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‘GOVERNMENT OF THE VIRGIN ISLANDS: OF THE UNITED STATES DEPARTMENT.OF PLANNING AND.NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION PERMIT APPLICATION Date Received: Date Declared Complete:. Permit Application No. Application is hereby made for an [4 Earth Change Lx 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) _ Total Energies. Marketing Puerto. Rico Corporation Phone: 787-397-8560 PO Box 362916 _ . Email: Anthony.sisco@totalenergies.com San Juan Puerto Rico 00936-2916 Contact: Anthony J. Sisco Perez 2. Name, title, mailing.address and telephone number of Owner of property and Agent (if any) Owner of Property(s). Agent Virgin Island Port Authority PO Box 3041707 St. Thomas, Vi 00802 340-774-1629 3. Location of activity. Plot No, 70¥’ PIN No. See exhibit A Estaté Lindbergh Bay Island S¥. Thomas 4. Zoning District Public (P) 4.a State type of Land Uses as specified in the VJ Zoning. Law, which are applied for (e. g., restaurant, hotel, single-family dwelling, etc:) Airplane and Aircraft Services (fuel sales) 5. Name, mailing-address, email and telephone number of proj ect designer: Varies, See Scope. of Works Summary document Jor designer qualifications for. various portions of the project. 6. Summary of proposed activity. Include.all incidental improvements such as utilities, roads, etc. (Use additional sheets if necessary). Continue Terminal Operations for storage aud delivery of Jet Fuel to Cyril E. King Airport. Construction of new installations inside terminal premises: Loading Rack, Firefighting System & Administrative Building remodeling. Continued use of existing FORM L&WD-2/PERMIT facilities plus APPLICATION CONT'D expansion planned to start 2027 (See Le in 2025 Date activity is proposed to start ; be completed Project Summmary) _ 8. Classification of minor or major permit. Check one: [| Minor Permit Application [ x] Major Permit Application State below which criterion applies in making above check. Project cost is estimated to be approximately 14.5 M USD 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 Anthony J. Sisco Perez 6/30/2025 Sign Print Signature of Owner(s) (Required) Date Sign Print Sign Print FOR DEPARTMENT USE ONLY Inspector Record Date Inspected: C1] Application Approved CJ 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 tollowing table shall. be compléted by thé applicant with entries .as appropriate for the zoning districl in which the activity. is taking place. Not all the requirements will necessarily apply to a particular zone,-Consull the Zoning Law for guidances. Applicants Name: Anthony J. Sisco Signature; \ —4 f soca Date: 6/6/2025 Location of Activity (Plot No.);__ ZO¥ Estate: Lindbergh Bay. Zoning District: Public (P) 1. Proposed use (residential eto. Airplane & Aircraft Services (fuel sales} 2. Accessory use if any N/A. 3. Number of onsite parking spaces: Existing 5 Proposed 5 4. Area of lot: 78,408 fig 1.8 acres 5. Area covered-by existing buildings 5833 NY: Ared covered by proposed buildings 9833 f? 6. Total area of disturbance ’(includes footprint of all buildings, sirictures'and parking areas) 6639 fi? 7. Setback of building from street property line; Required N/R ft. Proposed Existing (See Survey) 1). 8. Side yard setback: Required N/R ft. Proposed Existing (See Survey) 9. Rear yard setback: Required N/R ft. Proposed Existing (See Survey) 5 1}. = Height of-building: 20 A Stories 2 ft. Lot width at street line (ft.) 340’ Average 12. Area of usable open space: ot 761 Sq ft fi. 66% °% of lot 13. Persons per-dere ratio. 8 14. Floor area ratio Th 15. Number of onsite parking and loading spaces Existing (See Survey). 16. Building setback (yards 11, W-2 only) N/R 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 1, Anthony J. Sisco Perez Applicant(s)* (or John Doe of Entity Applicant) being duly sworn depose and say that: (Lor Entity Applicant) [_|Record title owner (fee simple) [x ]Lessee [_ Jother (specify) Of the real property described as Parcel No(s) 70 Estate Linderbergh Bay Quarter Southside No. 4 Island St. Thomas *Applicant(s) is required to provide documentation for legal interest stated above (e.g. deed, lease, etc.) z I have the irrevocable approvals, permission, or power of attorney from all other persons with a legal interest pie perty to undertake the work proposed in the permit application as more fully set forth in the exhibit Z dates Signature Date Pi Atv Print Print Ate F Cory gs The foregoing instrument was acknowledged before me this 2° day of hans 20 25 by Ay (lo, as SAS LO oe L at (~« nLatatastebd' » PR county (Name op Mame/Tutle of