—dd—ddU/ GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES Division of Comprehensive & Coastal Zone Planning St. Croix St. Thomas/St. John 340-773-1082 340-774-3320 Application for Approval of Preliminary Subdivision Plat To the Department of Planning and Natural Resources: An application is hereby submitted for the approval of the Preliminary Plan for a subdivision hereinafter more particularly described and detailed on the accompanying maps and documents. Note: Official correspondence will be mailed to the address above Area Allotment Type of area Area (Acres) % of Total Area Residential Lots Road Right of Way Recreation areas Remainder of tract Other (Specify) Total 10. Roads Maximum and Minimum Road Gradient(s) Max: ________ Min: _______ 12. Development Plans a. Sell lots only? Yes: ____ No: ____ b. Construction of houses for sale? Yes: ____ No: ____ 13. Deed restrictions that may apply or are planned (Use attached sheet to explain in 14. Name and profession of person designing preliminary plan. 15. List proposed improvement and utilities and time of intended installation. Improvements Time of Installation 16. List of maps and other material accompanying application and number of each. Item Number I hereby certify that the information contained in this application is true and correct, and that all work will be done in compliance with all applicable Virgin Islands law regulating subdivision and zoning. Print Print Sign Sign Date Date Preliminary Plat Submittal Requirements The applicant shall submit a completed Application for Approval of the Preliminary Plat signed by the Applicant/Developer. Engineering Plans must be certified by a Registered Professional Engineer. The application shall be submitted with: Three (3) copies of: Preliminary Plat which is to include: Boundary Survey, Topography and Grading Plan, Schematic Street Layout, Schematic Utility Plan, Typical Cross-Sections of Streets, Plan and Profile Drawings and Special Details. One (1) copy of: Water Resources Map. Sediment Reduction Program Map. Official Recorded and Numbered PWD/OLG Map (Obtained from and certified by the Office of the Lieutenant Governor, Cadastral Division, St. Croix 773-6449; St. Thomas 774-9906) Real Property Tax Clearance Letter (Obtained from the Department of Finance, St. Croix 773-1105; St. Thomas/ St. John 774-4750) A copy of the property’s deed and of any protective covenants or deed restrictions that apply to the land being subdivided. Power of Attorney (Notarized Power of Attorney required if applicant/representative is not the property owner(s) of record or if property is owned by more than one person.) A separate map showing only the property boundaries of the tract and proposed subdivided lots with their dimensions. An approved Minor Coastal Zone Management (CZM) Permit by the DPNR’s Division of Coastal Zone Management for Tier 1 properties. A location map showing which island the development is on as well as where on the island the construction will occur. Certification from the Department of Planning and Natural Resources’ Division of State Historic Preservation Office of the property’s cultural, historical and archaeological status. If a zoning change was involved, a copy of the Legislative approval stating that the change has been granted. Note: Approval of Preliminary Plats will not be granted until all required documents are submitted to the Division of Comprehensive and Coastal Zone Planning. Additionally, no activity, e. g. earth change, placement of monuments for individual lots, road cutting, or construction of any kind, shall take place on the property until the Commissioner of the Department of Planning and Natural Resources has granted written approval of the Preliminary Plat. GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES Division of Comprehensive & Coastal Zone Planning St. Croix St. Thomas/St. John 340-773-1082 340-774-3320 Application for Final Approval of Final Subdivision Plat To the Department of Planning and Natural Resources: An application is hereby submitted for the final approval of the Final Plat for a subdivision hereinafter more particularly described and detailed on the accompanying maps and documents. Note: Official correspondence will be mailed to the address above Does the Final Plat follow exactly the Preliminary Plan in regards to details and area covered? If not, indicate material changes: ___________________________ Explain the function, ownership, and owner maintenance of common open space and other areas including private estate roads not otherwise reserved or dedicated for public use: _____________________________________________________ List of maps and other material accompanying application and number of each. Item Number Certification from the Department of Planning and Natural Resources’ Division of Environmental Protection that the developer’s plans for storm water management, and waste water (sewage) disposal have been approved. Certification from the Virgin Islands Water and Power Authority that the developer’s plans, easements and/or right of way for utilities are properly located and adequate in size for installation and maintenance of facilities. Certification from the Department of Public Works that the developer’s plans for streets (roads), walks, culverts, and any special engineering features have been approved. Developer must produce documents prior to requesting final approval that he/she has paid for the installation and connection of water and electricity lines, if the property is in the area of WAPA connections. All developers must produce documents before final approval that cable and telephone connections were paid for the subdivision. I hereby certify that the information contained in this application is true and correct, and that all work will be done in compliance with all applicable Virgin Islands law regulating subdivision and zoning. 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