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Union County, North Carolina

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Clerk of Courts

Clerk of Superior Court

J.R. Rowell
Phone: 704-698-3100
Fax: 704-698-3101


Phone: 704-292-2746

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What clinical services do we provide?

  • Children’s Health
  • Women’s Health
  • General Health
  • WIC
  • Medical Records

What community services do we provide?

  • ABC (About Breast Cancer)
  • Breast Feeding Peer Counselor
  • Care Coordination for Children
  • Child Care Health Consultant Program
  • Community Health Education
  • Parenting with a Purpose
  • Pregnancy Care Management
  • Public Health Preparedness
  • Vital Records

What are Union County’s privacy practices?

All patient services are confidential as required by North Carolina and federal law.

Communicable Disease Control Program

Communicable disease is defined as "illness due to a specific infectious agent or its toxic products that arises through transmission of that agent or its products from an infected person, animal, or reservoir to a susceptible host, either directly or indirectly through an intermediate plant or animal host, vector, or the inanimate environment." Communicable disease pathogens include bacteria, viruses, fungi, parasites and prions.

Communicable diseases can have a significant impact on the population. The surveillance and control of such diseases is an important part of protecting the public's health. The Communicable Disease program primarily deals with infectious diseases that are reportable by law.

The program also deals with other communicable diseases of public health significance, such as:

  • Influenza
  • Norovirus infection
  • Certain healthcare-associated infections.

For additional information please visit the NC Communicable Disease website.

The program responsibilities include:

  • Monitoring disease outbreaks
  • Monitoring reportable disease rates
  • Providing education to the public and medical community to prevent the spread of disease
  • Implementation of and enforcement of control measures to prevent the spread of infection.
  • Control and prevention of rabies and other diseases of animal origin that can affect humans.

Rabies is a vaccine preventable disease in humans, dogs, cats and ferrets as well as some domestic livestock. All mammals are susceptible to rabies and it is nearly always fatal. Rabies can be prevented in humans with timely and appropriate treatment. In North Carolina the disease most often occurs in wild animals especially skunks, raccoons, bats and foxes. Raccoon rabies is present in the raccoon population in virtually every North Carolina county. For additional information on Rabies please visit:

STD Health Services

STD and HIV prevention and control services includes providing clinical services, education and awareness efforts and monitoring disease trends through surveillance and epidemiology. STD Clinic provides testing, treatment and education at no cost to the client for:

  • Syphilis
  • Gonorrhea
  • Chlamydia
  • HIV / AIDS
  • Other sexually transmitted infections

NC DHHS STD/ HIV Information for Individuals and Families


Our Immunization Clinic provides vaccines to people of all ages, including those traveling internationally. Public Health offers vaccines for preventable diseases to reduce the spread of vaccine-preventable diseases within Union County. The following vaccines are offered through our immunization clinic:

  • Gardasil
  • Hepatitis A (Adult) – 2 shot series
  • Hepatitis A (Pediatric)
  • Hepatitis B – 3 shot series
  • Meningococcal Vaccine
  • MMR
  • Twinrix – 3 shot series
  • Pentacel
  • Typhoid
  • Polio
  • Varicella
  • Tdap
  • Yellow Fever

In addition to vaccines, Blood Titer testing is available for the following:

Spanish Immunization Schedule (adults)

International Travel Immunizations

With the mission of public health to promote health, prevent disease and protect the community, International Travel Immunizations allow us to assist those traveling internationally the opportunity for disease protection. A Registered Nurse will review travel itinerary, provide immunization education and vaccination(s). A Vaccination record will be provided to you for your records.

Union County Lost and Found Pets

Online Search Instructions

Performance Guarantee Review Application

Septic Systems, Wells & Water Protection

Septic Systems, Wells & Water Protection

Septic Systems

The Union County On-site wastewater / septic program performs site evaluations, issues permits and inspects existing systems to protect the public health of Union County. By performing these duties, we help ensure the proper completion of construction, design and monitoring of septic systems.

Site Evaluation Process

The soil is evaluated to determine the suitability for an on-site wastewater / septic system. A soil evaluation is required for any new construction and for any existing properties that may be adding to the existing building / house.

Construction Authorization/Permitting

The Construction Authorizatoin is the septic permit required prior to any constructoin.

Existing System Inspections

These inspections are made by request only. These inspections are required prior to any new construction on a property with an existing septic system. This includes garages, swimming pools, irrigation systems, attachments to existing buildings, etc.

Repair/Maintenance of Existing Septic Systems

A request is made by the homeowner, or representative thereof, for a repair to be made to a malfunctioning system. A site visit is made by the Environmental Health Specialist to assess the situation and to make recommendations, prior to issuing a repair permit. There is no fee for a repair inspection or a repair permit.

Maintenance Program

The maintenance program is a State mandated program that specifies inspection frequencies for specific types of on-site wastewater / septic systems. Low Pressure Pipe (LPP), Pre-treatment, and pump systems are examples of systems which must be inspected.

