Please copy the following text and paste it into whatever word-processing software you use, to create your letter. 

Please make sure you use your letterhead for your letter.

This is sample text. You can edit to your requirements. Please make sure to provide information specific to your project where we have used bracketed sample text.

If you use Microsoft Word or have software that can read Microsoft Word documents, then you can download the sample site utility owners responsibility letter (DOCX 19 KB)

Sample Letter Text

[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 [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: November 9, 2026, 2:42 pm EST