Predominantly, sanitation interventions are only implemented as barriers between environment and systems that involve human being (Nuvolari, 2013). These must be given in an ecological way and the lack of attention to this aspect, in addition to problems related to limitation of natural resources generation, damages health and quality of life (Rosso and Dias, 2011). Implementation of sanitation systems, more specifically of sanitary sewage, requires engineering exercise to understand the problem and proposition of technical alternatives. Separate system, as an exclusive system for sanitary sewage collection in separation from rainwater, is legally recognized by the State of Rio de Janeiro as an ideal technique. However, changes in local reality reflect the need to review techniques adopted to ensure durable and sustainable solutions (Rosso and Dias, 2012). Understanding the relationship between sanitation and public health is also central to guide effective services. From the twentieth century, several endemic and epidemic diseases were reduced and eradicated in Brazil as a consequence of sanitary improvements implantation. However, diseases related to precarious population conditions continue to play a significant role in national morbidity and mortality (Funasa, 2010). Foregoing highlights the importance of health-sanitation relationship not only as an epidemiological indicator, but with a broader sense of health that involves social well-being and quality of life. Therefore, it is extremely important to evaluate sanitary sewage services implementation in health and environment perspective, i.e., environmental health.