WaterVerge

Is Elkhorn City, KY Tap Water Safe to Drink?

Graded A-, with 11 unresolved violations on record. See what was cited — and what it means for your tap. What to do next ↓

2K residents served 1 water system PWSID: KY0980120
Overall Score
85.9 / 100
Violations
11 active
Last Updated
May 2026
Source
Purchased surface water
#84 of 246 in Kentucky Top 32% nationally
Local Government
Moderate data confidence
Reviewed by WaterVerge Editorial Team · Last updated May 2026
A-GRADE
Water Quality Grade
85.9/100
waterverge.com
A- 85.9/100

Elkhorn City, KY — Water Quality Report

Elkhorn City's drinking water received a grade of A- (85.9 out of 100), indicating good water quality. The city's 1 water system serves approximately 1,723 residents using purchased surface water.

Lead levels were measured at 0.0 ppb (90th percentile), well within EPA limits. This system has not yet been tested for PFAS under the EPA UCMR 5 program.

The system has 25 violations on record, including 9 health-based violations. 11 remain unresolved.

Data last updated: May 2026 · Source: EPA SDWIS, UCMR 5
Analysis

What to know about Elkhorn City's water

Elkhorn City ranks #84 out of 246 cities in Kentucky for water quality, placing it mid-range in the state.

The city draws from surface water sources, which are more susceptible to seasonal runoff and agricultural contamination, requiring extensive multi-barrier treatment including coagulation, filtration, and disinfection.

As a small community water system, Elkhorn City may have fewer resources for advanced treatment technologies and infrastructure upgrades compared to larger utilities.

Quality Breakdown

Water quality score

See methodology →
85.9 out of 100 Grade A-
A: 90-100
B: 74-89
C: 60-73
F: <50
How is this calculated?
Violations
41.9/45
A
Historical violation record including health-based and monitoring violations.
Lead & Copper
20/20
A
Lead at 0.0 ppb (90th percentile).
Contaminants
17/20
B
PFAS + legacy contaminant analysis.
Compliance
3/10
F
Monitoring and reporting compliance with EPA regulations.
Source Risk
4/5
B
Water source: Purchased surface water.
Water Safety

Is Elkhorn City, KY water safe to drink?

Concerns Identified

Elkhorn City's drinking water has significant quality concerns based on EPA testing data. With a grade of A- (85.9/100), the system has issues across multiple categories. A water filter is recommended for all residents. The city's 1 water system serves approximately 1,723 residents using surface water (rivers, lakes, or reservoirs).

11
Active Violations
0.0 ppb
Lead (90th %ile)
10 events
Disaster History

Recent water quality updates for Elkhorn City

A timeline of significant water quality events, violations, and data updates.

Update
Water quality data updated

Latest EPA compliance and testing data incorporated into Elkhorn City's water quality assessment. Grade: A- (85.9/100).

Disaster
SEVERE STORMS, FLOODING, LANDSLIDES, AND MUDSLIDES

Federal disaster declaration (FEMA DR-4663). Flood event — may have impacted local water infrastructure.

Disaster
SEVERE, STORMS, FLOODING, LANDSLIDES, AND MUDSLIDES

Federal disaster declaration (FEMA DR-4595). Flood event — may have impacted local water infrastructure.

Violation
1 drinking water violation recorded

Contaminants: TTHM.

Violation
1 drinking water violation recorded

Contaminants: Consumer Confidence Rule.

Violation
1 drinking water violation recorded

Contaminants: Consumer Confidence Rule.

Key contaminant findings

Based on the most recent EPA sampling data for Elkhorn City's water supply.

Lead Within Limits
Detected: 0.0 ppb Limit: 15 ppb (EPA Action Level)

Well within EPA limits.

Violation history

Elkhorn City's water system has 25 total violations on record, including 9 health-based violations. 11 remain unresolved.

MROtherTT
Most recent violations:
Jan 2018 TTHM Open
Jul 2015 Consumer Confidence Rule Open
Jul 2014 Consumer Confidence Rule Open
Jul 2013 Consumer Confidence Rule Open
Jul 2009 Consumer Confidence Rule Open

Flood & environmental risk

Pike County has experienced 10 federally declared disasters since 1979. Flooding and severe storms can overwhelm water treatment plants, cause sewage overflows, and introduce agricultural runoff, bacteria, and sediment into drinking water supplies. Local water sources include Grapevine Creek, Levisa Fork Below Fishtrap Dam, Russell Fork, Pound River Below Flannagan Dam,.

SEVERE STORMS, FLOODING, LANDSLIDES, AND MUDSLIDES
Flood FEMA DR-4663
SEVERE, STORMS, FLOODING, LANDSLIDES, AND MUDSLIDES
Flood FEMA DR-4595
SEVERE STORMS, FLOODING, LANDSLIDES, AND MUDSLIDES
Flood FEMA DR-4358

Where does Elkhorn City's water come from?

