Sewage disposal regulation and administration describes the governance of sewage treatment and disposal. Regulation United States Sewage treatment systems in the United States are subject to the Clean Water Act (CWA) and are regulated by federal and state environmental agencies. In most states, local sewage plants receive discharge permits from state agencies; in the remaining states and territories, permits are issued by the United States Environmental Protection Agency (EPA). The treatment plants, known as publicly owned treatment works (POTW) in CWA parlance, must protect the health and welfare of the local population by ensuring that wastewater does not contaminate the local potable water supply, nor violate additional water quality standards that protect the ecological health of the water body. The basic national standard for U.S. municipal treatment plants is the Secondary Treatment Regulation. Most plants in the U.S. must meet this secondary treatment standard. The permit authority (state agency or EPA) can compel a POTW to meet a higher standard, if there are applicable water quality standards for the receiving water body. For water bodies with stringent standards, such as Lake Tahoe, POTWs must treat their discharges to tertiary treatment levels, and then pump all treated water out of the drainage basin so that no effluent ever drains to a certain body of water. Such higher standards may require the POTW to construct improvements to its plant(s). If not in compliance with its permit and regulations, POTWs may be subject to heavy fines. Regulation is therefore often the driving force behind increasing sewage treatment costs in the United States, and is directly linked to the high cost of constructing or expanding a sewage treatment facility. Many large cities in the U.S. operate combined sewers, which collect sewage and stormwater runoff in a single pipe system leading to the treatment plant. Combined sewers can cause serious water pollution problems due to combined sewer overflows, which are caused by large variations in flow between dry and wet weather. These overflows can lead to violation of the Secondary Treatment Regulation and/or water quality standards. Discharge permits for these POTWs typically have additional requirements that require facility improvements to reduce or eliminate the overflows. Ships at sea are forbidden from discharging their sewage overboard unless three miles or more from shore. United Kingdom In England and Wales, Ofwat regulates charges and service standards. In England environmental standards and their achievement for sewage disposal are