Built from public records. No company paid to be listed. Every check names its source and the date it was read.
State guide

Septic companies in Missouri

Missouri permits septic under one of three arrangements, and which one covers your county changes the steps, the standards and sometimes whether you need a permit at all. The state registers installers, licenses the inspectors who evaluate systems for a sale, and leaves pumping to a permit from a different agency entirely. This guide covers all three, the three acre exemption and where it does not apply, the fee suspension that started in August, and the state grant programme that reaches a household.

Companies
258
Counties
69
With Google reviews
120

Who Regulates Septic Systems in Missouri

Sources: Missouri Department of Health and Senior Services; Missouri Revisor of Statutes. Checked 2026-09-18.

Missouri has three different arrangements for who issues your permit, and the one you are under decides the process. The Department of Health and Senior Services runs the state programme. In many places a local authority runs it instead, either under contract or under its own ordinance.

DHSS permitting falls under one of three authority types: the DHSS Onsite Program, a Local Authority under contract, or a Local Authority via ordinance, and the application process varies by permitting authority opens in a new tab. That last sentence is the state telling you the steps are not the same everywhere.

The split is close to even. In just under one half of Missouri counties, the local public health agency or DHSS staff regulate new construction and existing system repairs according to state standards opens in a new tab, and in the remaining counties and some cities, either the state construction standards or more stringent local standards have been adopted by ordinance opens in a new tab.

The statute underneath says what happens when nobody local has acted. Where a city or county has not adopted the state standard, DHSS shall enforce the state standard until it does opens in a new tab, and nothing stops a city or county adopting minimum standards more restrictive than the state's opens in a new tab. The rule itself sets minimum standards for design, location, installation and repair opens in a new tab.

Licenses and What to Check Before You Hire

Sources: Missouri Department of Health and Senior Services; Missouri Revisor of Statutes. Checked 2026-09-18.

Missouri uses three different instruments for three different jobs, and the words are not interchangeable. An installer is registered with DHSS, a real estate inspector is licensed by DHSS, and a pumper holds a permit from a third agency.

Any individual performing a major modification, repair or installing a new system must be registered with DHSS, and these professionals are provided an ID card which can be requested for verification opens in a new tab. The statute says any person installing onsite sewage disposal systems shall be registered by the department opens in a new tab. Ask to see the card.

The registration comes at two levels, set by what your ground needs. When the soil and site suit a lagoon or a septic tank and conventional soil absorption system, any registered installer can assist with permitting and install a basic system opens in a new tab. When site limitations lead to an advanced system, the installer must be registered as an advanced installer, and both levels are listed on the state website opens in a new tab.

Every onsite wastewater professional is issued a DHSS ID card on registration or licensure, and a new card every three years on renewal opens in a new tab. So the card carries a date, and a current one is the quickest check you can make on a doorstep.

Two other roles need their own credential. An individual must be registered with the department to conduct any part of a percolation test or soil morphology evaluation used in designing or installing a system opens in a new tab, and Missouri defines a soil scientist by coursework, at least fifteen semester credit hours including three in soil morphology opens in a new tab.

Pumping is permitted by a different agency: the owner keeps a disposal contract with a pumper, municipality, agency or firm holding a current and valid permit from the Department of Natural Resources opens in a new tab. We hold no Missouri register of our own, so no listing here carries a verified credential for this state, and DHSS's own installer list is the place to check one.

Permits, Inspections and Selling a Home

Sources: Missouri Department of Health and Senior Services; Missouri Revisor of Statutes. Checked 2026-09-18.

A construction permit is required before installing or repairing most systems, and some single family residential lots may be exempt opens in a new tab. The exemption is drawn by acreage. It covers the owner of a single family residence lot of three acres or more, or a residential lot of ten acres or more with no single family residence opens in a new tab.

Below that line the permit is required, and the exemption is not universal. A construction permit is required to install or repair a system on any residential property less than three acres, and the state adds that the exemption does not apply in some counties, so check with the county authority opens in a new tab.

Two timing details are worth knowing. A registered contractor notifies the city, county or department before 9:00 a.m. on the day preceding completion opens in a new tab so the final inspection can be arranged, and from 28 August 2026 the application fees for construction, modifications and repairs are temporarily suspended under a change to the statute opens in a new tab.

