A&M
Verified · Lic. 1119Kernersville, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
Inspector (Level IV) · NC NCOWCICB · verified 2026-06-25
Forsyth County, NC · Septic System Installation
Septic System Installation in Forsyth County
A new or replacement system in Forsyth County starts with a soil test and a permit — not a shovel.
Installing a septic system is the largest-ticket job a septic owner faces, and the design is dictated by your land: soil type, how fast it percolates, and how high the water table sits all decide what system you're allowed to build and what it costs.
Every legal install begins with a site evaluation and a county permit. The output of that evaluation — conventional drainfield, engineered mound, or an aerobic/nitrogen-reducing unit — is what drives the final price far more than the tank itself.
Local conditions in Forsyth County
Local ground is the deciding factor in Forsyth County: Most lots have adequate vertical separation, but perched seasonal water above clay can fail an otherwise good-looking lot — soil color (gray mottling) is the tell. And the rules here matter — all work under 15a ncac 18e with three-permit (ip/ca/op) sequence administered by each county health department, which can raise the cost of a new system considerably.
How a septic installation works
- Site & soil evaluation. A licensed evaluator or engineer tests percolation and locates the seasonal high water table to determine what the soil can handle.
- System design. The system is sized to your soil and the number of bedrooms, and the type is chosen — conventional, mound/filled, or aerobic.
- County permit. Plans are submitted to the county health department for an OSTDS construction permit before any work begins.
- Tank and drainfield install. The tank is set and the drainfield is built to spec, with fill brought in where the water table requires elevation.
- Final inspection. The county inspects the open system and signs off before it's covered and put into use.
What drives the cost
- System type — conventional vs. mound vs. aerobic/nitrogen-reducing
- Soil and water table (high water tables require expensive fill)
- Drainfield size, which scales with bedroom count
- Permit and engineering/site-evaluation fees
- Site access and how much excavation is needed
- Tank material and capacity
How to choose a pro
- Use a licensed Registered or Master Septic Tank Contractor
- Make sure they pull the county permit (never skip it)
- Insist the design matches your soil/site evaluation
- Get the warranty and final county approval in writing
30 septic system installation providers in Forsyth County
License-verified contractors (active state license) are listed first.
AARON BARGER
Verified · Lic. 11458Kernersville, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
AFFORDABLE SEPTIC & GREASE
Verified · Lic. 5654Walkertown, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
Inspector (Level II) · NC NCOWCICB · verified 2026-06-25
ALTON L SPRINKLE
Verified · Lic. 5408Winston Salem, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
AMERICAN SEPTIC PUMPING
Verified · Lic. 9962Winston Salem, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
AMY KIGER
Verified · Lic. 14642Kernersville, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
APC PIPELINE SERVICES LLC
Verified · Lic. 2599Belews Creek, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
BEEBE SERVICES LLC
Verified · Lic. 3260Germanton, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level IV) · NC NCOWCICB · verified 2026-06-25
BG GRADING AND HAULING LLC
Verified · Lic. 12074Winston Salem, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
BROWN TROUT SEPTIC LLC
Verified · Lic. 9060Siloam, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
Inspector (Level II) · NC NCOWCICB · verified 2026-06-25
BROYHILL ENVIRONMENTAL LLC
Verified · Lic. 6163Winston Salem, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
Inspector (Level IV) · NC NCOWCICB · verified 2026-06-25
BUILDING CONFIDENCE INSPECTIONS
Verified · Lic. 14940Clemmons, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
CAROLINA SEPTIC INC
Verified · Lic. 7921Kernersville, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
Inspector (Level IV) · NC NCOWCICB · verified 2026-06-25
CHURCH BACKHOE SERVICE INC
Verified · Lic. 3255Kernersville, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
DALLAS CREASMAN
Verified · Lic. 12036Clemmons, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level IV) · NC NCOWCICB · verified 2026-06-25
DAVID PARKER LLC
Verified · Lic. 15377Pfafftown, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
DREAMSITES GRADING LLC
Verified · Lic. 14851Kernersville, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
DYNAMIC OUTDOOR SOLUTIONS LLC
Verified · Lic. 14276Winston Salem, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
EARTH WORKS SITE SOLUTIONS LLC
Verified · Lic. 11050Winston Salem, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
FOOTHILLS GRADING & SEPTIC SERVICE
Verified · Lic. 6475Tobaccoville, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
FREE FLOW ENVIRONMENTAL OF FORSYTH CO
Verified · Lic. 9232Winston Salem, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
Inspector (Level II) · NC NCOWCICB · verified 2026-06-25
FRESH AND CLEAN LLC DBA STRAIGHT FLUSH S
Verified · Lic. 5894Winston Salem, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
Inspector (Level II) · NC NCOWCICB · verified 2026-06-25
GARY ODELL GRADING & HAULING
Verified · Lic. 7227Winston Salem, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
II
Verified · Lic. 14956Winston Salem, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
J WESTMORELAND INC
Verified · Lic. 2778Kernersville, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
Inspector (Level IV) · NC NCOWCICB · verified 2026-06-25
JETCO PUMPING SERVICE
Verified · Lic. 9916Rural Hall, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
Inspector (Level IV) · NC NCOWCICB · verified 2026-06-25
JP UNDERGROUND LLC
Verified · Lic. 15386Kernersville, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
KLEAN IMAGE
Verified · Lic. 14169Pfafftown, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
KOFROTH CONSTRUCTION
Verified · Lic. 13016Kernersville, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level IV) · NC NCOWCICB · verified 2026-06-25
LANDGUARD LLC
Verified · Lic. 14803Wnston Salem, NC
Septic Tank PumpingSeptic RepairSeptic InspectionSeptic System Installation
On-Site Wastewater Contractor (Level II) · NC NCOWCICB · verified 2026-06-25
Septic System Installation in Forsyth County — FAQ
What does a new septic system cost in Forsyth County?
Conventional systems commonly run from several thousand dollars to well over $10,000; mound and nitrogen-reducing systems cost more. Soil and water-table conditions in Forsyth County are the biggest cost driver.
Do I need a permit to install a septic system in Forsyth County?
Yes. Permits are issued by the Local authorized agent / county health department in Forsyth County, under North Carolina Department of Health and Human Services (NC DHHS), Division of Public Health — Environmental Health Section, On-Site Water Protection Branch (OSWP)., and the system must pass inspection before use.
How long does an installation take?
Once permitted, the install itself is often 1–3 days, but evaluation and permitting can add weeks. Plan ahead.