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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact:'Jilinalle Er YeG rj i n Phone#: 608-347-0490 <br /> Landowner: Michael & Karen Mitton Phone#: (aQ — ?5 3y -09F1 <br /> Contact email: eIy2583ayahOo.com <br /> Project Address: 2583 Bailey RD <br /> Location:Township: Sun Prairie Sec: 16 vi NW <br /> Parcel#: 0811-162-8520-1 <br /> Project Description: Construct a 768 square foot detached garage. <br /> Planned Size of Disturbance: <4000 ft2 Planned Size of New Impervious: 768 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* ✓❑DOES NOT require a permit <br /> Determination Made By: ❑IAH ❑IAS ❑JDB ✓❑JRT ❑RLS <br /> *Type of permit required: DEC DES DSM ELSE ❑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: Project is not located in a shoreland zone and does not meet <br /> permit triggers of 14.45. <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 />