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
Application For Septic / Wastewater Permit

Please put N/A for any fields that are not applicable
  • Permit fee must be paid before permit will be issued.
  • Any changes to design must be approved in writing by TCHD.
  • Inspections must be completed by TCHD for system approval.
  • A soil classification log, plat map, and septic design need to be submitted in order to obtain a permit.

If you have additional documents to send, please email them to eh@tooeleco.gov
Owner Name
Phone Number
Mailing Address
Email Address
Site Address
Subdivision
Lot #
Parcel #
Installer's Name
Installer's Phone Number
Designer's Name
Designer's Phone Number
Unfinished Basement
Yes
No
# of Bedrooms
System
New
Replacement
Alternatives - has the deed notice been submitted?
Yes
No (submitting the deed notice is required and the permit will not be granted until completed)
N/A
Type of Water System that will serve this property
Non-Public (If on a shared well, please submit a copy of the Shared Well Agreement and specify which lot the well is located on)
Public *Please indicate name of water system below*
*What is the name of the Public Water System?
Applicant's E-Signature
Date
New Onsite Wastewater Permit(review / inspection):   $400.00   Select:   Item Subtotal:  
$0.00
Replacement Septic Permit:   $150.00   Select:   Item Subtotal:  
$0.00
Onsite Wastewater Holding Tank Permit(max of 2yrs):   $100.00   Select:   Item Subtotal:  
$0.00
Septic Location Tracking:   $50.00   Select:   Item Subtotal:  
$0.00
Septic System Recertification:   $50.00   Select:   Item Subtotal:  
$0.00
Total:
$0.00

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