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Comal County Environmental Health OSSF Inspection Sheet Installer Name:______Paul Swoyer OSSF Installer #:______OS0026238 1st Inspection Date:______11-25-2020 2nd Inspection Date:______3rd Inspection Date:______Inspector Name:______B. Olvera Inspector Name:______Inspector Name:______

Permit#:______111464 ______Address: ______15925 Ferdous Ln. No. Description Anwser Citations Notes 1st Insp. 2nd Insp. 3rd Insp. SITE AND SOIL CONDITIONS & 285.31(a) SETBACK DISTANCES Site and Soil 285.30(b)(1)(A)(iv) Conditions Consistent with 285.30(b)(1)(A)(v) Submitted Planning Materials 285.30(b)(1)(A)(iii) 285.30(b)(1)(A)(ii) 11-25-20 11-25-20 285.30(b)(1)(A)(i) 1 SITE AND SOIL CONDITIONS & 285.91(10) SETBACK DISTANCES Setback 285.30(b)(4) Distances 285.31(d) Meet Minimum Standards 2 SEWER PIPE Proper Type Pipe from Structure to Disposal System (Cast Iron, Ductile Iron, Sch. 40, 285.32(a)(1) SDR 26) 3 SEWER PIPE Slope from the Sewer to the Tank at least 1/8 Inch Per 285.32(a)(3) Foot 4 SEWER PIPE Two Way Sanitary - Type Cleanout Properly Installed (Add. C/O Every 100' &/or 90 285.32(a)(5) degree bends)

5 PRETREATMENT Installed (if required) TCEQ Approved List 285.32(b)(1)(G)285.32(b)(1 PRETREATMENT Septic Tank(s) )(E)(iii) Meet Minimum Requirements 285.32(b)(1)(E)(iv) 285.32(b)(1)(F) 285.32(b)(1)(B) 285.32(b)(1)(C)(i) 285.32(b)(1)(C)(ii) 285.32(b)(1)(D) 285.32(b)(1)(E) 285.32(b)(1)(A) 285.32(b)(1)(E)(ii)(II) 285.32(b)(1)(E)(i) 285.32(b)(1)(E)(ii)(I)

6 PRETREATMENT Grease Interceptors if required for 285.34(d) 7 commercial 11-25-2020 BMO: Tank Set Level No Leaks, Operational, Ready for Cover, Revision on Spray Pattern Comal County Environmental Health OSSF Inspection Sheet

No. Description Anwser Citations Notes 1st Insp. 2nd Insp. 3rd Insp. SEPTIC TANK Tank(s) Clearly 285.32(b)(1)(E) Marked SEPTIC TANK If 285.91(2) SingleTank, 2 285.32(b)(1)(F) Compartments Provided with 285.32(b)(1)(E)(iii) Baffle SEPTIC TANK Inlet Flowline 285.32(b)(1)(E)(ii)(II) Greater than 285.32(b)(1)(E)(ii)(I) 3" and " T " Provided on Inlet and 285.32(b)(1)(E)(i) Outlet 285.32(b)(1)(D) SEPTIC TANK Septic Tank(s) Meet 285.32(b)(1)(C)(ii) Minimum Requirements 285.32(b)(1)(C)(i) 285.32(b)(1)(B) 285.32(b)(1)(A) 285.32(b)(1)(E)(iv) 8 ALL TANKS Installed on 4" Sand Cushion/ Proper Backfill Used 285.32(b)(1)(F) 285.32(b)(1)(G) 285.34(b) 9 11-25-20 11-25-20 SEPTIC TANK Inspection / Clean Out Port & Risers Provided on Tanks Buried Greater than 12" 285.38(d) Sealed and Capped

