For many families in parts of eastern Kentucky and southern West Virginia, the absence of clean, reliable drinking water is part of daily life. Blaine Taylor, a 17-year-old resident of Martin County, Kentucky, struggles to manage basic hygiene when his water comes out with sediment in it. “I had to use a case of water last night just to get enough water in my bathtub just to get myself cleaned up for today at school,” he said. “It’s rough.”