Bolthole Index county-legal census · checked 2026-08-08
Septic permitting in Utah is mixed: 7 counties use county health departments, 0 go through a state agency, and 22 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 → Utah water rights & wells → Full Utah profile →
29 counties · mixed — varies by county · permit status scouted for 1
Southwest Utah Public Health Department
Southwest Utah Public Health Department, Septic Systems ↗Bear River Health Department
Bear River Health Department - Environmental ↗Bear River Health Department (serving Cache, Box Elder, and Rich counties, under Utah DEQ)
Bear River Health Department - Environmental ↗Southeast Utah Health District (Southeast Utah Health Department)
Carbon County Building Department ↗TriCounty Health Department
TriCounty Health Department - Wastewater & Septic Systems ↗Davis County Health Department – Environmental Health Division
Davis County Health – Onsite Wastewater Systems ↗TriCounty Health Department (local health district under Utah DEQ)
Duchesne County - Things to Know Before Purchasing Land ↗Southeast Utah Health Department
Southeast Utah Health Department - Onsite Wastewater (Septic) ↗Southwest Utah Public Health Department
Southwest Utah Public Health Department - Septic Systems ↗Southeast Utah Health Department (Moab office)
Southeast Utah Health Department - Onsite Wastewater ↗Southwest Utah Public Health Department (Environmental Health)
Southwest Utah Public Health Department - Septic Systems ↗Central Utah Public Health Department
Central Utah Public Health Department Onsite Wastewater Program ↗Southwest Utah Public Health Department (Environmental Health)
Southwest Utah Public Health Department - Septic Systems ↗Central Utah Public Health Department
Central Utah Public Health Department - Onsite Wastewater Permit Packet ↗Weber-Morgan Health Department (local health district, under Utah DEQ / UAC R317-4)
Weber-Morgan Health Department - Water Quality ↗Central Utah Public Health Department
Central Utah Public Health Department - Onsite Wastewater Permit Packet ↗Bear River Health Department
Rich County Planning & Zoning ↗Salt Lake County Health Department
Salt Lake County Health Department - Septic & Onsite Wastewater Systems ↗San Juan County Health Department (under Utah DEQ)
San Juan County Building Department Checklists ↗Central Utah Public Health Department
Central Utah Public Health Department Onsite Wastewater Program ↗Central Utah Public Health Department
Central Utah Public Health Department - Onsite Wastewater Permit ↗Summit County Health Department - Wastewater (Septic) Program
Summit County Health Department - Septic Program ↗Tooele County Health Department (Regulation #12 Wastewater Disposal, under Utah DEQ)
Tooele County Health Department - Septic Systems ↗TriCounty Health Department (Onsite Wastewater program, under Utah DEQ Div. of Water Quality)
TriCounty Health Department - Wastewater & Septic Systems ↗Utah County Health Department - Environmental Health (Onsite Wastewater program)
Utah County Health Department - Environmental Health ↗Wasatch County Health Department, Onsite Wastewater Program
Wasatch County Health Department - Permits & Applications ↗Southwest Utah Public Health Department
Southwest Utah Public Health Department - Septic Systems ↗Central Utah Public Health Department
Central Utah Public Health Department - Onsite Wastewater Permit ↗Weber-Morgan Health Department - Environmental Health
Weber County Development Process Packet (references Environmental Health septic permit) ↗Every county here has a full profile — its index score, water, land prices, and the rest of its building rules. See the Utah 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.