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Household Sewage & Small Flow Sewage Systems

  1. Basic Sewage System Design Information
  2. Household Sewage Management Permit Program
  3. Site Review
  4. 2007 Homeowner Newsletter 
  5. Sewage System Abandonment
  6. Sewage Treatment System Haulers
  7. Sewage Treatment System Installers
  8. Sewage Treatment System Service Providers
  9. Linked Deposit Loan Program
  10. Legislative Update - Sewage Law & Rules
  11. Forms and Applications
  12. Sewage Systems by Community
  13. Sewage System Maintenance Info.
  14. Ohio Sewage Treatment System Rules
  15. Ohio EPA General NPDES Permit For Discharging Household Sewage Treatment Systems
  16. CCBH Sewage Treatment System Rules (Appendices to the Ohio Sewage Disposal Rules)


The Cuyahoga County Board of Health conducts a comprehensive Household Sewage Program which addresses water quality issues within the watersheds of Cuyahoga County. A total of 48 communities in the Cuyahoga County General Health District have residences which utilize household sewage disposal systems. Approximately 12,000 of these systems are currently in use throughout these communities. The number of sewage systems in each community ranges from one to over 1,500. Household sewage systems are relied upon to properly treat and dispose of wastewater in areas that are not accessible to a sanitary sewer. Many of these existing systems have been in use for decades and may not be capable of properly treating sewage prior to discharging an effluent to the environment.

A few of the responsibilities of the Household Sewage Program include permitting and inspecting the installation of new sewage systems, registering sewage system haulers, installers and service providers and conducting lot reviews of undeveloped property.  The Board of Health also administers an Operation Permit Program for new recently installed sewage systems and a Management Permit Program, which addresses existing sewage systems.

The Board of Health works closely with local community officials as they determine the future sewage disposal needs of their communities. The Board of Health also collaborates with municipal engineers, the Cuyahoga County Sanitary Engineer's office, the Northeast Ohio Regional Sewer District, the Ohio Department of Health, and the Ohio E.P.A. on issues pertaining to sewage disposal and water quality.

Detailed information on specific types of sewage treatment systems, design and approval requirements, state legislative activities and requirements, and local program activities is available in the links provided at the top of this page. For additional program information, please contact Supervisor Rick Novickis (ext. 1208) or Program Manager Nate McConoughey (ext. 1239) at (216)201-2000.

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