HomeMy WebLinkAboutRLC94-1411 - RLC Application - 8/15/1994 r
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE LANDS AND CRITICAL AREAS CHECKLIST
Permit Number +�"✓ �"L' l RLC#qq .. NjL-
Owner
Parcel
❑ 1. Saltwater shoreline or lake 20 acres or larger?
'^ ^ Name of Water Body
❑ 2. Rivers, streams. or creeks with year round flow? --
Type of Other Water
❑ 3. Rivers,steams or creek with intermittent flow but are within a clearly defined channel?
❑ 4. Lakes or ponds less than 20 acres in size?
5. Wetlands: Areas that are inundated or saturated by surface water that under normal
circumstances s pport vegetation ada to or life in such conditions; such as mars es bogs,
and swamps. Z ! � - 9 At I/
❑ 6_ Slopes greater than 15% (8.5 degrees)? On Land ide Hazard Map?
3 % of Slopes
❑ 8. Seismic Hazard Areas?
❑ S. Agricultural Open Space Taxation Program?
❑ 10. Open Space Timber Taxation Program, or Designated f res r Classified Forest?
❑ 11. Site has no Resource Lands or Critical Areas. -
Comments:
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Authorized Signature Date