Entity) aR Sk. — Yy Sin Re —— pic, wia. Notary Public My Commission expires GOVERNMENT OF . THE VIRGIN ISLANDS OF THE UNITED STATES (Oi, -0- 1 VIRGIN ISLANDS BUREAU OF INTERNAL REVENUE . (DPNR FORM L&WD-6) APPLICATION FOR TAX FILING AND PAYMENT STATUS REPORT** 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 pursixint to Act 5270. amending Sections 910 (a)(2) and 91) (d)(2) of the Coastal Zone Management Act (Title 12, Chapter 21, Virgin Jslands 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: Anthony J. Sisco Perez Business Name: | otalEnergies Marketing Puerto Rico Corp. EIN/TIN: 66-0486878 ssn: N/A Please indicates, RECEIVED 22h Type of Business: Foreign Profit Corporation [X}* Corporation [_]*Partnership “ : Please check forms that you use: [J Individual sUN 06 2025 E1120, [yi06s, (1 040,L_lo41vI, oO 22VI 20 20V O ther VIRGIN ISLANDS BUREAU OF oe ea B, cy 1, INTERNAL REVENUE ST. THOMAS VI 4420-F Date Business Started: 2009 ae Person Representiv@ A rican digg Dudley Position: Attorney for the Applicant Signature: y Mailing Address: 1000 Frederiksberg hue St. Thomas, VI 00802 —— Date:_6/6/2025 / Telephone Number: __ 340 774 4422 — Reply to: 6115 Estate Smith Bay, suite 225, St. Thomas V1 00802 — 340-715-1040(phone), 340-774-2672(fax) or 4008 Estate Diamond, St. Croix VI 00820 — 340-773-1040(phone), 340-773- 1 006(fax) * Partnership and/or Corporations must list partners/ corporate officers, social security numbers and addresses on a separate sheet and attach it to this application. THIS FORM JS TO BE SUBMITTED TO VIBIR UPON COMPLETION Totalknergies Marketing Puerto Rico Corp. Pieire-Eximanue! Bredin, President SSN: XXX-XX-9493 Address: Ay. Winston Churchill 1099, 12th.Floor, Santo Domingo, Dominican. Republic. Farid Benyahia, Vice President SSN: XXX-XX-2355 Address: © Garden Hills Norte B-7 Street Meadow Lane #14 Guaynabo, PR 00966 Raphael de Patoul, Secretary & Treasurer SSN: XXX-XX-1183 Address: . a Apt. 9-B Torre Sur Condominium St. Mary’s Plaza, 1485 Ashford Avenue, San Juan, Puerto Rico, 00907 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 1) TotalEnergies Marketing Puerto Rico Corp. (Corporation or Association Name) Draectenr ad We Presiden By: (Signature) Title/Position (Print) President or Vice-President or equivalent fared Benuohia Pritt Secretary (or equivalent) Signature / df ary Secretary (or equivalent) Print Seal gg (a&o27 On this. 30" day of. wrauns , 20_2°2_. before me the undersigned officer, personally appeared food Bout who acknowledges himself to be the Oz wcctix ceuse) cc “bea Pay of — prec frou (oUr. 5 that he executed the foregoing instrument in the capacity above and has the ET VKH Coho 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. AVILA pas <I \ P Include Supporting Documents: er 1. Compliance with Act No. 5270 by providing: 0; GNP (a) Tax clearance letter from the Bureau of Internal Revenue DA-N i (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) (a) Corporate Resolution (or equivalent) authorizing action on behalf of the company. (Forth L&: WD-8) 3<08:96. Flood Plain Determination and Permit Application To be completed by all applicanis L Owner: Virgin Islands Port Authority Home Tel. #; Business Tel. 340-774-1629 d#: Cellular ft: 2. Designer; __ See Project Summary Lic, #: Tel. #: Cellular#:. 3. Plot #: _7OY Estate: Lindbergh Bay Quarter; Southside Quarter No. 44 Flood Zone Designation: Xx If your flood zone designation is Zone A, AE, AO, Al-30, A99, V, VO; Ve or VI-V30/as shown on the NFIP FIRM: Map, then complete this section. 7 a EEE KEE SERS ERA KR E ELE EAA ENT EYD Elgod Zone. Designation **#**## *k*#A Kas +e HA 3a eo RK ok lL. Type of development: | or 2 Family. dwelling} | Mobite Home [| Non-Structura! [| 3 Family or more, Apartment or Condo Structure [| Non- Residential Structure: [| Commercial Structure[__] New Construction | Non-Stractural: L] Addition to Structure [| 50% Substantial Improvement of Existing Structure [] Description of Activity .2. Base Flood Elevation: at the Development Site is: ft. above mean sea level! (msl). 3. Elevation of the First Floor, Basement. or Flood proof level for proposed structure is ft. 4, ‘Describe the Non Structural Activity Le. septic fank, waste water treatmenit plants ete. (including the location and devetopment: 5. Attach a‘certified.copy of site plan (8.5” x 11) showing Base Flood Elevation: See.sample attached. FOR OFFICE USE ONLY Is the property located in an identified Flood Hazard Area? ( )YES ( ) NO NFEP Zone Designation: , Forward to Flood Plain Manager: ( ) YES ( }.NO Application: APPROVED( ) DENIED( ) | RESUBMIT( ) Plan Reviewer Name: Si gnatire: Date: