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Home My WebLink About26-0336Return to: 117 E 5`h Street, PO Box 58 • Washburn, WI 54891 permits@bayfieldcounty.wi.gov Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission #: L_UOL4I3 Permit #: Date:`1!V-f >0�6 - QNrAGeuera1 Inforration.. Property Owner Name: Authorized Agent Name (if applicable): torn and Juliet dawald Telephone Number: Telephone Number: RECEIVED 715-222-6497 E -Mail Address: drtjdawald@aol.com E -Mail Address: JUL 0 8 2026 7/g Mailing Address: Mailing Address: Bayfield Co. w8374 770th ave Planning and Zcninn Agency City, State, Zip: City, State, Zip: river falls, wi, 54022 Contractor: Telephone Number: E -Mail Address: .SECTION B. Property Information Project Address (if different from mailing address): no address end of jack pine road in town of bell Legal Desc' tion (ifioi17s needed attach a separate sheet): C Section, Township, anger (J` Town of: Tax ID #: 7733 Lot Size (Acres quare Feet): SECTION C: Pro'eck,information (check all that apply),,. - „„ , . , Project Use is: Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: O New Construction ❑ Addition/Alteration (existing structure) O Change Use (existing structure) O Relocate (existing structure) ❑ RV Placement 21+ days 0 Sign ❑ Establishing a Business ❑ Temporary (12 or less months) $Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A El Other (describe): required (Total sft): required ECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E) Structure 7),pe is: ❑ Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): El Shoreland Exempt Structure (describe): El Mobile Home (provide manufactured date): El Shipping Container O Other (describe): driveway install Foundation Type: El Basement ❑ Walkout Basement O Slab O Crawlspace 0 Ground 0 Skids ❑ Other (explain): Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: P Floor Sq Ft: Loft Sq Ft: 2nd Floor Sq Ft: 3`d Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft cgpprgpboo Overall Height (finished grade to peak): --' of Stories: Existing # of e rooms on property: — Proposed # of Bedrooms in project: SECTION E: RV and Sign Information (check all that apply) - - Sign is: RI' is: O New ❑ Replacement New El Replacement ❑ On -premise ❑ Off -premise O I -sided El 2 -sided /Year: Vin#: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: Application Page 1 SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages I & 2 of Land Use Permit Application Information for information that is required to be provided onsite plan) Show location of: O Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) O Holding Tank (HT) ❑ Privy (P) O Lake O River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N tiECE1VE JUL 082026 Bayi5eI Co Planning and Zoning Agent, Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline ft. ft. Notes/Comments: I '��y� 4 QI- �Ut? (� ,/ �( c! (I` ?s�T ' f W (e(�,�V ,., p1L 6tfh Sl Q( I ( It vtQ`S 0 r rQQ� f- _ ,,'/ r I huue rd fad -A lO M6(t(Q '' I�,rir,A �' / a Sl% U ISi 1 Y%I`HG7_ .I lie rkec (�� Iriapt ed (�.f(uh/clJ el S�C4,✓I Front Lot Line/Right-of-Way ft. ft. Side Lot Line l (North East South West, circle one) ft. ft Side Lot Line 2 (North East South West, circle one) ft. ft. Rear Lot Line ft. ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. Privy ft. ft. Well ft. ft. Existing Structure/Building ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. '-I Application Page 2 I pLun fMaII.' d s lk O151hO7/lo o (' 07A. (w1( emud ]r -n 4>.4h o l tf0tto de /fe, j ij-r my 6u I • bY1b )UK*151%, JL .t�j_ yak tlitional Questions ., O Yes ❑ No Has the location of the proposed project* been staked? If no, what date will this be completed: Note: The site will not be inspected nor permit issued until after the staking date listed above. El Yes El No Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use Application Information for required setbacks. El Yes ❑ No Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? See page 2 of Land Use Application Information for required setbacks. ❑ Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes ❑ No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes ❑ No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is the project associated with any of the following: ❑ Rezone ❑ Class A Special Use ❑ Class B Special Use El Conditional Use ❑ Variance Fee payment will be made via: El Check (attached) El Cash (attached) El debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? l Mail to: OR Email to: L�Property Owner Address ❑ Agent Address ❑ Contractor Address O Other (provide name aau or address): *Include eaveslloverhanes, sanitary system, and fell in staking measurements RR ((..EIVEO _ection li: Acknowledgement and Signature All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. [tai issuance, if required, needs to occur prior to Land Use Permit issuance. Failure to obtain a permit or starting construction W hour a permit will result in penalties. Planning Co. 9 and Zoning Agency The local Town, Village, City, State or