Sewage & biohazard · Emergency service
Sewage & Biohazard Cleanup in St. Louis, MO
Sewage backups, contaminated floodwater and other biohazards are Category 3 losses. They need protective equipment, removal of porous materials that were touched, cleaning and disinfection of everything else, and careful drying.

Sewage & Biohazard Cleanup in St. Louis: local conditions
Partner coverage for sewage and biohazard cleanup in St. Louis currently includes 27 ZIP codes: 63105, 63114, 63117, 63119, 63121, 63122, 63123, 63124, 63125, 63126, 63127, 63128, 63129, 63130, 63131, 63132, 63133, 63134, 63135, 63136, 63137, 63138, 63140, 63141, 63143, 63144, 63146. If your ZIP is on this list, a call connects you with a company that serves it.
Record rainfall on July 26, 2022 flooded homes and streets across St. Louis. Combined sewers in older neighborhoods back up into basements during heavy rain. The Mississippi and Missouri rivers flood low-lying areas, as in the great flood of 1993. St. Louis's brick homes almost all have basements with floor drains connected to the sewer, which back up during heavy storms. The River des Peres, which carries both stormwater and sewage, overflows in heavy rain and floods nearby neighborhoods.
Brick homes with basements dominate, many with clay sewer laterals and floor drains connected to combined sewers. South City's brick homes and flats from the late 1800s to the 1930s have deep basements, original clay laterals and limestone or brick foundations that seep during heavy rain. Many are owner-occupied two-family flats, so leaks between floors are common.
Licensing in Missouri: Missouri doesn't license general contractors statewide. Cities and counties, including St. Louis and Kansas City, license contractors locally.
What you can expect
- One call connects you with an independent restoration company that serves your ZIP code.
- Fast call-back during business hours
- Serving St. Louis, MO
- Photo and moisture documentation for insurance
Sewage & Biohazard Cleanup at a glance
- Category
- Sewage & biohazard
- Emergency service
- Yes, call for fastest response
- Typical first step
- Protect people and contain the area
- Area
- St. Louis, MO
Other risks in St. Louis
Ice storms and freezes
Winter ice storms and hard freezes knock out power and freeze pipes.
Signs you need sewage & biohazard cleanup
- Water or waste coming up through floor drains, toilets or tubs
- A strong sewage smell in a basement or bathroom
- Floodwater that entered the home from outside
How the work is done
Protect people and contain the area, then Remove contaminated water, then Remove porous materials, then Clean and disinfect, then Verify and rebuild. See the full sewage & biohazard cleanup process.
What affects the cost
Prices depend on the job, so restoration companies in St. Louis quote after an assessment. The main drivers are how much area is affected, how long it stayed wet, and what has to be removed or rebuilt. See the full list of sewage & biohazard cleanup cost factors.
Sewage & Biohazard Cleanup questions
Is sewer backup covered by insurance in St. Louis?
Usually only with a sewer or water backup endorsement.
Do I need a permit for repairs in St. Louis?
Structural, plumbing and electrical repairs need permits from the City of St. Louis Building Division.
Can I clean up a small sewage backup myself?
A small backup on a hard, non-porous floor sometimes can be with gloves, boots and disinfectant. Anything that reached carpet, drywall or other porous materials needs professional cleanup.
Does homeowners insurance cover sewage backups?
Usually only with a sewer or drain backup endorsement. Flooding from outside needs a flood policy.
Related pages
Other services in St. Louis
More about water and storm damage in St. Louis, or see sewage & biohazard cleanup nationwide.
Related services

Sewage backup cleanup
Sewage cleanup treats the water as Category 3 (grossly contaminated): crews in protective gear remove it, discard porous materials it touched, clean and disinfect hard surfaces, and dry the structure.
Learn more
Biohazard cleanup
Biohazard cleanup removes and disposes of blood, bodily fluids and other potentially infectious material, then cleans and disinfects the area so it's safe to use.
Learn more
Flood damage cleanup
Flood cleanup treats outside floodwater as contaminated: it removes water and mud, cuts out wet drywall and insulation above the waterline, sanitizes, and dries the structure.
Learn moreWater, mold or fire damage? Get the right crew on it.
One call connects you with an independent restoration company that serves your ZIP code. Fast call-back during business hours.
