Health Violations Found NC 3 HEALTH VIOLATIONS

Middlesex Water System

EPA ID: NC0464050 · 1,389 people served · 46 ZIP codes

Unlike fully compliant utilities, Middlesex Water System has 5 outstanding EPA violations for approximately 1,389 residents.

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

A · 88
Avg Safety Score
1,389
People Served
46
ZIP Codes Served
19
Violations (5yr)
Groundwater
Water Source
0.004 mg/L
Max Lead Level
Zone 3
Radon Risk · Low
9
Contaminants Flagged

Compliance Trajectory

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

Violations went from 2 (2022) to 4 (2025). The pattern suggests growing compliance challenges.

Service Area Map

Coverage area for Middlesex Water System Source: EPA SDWIS service area boundaries.

Service area boundary — Grade A

Service Area Demographics

$81,862
Median Household Income
597,865
Service Area Population
15%
Disadvantaged Population
34th
Poverty Percentile
27th
Energy Burden Percentile
37%
Pre-1986 Housing

The Middlesex Water System serves a community with a median household income of $81,862 and an estimated 597,865 residents across its service area.

💧 Where Does Your Water Come From?

Groundwater

Middlesex Water System's water is pumped from underground aquifers. Groundwater is naturally filtered through rock and soil, but it can be vulnerable to PFAS contamination, nitrates from agriculture, and industrial chemicals that seep into the water table.

Elevated Risk
Source Contamination Risk
27th
Wastewater Discharge Proximity
55th
Superfund Site Proximity

About 1% of homes in Nash 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
Unknown
Pipe Material
24 yr
Est. Remaining Life
Moderate Wear
Decay Status
Installed 64% of expected lifespan used End of life

Detected Contaminants

How Middlesex Water System compares to EPA limits

Total Trihalomethanes (TTHM) 2 mg/L (EXCEEDS LIMIT)
0 EPA Limit: 0.08 mg/L
Bladder & rectal cancer risk; reproductive concerns

What This Means For You

Total Trihalomethanes (TTHM) at 2 mg/L exceeds the EPA maximum of 0.08 mg/L. Bladder & rectal cancer risk; reproductive concerns. Consider granular activated carbon (GAC) filtration.

Lead and Copper Rule at 5 mg/L exceeds the EPA maximum of mg/L.

Revised Total Coliform Rule at 3 presence exceeds the EPA maximum of presence.

Contaminant 2946 at 2 mg/L exceeds the EPA maximum of mg/L.

Stage 2 DBP 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. 92 detections recorded. 20 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

Greenevers, Town of
1,390 people
0 violations
Stantonsburg, Town of
1,393 people
B 0 violations
Franklinville, Town of
1,400 people
B 21 violations
0 violations
Marshall, Town of
1,402 people
C 3 violations

Estimated Remediation Costs

Average estimated costs across ZIP codes served by this system

Flood Insurance Water Filtration Radon Mitigation PFAS Treatment
Flood Insurance $933
Water Filtration $574
Radon Mitigation $383
PFAS Treatment $207
Total Estimated Cost $2,096

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 $1,500

Annual per household (CDC est.)

PFAS Exposure — Lifetime Cost $1,000

Per person (emerging research est.)

Estimated Cumulative Cost Per Household

5 years
$7,665
10 years
$15,330
20 years
$30,660

Compare: Estimated remediation cost is $2,096 (one-time) vs. $15,330 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

Middlesex Water System (EPA ID: NC0464050) is a community water system in North Carolina that serves approximately 1,389 people from groundwater sources.

This system provides water to 46 ZIP codes across 3 communities.

Average Home Safety Score: A (88/100)

