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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: John &Janell Julseth Phone#: 608-232-5000 <br /> Landowner: Same Phone#: <br /> Contact email: iiulseth@a uwcu.org <br /> Project Address: <br /> Location:Township: Pleasant Springs Sec: 14 1/4 SE <br /> Parcel#: 0611-144-8001-0 <br /> Project Description: Construct a new SFR and sanitary system. <br /> Planned Size of Disturbance: <4000 ft2 Planned Size of New Impervious: ^'2000 ft <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* ✓❑DOES NOT require a permit <br /> Determination Made By: ❑JAH ❑JAS QTDB QJRT ❑RLS <br /> *Type of permit required: DEC DES ❑SM ESE ❑SS <br /> ['Disturbance >4000 ft2 ❑Slopes>12% ❑Excavate/Fill>400 yds3 <br /> ❑Disturbing 100' of ditch/channel 0125'New road/driveway EShoreland Zone disturbance <br /> ❑Addition of 20,000&New Imp. OSubdivision Plat/CSM ❑Other: <br /> Basis for Determination: Project is not located in the shoreland zone and does not <br /> meet permit triggers of 14.45. SFR is exempt by UDC. <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 />