Onsite Wastewater Treatment Systems (Septic Systems) 

On-site wastewater treatment systems (OWTS), also known as septic systems, are governed by Regulation 43 2018-On-Site-Wastewater-Treatment-System-Regulation (PDF). OWTS Permits must be applied for and obtained from the Health Department prior to the installation or repair of any systems. OWTS fees are determined by which permit you need. Public Health Fees (PDF)

Septic Permit Process

A Septic permit is required for title transfers, new installations, expansions/additions, and repairs.  Begin by applying for a septic permit and providing all required information below: 

  1. Soils report
  2. OWTS design (if needed)
  3. Septic application

Use Permit Process

Use Permits are required for the transfer of title, additions of bedrooms, or remodeling in the home. The following documents are needed to apply for a Use Permit.

  1. Inspection report (from one of our licensed inspectors)
  2. Septic application

OWTS documents to obtain permits:

Permit applications may be mailed or dropped off to our Public Health office or submitted via email.   


Resources for Installers and Inspectors

Interested in being an installer or inspector in Elbert County?

Complete the corresponding application below, pay application fee and return them to:
PO Box 201 Kiowa, CO 80117 or email marissa.ginger@elbertcounty-co.gov

Elbert County Regulations

  • For On-site Wastewater Treatment Systems with flows 2,000 gallons per day or less, permitting is conducted by local counties. Each local public health agency in Colorado has adopted regulations that are at least as stringent as Regulation 43. 
  • On-site wastewater treatment systems with flows greater than 2,000 gallons per day must be permitted through the State.

Still need assistance? 

Contact the Public Health office for further assistance 303-621-3144 or email marissa.ginger@elbertcounty-co.gov


  1. Public Health

    Physical Address
    75 Ute Avenue
    Kiowa , CO 80117

    Mailing Address
    P.O. Box 201
    Kiowa , CO 80117

    Phone: 303-621-3144