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Best Septic Tank Replacement in Winston Salem, NC

Compare 10 local septic tank replacement providers in Winston Salem. Verified listings with real contact info.

10 verified providers · Updated 2026-04-12

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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

Carolina Septic Inc

4.6 (53 reviews)
330 Pineview Dr, Kernersville, NC 27284
Mon–Fri 8am–5pm · Sat–Sun Closed
5

NC-PRO SEPTIC

4.0 (4 reviews)
6676 Dale St, Germanton, NC 27019
Open 24 Hours
6

Chris Mendenhall Excavation & Septic LLC

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

Septic 911

4.9 (350 reviews)
106 E King St, King, NC 27021
Open 24 Hours
8

Decker Septic Tank Services

4.9 (11 reviews)
1439 North Carolina Hwy 150, Summerfield, NC 27358
9

Derrick's Septic

4.8 (120 reviews)
7032 Beane Rd, High Point, NC 27263
Mon–Fri 8am–5pm · Sat–Sun Closed
10

Donald Beck Septic Tank Services

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

Frequently Asked Questions

When does a septic tank need to be replaced?

A tank needs replacement when it has severe structural damage, extensive corrosion (common in older steel tanks), multiple large cracks, or when it is too small for current household usage. Concrete tanks can last 40+ years, while steel tanks often need replacement after 15-25 years.

How much does it cost to replace a septic tank in North Carolina?

Septic tank replacement in North Carolina typically costs $3,000 to $7,000, including removal of the old tank, a new concrete or fiberglass tank, and reconnection to existing lines. Costs vary based on tank size, accessibility, and whether the drain field needs modification.

Can I upgrade to a larger tank during replacement?

Yes, upgrading to a larger tank during replacement is common and recommended if your household has grown. A larger tank means less frequent pumping and better treatment. Your county health department will need to approve the new tank size and verify compatibility with your existing drain field.

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