Alerts:  Aug. 22, 2025: Local public health officials have confirmed a measles infection in a Bonner County, Idaho, resident with exposure risk in Spokane County. Learn about measles and how to protect yourself and loved ones.   |  Some federal websites are experiencing disruptions while being reviewed for compliance with executive orders. As a result, some links and information on srhd.org may be unavailable.

Step #1


Residential on-site sewage permits are renewed every one to three years depending on type of system. Commercial permits and holding tank permits are renewed annually.

Spokane Regional Health District mails renewable form and letter to property owner. Please click here for instructions on how to inspect your septic tank.