CITY REPORT NC 3 HEALTH VIOLATIONS

Middlesex, NC: 3 Health Violations — 88/100 (2026)

1 ZIP code · 7 water systems · Updated 2026-06-03

The water systems supplying Middlesex show a track record of above-average compliance with federal standards — consistently among the better performers in NC.

How Middlesex Compares

Middlesex88/100
North Carolina avg73/100
National avg67/100

Data: EPA SDWIS Last verified: 2026-06-03

1
ZIP Codes
7
Water Systems
1
ZIPs with Violations
A · 88
Avg Safety Score
Zone 3
Radon Risk (Low)
$167K
Median Home Value
$1,200
Est. Remediation (0.7% of home value)

Middlesex Water: The Quick Version

  • Your city's water systems recorded 19 violations in the past 5 years.
  • Average lead level: 0.004 mg/L.
  • Homes built before 1986: 45% — older plumbing may contain lead solder.
  • Estimated remediation: $1,200 per household.
  • CDC health risk index: 14.63 — above typical levels.

Water Systems Serving Middlesex

Residential addresses in Middlesex, NC are served by 3 primary water providers out of 7 systems in federal records. Each system maintains separate infrastructure and files its own EPA compliance reports, so service conditions are not uniform across the city.

Middlesex Water System
Serves ~1,389 people · 19 violations
88
/100
Buffalo Creek S/d
Serves ~721 people · 19 violations
88
/100
Bailey, Town of
Serves ~563 people · 19 violations
88
/100

Overview

We track water quality and home safety data for 1 ZIP code in Middlesex, North Carolina, covering 7 community water systems serving approximately 8,407 people.

1 of 1 ZIP code (100%) have recorded EPA violations. 3 health-based violations documented.

Home Safety Score

Average Home Safety Score for Middlesex: A (88/100)

The score combines three factors:

Factor What It Measures
Water Quality EPA violations and compliance history
Lead Levels 90th percentile lead concentration vs EPA action level
Radon Risk EPA radon zone classification

Water Sources

Middlesex water systems draw from: Groundwater.

Lead & Copper

  • Average lead level (90th percentile): 0.0040 mg/L (EPA action level: 0.015 mg/L)
  • 0 ZIP codes exceed the EPA lead action level

Radon Risk

Dominant radon zone: Zone 3 (Low Risk)

Top Contaminants

Contaminant Category Violations ZIPs Affected
Lead and Copper Rule Treatment Technique 10 1
Revised Total Coliform Rule Microbiological 6 1
Total Trihalomethanes (TTHM) Disinfection Byproducts 4 1
Contaminant 2946 Other 4 1
Stage 2 DBP Rule Treatment Technique 4 1

Areas with Most Violations

ZIP Code Safety Score Violations Health-Based System
27557 A 19 3 Middlesex Water System

All ZIP Codes in Middlesex

  • 27557 [A] — 19 violations ⚠

Data Sources

Updated daily.

CDC Health Data for Middlesex

11.5%
Asthma (US: 9.8%)
15%
Diabetes (US: 10.4%)
17.2%
Poor Mental Health (US: 14.8%)

Source: CDC PLACES (County-level estimates). Water contamination can correlate with respiratory and chronic health conditions.

Compared to National Average

Asthma 11.5% ↑
Diabetes 15% ↑
Mental Health 17.2% ↑

Vertical line = national average. Above national · Below national

Key Contaminants Detected in Middlesex

Lead and Copper Rule 10 violations
Treatment Technique
Developmental delays in children, kidney damage
Revised Total Coliform Rule 6 violations
Microbiological
Indicates possible bacterial contamination
Total Trihalomethanes (TTHM) 4 violations
Disinfection Byproducts · EPA limit: 0.08 mg/L
Increased cancer risk with long-term exposure

Based on EPA violation records. Check your ZIP code report for system-specific contaminant data.

How Old Is Middlesex's Housing Stock?

1999
Median Build Year
45%
Built Before 1986
23%
Built Before 1970
Copper
Likely Pipe Material

With 45% of homes built before 1986, lead solder in plumbing is a potential concern. The EPA banned lead solder in 1986, but many older homes retain original plumbing.

Source: U.S. Census Bureau American Community Survey (ACS).

Housing Age Profile

Prohibited from residential plumbing since 1986, lead solder divides Middlesex's housing stock along a timeline that the median build year of 1999 straddles. A meaningful share of homes predates the ban — a configuration that places moderate aggregate pressure on plumbing-related lead risk, distributed unevenly across neighborhoods.

1999
Median Year Built
45%
Pre-1986 (Lead Paint Risk)
23%
Pre-1970 (Lead Pipes Risk)
Pre-1970 (23%) 1970–1986 (22%) Post-1986 (55%)

Most homes in Middlesex were built after 1986, reducing the risk of lead contamination from plumbing. Older homes should still be tested.

Source: U.S. Census Bureau ACS B25034.

Middlesex: Remediation Cost in Perspective

Within the Middlesex market, estimated remediation claims a small portion of typical property equity — the financial burden is proportionally low.

Median Home Value
$167,300
Est. Remediation
$1,200
Remediation as % of home value 0.7%

Remediation costs in Middlesex are relatively low compared to home values. The $700–$2,300 estimated range is a small fraction of median property value. Home values are 29% below the North Carolina average.

Protecting Children from Lead in Middlesex

45%
Homes Built Before 1986
0.004
mg/L Avg Lead (Limit: 0.015)

Why children are most at risk: The CDC states there is no safe level of lead exposure for children. Children under 6 absorb lead more readily than adults, and even low levels can cause developmental delays, learning difficulties, and behavioral problems.

Practically, the structural drivers in Middlesex — 45% pre-rule stock and citywide monitoring at or beyond the regulatory benchmark — make an in-home draw the practical way to translate aggregate averages into the specific conditions at one address.

Sources: EPA Lead and Copper Rule, U.S. Census Bureau ACS, CDC childhood lead poisoning prevention guidelines.

Frequently Asked Questions

Is the water safe to drink in Middlesex, NC?
Middlesex has an average water safety score of 88/100 (Grade A). 19 EPA violations have been recorded. Check individual ZIP code reports for details specific to your neighborhood.
How many water violations does Middlesex have?
Middlesex water systems have a total of 19 EPA violations, including 3 health-based violations. Violations are tracked across 1 ZIP code.
Does Middlesex water have lead?
The average 90th-percentile lead level in Middlesex is 0.004 mg/L. This is below the EPA action level of 0.015 mg/L. Lead levels can vary by home — testing is recommended especially in older properties.
How does Middlesex compare to North Carolina average?
Middlesex has an average water safety score of 88/100, which is above the North Carolina state average of 73/100.
How many water systems serve Middlesex?
Middlesex is served by 7 public water systems across 1 ZIP code, serving approximately 8,407 people.
How much does it cost to fix water issues in Middlesex?
Estimated remediation costs in Middlesex average $1,200 per household, ranging from $700 to $2,300. Costs include filtration, pipe replacement, radon mitigation, and flood protection.
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