Health Violations Found NC 2 HEALTH VIOLATIONS

City of Winston-salem,

EPA ID: NC0234010 · 388,060 people served · 20 ZIP codes

4 open EPA findings remain on record at City of Winston-salem, — the utility supplies approximately 388,060 people.

Data: EPA SDWIS Last verified: 2026-04-02

C · 66
Avg Safety Score
388,060
People Served
20
ZIP Codes Served
14
Violations (5yr)
Surface Water
Water Source
0.28 mg/L
Max Lead Level — Exceeds Limit
Zone 2
Radon Risk · Moderate
11
Contaminants Flagged
$211K
Median Home Value in Service Area

Compliance Trajectory

Stable · Risk tier: High · 95% chance of violation in next 12 months

Violations went from 2 (2023) to 2 (2025). Violation counts have remained relatively steady.

Service Area Map

Coverage area for City of Winston-salem, Source: EPA SDWIS service area boundaries.

Service area boundary — Grade C

Service Area Demographics

$70,585
Median Household Income
474,955
Service Area Population
33%
Disadvantaged Population
59th
Poverty Percentile
44th
Energy Burden Percentile
51%
Pre-1986 Housing

The City of Winston-salem, serves a community with a median household income of $70,585 and an estimated 474,955 residents across its service area. Approximately 51% of housing stock was built before 1986, which increases the likelihood of lead service lines and older plumbing.

Environmental Justice Note: 33% of the population in this service area is classified as disadvantaged under EPA's EJScreen criteria. Communities with higher disadvantaged populations often face disproportionate environmental and health burdens, including aging water infrastructure and limited resources for remediation.

🌊 Where Does Your Water Come From?

Surface Water

City of Winston-salem,'s water is drawn from rivers, lakes, or reservoirs. Surface water sources are more exposed to agricultural runoff, stormwater, and upstream discharges, but they typically receive more intensive treatment before reaching your tap.

Elevated Risk
Source Contamination Risk
13th
Wastewater Discharge Proximity
21th
Superfund Site Proximity

About 1% of homes in Forsyth County, North Carolina rely on private wells rather than public water systems. Private well owners are responsible for their own water testing and treatment.

Infrastructure Risk

42 yr
Avg Pipe Age
Copper
Pipe Material
28 yr
Est. Remaining Life
Moderate Wear
Decay Status
Installed 60% of expected lifespan used End of life

Detected Contaminants

How City of Winston-salem, compares to EPA limits

Benzene 1 mg/L (EXCEEDS LIMIT)
0 EPA Limit: 0.005 mg/L
Total Trihalomethanes (TTHM) 1 mg/L (EXCEEDS LIMIT)
0 EPA Limit: 0.08 mg/L
Bladder & rectal cancer risk; reproductive concerns

What This Means For You

Benzene at 1 mg/L exceeds the EPA maximum of 0.005 mg/L.

Total Trihalomethanes (TTHM) at 1 mg/L exceeds the EPA maximum of 0.08 mg/L. Bladder & rectal cancer risk; reproductive concerns. Consider granular activated carbon (GAC) filtration.

Stage 1 DBP Rule at 6 mg/L exceeds the EPA maximum of mg/L.

Stage 2 DBP Rule at 2 mg/L exceeds the EPA maximum of mg/L.

Surface Water Treatment Rule at 2 mg/L exceeds the EPA maximum of mg/L.

PFAS Detected in Service Area

PFAS ("forever chemicals") have been detected in water serving this system's area. 12 detections recorded. 4 exceed federal EPA limits (4 ppt for PFOA/PFOS).

State limits: HFPO-DA: 0.01 ppt
Health concern: PFAS are linked to cancer, thyroid disease, immune suppression, and developmental effects. They do not break down naturally.
Recommended filter: Reverse osmosis (RO) or activated carbon filters certified for PFAS removal. Find the right filter →

Total Trihalomethanes (TTHM) was detected in this water system. granular activated carbon (GAC) filtration can reduce exposure.

Find a certified water filter →

Comparable Water Systems

Similar-sized systems in North Carolina

City of Durham,
322,083 people
A 51 violations
City of Greensboro
319,588 people
A 37 violations
Cary, Town of
224,000 people
C 129 violations
A 11 violations
Cfpua-wilmington
198,740 people
A 17 violations

Estimated Remediation Costs

Average estimated costs across ZIP codes served by this system

Flood Insurance Radon Mitigation Lead Pipe Replacement PFAS Treatment Water Filtration
Flood Insurance $960
Radon Mitigation $380
Lead Pipe Replacement $183
PFAS Treatment $60
Water Filtration $45
Total Estimated Cost $1,628

Based on national averages for common remediation projects. Actual costs vary by property. Only issues flagged by EPA, FEMA, or state data for each ZIP code are included.

