Construction Permit Application - SCDHEC

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DHEC 1970 (09/2016) SCDHEC , UST Management Division, 2600 Bull Street, Columbia, SC 29201, PHONE (803)898-7957 FAX (803) 896-6245 See Reverse SideDELEGATED REVIEW PROJECT SUBMITTAL: Yes o EXPEDITED REVIEW PROGRAM SUBMITTAL: Yes oSELECT ONE o Water Facilities o Wastewater Facilities o Combined Water & Wastewater FacilitiesI. Project Name: County: II. Project Location (street names, etc.): III. Project Description(s): Water System: Wastewater System: Project Type (A-Z): Water: ____ Wastewater: ____ (See instructions for the appropriate project code) IV. Initial Owner: [Time of Application ] Name/Organization: Address: City: State: Zip: Phone #: (____) ________________________ E-mail (Initial Owner): V.

Initial Owner/Operator Information: Owner/operator of the project, at the time of application (i.e., before construction is completed). List their mailing address, business telephone number including area code, and e-mail address. V. Final Owner/Operator Information: Owner/operator of the project, after construction has been completed and ...

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