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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Art F Anderson Phone#: 608.873.4022 <br /> Landowner: Same Phone#: <br /> Contact email: <br /> Project Address: 2476 Glenn Dr <br /> Location: Township: Pleasant Springs Sec: 21 y, NE <br /> Parcel#: 0611-211-8685-7 <br /> Project Description: Construction of two car garage. <br /> Planned Size of Disturbance: 1 000 ft2 Planned Size of New Impervious: <50 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 DDB ❑JRT ❑RLS <br /> *Type of permit required: EEC DES ESM ESE ❑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 pother: <br /> Basis for Determination: location of proposed garage was previously graded to less than <br /> 12%, any disturbance near the slopes greater than 12% will be minimal. All disturbed <br /> ground will be seed and mulched immediately after construction is complete. <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 />