The best replacement for sewer is septic.

The best alternatives to sewer are rated as following:
★★★★★  septic
★★  septic tank
★★  sewage
★  seamstress
★  septic system
★  public sewer
★  sewist
★  drain
★  cesspool
★  storm drain
★  sanitary sewer
  storm sewer
  septic systems
  sewer
  building drain

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Google Trends

Scale is based on the average worldwide traffic of sewer in all years. Click on graph for more.
sewer
septic
septic tank