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oo oclig- <br /> Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Yoibeth Fitzgibbon Phone#: 873-3914 <br /> Landowner: Phone#: <br /> Contact email: yoibethr@gmail.com <br /> Project Address: 669 County Road N <br /> Location:Township: Dunkirk Sec:21 1/4 <br /> Parcel#: 0511-212-9215-0 <br /> Project Description: 10' x 15' storage shed placed on gravel. No disturbance necessary. <br /> Project is within 300 feet of the Yahara River. <br /> Planned Size of Disturbance: 0 ft2 Planned Size of New Impervious: 150 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 DDB ❑JRT ❑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 [125' New road/driveway ❑Shoreland Zone disturbance <br /> [Addition of 20,000 ft2 New Imp. [Subdivision Plat/CSM ❑Other: <br /> Basis for Determination: No disturbance....if disturbance is necessary, the project <br /> would be eligible for a simplified shoreland erosion control permit. <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 />