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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Ken Smedema Phone#: 608-834-8732 <br /> Landowner: Same Phone#: Same <br /> Contact email: ken @smedema.us <br /> Project Address: 1649 Tam 0 Shanter Trl <br /> Location:Township: Town of Bristol Sec: 12 v, NE <br /> Parcel#: 012/0911-121-2056-0 <br /> Project Description: Garage <br /> Planned Size of Disturbance: <3000 ft2 Planned Size of New Impervious: ^'850 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* ✓❑DOES NOT require a permit <br /> Determination Made By: ❑JAH DAS DDB ❑TRT ❑RLS <br /> *Type of permit required: DEC DES DSM ❑SE ❑SS <br /> ❑Disturbance >4000 ft2 ❑Slopes> 12% ❑Excavate/Fill>400 yds3 <br /> ❑Disturbing 100' of ditch/channel 111125'New road/driveway ❑Shoreland Zone disturbance <br /> ❑Addition of 20,000 if New Imp. ❑Subdivision Plat/CSM ❑Other: <br /> Basis for Determination: Garage is to be located - 335' (at nearest point) from navigable stream. <br /> Not in Shoreland Zone, Not >4000 sq feet, Not >12% Slope <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 />