Cost of Inaction

If water quality issues in this service area are not addressed, the estimated financial impact per household is:

Estimated Healthcare Costs $1,000

Annual per household (CDC est.)

Lead Exposure — Child Lifetime Cost $10,000

Per affected child (EPA est.)

PFAS Exposure — Lifetime Cost $1,000

Per person (emerging research est.)

Estimated Cumulative Cost Per Household

5 years
$7,945
10 years
$15,890
20 years
$31,780

Compare: Estimated remediation cost is $1,628 (one-time) vs. $15,890 in estimated inaction costs over 10 years.

Estimates based on published EPA, CDC, and peer-reviewed research. Individual costs vary by household size, property, and health factors. These are conservative lower-bound estimates intended for awareness, not financial advice.

System Overview

WINSTON-SALEM, CITY OF (EPA ID: NC0234010) is a community water system in North Carolina that serves approximately 388,060 people from surface water sources.

This system provides water to 20 ZIP codes across 13 communities.

Average Home Safety Score: C (66/100)

Based on water quality violations, lead levels, and radon risk across all ZIP codes served by this system.

Violation History

2 health-based violations recorded in the past 5 years. 4 remain unresolved.

Recent Violations

Date Contaminant Type Status
June 17, 2025 Lead and Copper Rule Monitoring Unresolved
June 16, 2025 Lead and Copper Rule Monitoring Unresolved
December 10, 2024 Stage 1 DBP Rule Health-based Resolved
October 17, 2024 Stage 2 DBP Rule Health-based Resolved
October 17, 2024 Stage 2 DBP Rule Monitoring Resolved
October 1, 2024 Stage 1 DBP Rule Monitoring Resolved
July 1, 2024 Surface Water Treatment Rule Monitoring Resolved
June 19, 2023 Total Coliform Monitoring Resolved
January 1, 2023 Total Trihalomethanes (TTHM) Monitoring Resolved
January 1, 2023 Stage 1 DBP Rule Monitoring Unresolved
January 1, 2023 Stage 1 DBP Rule Health-based Unresolved

Contaminants Detected

The following contaminants have been flagged in EPA records for this water system:

Contaminant Category Violations Health-Based
Stage 1 DBP Rule Treatment Failure 6 Yes
Stage 2 DBP Rule Treatment Failure 2 Yes
Surface Water Treatment Rule Treatment Failure 2 No
Lead and Copper Rule Treatment Failure 2 No
Consumer Confidence Report Rule Reporting Failure 2 No
Revised Total Coliform Rule Microbiological 2 No
Benzene Organic 1 No
Total Trihalomethanes (TTHM) Disinfection Byproducts 1 No
Total Organic Carbon Disinfection Byproducts 1 No
Total Coliform Microbiological 1 No
Fecal Coliform Microbiological 1 No

Lead & Copper

EPA Lead and Copper Rule sampling data for ZIP codes served by this system:

ZIP Code Lead Level Exceeds Limit Sample Date
27019 0.28 mg/L Yes N/A
27040 0.003 mg/L No N/A
Lead exceeds EPA action level in at least one sampling location. Consider using a certified NSF/ANSI 53 or NSF/ANSI 58 filter rated for lead removal.

Radon Risk in Service Area

Dominant radon zone for ZIP codes served by this system: Zone 2 (Moderate Risk)

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

Need help with your water quality?

Typical cost: Water test: typically $20–$50 (DIY kit) · Professional inspection: $150–$400

Find the Right Water Filter

Free tip: Let cold water run for 2 minutes before drinking — this helps flush lead from your pipes.

ZIP Codes Served

Coverage: 19 ZIP codes confirmed via EPA Community Water System Service Area Boundaries v3 plus 1 additional ZIP inferred from SDWIS registry data. The EPA-confirmed set is the most reliable; SDWIS-inferred entries may be narrower than the real deployment area.

Data Sources

This report uses public data from the EPA Safe Drinking Water Information System (SDWIS). View the full compliance record for City of Winston-salem, (NC0234010) on EPA.gov.

Frequently Asked Questions

Is City of Winston-salem, water safe to drink?

City of Winston-salem, has recorded 2 health-based violations in the past 5 years. While the system is required to treat water to meet federal standards, you may want to consider additional precautions such as a certified water filter.

How many people does City of Winston-salem, serve?

City of Winston-salem, serves approximately 388,060 people across 20 ZIP codes in North Carolina.

Where does City of Winston-salem, get its water?

The primary water source is surface water.

Contact Your Water Utility

Public-record contact information for the water utility serving this system. Use these channels to request water quality reports, ask about service, or report issues directly.

