Bolthole Index county-legal census · checked 2026-08-08
Septic permitting in Virginia is state-run, administered by state agencies across all 133 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 → Virginia water rights & wells → Full Virginia profile →
133 counties · state agency · permit status scouted for 78
Virginia Department of Health, Eastern Shore Health District
Virginia Department of Health - Onsite Sewage and Water Services ↗Virginia Department of Health (VDH), with Albemarle County Code Chapter 16 supplemental standards
Virginia Department of Health - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health - Onsite Sewage / Environmental Health (Alexandria Health District)
Virginia Department of Health - Onsite Sewage and Water Services ↗Virginia Department of Health (Alleghany Highlands Health District)
Alleghany County - Requesting a Building Permit ↗Virginia Department of Health - Southside Health District (Onsite Program)
Virginia Department of Health - Southside Health District Onsite Program ↗Virginia Department of Health - Central Virginia Health District (Amherst Health Department)
Virginia Department of Health - Central Virginia Onsite Sewage & Water Program ↗Virginia Department of Health (local health district Onsite/Environmental Health)
Virginia Department of Health - Onsite Sewage & Water Services ↗Virginia Department of Health (VDH), Onsite Sewage and Water program
Virginia Department of Health - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health, Central Shenandoah Health District
Augusta County Residential Building Permit Process ↗Virginia Department of Health - Central Shenandoah Health District
Virginia Department of Health - Central Shenandoah Sewage & Well ↗Virginia Department of Health – Central Virginia Health District (Bedford Environmental Health)
VDH Central Virginia Health District – Onsite Sewage & Water Program ↗Virginia Department of Health (VDH), Office of Environmental Health Services / Onsite Sewage Program
Virginia Department of Health - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health
Virginia Department of Health - Onsite Sewage ↗Virginia Department of Health (Mount Rogers Health District)
Virginia Department of Health - Onsite Water and Wastewater Services ↗Virginia Department of Health (Southside Health District)
VDH Southside Health District Onsite Program ↗Virginia Department of Health - Cumberland Plateau Health District
Virginia Department of Health - Onsite Sewage & Water Services ↗Virginia Department of Health (VDH), Central Virginia Health District
Virginia Department of Health - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health (VDH), Central Shenandoah Health District - Onsite Sewage & Water Program
VDH Central Shenandoah Health District - Sewage & Well ↗Virginia Department of Health - Central Virginia Health District (Campbell Health Department)
VDH Central Virginia - Onsite Sewage & Water Program ↗Virginia Department of Health (local Caroline County health office)
Caroline County VA - FAQ: Where do I get a septic permit? ↗Virginia Department of Health (VDH) - local health district
Virginia Department of Health - Onsite Sewage and Water Services ↗Virginia Department of Health - Chickahominy Health District
VDH Chickahominy Health District - Onsite Sewage & Water Services ↗Virginia Department of Health (VDH) Southside Health District - Onsite Sewage and Water program
VDH Southside Health District - Onsite Program (Well and Septic) ↗Virginia Department of Health (VDH)
Virginia Department of Health - Onsite Sewage & Water Services ↗Virginia Department of Health - Chesapeake Health District (Environmental Health / Onsite Sewage program)
Virginia Department of Health - Chesapeake Health District, Environmental Health ↗Virginia Department of Health (Chesterfield Health District)
Virginia Department of Health Division of Onsite Water and Wastewater Services ↗Virginia Department of Health (Clarke County Health Department)
Clarke County VA - Septic & Well Records ↗Virginia Department of Health (VDH), Chesterfield Health District / Colonial Heights Health Department
Virginia Department of Health - Onsite Sewage and Water Services ↗Virginia Department of Health (VDH), Office of Environmental Health Services
Virginia Department of Health — Onsite Sewage and Water Services ↗Virginia Department of Health (Roanoke/Alleghany Health District)
Virginia Department of Health Onsite Sewage & Water Services ↗Virginia Department of Health (Culpeper County Health Department onsite office)
