(A) The director of health, in accordance with  Chapter 119. of the Revised Code, shall adopt, and subsequently  may amend and rescind, rules of general application throughout the  state to administer this chapter. Rules adopted under division (A)  of this section shall do at least all of the following: 
(1) Require that the appropriate board of health approve or  disapprove the installation, operation, and alteration of a sewage  treatment system if it is not connected to a sanitary sewerage  system;
(2) Require a board of health, or other person as established  by rule, to conduct a site evaluation for any proposed  installation of a sewage treatment system;
(3) Prescribe standards for the siting, design, installation,  operation, monitoring, maintenance, and abandonment of sewage  treatment systems that may be used in this state and for the  progressive or incremental alteration or repair of an existing  sewage treatment system or the progressive or incremental  installation of a new system to replace an existing sewage  treatment system. The rules shall be adopted so as to establish a  preference for the repair of an existing sewage treatment system,  when technically and economically feasible, rather than its  replacement with a new system. The standards shall include at a  minimum all of the following:
(a) Soil absorption specifications and vertical separation  distances.
(i) Soil absorption specifications established in rules shall  include standards regarding the sizing of sewage treatment systems  in use in the state.
(ii) In establishing soil absorption specifications and  vertical separation distances, the rules shall identify those soil  conditions that present a low or moderate risk of inadequate  treatment or dispersal of sewage from sewage treatment systems.  For low and moderate risk conditions, the required vertical  separation distance shall not exceed eighteen inches except as  authorized pursuant to rules adopted under divisions  (A)(3)(a)(iii) and (iv) of this section.
In addition, the rules shall identify those soil conditions  that present a high risk of inadequate treatment or dispersal of  sewage. For such high risk conditions, the vertical separation  distance shall be set at a depth from twenty-four to thirty-six  inches and shall not be lowered unless a reduction of vertical  separation is granted in accordance with rules adopted under  division (A)(3)(a)(iii) of this section.
(iii) The rules shall establish options to be utilized by a  board of health when approving the reductions of or compliance  with vertical separation distances that are established in rules  adopted under division (A)(3)(a)(ii) of this section. The options  for a board of health in providing such approval shall include,  but not be limited to: the use where deemed appropriate for a  particular site of subsurface interceptor drains, perimeter  drains, or engineered drainage; pretreatment of sewage; or soil  elevation.
(iv) The rules shall provide that a board of health may  petition the director to increase the vertical separation  distances required for sewage treatment systems in the applicable  health district or a portion of the district when conditions  present a high risk of inadequate treatment or dispersal of  sewage. The rules also shall provide that the director may approve  such a request upon a demonstration by the board of health that  unusual or unique local conditions relating to terrain, bedrock,  water table, soil fragments, or soil textures require the  establishment of greater vertical separation distances within the  jurisdiction of the board of health or a portion thereof. If,  under the rules, the director of health approves a greater  vertical separation distance, a board of health still may approve  a reduction of that vertical separation distance for an individual  sewage treatment system pursuant to rules adopted under division  (A)(3)(a)(iii) of this section. Further, if, under the rules, the  director approves a greater vertical separation distance, a person  who is denied permission by a board of health to install or  replace a sewage treatment system as a result of the director's  approval may request a hearing in accordance with section 3718.11  of the Revised Code.
(b) Specifications for the quality of treated sewage effluent  from household sewage treatment systems that is applied to soil on  the property where a household sewage treatment system is located.  The specifications established in the rules for the quality of  effluent from discharging systems shall comply with discharge  requirements imposed by the national pollutant discharge  elimination system permit program established under section  6111.03 of the Revised Code and rules adopted under it.
(c) Requirements for the reasonable maintenance of a system  according to maintenance requirements approved by the director of  health as recommended by the sewage treatment system technical  advisory committee or according to accepted standards and  practices established in rules, as applicable. The requirements  may include standards for service contracts or other arrangements  that assure regular maintenance and upkeep of the system. In  determining the reasonableness of a maintenance requirement, the  director shall consider a manufacturer's maintenance requirements  as well as all other maintenance alternatives.