Elkhorn City's drinking water comes from surface water (rivers, lakes, or reservoirs), supplied by 1 water system serving approximately 1,723 people. Surface water sources are more susceptible to contamination from runoff, industrial discharge, and algal blooms, requiring extensive treatment. Nearby water bodies include Grapevine Creek (river), Levisa Fork Below Fishtrap Dam (river), Russell Fork (river), Pound River Below Flannagan Dam, (river).

What Elkhorn City residents can do

Install a water filter

Recommended: NSF-certified water filter. This addresses the specific contaminants found in Elkhorn City's water.

Request your utility's CCR

Your water utility is required to publish an annual Consumer Confidence Report (CCR) with detailed testing results. Ask for the latest copy or check your utility's website.

Monitor alerts during storms

Elkhorn City's area has a history of flooding. After severe weather, watch for boil water advisories from your local utility.

Data: EPA SDWIS, UCMR 5 (PFAS), FEMA, NOAA. Last updated May 2026.

Contaminant Alerts

Top contaminants to know

View all ↓
Lead (90th percentile)
Inorganic / Heavy Metal
Safe
0.0 ppb
EPA Action Level: 15 ppb · 0% of limit
Safe Level
Compliance Record

Violation summary

25
Total violations
9
Health-based
11
Active / unresolved
Jan 2018
Most recent violation
Compliance Record

Violations & advisories

25 Total
11 Active
9 Health-based
14 Resolved
Violations by category
Consumer Confidence Rule
8
Surface Water Treatment Rule
7
Stage 1 Disinfectants and Disinfection Byproducts Rule
4
Total Coliform Rule
2
Stage 2 Disinfectants and Disinfection Byproducts Rule
1
Jan 2018 Active
TTHM
Monitoring & Reporting
Monitoring & Reporting 0
Jul 2015 Active
Consumer Confidence Rule
Other Violation 0
Jul 2014 Active
Consumer Confidence Rule
Other Violation 0
Jul 2013 Active
Consumer Confidence Rule
Other Violation 0
Jul 2009 Active
Consumer Confidence Rule
Other Violation 0
Jul 2005 Active
Consumer Confidence Rule
Other Violation 0
Jul 2001 Active
Consumer Confidence Rule
Other Violation 0
Jul 2001 Active
Consumer Confidence Rule
Other Violation 0
Oct 1999 Active
Consumer Confidence Rule
Other Violation 0
Jul 1993 Active
Lead and Copper Rule
Monitoring & Reporting
Monitoring & Reporting 0
Active
Compliance Violation
Monitoring 0
Sep 2005 Resolved
Coliform (TCR)
Monitoring & Reporting
Monitoring & Reporting Resolved Sep 2005
Jul 2005 Resolved
CARBON, TOTAL
Treatment Technique
Health-Based Health Resolved Sep 2005
Apr 2005 Resolved
CARBON, TOTAL
Treatment Technique
Health-Based Health Resolved Jun 2005
Jan 2005 Resolved
CARBON, TOTAL
Treatment Technique
Health-Based Health Resolved Mar 2005
Jan 2005 Resolved
CARBON, TOTAL
Monitoring & Reporting
Monitoring & Reporting Resolved Mar 2005
Jan 2004 Resolved
Coliform (TCR)
Monitoring & Reporting
Monitoring & Reporting Resolved Jan 2004
May 2003 Resolved
Surface Water Treatment Rule
Treatment Technique
Health-Based Health Resolved May 2003
Jan 2002 Resolved
Surface Water Treatment Rule
Treatment Technique
Health-Based Health Resolved Jan 2002
May 1999 Resolved
Surface Water Treatment Rule
Monitoring & Reporting
Monitoring & Reporting Resolved May 1999
Showing 20 of 25 violations
Environmental Risk

Drought conditions

D2 — severe drought

Pike County is currently in D2 (severe drought) per the U.S. Drought Monitor (week of May 5, 2026). Drought can elevate disinfection-byproduct (TTHM/HAA5) levels and taste/odor issues as utilities draw from lower reservoirs.

3
Weeks at D2+ (current streak)
13.1%
Months in D2+ (last 30y)
3
Weeks at D2+ (last 5y)

Source: U.S. Drought Monitor, updated weekly by NDMC, USDA, and NOAA.

Environmental Risk

Flood & disaster history

10
Declared disasters
Jul 2022
Most recent
Flood
Most common type

Pike County has experienced 10 federally declared disasters since 1979. Flooding and severe weather can compromise water treatment infrastructure and introduce contaminants into drinking water supplies.

