Bolthole Index county-legal census · checked 2026-08-08
Septic permitting in Alabama is handled at the county level — county health departments approve systems in 67 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 41
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)
Alabama Department of Public Health - Barbour County Services ↗Bibb County Health Department (Alabama Department of Public Health)
Alabama Department of Public Health - Bibb County Services ↗Blount County Health Department Environmental Services (ADPH)
ADPH Blount County - 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)
ADPH - Butler County Health Department ↗Calhoun County Health Department, Environmental Services (ADPH)
ADPH Calhoun County Environmental Services ↗Chambers County Health Department (under Alabama Department of Public Health)
Alabama Department of Public Health - Septic Tank Systems ↗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)
ADPH Chilton County Health Department Services ↗Choctaw County Health Department, Environmental Office (Alabama Dept of Public Health)
ADPH - Choctaw County Environmental Office ↗Clarke County Health Department (ADPH)
Alabama Department of Public Health - Clarke County ↗Clay County Health Department (Alabama Department of Public Health)
Alabama Department of Public Health - Septic Tank Systems ↗Cleburne County Health Department (ADPH) - Environmental Services
Alabama Department of Public Health - Cleburne County Environmental Services ↗Coffee County Health Department (ADPH)
ADPH Coffee County Services ↗Colbert County Health Department (ADPH Environmental Services)
ADPH Colbert County - Environmental Services ↗Conecuh County Health Department (Alabama Dept of Public Health)
ADPH - Conecuh County Health Department ↗Coosa County Health Department (Alabama Dept of Public Health)
ADPH - Coosa County Health Department ↗Covington County Health Department (Alabama Department of Public Health), Environmental Services
Alabama Department of Public Health - Covington County services ↗Crenshaw County Health Department (Alabama Department of Public Health), Environmental / Onsite Sewage
ADPH — Crenshaw County Health Department Services ↗Cullman County Health Department (Environmental Services)
ADPH - Cullman County Environmental Services ↗Dale County Health Department (Alabama Department of Public Health)
Alabama Department of Public Health - Dale County Services ↗Dallas County Health Department Environmental Office (under Alabama Department of Public Health)
Alabama Department of Public Health - Dallas County Environmental Office ↗DeKalb County Health Department (ADPH Onsite Sewage program)
ADPH - DeKalb County Environmental Services ↗Elmore County Health Department (Alabama Department of Public Health)
Alabama Department of Public Health - Elmore County Services ↗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
Alabama Dept. of Public Health, Fayette County Health Department Services ↗Franklin County Health Department (under Alabama Department of Public Health, Onsite Sewage Program)
ADPH - Septic Tank Systems ↗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)
ADPH - Houston County Onsite Sewage ↗Jackson County Health Department (ADPH)
ADPH - Jackson County Health Department Services ↗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)
Alabama Department of Public Health - Onsite Sewage ↗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)
ADPH Lawrence County Health Department Services ↗Lee County Health Department (Alabama Department of Public Health)
Alabama Department of Public Health - Onsite Sewage ↗Limestone County Health Department (Environmental Services, under ADPH)
ADPH - Limestone County Health Department Services ↗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)
Alabama Department of Public Health — Septic Tank Systems ↗Marion County Health Department (Alabama Department of Public Health, Onsite Sewage program)
Alabama Department of Public Health - Septic Tank Systems ↗Marshall County Health Department (ADPH Soil and Onsite Sewage program)
ADPH - Septic Tank Systems ↗Mobile County Health Department, Onsite Sewage Division
Mobile County Health Department - Environmental Health ↗Monroe County Health Department (Alabama Department of Public Health)
ADPH Monroe County Health Department ↗Montgomery County Health Department (ADPH Soil and Onsite Sewage program)
ADPH Soil and Onsite Sewage ↗Morgan County Health Department (Alabama Department of Public Health)
ADPH - Morgan County Health Department Services ↗Perry County Health Department (Environmental Health) under Alabama Department of Public Health (ADPH)
Alabama Department of Public Health — 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)
Alabama Department of Public Health - Pike County (Services) ↗Randolph County Health Department (Alabama Department of Public Health)
ADPH - Randolph County Environmental Services ↗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)
Shelby County Development Services - What to Bring ↗St. Clair County Health Department (ADPH Community Environmental Protection / Onsite Sewage program)
ADPH St. Clair County - Environmental Services ↗Sumter County Health Department (ADPH)
Alabama Department of Public Health - Sumter County ↗Talladega County Health Department (ADPH Onsite Sewage)
ADPH Talladega County 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)
ADPH Soil and Onsite Sewage ↗Walker County Health Department (Alabama Department of Public Health)
ADPH Walker County Health Department ↗Washington County Health Department (under Alabama Department of Public Health)
Alabama Department of Public Health - 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)
Alabama Department of Public Health - Septic Tank Systems ↗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.
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.
