The Grayson Utilities Commission provides service to a customer base of 4,140 water customers, 1,528 sewer customers, and 884 natural gas customers. The Commission water service area is in both Carter and Greenup Counties.

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Grayson Utilities Commission meets on the last Friday of each month at 12:00 pm in the William J. Lewis Utility Maintenance Building at 671 South State Highway 7.