(4) Prescribe procedures for notification to boards of health  of the approval of a sewage treatment system or components of a  system by the director of health under section 3718.04 of the  Revised Code;
(5) Prescribe criteria and procedures under which boards of  health shall issue installation permits, operation permits, and  alteration permits for sewage treatment systems. The rules shall  require as a condition of an installation permit that the  installer of a system must warrant that the system was installed  in accordance with all applicable rules and design requirements.  In addition, the rules shall require a board of health, not later  than sixty days after the issuance of an installation, operation,  or alteration permit, to notify the director that the permit was  issued. The rules shall require the notification to be in a format  prescribed by the director and to include information related to  the issuance of the permit. With the assistance of the department  of health, a board of health, to the extent practicable, shall  computerize the process of the issuance of permits for sewage  treatment systems.
(6) Require a board of health to inspect a sewage treatment  system not later than twelve months after its installation to  ensure that the system is operating properly. The rules shall  require a board of health, not later than sixty days after the  inspection, to certify to the director on a form provided by the  director that the inspection was performed.
(7) Require each board of health to develop a program for the  administration of maintenance requirements established in rules  adopted under division (A)(3)(c) of this section. The rules shall  include requirements and procedures under which a person may  demonstrate the required maintenance of a system in lieu of having  an inspection conducted when an inspection otherwise is required.  The rules shall require a board of health to provide written  notice to a person that is demonstrating maintenance of a system  in lieu of an inspection that if proof of the required maintenance  of the system is not provided as required by rules, the system is  subject to inspection by the board and the reasonable cost of the  inspection must be paid by the person. The rules shall authorize a  board of health to inspect any sewage treatment system if there is  a good-faith complaint regarding the system, there is probable  cause for the inspection, or proof of the required maintenance of  the system has not been provided as required by rules. In  addition, the rules shall authorize a board of health to inspect a  sewage treatment system without prior notice in any instance in  which the board has probable cause to believe that the system is  endangering or threatening to endanger public health. The rules  shall require that the reasonable costs for sewage effluent  testing or evaluation be paid by the owner of a sewage treatment  system that is being investigated. Further, the rules shall  establish a methodology for determining the reasonable costs of an  inspection in accordance with section 3709.09 of the Revised Code.  The rules shall allow, but shall not require, a board of health to  continue an inspection program that was established by the board  prior to the effective date of the rules, provided that the  program authorizes a person to demonstrate the required  maintenance of a system in lieu of an inspection.
(8) Require a board of health to register installers, service  providers, and septage haulers that perform work within the health  district; prescribe criteria and procedures for the registration;  and prescribe criteria for a demonstration of competency as a part  of the registration. The rules shall establish uniform statewide  bonding requirements or other financial security requirements for  installers, service providers, and septage haulers as a condition  of registration within any health district. The rules shall  establish a methodology by which the required amount of a bond or  other security may be calculated for each installer, service  provider, and septage hauler. The methodology, at a minimum, shall  consider the number of systems installed or serviced and the type  of system installed or serviced by an installer, service provider,  or septage hauler on an annual basis. The rules shall provide that  no board of health shall require an additional or different bond  or security requirement as a condition of registration beyond the  bonding and security requirements established in the rules adopted  under division (A)(8) of this section.
The rules shall establish a cost methodology for determining  the fee for the registration of an installer, service provider, or  septage hauler in any health district.
(9) Prescribe requirements for the collection,  transportation, disposal, and land application of domestic septage  in this state from a sewage treatment system;
(10) Require boards of health to maintain records that are  determined necessary to ascertain compliance with this chapter and  the rules adopted under it;
(11) Require the manufacturer of a sewage treatment system  that is authorized for use in this state in rules adopted under  this section or that is approved for use in this state under  section 3718.04 of the Revised Code to provide instructions for  the operation and maintenance of the system. The rules shall  provide that a board of health may require a copy of a  manufacturer's instructions for the operation and maintenance of a  system to be filed with the board prior to the installation and  use of the system in the health district in which the board has  jurisdiction. In addition, the rules shall require a board of  health and a manufacturer to provide a copy of the operation and  maintenance instructions, if available, when a board of health or  a manufacturer receives a written request for instructions.
