HomeMy WebLinkAboutRLC94-1324 for BLD94-1006 - RLC Application - 7/12/1994 MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
RESOURCE
rr ,ILANDS AND CRITICAL AREAS CHECKLIST
Permit Number 564 f U l �J RLC# 9 ' 3 '
Owner ��l 5 'V'
Parcel Number 3�
❑ 1. Saltwater shoreline or lake 20 acres or larger
Name of Water Body
2. Rivers, streams. or creeks with year round flow? -C�'�
Type of Other Water
❑ 3. Rivers, steams or creek with intermittent flow Xtaare 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 vegetationadapted for life in such conditions; such as marshes, bogs,
and swamps. / � G"! v "—
❑ 6.. Slopes greater than 15% (8.5 degrees)? On Landslide Hazard Map?
of Slopes
��Nt�-
°h7. Floodplains? N%, 5
Q
❑ 8. Seismic Hazard Areas? I A
❑ 9. Agricultural Open Space Taxation Program? "
❑ ' 10. Open Space Timber Taxation Program, or Designated�fo<est or Classified Forest?
❑ 11 . Site has no Resource Lands or Critical Areas.
Comments:
Authorized Signature Date