West Virginia
No. 50
Score: 14.2 out of 50

West Virginia posted low scores in every category, notably carbon footprint (fourth highest) and water cleanliness (we ranked it fourth worst). It's got more toxic waste to manage per capita than all but three states. In 2005, it disposed of or released 97.1 million lbs of toxic waste. The state exceeded its Clean Water Act permit levels by an average of 679% in 2005, according to U.S. PIRG. This means the water was frequently grossly tainted.