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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Bruce Grill Phone#: <br /> Landowner: Bruce Grill Phone #: <br /> Contact email: <br /> Project Address: 2710 Tower Road <br /> Location:Township: Dunn Sec: 9 '/, SW <br /> Parcel#: 0610-093-1144-1 <br /> Project Description: Remove an existing concrete slab, grade a 250 square foot area <br /> for the construction of a 14' x 16' addition, fill a small depression adjacent to the proposed <br /> addition. <br /> Planned Size of Disturbance: 1 000 ft2 Planned Size of New Impervious: 224 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* ZDOES NOT require a permit <br /> Determination Made By: ❑JAH ❑JAS ❑JDB OJRT ❑RLS <br /> *Type of permit required: DEC DES ❑SM ❑SE ❑SS <br /> ❑Disturbance >4000 ft2 ['Slopes> 12% ❑Excavate/Fill>400 yds3 <br /> 0 Disturbing 100' of ditch/channel 0125'New road/driveway SI Shoreland Zone disturbance <br /> 0 Addition of 20,000 ft2 New Imp. ❑Subdivision Plat/CSM ❑Other: <br /> Basis for Determination: Project is located just inside the secondary shoreland zone, <br /> size of disturbance is less than 4000 square feet, slopes are around 5% <br /> according to contour data, doesn't meet permit triggers in secondary zone. <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 />