HomeMy WebLinkAboutRLC94-1514 - RLC Application - 10/5/1994 MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE LANDS AND CRITICAL AREAS CHECKLIST
Permit Number ""( (—1 )'q ► I�
RLC# t.
_q
Owner a � ��
Parcel Number j �O D 4J
❑ 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 w thin a clearly defined channel?
❑ 4. Lakes or ponds less than 20 acres in size? 11�
❑ 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)? n Landslide Hazard Map?
7. �`f �D y'1 L G� �j of Slopes
❑ 8. Seismic Hazard Areas?
❑ 9. Agricultural Open Space Taxation Program?
❑ 10. Open Space Timber Taxation Program, or Designated forest or, ified Forest?
X11. Site has no Resource Lands or Critical Areas.
Comments:
Auti�orizec Siyn�iure Date