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Dane County Erosion Control and Stormwater Management <br /> Permit/Inspection Report <br /> Date 9/15/2006 Municipality Town of Cross Plains Review Status Accepted <br /> Permit Number SE20060233 Parcel Number 070733380004 Zoning Status Pending <br /> Permit Type Shoreland Erosion Control (SE) Section 33 Inspection <br /> Inspector Initials JAS <br /> Project Name SCHOLL POLE BARN & DRIV Quarter Southwest Card Issued? No <br /> Letter of Credit? No Credit Amount $0.00 Date Received Card Date <br /> Affidavit? NO Date Received Date Recorded Card Issued By <br /> As-Built Plans? No Date Received Date Approved Prelim Review Letter? No <br /> Permit Comments REVIEWER: CHECK IMPERVIOUS AREA.-JAS. Submitted 9/12/06- 15 w.day deadline is 1 <br /> —Landowner Information Applicant Information <br /> Name DALE SCHOLL Name (SAME) <br /> Address 8909 DOMINI RD Address � �� <br /> MT HOREB, WI 53572 <br /> Phone No Fax No Phone No Fax No <br /> eMail eMail <br /> —Fee Calculation <br /> TOTAL DISTURBED AREA(square feet) 23,000.00 X .004 $/sq.ft. = $92.00 <br /> TOTAL NEW IMPERVIOUS AREA(includes <br /> grave)(square feet) 19,680.00 <br /> ��Z J✓ CIS I <br /> Base Fee $400.00 <br /> 14 o °; c c 1 <br /> Fees Doubled? No Total Permit Fee $492.00 <br /> —Review Information <br /> Review Date 10/4/2006 Reviewer Icd Initials RLS <br /> Project Start Date 10/4/2006 Project Stabilization Date 3/15/2007 <br /> status comments Impervious area borderline stormwater. Will need to measure after impervious surface is add <br /> Inspection Information <br />