GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENTOF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION FORM L&WD-1 DRAFT OF APPLICATION LETTER DATE: FILE: COMMISSIONER DEPARTMENT OF PLANNING AND NATURAL RESOURCES 8100 LINDBERG BAY, STE #61 CYRIL E. KING AIRPORT TERMINAL, SECOND FLOOR ST. THOMAS, US VIRGIN ISLANDS 00802 Dear Commissioner: The undersigned wishes to make application to the Virgin Islands Government and the Secretary to the Army for a Coastal Zone Permit to (State kind of work proposed) in (Give name of waterway) at or near (give location) The (mention proposed work) will be located approximately (give distance and bearing from nearest town, pier, wharf, bridge or any well-known object or establishment monument nearby) and will be (give length, width, height, depth of water at mean low water level, class of construction, is permanent or temporary) within the corporate limits of (state if the work is within the corporate limits of a municipality as shown the accompanying plans) . It is understood that your approval of (mention proposed work) must be first obtained by virtue of the authority vested in you by Act No. 4248 of the Virgin Islands Code. Your favorable endorsement is, therefore, respectfully requested. It is further requested that this letter be considered as an application for the Department of the Army Permit and that it be forwarded with your endorsement thereon to the area Engineer, San Juan Area, US Army Corps of Engineers, 400 Fernandez, Juncos Avenue, SAN JUAN PUERTO RICO 00901 for consideration. Early advice concerning your decision and also concerning the decision of the Department of the Army in the manner will be appreciated. (Signature of Applicant) Official Title, if a Corporation April 15, 2021 mooring and operate a floating take-out restaurant Lindbergh Bay 18.3326058 N 64.9660576W floating take-out restaurant 1100' from the beach 53 in length and 20 in width and anchored with 4 helix typ St. Thomas the mooring and operation of the floating take-out restaurant Member 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). X Lime Out 3, LLC Law Office of Kathryn J. DePree, PMB 233, 5000 Estate Enighed St. John, Virgin Islands 00830 (340) 514-7462 richardnowski@gmail.com Government of the Virgin Islands (Submerged L N/A St. Thomas N/A Floating Take-Out Restaurant Studioarmin P.O. BOX 37, ST. JOHN, USVI 00831 TRISTAN@STUDIOARMIN.COM 340-690-4329 The vessel will be 53 in length and 20 in width and have a draft of 24. The vessel will have solar panels on the roof and will utilize solar power and have battery storage. The restaurant will use propane for cooking, will have an ice maker, and a single The vessel will be anchored by four helix anchor mooring systems with floated lines. The 10 moorings will all utilize helix anchors 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 30 days when permitted Cost 04/15/2021 SIGN  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. N/A N/A N/A Floating take-out restaurant 10 moorings for guest n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a N/A n/a 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 Section I. Applicant 1. Name, address and telephone number of applicant. 2. Name, address and telephone number of owner of Property and of developer. Section II. Summary of Proposed Development 3. Describe the proposed development Section III. Description of Proposed Development 4. Name of development 5. Plot No. 6. Zoning District: 7. PWD Map No. 8. Proposed use (residential, etc. as listed in Zoning Law): 9. Accessory use if any Lime Out 2 Lime Out 2, LLC Law Office of Kathryn J. DePree, PMB 233, 5000 Estate Enighed St. John, Virgin Islands 00830 340 514-7462 richardnowski@gmail.com Government of the Virgin Islands Lime Out 2, LLC (Submerged Lands) Law Office of Kathryn J. DePree, PMB 233, 5000 Estate Enighed St. John, Virgin Islands 00830 340 514-7462 richardnowski@gmail.com The vessel will be 53 in length and 20 in width and have a draft of 24. The vessel will have solar pane and will utilize solar power and have battery storage. The restaurant will use propane for cooking, will have an ice maker, a single bathroom and areas for merchandise displays and sales.The vessel will be anchored by four helix anchor mooring systems with floated lines. The 10 moorings will all utilize helix anchors and will have f N/A N/A Floating Take-out Restaurant 10 moorings for guest FORM L&WD-4 MAJOR PROJECT SUMMARY DATA Cont'd 10. Area of Lot(s) (acreage) 11. Area covered by existing buildings (sq. ft.) 12. Area covered by proposed buildings (sq. ft.) 13. Floor area total 14. Floor area ratio (B-1, B-2 zones only) 15. Number of buildings 16. Number of units total Person Persons 17. Schedule of units: Efficiencies x 1.5 Unit - 1 bedroom x 2 - 2 bedroom x 3 - 3 bedroom x 4 - Other x - Total Persons 18. Number of on-site parking and loading spaces 19. Maximum building height (stories/ft) 20. Adjoining property land use(s) 21. Setback of building from street property line (ft.) 22. Side yard setback (ft.) 23. Rear yard setback (ft.) 24. Density (person/acre) 25. Area of usable open space (sq. ft. % of lot) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Hotel, Resort, Water Park, Undeveloped Land N/A N/A N/A N/A N/A FORM L&WD-4 MAJOR PROJECT SUMMARY DATA Cont'd Section IV. Comments 26. Proposed Potable Water Supply (method & quality estimate gal/day) 27. Proposed Sewage Treatment (method & quality estimate gal/day) 28. Proposed Solid Waste Disposal (method & quality estimate lbs/day) 29. Proposed Electrical Supply (method & demand estimate KWH for single & 3 phase) 30. Air Conditioning (method & demand estimate (KWH) 31. Other Utilities 32. Other Section V. 33. Will the development extend onto or adjoin any beach tidelands, submerged lands or public trust lands? 