Hours vary by service.
If you have an immediate emergency,
please dial 9-1-1.


Onsite Sewage (Septic Tank) Program

All individual sewage disposal systems installed in Fayette County must be permitted through the Health Department. When applications for lot approvals are received, an environmentalist performs a soil evaluation to determine suitability and location for the sewage system.

This evaluation also determines design, type and size of the sewage system. A number of design alternatives within the state of KY are available, including constructed wetlands.

Lot evaluations are also performed on properties which are for sale, to check on the proper functioning of onsite sewage systems. This program handles any complaints received from the public concerning onsite sewage problems. Complaints are investigated and corrected accordingly.

Call (859) 231-9791for more information.


Department for Public Health Website
Questions and Answers about Septic Tanks
Homeowners Manual: Onsite Sewage Disposal Systems


Onsite Sewage Regulation
Onsite Sewage Disposal System Installer's Regulation


Private Sewage Disposal Plants

Private sewage disposal plants are routinely inspected to ensure that they meet the requirements of Board of Health Regulation #20. The health department works closely with the Fayette County Planning Commission to ensure that private sewage treatment plants do not become overloaded. Complaints of surface water pollution are investigated and resolved.

Sewage Pump Truck Inspections

All sewage pump trucks are inspected annually to ensure the equipment and vehicles are properly maintained and effluent is disposed of properly. Applications for state license are processed and issued by the Health Department.


Sewage Pumper Truck Regulation
Bond Requirements


Other resources:


Helpful links: LexingtonKy.gov | Be ready, Lexington | CDC | Healthcare 411 | Healthfinder | KY Dept. for Public Health | KY Cabinet for Health & Family Services | KY Dept. for Medicaid Services
No endorsement is intended or made of any hyperlinks, products, services or information either by its inclusion or exclusion from this page or site.

Change in services: Effective May 20, 2014, we are able to provide childhood vaccinations (must live in Fayette County, be 18 years or younger and be uninsured or underinsured). Limited appointments are available daily Monday-Friday, and appointments can be made up to a week in advance by calling the Public Health Clinic at (859) 288-2483.

Our Public Health Clinic at 650 Newtown Pike is no longer able to see patients for the following programs: adult immunizations/physicals and breast/cervical cancer.

Notice of Privacy Practices

(c) Lexington Fayette County Health Department, 2012-14 Terms Of Use Privacy Statement