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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Bill Landucci Phone#: 608-826-0033 <br /> Landowner: Same Phone#: <br /> Contact email: bill.landucci @tds.net <br /> Project Address: 4635 Highfield RD <br /> Location: Township: Middleton Sec: 4 1/4 SW <br /> Parcel#: 0708-043-2207-0 <br /> Project Description: Construct a addition to the existing SFR. <br /> Planned Size of Disturbance: <4000 ft2 Planned Size of New Impervious: <1000 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* ✓JDOES NOT require a permit <br /> Determination Made By: ❑JAH ❑JAS ❑JDs 'T ❑RLS <br /> *Type of permit required: DEC DES ❑SM ❑SE ❑SS <br /> ❑Disturbance >4000 ft2 ❑Slopes> 12% ❑Excavate/Fill>400 yds3 <br /> 0 Disturbing 100' of ditch/channel 0125' New road/driveway ❑Shoreland Zone disturbance <br /> 0 Addition of 20,000 ft2 New Imp. ESubdivision 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. Pond to the SE of the property is the regional <br /> stormwater pond the the Whispering Winds subdivision and is not regulated by DNR. <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 />