Federal agencies may also require permits. The new construction of one- & two-family dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additions and alterations to one - and two-family dwellings may require review and approval by the UDC authority. All municipalities are required to enforce the UDC. If subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicant has all necessary approvals and recorded documents required to complete the project for which this permit is sought including requirements set forth in Wisconsin statutes pertaining to condominium associations, the Declaration of the Condominium Association in which the property is located, and all other rules, regulations and requirements pertaining to that Condominium Association. You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources wetlands identification web page, dnr.wi.gov/topic/wetlands, v/topic/wetlands, or contact a Department of Natural Resources service center (715)685-2900. I (we) declare that this application, including any accompanying information, has been examined by me (us) and to the best of my (our) knowledge and belief it is true, correct, and complete. I (we) acknowledge that I (we) am (are) responsible for the detail and accuracy of all information that I (we) are providing and that will be relied upon by Bayfield County in determining whether to issue a permit. I (we) further accept liability which may be a result of Bayfield County relying on this information I (we) are providing in or with this application. I (we) consent to county officials charged with administering county ordinances to have access to the above -described property at any reasonable time for the purpose of inspection. Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: Date: NOTES: 1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. 2. Specific conditions/instructions may be stated on the face of the issued Land Use Permits. Owners, agents, & contractors must all be aware of permit details & conditions and permit card must be posted on property prior to start of project. Application Page 3 13-LYFJELD PLANNING & ZONING DEPARTMENT 117 E 5th Street PO Box 58 Washburn, WI 54891 (715)373-6138 permitsebavfieldcounty.wi gov www.bavfielcicounty.wj.gov/zonjng County Use Only —Date Received TOWN BOARD RECOMMENDATION (TBA) FORM Note: Receiving Town Board approval does not allow the start of construction or business. You must first obtain your permit(s) from the Zoning Department. The Zoning Department must send the TBA form to the town clerk. Property Owner: Telephone Number: E -Mail Address: DAWALD, TOM & JULIET 7152226497 drtjdawald@aol.com Contractor (if applicable): Telephone Number: E -Mail Address: Subject Property Information Property Address: Legal Description (use Tax Statement or Deed): SW SW LESS PAR 30' X 70' & LESS PAR FOR HWY IN DOC 2022R- 595451 SNF LESS PLAT OF TIERRA SHORES IN V.8 OF PLATS P.3 & LESS PLAT OF SAWGRASS FIRST ADDITION IN V.8 P.14 441 Section, Township, Range: Town of Tax ID #: S26-T5IN-R06W Bell 7733 Zoning District: Project located in:undefrned Lot Size (Acres/Square Feet): R-RB Project has: undefined 2 ACRES Request Information Requesting: RI Special Use A ❑ Special Use B 0 Conditional Use ❑ Rezone 0 Subdivision Plat/Land Division 0 Other Briefly state what is being requested and why (if needed attach additional sheet): The property owners are requesting a Shoreland Grading permit as part of putting in a new driveway. While there property is not directly on Lake Superior or withing 300', it is within 1000' of Lake Superior, which is why the Shoreland Grading permit is required. The only setback the driveway is required to meet is the Ordinary High water Mark setback.. There is no required setback for side or rear lot lines, or for the centerline of the road. There are no mapped wetland shown on our County GIS I have not had time to make a site visit yet, but the property owner requested I asked for this to be on the July Town Meeting agenda. I plan to make a site visit on 07/10 or 07/14.1 will email the town with any updates after my site visit if needed. Our office is also waiting for a recorded copy of the deed with the current property owners listed. Town Use Only: We, the Town Board, TOWN OF , %5 - , do hereby recommend to: Signatures: '0 Table (7 pproval 0 Disapproval Chairman: � �-..-�.�.►- What is your reasoning for tabling, approval, or disapproval (if needed attach additional Su P ervis . sheet)? Supervisor: Supervisor �c �1l.f'� C�i�D.S'/� /'� Clerk: .,.....-r Date: .G Hae you reviewed this for C ompatibility with the Comprehensive and/or Land Use Plan?: 0 No Return completed form to the Zoning .VYes Department Bayfield County, WI 7/8/2026. 