Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435)277-2444
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 email@example.com in order to obtain a permit.
If you have additional documents to send, please email them to firstname.lastname@example.org.
Installer's Phone Number
Designer's Phone Number
# of Bedrooms
Type of Water System that will serve this property
Public (*Will Serve letter from public system is required before permit will be issued*)
New Onsite Wastewater Permit:
Replacement Septic Permit:
Onsite Wastewater Holding Tank Permit(max of 2yrs):
Septic Location Tracking:
Septic System Recertification:
'Please Select Method of Payment to Continue'
Method of Payment:
Update Name from Above
Name on Account:
Name on Card:
Billing Street Address:
Billing ZIP/Postal Code:
Change Payment Method
CORE Business Technologies
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