There are increasing advocacy and policy efforts to consolidate
private wells and other small systems into larger regulated systems
to address water quality-related public health and climate resilience
challenges. However, little is known about how trade-offs between
water quality and affordability implications of these consolidation
efforts are experienced and perceived by residents. Here, we analyzed
changes in water quality, affordability, and perception associated
with a groundwater contamination-motivated transition from private
well to regulated municipal water. We conducted water quality samplings
and household surveys pre- and post-municipal service extension in
the Town of Orleans, NY. Our findings illustrate that water quality
improved due the connection to municipal service, resulting in increased
consumption of tap water, improved perception of water quality and
reliability, and decreased use of household treatment, but with a
much higher monthly expenditure. Residents reported general satisfaction
with their new municipal water service; however, the cost of service
was more than expected, and some were dissatisfied with the taste
of chlorine in the municipal supply. Despite the positive public health
implications, it is important to consider the trade-offs in regulated
water transitions and the perceptions of residents to foster successful,
sustainable solutions.