3:54:41 PM 1:686 Approximate Parcel Boundary Road Type Private Building 0.01 0.01 0.03 ml 0.01 0.03 0.05 km Baylold County Land Records Department &rygeld County Zadng Applkalion Mips /Imaps.baylietdcounty wl.gov/ZonbgWABI Track 07/08/2610:46 Total time Distance Speed 02:08 Notes Start typing... Save 77.5yd 1.2 mph ►> Resume ii Delete JUL 082025 Planning Bad b Co. 9 Zoning Agency 7/8/26, 3:54 PM Real Estate Bayfield County Property Listing Today's Date: 7/8/2026 Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 3/15/2006 1:15:02 PM Description Updated: 7/22/2022 Tax ID: 7733 PIN: 04-010-2-51-06-26-3 03-000-10000 Legacy PIN: 010105810000 Map ID: Municipality: (010) TOWN OF BELL SIR: S26 T51N R06W Description: SW SW LESS PAR 30' X 70' & LESS PAR FOR HWY IN DOC 2022R- 595451 SNF LESS PLAT OF TIERRA SHORES IN V.8 OF PLATS P.3 & LESS PLAT OF SAWGRASS FIRST ADDITION IN V.8 P.14 441 Recorded Acres: 2.000 Calculated Acres: 1.884 Lottery Claims: 0 First Dollar: No Zoning: (R-RB) Residential -Recreational Business ESN: 107 3 Tax Districts Updated; 3/15/2006 1 STATE 04 COUNTY 010 TOWN OF BELL 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE 047070 BELL SANITARY DISTRICT #1 ,yr Recorded Documents Updated: 3/15/2006 O WARRANTY DEED Date Recorded: 7/11/2022 2022R-595451 O WARRANTY DEED Date Recorded: 1/2/2020 2020R-580489 0 CONVERSION Date Recorded: 483397 448-23;861-94 0 PLAT Date Recorded: 9/9/2005 2005R-501742 8-14 O ORDER Date Recorded: 6/22/2005 2005R-500020 920-749 O WARRANTY DEED Date Recorded: 7/1/2003 2003R-483397 862-94 4W Ownership TIMOTHY A EHLERS Billing Address: TIMOTHY A EHLERS 12326 N EARLS LN CAMBY IN 46113 Updated: 7/22/2022 Mailing Address: TIMOTHY A EHLERS 12326 N EARLS LN CAMBY IN 46113 T Site Address * indicates Private Road N/A CAMBY IN 0 Property Assessment Updated: 9/10/2015 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 2.000 11,100 0 2 -Year Comparison 2025 2026 Change Land: 11,100 11,100 0.0% Improved: 0 0 0.0% Total: 11,100 11,100 0.0% 'El Property History N/A https://novus,bayfieldcounty.wi.gov/access/master.asp?paprpid=7733 1/1 State Bar of Wisconsin Form 1-2003 'WARRANTY DEED Document Number II Document Name THIS DEED, made between Timothy A. Ehlers ("Grantor," whether one or more), and Juliet Bryant-Dawald and Thomas Dawald4 wife and husband, as survivorshi nmarital property ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in BAYFIELD County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): That part of the Southwest Quarter of the Southwest Quarter (SW 1/4 -SW 1/4), Section Twenty-six (26), Township Fifty-one (51) North, Range Six (6) West lying North of the Plats of Tierra Shores and Sawgrass First Addition, Town of Bell, Bayfield County, Wisconsin. AND A perpetual, non-exclusive easement for ingress, egress, and utilities, over and across the West 30 feet of the Northwest Quarter .of the Southwest Quarter (NW1/4-SW 1/4), Section Twenty-six (26), Township Fifty-one (51) North, Range Six (6) West, from the South end of Jack Pine Road to the subject premises. DOCUMENT NUMBER 2026R-612809 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED 07/02/2026 AT 2:46 PM RECORDING FEE: $30.00 TRANSFER FEE: $138.00 PAGES: 1 ELECTRONICALLY RECORDED Recording Area Name and Return Address Juliet Bryant-Dawatd &'Thomas Dawald W 8374 770`' Ave. River Falls WI 54022 04-010-2-51-06-26-3 03-000-10000 Parcel Identification Number (PIN) This IS NOT homestead property (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: EASEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD. Dated (o (SEAL) * AUTHENTICATION Signature(s) authenticated on TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) ALEISHA JONES Hendricks County - State of Indiana Commission Number iFllt146 y Commission Expires May 31, 2031 ACKNOWLEDGMENT STATE OF I nod i MIA ss. COUNTY) Personally came before me on -T 1 g z-4 'Ltfl U the above -named Timothy A. Ehlers to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: *(Lwfl'l?a Attorney Max T. Lindsey SBN 1112865 Notary Public, State Anich, Wickman & Lindsey, S.C., Ashland, WI 54806 My Commission (is permanent) (ex/i'/3/) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 0 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 * Type name below signatures. Bayfield County Register of Deeds Document #2026R-612809 Page 1 of 1 Land Use Permit Application Review Checklist Submission #: OrYtI3 What zoning district is the projectYccated in? ❑ R-1 ❑ -2 ❑ R-3 ❑ R-4 L] R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes INo Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: Yes ❑ No / Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)? ❑ Yes No Is impervious surface required? (Required if ripa(ian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) FOI t' kha h %to ❑ Yes IxyNa Is the project located in the Floodplain? Zone: ❑ Yes O Np Are there wetlands on the property? , ❑ Yes No Is project associated with a nonconforming use or structure? ❑ Yes 4io Is project associated with a variance? Case #: ❑ es No Is project associated with a Special B or Conditional Use Permit? Permit #: Yes ❑ Ny Is the project associated with a Special A Use Permit? ❑ Yes E4io Does the project require sanitary? 