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@tooelehealth.org
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.
  • Will Serve letter is required if property will be connected to a public water system.
A percolation test, plat map, and septic design need to be emailed to eh@tooelehealth.org in order to obtain a permit.





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
Type of Water System that will serve this property
Public (*Will Serve letter from public system is required before permit will be issued*)
Non-Public
Applicant's E-Signature
Date


Onsite Wastewater Permit (Review and Inspection):   $300.00   Item Subtotal:  
$300.00
Total:
$300.00
Payment Information:
Method of Payment:
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