Since 1972, Agua del Pueblo has provided sustainable water and sanitation to 800 villages serving more than 500,000 of rural poor Guatemalans. The shorter-term goal is to improve existing wells and provide wastewater treatment facilities in four communities. However, the final goal is to address poverty and the poor distribution of wealth in rural Guatemala. Two studies performed by Agua del Pueblo, James Madison and Furman Universities in a sister community (Chipman, Strait and Clemens, 2014; Clemens & Douglas, 2012; Sauer, M. S Smith and B Clemens 2012) demonstrate that if we follow a specific methodology potable water and sanitation projects lead to significant reductions in rural poverty and the poor distribution of wealth. This is the first phase in a multi-tier approach to provide adequate sanitation for all in the watershed.