For LPP systems and pre-treatment systems, there is a homeowner’s guide, a certified operator list, and a sample inspection sheet available under the “Rules & Guides” section.


The following is an outline of our process to obtain a septic permit:

  1. Apply for a site evaluation using the Septic System Approval Application
  2. Evaluation of property is performed and flagged, if suitable by an Environmental Health Specialist
  3. Submit the Construction Authorization Application Construction Authorization Permit is drawn by Environmental Health Specialist
  4. Pick up permit


In an effort to protect public health and to responsibly develop the groundwater resources of Union County, the Union County Health Department, Environmental Health Division has implemented a program for the permitting, inspection and water quality analysis for all new private drinking water wells and irrigation wells. This program shall adhere to all regulations set forth in 15A NCAC 02C .0300, and the Union County Health Department Regulations Governing the Permitting, Construction, Inspection, Repair, Abandonment and Water Quality Testing of Irrigation Wells in Union County.

Well Permit

A well permit is required for: Private drinking wells, Irrigation wells, Water producing geothermal wells and Well repairs*.

To obtain a well permit:

  • An Application and site plan including: property line dimensions, structures, pools, septic systems and other potential sources of contamination listed on the application form, must be submitted to the Environmental Health office.
  • A field visit to the property shall occur.
  • The permit shall be prepared using the site plan. It will have a scaled drawing of the property indicating the location of all potential sources of contamination and setbacks. The well may be located anywhere outside of the setback area(s).
  • A $480 permit fee is due when the permit is picked up at the Environmental Health office.

*No fee is required for a well repair permit. Any well application for a parcel which is served by public sewer or water shall be reviewed by Union County Public Works. All wells applied for in the City of Monroe shall have approval from the Monroe Water Resources Department. This generally increases the permit preparation time by seven days or longer.

Water Quality Testing

How to apply for water quality testing sample: Complete a Request Form and mail appropriate fee(s) to the Environmental Health Office. Sampling is generally scheduled within five working days.

Available Water Quality Tests:

  • Bacteria: $60
  • Nitrate/Nitrite: $75
  • Iron Bacteria: $60
  • Sulfur Bacteria: $70
  • Inorganic: $115
  • Pesticide: $110
  • Herbicide: $110
  • Petroleum: $105

*Inorganic test kit $60 (Inorganic test kit must be picked up at Environmental Health Office).


Bacteria test results will be mailed to you. If you would like to view or print a copy of your water sample test results (non-bacterial), please visit the North Carolina Laboratory of Public Health website for; Inorganic/Nitrates Results , Petroleum/Pesticides Results. Scroll down the page and click on inorganic or organic sample test results, enter Union County Environmental Health under counties, and follow directions.

For information regarding contaminants and minerals in your drinking water, please visit the EPA’s website.

Water Quality

How does Union County protect our water quality?

The On-Site Water Protection Section of the Division of Environmental Health is committed to protecting the environment and promoting public health. This is accomplished by having a dedicated staff of environmental health specialists who carry out the following responsibilities:

  • Performing soil and site evaluations;
  • Issuing / denying on-site wastewater system permits;
  • Inspecting new and existing septic tank systems;
  • Responding to complaints;
  • Issuing / denying well permits; and
  • Water sampling of wells, including: bacteria inorganic nitrates/nitrites pesticides petroleum.

The overall goal for the On-Site Water Protection Section is to provide a resource for the citizens of Union County for education and consultation regarding public health issues.

Vector: Union County currently does not have any vector control ordinances. However, we do offer assistance through educational materials and on-site visits, as needed.

West Nile virus: North Carolina and Union County have had positive cases of West Nile virus. At this time, the State Laboratory of Public Health has discontinued the testing of dead birds for West Nile virus. As a resident of Union County, you should assume the West Nile virus is present and all necessary precautions should be taken.

What systems require permits?

What systems require inspection?

Permits are issued by the On-site Water Protection Program for the installation of new drinking and irrigation wells or for the repair of existing wells. Inspections of well installations and well water sampling are also conducted. Water samples can be tested for the following: bacteria, petroleum pesticides, herbicides, nitrates/nitrates and inorganics. The inorganic test includes evaluation for: pH, alkalinity, fluoride, chloride, calcium, magnesium, total hardness, manganese, lead, arsenic, copper, iron and zinc.

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David Womack
Environmental Health Supervisor

Phone: 704-283-3854

Environmental Health Concerns in the Community

If you have a concern about an Environmental Health issue, please use the following link to request a follow-up.

Complaint Form

About Water Quality Protection

The On-site Water Protection Program serves the community through the protection of surface and ground water supplies. Program staff educate citizens on water quality, contaminant issues and waterborne diseases. Environmental Health Specialists conduct soil and site evaluations to determine suitability for septic systems on both residential and commercial properties. This program is responsible for the design, permitting and inspection of new systems and the repair of existing sewage disposal systems. Other duties include responding to citizen complaints and performing existing system inspections. Existing system inspections are performed for homeowners who are constructing additions to their home including: bedrooms, decks, porches, detached buildings, swimming pools or rooms outside the existing foundation.