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Dane County Land Conservation Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Caller/Contact: Mike Guzy Phone#: 608-884-6158 <br /> Landowner: Same Phone#: <br /> Contact email: mjguzy @hughes.net <br /> Project Address: 1057 Eldon Way <br /> Location: Township: Albion Sec: 5 '/, SE <br /> Parcel#: 0512-054-9550-0 <br /> Project Description: Construct a 27' x 28' detached shed. No grading or site prep other than <br /> spreading the gravel base will be required. <br /> Planned Size of Disturbance: 1000 ft2 Planned Size of New Impervious: 756 ft2 <br /> Land Conservation Division Response : <br /> Based on information above the project: ❑DOES* QDOES NOT require a permit <br /> Determination Made By: ❑JAH DAS DDB ✓❑JRT ❑RLS <br /> *Type of permit required: DEC DES ❑SM USE ❑SS <br /> ❑Disturbance >4000 ft2 ❑Slopes> 12% ['Excavate/Fill>400 yds3 <br /> ❑Disturbing 100' of ditch/channel ❑125'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 /> any of the 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 /> f„iell —243-21720 <br />