Bolthole Index county-legal census · checked 2026-10-09
Septic permitting in Alabama is handled at the county level — county health departments approve systems in 60 of 67 counties.Every entry below names the approving authority for that county, cited to the authority’s own page.
Septic rules change and some cities run their own programs — treat this as a verified starting point, not legal advice. All states → Full Alabama profile →
67 counties · county health departments · permit status scouted for 67
Autauga County Health Department (ADPH Soil and Onsite Sewage program)
ADPH Soil and Onsite Sewage ↗Baldwin County Health Department (ADPH Soil and Onsite Sewage program)
ADPH Soil and Onsite Sewage ↗Barbour County Health Department (Alabama Department of Public Health)
Services | Barbour County Health Department ↗Bibb County Health Department (Alabama Department of Public Health)
Services | Alabama Department of Public Health (ADPH) ↗Blount County Health Department Environmental Services (ADPH)
Environmental Services ↗Bullock County Health Department (Alabama Department of Public Health)
Alabama Department of Public Health — Septic Tank Systems ↗Butler County Health Department (Alabama Department of Public Health)
Services | Alabama Department of Public Health ↗Calhoun County Health Department, Environmental Services (ADPH)
Environmental Services | Alabama Department of Public Health ↗Chambers County Health Department (under Alabama Department of Public Health)
Soil and Onsite Sewage ↗Cherokee County Health Department / Environmental Services (Alabama Department of Public Health)
Alabama Department of Public Health - Cherokee County Environmental Services ↗Chilton County Health Department (Alabama Department of Public Health, Onsite Sewage program)
Services | Chilton County Health Department ↗Choctaw County Health Department, Environmental Office (Alabama Dept of Public Health)
2025 Annual Report of the Choctaw County Health Department ↗Clarke County Health Department (ADPH)
Environmental Services — Clarke County Health Department ↗Clay County Health Department (Alabama Department of Public Health)
Soil and Onsite Sewage ↗Cleburne County Health Department (ADPH) - Environmental Services
Environmental Services ↗Coffee County Health Department (ADPH)
alabamapublichealth.gov ↗Colbert County Health Department (ADPH Environmental Services)
ADPH Colbert County - Environmental Services ↗Conecuh County Health Department (Alabama Dept of Public Health)
Environmental Services ↗Coosa County Health Department (Alabama Dept of Public Health)
Services | Coosa County Health Department ↗Covington County Health Department (Alabama Department of Public Health), Environmental Services
alabamapublichealth.gov ↗Crenshaw County Health Department (Alabama Department of Public Health), Environmental / Onsite Sewage
Services | Crenshaw County Health Department ↗Cullman County Health Department (Environmental Services)
Services | Alabama Department of Public Health ↗Dale County Health Department (Alabama Department of Public Health)
alabamapublichealth.gov ↗Dallas County Health Department Environmental Office (under Alabama Department of Public Health)
Environmental Office | Alabama Department of Public Health ↗DeKalb County Health Department (ADPH Onsite Sewage program)
ADPH - DeKalb County Environmental Services ↗Elmore County Health Department (Alabama Department of Public Health)
Services | Elmore County Health Department ↗Escambia County Health Department (Alabama Department of Public Health)
Alabama Department of Public Health - Escambia County ↗Etowah County Health Department (Environmental Office, under ADPH)
ADPH - Etowah County Health Department (Environmental Office) ↗Fayette County Health Department
Services | Alabama Department of Public Health (ADPH) ↗Franklin County Health Department (under Alabama Department of Public Health, Onsite Sewage Program)
Soil and Onsite Sewage ↗Geneva County Health Department (Alabama Department of Public Health)
Geneva County Health Department - Services (ADPH) ↗ADPH Greene County Health Department (Onsite Sewage)
ADPH - Soil and Onsite Sewage ↗Hale County Health Department
Alabama Dept. of Public Health, Hale County Health Department Services ↗Henry County Health Department (Alabama Department of Public Health)
