Md. Code, Environment § 9–1101

(a) In Garrett County, before constructing on private property a building that will need a septic tank disposal system, the person who proposes to construct the building shall obtain a septic tank permit from the Garrett County Health Department.

(b) An applicant for a septic tank permit under this section shall submit to the Garrett County Health Department:

(1) An application on the form that the Garrett County Health Department requires; and

(2) A plan for the septic tank system.

(c) Before issuing a septic tank permit, the Garrett County Health Department may inspect the site of the proposed septic tank.

(d) If it approves the application, the Garrett County Health Department shall issue a septic tank permit.

(e) A person may not build a septic tank in violation of this section.

(f) A person who violates subsection (e) of this section is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $100.