"When Pamela Rush flushes her toilet, the waste flows out the back of her sky blue mobile home through a yellowing plastic pipe and empties just a few yards away in a soggy pit of mud, weeds, and dead grass.
On a hot day in mid-May, Rush walked around her yard in rural Lowndes County, Alabama. Flies and mosquitoes swarmed her as she tiptoed near the pit. The smell of sewage was overwhelming.
Rush, 48, a soft-spoken woman with striking brown eyes, has straight-piped her family’s waste into her yard for almost two decades. Her home is on the edge of clay dirt road in the dense Alabama forest, miles from a municipal sewer system. Since Rush struggles with her health and is unable to work, she can’t afford the thousands of dollars it would cost to install an on-site septic system. This is her only option."