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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Neal Gehin Phone#: 576-9536 <br /> Landowner: John Sarbacker - Sarbacker Irrev. Trust Phone #: n.a. <br /> Contact email: nbttgehinaaol.com <br /> Project Address: 1501 Range Trail <br /> Location: Township: Montrose Sec: 3 1/4 SE <br /> Parcel#: 0508-034-8001-0 <br /> Project Description: Garage addition, 26' x 30' <br /> Planned Size of Disturbance: 1000 ft2 Planned Size of New Impervious: 780 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ig DOES* ❑DOES NOT require a permit <br /> Determination Made By: ❑JAH ❑JAS ❑JDB DIRT rRLS <br /> *Type of permit required: DEC LIES [ISM ESE ❑SS <br /> ❑Disturbance >4000 ft2 ❑Slopes> 12% ❑Excavate/Fill>400 yds3 <br /> ❑Disturbing 100' of ditch/channel ❑125'New road/driveway 111Shoreland Zone disturbance <br /> ❑Addition of 20,000 ft2 New Imp. ['Subdivision Plat/CSM ❑Other: <br /> Basis for Determination: Project area is within 300' of a mapped navigable waterbody. <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 />