HomeMy WebLinkAboutRLC94-01281 for BLD94-00894 - RLC Inspections - 8/27/1994 MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
R��E,,/(S�O�U,(R�CE LANDS AND CRITICAL AREAS CHECKLIST Q
Permit Number f�/"�"��� �Qbq I RLC# • '/"V
Owner
Parcel Number
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❑ 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
Rivers, steams or creek with intermittent flow but are within a �l�arly fined ch ?
In < ` \ '
❑ 4. Lakes or ponds less than 20 acres in size? 6'
❑ 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 de rees)? On Landslide Haz rd Map?
� / i ("L % of Slopes
❑ 7. Floodplains? /L' l�
❑ 8. Seismic Hazard Areas?
❑ 9. Agricultural Open Space Taxation Program?
441-'r
❑ 10. Open Space Timber Taxation Program, or Designated forest or CI ssified Forest?
tq 11 . Site has no Resource Lands or Critical Areas. r
Comments: � 0
Authorized Signature Date