Hamilton County Public Health approves plans, issues permits and conducts inspections for all household sewage treatment systems and small flow onsite sewage treatment systems located within our jurisdiction (all of Hamilton County excluding cities of Cincinnati, Norwood, Springdale, Sharonville). Whether you have an existing system, need to replace a failing system, plan to add on to your home, or build a new home or business that will not be connected to sanitary sewer, Health District sanitarians are here to help.

For additional information, choose the option that best describes your situation: 

• I am building a home that requires a household sewage treatment system (septic system).
• I have a septic system and want to add a room, swimming pool, garage, driveway or other structure to my current home or property.
• My current septic system must be replaced.
• I am required to connect to sanitary sewers.
• I need to find a septic system installer/repairer to help me with my project.
• I need to find someone to clean my septic tank.
• I need information about operating, maintaining or repairing my septic system.
• I am buying a home and want to make sure the septic system is working properly.
• I want to register to be a hauler, installer or service provider in Hamilton County. 

• Construction of New Sewage Treatment System
  New homes or businesses not connected to a public sewer system will need to install a sewage treatment (septic) system
• Adding on to Your Home or Property
  If you have a septic system, additions to your home or property may first require an inspection
• Maintaining Your Household Sewage Treatment System
  Knowing and understanding the type of septic system your home uses is important to the health of your family and the community
• Altering or Repairing Your Septic System
  If your septic system requires repairs or alterations to make it work properly, you may need a permit
• Replacing a Failing Septic System
  A malfunctioning septic system creates both a public health and environmental nuisance
• Connecting to Sewer
  There are two options for the treatment of household wastewater in Hamilton County – sewers or septic systems
• Register to be a Septic Hauler, Installer or Service Provider
  All contractors must be registered and bonded with the Hamilton County Public Health
• Household Sewage Treatment System Installer's Manual
  Specifications, guidelines, and installation standards for various types of Household Sewage Treatment Systems