New Madrid County, MO septic permits and regulations

Septic systems in New Madrid County, Missouri are permitted by New Madrid County Health Department under 19 CSR 20-3.060.

Septic permit program

  • Program type: Mixed
  • Authorized agent: New Madrid County Health Department
  • Own septic program: No, uses Missouri state rules
  • Local rules beyond the state: No
  • Population: 16,434

Permit fee comparison

Average septic permit fee in New Madrid County: $90. Missouri average: $90.

Local rules

County operates under state-level 19 CSR 20-3.060. Contact local health department for any additional county-specific requirements.

What SepticPro has on file for New Madrid County

  • 1 permit fee with sources
  • The agency phone, email and office address
  • Setback distances
  • Soil and perc test requirements
  • Allowed system types
  • System design rules
  • Inspection requirements
  • Maintenance and pumping rules
  • Point-of-sale rules
  • Installer, designer and pumper licensing

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Draw a permit-ready site plan for New Madrid County

Enter the address, draw the system on the aerial with the parcel lines and topo, and print it to scale for New Madrid County Health Department. See how SepticPro site plans work.

Other Missouri counties

Data checked 2026-03-16. Always confirm requirements with New Madrid County Health Department before applying.