HomeMy WebLinkAboutRLC94-1314 for BLD94-00979 - RLC Application - 7/7/1994 vLc mE 7D 80
MASON COUNTY
CDEPARTMENT OF COMMUNITY DEVELOPMENT
�RESOURCE,� ,]� � /�LANDS AND CRITICAL AREAS CHECKLIST
4J`�Permit Number q( e N q RLCII
Owner
Parcel Number
❑ 1. Saltwater shoreline or lake 20 acres or larger?
Na Water Body
2. Rivers, streams. or creeks with year round flow? -- f
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?
❑ 11. Site has no Resource Lands or Critical Areas.
Comments:
Authorized Signature Date