On-Site Waste Treatment System Permit Application

 Two ways to obtain an "On-Site Waste Treatment System Permit Application:
            1. You may come into the Environmental Health Department of the St.Francois County
                 Health Center from 8:00am until 4:00pm, Mondary through Friday (excluding holidays).
             2. You may download the form.

*The downloadable forms are presented in pdf format.  You will need the current version of Adobe Acrobat Reader.  Download Adobe Reader for free>   Get Free Adobe Reader ... 

 To view a downloadable "On-Site Sewage Permit Application", click  arrow.

You cannot save a copy of the application to your computer.  The application is designed so that you can fill in your information and then print a copy of the application.  If you would like (or need) a copy
of the application for your records or for the local public health office (SFCHC), please complete the information and then print the form.  You may print the completed form or a 'blank copy' of the form
as many times as you like.  Caution: Once you close the webpage the application is on, the
information you typed in is erased.  Your information is not saved by the MO Department of Health
and Senior Services (DHSS) or the St.Francois County Health Center.

You will have to bring a copy of the completed application to the Environmental Health Office at the St.Francois County Health Center as part of your "On-Site Waste Treatment System Construction Permit Application" process.  Each application must receive an application number before it is
submitted to the DHSS.  Without an application number, the application will not be processed by
the DHSS or St.Francois County Health Center.

A application fee of $90.00 and a completed MO 580-2064 form [On-Site Sewage System Construction Permit Application Fee] must be submitted to the MO Department of Health and Senior Services.  By submitting your $90.00 application fee, the State issues  a permit number.  That permit number is forwarded to the St.Francois County Health Center.  The permit number is added to your construction permit application and becomes part of your permanent record.  Please note: without the $90.00 fee and permit application fee form, your on-site waste treatment system construction permit application will not be processed by the State or St.Francois County Health Center.

NOTICE:  You must submit your On-Site Sewage Permit Application to the St.Francois County Health Center for processing.  Under NO circumstances are you to submit the application to the Missouri Department of Health and Senior Services (DHSS).   Your application will not be
processed by DHSS.  Your application must be processed by the St.Francois County Health Center.

The Permit Process

 1. Obtain an On-Site Waste Treatment System Application package from the St.Francois County
     Health Center (SFCHC), Environmental Health Department.
          Included within the application package:
                 1. On-Site Waste Treatment System Application form
                 2. An application fee form
2. Complete the On-Site Waste Treatment System Application form and submit the form to the SFCHC, Environmental Health Department.  A application number will be assigned to your application.  DO NOT submit your application to anyone other than the SFCHC.

3. Submit the 'application fee' form and the $90.00 fee to the Missouri Department of Health and
Senior Services (DHSS).  The mailing address the DHSS is on the form.  DO NOT submit your application fee to the SFCHC, Environmental Health Department.

4. Retain the services of a Missouri Department of Health & Senior Services registered soil scientist to perform a soil morphology of your property to determine the suitability of the site for an on-site sewage treatment system.  
                                                        To obtain a list of registered soil scientist, click the arrow

5. Based upon the results of the soil morphology, the soil scientist would determine if a conventional septic system or an engineered septic system is required for your property.  If a conventional septic system is suitable for your site, go to step 7.

6. IF a conventional septic system is NOT suitable for your site, an engineered septic system is required.  Retain the services of an engineer to design a septic system for your site.  The alternative septic system would be designed, specifically for the property, based upon the findings of the soil scientist.
                    *St.Francois County Health Center and the MO Department of Health & Senior Services
do not maintain listings of engineers.  Your local telephone directory or on-line searches may be valuable tools to use in locating an engineer to design your septic system.

7. Retain the services of an on-site waste treatment system installer who is registered with the
Missouri Department of Health & Senior Services for the installation of your septic system.
                                                        To obtain a list of registered installers, click the arrow

*Site conditions and soils condition vary depending upon which part of the county you are located in.  It is sometimes necessary to request a variance(s) for site conditions to ensure
your on-site waste treatment system will "fit" on the site and prevent the contamination of well water, surface water, streams, or subsurface water.  Variance forms are available at SFCHC.

8. Submit the completed and signed construction permit application, soil morphology report, and the proposed on-site septic system design to the SFCHC for review.  The application, soil morphology report, and proposed design will be reviewed by a SFCHC Environmental Public Health Specialist to determine if the proposed system is in accordance with 19CSR20-3.060, "Minimum Construction Standards for On-Site Sewage Disposal Systems."

9. Following the approval of the system plans, but prior to the issuance of a construction permit, a SFCHC Environmental Public Health Specialist will conduct an on-site preconstruction inspection.
You, or your representative, and the contractor (installer) are required to be present to review the septic system layout on the site.

10. Provided the preconstruction site inspection determines the septic system and the layout comply with the approved application, a permit will be issued and the construction phase may begin.

NOTICE: The construction phase of your on-site waste treatment system MAY NOT begin until a valid construction permit has been issued by SFCHC.

11. Notice of completion of the septic system installation is required.  The registered installer must notify the SFCHC prior to 9:00 am on the day preceding completion of the septic system.  The septic system must be maintained in a condition which allows for a complete inspection until 3:00 pm on the day of completion, unless notified otherwise by the SFCHC.

12. Either a SFCHC Environmental Public Health Specialist will conduct a site visit to perform a final inspection or a Certification Of System Without On-Site Inspection form will be issued to the registered installer to complete and submit to SFCHC.  The registered installer certifies that "I have properly designed, installed, modified or repaired the onsite sewage system represented by application #___ and permit #___ pursuant to and in accordance with the state standard."

13. Once all forms, diagrams, system designs, inspections, and certifications have been completed, the On-Site Sewage Permit Application and all of its associated paper work will be kept on file at the SFCHC.  Process complete.

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