Md. Code, Environment § 9–221

(a) If, after investigation, the Department determines that any water supply system, sewerage system, or refuse disposal system is a menace to health or comfort or is causing a nuisance, and that conditions cannot be improved sufficiently only by changing the method of operation, the Department may order the owner:

(1) To alter or extend the water supply system, sewerage system, or refuse disposal system; or

(2) To install a new water supply system, sewerage system, or refuse disposal system.

(b) An order under subsection (a) of this section shall state a reasonable date for completion of the work.

(c) The Secretary may authorize a health officer:

(1) To investigate refuse disposal systems; and

(2) To enforce any regulation of the Department concerning refuse disposal systems.