Septic Tank Companies in West Virginia
54 septic service companies across 43 cities — approximately 40% of West Virginia homes use septic systems
West Virginia's Department of Health and Human Resources (DHHR), through its Office of Environmental Health Services (OEHS), regulates individual sewage systems, with county health departments handling local permits and inspections. Approximately 40% of West Virginia homes rely on septic systems — among the highest rates in the country — reflecting the state's mountainous terrain, dispersed population, and limited municipal sewer infrastructure in many hollows and rural communities. The state's steep slopes, thin mountain soils over sandstone and shale bedrock, high annual rainfall (40–60 inches), and narrow stream valleys create some of the most challenging conditions for conventional septic systems anywhere in the eastern United States.