10 SEPTIC TANK Secondary restraint system provided SEPTIC TANK Riser permanently fastened to lid or cast into tank SEPTIC TANK Riser cap protected 285.38(d) against unauthorized intrusions 285.38(e) 11 SEPTIC TANK Tank Volume Installed 12 PUMP TANK Volume Installed 13 AEROBIC TREATMENT UNIT Size Installed 14 M-800 AEROBIC TREATMENT UNIT Manufacturer AEROBIC TREATMENT UNIT Model Maxx Air 15 Number 285.33(a)(4) DISPOSAL SYSTEM Absorptive 285.33(a)(1) 285.33(a)(2) 285.33(a)(3) 16 DISPOSAL SYSTEM Leaching 285.33(a)(1) Chamber 285.33(a)(3) 285.33(a)(4) 285.33(a)(2) 17 285.33(a)(3) DISPOSAL SYSTEM Evapo- 285.33(a)(4) transpirative 285.33(a)(1) 285.33(a)(2) 18

Page 2 Comal County Environmental Health OSSF Inspection Sheet

No. Description Anwser Citations Notes 1st Insp. 2nd Insp. 3rd Insp. DISPOSAL SYSTEM Drip Irrigation 285.33(c)(3)(A)-(F)

19 DISPOSAL SYSTEM Soil 285.33(d)(4) 20 Substitution 285.33(a)(4) DISPOSAL SYSTEM Pumped 285.33(a)(3) Effluent 285.33(a)(1) 21 285.33(a)(2) DISPOSAL SYSTEM Gravelless Pipe 285.33(a)(3) 285.33(a)(2) 285.33(a)(4) 285.33(a)(1) 22 DISPOSAL SYSTEM Mound 285.33(a)(3) 285.33(a)(1) 285.33(a)(2) 285.33(a)(4) 23 DISPOSAL SYSTEM Other 285.33(d)(6) (describe) (Approved Design) 285.33(c)(4) 24 DRAINFIELD Absorptive Drainline 3" PVC 25 or 4" PVC DRAINFIELD Area lnstalled 26 DRAINFIELD Level to within 1 inch per 25 feet and within 3 inches 285.33(b)(1)(A)(v) over entire excavation 27 DRAINFIELD Excavation Width DRAINFIELD Excavation Depth DRAINFIELD Excavation Separation DRAINFIELD Depth of Porous Media DRAINFIELD Type of Porous Media

28 DRAINFIELD Pipe and Gravel - 285.33(b)(1)(E) 29 Geotextile Fabric in Place DRAINFIELD Leaching Chambers DRAINFIELD Chambers - Open End Plates w/Splash Plate, Inspection Port & Closed End Plates in Place 285.33(c)(2) (per manufacturers spec.)

30 LOW PRESSURE DISPOSAL SYSTEM Adequate Trench Length & Width, and Adequate 285.33(d)(1)(C)(i) Separation Distance between Trenches 31

Page 3 Comal County Environmental Health OSSF Inspection Sheet

No. Description Anwser Citations Notes 1st Insp. 2nd Insp. 3rd Insp. EFFLUENT DISPOSAL SYSTEM Utilized Only by Single Family Dwelling EFFLUENT DISPOSAL SYSTEM Topographic Slopes < 2.0% EFFLUENT DISPOSAL SYSTEM Adequate Length of Drain Field ( 1000 285.33(b)(3)(A) Linear ft. for 2 bedrooms or Less 285.33(b)(3)(A) & an additional 400 ft. for each 285.33(b)(3)(B) additional bedroom ) EFFLUENT DISPOSAL SYSTEM Lateral 285.91(13) Depth of 18 inches to 3 ft. & Vertical 285.33(b)(3)(D) Separation of 1ft on bottom and 2 ft. to 285.33(b)(3)(F) restrictive horizon and ground water respectfully EFFLUENT DISPOSAL SYSTEM Lateral Drain Pipe (1.25 - 1.5" dia.) & Pipe Holes ( 3/16 - 1/4" dia. Hole Size ) 5 ft. Apart 32 AEROBIC TREATMENT UNIT Is Aerobic Unit Installed According 285.32(c)(1) to Approved Guidelines. 33 11-25-20 11-25-20 AEROBIC TREATMENT UNIT Inspection/Clean Out Port & Risers Provided AEROBIC TREATMENT UNIT Secondary restraint system provided AEROBIC TREATMENT UNIT Riser permanently fastened to lid or cast into tank AEROBIC TREATMENT UNIT Riser cap protected against

