Bolthole Index county-legal census · checked 2026-08-08
Septic permitting in Kentucky is mixed: 49 counties use county health departments, 0 go through a state agency, and 71 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 → Full Kentucky profile →
120 counties · mixed — varies by county · permit status scouted for 54
Lake Cumberland District Health Department (Adair County Health Department)
Lake Cumberland District Health Department - New Home On-Site Sewage Disposal ↗Barren River District Health Department
Barren River District Health Department – Onsite Sewage ↗Anderson County Health Department
Anderson County Health Department - On-site Sewage ↗Purchase District Health Department
Kentucky CHFS - Onsite Sewage Disposal Systems Program ↗Barren River District Health Department, Onsite Sewage Program (under Kentucky DPH)
Barren River District Health Department - Onsite Sewage ↗Gateway District Health Department (Bath County Health Center)
Kentucky DHBC – Bath County inspector sheet (Health Dept. environmentalist) ↗Bell County Health Department
Bell County Health Department - Permits ↗Northern Kentucky Health Department (Onsite Sewage Program)
Northern Kentucky Health Department - Septic Systems ↗Bourbon County Health Department (Environmental Services)
Bourbon County Health Department - Septic Services ↗Ashland-Boyd County Health Department (Kentucky DPH Onsite Sewage program)
Ashland-Boyd County Health Department - Environmental ↗Boyle County Health Department (Environmental Services)
Boyle County Health Department - Environmental Services ↗Bracken County Health Department (Environmental)
Bracken County Health Department - Environmental ↗Breathitt County Health Department (Environmental Services)
Breathitt County KY - Departments & Agencies ↗Breckinridge County Health Department (local health dept under KY DPH / 902 KAR 10:085)
KY Cabinet for Health & Family Services — Onsite Sewage Disposal Systems Program ↗Bullitt County Health Department
Bullitt County Health Department - Environmental Services ↗Barren River District Health Department
Barren River District Health Department - Onsite Sewage ↗Pennyrile District Health Department (Caldwell County Office)
Pennyrile District Health Department - Onsite Sewage Program ↗Calloway County Health Department
Calloway County Health Department - Environmental ↗Northern Kentucky Health Department
Northern Kentucky Health Department - Septic Systems ↗Purchase District Health Department
Kentucky CHFS - Onsite Sewage Disposal Systems Program ↗Three Rivers District Health Department (Carroll County Health Center)
Kentucky CHFS - Onsite Sewage Disposal Systems Program ↗Carter County Health Department (Environmental Services)
Carter County Health Department - Environmental Services ↗Lake Cumberland District Health Department
Lake Cumberland District Health Department - Casey County ↗Christian County Health Department
Christian County Health Department - Septic System ↗Clark County Health Department, Environmental Office
Clark County KY Health Department Septic Permits ↗Clay County Health Department (Environmental)
Kentucky DHBC - Clay County sheet (Health Dept environmental staff) ↗Clinton County Health Department
Kentucky DHBC - Clinton County Inspector Sheet ↗Pennyrile District Health Department - Crittenden County Health Department (190 Industrial Drive, Marion)
Pennyrile District Health Department - Onsite Sewage Program ↗Lake Cumberland District Health Department
Lake Cumberland District Health Department - New Home On-Site Sewage Disposal ↗Green River District Health Department
Green River District Health Department - Onsite Sewage (Septic Systems) ↗Barren River District Health Department (Onsite Sewage Program)
Barren River District Health Department - Onsite Sewage ↗Gateway District Health Department (Elliott County Health Department)
Kentucky DHBC - Elliott County sheet (Health Dept. Environmentalist) ↗Estill County Health Department (Kentucky Cabinet for Health and Family Services, Dept for Public Health)
KY CHFS - Onsite Sewage Disposal Systems Program ↗Lexington-Fayette County Health Department, Environmental Health (Onsite Sewage Program)
Lexington-Fayette County Health Department Onsite Sewage Program ↗Fleming County Health Department (Environmental / Onsite Sewage Program)
Fleming County Health Department Onsite Sewage ↗Floyd County Health Department, Environmental Health
Floyd County Health Dept. - Environmental Health ↗Franklin County Health Department (Onsite Sewage Program)
Franklin County Health Department Septic Information ↗Fulton County Health Department, Environmental Health Division (Hickman, KY)
