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GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES Coastal Zone Management Program 4611 TUTU PARK MALL STE 300 ST. THOMAS, VI 00802 Tel: (340) 774-3320 Fax (340) 714-9524 Date: [2/2 [0 cx Applicant/Payee: Lh; 1 ead a? ne. Crh ra SH a2 ae Please Verify: Ay ~ Application Fee (xtajorIMinor (<< ) Amount: _/ DOD Ov Modification (Major/Minor) ( Amount: Permit/Lease Number: (Major/Minor) Renew/ Transfer/Assignment/ Amendments (} Amount: Permit/Lease Number: Submerged/ Filled Land Lease CF Amount: Check No: Permit Plaques (7) Amount: Permit/Lease #: NOVA Violations: CL) Amount: Stenographer Services: — Amount: Permit/Lease #: ——> FOR OFFICIAL USE ONLY YOO Office Persomel’s Signature Cashier’s Signature S02 40") Receipt Number: DEPARTMENT OF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION FORM L&WD-2 PERMIT APPLICATION Date Declared Complete PermitNo. . Application is hereby made for a Earth Change/Coastal Zoite Permit 1, ‘Name, mailing address and telephone number of applicant: Animal Care Center of St. John, Inc. P.O. Box 429 © St, John, VI.00831 2, Name, title, mailing-address-and telephone number of owner of property and of developer. Owner Developer: Same as-applicanl Same as applicant. 3. Location of activity. Plot No. 14 Romaine: 4. Zoning District -'-2. variance with Act 872? _ 3. Name, mailing address and telephone number of project designer. Barefoot D up, LLC PO ox 1722, St.John, VI-G083 | ns tuveeeeugtteesigape es oe B40) B88 F66 8 , 6 Name, mailing address-and telephone number of principal earthwork contractor, to be determined. sone ene tt ton ttt 7. Summary of proposed activi ly. Inclade-all incidental improvements:such as utilities, . toads, etc. (Use additional sheets if necessary). Construction of ar animal, Care Center {animal sheiter} and single dwelling ynit with driveway aid all soquifed utilities. and Servicos, with minimal.area of ‘disruption, 7a. State type of Laud Uses'as specified in the VI Zoning. Law, which are-applied for e.g., restaurant, hotel, single dwelling, etc. Animal Shelter per variance with Act 727 FORM L&WD-2/PERMIT APPLICATION CONT’D 8. Date activity is proposed to start 1/2024 9. Classification of minor or major permit. Check one: [ [Minor Permit Application [V [Major Permit Application State below which criterion applies in making above check. Non-residential structure, , be completed 6/2025 10. Application is hereby made for a permit to authorize the activities described herein. [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 standard or other environmental protection standards both during construction and after the project is completed. I also agree to provide entry to the project site for inspectors from the environmental protection agencies for the purpose of making inspections regarding this application, and that to the best of my knowledge and belief the information provided herein, is true, complete and accurate. | further certify that I possess the authority to undertake the proposed activities. as ‘ SS or Agent Signature of Owner (Where Applicant or Agent rw FOR DEPARTMENT USE ONLY Inspector Record Date Inspected:___ Inspector's Remarks: Inspector Commissioner, Planning & Natural Resources ()Permit Approved ()Permit Disapproved Date 2¢/il22 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. Notall the requirements will necessarily apply toa particular zone. Consult the Zoning Law. For your guidance also consult the zoning Requirement Matrix attached to the application forms, i.e., for a R-2 zone only items | through 11 will apply. Applicants Name; Animal Care Center of St. John, re. Signature: YY Date: 2 “Hl. Location of Activity-Plot No.__14 Remainder fetate Carolina Island St. John Zoning District: R-2. variance with Act 8727 1. Proposed use (residential etc.) Animal Shelter 2. Accessory use if any Residential - ws a. Number of on site parking spaces Existing ®° = spproposed_18 4. Area of lot, (sq. ft. or acreage) 2:309Acres 5. Area covered by proposed and existing buildings, (sq. ft.) 6. Setback of building from street property line, (ft.) 15-0" req _63'-8"actuah : 1; Side yard setback ft),10-0"req 45.2" and 26-0" actual 8. Rear yard setback (ft) 10-0" req and 507’.4" actual 9, Height of building (ft. or stories depending on zone) 2S"es = 10. Proposed: 2:stories = — 1]. Lot width at street line (ft.) 129-02) _ — “ 12, Area of usable open space (sq. ft. and (%) of lot 96.852 SF 3.7% 13: Persons per acre ratio ____ Sis RORRET SEs EERRROEITENST 14, Floor area ratio 25% 18; Number of onsite parking and loading spaces 18 parking + 2 loading 16. Building setback (yards 