HomeMy WebLinkAboutRLC94-1282 for BLD94-00899 - RLC Application - 6/27/1994 MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE LANDS AND CRITICAL AREAS CHECKLIST
Permit Numberaw4vg?% 1, d ' IV 7
RLC#_ (? 1 /�
Owner
Parcel Number (� ` '6GGSq
IA-C..
❑ 1 . Saltwater shoreline or lake 20 acres or larger?
Name of Water Body
❑ 2. Rivers, streams. or creeks with year round flow?
/A/0 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? lIq
❑ 5. Wetlands: Areas that are inundated or saturated by surface water that under normal
circumstances sup rt vegetation adapted for life in such conditions; such as marshes, bogs,
and swamps. j�
❑ 6. Slopes greater than 15% (8.5 degrees)? On Landslide Hazard Map?
�- 1� ,,� 1�� % of Slopes
r❑ 7. Floodplains? f V
❑ 8. Seismic Hazard Areas?
❑ 9. Agricultural Open Space Taxation Program?
❑ 10. Open Space Timber Taxation Program, or Designated forest or Classified Forest?
11 . Site has no Resource Lands or Critical Areas. c ✓ram 1 �JZJ —
Comments:
Authorized Signature Date
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