(12) Prescribe criteria for the provision of written evidence  of compliance with rules pertaining to sewage treatment for  purposes of sections 711.05 and 711.10 of the Revised Code;
(13) Pursuant to divisions (A)(1) and (3) of this section,  prescribe standards for the siting, design, installation,  operation, monitoring, maintenance, and abandonment of small flow  on-site sewage treatment systems that may be used in this state;
(14) Prescribe minimum criteria and procedures under which  boards of health may establish household sewage treatment district  management programs for the purpose of providing a responsive  approach toward preventing or solving sewage treatment problems  resulting from household sewage treatment systems within the  districts established under the program. For purposes of division  (A)(14) of this section, a board of health may enter into a  contract with any entity to administer a household sewage  treatment district management program.
(15) Prescribe standards for the use of subsurface  interceptor drains, perimeter drains, and engineered drainage to  remove or divert any subsurface water from an area to be used for  soil absorption of sewage in the soil of a sewage treatment  system;
(16) Prescribe standards for the inspection of septage  hauling truck tanks by boards of health, including, but not  limited to, tank seal safety specifications;
(17) Establish standards and testing methods to ensure that  all septic tanks, other disposal component tanks, dosing tanks,  pump vaults, household sewage treatment disposal system holding  tanks and privy vaults, or other applicable sewage disposal system  components manufactured after September 17, 2010, and used in this  state are watertight and structurally sound;
(18) Require a board of health to give notice and an  opportunity for a hearing, pursuant to section 3718.11 of the  Revised Code, to an affected property owner regarding any of the  following:
(a) The denial of an installation, operation, or alteration  permit for a sewage treatment system;
(b) The imposition of a condition on the installation of a  sewage treatment system;
(c) The required replacement of a sewage treatment system;
(d) Any other final order or decision of a board of health  that is made under this chapter concerning which a property owner  is claiming to be aggrieved or adversely affected.
The rules also shall establish procedures for giving such  notice and for conducting the hearing required in rules adopted  under division (A)(18) of this section.
(19) Prescribe standards for the regulation of gray water  recycling systems;
(20) Prohibit a sewage treatment system from causing a public  health nuisance;
(21) Define economic impact for purposes of division (B) of  this section and section 3718.022 of the Revised Code.
The director may adopt other rules under division (A) of this  section that the director determines are necessary to implement  this chapter and to protect the public health and welfare.
At least sixty days prior to adopting a rule under division  (A) of this section, the director shall provide boards of health  and any other interested parties an opportunity to comment on the  rule.
(B)(1) In accordance with section 3709.20 or 3709.21 of the  Revised Code, as applicable, and subject to review by and approval  of the director under division (C) of section 3718.05 of the  Revised Code, a board of health may adopt rules necessary for the  public health providing for more stringent standards than those  established in rules adopted by the director under division (A) of  this section. In proposing or adopting the rules, a board of  health shall consider and document the economic impact of the  rules on property owners within the applicable health district.
(2) A board that intends to adopt rules shall notify the  department of health of the proposed rules and submit a copy of  the proposed rules and the documentation of the economic impact of  the rules at least ninety days prior to the proposed date of  adoption. The director shall approve or disapprove any such  proposed rule within ninety days after receiving a copy of the  proposed rule from the board of health.
(3) In reviewing a proposed rule, the director shall approve  the rule if all of the following apply:
(a) The proposed rule is not in conflict with this chapter or  rules adopted under it.
(b) The proposed rule is authorized by division (B) of this  section.
(c) The proposed rule is no less stringent than rules adopted  by the director.
(d) Unless otherwise authorized by this chapter or rules  adopted under it, the proposed rule does not require design  changes to a sewage treatment system, or component thereof, that  differ from a design authorized in rules adopted under division  (A) of this section, including rules adopted under division (A)(1)  or (A)(3)(a)(iii) or (iv) of this section, or approved by the  director under section 3718.04 of the Revised Code.
(e) The proposed rule does not require operation or  maintenance procedures for a sewage treatment system that conflict  with operation or maintenance procedures authorized in rules  adopted under division (A) of this section, including rules  adopted under division (A)(1) or (A)(3)(a)(iii) or (iv) of this  section, or approved by the director under section 3718.04 of the  Revised Code.
(4) If a board of health fails to submit a proposed rule to  the director or fails to demonstrate that the board has considered  the economic impact of the proposed rule, the rule shall have no  force or effect and is not enforceable.