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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Larry Haygood Phone#: (608) 225-2321 <br /> Landowner: Cory Stenjem Phone#: (608) 220-6939 <br /> Contact email: <br /> Project Address: 3012 State Highway 134 <br /> Location:Township: Christiana Sec: 1 1/4 NE <br /> Parcel#: 0612-011-8510-0 <br /> Project Description: New home construction. <br /> Planned Size of Disturbance: 3000 ft2 Planned Size of New Impervious: 1858 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* ✓❑DOES NOT require a permit <br /> Determination Made By: ❑JAH DAS DDB DIRT ❑RLS AJM <br /> *Type of permit required: DEC DES ❑SM ❑SE ❑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 /> ❑Addition of 20,000 ft2 New Imp. ❑Subdivision Plat/CSM ❑Other: <br /> Basis for Determination: Pond located —800 ft. from property is not designated navigable <br /> by the DNR. New home construction is covered under 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 />