Jul 2022
SEVERE STORMS, FLOODING, LANDSLIDES, AND MUDSLIDES
Flood FEMA #4663
Apr 2021
SEVERE, STORMS, FLOODING, LANDSLIDES, AND MUDSLIDES
Flood FEMA #4595
Apr 2018
SEVERE STORMS, FLOODING, LANDSLIDES, AND MUDSLIDES
Flood FEMA #4358
May 2015
SEVERE WINTER STORM, SNOWSTORM, FLOODING, LANDSLIDES, AND MUDSLIDES
Flood FEMA #4218
May 2015
SEVERE STORMS, TORNADOES, FLOODING, LANDSLIDES, AND MUDSLIDES
Flood FEMA #4217
Sep 2005
HURRICANE KATRINA
Hurricane FEMA #3231

Full contaminants report

Contaminant Detected Level EPA Limit Unit Category Status
Lead (90th percentile) 0.0 15 ppb Inorganic Safe
Data source: EPA SDWIS, UCMR 5, local utility CCR.

Lead level trend (90th percentile)

EPA action level: 15 ppb
Lead has decreased by 7.0 ppb from 1993 (7.0 ppb) to 2023 (0.0 ppb).
Contaminant Rankings

See how Elkhorn City compares by contaminant

Explore where Elkhorn City ranks among all Kentucky cities for specific contaminants.

Infrastructure

Water source & infrastructure

Primary Source
Purchased Surface Water
Operator
Local Government
Population Served
1,723
Water Systems
1
Water Source

Where Elkhorn City's water comes from

Purchased Surface Water

Elkhorn City's drinking water comes primarily from surface water sources such as rivers, lakes, or reservoirs.

Surface water systems require multi-stage treatment including coagulation, sedimentation, filtration, and disinfection to meet EPA Safe Drinking Water Act standards.

These sources can be impacted by seasonal changes, stormwater runoff, upstream agriculture, and industrial discharge.

The system is operated by local government ownership and serves approximately 1,723 people through 1 water system.

Local Hydrology

Water bodies near Elkhorn City

Elkhorn City is located near 4 notable water bodies. As a surface water system, these water bodies may directly influence the city's drinking water supply.

Grapevine Creek
river
Levisa Fork Below Fishtrap Dam
river
Russell Fork
river
Pound River Below Flannagan Dam,
river
Infrastructure

Water systems serving Elkhorn City

System Name PWSID Population Source
ELKHORN CITY WATER DEPT KY0980120 1,723 SWP
Regional Comparison

How Elkhorn City compares

Full Kentucky rankings →

Elkhorn City's score of 85.9/100 is above the average of 80/100 among major Kentucky cities. It outscores 9 of 10 nearby cities.

Elkhorn City (this city)
85.9
Louisville
82.2
Ft. Thomas
86.8
Owensboro
85.1
Kentucky avg
80
City Profile

About Elkhorn City, KY

Wikipedia →

Elkhorn City is a home rule-class city in Pike County, Kentucky, in the United States. The population was 1,035 at the 2020 census. The city is located in proximity to the Breaks Interstate Park.

Economic Profile
$43,819
Median Income
$98,125
Median Home Value
$628/mo
Median Rent
14.7%
Unemployment
Community
37.4
Median Age
50
People / sq mi
23.5%
College Educated
66.5%
Homeownership
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Frequently asked questions

Is Elkhorn City, KY tap water safe to drink?

Elkhorn City's water quality earned a grade of A- (85.9/100). The water generally meets EPA standards and is considered safe for consumption. The city ranks #84 out of 246 cities tested in Kentucky.

What contaminants are in Elkhorn City's water?

Lead was measured at 0.0 ppb (90th percentile). 25 violations are on record.

How is Elkhorn City's water quality grade calculated?

The grade is based on four factors: violation history (40%), lead and copper levels (25%), PFAS contamination (25%), and regulatory compliance (10%). The score is also adjusted based on how complete the available data is. See our methodology page for full details.

Do I need a water filter in Elkhorn City?

Based on current data, basic filtration should suffice for additional peace of mind.

Where does Elkhorn City's water come from?

Elkhorn City's water is sourced from Purchased surface water. The city has 1 water system serving approximately 1,723 residents.

What health violations has Elkhorn City's water system had?

Elkhorn City has 9 health-based violations on record. The most recent violation was recorded in January 2018. Health-based violations mean the water exceeded EPA maximum contaminant levels (MCLs) for a regulated substance. 11 violations remain unresolved.

How does Elkhorn City's water compare to other cities?

Elkhorn City ranks #84 out of 246 cities in Kentucky (better than 66% of state cities) and #5035 out of 15744 cities nationally (68th percentile). The grade of A- reflects the combined assessment of violation history, lead and copper levels, PFAS contamination, and regulatory compliance.

Does Elkhorn City's small water system affect quality?

Elkhorn City's system serves approximately 1,723 residents. Small community water systems (under 3,300 people) may have fewer financial resources for infrastructure upgrades and advanced treatment technologies. However, they are held to the same EPA drinking water standards as larger systems. This system has 25 violations on record.