Alabama Department of Public Health - Henry County Services ↗Houston County Health Department (Alabama Department of Public Health)
Onsite Sewage ↗Jackson County Health Department (ADPH)
alabamapublichealth.gov ↗Jefferson County Department of Health (JCDH) - Community Environmental Protection
Jefferson County Department of Health ↗Lamar County Health Department (under ADPH Soil and Onsite Sewage program)
alabamapublichealth.gov ↗Lauderdale County Health Department (Environmental Services, under Alabama Department of Public Health)
ADPH - Lauderdale County Health Department ↗Lawrence County Health Department (Alabama Department of Public Health, Onsite Sewage program)
Services | Alabama Department of Public Health (ADPH) ↗Lee County Health Department (Alabama Department of Public Health)
Alabama Department of Public Health - Onsite Sewage ↗Limestone County Health Department (Environmental Services, under ADPH)
Services | Limestone County Health Department ↗Lowndes County Health Department (Alabama Department of Public Health, Onsite Wastewater program)
ADPH - Lowndes County Septic System Program ↗Macon County Health Department (Alabama Department of Public Health)
Alabama Department of Public Health - Macon County ↗Madison County Health Department, Environmental Services (under Alabama Dept of Public Health)
Alabama Department of Public Health - Madison County Environmental Services ↗Marengo County Health Department (under Alabama Department of Public Health)
alabamapublichealth.gov ↗Marion County Health Department (Alabama Department of Public Health, Onsite Sewage program)
Soil and Onsite Sewage ↗Marshall County Health Department (ADPH Soil and Onsite Sewage program)
ADPH - Septic Tank Systems ↗Mobile County Health Department, Onsite Sewage Division
Environmental Health ↗Monroe County Health Department (Alabama Department of Public Health)
Environmental Health Services ↗Montgomery County Health Department (ADPH Soil and Onsite Sewage program)
Onsite Sewage Disposal ↗Morgan County Health Department (Alabama Department of Public Health)
Services | Morgan County Health Department ↗Perry County Health Department (Environmental Health) under Alabama Department of Public Health (ADPH)
Services — Perry County Health Department ↗Pickens County Health Department (Alabama Dept of Public Health)
ADPH - Pickens County Health Department ↗Pike County Health Department (Alabama Department of Public Health, Onsite Sewage program)
alabamapublichealth.gov ↗Randolph County Health Department (Alabama Department of Public Health)
alabamapublichealth.gov ↗Russell County Health Department (Alabama Department of Public Health – Onsite Sewage)
ADPH Russell County Health Department – Services ↗Shelby County Health Department Environmental Office (Alabama Department of Public Health)
Soil and Onsite Sewage ↗St. Clair County Health Department (ADPH Community Environmental Protection / Onsite Sewage program)
Environmental Services ↗Sumter County Health Department (ADPH)
Services | Sumter County Health Department ↗Talladega County Health Department (ADPH Onsite Sewage)
Environmental Services ↗Tallapoosa County Health Department (ADPH Onsite Sewage program)
Alabama Department of Public Health - Septic Tank Systems ↗Tuscaloosa County Health Department (ADPH Soil and Onsite Sewage program)
Services - Tuscaloosa County Health Department ↗Walker County Health Department (Alabama Department of Public Health)
Engineering | Walker County ↗Washington County Health Department (under Alabama Department of Public Health)
Soil and Onsite Sewage ↗Wilcox County Health Department - Environmental Office (under ADPH)
Wilcox County Health Department (ADPH) ↗Winston County Health Department (under Alabama Department of Public Health)
Contact Us | Winston County Health Department ↗Every county here has a full profile — its index score, water, land prices, and the rest of its building rules. See the Alabama state page for all counties ranked, or the national septic guide.
Off-grid gear
Before the Alabama septic office sees a parcel, you can test it yourself. What we'd bring:
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General guidance, not legal advice. Off-grid, building, and land-use rules are often set at the county level and change often. Verify with your county and state before acting. Data reviewed 2026-06-26.
