Our mission is to prevent disease, assure a healthful environment, prolong life, and promote well being for the citizens of Medina County.
Promote, Protect and Prevent
Local Calls: 330-723-9688
4800 Ledgewood Drive, Medina, OH 44256

Sewage Treatment Systems




Household Sewage Treatment Systems (HSTS), also known as septic systems, play an integral role on properties not served by sanitary sewers. These systems are relied upon to effectively treat and dispose of the wastewater generated during our everyday activities.  Proper treatment and disposal ensures that our drinking water supplies remain relatively free of contamination.  In order to accomplish this, thorough Site and Soils Evaluations must be conducted to determine the appropriate type(s) and size of HSTS to be used.  As a result, each HSTS is designed specifically for its intended use, based on the given soil conditions at a particular property. 

Testing  for Sewage System Installers, Pumpers, and Service Providers will be available at our Department on two (2) separate dates. One will be December 9th and the other December 16th of 2014. You will need to pass this test to become Registered for 2015 under the new State of Ohio Sewage Rules effective January 1, 2015. This is an open book test and there is a three hour time limit to complete the test. Hard copies of the new State of Ohio Sewage Code will be available on test day or can be picked up at our office after November 24, 2014.

Limit of 50 contractors per session. You must pre-register with our office by calling 330-723-9523.  There is no fee for the test.

Please view our website calender for more details or click here.

The Operator Training Committee of Ohio (OTCO), with the assistance of the Ohio Department of Health’s Sewage Program, has created an online version of the statewide sewage rules test. The test became available for all sewage installers, service providers, and septage haulers on December 1, 2014. No fee is required for the online version of the sewage rules test. An electronic copy of the STS rules and the exam can be accessed at the following link:


Upon completion and attainment of a passing grade, the STS contractor will need to print and keep a copy of the certificate to show as proof of compliance for completing the testing requirement to each health department when they register for the 2015 registration year.


Please click here for the Sewage Rule Regional Meeting Agenda and Dates


For information about care and maintenance of septic systems, refer to our Care and Maintenance Guide or visit the US EPAs SepticSmart website.

Commercial Systems:  If the system is for a business and generates less than 25,000 gallons of wastewater per day, an Ohio EPA Site Evaluation Request Form must be completed and submitted with plan specifications to the Ohio EPA for review and approval.  Once approved, an installation permit is obtained from the Health Department.  Throughout the installation of the system, inspections by the Health Department will be conducted to assure the system is installed according to the EPA-approved plans.  An annual operation permit is required from the Health Department which involves an annual inspection of the system to assure it is being properly maintained and operated.  A Site Evaluation Request Form must also be completed and submitted any time an existing business changes ownership or its intended use.

Ohio EPA Site Evaluation Request Form

Click here to visit the Ohio EPA Northeast District Office website.

Licensing of sewage system installers/contractors is done annually.
New information regarding this process will be posted soon.

Registration of sewage tank cleaning companies is renewed annually by the Health Department.  New information regarding this process will be posted soon.

Investigation and abatement of sewage-related nuisances:  The discharge of untreated sewage to the ground surface or a ditch poses not only a pollution issue but a public health concern with disease transmission.  Our department receives dozens of calls and reports annually from private citizens and others about suspected sewage nuisances.  It is the policy of the Board of Health that a written complaint be filed with the Health Department before an investigation can be conducted.  Anonymous complaints are not accepted.  Click here for the Nuisance Complaint Form that must be completed and submitted to initiate an investigation.

Sewage system evaluation for real estate transfers:  When homeowners sell their property, many lending institutions require that the sewage system be evaluated/inspected to assure the system is functioning properly for the new buyer.  Our Health Department staff conducts dozens of these evaluations annually.  Please contact our office for the form information that needs to be completed and for the associated fee for this evaluation.  For more information, visit our Evaluation Request page.

 If you have further questions about our Sewage Program, please contact us at (330)723-9523 weekdays between 8:00 a.m. and 4:30 p.m., or click here.



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