Phone
336-727-8000
ZipCheckup is not affiliated with this water utility, does not act as its agent, and does not provide customer support for it. Contact details shown are public-record information from CCR filings. For service issues, contact the utility directly using the information above.
Address
P.O. Box 2511 Winston-Salem, NC 27102

Contact information from Winston-Salem/Forsyth County Utilities Consumer Confidence Report.

ZipCheckup is not affiliated with this water utility, does not act as its agent, and does not provide customer support for it. Contact details shown are public-record information from CCR filings. For service issues, contact the utility directly using the information above.

Water Source & Treatment

Where this water originates and how it's treated before reaching your tap.

Source
Surface water
Drawn from rivers, lakes, or reservoirs.
Disinfectant used
Chlorine
Treatment chemicals reported
fluorideorthophosphatechlorine

Source: Winston-Salem/Forsyth County Utilities Consumer Confidence Report.

ZipCheckup is not affiliated with this water utility. Treatment and source data are sourced from the utility's published CCR filings.

Source water assessment from Winston-Salem/Forsyth County Utilities Consumer Confidence Report:
The relative susceptibility rating of each source for the City of Winston-Salem (PWSID 0234010) was determined by combining the contaminant rating (number and location of PCSs within the assessment area) and the inherent vulnerability rating. The assessment findings are summarized in the table below.

Treatment regime

How this utility classifies its treatment process and what each reported treatment chemical does.

Treatment classification
Standard
Disinfection plus one or more treatment additives — typically corrosion control, pH adjustment, or fluoridation. Standard regime for utilities serving treated municipal water.

Treatment chemicals and what each one does

Chemical names are reported verbatim by the utility. Purpose categories are ZipCheckup annotations based on standard drinking-water treatment practice.

Disinfectant
Inactivates bacteria, viruses, and parasites in the treated water.
chlorine
Corrosion inhibitor
Coats pipe interiors to reduce lead and copper leaching from premise plumbing.
orthophosphate
Fluoridation
Added at low levels per state or local public-health policy for dental health.
fluoride

Treatment classification and chemical list sourced from Winston-Salem/Forsyth County Utilities Consumer Confidence Report.

Treatment intensity is a ZipCheckup-derived classification based on the chemicals and processes the utility reports. Chemicals and contamination sources are taken verbatim from the utility's CCR filing. Routine federal monitoring and contaminant testing shown elsewhere on this page determine whether the water meets safety standards, not the treatment classification.

Federal UCMR5 PFAS Monitoring: Tested Clean

This water system was tested under the federal EPA Unregulated Contaminant Monitoring Rule (UCMR5). No PFAS compounds were detected.

Samples collected
348

Current MCL reflects the lowest state-enforceable limit (NYS 10 ppt for PFOA/PFOS, effective August 2020). The federal final MCL of 4 ppt for PFOA/PFOS (EPA April 2024 rule) is not enforceable until April 2029. Detections above 4 ppt but below 10 ppt are below current MCL but above the future federal limit.

Source: U.S. EPA UCMR5 (Unregulated Contaminant Monitoring Rule, 5th cycle) — per-system federal sampling, 2023–2025. EPA UCMR5 monitoring program →

Understand PFAS health context and filtration →

PFAS Substances Detected in This System

This water system's Consumer Confidence Report disclosed the following PFAS compounds. Levels are from the utility's most recent reporting cycle.

Substance Detected level EPA limit Status
PFBS
Perfluorobutanesulfonic acid
EPA-regulated (2024 NPDWR)
Component of EPA Hazard Index — combined exposure assessed against unitless threshold of 1.0.
0.75 ppt No federal limit set
PFBA
Not yet EPA-regulated
0.7 ppt No federal limit set
PFHpA
Not yet EPA-regulated
Not disclosed No federal limit set
PFHxS
Perfluorohexanesulfonic acid
EPA-regulated (2024 NPDWR)
0.3 ppt 10 ppt Below EPA limit
PFHxA
Not yet EPA-regulated
0.33 ppt No federal limit set
PFNA
Perfluorononanoic acid
EPA-regulated (2024 NPDWR)
Not disclosed 10 ppt
PFOS
Perfluorooctanesulfonic acid
EPA-regulated (2024 NPDWR)
1.68 ppt 4 ppt Below EPA limit
PFOA
Perfluorooctanoic acid
EPA-regulated (2024 NPDWR)
0.83 ppt 4 ppt Below EPA limit

In April 2024, EPA finalized the first National Primary Drinking Water Regulation for six PFAS. Public water systems have until 2029 to comply. EPA — PFAS regulation overview →

Source: Consumer Confidence Report disclosed by Winston-Salem/Forsyth County Utilities.

ZipCheckup is not affiliated with this water utility. PFAS detection data is sourced from public Consumer Confidence Reports filed by the utility itself.