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

Violation History

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

Recent Violations

Date Contaminant Type Status
August 20, 2025 Lead and Copper Rule Monitoring Unresolved
January 1, 2025 Contaminant 2959 Monitoring Resolved
October 17, 2024 Stage 2 DBP Rule Health-based Resolved
October 17, 2024 Stage 2 DBP Rule Monitoring Resolved
October 11, 2024 Consumer Confidence Report Rule Monitoring Resolved
September 1, 2024 Revised Total Coliform Rule Monitoring Resolved
September 1, 2024 Consumer Confidence Report Rule Monitoring Resolved
January 1, 2024 Total Trihalomethanes (TTHM) Monitoring Resolved
January 1, 2024 Revised Total Coliform Rule Monitoring Unresolved
October 1, 2023 Revised Total Coliform Rule Monitoring Unresolved
August 26, 2023 Lead and Copper Rule Monitoring Resolved
July 23, 2023 Lead and Copper Rule Monitoring Resolved
July 1, 2023 Surface Water Treatment Rule Monitoring Resolved
May 19, 2023 Lead and Copper Rule Monitoring Resolved
April 1, 2023 Contaminant 2946 Health-based Unresolved
January 1, 2023 Stage 1 DBP Rule Monitoring Resolved
January 1, 2023 Contaminant 2946 Health-based Unresolved

Contaminants Detected

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

Contaminant Category Violations Health-Based
Lead and Copper Rule Treatment Failure 5 No
Revised Total Coliform Rule Microbiological 3 No
Total Trihalomethanes (TTHM) Disinfection Byproducts 2 No
Contaminant 2946 Other Violation 2 Yes
Stage 2 DBP Rule Treatment Failure 2 Yes
Consumer Confidence Report Rule Reporting Failure 2 No
Contaminant 2959 Other Violation 1 No
Stage 1 DBP Rule Treatment Failure 1 No
Surface Water Treatment Rule Treatment Failure 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
27557 0.004 mg/L No N/A

Radon Risk in Service Area

Dominant radon zone for ZIP codes served by this system: Zone 3 (Low Risk)

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: 2 ZIP codes confirmed via EPA Community Water System Service Area Boundaries v3 plus 44 additional ZIPs inferred from SDWIS registry data. The EPA-confirmed set is the most reliable; SDWIS-inferred entries may be narrower than the real deployment area.

This system serves 46 ZIP codes:

27557 · 27597 · 27601 · 27602 · 27603 27604 · 27605 · 27606 · 27607 · 27608 27609 · 27610 · 27611 · 27612 · 27613 27614 · 27615 · 27616 · 27617 · 27619 27620 · 27621 · 27622 · 27623 · 27624 27625 · 27626 · 27627 · 27628 · 27629 27634 · 27635 · 27636 · 27640 · 27650 27656 · 27658 · 27661 · 27668 · 27675 27676 · 27690 · 27695 · 27697 · 27698 27699

Data Sources

This report uses public data from the EPA Safe Drinking Water Information System (SDWIS). View the full compliance record for Middlesex Water System (NC0464050) on EPA.gov.

Frequently Asked Questions

Is Middlesex Water System water safe to drink?

Middlesex Water System has recorded 3 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 Middlesex Water System serve?

Middlesex Water System serves approximately 1,389 people across 46 ZIP codes in North Carolina.

Where does Middlesex Water System get its water?

The primary water source is groundwater.

Lead Service Line Inventory

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

0
Confirmed Lead
15
Galvanized — Replacement Required
0
Unknown Material
616
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: 1,389
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 →

Frequently Asked Questions

Is water from Middlesex Water System safe to drink?
Middlesex Water System earns a A safety grade with 19 violations in the past 5 years. Tap water meets EPA standards for most contaminants.
What contaminants are in Middlesex Water System's water?
Detected contaminants include Total Trihalomethanes (TTHM), Lead and Copper Rule, Revised Total Coliform Rule, Contaminant 2946. 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 Middlesex Water System serve?
Middlesex Water System serves approximately 1,389 people with drinking water across 46 ZIP codes.
What is Middlesex Water System's water source?
Middlesex Water System draws water from groundwater sources. Source type affects which contaminants are most likely to be present.
Is there lead in Middlesex Water System's water?
The maximum detected lead level is 0.004 mg/L. This is within EPA action level guidelines.
What is the demographic profile of Middlesex Water System's service area?
The Middlesex Water System service area has a median household income of $81,862. Demographic data is sourced from the U.S. Census Bureau and EPA EJScreen.
Where does Middlesex Water System get its water?
Middlesex Water System's water is pumped from underground aquifers. Groundwater is naturally filtered through rock and soil, but it can be vulnerable to PFAS contamination, nitrates from agriculture, and industrial chemicals that seep into the water table. 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

Middlesex Water System (EPA ID: NC0464050) — request the latest Consumer Confidence Report or ask about specific contaminants.

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