Virginia Dept of Health - Onsite Sewage and Water Services ↗Virginia Department of Health - Southside Health District (Cumberland)
VDH Southside Health District - Onsite Program ↗Virginia Department of Health (Southside Health District)
VDH Southside Health District - Onsite Program ↗Virginia Department of Health - Cumberland Plateau Health District
VDH - Cumberland Plateau Health District ↗Virginia Department of Health (VDH) — Southside Health District, Division of Onsite Sewage and Water Services
VDH Southside Health District — Onsite Program (Well and Septic) ↗Virginia Department of Health - Crater Health District (Greensville/Emporia)
VDH Crater Health District - Environmental Health ↗Virginia Department of Health (VDH), Environmental Health
Virginia Department of Health - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health (VDH)
Virginia Department of Health - Onsite Sewage & Water Services ↗Fairfax County Health Department (Virginia Department of Health)
Fairfax County Health — Onsite Sewage Disposal and Private Well Water Systems ↗Virginia Department of Health (Fairfax Health District)
City of Falls Church - Sewer ↗Virginia Department of Health (VDH)
Fauquier County - New Dwelling (well & septic via VDH) ↗Virginia Department of Health, New River Health District (Onsite Sewage/Well program)
VDH New River Health District - Environmental Health ↗Virginia Department of Health, Thomas Jefferson Health District (Fluvanna Environmental Health)
Virginia Department of Health, Onsite Sewage & Water Services ↗Virginia Department of Health – Western Tidewater Health District
VDH Western Tidewater Health District – Environmental Health ↗Virginia Department of Health – West Piedmont Health District
VDH West Piedmont Health District – Onsite Sewage ↗Virginia Department of Health - Lord Fairfax Health District (Frederick County)
Virginia Department of Health - Onsite Sewage & Water Services ↗Virginia Department of Health, Rappahannock Area Health District
VDH Rappahannock Area Health District - Sewage and Water ↗Virginia Department of Health (Mount Rogers Health District Onsite/Environmental Health)
Virginia Department of Health - Onsite Sewage & Water Services ↗Virginia Department of Health - New River Health District
VDH New River Health District - Environmental Health ↗Virginia Department of Health - Gloucester County Health Department (local VDH office)
Gloucester County VA - Building Inspection FAQ ↗Virginia Department of Health - Goochland (Chickahominy Health District), Division of Onsite Water and Wastewater Services
Goochland County - How do I obtain a septic construction permit? (FAQ) ↗Virginia Department of Health (VDH), Division of Onsite Sewage and Water Services (local Mount Rogers/Blue Ridge health district)
VDH Division of Onsite Water and Wastewater Services ↗Virginia Department of Health (VDH), local Environmental Health / Onsite Program
VDH Division of Onsite Water and Wastewater Services ↗Virginia Department of Health - Crater Health District (Greensville/Emporia Health Department)
VDH Crater Health District - Environmental Health ↗Virginia Department of Health - Southside Health District (Onsite Program)
Virginia Department of Health - Southside Health District Onsite Program ↗Virginia Department of Health (VDH)
Virginia Department of Health - Onsite Sewage & Water Services ↗Virginia Department of Health
Hanover County Residential Application Requirements ↗Virginia Department of Health, Division of Onsite Water and Wastewater Services
Virginia Department of Health - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health (Henrico Health District)
Virginia Department of Health Division of Onsite Water and Wastewater Services ↗Virginia Department of Health (VDH)
VDH Division of Onsite Water and Wastewater Services ↗Virginia Department of Health
Virginia Department of Health - Onsite Sewage and Water Services ↗Virginia Department of Health (VDH), local Environmental Health / Onsite Program
VDH Division of Onsite Water and Wastewater Services ↗Virginia Department of Health - Western Tidewater Health District
VDH Western Tidewater Health District - Environmental Health ↗Virginia Department of Health - Division of Onsite Water and Wastewater Services (Peninsula Health District)
Virginia Department of Health - Onsite Sewage & Water Services ↗Virginia Department of Health
Virginia Department of Health - Onsite Sewage and Water Services ↗Virginia Department of Health (King George County Health Department)
