AFFIDAVIT TO THE PUBLIC

THE COUNTY OF	____________________________	*
STATE OF TEXAS		*

Before me, the undersigned authority, on this day personally appeared _____________________________________ who, after being by me duly sworn, upon oath states that he/she is the owner of record of that certain tract or parcel of land lying and being situated in _______________________, County, Texas, and being more particularly described as follows:_________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

The undersigned further states that a wastewater system or an aerobic wastewater system has been or will be installed in accordance with the permitting provisions of the Trinity River Authority.  Said system being on lots ______________ shall bind these lots as one unit not to be sold or transferred individually.  Further, the undersigned states that he/she will, upon any sale or transfer of the above-described property, notify any buyer or transferee of the condition.  For more information concerning the rules or regulations on wastewater systems, please contact the Texas Commission on Environmental Quality (TCEQ), P.O. Box 13087, Austin, Texas 78711-3087.

WITNESS MY/OUR HAND(S) on this ________day of __________________, ______________

                                                             ____________________________________________
                                                             Name(s) of Homeowner(s)

SWORN TO AND SUBSCRIBED BEFORE ME on this _______day  of ___________________,
 ________by ________________________________.  

 

                                                                       _____________________________________
                                                     Notary Public, State of Texas
                                                                        Notary’s Printed Name:________________
                                                                        My Commission Expires:_______________