Bolthole Index county-legal census · checked 2026-08-08
Septic permitting in West Virginia is handled at the county level — county health departments approve systems in 53 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 18
Barbour County Health Department, Environmental Health & Safety Division
Barbour County Health Department - Environmental ↗Berkeley-Morgan County Health Department — Environmental Health
Berkeley-Morgan County Health Department - Environmental Services ↗Boone County Health Department (Environmental Services)
Boone County Health Department - General Sanitation / Environmental Services ↗Braxton County Health Department
Braxton County Health Department - Sewage program ↗Brooke County Health Department
Brooke County Health Department - Septic ↗Cabell-Huntington Health Department (Environmental Health)
Cabell-Huntington Health Department - Sewage ↗Calhoun County Health Department
WV DHHR OEHS - On-Site Wastewater Management ↗Clay County Health Department
Clay County Health Department - Sewage ↗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
Gilmer County Health Department - Environmental ↗Grant County Health Department
Grant County Health Department - Sewage and Water ↗Greenbrier County Health Department, Environmental Health
Greenbrier County Health Department - Water & Septic ↗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 County (Harrison-Clarksburg) Health Department
Harrison County Health Department - Sewage ↗Jackson County Health Department (Environmental Health / Sewage program)
Jackson County Health Department - Sewage ↗Jefferson County Health Department, Environmental Health (under WV Bureau for Public Health)
Jefferson County WV Health Department Environmental Health ↗Kanawha-Charleston Health Department
Kanawha County Planning & Development ↗Lewis County WV Health Department (Environmental Services)
Lewis County WV Health Department - Sewage/Septic Systems ↗Lincoln County Health Department (Sanitation)
Lincoln County Health Department - Sanitation ↗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
Marion County WV Health Department - Sewage/Septic Systems ↗Marshall County Health Department (Environmental / Sanitation Division)
Marshall County Health Department - Environmental (For Residents) ↗Mason County Health Department - Environmental Health Division
Mason County Health Department - Environmental Health ↗McDowell County Health Department
WV Office of Environmental Health Services — Public Health Sanitation Division ↗Mercer County Health Department
Mercer County Health Department - Permits & Applications ↗Mineral County Health Department
Mineral County Health Department - Sewage and Water ↗Mingo County Health Department
Mingo County Health Department - Sewage Systems ↗Monongalia County Health Department, Environmental Health
Monongalia County Health Department - Environmental Health ↗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
Nicholas County Health Department – Onsite Sewage ↗Wheeling-Ohio County Health Department
Wheeling-Ohio County Health Department - Septic ↗Pendleton County Health Department
Pendleton County WV Health Department - Environmental Health ↗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)
Pocahontas County Health Department - 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 Commission - Resources ↗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 ↗Wayne County Health Department (under WV DHHR Office of Environmental Health Services)
Wayne County Health Department - Sewage Treatment Systems ↗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.
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.
