The document summarizes cost effective practices for clean water based on a study of the James River Basin in Virginia. It finds that removing illicit discharges from storm sewer systems, such as sewer repairs and eliminating cross connections, is among the most cost effective ways to reduce nitrogen, phosphorus, and sediment levels. Urban stream restoration is also highly cost effective for sediment removal. Initial estimates found addressing stormwater pollution in Richmond could cost $305 million using older practices, but improving identification and removal of illicit discharges could lower the cost to $84-100 million. Proper identification and removal of illicit discharges is an important yet overlooked method for nutrient management that governments should receive credit for.