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MINOR LAND United States Virgin Islands Department Of Planning And Natural Resources Development Permit Application The Revised Environmental Protection Handbook may be consulted for Technical Guidance 1.00 NAME AND ADDRESS OF APPLICANT 2.00 LOCATION OF PROJECT 2.01
Location and Agency Review Map 2.02
A copy of the Vicinity Map 3.00 ABSTRACT 4.00 STATEMENT OF OBJECTIVES SOUGHT BY THE PROPOSED PROJECT 5.00 DESCRIPTION OF PROJECT 6.00 SUMMARY OF PROPOSED ACTIVITY (To be provided on drawings) a.
Discuss purpose of project b.
Discuss the presence and location of any critical area(s) (e.g. historical, environmental or cultural significance/value) and possible trouble spot(s)(e.g. guts, precipaces, very steep hillsides) c.
Discuss proposed method of land clearing d.
Discuss provisions to preserve topsoil and limit site disturbance e.
Discuss erosion and sedimentation control devices to be implemented f.
Show schedule for earth changing activities & implementation of erosion/sediment control measures g.
Discuss the maintenance of erosion and sediment control measures h.
Discuss method of stormwater management i.
Discuss maintenance schedule for stormwater facilities j.
Discuss method of sewage disposal 7.00 SITE PLANS (Site plans shall be at a minimum scale of 1" = 20') 7.01 Lot Layout a.
Show lot area, dimensions and metes & bounds b.
Show setback dimensions (including natural drainages and wetlands) c.
Show lot density d.
Show lot occupancy e.
Show recreational areas for proposed project (including walkways, benches and other landscape features) f.
Show north arrow g.
Site Topography at 5' intervals (Prepared and stamped by a registered land surveyor) with elevation points at each corner. Show rock outcrop and existing trees having a diameter of 6" or greater by species within area to be disturbed h.
Show square footage and percentage lot coverage for all site improvements i.
Show square footage and percentage open space for all site improvements j.
Show project staging and material storage areas k.
Show existing vegetation within area to be disturbed 7.02 Road Layout a.
Show parking and driveway layouts with dimensions, station points and elevations (Permeable materials encouraged where soils are suitable) b.
Show calculations for required parking space(s) c.
Show cuts & fill and profiles of roads 7.03 Position of Structures a.
Identify proposed and existing structures b.
Show building size, dimensions and number of stories c.
Show location and capacity of all storage tanks and cisterns d.
Show location of sewage disposal e.
Show site profile including all floor elevations and existing and finish grade elevations f.
Show underground utilities 7.04 Stormwater Drainage a.
Show natural and proposed drainage pattern b.
Show design details, profiles and location of stormwater control devices c.
Provide a hydrology report (Subdivisions only) 7.05 Erosion and Sediment Control a.
Show design details, profiles and location of erosion and sediment control devices (such as sediment basins, slope protection measures, retaining walls, siltfences, berms, vegetated swales etc.). b.
Show location of construction entrance and proposed methods to reduce silt travel onto road c.
Provide final grading plan d.
Provide landscaping plan (The Virgin Islands Zoning Code requires that removed trees with diameters between 4 inches and 6 inches must be replaced and removed trees with diameters larger than 6 inches must be replanted) 8.00 SEPTIC SYSTEM/WASTEWATER TREATMENT a.
Setback distances from property lines, water supply, waterbodies, and all structures (proposed or existing) b.
Septic capacity requirements c.
Septic details with cross section d.
Disposal site(s) and area of final effluent 9.00 OTHER REQUIRED DRAWINGS (1/4" = 1' - 0") a.
Floor Plans b.
Foundations/Footings c.
Total Project Elevation Views (Individual Buildings) d.
Section Views 10.00 REQUIRED MAPS (Indicate site on all Maps) a.
Recorded Parcel Map/Registered Survey Map b.
Show all easements on the site and within 50 feet of the property line c.
Official Zoning Map d.
FEMA Flood Insurance Rate Map e.
Water Resources Map - delineate watershed(s) f.
Sediment Reduction Program Map g.
Soil Survey - Soils Map 11.00 OTHER REQUIRED SUBMITTALS a.
Permit Application (Form L&WD-2) b.
Zoning Requirements Table (Form L&WD-3) c.
Proof of Legal Interest (Form L&WD -5) d.
Income tax clearance letter (Form L&WD-6) (Tier 1 and Commerical Tier 2 Only) e.
Corporate Application Form (If a corporation is the applicant, developer or owner of the project) (Form L&WD-7) f.
Certificate of Corporate Good Standing (For corporate applicants, developers or owners) g.
Application Fee h.
Property tax clearance letter (Tier 1 and Commerical Tier 2 Only) i.
Copy of Deed/Lease/Purchase Agreement j.
Certified list of all property owners within a 150' radius of the property boundaries. Include current mailing addresses based on the tax assessor's office records (Tier 1 Only) k.
