CITY REPORT VA

Middletown, VA: High Radon Risk — 62/100 (2026)

2 ZIP codes · 4 water systems · Updated 2026-06-03

Middletown's water quality grade in VA reflects a middle-ground assessment — service areas range from fully compliant to violation-flagged in current EPA records.

How Middletown Compares

Middletown62/100
Virginia avg66/100
National avg67/100

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

2
ZIP Codes
4
Water Systems
0
ZIPs with Violations
C · 62
Avg Safety Score
Zone 1
Radon Risk (High)
$389K
Median Home Value
$1,800
Est. Remediation (0.5% of home value)

Middletown Water: The Quick Version

  • Average lead level: 0.0072 mg/L.
  • Estimated remediation: $1,800 per household.
  • CDC health risk index: 13.63 — above typical levels.

Water Systems Serving Middletown

Water supply in Middletown, VA follows a divided structure: 3 utilities account for the largest share of residential service out of 4 total systems, each managing its own distribution network and EPA reporting. Because these systems operate independently, rate decisions and compliance outcomes are determined separately.

Frederick Water
Serves ~46,206 people
65
/100
Stephens City, Town of
Serves ~1,967 people
65
/100
Middletown, Town of
Serves ~1,390 people
65
/100

Overview

We track water quality and home safety data for 2 ZIP codes in Middletown, Virginia (population ~4,344), covering 4 community water systems serving approximately 50,413 people region-wide.

No EPA violations recorded across any ZIP codes in Middletown — an excellent indicator of water quality.

Home Safety Score

Average Home Safety Score for Middletown: C (62/100)

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

Middletown water systems draw from: Surface water.

Lead & Copper

  • Average lead level (90th percentile): 0.0072 mg/L (EPA action level: 0.015 mg/L)
  • 0 ZIP codes exceed the EPA lead action level

Radon Risk

Dominant radon zone: Zone 1 (High Risk)

  • Zone 1 (High): 2 ZIP codes
  • Zone 2 (Moderate): 0 ZIP codes
  • Zone 3 (Low): 0 ZIP codes

The EPA recommends testing homes in Zone 1 and Zone 2 areas for radon.

Areas with No Violations

ZIP Code Safety Score System Population
22645 C Middletown, Town of 1,390
22649 C Middletown, Town of 1,390

All ZIP Codes in Middletown

Data Sources

Updated daily.

CDC Health Data for Middletown

10.8%
Asthma (US: 9.8%)
12.7%
Diabetes (US: 10.4%)
17.6%
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 10.8% ↑
Diabetes 12.7% ↑
Mental Health 17.6% ↑

Vertical line = national average. Above national · Below national

Middletown: Remediation Cost in Perspective

Remediation costs in Middletown are small relative to typical property values — the cost-to-value ratio here is favorable.

Median Home Value
$389,100
Est. Remediation
$1,800
Remediation as % of home value 0.5%

Remediation costs in Middletown are relatively low compared to home values. The $1,200–$2,400 estimated range is a small fraction of median property value. Home values are 24% above the Virginia average.

Protecting Children from Lead in Middletown

0.0072
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.

Lead risk in Middletown appears low overall, but individual homes may differ. Testing is the only way to confirm your water's lead content.

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

Climate-Related Water Risk for Middletown

Flood history in Middletown spans 3 NFIP claims and 50% flood zone coverage — enough to place it in moderate-exposure territory where flood events are genuinely recurring rather than statistical outliers. That distinction matters for water quality assessment because the connection between flooding and water safety is not uniform across communities. In low-exposure areas, flooding rarely generates the conditions needed to compromise treatment or distribution infrastructure. In high-exposure areas, it can do so repeatedly. Moderate-exposure communities sit in between: flood events occur with enough frequency to make periodic infrastructure stress a reasonable concern, particularly for private well owners and residents in lower-elevation FEMA-designated zones.

3
Total FEMA Flood Claims
$11,129
Avg Claim Payout
50%
ZIPs in FEMA Flood Zones

Middletown has a moderate flood history with 3 FEMA claims averaging $11,129 per payout. 50% of ZIP codes fall within FEMA flood zones. Flood events can contaminate drinking water and overwhelm treatment systems.

How flooding affects water quality: Flood events can introduce sewage, agricultural runoff, and industrial chemicals into water supplies. Even after floodwaters recede, contamination can persist in wells and aging infrastructure. Flood damage can add significantly to the estimated <strong>$1,800</strong> remediation cost per household.

Residents in flood-prone areas should consider flood insurance even outside FEMA zones — over 25% of flood claims come from low-to-moderate risk areas. After any flood event, test your water before drinking.

Source: FEMA National Flood Insurance Program (NFIP) claims data, FEMA flood zone designations.

What You Can Do in Middletown

  1. Test your water at home. City-level data shows averages — your tap may differ. NSF-certified test kits cost $20-40 and give results in days.
  2. Install a certified water filter. An NSF-certified pitcher or under-sink filter removes most common contaminants.
  3. Check your home's plumbing. Homes built before 1986 may have lead solder in pipes. A licensed plumber can assess your risk.

Frequently Asked Questions

Is the water safe to drink in Middletown, VA?
Middletown has an average water safety score of 62/100 (Grade C). No EPA violations on record. Check individual ZIP code reports for details specific to your neighborhood.
Does Middletown water have lead?
The average 90th-percentile lead level in Middletown is 0.0072 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 Middletown compare to Virginia average?
Middletown has an average water safety score of 62/100, which is below the Virginia state average of 66/100.
How many water systems serve Middletown?
Middletown is served by 4 public water systems across 2 ZIP codes, serving approximately 4,344 people.
How much does it cost to fix water issues in Middletown?
Estimated remediation costs in Middletown average $1,800 per household, ranging from $1,200 to $2,400. Costs include filtration, pipe replacement, radon mitigation, and flood protection.
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