Virginia Department of Health - Onsite Sewage & Water Services ↗Virginia Department of Health (VDH), Division of Onsite Water and Wastewater Services
Virginia Dept of Health - Onsite Sewage & Water Services ↗Virginia Department of Health - Three Rivers Health District (Environmental Health)
VDH Three Rivers Health District - Environmental Health Services ↗Virginia Department of Health - LENOWISCO Health District
VDH LENOWISCO Health District - Environmental Health Services ↗Virginia Department of Health (VDH), Central Shenandoah Health District
VDH - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health - Loudoun County Health Department
Loudoun County - Residential and Commercial Construction Permits ↗Virginia Department of Health - Blue Ridge Health District (Louisa County office)
Virginia Department of Health - Onsite Sewage & Water Services ↗Virginia Department of Health – Piedmont Health District (Lunenburg County Health Department)
Lunenburg County Health Department (VDH Piedmont Health District) ↗Virginia Department of Health - Central Virginia Health District (Lynchburg Health Department)
VDH Central Virginia - Onsite Sewage & Water Program ↗Virginia Department of Health (Onsite Sewage & Water Services)
Virginia Department of Health - Onsite Sewage & Water ↗Virginia Department of Health (VDH)
Virginia Department of Health - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health (VDH)
Virginia Department of Health - Onsite Sewage ↗Virginia Department of Health (VDH), Environmental Health / Onsite Sewage program
Virginia Department of Health — Onsite Sewage & Water Services ↗Virginia Department of Health (Three Rivers Health District)
Mathews County Code - Sewage Disposal Systems ↗Virginia Department of Health
Virginia Department of Health - Onsite Sewage ↗Virginia Department of Health (VDH) - Division of Onsite Water and Wastewater Services
Virginia Department of Health - Onsite Water and Wastewater Services ↗Virginia Department of Health - New River Health District (Montgomery County Health Department)
VDH New River Health District - Environmental Health ↗Virginia Department of Health (Thomas Jefferson Health District)
Virginia Department of Health — Division of Onsite Water and Wastewater Services ↗New Kent Health Department (Virginia Department of Health)
New Kent County - Getting Started ↗Virginia Department of Health
Virginia Department of Health, Onsite Sewage ↗Virginia Department of Health - Norfolk Health District
VDH Norfolk Health Department - Sewage Disposal Permit ↗Virginia Department of Health (Eastern Shore Health District)
Virginia Department of Health - Onsite Sewage & Water Services ↗Virginia Department of Health - Three Rivers Health District
Virginia Department of Health - Three Rivers Health District ↗Virginia Department of Health, LENOWISCO Health District (Environmental Health Services)
Virginia Department of Health - LENOWISCO Environmental Health Services ↗Virginia Department of Health - Piedmont Health District (Nottoway County Health Department)
VDH Piedmont Health District Onsite Sewage & Water Program ↗Virginia Department of Health (VDH), Division of Onsite Water and Wastewater Services
VDH - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health (local health department)
Page County Building Inspections Department ↗Virginia Department of Health - Patrick County Health Department (West Piedmont Health District)
VDH - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health - Crater Health District (Environmental Health)
Virginia Department of Health - Crater Health District Environmental Health ↗Virginia Department of Health (VDH), local Environmental Health / Onsite Program
VDH Division of Onsite Water and Wastewater Services ↗Virginia Department of Health (Peninsula Health District)
Virginia Department of Health - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health, Office of Environmental Health Services (local health district)
Virginia Department of Health - Onsite Water and Wastewater Services ↗Virginia Department of Health
Powhatan County Residential Structure Permits ↗Virginia Department of Health (VDH), Piedmont Health District
Virginia Department of Health - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health - Crater Health District (Environmental Health)
Virginia Department of Health - Crater Health District Environmental Health ↗Virginia Department of Health (VDH), Environmental Health / Onsite Sewage Program
