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The City of Birmingham disposes of sewage through two County-operated facilities. The easterly section of the City is served by the Southeastern Oakland County Sewage Disposal District (SOCSDD). The central and westerly sections of the City are served by the Evergreen-Farmington System.

The City's sewer system is composed of approximately 125 miles of sewers. This system consists of: 37 miles of sanitary sewers; 79 miles of combined sewers; and nine miles of storm sewers. There are approximately 8,600 sewage customers, of which approximately 1,000 are commercial accounts, while 7,600 are residential users.