HomeMy WebLinkAboutRLC97-0110 for BLD97-0612 - RLC Application - 6/26/1997 RESOURCE LANDS & CRITICAL AREAS CHECKLIST
Permit Number V 6(2 RLC # r J /1 0
Owner Parcel # 1 TV 6 -)S 166 5�
❑ 1. Saltwater/Lake 20z Acres SMP Designation
Name of Water body
❑ 2. Rivers, streams, or creeks
Type of Water
Vl� Lakes or ponds less than 20 acres in size? (Check if yes.)
4. Wetlands: Areas that are inundated or saturated by surface water that under normal
circumstances support vegetation adapted for life in such conditions as the following:
Marshes, bogs, and swamps. (Check if yes.)
❑ 5. Slopes greater than 15% or 8.50? If yes, degreegf sslllope °
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❑ 6. Floodplain? (Check if yes.)
❑ 7. Seismic Hazard Area? (Check if yes.)
❑ 8. VWquifer Recharge Area? (Check if yes.)
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❑ 9. Comprehensive Plan Designation
❑ 10. Other
Comme ts: W�- WA� bl�6 A, �Y—VA
Authorized Signature Date