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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Richard Castello Phone#: Fax: (608) 437-3260 <br /> Landowner: (same) Phone#: <br /> Contact email: None <br /> Project Address: 1 724 Syvrud Rd. <br /> Location: Township: Blue Mounds Sec: 35 '/a SW <br /> Parcel#: 0606-353-8080-8 <br /> Project Description: Proposed accessory building +1- 1000 sq.ft. adjacent to driveway <br /> Planned Size of Disturbance: + 1 000 ft2 Planned Size of New Impervious: +/- 1 000 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: rI DOES* EDOES NOT require a permit <br /> Determination Made By: ❑JAH rAJAS DJDB ❑JRT ❑RLS <br /> *Type of permit required: ❑EC ❑ES ❑SM OSE ❑SS <br /> ❑Disturbance >4000 ft2 ❑Slopes> 12% ❑Excavate/Fill>400 yds3 <br /> ❑Disturbing 100' of ditch/channel 0125'New road/driveway Fl Shoreland Zone disturbance <br /> ❑Addition of 20,000 ft2 New Imp. ❑Subdivision Plat/CSM ❑Other: <br /> Basis for Determination: Disturbance will occur within 300' of navigable, <br /> intermittent stream. Project does not qualify for P.E. stamp waiver. <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 />