One caution on that suspension. It is the state's fee that is suspended, and we found counties in our own county research charging a permit fee of their own on top, so ask your county what it charges before you budget.

Selling is where Missouri's licensing distinction bites. If a lender or buyer requests an inspection or evaluation it must be conducted by a licensed individual, and some counties may require one for every real estate transaction opens in a new tab. State regulations do not require systems to be brought up to current standards as a result of that inspection in order to be sold, though in some cases local standards are more stringent opens in a new tab, and the licence for that work is a DHSS licence, separate from an installer's registration opens in a new tab.

Keeping a System Working

Sources: Missouri Department of Health and Senior Services; United States Environmental Protection Agency. Checked 2026-09-18.

Missouri gives you a trigger you can see rather than only a schedule: tanks shall be pumped whenever the bottom of the scum layer is within three inches of the bottom of the outlet device, and yearly inspections are recommended opens in a new tab, while the owner's manual sets inspection at least every two years, or annually with an effluent screen or a non-residential building opens in a new tab. A typical 1,000 gallon tank on a three bedroom home may need pumping roughly every two to five years, and generally twice as often with a garbage disposal opens in a new tab, against the EPA's three year inspection interval opens in a new tab.

Help Paying for Repairs

Sources: Missouri Department of Natural Resources; United States Environmental Protection Agency. Checked 2026-09-18.

Missouri has a grant aimed at households, and it is worth checking against your address. The On-site Wastewater Treatment System Grants assist private non-commercial and single family homeowners in select watersheds with identified water quality concerns related to nutrients opens in a new tab.

You do not apply to the state for it. The Department of Natural Resources provides pass-through grant funding to one or more qualified nonprofits who implement the programme in select areas opens in a new tab, so the application goes to whichever nonprofit runs your area. Federal grants and low interest loans also repair rural single family homes, with grants for elderly very low income owners opens in a new tab, while individual homeowners are not eligible to receive 319 grant assistance directly opens in a new tab.

Find Your Permitting Authority

Missouri septic permits come from the DHSS Onsite Program or from a local authority, depending on the county, and the local office is often not the health department: resource management, planning and zoning, a building department and a waste water department all appear below. Each entry names the office that handles permits for that county. Checked 2026-09-18.