34. Will the development maintain, enhance or conflict with public access to the shoreline and along the coast? 35. Will the development protect or provide moderate income housing opportunities? Will it displace moderate income housing? 36. How will the development affect traffic on the coastal access roads? Signature of owner or authorized agent Date Reverse Osmosis Plant 1000gpd Holding Tanks - emptied daily into public sewerage system. Removed daily and disposed of by private hauler. Solar with 3500hp backup gasoline generator N/A N/A The project is a floating take-out restaurant located within Lindbergh Bay. The project is a floating take-out restaurant intended to service boats, and should have no impact on pubilc access to the shoreline. The project will have no impact on moderate income housing opportunities. The project is a floating take-out restaurant intended to service boats, and should have no impact on coastal traffic. 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 Submerged Land Lease Richard Baranowski Lime Out 2, LLC N/A N/A St. Thomas 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. member Lime Out 2, LLC Richard Baranowski (Form L&WD-8) 1:08:96 Flood Plain Determination and Permit Application To be completed by all applicants l. Owner: Mailing Address: Home Tel. #: Business Tel. #: Cellular #: 2. Designer: Lic. #: Tel. #: Cellular#: 3. Plot #: Estate: Quarter: Flood Zone Designation: If your flood zone designation is Zone A, AE, AO, Al-30, A99, V, VO, Ve or Vl-V30 as shown on the NFIP FIRM Map, then complete this section. *****************************NFIP Flood Zone Designation************************************* 1. Type of development: l or 2 Family dwelling ( ) Mobile Home ( ) Non-Structural ( ) 3 Family or more, Apartment or Condo Structure ( ) Non- Residential Structure: ( ) Commercial Structure ( ) New Construction ( ) Non-Structural ( ) Addition to Structure ( ) 50% Substantial Improvement of Existing Structure ( ) Description of Activity 2. Base F1ood Elevation at the Development Site is ft. above mean sea level (msl). 3. Elevation of the First F1oor, Basement or F1ood proof level for proposed structure is .ft. 4. Describe the Non Structural Activity i.e. septic tank, waste water treatment plants etc. (including the location and development: 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: Lime Out 2, LLC Law Office of Kathryn J. DePree, PMB 233, 5000 Estate Enighed, St. John, VI 00830 340 514 7462 Studioarmin 340-690-4329 340-690-4329 N/A N/A X Mooring and Operation of a Floating Take-Out Restaurant 0 N/A Floating Restaurant and moorings  Richard Baranowski Amy Claire Dempsey Lime Out 2, LLC Bioimpact, Inc. richardnowski bioimpact@islands.vi P.O.Box 132 Kingshill St. Thomas VI USA St. Croix VI 00851 USA 340 5147462 340 6908445 340 7183800 Amy Claire Dempsey April 15, 202 Lime Out 2, LLC Lindbergh Bay P.O.Box 132 Kingshill 18.3326058 64.9660576W St. Croix VI 00851 NA NA Charlotte Amalie St. Thomas LIndbergh Bay is located immediately south of the Airport. The proposed floating restaurant will be 1100' off shore in the bay. Lime Out 2, LLC (the Applicant) is proposing to moor a floating take-out restaurant in Lindbergh Bay, St. Thomas, and to install 10 moorings for vessels visiting the restaurant. The floating restaurant will be 53 in length and 20 in width and anchored with 4 helix type anchors with floating lines to avoid impact to the seafloor. The floating restaurant has been located to avoid benthic resources and 8 moorings are proposed to minimize anchoring by restaurant patrons. The floating restaurant will have single toilet with a holding tank for wastewater. The holding tank will be approximately 8 gallons and will be emptied on a daily basis. The floating take-out restaurant will have a The objective of the application is to permit a floating take-out restaurant in Lindbergh Bay which is easily accessible for tourist and residents alike. N/A 0 0 0 0 0 The floating restaurant and it's associated moorings have been located to avoid benthic resources. The barge will minimize impacts by being zero waste discharge, and will utilized solar power. In order the compensate for any impacts which may occur the applicant proposes to install 2 moorings for use by the public. Virgin Islands Port Authority, Cyril King Airport Government of the Virgin Islands Emerald Beach Hotel, P.O. Box 340 Beachcomber Hotel, P.O. Box 2579 00803 00804 00802 00801 DPNR and CZM Permit Concurrent DEP WQC Concurrent X St. Thomas VI St. Thomas St. Thomas VI VI St. Thomas VI 04/15/2021 SIGN