Letter from the State Historic Preservation Officer - SHPO approving the Phase 1 Archaeological Resources Survey for the site (Subdivisions only) l.
Approved Road and Driveway permit. m.
Revenue Projection (commercial projects only) - provide the total gross revenue that can be generated from the proposed project n.
NFIP Flood Zone Designation (Form L&WD-8) GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION FORM L&WD-2 PERMIT APPLICATION Date Received: _______________ Date Declared Complete: Permit Application No. Application is hereby made for an  Earth Change  Coastal Zone Permit 1. Name, mailing address, email address and telephone number of Applicant (person/entity with legal interest in the property, to which permit will be issued) 2. Name, title, mailing address and telephone number of Owner of property and Agent (if any) Owner of Property(s) Agent 3. Location of activity. Plot No. PIN No. Estate Island 4. Zoning District 4.a State type of Land Uses as specified in the VI Zoning Law, which are applied for (e.g., restaurant, hotel, single-family dwelling, etc.) 5. Name, mailing address, email and telephone number of project designer. 6. Summary of proposed activity. Include all incidental improvements such as utilities, roads, etc. (Use additional sheets if necessary). FORM L&WD-2/PERMIT APPLICATION CONT'D 7. Date activity is proposed to start ; be completed 8. Classification of minor or major permit. Check one:  Minor Permit Application  Major Permit Application State below which criterion applies in making above check. 9. Application is hereby made for a permit to authorize the activities described herein. I agree to provide any additional information/data that may be necessary to provide reasonable assurance or evidence to show that the proposed project will comply with the applicable territorial water quality standards or other environmental protection standards both during construction and after the project is completed. I also agree provide entry to the project site for inspectors from the environmental protection agencies for the purpose of making inspection regarding this application and that to the best of my knowledge and belief, that such information provided herein, is true, complete and accurate. I further certify that I possess the authority to undertake the proposed activities. Signature of Applicant or Agent (if not owner) Date Sign Print Signature of Owner(s) (Required) Date Sign Print Sign Print FOR DEPARTMENT USE ONLY Inspector Record Date Inspected:  Application Approved  Application Disapproved Inspector's Remarks: Inspector Date Commissioner, Planning & Natural Resources Date GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION FORM L&WD-3 ZONING REQUIREMENTS TABLE The following table shall be completed by the applicant with entries as appropriate for the zoning district in which the activity is taking place. Not all the requirements will necessarily apply to a particular zone. Consult the Zoning Law for guidance. Applicants Name: Signature: Date: Location of Activity (Plot No.): Estate: Zoning District: 1. Proposed use (residential etc.) 2. Accessory use if any 3. Number of onsite parking spaces: Existing Proposed 4. Area of lot: ft2 acres 5. Area covered by existing buildings ft2; Area covered by proposed buildings ft2 6. Total area of disturbance (includes footprint of all buildings, structures and parking areas) ft2 7. Setback of building from street property line: Required ft. Proposed ft. 8. Side yard setback: Required ft. Proposed ft. 9. Rear yard setback: Required ft. Proposed ft. 10. Height of building: ft. Stories 11. Lot width at street line (ft.) 12. Area of usable open space: ft. % of lot 13. Persons per acre ratio 14. Floor area ratio 15. Number of onsite parking and loading spaces 16. Building setback (yards 11, W-2 only) FOR DEPARTMENT USE ONLY Inspector: Date: Permit Application No. GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION FORM L&WD-5 PROOF OF LEGAL INTEREST AFFIDAVIT I, being duly sworn depose and say that: Applicant(s)* (or John Doe of Entity Applicant) 1. ____________________________________am/is the (check one) (I or Entity/Applicant)  Record title owner (fee simple)  Lessee  Other (specify) Of the real property described as Parcel No(s) Estate Quarter Island *Applicant(s) is required to provide documentation for legal interest stated above (e.g. deed, lease, etc.) 2. I have the irrevocable approvals, permission, or power of attorney from all other persons with a legal interest in the property to undertake the work proposed in the permit application as more fully set forth in the exhibit (s) attached hereto: Signature Date Signature Date Print Print The foregoing instrument was acknowledged before me this day of 20 by at county (Name or Name/Title of Entity) of . Notary Public My Commission expires GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES -0- VIRGIN ISLANDS BUREAU OF INTERNAL REVENUE (DPNR FORM L&WD-6) APPLICATION FOR TAX FILING AND PAYMENT STATUS REPORT** Date:___________ The applicant identified below hereby requests a letter certifying his or her tax filing and payment status for the purpose of receiving a Coastal Zone Management Permit from the Virgin Islands Department of Planning and Natural Resources pursuant to Act 5270, amending Sections 910 (a)(2) and 911 (d)(2) of the Coastal Zone Management Act (Title 12, Chapter 21, Virgin Islands Code). The applicant authorizes the Bureau of Internal Revenue to disclose any taxpayer information necessary to process this application to the Virgin Islands Department of Planning and Natural Resources, who may make such further disclosures as are necessary to carry out the requirements of the Coastal Zone Management Act, as amended. Name:________________________________________________________________________ Business Name:________________________________________________________________ EIN/TIN:______________________________________________________________________ SSN:_________________________________________________________________________ Please Indicate: _______*Corporation Type of Business:___________________ _______*Partnership _______ Individual Please circle forms that you use: 1120, 1120s, _______Other 1065,1040, 941 VI, 722 VI, 720, 720 VI, 720 BVI, 50VI, other (list) Date Business Started:___________________________________________________________ Person Representing Applicant:________________________Position:_____________________ Signature:_____________________________________________________________________ Mailing Address:_______________________________________________________________ Date:________________________ Telephone Number:__________________________ Reply to: 9601 Estate Thomas, St. Thomas VI 00802 or 4008 Estate Diamond, St. Croix VI 00820 * Partnerships and/or Corporations must list partners/ corporate officers, social security numbers and addresses on a seperate sheet and attach it to this application. GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION PUBLIC NOTICE (SUPPLEMENT TO FORM L&WD-6) Pursuant to Act 5270, as approved by the Governor of the Virgin Islands on July 30, 1987, amending Section 910 (a) (2) and 911 (d) (2) of the Coastal Zone Management Act (Title 12, VI Code, Chapter 21), all applicants for Coastal Zone Management permits are required to present “certification from Bureau of Internal Revenue and Department of Finance” indicating “that the applicant has filed and paid all taxes, penalties and interest, and from the Office of the Lieutenant Governor that the applicants has filled its required annual report or has satisfactorily made agreement to pay the taxes or fill the required reports “12 VIC 910 (a) (2) (C), and “ (2) A coastal zone permit that includes an occupancy or development lease shall only be granted for a particular parcel of filled land for a lease period of not more than 20 years; provided that nothing in this subsection shall prohibit a lessee or permittee from executing a new lease at the end of the 20 year period. Any lease executed at the end of the lease period shall meet the requirements of this Chapter and shall be approved by the Governor and ratified by the Legislature, or in the event the Legislature is not in session, by the Committee on Planning and Environmental Protection. For applicants not required by law to submit an annual report or to satisfactorily make an agreement to pay taxes or file the required reports, a letter from the Bureau of Internal Revenue, and/or the Department of Finance, and/or the Lieutenant Governor’s office so indicating will be required to continue further processing of the application. Accordingly, all Coastal Zone Management permit applications (both minor and major), which are not accompanied by the certificates, as required by Act 5290, or written notification from said agencies indicating waiver or exemption of these requirements will not be accepted by the permitting office. It is the responsibility of each applicant to demonstrate compliance with the provisions of this Act. GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION FORM L&WD-7 CORPORATION/ASSOCIATION APPLICATION (To be used when a corporation or association is making a Permit Application in Tier l) (Corporation or Association Name) By: ___________________________ (Signature) Title/Position (Print) President or Vice-President or equivalent Print WITNESS: ATTEST: Secretary (or equivalent) Signature Secretary (or equivalent) Print Seal On this day of , 20 . before me the undersigned officer, personally appeared , who acknowledges himself to be the of ; that he executed the foregoing instrument in the capacity above and has the authority to execute this application on behalf of the company. IN WITNESS WHEREOF, I have hereunto set my hand and official seal the day and year above written. ____________________________________________ Include Supporting Documents: 1. Compliance with Act No. 5270 by providing: (a) Tax clearance letter from the Bureau of Internal Revenue (b) Property tax clearance letter from the Lieutenant Governor’s Office. (c) Corporations and Associations: Certificate of Good Standing or equivalent, organizational documents & Amendments (Articles, Bylaws, Operating Agreement, Declarations) (d) Corporate Resolution (or equivalent) authorizing action on behalf of the company. GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION FEE SCHEDULE (TIER 1 ONLY) As provided in Title 12, Chapter 21, Section 910(e)(4) VIC and set forth in Title 12 V.I. Rules and Regulations Subsection 910, effective September 18, 1992, a non-refundable administrative processing fee will be required to be filed with the applications for all Coastal Zone Permits in accordance with the following fee schedule: (A) Minor Coastal Zone Permit Application (i) For estimated construction cost of $10,000 or less .................................... $50.00 (ii) For estimated construction cost greater than $10,000 but less than $25,000 .............................................. $125.00 (iii) For estimated construction cost of $25,000 or greater ............................. $200.00 (B) Major Coastal Zone Permit Application (i) For estimated construction cost of $250,000 or less ................................ $500.00 (ii) For estimated construction cost of $250,000 but less than $500,000 ............................................ $750.00 (iii) For estimated construction cost of $500,000 or greater ........................ $1,000.00 Whenever the Commissioner finds that the processing of a Major Coastal Zone Permit Application requires significant administrative expenditures in excess of those typically required, additional reasonable fees may be assessed to cover, for instance, the hiring of consultants when specialized expertise is needed that is not available in the Department.