Bolthole Index county-legal census · checked 2026-10-07
Septic permitting in West Virginia is handled at the county level — county health departments approve systems in 46 of 55 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 → Full West Virginia profile →
55 counties · county health departments · permit status scouted for 55
Barbour County Health Department, Environmental Health & Safety Division
Environmental – Barbour County Health Department ↗Berkeley-Morgan County Health Department — Environmental Health
Environmental Services ↗Boone County Health Department (Environmental Services)
Sewage & Grease Trap Systems - Boone County Health Department ↗Braxton County Health Department
Sewage Program | Braxton County Health Department ↗Brooke County Health Department
On Site Septic Systems ↗Cabell-Huntington Health Department (Environmental Health)
Cabell-Huntington Health Department - Sewage ↗Mid-Ohio Valley Health Department (Calhoun County office, Grantsville)
Mid-Ohio Valley Health Department - Regional Offices ↗Clay County Health Department
Clay County Health Department - Environmental Health ↗Doddridge County Health Department, Environmental Health Services
Doddridge County Health Department - Environmental Health Services ↗Fayette County Health Department
Fayette County Health Department - Septic Systems ↗Gilmer County Health Department
Environmental | Gilmer County Health Department ↗Grant County Health Department
Environmental Services: Individual Onsite Sewage and Water Program ↗Greenbrier County Health Department, Environmental Health
Septic & Water ↗Hampshire County Health Department
Hampshire County Health Department - Sewage and Water ↗Hancock County Health Department (under WV DHHR Office of Environmental Health Services)
Hancock County Health Department - Septic ↗Hardy County Health Department
Hardy County Health Department - Sewage and Water ↗Harrison-Clarksburg Health Department
Environmental Health ↗Jackson County Health Department (Environmental Health / Sewage program)
Jackson County Health Department ↗Jefferson County Health Department, Environmental Health (under WV Bureau for Public Health)
Environmental Health & Permitting ↗Kanawha-Charleston Health Department
Kanawha County Planning & Development ↗Lewis County WV Health Department (Environmental Services)
Sewage/Septic Systems ↗Lincoln County Health Department (Sanitation)
Sanitation | Lincoln County Health Department ↗Logan County Health Department (under WV DHHR Office of Environmental Health Services)
WV DHHR Office of Environmental Health Services — On-Site Wastewater Management ↗Marion County WV Health Department - Environmental
Sewage/Septic Systems ↗Marshall County Health Department (Environmental / Sanitation Division)
Review of Individual Water Well and Sewage System Permit Applications ↗Mason County Health Department - Environmental Health Division
Groundwater/UIC Program ↗McDowell County Health Department
WV Office of Environmental Health Services — Public Health Sanitation Division ↗Mercer County Health Department
Permits and Applications ↗Mineral County Health Department
Sewage and Water - Mineral County Health Department ↗Mingo County Health Department
Sewage & Grease Trap Systems ↗Monongalia County Health Department, Environmental Health
Building Enforcement ↗Monroe County Health Department (under WV DHHR Office of Environmental Health Services)
WV OEHS - On-Site Wastewater Management ↗Berkeley-Morgan County Health Department - Environmental Health (under WV DHHR / OEHS)
WV Office of Environmental Health Services - On-Site Wastewater Management ↗Nicholas County Health Department
Onsite Sewage Disposal Systems | Nicholas County Health Department ↗Wheeling-Ohio County Health Department
Wheeling-Ohio County Health Department - Septic ↗Pendleton County Health Department
Environmental Health Services for the Pendleton County WV Health Department ↗Mid-Ohio Valley Health Department (serves Calhoun, Pleasants, Ritchie, Roane, Wirt, Wood counties)
Mid-Ohio Valley Health Department - Sewage Program ↗Pocahontas County Health Department (under WV Department of Health/DHHR)
Sewage and Water ↗Preston County Health Department (under WV DHHR rules)
Preston County Health Department - Sewage and Water ↗Putnam County Health Department (Environmental Health)
Putnam County Health Department - Sewage ↗Beckley-Raleigh County Health Department (Environmental Health)
Beckley-Raleigh County Health Department - Environmental ↗Randolph-Elkins Health Department (Environmental Health)
Randolph-Elkins Health Department - Environmental ↗Mid-Ohio Valley Health Department
Mid-Ohio Valley Health Department - Sewage Program ↗Roane County Health Department
WV OEHS - On-Site Wastewater Management ↗Summers County Health Department (under WV DHHR Office of Environmental Health Services)
WV DHHR OEHS - On-Site Wastewater Management ↗Grafton-Taylor County Health Department, Environmental Services
Grafton-Taylor County Health Department - Sewage & Grease Trap Systems ↗Tucker County Health Department
Tucker County Development Permit Information ↗Wetzel-Tyler Health Department (bi-county WV local health department)
Wetzel-Tyler Health Department - Septic Permits ↗Upshur-Buckhannon Health Department
WV Office of Environmental Health Services, On-Site Wastewater Management ↗Webster County Health Department
WV Dept of Health - Webster County Health Department ↗Wetzel-Tyler Health Department (under WV DHHR Office of Environmental Health Services)
Wetzel-Tyler Health Department - Septic Permits ↗Wirt County Health Department
Wirt County - Other County Government Agencies ↗Mid-Ohio Valley Health Department (Wood County office)
Mid-Ohio Valley Health Department - Sewage Program ↗Wyoming County Health Department (Pineville, WV)
Wyoming County Health Department - Sewage Systems ↗Every county here has a full profile — its index score, water, land prices, and the rest of its building rules. See the West Virginia state page for all counties ranked, or the national septic guide.
Off-grid gear
Before the West Virginia 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.
