HomeMy WebLinkAboutRLC94-1394 - RLC Application - 8/11/1994 MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE�LANDS AND CRITICAL AREAS CHECKLIST
Permit Number 4l,'" ' " v v
RLC# dm
'Qf
Owner
Parcel Number__
V -
❑ 1. Saltwater shoreline or lake 20 acres or larger?
Name of Water Body
Y
❑ 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?
t! -7w '% �a��d, . ' -7— G( 0% of Slopes
❑ 7. Floodplains?
❑ 8. Seismic Hazard Areas? V-J
❑ 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.
✓ �,
Comments:
Authorized Signature Date