34 unauthorized intrusions AEROBIC TREATMENT UNIT Chlorinator Properly Installed with 35 Chlorine Tablets in Place. PUMP TANK Is the Pump Tank an approved concrete tank or other acceptable materials & construction PUMP TANK Sampling Port Provided in the Treated Effluent Line PUMP TANK Check Valve and/or Anti- Siphon Device Present When Required PUMP TANK Audible and Visual High Water Alarm Installed on 36 Separate Circuit From Pump PUMP TANK Inspection/Clean Out Port & Risers Provided PUMP TANK Secondary restraint system provided PUMP TANK Riser permanently fastened to lid or cast into tank PUMP TANK Riser cap protected against unauthorized intrusions 37 PUMP TANK Secondary restraint 38 system provided PUMP TANK Electrical Connections in Approved Junction 39 Boxes / Wiring Buried

Page 4 Comal County Environmental Health OSSF Inspection Sheet

No. Description Anwser Citations Notes 1st Insp. 2nd Insp. 3rd Insp. APPLICATION AREA Distribution 285.33(d)(2)(G)(iii)(II)285.3 Pipe, Fitting, Sprinkler Heads & 3(d)(2)(G)(iii)(III)285.33(d)( Valve Covers Color Coded Purple? 2)(G)(v) 285.33(d)(2)(G)(iii) 285.33(d)(2)(G)(iv) 285.33(d)(2)(G)(i) 11-25-20 11-25-20 285.33(d)(2)(G)(ii) 285.33(d)(2)(G)(iii)(I) 40 APPLICATION AREA Low Angle Nozzles Used / Pressure is as required APPLICATION AREA Acceptable 285.33(d)(2)(G)(i) Area, nothing within 10 ft of 285.33(d)(2)(A) sprinkler heads? 285.33(d)(2)(F) APPLICATION AREA The Landscape Plan is as Designed

41 APPLICATION AREA Area Installed

42 PUMP TANK Meets Minimum Reserve Capacity Requirements 43 PUMP TANK Material Type & 44 Manufacturer PUMP TANK Type/Size of Pump Installed 45

Page 5 Permit of Authorization to Construct an On-Site Sewage Facility Permit Valid For One Year From Date Issued

Permit Number: 111464

Issued This Date: 10/14/2020

This permit is hereby given to: ASM Ferdous

To start construction of a private, on-site sewage facility located at:

15925 FERDOUS LN CANYON LAKE, TX 78133

Subdivision: Prior Holder Survey 26 & Fritz Krause Unit: Survey990, Abst. 960 Lot: Block: Acreage: 2.0000

APPROVED MINIMUM SIZES AS PER ATTACHED DESIGN

Type of System: Aerobic Surface Irrigation

This permit gives permission for the construction of the above referenced on-site facility to commence. Installation must be completed by an installer holding a valid registration card from the Commission on Environmental Quality (TCEQ). Installation and inspection must comply with current TCEQ and Comal County requirements.

Call (830) 608-2090 to schedule inspections. ***COMAL COUNTY OF.FICE OF ENVIRON'MENTAL HEALTH * * * AP..P..L.l ~A TIQ~_fQR P ~~flT FQR_,6JJ.IIIQJ~JZA TIQ1U.Q (:ONSTR.trtT~~ ID [ 01-j 1.-o-Z.O Qi-;c$1TE _si:;~t:_f~ca1n .~!JQ:l"sE To oPEJ!::mit # l I I '-I It Lj Date I Owner Name ASM FERDOUS Agent Name GREG W. JOHNSON, P.E. Mailing Address c/o 23011 FM 306 Agent Address 170 Hollow Oak City, State, Zip Canyon Lake, TX 78133 City. State. Zip New Braunfels, TX 78132 Phone# 830-935-4936 PhOne# 830-905-2778 Email katel~n@Eaulswo~erse2tics.com EmaiJ [email protected] All correspondence should be sent to: O Owner O Agent 00 Bott1 Method: D Mail fX] Email Subdivision Name Unit Lot Block ---- Acreage/Legal 2.004 ACRES; PRIOR HOLDER SUR NO. 26 & FRITZ KJ~AUSE SUR NO. 990, ABS NO. 960 (Tract 1) Street Name/Address 15925 FERDOUS LANE City CANYON LAKE Zip 78133 Type of Development: RECE/VEo 1XJ Single Family Residential Type of Construction (House, Mobile, RV, Etc. ) HOUSE+ SHOP+ RV DROP OCT 0 7 2020 Number of Bedrooms 3 Indicate Sq Ft of Living Area __1_6_0_0 __