Fulton County Health Department Environmental Health Services ↗Three Rivers District Health Department (Kentucky DPH)
Kentucky CHFS - Onsite Sewage Disposal Systems Program ↗Garrard County Health Department
Garrard County Health Department Environmental ↗Northern Kentucky Health Department
Northern Kentucky Health Department - Septic Systems ↗Graves County Health Department (Environmental)
KY DHBC - Graves County sheet (Health Dept environmentalist) ↗Grayson County Health Department (Environmental)
Grayson County Health Department - Environmental ↗Lake Cumberland District Health Department (Green County office)
Lake Cumberland District Health Department - Green County ↗Greenup County Health Department (Onsite Wastewater Program)
Greenup County Health Department - Sewage / Water / Plumbing Permits ↗Green River District Health Department (Hancock County Health Center)
Green River District Health Department - Onsite Sewage ↗Lincoln Trail District Health Department, Environmental (On-Site Sewage)
Lincoln Trail District Health Department - On-Site Sewage ↗Harlan County Health Department (Environmental Branch)
Harlan County Health Department ↗WEDCO District Health Department
WEDCO District Health Department - On-Site Sewage ↗Barren River District Health Department (Hart County Health Department - Environmental/Onsite Sewage)
Barren River District Health Department - Onsite Sewage ↗Green River District Health Department (agent of KY DPH, serving Henderson County)
Green River District Health Department - Onsite Sewage ↗North-Central District Health Department
North-Central District Health Department - On-Site Sewage ↗Hickman County Health Department (Environmental / Onsite Sewage Program)
Kentucky DHBC - Hickman County inspector sheet (Health Dept environmentalist) ↗Hopkins County Health Department
Hopkins County Health Department ↗Cumberland Valley District Health Department (Jackson County Health Department)
Kentucky DHBC Jackson County contact sheet (Health Dept. Environmentalist) ↗Louisville Metro Department of Public Health and Wellness (Onsite Septic System Program)
Louisville Metro - Onsite Septic System Program ↗Jessamine County Health Department
Jessamine County Health Department - Septic Systems ↗Johnson County Health Department (Environmental Services, under KY DPH / 902 KAR 10:085)
Johnson County Health Department — Environmental Services ↗Northern Kentucky Health Department
Northern Kentucky Health Department - Septic Systems ↗Kentucky River District Health Department (Knott County Health Center)
Kentucky Department of Housing, Buildings and Construction - Knott County sheet (Health Dept Environmentalist) ↗Knox County Health Department
Knox County Health Department - Septic Systems ↗Lincoln Trail District Health Department
Lincoln Trail District Health Department - On-Site Sewage ↗Laurel County Health Department (Onsite Sewage Program, KY Cabinet for Health and Family Services)
Laurel County Health Department - Permits ↗Lawrence County Health Department
Lawrence County Health Department - Environmental Services ↗Kentucky River District Health Department (Lee County Health Department)
Kentucky DHBC - Lee County Inspector Listing (Health Dept. Environmentalist) ↗Kentucky River District Health Department (Leslie County Health Department)
Kentucky DHBC - Leslie County Inspector Listing (Health Dept. Environmentalist) ↗Kentucky River District Health Department
Kentucky CHFS - Local Health Departments ↗Lewis County Health Department (Vanceburg, KY)
Lewis County Health Department ↗Lincoln County Health Department
Lincoln County Building Inspection ↗Pennyrile District Health Department
Pennyrile District Health Department - Environmental Services ↗Logan County Health Department / Barren River District Health Department (Kentucky DPH)
Barren River District Health Department - Onsite Sewage ↗Pennyrile District Health Department (Onsite Sewage Program)
Pennyrile District Health Department - Onsite Sewage Program ↗Madison County Health Department (Environmental Services)
Madison County Health Department - Sewage, Plumbing & Building Permits ↗Magoffin County Health Department (Environmental Health), Salyersville
Magoffin County Health Department ↗Lincoln Trail District Health Department
Lincoln Trail District Health Department - On-Site Sewage ↗Marshall County Health Department (Onsite Sewage Program)
Marshall County KY Health Department Septic Systems ↗Martin County Health Department
Martin County Health Department - On-Site Sewage ↗Buffalo Trace District Health Department
Buffalo Trace District Health Department - Environmental Services ↗McCracken County Health Department (local health dept under KY Cabinet for Health and Family Services)
