Yes, little, tiny 1 mile by 4 mile Key West has a sewer! And has had one a lot sooner than that certain central coast town that was referred to in this blog's name. But that sewer was not without its own horrid fight.
The article linked below says it all, and we might appreciate the scope and cost of their $1 billion sewer project. FYI, in 1889 Key West was the largest and wealthiest city in Florida (unlike Los Osos in California, which has not hit that mark and likely never will):
http://www.miamiherald.com/news/state/article1980193.html
Here is the official link to their current sewer page:
http://www.cityofkeywest-fl.gov/department/division.php?structureid=164
Happy expansion of your sewer education!