HomeMy WebLinkAboutRLC94-1295 - RLC Inspections - 7/1/1994 MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE LANDS
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ANDS AND CRITICAL AREAS CHECKLIST
Permit Number 1 O1, RLC# /01WAI 4L
Owner
Parcel Number— ( L
❑ 1 . Saltwater shoreline or lake 20 acres or larger?
Name of Water Body
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El2. Rivers, streams. or creeks with year round flow?
Type of Other Water
3. Rivers, steams or creek with intermittent flow but are withirl 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 vegetaluon adapted for life in such conditions; such as marshes, bogs,
and swamps. 1
6. Slopes greater than 15% (8.5 degrees)? gn Landslide Hazard Map?
&0 "1�0� "kt 6/19tZ % of Slopes
❑ 7. Floodplains? " (�
❑ 8. Seismic Hazard Areas?
❑ 9. Agricultural Open Space Taxation Program?
❑ 10. Open Space Timber Taxation Program, or Designated r st or Classified Forest?
❑ 11 . Site has no Resource Lands or Critic/al Areas.
Comments: (�-e 5f `al'` &A,- //-Z�
Authorized Signature Date
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Courthouse Annex I N. Fourth & W. Cedar
P.O. Box 186 Shelton, Washington 98584
(206) 427-9670
building environmental health maintenance landfill parks&recreation fair/convention center planning sewer&water
CHECKLIST FOR PROPOSED CONSTRUCTION
No Yes
CC ] Within 200 feet of designated shoreline or wetland
[ ] [ ] Proposed construction on/over/in wetland
[ ] Proposed construction within floodplain
Commercial Development ( Parking Standards , Sign
Ordinance , Public Works Review, other applicable
agencies )
[ ] Mobile Home and/or R . V . Park
f What Type Of Construction Is Being Proposed?
[--J C ] Exempt from building permit application
C ] C ] Exempt from S.E .P.A. process (WAC 197-11-305,
WAC 197-11-800 )
C ] C ] Meet all requirements ( Which section ( s ) of
S .M.P. does proposed construction pertain to;
C ] C ] Variance or Conditional Use Permit required
C ] C ] Exempt from Shoreline Substantial Developmentr (4
Permit process (WAC 173-14-040 ) 1
C 7 [ ] Exempt from Substantial Development but within ^n (A-
PrintedArmy Corp. jurisdiction (WAC 173-14-115 r `3/89
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