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Dane County Water Resource Engineering Division <br /> DINAP - "Do I NEED A PERMIT" <br /> General Information: <br /> Date of Contact: 12/26/2017 <br /> Caller/Contact: Bill Lobenstein Phone#: (608) 576-3011 <br /> Landowner: Bill & Anne Lobenstein Phone #: <br /> Contact Email: lobie5 @yahoo.com <br /> Project Address: 584 Juedes Ln <br /> Location (Municipality): Town of Medina Section: 34 1/4: SE <br /> Parcel #: 0812-344-9045-0 <br /> Project Description: Construct single family home on Lot 2 CSM 10439. Driveway was <br /> previously constructed and will not be improved. Land disturbing activity for home <br /> construction only. <br /> Planned Size of Disturbance: <43,560 ft2 Planned Size of New Impervious: ? ft2 <br /> Water Resource Engineering Division Response: <br /> Based On Information Above the Project:❑ DOES* 0 DOES NOT Require a Permit <br /> Determination Made by: DAN ❑JDB JAS ❑JAH OJRT ❑AJM ❑JRR <br /> Type of Permit Required: Erosion Control EShoreland Erosion Control ❑Stormwater Management <br /> ❑Disturbance > 4000 ft2 ❑ Excavate/Fill>400 yds3 ❑ Disturbing 100' of ditch/channel <br /> ❑ 125' Long new access road/driveway ❑ Subdivision Plat/CSM ❑ 20,000 ft2 New Impervious areas <br /> ❑Shoreland Zone Disturbance ❑ Other: <br /> Basis for Determination: Project is not located in the shoreland zone and single family <br /> home construction is exempt from erosion control permitting under <br /> s. 14.47(2)(a). <br /> Permit determination is based upon the information provided by caller/landowner on the date of contact. <br /> Changes in project size, scope or location may trigger changes to permit requirements. <br /> It is the responsibility of the owner to ensure all required permits have been obtained prior to commencing work. <br />