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Page 2, <br /> 1 <br /> REQUIRED MANATORY LANGUAGE AND NOTICE 017 APPEAL RIGHTS <br /> If you desire tochallenge this decision,you should know that Wisconsin statutes and administrative rules <br /> establish time periods within which requests to review Department decisions must be filed. <br /> Forjudicial review of a decision pursuant to sections 227.52 and 227.53 Slats.you have 30 days after the decision <br /> is mailed or otherwise served by the Department, to file your petition with the appropriate circuit court and serve <br /> the petition on the Department Such a petition forjudicial review shall name the Department of Natural <br /> Resources as the respondent. <br /> To request a contested case hearing pursuant to section 227.42 Stats.you have 30 days after the decision is <br /> — mailed, or otherwise served by the Department to serve a petition for hearing on the Secretary of the Dcpartmcnt— <br /> of Natural Resources. The filing of a request for a contested case hearing is not a prerequisite forjudicial review <br /> and docs not extend the 30 day period for filing a petition forjudicial review. <br /> All hearing requests must be made in accordance with s. 2.05(2)Wis. Adm. Code, and must identify the grounds <br /> for the petition and the desired modification or change to the order or variance and include specific information <br /> demonstrating the following: <br /> I. The substantial interest of the petitioner which is injured or threatened by injury by the Department action <br /> or inaction. <br /> 2. 'That there is no evidence of legislative intent that this interest is not to be protected. <br /> 3. That the injury to the petitioner is different in kind or degree from the injury to the general public caused <br /> by the Department action or inaction. <br /> 4. That there is a dispute of material fact. (You must specify the disputed facts.) <br /> This notice is provided pursuant to section 227.48 (2) WI Slats. <br /> Sincerely, <br /> Jacob Sedivy <br /> Private Water Supply Specialist—Northern Region - <br /> C: Jeremy Beecroft <br /> Sandy Hershberger—DG/5 <br /> Steve Ales—DG/5 <br />