For those living outside Elkins city limits, there are two sanitation companies:
- Tygart Valley Sanitation—Serving Elkins, Beverly, Bowden, Valley Head, Mill Creek, Valley Bend, Glady, Monterville, Coalton, Norton and surrounding areas.
- Sunrise Sanitation—Serving Dryfork, Harman, Job, Whitmer and surrounding areas.
Both offer curb-side pickup, recycling, residential and commercial pick-up, and dumpsters. Both also offer bulk item collection once per month.