The Fountain Hills Sanitary District is a governmental entity separate from the Town of Fountain Hills. The District’s sole purpose is to collect, treat, and dispose of wastewater and its byproducts within the Town of Fountain Hills and a very small portion of the City of Scottsdale. The District operates in accordance with Title 48 of the Arizona Revised Statutes and is governed by an elected five-person board of directors. Daily operation of the District is overseen by the District Manager.

The District was established in 1969 and constructed its first wastewater treatment facility in 1974. Today, the District operates a 2.6 million gallon per day wastewater treatment facility, 18 raw wastewater pump stations, over 200 miles of sewer lines, and an advanced water treatment facility. The District provides sewer service to over 12,000 residential connections, 300 commercial connections, and reclaimed water for irrigation to three golf courses and three town parks. The District employs a staff of 37.