11, W-2 only) FOR DEPARTMENT USE ONLY Inspector, Cate: _ Permit No. 24 This checklistofitemsrecommiended for preparingan Environmental Assessment Report (EAR) has: been reviewed and approved withcomments and madificationasare noted within the text. Date: wf 27 /: Zs mre, SS cirtmeston " carn Applicant/Authorized Representative ~ DPNR Representative GOVERNMENT: OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES. DEVELOPMENT PERMIT APPLICATION FORM L&WD-4 MAJOR PROJECT SUMMARY DATA I, Name, address and telephone number of applicant. Animal Care Center of St. John — PO BOX 429 St. John, Ve 00831 2. Name, address and: telephone number of owner of Property and of developer. Animal Care Center of St. John | PO BOX 429 mist erence enema mane ene St John, vl 00831 3. Deseribe the proposed development ‘Construction of an animal care center vanimal snenen)3 and single dwelling unit with’ driveway and all Section III. Description ‘of Proposed Development 4 Name of development the Animal Care Center . 3. Phot No, 14 Remainder 6. Zoning District: 2 VARIANCE WIACT 8727 7. PWD. Map No.. 8 Proposed: use’ (residential. alc, as listed in Zoning Laws animal care center (animal shelter) and single dwelting unit Accessory use if’ any. FORM 1.8 WD-4 a MAJOR PROJECT SUMMARY DATA. Cont'd 10, Area cof Lot(s) (acreage) 2303 suintninsmneemies revise iceman ll. Area covered by existing buildings: (sq. ft.) 25h - 12, Area covered by proposed buildings. (sq. t.)3.7?8SFoo hoe 13. Floor area total 3,903 Se a — 14, Moor area ratio (B-1, B-2 zones only) 5.5% 15. Numiber of buildings er 16. Number of umits total Person Persons 17; Schedule of units: Efficiencies --.--—-------- x 1.5 Unit ——-—--~= Farmer enarnin neat 3 bedroom Senet eaten saree eee nasenenen b emnees wees NE 4. Wen tese On teen Amr heat wet £Z lear tern 2 Total Persons sveiaes aeawes eneag eae Poel Sea eneeeende nein e eee 18. Number of on site parking and loading: spaces 18 parking + 2 toading 19, Maximum building height (stories/ft} 2 a 20. Adjoining property land use(s)_8:2. 8-2 a Jadustriat Park 21. Setback. of building from street property line {ft),150" req 63-B'actual 22. Sideyard sethack (Ft) 10:9" req 45-2" and 26-0" actual 23. Rear yard. setback (ft) 10:0" eq and $07'-4" actual _ 24, Density (person/acre} epee ee eee ites eeepc pees _ 25. Area of usable open space (sq. fl. % of lot) 96,852 SF 3.7% FORM L&WD-4 MAJOR PROJECT SUMMARY DATA Cont'd Section TV. Comments 26. Proposed. Potable Water Supply (method & quality estimate gal/day) Ci astern with filtration’. 1 gal pp/per‘day. 27, Proposed Sewage Treatment (method & quality estimate gal/day) Quisite 750 gol ATU : 28, Proposed Solid Waste Disposal (method & quality estimate lbs/day) Onsite dumpstt to be cmptied by private company a5 required, 2g. Proposed Elecirical Supply (method & demand estimate KWH for single & 3 phase) WAPA and solar 3:phase 30, Air Conditioning (method & demand estimate (KWH) yes. AC consultant lo be determined. oo _ ee 31. Other Utilities Nate . ecsanevanwe sae 32. Other . com vince tanendeerenae Section V. 33. Will the development extend onto or adjoinany beach tidelands, submerged lands or public trustlands? NO nc eeetenene ners emir woman ie anni nent nannnn nance netvmenmecann an 34, Will the development maintain, enhance or conflict with public access (6 the shoreline and along thé coast? No a 35 Will the development protect or provide moderate income housing opportunities?. Will itdisplace moderate income housing?. NO ese een ot nen nena snes ms warn . _ — eve srnrnmnenne 36. How will the dévelopment affect traffie on the coastal access roads? Signalure of owner or authorized agent Date 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 iF pEeNisc WAC Kez oo ___. being duly sworn depose and say that: Applicant(s)* (or John Doe of Entity Applicant) 1. Atsimar CARE CENSTSR aesQsis the (check one) (Lor Entity’ Applicant ) - Sf Record title owner (fee simple) (_]Lessee (J Other (specify)| | Of the real property described as Parcel No(s)_14 Rem Estate Carolina — Quarter Coral Bay — Island R-2, variance with Act Oe *Applicant(s) is required to provide documentation for legal interest stated above (e.g. deed, lease, etc.) 2. [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: bs h—_ Noy 2e/23 2X Signature Date Signature Date DENIS. WALKER - Print Print The foregoing instrument was eR before me this Be, of 2 < A 0X3 _. by bh k. Wie aal__. at (Name or Name/Title of Entity) ot USJ/ 0 202¢ 5 Edith R. Principaal Commission Exp.: September 30, 2024 NP Commission #: NP-351-20 St. Thomas/St. John USVI District Business Entity No. 550619 Government of The United States Virgin