HomeMy WebLinkAboutRLC94-1349 for GRD94-00055 - RLC Application - 7/22/1994 MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE nL\AND AND CRITICAL AREAS CHECKLIST
Permit Number "V VbS RLC# q4 .
Owner
Parcel Number_ t'21-5 t �� G 0V
❑ 1. Saltwater shoreline or lake 20 acres or larger?
V 0 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?
X-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 vegetatiog adapted for lifp in such conditions; such as marshes, bogs,
and swamps. &� (JOIA4
6.. Slopes greater than 15% (8.5 degrees)? On Landslide Hazard Map?
-D WfAf Goo► / `6 .,(� o �,� % of Slopes
❑ 7. Floodplains?
❑ 8. Seismic Hazard Areas? I
❑ 9. Agricultural Open Space Taxation Program?
❑ 10. Open Space Timber Taxation Program, or Designated forest or ied Forest?
❑ 11. Site has no Resource Lands or Critical Areas. -
Comments:
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Authorized Signature Date