The Town of Middlesex collects its wastewater and ships it to Raleigh for treatment. The drains in your home and the private line out to the Town's sewer are yours, and a plumber can clear them. Call the number on this page to be connected with a local plumber in Middlesex.

Middlesex in brief
Middlesex is a very small Nash County town of about 900 people, roughly 24 miles east of Raleigh. The Town handles water and sewer at Town Hall, collects wastewater and sends it to Raleigh for treatment. In 2024 it received $750,000 in a state grant round for water and wastewater repairs and upgrades. Housing is mixed: the median home dates to 1977, and about 55% were built before 1980, but about 23% have been built since 2010. Older homes may have cast-iron or clay drains; newer ones have plastic pipe that clogs mostly from grease, wipes and hair.
The Town is also replacing old 2-inch galvanized iron water mains with about 9,000 feet of 6-inch PVC and reconnecting about 60 services to existing meters. That project is on the water side; your drains and sewer line are separate.
Steps to take
- Stop running water if a drain is backing up.
- Count the slow drains. One means a local clog; several mean the main line.
- Check the street. If neighbors are backing up, contact Middlesex Town Hall.
- Plunge one fixture if it's safe. Don't use chemical drain openers.
- Find your cleanout if you have one.
- Call for a plumber if it doesn't clear.
Symptoms and causes
| Symptom | Likely cause |
|---|---|
| Slow sink or tub | Hair, soap or food in the branch |
| Toilet backs up into the tub | Main line blocked |
| Repeat clogs in an older home | Roots or scale in clay or cast iron |
| Repeat clogs in a new home | Wipes or a settled yard line |
| Sewer odor | Dry trap or cracked pipe |
What affects cost
- Location of the clog
- Access through a cleanout or fixture
- The method used
- Repairs, which need a Town zoning permit and then a Nash County trade permit
- Timing of the call
In homes that mix old and new pipe, ask the plumber which sections are original; those are usually where repeat clogs start.
Rural homes outside town limits may not be on municipal sewer; a plumber can still clear the line out to a private system. Landlords should also know that Middlesex requires a rental inspection at each tenant change before a new water account opens.
Drain Cleaning questions in Middlesex
Can a newer house still have drain problems?
My house isn't on municipal sewer. Can a plumber still clear the main drain?
Can tree roots get into a drain line?
What causes a sewer smell from a floor drain or tub?
More plumbing services in Middlesex
Drain Cleaning nearby
Helpful guides
Sources
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