The Lake County General Health District’s (LCGHD) Sewage Treatment System program monitors the proper treatment and disposal of all wastewater for household, small flow, and semi-public sewage treatment systems in an effort to protect surface and groundwater from contamination. The program also reviews, investigates, inspects, and regulates new sewage systems, replacement systems, and sewage system alterations.


All individuals licensed with the State of Ohio and conducting activities in Lake County as a Sewage Installer, Sewage Service Provider, or Septage Hauler must register with LCGHD.  LCGHD is responsible for ensuring that these individuals are properly insured and bonded with the state of Ohio. All individuals conducting business as an Installer, Service Provider, and Hauler must obtain annual educational credits before registering with LCGHD.   For more information on contractor registration requirements, visit the Ohio Department of Health Registration Information page.

Financial Assistance for Sewage System Repair or Replacement

A limited amount of assistance funding is available to qualifying Lake County residents for repair or replacement of failing sewage treatment systems through the Water Pollution Control Loan Fund (WPCLF) program administered by the Ohio Environmental Protection Agency (EPA).  The program may also fund abandonment of the sewage treatment system and connection to sanitary sewer where applicable.

Program Eligibility:

  • Applicant(s) must be the titled owner(s) and occupant(s) of the home serviced by the sewage system they are applying for assistance in repairing or replacing.
  • The sewage system must be determined to be failing by LCGHD.
  • Homeowner(s) must submit the application form with proof of total household income to LCGHD.

The grant will provide:

  • 100% of the total system improvement costs for eligible homeowners at or below the federal poverty level.
  • 85% of the cost for eligible homeowners between 100% – 200% of the poverty level with 15% homeowner match.
  • 50% of the cost for eligible homeowners between 200% – 300% of the poverty level with 50% homeowner match.

Poverty guidelines are available here.

Funding will be determined on a first-come, first-served basis. Homeowners who need assistance and believe they qualify for this program are encouraged to contact Kevin Watson ( or Chris Loxterman ( at (440) 350-2543 with any questions.

Electronic Plan Submission

Sewage treatment system plans can now be submitted electronically to LCGHD. Please see the list of reminders and proceed to the link below to submit your plans.

  • The plan review process will NOT start until our office has received ALL of the required necessary items
  • Please allow for up to 30 days to complete the plan review
  • Plans must be in PDF format
  • Application must be signed
  • Required plan review fee must be paid
  • Payment options include: Cash, Check or Credit Card*. VISA,  MasterCard, American Express & Discover accepted. Please call 440-350-2543 to pay over the phone using a credit card. *Please note there will be an additional 2.5% convenience fee added when using a credit card.

Submit your Sewage Treatment System Plan here. 

Operation & Maintenance

Home Sewage Treatment Systems (HSTS)

If you need an inspection by LCGHD, please fill out the appropriate application form below, and feel free to contact us at (440) 350-2543 with any questions:

LCGHD works to ensure that all activities associated with sewage systems conducted in Lake County are in accordance with the state rules found here:

Currently registered sewage system contractors to assist with installation, repair, or service can be found in the following lists:

Additional Resources:

HSTS Manufacturer Links:


Operation & Maintenance (O&M) Program

State rules came into effect January 2015 requiring all homeowners with septic systems to obtain an operational permit. Operational permits will help ensure that proper maintenance is being performed on individual sewage treatment systems, that they are functioning efficiently, and in return help extend the life of the sewage treatment system and preserve and protect surface and ground water quality.  LCGHD has implemented a phased approach for the operational permits. The phases are being implemented in succession over the course of five years beginning in 2015. Homeowners with sewage treatment systems will be notified by regular mail when they are required to obtain or renew their operational permit.

Please visit the following link to review Frequently Asked Questions (FAQs) related to Operation & Maintenance.

In keeping in compliance with State Rules, operational permit information and maintenance requirements for each system are located below:

Additional Resources:

Semi-Public & Small Flow Sewage Treatment Systems (SFOSTS)

Semi-Public sewage treatment systems are public or privately owned sewage systems typically servicing small businesses generating up to 25,000 gallons of waste water per day. Through a contract with Ohio Environmental Protection Agency (EPA), LCGHD inspects and issues annual operation permits. If violations are found, they are reported to Ohio EPA for enforcement action.

LCGHD is also contracted through Ohio EPA to issue installation permits and conduct inspections for SFOSTS.  These systems treat up to 1,000 gallons of waste water per day and include soil absorption components. If violations are found, sanitarians work with the property owners to ensure that corrections are made to protect the public’s health and the environment.

Additional Resources: