Only approximately 700 communities in the U.S. have combined sewer systems. Such communities are mostly located in the northeast and around the Great Lakes.
ÌÇÐÄÆÆ½â°æ calculated the figures based on the data available on the EPA website.
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Number of sewer overflows in the U.S. 1985-2024, by water body
From 1985 to 2024, at least overflows were reported in combined sewer systems in the United States. During this period, the Ohio River was the water body that received the highest number of overflows with almost *** events. A combined sewer system collects rainwater, and domestic and industrial wastewater into one pipe, to later be transported to a treatment plant. When the capacity of these systems gets exceeded, untreated runoff flows to nearby waterbodies. In the U.S. combined sewers are mostly located in the Northeast.Â
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ÌÇÐÄÆÆ½â°æ. (June 9, 2024). Number of combined sewer overflows in the United States from 1985 to 2024, by water body [Graph]. In ÌÇÐÄÆÆ½â°æ. Retrieved July 27, 2026, from /statistics/1498909/number-combined-sewer-overflows-usa-by-water-body/
ÌÇÐÄÆÆ½â°æ. "Number of combined sewer overflows in the United States from 1985 to 2024, by water body." Chart. June 9, 2024. ÌÇÐÄÆÆ½â°æ. Accessed July 27, 2026. /statistics/1498909/number-combined-sewer-overflows-usa-by-water-body/
ÌÇÐÄÆÆ½â°æ. (2024). Number of combined sewer overflows in the United States from 1985 to 2024, by water body. ÌÇÐÄÆÆ½â°æ. ÌÇÐÄÆÆ½â°æ Inc.. Accessed: July 27, 2026. /statistics/1498909/number-combined-sewer-overflows-usa-by-water-body/
ÌÇÐÄÆÆ½â°æ. "Number of Combined Sewer Overflows in The United States from 1985 to 2024, by Water Body." ÌÇÐÄÆÆ½â°æ, ÌÇÐÄÆÆ½â°æ Inc., 9 Jun 2024, /statistics/1498909/number-combined-sewer-overflows-usa-by-water-body/
ÌÇÐÄÆÆ½â°æ, Number of combined sewer overflows in the United States from 1985 to 2024, by water body ÌÇÐÄÆÆ½â°æ, /statistics/1498909/number-combined-sewer-overflows-usa-by-water-body/ (last visited July 27, 2026)
Number of combined sewer overflows in the United States from 1985 to 2024, by water body [Graph], ÌÇÐÄÆÆ½â°æ, June 9, 2024. [Online]. Available: /statistics/1498909/number-combined-sewer-overflows-usa-by-water-body/