Tooele Health Department
             
Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435)277-2444
eh@TooeleCo.gov
Recertification For Well / Septic


Please put N/A for any fields that are not applicable


For a well re-certification proof of water rights is needed.
For a septic re-certification evidence that the septic tank has been pumped within the last five years is needed

If you have additional documents to send, please email them to eh@tooeleco.gov.

Date
Home Owner's Name
Location of Home
Contact Phone Number
Contact Person if different than owner

Approval letter to go to the following:

Establishment Information
Organization Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone:
Email:
 
Septic Recertification:   $50.00   Select:   Item Subtotal:  
$0.00
Well Recertification/Bacterial Sample Only:   $125.00   Select:   Item Subtotal:  
$0.00
Well Recertification/Full Chemical Analysis:   $335.00   Select:   Item Subtotal:  
$0.00
Total:
$0.00
 

'Please Select Method of Payment to Continue'

Date is required
Home Owner's Name is required
Location of Home is required
Contact Phone Number is required
Contact Person if different than owner is required
Organization Name: is required
Address: is required
City: is required
State/Province: is required
ZIP/Postal Code: is required
Phone: is required
Email: is required