Yes. Title Five requires that owners of septic systems meet the standard of "maximum feasible compliance" with the requirements of the State Code. The level of compliance that may be met - that is, whether the system is simply repaired, replaced, or the home connected to the sewer - will depend on the characteristics of the property involved and the availability of the sewer. Local Lexington health regulations, however, require that if the sewer is available, the homeowner must connect to the municipal sewer system. If the sewer is not available near the home, the homeowner must apply to the Board of Health for a variance and provide for approval by the Board of Health a design for a new system that meets the requirements of Title Five. The Board of Health must also approve alternative systems to those specified in the state code.