Frequently Asked Questions

The Board meets on Monday evenings at 4 pm at:
Town Hall Annex
261 George Ryder Road
Lower Level Small Meeting Room
Chatham, MA 02633

Meetings are generally held on the 2nd and 4th Monday of each month (unless posted otherwise, please confirm with the Health Department Secretary).

The Health Department has files on most properties in Chatham. Call the Health Department to see if one is available for your property. If we have the information, we will make copies for you to pick up.

The Chatham Board of Health's Interim Nitrogen Loading Regulation states that for any new construction or additions to an existing dwelling, one bedroom per 10,000 square feet of lot area is allowed. Repairs to existing Title 5 septic systems are allowed to be designed and installed only for the existing number of bedrooms on the property.

Pumping the septic system every two to three years is recommended for most properties under normal use.

The septic tank must be 10 feet away and the leaching area must be 20 feet away from a foundation wall. All components can be 10 feet away from a slab foundation or a frost wall (the leaching area must be at an elevation below the slab or footings of frost wall). An in-ground swimming pool is required to have the same setbacks as a full foundation.

In accordance with Chatham Board of Health regulations, Title 5 inspections are valid for 18 months. If the dwelling is a part of a condominium complex with greater than five units, then the condominium association is required to have all its septic systems inspected every three years. Therefore, these inspections are valid for three years. Town of Chatham regulations require the system to be inspected within sixty days of the sale, or a waiver must be received from the Health Department.

Certificates of compliance are accepted in lieu of Title 5 inspections for two years from the date the compliance was issued.

The system should not be pumped in the two weeks before the inspection. The tank may be pumped after the inspection is completed for maintenance purposes.

Cesspools are considered an automatic failure criterion for real estate transfers within the Town of Chatham. They must be upgraded to Title 5 as part of the transfer of the property.

Transfers between spouses are not required to have a Title 5 inspection completed. The introduction of new parties or beneficiaries to a trust, including any change in ownership or form of ownership is subject to the inspection and upgrade requirements of the real estate inspection regulation.

Wrap the bird and put in your trash for disposal.

All public beaches are tested weekly by the Barnstable County Lab during the summer season. Test results are posted at the Town Offices, Annex Permit Department, and on the Towns website. Testing information also available at: https://www.capecod.gov/departments/health-environment/programs-services/water-and-wastewater/beach-sample-results/.

The Health Department staff inspects all restaurants in Chatham at least twice a year.

The Health Department has a completer list of licensed septic installers; licensed septic pumpers and engineers available at the office.

The Health Department recommends that residents connected to a private well have their water tested annually. Testing options include private laboratories listed in the phone book or at the Barnstable County Laboratory. If you choose the latter option, you may pick up a water sample bottle at the Health Department office, and they will provide details on where to bring the sample once collected.

The Chatham Health Department sponsors flu shot clinics every fall and early winter. You may call the Health Department for details beginning in September. As information is available it will be posted in the local paper and Town website.

Some vaccines are supplied by the State Department of Public Health are available to town residents by calling the Visiting Nurse Association of Cape Cod at 508-957-7423, or the Barnstable County Health Department Nursing Division at 774-223-7175.