Islands -O- Office of the Lieutenant Governor Division of Corporations & Trademarks CERTIFICATE OF GOOD STANDING To Whom These Presents-Shal} Come: i, the undersigned Lieutenant Governor the United States Virgin Islands, do hereby certify that ANIMAL CARE CENTER OF ST. JOHN, INC. has filed in the Office-of thé Lieutenant Governor the requisite annual reports and statements as required by the Virgin Islands Code, and the Rules and Regulations of this Office. tn addition, the aforementioned entity has paid all applicable. taxes and fees to date, and has a legal existence not having been cancelled or dissolved as far as tlie records of my office show, Wherefore, the aforementioned entity is duly formed under the laws.of the Virgin Islands of the United States, is duly authorized to transact business, and, is hereby declared to. be in good.standing as witnessed by my seal below. This certificate is valid through June 30th, 2024. Entity Type: Domestic Nonprofit Corporation Entity Status: In-Good Standing Registration Date: 01/21/1993 Jurisdiction: United States. Virgin Islands, United States Witness my hand.and the-seal of the Government of the United States Virgin Islands, on this 22nd day of August, 2023. ae “vg » 3 a fF if £5. Op etet vn PR OF oo\i ef PN x s Se “if a ‘Tregenza A. Roach Lieutenant Governor United States Virgin Islands 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 Cade, Chapter 21), all. applicants for Coastal Zone Management permils are required to present “certification from Bureau of Internal Revenue and Department of Finance” indicating “thatthe applicant has filed and paid all laxes, penalties ‘and interest, and.from the Office of the Lieutenant Governor that the applicants has filled its required annual reportor has satisfactorily made agréentent to pay the taxes or fill the required reports “12 VIC 910 (a) (2): (C), and ” (2) A coastal zone perinit that includes-an o¢cupancy.or development lease shall orily be granted [ora particular parcel of filled land fora lease period ofnat more than 20 years; provided thal nothing in this subsection shall prohibit a lessee or permittce from executing a.new Jease at the end of the 20.year period. Any lease-executed at (lie end. of the lease period ’shall meet ihe requirements of: this Chapter and shall be approved by uie Governor and ratified by the Legislature,.or in the event the Legislature is not in session, by the Committee on Planning and Environmental Protection. Forapplicants not required by law to: subnrit. an annual reporLor to satisfactorily make an agreement lo. 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 indicaling will be required to continue [urther processing of the application.. Accordingly; all Coastal Zone Management permit applications (both niinor 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 (hese requirements will net be accepted by the permitting office, It is the responsibility of each applicant to demonstrate compliance with the provisions of this Act. (Forms be WD-8) 1:08:96 Flood Plain Determination and Permit Application Tu be-cumpleted by alf applicants 1. Owner: Animal Care Center ert Set Neouanse, — Mailing Address PO BOX 429, St.John, Vi_00831 Home Tel. #: ; _ Business Tel,:#: Cellular #: 2. Designer: Barefoot Desigti Grotip, A, Michiacl Milrie, AIA Lic, # SALA __ Fel, #, 340-693-7666 Cellular #: 3. Plot #: i Rem Estate. Carolina Quarter: Coral Bay Flood ‘Zone Designation: A and AE (structure on A} If your flood zane designatiog is Zone A, AE, AQ, A}-30, A99, V, VO, Ve or V1-V30 as showa oo thé NFIP- FIRM Map, then complete this section. Aah deen agaameaasanenian Aaknnadann NEIP Flood Zoue Designation AHORA R Reed aneenndasahanawanner t. Type of development: \ or 2-Family dwelling(~) Mobile Home C) Non-Structural (_) 3 Family or more; Apartment or Condo Structure C) Noo- Residential Suructure: CO Commercial Structure OC New Construction Noa-Stnictural C) Addition to Structure ( } 50% Substantial Improvement of Existing Structure C) Description of Activity amintabcale comes fanintab shelter! auch siggy siycdlitas asi 2. Base Flood Elevation.at the Development Site is , | U0" ~ ft. above mean sea level (msl) . 3. Elevation of the First Floor, Basement of Flood proof level for proposed strucnire is 13-6" ft 4, Describe the Noa-Structural Activity i.e, septic tank, waste water treatment plants etc. (including the Nocation and development); septic tanks, parking Set 1440.0. 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 NFIP Zone Designation: Forward to Flood Plain Manager: () YES ( )} NO Application: + APPROVED( ) DENIED() RESUBMIT ( } Plan Reviewer Name: Signature: Date: