Bolthole Index county-legal census · checked 2026-10-10
Septic permitting in Illinois is mixed: 74 counties use county health departments, 2 go through a state agency, and 26 through regional districts.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 → Illinois water rights & wells → Full Illinois profile →
102 counties · mixed — varies by county · permit status scouted for 102
Adams County Health Department
Application for Permit to Construct a Private Sewage Disposal System ↗Southern Seven Health Department
Southern Seven Health Department - Private Sewage Program ↗Bond County Health Department (Environmental Health)
Environmental Health – Bond County Health Department ↗Boone County Health Department - Environmental Center (under Illinois IDPH private sewage disposal code)
Boone County Health Department - Private Sewage Disposal ↗Brown County Health Department
Brown County Health Department ↗Bureau County Health Department (IDPH Private Sewage Disposal)
Bureau County - Frequently Asked Zoning Questions ↗Calhoun County Health Department
Calhoun County Health Department Services ↗Carroll County Health Department
Carroll County Health Department ↗Cass County Health Department (under IDPH Private Sewage Disposal Code)
Cass County Private Sewage Disposal Ordinance ↗Champaign-Urbana Public Health District (C-UPHD)
Champaign-Urbana Public Health District - Onsite Sewage Systems ↗Christian County Health Department (under Illinois Dept. of Public Health Private Sewage Disposal Code)
Illinois Dept. of Public Health - Private Sewage Disposal ↗Clark County Health Department (Illinois), Environmental Health (under Illinois Dept of Public Health)
Clark County Health Department ↗Clay County Health Department, Division of Environmental Health
Clay County Health Department - Private Sewage ↗Clinton County Health Department (Environmental Health / Private Sewage Disposal)
Private Sewage Disposal ↗Coles County Health Department (Environmental Health - Private Sewage)
Coles County Health Department - Environmental Sewage ↗Cook County Department of Public Health (Environmental Health)
Cook County Department of Public Health — Septic ↗Crawford County Health Department (Private Sewage program, under Illinois Department of Public Health)
Crawford County Health Department - Private Sewage ↗Cumberland County Health Department, Environmental Health (agent of IDPH)
Environmental Health – Cumberland County Illinois Health Department ↗DeWitt-Piatt Bi-County Health Department
DeWitt-Piatt Bi-County Health Department - Septic System ↗DeKalb County Health Department, Environmental Health Division
Well & Septic ↗Douglas County Health Department
Septic Systems ↗DuPage County Health Department - Environmental Health (Private Sewage Disposal program)
Sewage ↗Edgar County Public Health Department (agent of IDPH under 77 Ill. Adm. Code Part 905)
Edgar County Public Health Department ↗Edwards County Health Department (agent of Illinois Department of Public Health)
Illinois Department of Public Health - Private Sewage Disposal ↗Effingham County Health Department (under Illinois DPH)
Effingham County Public Works Code, Chapters 50-51 ↗Fayette County Health Department - Division of Environmental Health (under Illinois Department of Public Health)
Fayette County Health Department, IL - Septic Permits & Inspections ↗Ford County Public Health Department, Well and Septic Program (under Illinois DPH)
Ford County Public Health Department — Well and Septic Program ↗Franklin-Williamson Bicounty Health Department
§ 50.05 Permit Requirements ↗Fulton County Health Department, Environmental Health Division
Fulton County Health Ordinance Part II: Private Sewage Disposal Ordinance ↗Egyptian Health Department (serves Gallatin, Saline, and White counties)
Egyptian Health Department - Environmental Health ↗Greene County Health Department (Environmental Health)
Private Sewage Disposal System Permit Application / Information Packet ↗Grundy County Health Department, Environmental Health Division
Environmental Health ↗Hamilton County Health Department (Environmental Health / Private Sewage)
Private Sewage and Water Supplies – Hamilton County Health Department ↗Hancock County Health Department
Private Septic - Hancock County Health Department ↗Southern Seven Health Department (Private Sewage Disposal Program, under Illinois Department of Public Health)
Southern Seven Health Department - Hardin County Clinic ↗Henderson County Health Department (Environmental Health)
Private Sewage Disposal ↗Henry County Health Department
Henry County International Building Code Information and Instructions ↗Iroquois County Public Health Department - Environmental Health
Application for Permit to Construct or Repair a Private Sewage System ↗Jackson County Health Department
Jackson County Private Sewage Disposal System Ordinance ↗Jasper County Health Department, Environmental Health Division
Jasper County Health Department Fiscal Year 2023 Annual Report ↗Jefferson County Health Department (Environmental Health)
County Code ↗Jersey County Health Department, Environmental Health
Environmental Programs ↗Jo Daviess County Health Department, Environmental Health (Private Sewage Disposal, under IDPH Part 905)
Private Sewage Disposal ↗Southern 7 Health Department (Environmental Health), under Illinois Department of Public Health
Southern 7 Health Department - Private Sewage Disposal & Water Supply Program ↗Kane County Health Department, Private Sewage Program
Septic Sewage ↗Kankakee County Health Department (Environmental Health / Septic Program)
Septic Program ↗Kendall County Health Department (Environmental Health)
Onsite Wastewater Treatment System Ordinance ↗Knox County Health Department, Environmental Health (Private Sewage Disposal Program)
Septic Systems ↗Lake County Health Department
Onsite Wastewater Treatment System ↗LaSalle County Health Department, Environmental Health Division (Private Sewage Disposal Program, under Illinois DPH)
Sewage Disposal ↗Illinois Department of Public Health (IDPH) - Private Sewage Disposal Program
Illinois Department of Public Health - Private Sewage Disposal Program (state) ↗Lee County Health Department, Environmental Health Division
Environmental Health | Lee County Health Department ↗Livingston County Health Department, Environmental Health Division
Livingston County Health Department (Private Sewage Disposal) ↗Logan County Department of Public Health, Division of Environmental Health (under IDPH)
Sewage Disposal - Logan County Department of Public Health ↗Macon County Health Department, Environmental Health
§ 53.05 Permits ↗Macoupin County Public Health Department (Environmental Health)
Licenses, Permits & Zoning Information - Macoupin County ↗Madison County Planning & Development Department, Code Enforcement (Solid Waste/Private Sewage Inspector)
Private Sewage - Permits, Inspections & Complaints ↗Marion County Health Department, Division of Environmental Health
Marion County Health Department - Environmental Health ↗Bureau, Putnam & Marshall Health Department
Bureau, Putnam & Marshall Health Department ↗Mason County Health Department, Environmental Health
Septic Permit ↗Southern Seven Health Department (multi-county health department, agent of IDPH under 77 Ill. Adm. Code Part 905)
Southern Seven Health Department, Private Sewage Disposal Program ↗McDonough County Health Department (under IDPH 77 Ill. Adm. Code Part 905)
Illinois Department of Public Health - Private Sewage Disposal ↗McHenry County Department of Health, Environmental Health Division
§ 8.04.370 General Requirements ↗McLean County Health Department, Environmental Health Division (Private Sewage Disposal Program)
Septic Systems ↗Menard County Health Department
Menard County Health Department ↗Mercer County Health Department (under Illinois Department of Public Health Private Sewage Disposal Code)
Our Programs ↗Monroe County Health Department - Environmental Health
Monroe County Health Department - Private Sewage Disposal Systems ↗Montgomery County Health Department (Environmental Health), as agent under IDPH
Illinois Department of Public Health - Private Sewage Disposal ↗Morgan County Health Department, Environmental Health / Private Sewage Disposal
Private Sewage Disposal ↗Moultrie County Health Department - Environmental Health
Moultrie County Health Department - Environmental Health Services ↗Ogle County Health Department
Private Sewage Program ↗Peoria City/County Health Department (Onsite Wastewater Treatment Systems)
Onsite Wastewater Treatment Systems ↗Perry County Health Department, Environmental Health (Illinois Private Sewage Disposal Code / IDPH)
Perry County Health Department - Sewage ↗DeWitt-Piatt Bi-County Health Department
DeWitt-Piatt Bi-County Health Department - Septic System ↗Pike County Health Department (agent of Illinois Department of Public Health)
Pike County Health Department Annual Evaluation 2017 ↗Southern Seven Health Department
Southern Seven Health Department - Private Sewage Disposal Program ↗Southern Seven Health Department (agent of Illinois Department of Public Health)
Southern Seven Health Department - Private Sewage Disposal Program ↗Bureau, Putnam & Marshall County Health Department (agent of IDPH)
Bureau, Putnam & Marshall Health Dept - Sewage Disposal Permit ↗Randolph County Health Department (Environmental Health)
Environmental Health – Randolph County, Illinois ↗Illinois Department of Public Health (Private Sewage Disposal Program)
Illinois DPH - Private Sewage Disposal ↗Rock Island County Health Department - Private Sewage Disposal
Water and Sewage ↗Egyptian Health Department (serving Gallatin, Saline, and White counties)
Egyptian Health Department - Private Sewage ↗Sangamon County Department of Public Health, Environmental Health
Sangamon County Public Health - Environmental Health ↗Schuyler County Health Department (under Illinois DPH Private Sewage Disposal Code, 77 Ill. Adm. Code 905)
Illinois DPH - Private Sewage Disposal ↗Scott County Health Department, Environmental Health
Scott County Health Department - Environmental Health ↗Shelby County (IL) Public Health Department
Shelby County IL Public Health Department - Environmental Health ↗St. Clair County Health Department
St. Clair County Private Sewage Disposal Code ↗Henry & Stark County Health Department (Stark County Private Sewage Disposal Ordinance)
Henry & Stark County Health Department - Private Sewage Disposal Program ↗Stephenson County Health Department
Stephenson County Health Department Programs & Services Directory ↗Tazewell County Health Department
Sewage Disposal ↗Southern Seven Health Department (Union County) under IDPH Private Sewage Disposal Code, 77 Ill. Adm. Code 905
Southern Seven Health Department - Private Sewage Disposal Program ↗Vermilion County Health Department (Private Sewage Disposal Program)
Vermilion County Health Department - Private Sewage Disposal ↗Wabash County Health Department (under Illinois Dept of Public Health, 77 Ill. Adm. Code 905)
Illinois Dept of Public Health - Private Sewage Disposal ↗Warren County Health Department (Environmental Health)
About Warren County Health Department ↗Washington County Health Department, Environmental Health (agent of Illinois DPH)
Washington County IL - Health Department ↗Wayne County Health Department, Environmental Health Unit
Private Sewage and Water Supplies - Wayne County Health Department ↗White County Health Department
Illinois Department of Public Health - Private Sewage Disposal ↗Whiteside County Health Department
Whiteside County Health Department ↗Will County Health Department, Private Sewage Program
Wells and Septic Systems | Will County Health Department ↗Franklin-Williamson Bicounty Health Department
Franklin-Williamson Bicounty Health Department - Environmental Health ↗Winnebago County Health Department, Wells and Septic Program
Center for Environmental Health Improvement ↗Woodford County Health Department
Septic Program ↗Every county here has a full profile — its index score, water, land prices, and the rest of its building rules. See the Illinois state page for all counties ranked, or the national septic guide.
Off-grid gear
Before the Illinois 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.