KY CHFS - Onsite Sewage Disposal Systems Program ↗Lake Cumberland District Health Department
Lake Cumberland District Health Department - Onsite Sewage Disposal ↗Green River District Health Department
Green River District Health Department - Onsite Sewage (Septic Systems) ↗Lincoln Trail District Health Department
Lincoln Trail District Health Department - On-Site Sewage ↗Gateway District Health Department
Gateway District Health Department ↗Mercer County Health Department
Mercer County KY - Building Inspection ↗Barren River District Health Department - Onsite Sewage Program
Barren River District Health Department - Onsite Sewage ↗Monroe County Health Department (Environmental)
Monroe County Health Department – Onsite Sewage Inspections and Permits ↗Montgomery County Health Department
Montgomery County Health Department (KY) - Onsite Sewage ↗Morgan County Health Department (Onsite Sewage Disposal Systems Program under Kentucky DPH)
Kentucky Cabinet for Health and Family Services - Onsite Sewage ↗Muhlenberg County Health Department
Muhlenberg County Health Department - On-Site Sewage ↗Lincoln Trail District Health Department
Lincoln Trail District Health Department - On-Site Sewage ↗WEDCO District Health Department (Nicholas County Health Department Environmental Office)
WEDCO District Health Department – On-Site Sewage ↗Green River District Health Department
Green River District Health Department - Onsite Sewage ↗Oldham County Health Department (Environmental Division)
Oldham County Health Department - Onsite Sewage ↗Three Rivers District Health Department (Owen County Health Department)
Kentucky DHBC Owen County contact sheet (Health Dept. Environmentalist) ↗Kentucky River District Health Department
Kentucky Cabinet for Health & Family Services, Onsite Sewage Disposal Systems Program ↗Three Rivers District Health Department
Kentucky CHFS - Onsite Sewage Disposal Systems Program ↗Kentucky River District Health Department
Kentucky CHFS - Local Health Departments ↗Pike County Health Department
Pike County Health Department - On-Site Sewage Disposal Ordinance ↗Powell County Health Department (On-Site Sewage Program)
Powell County Health Department, On-Site Management ↗Lake Cumberland District Health Department
Lake Cumberland District Health Department - New Home On-Site Sewage Disposal ↗Buffalo Trace District Health Department (Environmental Services), serving Robertson County
Buffalo Trace District Health Department — Environmental Services ↗Cumberland Valley District Health Department
Cumberland Valley District Health Department ↗Gateway District Health Department
Gateway District Health Department - Services ↗Lake Cumberland District Health Department
Lake Cumberland District Health Department ↗WEDCO District Health Department
WEDCO District Health Department - On-Site Sewage ↗Shelby County Health Department - Environmental (On-Site Sewage Management)
Shelby County Health Department - On-Site Sewage Management ↗Barren River District Health Department (serves Simpson County)
Barren River District Health Department Onsite Sewage ↗North Central District Health Department
North Central District Health Department - On-Site Sewage ↗Lake Cumberland District Health Department
Lake Cumberland District Health Department - On-Site Sewage Disposal ↗Todd County Health Department
Kentucky DPH Onsite Sewage Disposal Systems Program ↗Trigg County Health Department
Cadiz-Trigg County Fact Sheet for Development ↗North Central District Health Department
North Central District Health Department - On-Site Sewage ↗Green River District Health Department
Green River District Health Department - Onsite Sewage ↗Barren River District Health Department (Onsite Sewage Program)
Barren River District Health Department - Onsite Sewage ↗Lincoln Trail District Health Department
Lincoln Trail District Health Department - On-Site Sewage ↗Lake Cumberland District Health Department
Lake Cumberland District Health Department ↗Green River District Health Department
Green River District Health Department - Onsite Sewage ↗Whitley County Health Department (Kentucky DPH)
Whitley County Health Department - Environmental ↗Kentucky River District Health Department (Wolfe County Health Department)
Kentucky DHBC - Wolfe County sheet (Health Dept. Environmentalist) ↗Woodford County Health Department (Onsite Sewage Disposal Systems Program)
Woodford County Health Department - New Onsite Sewage Systems ↗Every county here has a full profile — its index score, water, land prices, and the rest of its building rules. See the Kentucky 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.
