HomeMy WebLinkAboutRLC94-1279 - RLC Inspections - 7/1/1994 ,M)5
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
REQSOU/RRCE LANDS AND CRITICAL AREAS CHECKLIST
Permit Number i✓ r` Lf RLC# jaiu"
nQ _
Owner 0i�tS
v
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?
I
❑ 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.
I
❑ 6. Slopes greater than 15% (8.5 degrees)? On Landslide Hazard Map?
°k of Slopes
❑ 7. Floodplains?
1
❑ 8. 11, Seismic Hazard Areas?
❑ 9.V Agricultural Open Space Taxation Program?
i
❑ 10.) Open Space Timber Taxation Program, or Designated forest or Classified Forest?
❑ 11. Site has no Resource Lands or Critical Areas.
Comments:
Urit Le `Ter
A)eiC'�004(2s Coe UjJCV we"tj Co1MyVl m 11itz' �' I S Sel 'bce10
eve - -
fir, a)�� C Y I(J)'cc l W-eS0M VcCs
Authorized Signature Date