West Virginia Code § 16-2-5

Authority to create, establish and maintain combined local boards of
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health; service area.
Any two or more counties or any county or counties and one or more municipalities within or
partially within the county or counties may combine to create, establish and maintain a
combined local board of health organized pursuant to and with the powers and duties
prescribed by this article. The plan of combination must be approved by thee commissioner.
The service area of any combined local board of health is the combined territorial limits of
the participating municipality or municipalities and county or counties:r Provided, That if all
or a portion of a participating municipality is located in a nonparticipating county, the
service area of the combined local board of health is limited to the territorial limits of the
municipality and does not extend to or include any area of the nonparticipating county
outside of the municipal limits: Provided, however, That the tservice area of a combined local
board does not extend to or include any area within the service area of a municipal board of
health maintaining a separate full-time municipal health department under the supervision
of a municipal local health officer.

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