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Central District Health (CDH)

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📍 Service Area

Southwest Idaho - 4 Counties (Boise Metro)

  • Ada County Seal Ada County - Pop. ~481,000 (Boise, Meridian, Eagle) • GIS Map →
  • Boise County Seal Boise County - Pop. ~8,000 (Idaho City) • GIS Map →
  • Elmore County Seal Elmore County - Pop. ~28,000 (Mountain Home, Glenns Ferry) • GIS Map →
  • Valley County Seal Valley County - Pop. ~11,000 (McCall, Cascade) • GIS Map →

Headquarters: Boise

  • Collection Date: November 3, 2025
  • Document Count: 19 PDFs + 1 DOCX (12 MB)
  • Most Recent Updates: October 2025
  • Source: Central District Health

CDH has the highest permit fees in Idaho ($94-$1,505) reflecting urban/suburban development costs in the Boise metro area.

Effective July 1, 2025: Idaho law requires CDH to verify lawful presence for septic onsite, pumper, and installer licenses/permits.

Separate application forms for different counties recognize varying requirements across the district's diverse geography.

Offices in Boise (Ada/Boise), Mountain Home (Elmore), and McCall (Valley) provide localized service.

All documents open in a new tab. Click any PDF below to view the original document.

Permit Fees

  • Permit – New: $878
  • Permit – New (No test hole/Site Visit): $439
  • Permit – Expansion (no test hole): $439
  • Permit – Repair (no test hole): $439
  • Permit – Repair (with test hole): $878
  • Permit – Central/LSAS (New or Repair): $1,505
  • Permit – Transfer: $94
  • Accessory Use Review: $94
  • Accessory Use Review – Field Visit: $438
  • Permit – Tank Only: $439
  • Permit – Vault Privy: $439
  • Speculative site evaluation: $439
  • Permit – Additional test holes: $439

Phone: 208-327-7499 Email: EHApps@cdh.idaho.gov

Ada & Boise Counties 707 N. Armstrong Place Boise, ID 83704 Phone: 208-327-7499

Elmore County 520 E. 8th Street N. Mountain Home, ID 83647 Phone: 208-587-6001

Valley County 703 1st St. McCall, ID 83638 Phone: 208-630-8002

  1. Email: Send completed forms to EHApps@cdh.idaho.gov (PDF format only)
  2. In-person: Drop off at any CDH office (front desk)
  3. Mail: Send to appropriate county office

Important: Applications must be completely filled out or they will not be accepted.

  • In-person/mail: Check or cash accepted
  • Email applications: Credit or debit card (CDH will contact you for payment)

Central District Health serves Idaho's most populated area:

  • Urban/suburban focus (Boise metro area)
  • Diverse geography from valley floor to mountain communities
  • Rapid growth in Ada County (Boise, Meridian, Eagle)
  • Rural mountain communities (Valley County - McCall, Cascade)
  • Military presence (Mountain Home Air Force Base)
  • New Construction: County-specific permit applications
  • Property Purchase: Speculative site evaluation
  • Repairs: Appropriate permit based on work scope
  • Additions: Accessory use application
  • Licensing: Installer permit application with bond
  • Materials: Approved materials and gravel pits list
  • Compliance: Onsite sewage disposal rules
  • Design: Technical brochures for system types
  • Setbacks: Standard separation distances
  • Alternative Systems: Aerobic treatment guidance
  • Disclosures: Fee schedule for permit transfers
  • Due Diligence: Speculative site evaluations
  • Buyer Education: Homeowner's guide

Collection archived November 3, 2025. Always verify current requirements and fees with CDH.