HomeMy WebLinkAboutRLC94-1355 - RLC Inspections - 7/22/1994 MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE LANDS] AND CRITICAL AREAS CHECKLIST
Permit Number " "�� GO(�( RLC#
Owner /
Parcel Number
❑ 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? �V
❑ 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. "
6.. Slopes greater than 15% (8.5 de rees)? On I,,andslide Hazard Map?
A
(aVW1 ,I �/ � ,% of Slopes
❑ 7. Floodp lainsz
❑ 8. Seismic Hazard Areas?
❑ 9. Agricultural Open Space Taxation Program?/LC'
❑ 10. Open Space Timber Taxation Program, or Designated forest or Classified Forest?
❑ 11. Site has no Resource Lands or Critical Areas.
Comments: Q/
Authorized Signature Date