San Juan County Public Health
             
San Juan County Health Department
735 S 200 W Suite 2, Blanding, Utah 84511
Phone: 435-587-3838
Septic Permit

Owner & Installer Information

Name of Owner:
Owner's Phone Number:
Owner's Email:
Installer's Name:
Installer's Phone Number:

Property Information

Address of Property:
Number of Bedrooms:
Is there a basement?
Yes
No
Is there a well on the property?
Yes
No

Soil Test and Plan Information

*This information will be provided to the Environmental Health Director by your Certified Wastewater Design Specialist
*All systems must be inspected by the Health Department before backfilling. Our Environmental Health Director will contact you shortly. However, if you have any questions feel free to call Dennis Shumway at 435-587-3838 Ext. 3505.
Applicant's E-Signature
Date:

Application Fees

Septic Permit:   $400.00   Item Subtotal:  
$400.00
Total:
$400.00
Personal Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone:
Payment Information:
Processing Fee Rates:
Cards:2.5% ($1.50 min)
(1.5% additional service fee for foreign cards)
eCheck:$0.75
Method of Payment:
  Credit/Debit Card
  eCheck
 Update Name from Above
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
Payment method will be collected on external device
 Change Payment Method
Submitting ...
CORE Payments © 2025 CORE Business Technologies. All rights reserved.
~ Our Solutions ~ Privacy Policy ~ Contact Us ~
CORE Payments Version 4.1.17465; (API: 2.22)
RSI Security