturbance >4000 ft2 ❑Slopes> 12% ❑Excavate/Fill>400 yds3 <br /> ❑Disturbing.100' of ditch/channel ❑125'New road/driveway ❑Shoreland Zone disturbance <br /> ❑Addition of 20,000 ft2 New Imp. ❑Subdivision Plat/CSM ❑Other: <br /> Basis for Determination: Project is not located in a shoreland zone and does not meet <br /> permit triggers of 14.45. The pond located southeast of the house is not <br /> "navigable" per DNR maps. <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 />