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Applicant/Owner Letterhead 

Date 

Project Manager
Development Services Division
Washington Suburban Sanitary Commission
14501 Sweitzer Lane 
Laurel, Maryland 20707 

Re: Site Utility Project Name
      Site Utility Project Number 

Dear Project Manager

Please let this letter serve as notice that the Applicant/Owner is aware of and accepts full responsibility for all conditions which do not adhere to the WSSC Pipeline Design Manual, which represent WSSC’s best design practices. These conditions include, but are not limited to, the following: 

  1. Less than 15’ separation of [diameter] onsite water and/or sewer from [identify specific] buildings; 
  2. Less than 5’ separation of [diameter] onsite water and/or sewer from [specific] utilities; 
  3. Less than 5’ separation of [diameter] onsite water and/or sewer from [specific] walls or [specific] structures; 
  4. Not meeting the [percentage]minimum slope of [diameter] onsite sewer. 

Sincerely, 

Name 
Title 
Applicant/Owner

Last Modified: August 13, 2026, 5:12 pm EDT