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Best Septic System Installation in Winston Salem, NC

Compare 8 local septic system installation providers in Winston Salem. Verified listings with real contact info.

8 verified providers · Updated 2026-04-12

Quick Compare

1

Forsyth Septic & Rooter Services

4.8 ★ (145 reviews)

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2

Affordable Septic & Grease Cleaning, Inc.

3.5 ★ (38 reviews)

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3

KW Septic

4.9 ★ (77 reviews)

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1

Forsyth Septic & Rooter Services

4.8 (145 reviews)
2960 Griffith Rd # 2, Winston Salem, NC 27103
Open 24 Hours
2

Affordable Septic & Grease Cleaning, Inc.

3.5 (38 reviews)
5076 Harley Dr, Walkertown, NC 27051
Open 24 Hours
3

KW Septic

4.9 (77 reviews)
160 Cross Baptist Church Rd, Rural Hall, NC 27045
Open 24 Hours
4

Chris Mendenhall Excavation & Septic LLC

5.0 (80 reviews)
5703 Midway School Rd, Thomasville, NC 27360
Mon–Sat 7am–7pm · Sun Closed
5

Septic 911

4.9 (350 reviews)
106 E King St, King, NC 27021
Open 24 Hours
6

Derrick's Septic

4.8 (120 reviews)
7032 Beane Rd, High Point, NC 27263
Mon–Fri 8am–5pm · Sat–Sun Closed
7

Greensboro Septic Pros

5.0 (10 reviews)
7B Corporate Center Ct, Greensboro, NC 27408
Mon–Fri 6am–8pm · Sat–Sun Closed
8

Donald Beck Septic Tank Services

4.9 (29 reviews)
419 Ash Hill Rd, Ararat, NC 27007
Open 24 Hours

Frequently Asked Questions

How much does a new septic system cost in North Carolina?

A conventional septic system in North Carolina typically costs $8,000 to $20,000, depending on soil conditions, system type, and tank size. Alternative systems (sand-lined trench, low-pressure pipe, drip irrigation) cost more due to additional engineering and components.

What permits are needed for septic installation in North Carolina?

You need an Improvement Permit and a Construction Authorization from your county health department. This requires a completed site evaluation and soil analysis. The process typically takes 4-8 weeks. All installations must comply with NC DEQ rules under 15A NCAC 18A .1900.

How long does septic system installation take?

The physical installation usually takes 3-5 days for a conventional system. However, the entire process from initial soil testing through final inspection can take 2-3 months, including permit processing time.

What type of septic system do I need?

The system type depends on your soil conditions, lot size, and local regulations. Conventional systems with gravity-fed drain fields are most common and affordable. If your soil does not perc well, you may need a low-pressure pipe system, drip irrigation, or other approved alternative.

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