HomeMy WebLinkAboutRCV94-1241 for BLD94-0738 - RLC Application - 6/13/1994 f4ec-
MASON COUNTY PIV4�;b
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE LANDS AND CRITICAL AREAS CHECKLIST
Permit Number �✓"� ` l j� RLC#
Owner
17 Parcel Number `�7
❑ 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?
❑ 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.
❑ 6. Slopes greater than 15% (8.5 degrees)? On Landslide Hazard Map?
% of Slopes
❑ 7. Floodplains?
❑ 8. Seismic Hazard Areas?
❑ 9. Agricultural Open Space Taxation Program?
❑ 10. Open Space Timber Taxation Program, or Designated forest or Classified Forest?
X11 . Site has no Resourrc/�e,�,Lands or Critical Areas.
Comments:
AYAt4,_
Authorized Signature Date