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d 0 80 Cp <br /> Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Chris Schenk Phone#: 608.444.3074 <br /> Landowner: same Phone#: <br /> Contact email: Icschenk @chorus.net <br /> Project Address: 4744 Vosen Rd <br /> Location:Township: Middleton Sec: 5 <br /> Parcel#: <br /> Project Description: 24' x 24' garage addition <br /> Planned Size of Disturbance: "'900 ft2 Planned Size of New Impervious: "'576 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* ZDOES NOT require a permit <br /> Determination Made By: fJAH fJAS ❑JDB DIRT ORLS <br /> *Type of permit required: EEC DES ❑SM ESE Liss <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: Per Cami Peterson (WDNR)the drainage adjacent to the property is non- <br /> navigable. The project is not in the shoreland zone and does not trigger Ch. 14 requirements <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 />