HomeMy WebLinkAboutRLC94-1348 for BLD94-1008 - RLC Application - 7/22/1994 MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE LAND§ AND CRITICAL AREAS CHECKLIST
Permit Number_ L -l —1 r C, RLC# Q 914-S
4
Owner --
6'91 t/`r t i �
Parcel Number_ ��j� !�U `� v ��✓ Oy
ICU
❑ 1. Saltwater shoreline or lake 20 acres or larger?
In �, 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?
"l
❑ 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. U�
ZX 6.. Slopes g eater than 15% (8.%degrees)7 On 4andslide Hazard Map?
�b% % of Slopes
Elin ?7. Floo 1pla
/vU
❑ 8. Seismic Hazard Areas? �
❑ 9. Agricultural Open Space Taxation Program? rvo
❑ 10. Open Space Timber Taxation Program, or Designated forest or Classified Forest?
❑ 11. Site has no Resource Lands or Critical Areas. -
Comments: �C
Authorized Signature Date