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Construction Permit Application - SCDHEC

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. Final Owner: [After Construction ] Name/Organization: Address: City: State: Zip: Phone #: (____) _____ E-mail (Final Owner): VI.

APPLICATION INSTRUCTIONS Water/Wastewater Construction Permits Purpose: This form must be completed as part of an application package submitted for DHEC approval of water and/or wastewater systems construction plans. Combined Submittals: A project may be submitted for both water and wastewater in the same package if: Project has the same …

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