HomeMy WebLinkAboutRLC94-1355 - RLC Application - 7/22/1994 MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE LANDS AND CRITICAL AREAS CHECKLIST
Permit Number 6vtaf— (v( I] RLC#
Owner
Parcel Number
❑ 1. Saltwater shoreline or lake 20 acres or larger?
■�/�J) Name of Water Body
El2. Rivers, streams. or creeks with year round flow? U't-
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 support vegetation adapted for life in such conditions; such as marshes, bogs,
and swamps. Q
( 6.. Slopes greater than 15% (8.5 de rees)? On landslide Hazard Map?
7. z of Slopes
❑ Floodplains. ' 3 /o
J/�
❑ 8. Seismic Hazard Areas? UW
❑ 9. Agricultural Open Space Taxation Program?,/tL+G
❑ 10. Open Space Timber Taxation Program, or Designated forest or Classified Forest?
❑ 11. Site has no Resource Lands or Critical Areas.
Comments: dTA
f
Authorized Signature Date