The greatest need of a modern city is its water supply. Without it city life would be impossible. The next most important need is the removal of waste matters, particularly wastes containing human excreta or the germs of disease. To exist without street lights, pavements, street cars, telephones, and the many other attributes of modern city life might be possible, although uncomfortable. To exist in a large city without either water or sewerage would be impossible. The service rendered by the sanitary engineer to the large municipality is indispensable. In addition to the service necessary to the maintenance of life in large cities, the sanitary engineer serves the smaller city, the rural community, the isolated institution, and the private estate with sanitary conveniences which make possible comfortable existence in them, and which are frequently considered as of paramount necessity. Training for service in municipal sanitation is training for a service which has a more direct beneficial effect on humanity than any other engineering work, or any other profession. W. P. Gerhard states: _A Sanitary Engineer_ is an engineer who carries out those works of civil engineering which have for their object: (_a_) The promotion of the public and individual health; (_b_) The remedying of insanitary conditions; (_c_) The prevention of epidemic diseases. A well-educated sanitary engineer should have a thorough knowledge of general civil engineering, of architecture, and of sanitary science. The practice of the sanitary engineer embraces water supply, sewerage, and sewage and garbage disposal for cities and for single buildings; the prevention of river pollution, the improvement of polluted water supplies; street paving and street cleaning, municipal sanitation, city improvement plans, the laying out of cities, the preparation of sanitary surveys, the regulation of noxious trades, disinfection, cremation, and the sanitation of buildings. The need of the work of the sanitary engineer in the provision of sewers and drains is thrust upon us in our daily experience by the clogging of sewers, the flooding of streets by heavy rains, filthy conditions in unsewered districts, increased values of property and improved conditions of living in sewered districts, and in many other ways. The increasing demand for sewerage and the amount of money expended on sewer construction is indicated by the information given in Table I. =2. Historical.=—An ordinance passed by the Roman Senate in the name of the Emperor about A.D. 80, states: I desire that nobody shall conduct away any excess water without having received my permission or that of my representatives; for it is necessary that a part of the supply flowing from the delivery tanks shall be utilized not only for cleaning our city, but also for flushing the sewers.[1]