CountyEnvironmental health office
BarryBarry County Health Department opens in a new tab · Barry County page
BooneBoone County Resource Management opens in a new tabOrdinance county, and the office is NOT the health department. Columbia/Boone County Public Health and Human Services handed onsite wastewater to Resource Management on 28 June 2022, and the DHSS OWTS directory now names Boone County Resource Management. showmeboone.com redirects to boonemo.gov. · Boone County page
ButlerMissouri Department of Health and Senior Services opens in a new tabButler County has no local onsite programme. The DHSS county lookup returns authority type DHSS, agency DHSS, 930 Wildwood Dr., Jefferson City, phone (573) 751-6095 ext. 5, so a homeowner applies to the state Onsite Program and not to a county office. The page also tells the applicant to request an application number through the DHSS wufoo form. · Butler County page
CamdenCamden County Waste Water opens in a new tabOrdinance county with a dedicated county wastewater department rather than a health department programme. The same page sets a $150 application, design and permit fee and routes setback variances to a county Variance Board. camdenmo.org redirects to camdencountymo.gov. · Camden County page
Cape GirardeauCape Girardeau County Public Health Center opens in a new tabOrdinance county. The same page adds a requirement the state does not impose: the installer must hold a Cape Girardeau County licence as well as state registration. The DHSS OWTS directory prints cgcohealthdept.com; that host serves the site but 404s the on-site sewage page, and the canonical host named in the DHSS local public health agency directory is capecountyhealth.com. · Cape Girardeau County page
ChristianChristian County Health Department opens in a new tabOrdinance county, and the department says so in its own words. The DHSS OWTS directory prints christiancountyhealth.com, which now 404s at every path; the department's live site is the .gov host recorded here, which the DHSS local public health agency directory also lists. · Christian County page
ClintonClinton County Planning and Zoning opens in a new tabClinton is the clearest case of a split county in this set: the DHSS directory lists TWO authorities, Clinton County Health Dept. under a DHSS contract at (816) 539-2144, and Clinton County Planning and Zoning under the county's own ordinance at (816) 539-3722. The zoning office is the one that publishes the onsite wastewater permit steps and fee, so it is recorded here. The health department's own site (clintoncohealth.org) covers food and water only and never mentions wastewater. The domain in the DHSS directory for the health department, clintoncountyhealthdepartment.com, no longer resolves. · Clinton County page
DentMissouri Department of Health and Senior Services opens in a new tabNo local onsite programme. The DHSS county lookup returns authority type DHSS, so the permit comes from the state Onsite Program at 930 Wildwood Dr., Jefferson City, (573) 751-6095 ext. 5, not from Dent County Health Center. · Dent County page
DouglasMissouri Department of Health and Senior Services opens in a new tabNo local onsite programme. The DHSS county lookup returns authority type DHSS, so the permit comes from the state Onsite Program at 930 Wildwood Dr., Jefferson City, (573) 751-6095 ext. 5. · Douglas County page
FranklinFranklin County Building Department opens in a new tabOrdinance county, and the office is the Building Department, not the health department. The quote is the entry for the sewage ordinance in the department's own list of adopted codes and dates the current version to 1 October 2025, so a homeowner reading older guidance is reading a superseded ordinance. · Franklin County page
GreeneGreene County Resource Management, Environmental Division opens in a new tabOrdinance county, and the office is in Resource Management rather than the health department (Springfield-Greene County Health is separate and does not run this programme). The same page adds a county requirement on top of the state one: installers must be currently certified with Greene County as well as with DHSS. Environmental Division phone (417) 868-4147. · Greene County page
HenryHenry County Health Center opens in a new tabOrdinance county. The quote is from the Environmental Services card on the front page because the site's own septic page is only a list of downloadable forms (.rtf and .xlsx, no prose). The DHSS OWTS directory prints henrycountyhealth.org, which no longer resolves; the live domain, also listed in the DHSS local public health agency directory, is henrycohealth.org. · Henry County page
HowellHowell County Health Department opens in a new tabLocal Authority under CONTRACT to DHSS, not an ordinance county, so the health department administers the state standard rather than a local one. That matches the quote, which restates the state three-acre exemption unchanged. The DHSS OWTS directory prints howellcountyhealthdepartment.com, which no longer resolves; the live domain is howellcountyhealth.com. · Howell County page
JasperJasper County Health Department opens in a new tabOrdinance county. jaspercounty.org, the domain in the DHSS directory, now serves only a meta-refresh to jaspercountymo.gov. Jasper County also runs a separate Environmental Contamination Ordinance requiring heavy-metal soil testing inside Superfund-designated mine and smelter areas before a new dwelling is permitted, which can sit on top of the septic permit. · Jasper County page
JohnsonJohnson County Community Health Services opens in a new tabOrdinance county. The agency's own name omits the word department: it is Johnson County Community Health Services. · Johnson County page
LacledeLaclede County Health Department opens in a new tabOrdinance county. The DHSS OWTS directory prints laclede.lphamo.org. That host resolves and returns 200 for any path, but it serves the generic DHSS site shell with no Laclede content at all, so it is a trap rather than a source. The department's real site is lacledecountyhealth.com, which the DHSS local public health agency directory lists. · Laclede County page
LincolnLincoln County Health Department opens in a new tabOrdinance county. The rest of this page is homeowner education about identifying whether a property is on septic; the quoted sentence is the only statement of what the office itself does. · Lincoln County page
MillerMissouri Department of Health and Senior Services opens in a new tabNo local onsite programme. The DHSS county lookup returns authority type DHSS, so the permit comes from the state Onsite Program at 930 Wildwood Dr., Jefferson City, (573) 751-6095 ext. 5, not from Miller County Health Center. Miller County borders Camden and Morgan, both of which do run their own programmes, so neighbouring-county advice will not transfer. · Miller County page
MontgomeryMontgomery County Health Department opens in a new tabOrdinance county, named on the page as the Montgomery County Sewer Ordinance. The same page prints a $165.00 onsite sewage system permit fee, which is a county fee and is unaffected by the state application-fee suspension that took effect 28 August 2026. · Montgomery County page
MorganMorgan County Health Center opens in a new tabOrdinance county, and the threshold is the thing to catch: Morgan County permits single-family systems on lots under FIVE acres, where the state exemption in RSMo 701.031 starts at three acres. A guide that prints the state three-acre rule for Morgan County will be wrong for anyone on a three to five acre lot. · Morgan County page
NewtonNewton County Health Department opens in a new tabOrdinance county. The same page draws the DHSS/DNR line for readers: lagoons serving two or more single-family sites, and commercial facilities, go to the Missouri Department of Natural Resources instead. · Newton County page
PhelpsMissouri Department of Health and Senior Services opens in a new tabNo local onsite programme. The DHSS county lookup returns authority type DHSS, so the permit comes from the state Onsite Program at 930 Wildwood Dr., Jefferson City, (573) 751-6095 ext. 5, not from Phelps County Health Department. · Phelps County page
PolkPolk County Health Center opens in a new tabOrdinance county; the health center publishes its own wastewater ordinance from this page. The DHSS OWTS directory gives no website for Polk, only the address 1317 W Broadway, Bolivar and phone (417) 326-7250; the domain recorded here is the one the DHSS local public health agency directory links for the same office at the same address and phone. · Polk County page
St. FrancoisSt. Francois County Health Center opens in a new tabOrdinance county. sfchc.org, the domain in the DHSS directory, redirects to sfchealth.org. The page calls the office the Environmental Health Department; the agency as a whole names itself St. Francois County Health Center. · St. Francois County page
StoneStone County Health Department opens in a new tabOrdinance county. The department also publishes a septic system search tool from its site, which is unusual for a Missouri county of this size. · Stone County page
TaneyTaney County Planning & Zoning opens in a new tabLocal Authority under CONTRACT to DHSS, not an ordinance county, and the quote says as much: the county administers the state rules rather than its own. The DHSS directory names the office Taney County Environmental Services with a PO Box 944, Forsyth address and phone (417) 546-7238 and gives no website; on the county's own site the onsite permitting programme sits under Planning & Zoning. It is NOT run by Taney County Health Department (taneyhealth.gov), whose site has no septic content. taneycounty.org is the county's own site and links to taneyhealth.gov from its front page. · Taney County page
WarrenWarren County Health Department opens in a new tabOrdinance county; the DHSS directory names the office Warren County Environmental Health Office (Health Dept.) and the site names itself Warren County Health Department. The department's only sewage page is homeowner maintenance guidance, so that is what the quote is; it publishes no description of its own permit programme. Note the path spelling is 'enviromental', which is the site's own typo and not a transcription error. Environmental contact given on the site is Andrew Hoffman, (636) 456-7169. · Warren County page
WrightWright County Health Department opens in a new tabOrdinance county per the DHSS directory. The department has no septic page; this Environmental Public Health page is the only place it describes the work, and it lists Sewage Treatment Complaint/Inspection among the specialist's duties. Offices in Mountain Grove (417) 926-0009 and Hartville (417) 741-7791. · Wright County page

