Bolthole Index county-legal census · checked 2026-10-10
Septic permitting in Iowa is handled at the county level — county health departments approve systems in 86 of 99 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 → Iowa water rights & wells → Full Iowa profile →
99 counties · county health departments · permit status scouted for 99
Adair County Environmental Health (operated under contract by Guthrie County Environmental Health Department)
Environmental Health in Adair County, Iowa ↗Adams County Environmental Health
Septic Systems - Environmental Health - Adams County ↗Allamakee County Environmental Health
Allamakee County Environmental Health ↗Appanoose County Environmental Health / County Board of Health (ADLM Counties, under Iowa DNR)
New Construction - Appanoose County ↗Audubon County Sanitarian / Board of Health
Private Sewage Disposal and Septage ↗Benton County Department of Environmental Health (local board of health)
Job Description – Environmental Health & Land Use Administrator ↗Black Hawk County Public Health (Septic Program)
Black Hawk County Public Health - Septic Program ↗Boone County Health and Sanitation (Environmental Health)
boonecounty.iowa.gov ↗Bremer County Building, Zoning & Sanitation Department (Environmental Health)
Ordinances & Codes ↗Buchanan County Environmental Health Services
Buchanan County Environmental Health - Private Sewage Disposal Systems ↗Buena Vista County Environmental Health / Board of Health
Environmental Health - Buena Vista County ↗Butler County Environmental Health / Butler County Board of Health
Butler County Environmental Health ↗Calhoun County Board of Health / Environmental Health (Sanitarian), under Iowa DNR
Calhoun County, IA - Environmental Health ↗Carroll & Crawford County Environmental Health Department
Carroll County, IA Septic Permits (Environmental Health) ↗Cass County Environmental Health Office (Board of Health)
Environmental Health Office ↗Cedar County Environmental Health (Board of Health)
Septic | Environmental Health | Cedar County, Iowa ↗Cerro Gordo County Department of Public Health (CG Public Health)
Septic Inspection/Testing | CG Public Health ↗Cherokee County Environmental Health (under Iowa DNR)
Environmental Health ↗Chickasaw County Environmental Health Program (under Iowa DNR / Iowa Code ch. 567)
Waste Water Systems | Environmental Health | Chickasaw County, Iowa ↗Clarke County Environmental Health / Sanitation Office (Clarke-Decatur-Ringgold Tri-County)
Clarke, Decatur, and Ringgold County Environmental Health - Septic Packet ↗Clay County Environmental Health Department
Private Sewage Disposal and Septage ↗Clayton County Board of Health / Public Health Sanitarian (Health & Zoning)
Septic - Environmental Health ↗Clinton County Environmental Services (Sanitarian's Office / Board of Health)
Wastewater Treatment ↗Carroll & Crawford County Environmental Health Department (Crawford County Board of Health)
Private Sewage Disposal and Septage ↗Dallas County Environmental Health Department (Dallas County Board of Health, under Iowa DNR)
Private Septic Information ↗ADLM Environmental Public Health (Appanoose-Davis-Lucas-Monroe)
Private Sewage Disposal and Septage ↗Decatur County Environmental Health (Public Health)
Decatur County Board of Health Rules and Regulations—Chapter 01: On-Site Wastewater Treatment and Disposal Systems ↗Delaware County Water and Sanitation Department
Delaware County (IA) Water and Sanitation ↗Des Moines County Public Health - Environmental Health
Environmental Health - Public Health - Des Moines County, IA ↗Dickinson County Zoning & Environmental Health
Dickinson County - Zoning & Environmental Health Applications ↗Dubuque County Health Department
Well & Septic Permits ↗Emmet County Public Health / Environmental Health
Emmet County Iowa - Environmental Health ↗Fayette County Environmental Health (county board of health, under Iowa DNR ch. 567-69)
Environmental Health - Fayette County, Iowa ↗Floyd County Environmental Health (County Sanitarian / Board of Health)
Environmental Health ↗Franklin County Environmental Health Department / Franklin County Board of Health
Environmental Health, Sanitation, and Zoning ↗Fremont County Board of Health / Environmental Health (under Iowa DNR)
Iowa Code 2026, Chapter 455B ↗Greene County Environmental Health / Board of Health
Greene County IA Environmental Health ↗Grundy County Sanitarian / Board of Health
Grundy County Zoning Department / County Sanitarian ↗Guthrie County Environmental Health / Board of Health
Guthrie County - Environmental Health Septic Systems ↗Hamilton County Public Health (Sanitarian / Board of Health)
Private Sewage Disposal and Septage ↗Hancock County Environmental Health Office
Septic System - Environmental Health ↗Hardin County Environmental Health / County Sanitarian
Hardin County Environmental Health - Septic Systems ↗Harrison County Environmental Health Department
Environmental Health, Planning & Zoning - Harrison County, Iowa ↗Henry County Environmental Health
Jurisdiction of Department of Natural Resources, Iowa Code §455B.172 ↗Howard County Environmental Health (local board of health, under Iowa DNR)
Environmental Health in Howard County, Iowa ↗Humboldt County Environmental Health / Sanitarian (Board of Health, under Iowa DNR standards)
Iowa Administrative Code Chapter 69: Private Sewage Disposal Systems ↗Ida County Environmental Health Sanitarian (Board of Health, under Iowa DNR)
Ida County Environmental Health Sanitarian ↗Iowa County Environmental Health Department
Septic System - Iowa County Environmental Health ↗Jackson County Environmental Health Department
Onsite Wastewater Treatment ↗Jasper County Community Development (Environmental Health), under Iowa DNR
Septic Systems - Community Development - Jasper County ↗Jefferson County Environmental Health (County Board of Health)
Private Sewage Disposal and Septage ↗Johnson County Public Health Department
Sewage Permit Application ↗Jones County Environmental Health Office (Board of Health)
The Private and Public Sewage Disposal Systems Rules ↗Keokuk County Public Health (Sanitarian)
Environmental | Keokuk County ↗Kossuth County Board of Health
Sanitarian – Kossuth County ↗Lee County Health Department (Environmental Health)
Code of Ordinances, Lee County, Iowa ↗Linn County Public Health Department
Water Wells and Septic Systems ↗Louisa County Public Health - Environmental Health (under Iowa DNR)
Environmental Health ↗Lucas County Public Health / Environmental Health (county board of health, under Iowa DNR)
Environmental Health | Lucas County, Iowa ↗Lyon County Environmental Health (Health Services of Lyon County)
Lyon County Environmental Health ↗Madison County Environmental Health (county board of health, under Iowa DNR private sewage rules)
Environmental Health | Madison County, Iowa ↗Mahaska County Environmental Services (County Sanitarian) / Board of Health
Mahaska County Code of Ordinances 2026 ↗Marion County Department of Environmental Health
Frequently Asked Questions - Zoning - Marion County, Iowa ↗Marshall County Environmental Health (county Board of Health, under Iowa DNR private sewage rules)
Private Sewage Disposal and Septage ↗Mills County Environmental Health / County Board of Health
Environmental Health ↗Mitchell County Environmental Health / Board of Health (County Sanitarian)
Environmental Health – Mitchell County, IA ↗Monona County Environmental Health/Zoning (local board of health)
Private Water Wells & Onsite Septic Systems ↗ADLM Counties Environmental Public Health Department
Monroe County, Iowa - ADLM Environmental Health ↗Montgomery County Public Health (County Sanitarian)
Montgomery County, IA - Public Health ↗Muscatine County Environmental Office (County Development)
Muscatine County IA - Septic System ↗O'Brien County Environmental Health
Environmental Health - O'Brien County Iowa ↗Osceola County Environment Health Specialist
Environment Health Specialist - Osceola County, Iowa ↗Page County Environmental Health Office (county board of health, under Iowa DNR)
Page County | Environmental Health ↗Palo Alto County Environmental Health Department
Private Sewage Disposal and Septage ↗Plymouth County Sanitarian / Board of Health
Plymouth County Sanitarian / Environmental Health ↗Pocahontas County Environmental Health Department / Board of Health
Private Sewage Disposal and Septage ↗Polk County Environmental Health Services (under Iowa DNR)
Polk County Environmental Health Services ↗Pottawattamie County Public Health, Environmental Health
Pottawattamie County Public Health, Septic Systems ↗Poweshiek County Sanitarian / Board of Health
Poweshiek County Board of Health Rules ↗Ringgold County Environmental Health (Ringgold County Board of Health)
Ringgold County Public Health - Septic Permits ↗Sac County Environmental Health / Board of Health (County Sanitarian), under Iowa DNR private sewage rules
Sac County Health Services - Environmental Health & Zoning ↗Scott County Health Department (Private Sewage Disposal System Program)
Wells & Septic ↗Shelby County Environmental Health Office
Shelby County Environmental Health - Programs ↗Sioux County (Ordinance No. 12 - On-Site Wastewater Treatment Systems)
Zoning Permit Application Requirements ↗Story County Environmental Health Department
Environmental Health ↗Tama County Sanitarian / Environmental Health Department
Tama County Sanitarian Department - Septic System ↗Taylor County Sanitation Department (Sanitarian)
Taylor County Sanitation ↗Union County Environmental Health / Board of Health
Union County Environmental Health ↗Van Buren County Sanitarian (Public Health)
Sanitarian ↗Wapello County Planning & Zoning (septic permits via GeoPermits), under Iowa DNR
Septic Systems ↗Warren County Environmental Health (Warren County Board of Health)
Septic Systems ↗Washington County Environmental Health Department
Private Onsite Septic Systems ↗Wayne County Environmental Health Office / County Sanitarian
Where Do I Go? - Wayne County ↗Webster County Health Department (Board of Health)
Private Sewage Disposal and Septage ↗Winnebago County Environmental Health
Winnebago County (IA) - Zoning Department ↗Winneshiek County Sanitarian (County Board of Health)
Winneshiek County Environmental Health ↗Siouxland District Health Department — Environmental Health
Siouxland District Health Department — Private Septic Systems ↗Worth County Sanitarian
Worth County - Planning and Zoning Department ↗Wright County Public Health - Environmental Services (Waste Water System permits, under Iowa DNR)
Wright County IA - Planning & Zoning ↗Every county here has a full profile — its index score, water, land prices, and the rest of its building rules. See the Iowa state page for all counties ranked, or the national septic guide.
Off-grid gear
Before the Iowa 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.