Virginia Department of Health - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health - New River Health District (Pulaski County Health Department)
VDH New River Health District - Environmental Health ↗Virginia Department of Health (New River Health District)
Virginia Department of Health, Onsite Sewage & Water Services ↗Virginia Department of Health (VDH)
VDH Division of Onsite Water and Wastewater Services ↗Virginia Department of Health (Richmond City Health District, Environmental Health)
Virginia Department of Health - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health (VDH) - Three Rivers Health District, Environmental Health
Virginia Department of Health - Onsite Sewage and Water Services ↗Virginia Department of Health (VDH) Division of Onsite Water and Wastewater Services / Roanoke City Health District
Virginia Department of Health - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health - Roanoke City & Alleghany Health Districts (RCAHD) Onsite Sewage Program
VDH Roanoke Health District - Onsite Sewage (Septic) Program ↗Virginia Department of Health (Central Shenandoah Health District)
Virginia Department of Health, Division of Onsite Water and Wastewater Services ↗Virginia Department of Health - Central Shenandoah Health District
VDH Central Shenandoah Health District - Sewage & Well ↗Virginia Department of Health (Cumberland Plateau Health District)
Virginia Department of Health Onsite Sewage ↗Virginia Department of Health, Roanoke County/Salem Health Department (Alleghany Health District)
VDH Roanoke - Onsite Sewage (Septic) and Well FAQ ↗Virginia Department of Health - LENOWISCO Health District (Environmental Health Services)
Virginia Department of Health - LENOWISCO Environmental Health Services ↗Virginia Department of Health - Lord Fairfax Health District (Environmental Health)
VDH Lord Fairfax Health District - Private Well and Onsite Septic ↗Virginia Department of Health (VDH), local Environmental Health / Onsite Program
VDH Division of Onsite Water and Wastewater Services ↗Virginia Department of Health - Southampton County Health Department (Western Tidewater Health District)
VDH - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health (Rappahannock Area Health District)
Virginia Department of Health - Onsite Sewage & Water Services ↗Virginia Department of Health (VDH), Rappahannock Area Health District - Onsite Sewage program
Virginia Department of Health - Division of Onsite Water and Wastewater Services ↗Virginia Department of Health (VDH)
VDH Division of Onsite Water and Wastewater Services ↗Virginia Department of Health - Western Tidewater Health District (Suffolk City Health Department)
VDH Western Tidewater Health District - Environmental Health ↗Virginia Department of Health (VDH) - Crater Health District, Surry Health Department
VDH Crater Health District - Environmental Health ↗Virginia Department of Health, Southside Health District (Onsite Program)
Virginia Department of Health - Southside Health District Onsite Program ↗Virginia Department of Health (Tazewell County Health Department / Environmental Health)
Tazewell County Building Inspections ↗Virginia Department of Health
Virginia Department of Health, Onsite Sewage ↗Virginia Department of Health - Lord Fairfax Health District (Environmental Health)
VDH Lord Fairfax Health District - Private Well and Onsite Septic ↗Virginia Department of Health (Mount Rogers Health District), Environmental Services Division
Washington County VA - Building & Development ↗Virginia Department of Health, Division of Onsite Water and Wastewater Services
Virginia Department of Health Onsite Water and Wastewater Services ↗Virginia Department of Health, Three Rivers Health District (Environmental Health)
Westmoreland County Water & Sewer ↗Virginia Department of Health (Peninsula Health District)
Virginia Dept of Health - Onsite Sewage and Water Services ↗Virginia Department of Health — Lord Fairfax Health District
VDH Lord Fairfax Health District — Private Well and Onsite Septic ↗Virginia Department of Health (VDH), Environmental Health / Onsite Sewage program
Virginia Department of Health — Onsite Sewage & Water Services ↗Virginia Department of Health - Wythe County Environmental Health Services
Wythe County - Building Permit Requirements (Septic Disposal Permit) ↗Virginia Department of Health
York County - New Residence ↗Every county here has a full profile — its index score, water, land prices, and the rest of its building rules. See the Virginia 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.
