GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS 0 DEPARTMENT OF PLANNING AND NATURAL RESOURCES Coastal Zone Management Program 45 Mars Hill, Freclerilated St. Croix, U.S. Virgin Islands 00840.4474 Cyril E. King Airport, Terminal Bldg 2nd Floor St. Thomas, Virgin Islands 00802 REQUEST FOR AMENDMENT / MODIFICATION TO MINOR COASTAL ZONE PERMITS No. CZ - This request is pursuant to Chapter 21, Title 12 of the Virgin Islands Code and the Coastal Zone Management Rules and Regulations. 1 Name. Mailing address and telephone number of a icant JAREDIAN DESIGN GROUP, LLC, 2. Name, title, mailing address and telephone number of the owner of the property GREAT ST. JIM, LLC. ROYAL PALMS PROFESSIONAL BUILDING, 3. Location of activity. Plot No. SEE ATT. Estate GREAT ST. JAMES Island ST. THOMAS 4. Summary of proposed activity. Include all incidental improvements such as utilities, roads, etc. (Use additional sheets if necessary). TO PERFORM LIMITED BRUSH AND DEBRIS REMOVAL AND DRIVEWAY STABILIZATION (ISLAND WIDE); TO INSTALL TWO 80-FEET FLAGPOLES (PARCELS 4-2 & C-1 REMAINDER); TO INSTALL A TIKI BAR (PARCEL A REM.); TO INSTALL A 75-FEET DIAMETER CONCRETE DECK (PARCEL A REM.); TO INSTALL A 25 FT. X 75 FT. CONCRETE DECK (PARCEL A-1); TO INSTALL LIMITED LANDSCAPING (PARCEL C-1 REM.); TO INSTALL TWO ACCESS DRIVEWAYS (PARCELS A REM., B-1-2 & C-1 REM.) AS SHOWN ON PERMIT DRAWINGS. This modification if approved is subject to the conditions of Permit No. that are not superseded by the modification. Signature of applicant Date Signature of Property Owner Date The Commissioner reviewed the requested amendment / modification and determined that it will / will not significantly modify, the scope, nature or characteristics of the proposed development. Inspector Date Application Approved ( ) Application Disapproved ( ) Commissioner Date EFTA00605853