Effluent sewer
Effluent sewers also currently serve fewer people than septic systems, which also use septic tanks, but simply dispose of the effluent by draining it into a leach field. About one quarter of United States homes dispose of their wastewater with septic tanks. However, effluent sewers are being looked at as a sewage treatment solution in areas where gravity sewer systems are not well-suited or when the high capital cost to build a gravity system is prohibitive. Areas that are less than ideal for gravity systems include areas that are large, but extremely flat and areas that require long-distance pumping, such as where homes are widely spread out or when several small villages or towns connect their sewage systems so that a centralized plant can be built.
Sanitary sewer
In the developed world, sewers are pipes from buildings to one or more levels of larger underground trunk mains, which transport the sewage to sewage treatment facilities. Vertical pipes, usually made of precast concrete, called manholes, connect the mains to the surface. Depending upon site application and use, these vertical pipes can be cylindrical, eccentric, or concentric. The manholes are used for access to the sewer pipes for inspection and maintenance, and as a means to vent sewer gases. They also facilitate vertical and horizontal angles in otherwise straight pipelines.