San Juan County Health Department
735 S 200 W Suite 2, Blanding, UT 84511
Phone: (435) 587-3838
Recertification For Well / Septic
Home Owner's Name
Location of Home
Contact Phone Number
Contact Person if different than owner
Approval letter to go to the following:
Select Requested Services
*There will be a travel surcharge of $0.56 per mile round trip (for a total of $1.12 one way) from our office in Blanding for ALL APPLICANTS.
**Please enter the number of miles from the site of recertification to our office in the quantity box below. This should ONLY be blank if you live within one mile of our office.
For Example, if the location of your inspection/recertification is 20 miles from our office please enter "20" in the Travel Surcharge quantity box below.
to find the mileage from your property to our office for the travel surcharge. This will use your current location if you are at your property. If you are not, please enter your address instead.
Processing Fee Rates:
2.5% ($1.50 min)
(1.5% surcharge for foreign cards)
Method of Payment:
Update Name from Personal/Organizational Information
Name on Account:
Name on Card:
Billing Street Address:
Billing ZIP/Postal Code:
Change Payment Method
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All rights reserved.
Terms & Conditions
SIP Version 3.09.15223; (API: 2.20)