Short answer: The Nassau County Department of Health lists East Hills as not publicly sewered, so homes here run on cesspools, septic tanks or I/A systems. Nassau's S.E.P.T.I.C. grant for eligible nitrogen-reducing upgrades is up to $35,000 per its administrator (details below).
East Hills in numbers
| Town | Town of North Hempstead (partly Oyster Bay) |
|---|---|
| Status | Incorporated village |
| Area | 2.24 sq mi |
| Sewer (county list) | Not publicly sewered |
| Parcels / median parcel | about 2,488 / 0.35 ac |
| Building permits | Village of East Hills |
Area and parcels computed 2026-11-07 from Nassau County GIS (place boundary; all tax parcels touching it, any use). Sewer status from the Nassau County Department of Health list of sewer districts by community, which is by community, not street.
Sewer status and lots
The Nassau County Department of Health lists East Hills as not publicly sewered, so homes here run on cesspools, septic tanks or I/A systems. About 2,488 tax parcels touch East Hills's 2.24 square miles, with a median of 0.35 acres (about 15,300 sq ft). That is the 24th-largest median parcel of the 133 Nassau places we measured. Nearby: Roslyn (on public sewer, median parcel 0.28 ac); Greenvale (not publicly sewered, median parcel 0.18 ac); Roslyn Harbor (not publicly sewered, median parcel 1.00 ac).
Grant and permits
Because the county lists East Hills outside public sewer, its homes fall in the area Nassau's S.E.P.T.I.C. grant was designed for, subject to the program's property test. Permits come from the Village of East Hills; the contractor needs a Nassau County Home Improvement License, and no county rule we found requires an I/A system for an existing home.
For East Hills properties, Nassau grant amount and no-stacking details are on the Nassau County overview and Long Island grants guide.
Who handles what in East Hills
- Building permits: Village of East Hills
- S.E.P.T.I.C. grants: 516-364-5861 ([email protected])
Frequently asked questions
Is East Hills on public sewer?
The Nassau County Department of Health lists East Hills as not publicly sewered, so homes here run on cesspools, septic tanks or I/A systems.
Who issues permits for septic work in East Hills?
The Village of East Hills building department, with a contractor holding a Nassau County Home Improvement License.
Rules and grant steps: Town of North Hempstead overview, Nassau regulations, S.E.P.T.I.C. details. More nearby: Roslyn Estates, Roslyn Heights, Old Westbury, Flower Hill.
Sources
Each source was re-read on November 7, 2026. Program amounts and rules change; the agency page is the authority.
- Nassau County DOH: Public sewer districts by community
- Nassau County GIS map service (place boundaries, tax parcels)
- Nassau County Soil & Water Conservation District: S.E.P.T.I.C. program (program administrator)
- Nassau County: S.E.P.T.I.C. program
Need cesspool or septic work in East Hills?
Submit a request with your address. We match it to an independent operator with a Nassau County Home Improvement License who serves that address; the operator confirms the time and price with you.
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