Questions People Ask

Who issues my septic permit in Missouri?

One of three: the DHSS Onsite Program, a local authority under contract to DHSS, or a local authority operating under its own ordinance. The state says the application process varies by permitting authority, so find out which one covers your county before you start.

Is my installer licensed or registered?

Registered. Missouri registers installers with DHSS at basic and advanced levels, and issues an ID card renewed every three years. The word licence belongs to a different role here: the inspector who evaluates an existing system for a real estate transaction is licensed by DHSS.

My lot is over three acres. Do I still need a permit?

There is an exemption for a single family residence lot of three acres or more, and for a residential lot of ten acres or more with no single family residence. The state adds that the exemption does not apply in some counties, so check with the county authority.

Do I have to fix my system before I sell?

State regulations do not require systems to be brought up to current standards as a result of an inspection in order to be sold, though some local standards are more stringent. If a lender or buyer asks for an inspection, it must be done by a licensed individual.

Who do I call to pump the tank?

A pumper holding a current and valid permit from the Department of Natural Resources, not DHSS. The rule puts the disposal contract in the owner's name, so the permit is worth asking about before the truck arrives.

Sources

Cities in Missouri

Counties in Missouri

How these are ranked

By verification score, out of 100, across six checks published in full on how we rank. No company paid to appear and none can pay to rank higher. The score counts records and is not a judgment about workmanship.