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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Jim Bolind Phone#: <br /> Landowner: Brian Bolind Phone#: 608-798-4526 <br /> Contact email: jdboland @tds.net <br /> Project Add CDTss: H J <br /> Location: Township: Cross Plains Sec: 32 vi NW <br /> Parcel#: 0707-311-8490-0 <br /> Project Description: Construct a SFR, septic, etc. <br /> Planned Size of Disturbance: ft2 Planned Size of New Impervious: ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* DOES NOT require a permit <br /> Determination Made By: ❑JAH ❑JAS ❑JDB FdJRT ❑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 111125' 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 in a shoreland zone and does not meet permit <br /> triggers of 14.45. Steep slopes near the treeline may not be disturbed. <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 />