Learn more about PFAS health effects and filtration →

Lead service line replacement plan from Winston-Salem/Forsyth County Utilities Consumer Confidence Report:
We will notify you when our replacement plan and potential financing solutions are finalized so you can proceed in compliance with federal requirements.

Lead Service Line Replacement Tracker

This water utility's lead service line (LSL) replacement program is tracked from public Consumer Confidence Report filings. Email signup notifies subscribers when the utility files an updated replacement plan or progress milestone.

Get notified on replacement progress

Subscribers receive an email when this utility updates its LSL plan, files a milestone report, or adjusts replacement timelines. No marketing, no third-party sharing.

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Winston-Salem/Forsyth County Utilities

ZipCheckup is not affiliated with this water utility. LSL replacement-program data is sourced from public CCR filings published by the utility. Subscription notifications are based on automated parsing of subsequent CCR releases.

Learn more about Lead and Copper Rule replacement requirements →

Lead Service Line Inventory

Service line breakdown reported under the federal Lead and Copper Rule Improvements (LCRI) inventory requirement:

51
Confirmed Lead
576
Galvanized — Replacement Required
3,194
Unknown Material
156,380
Confirmed Non-Lead

Federal LCRI rule (effective October 2024) requires every public water system to inventory its service lines and complete lead-line replacement within 10 years.

Federal Regulatory Status · 2026Q1
LCRR inventory submission: Reported all required service line types
Latest tap sample on 2023-01-01 did not exceed the federal lead action level.
Population served: 388,060
Reported to North Carolina

Source: EPA SDWIS Federal Service Line Inventory (Phase 2) · Submitted 2026

ZipCheckup is not affiliated with the utility or state agency. Inventory figures render verbatim from the public LCRI submission cited above; ZipCheckup does not perform inspections or replacements.

Learn about lead in drinking water →

Aesthetic water quality

These measurements describe the look, taste, and feel of the water this utility delivers. They are not contaminant violations — they sit alongside federal Secondary Maximum Contaminant Levels (SMCLs) which the EPA publishes as non-enforceable guidance.

pH
7.5
How acidic or basic the water is on a 0-14 scale. Drinking water is typically near neutral.
EPA secondary range: 6.5 – 8.5
Fluoride
0.74 ppm
Utility adds fluoride
Measured fluoride concentration in parts per million.
EPA secondary MCL: 2.0 ppm
Alkalinity
24 ppm CaCO₃
Capacity of the water to neutralize acids, expressed as calcium carbonate equivalent.

Aesthetic measurements from Winston-Salem/Forsyth County Utilities Consumer Confidence Report.

Aesthetic measurements are reported by the utility from its annual sampling. EPA Secondary MCLs are advisory thresholds — values outside them indicate aesthetic concerns such as taste or appearance, not health violations. Federal contaminant testing is shown in the sections above.

Frequently Asked Questions

Is water from City of Winston-salem, safe to drink?
City of Winston-salem, has a C safety grade based on 14 recorded violations. Some contaminants may exceed EPA limits — independent testing is recommended.
What contaminants are in City of Winston-salem,'s water?
Detected contaminants include Benzene, Total Trihalomethanes (TTHM), Stage 1 DBP Rule, Stage 2 DBP Rule. Each is compared against EPA maximum contaminant levels (MCLs) in the detailed breakdown above.
Should I use a water filter?
Given 5 contaminants above EPA limits, a certified water filter can provide an extra layer of protection. The best type depends on specific contaminants in your water.
How many people does City of Winston-salem, serve?
City of Winston-salem, serves approximately 388,060 people with drinking water across 20 ZIP codes.
What is City of Winston-salem,'s water source?
City of Winston-salem, draws water from surface water sources. Source type affects which contaminants are most likely to be present.
Is there lead in City of Winston-salem,'s water?
The maximum detected lead level is 0.28 mg/L. This exceeds the EPA action level of 0.015 mg/L. A lead-certified filter is recommended, especially for homes with young children.
What is the demographic profile of City of Winston-salem,'s service area?
The City of Winston-salem, service area has a median household income of $70,585. EPA EJScreen data classifies 33% of the population as disadvantaged, which may indicate greater vulnerability to environmental health risks.
Where does City of Winston-salem, get its water?
City of Winston-salem,'s water is drawn from rivers, lakes, or reservoirs. Surface water sources are more exposed to agricultural runoff, stormwater, and upstream discharges, but they typically receive more intensive treatment before reaching your tap. Based on violation history and environmental factors, the source contamination risk is currently elevated.

What You Can Do

1

Test your water

Home test kits can detect lead, bacteria, and other contaminants at your tap. Find the right filter →

2

Check your specific ZIP code

Water quality can vary within a system. View nearest ZIP report →

3

Contact your utility

City of Winston-salem, (EPA ID: NC0234010) — request the latest Consumer Confidence Report or ask about specific contaminants.

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