0 Existing 0 New 0 Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes IE14o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit It: ❑ Yes O No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes O No Di applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Residential ❑ Commercial ❑ Municipal Project type is? ❑ New Construction ❑ Addii i n/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary BShoreland Grading O Other, describe: Structure Type is: O Residence 0 Principal Structure O Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters 0 Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: 0OJ Number of Stories: Overall Height: — Fee Type 64 Calculation Fee Amount ❑ Habitable Residential Principal and Accessory Structures - Enclosed Areas — all enclosed areas within dwelling except attached non -habitable garages $0.50 x sq ft (minimum $125) $ ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x sq ft (minimum $125) $ ❑ Non -Habitable Residential Principal and Accessory Structures $0.20 x sq ft (minimum $75) $ ❑ Commercial Principal Structures $250 + $0.005 x cost of construction (minimum $250) $ ❑ Commercial Accessory Structures $150 + $0.005 x cost of construction (minimum $150) $ ❑ Municipal Principal and Accessory Structures n/a $0 (exempt from fees) ❑ Return Inspection O Land Use Revisions Special Use Permit - Class A O Floodplain O Shoreland - Impervious Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 0 Tower Collocation 2 O Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: 1 tfl V(6 Date of Inspection: i"J (4;i r' Re-Inspected by: •J U Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Ap al: mitc 1ll1(( Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. ❑ For personal residence only. ohuman habitation or sleeping purposes. ❑�Town/rState/DNR/Federal may require permitting ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. 0 A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be ' d prior to the start of construction (if applicable). P se best managementpractices to limit andprevent erosion during construction. g ❑ This permit cannot be transferred if property is sold. ❑ A Bayfield County Health Dept permit is required. 0 Check with Town regarding room tax. 0 Short -Term Rental is for a maximum occupancy of persons. ❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. ❑ To be constructed per plan. 0 Adhere to privy agreement. ❑ Temporary permit allowing existing structure for a period of less than 1 year. ❑ RV may not be used for permanent residence or storage. ❑ RV allowed for 0 RV must be removed by 0 No sewer and pressurized water allowed in the structure. 0 No plumbing or plumbing fixtures allowed. ❑ No additional sleeping areas allowed without obtaining necessary sanitary permit(s). ❑ Land use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt, or structurally altered ❑ Land use permits shall be obtained prior to the initiation of construction or a change in land use ❑ Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required ❑ Sanitation requirements must be met (if applicable) ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance Other Conditions: K: Applications and Forms/Applications/Land Use/Updated 2/25/2026 mdk B^YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: DAWALD, TOM & JULIET W8374 770th Ave River Falls, WI 54022 Description Special Use - Class A Submission Number: LU-02413 Transaction Number: LU-02413-49F1B Amount $250.00 Total: $250.00 Payment Amount: $255.95 Reference: 8344360715 Paid by: Juliet Dawald Payment Type: Credit Card Transaction Date: 7/16/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Town, City, Village, State or Federal Permits May Also Be Required Substandard — No / Nonconforming — No Shoreland — Yes / Impervious Surface - No Floodplain - No I Wetlands - No Mitigation - No I Affidavit #: LAND USE -X SANITARY - SPECIAL A - (Town of Bell - July 14, 2026) SPECIAL B/CONDITIONAL — BOA — No. 26-0336 Tax ID: 7733 Issued To: DAWALD, TOM & JULIET Location: S26 - T51 N - R06W Town of Bell BAYFIELD COUNTY WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: SW SW LESS PAR 30' X 70' & LESS PAR FOR HWY IN DOG 2022R-595451 SNF LESS PLAT OF TIERRA SHORES IN V.8 OF PLATS P.3 & LESS PLAT OF SAWGRASS FIRST ADDITION IN V.8 P.14 441 Residential Structure in R-RB zoning district For: Shoreland Grading, Driveway in Shorelands District [1000 Total sq. ft.] (Disclaimer): You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Any future expansions or development would require additional permitting. Condition(s): See back of card NOTE: This permit expires two years from date of issuance if the authorized construction work or land use has not begun. Changes in plans or specifications shall not be made without obtaining approval. This permit may be void or revoked if any of the application information is found to have been misrepresented, erroneous, or incomplete. This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Emily Macgillivray Authorized Issuing Official July 16, 2026 Date Condition(s): Town/State/DNR/Federal may require permitting. Use best management practices to limit and prevent erosion during construction.