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. 


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:


The contractor test is also available to be taken at our office by appointment. Please call 330-723-9523 to set up an appointment.

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.


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.

Information for registration for sewage system installers/contractors, pumpers, and services providers (done annually):

Contractors, please click HERE for ODH forms you may need for registration.


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.

Avoid sewage mishaps if there is a loss of power



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