O Non-Single Family Residential {Planning materials must show adequate land area for doubling the required land needed for treatment units and disposal area) Type of Facility ------Offices, Factories, Churches, Schools. Parks, Etc. - Indicate Number Of Occu·pants ------Restaurants. Lounges, Theaters - Indicate Number of Seats ------Hote I . Motel, Hospital, Nursing Home - Indicate Number of Beds ------~------Tr ave I Trailer/RV Parks - Indicate Number of Spaces ~------Mis ce II an eo us

Estimated Cost of Construction: $ EXISTING (Structure Only)

Is any portion of the proposed OSSF located in the Army Corps of Engineers (USACE) flowage easement?

0 Yes IX] No {If yes, owner must provide approval from USACE for propo&ea OSSF Improvement& within the USACE flowage easement) Source of Water . ~ ~ Public ~ Private Well Are Water Saving Devices Being Utilized Within 1he Residence? IBI Yes D No

By signing this application, I certify that: • The complete

195 David Jonas Dr.. New Braunfels. Texas 78132-3760 (830} 608-2090 Fax (830) 60tJ.2078 Rcl'r.sed February 2020 2.004 ac, Prior Holder S#26, & Fritz Krause S#990, A-960 ***COMAL COUNTY OFFICE OF ENVIRONMENTAL HEALTH*** APPLICATION FOR PERMIT FOR AUTHORIZATION TO CONSTRUCT AN ON-SITE SEWAGE FACILITY AND LICENSE TO OPERA TE

Planning Materials & Site Evaluation as Required Completed By GREG W. JOHNSON. P.E.

System Description PROPRIETARY; AEROBIC TREATMENT AND SURFACE IRRIGATION ~~~~~~~~~~~'--~~~~~~~~~~~~~~~~~~~~~~~~~

Size of Septic System Required Based on Planning Materials & Soil Evaluation

MA.XX AIR M800 6842 Tank Size(s) (Gallons) Absorption/Application Area (Sq Ft)

~~~~~~~~~~~~ ~~~~~~~~~~

Gallons Per Day (As Per TCEQ Table Ill) 420 (Sites generating more than 5000 gallons per day are required to obtain a permit through TCEQ) RE:Cf:/\/f:o ocr o7 2020 Is the property located over the Edwards Recharge Zone? D Yes 1z:1 No (If yes, the planning materials must be completed by a Registered Sanitarian (R.S .) or Professional Engineer (P.E.))

Is there an existing TCEQ approved WPAP for the property? D Yes fgJ No (if yes, the R. S. or P. E. shall certify that the OSSF design complies with all provisions of the existing WPAP.)

If there is no existing WPAP, does the proposed development activity require a TCEQ approved WPAP? D Yes D No (If yes, the R.S. or P. E. shall certify that the OSSF design will comply with all provisions of the proposed WPAP. A Permit to Construct will not be issued for the proposed OSSF until the proposed WPAP has been approved by the appropriate regional office.)

Is the property located over the Edwards Contributing Zone? rzJ Yes D No

Is there an existing TCEQ approval CZP for the property? D Yes IZJ No (if yes, the P.E. or R.S. shall certify that the OSSF design complies with all provisions of the existing CZP)

If there is no existing CZP, does the proposed development activity require a TCEQ approved CZP? D Yes IZJ No (if yes, the P.E. or R.S. shall certify that the OSSF design will comply with all provisions of the proposed CZP. A Permit to construct will) not be issued for the proposed OSSF until the CZP has been approved by the appropriate regional office.)

Is this property within an incorporated city? D Yes fgJ No

By signing this application, I c rtify that: - The information provided ove is true and correct to the best of my knowledge. o the online posting/public release of my e-mail address associated with this permit application, as applicable

October 5, 2020 Date Page 2 of 2 195 David Jonas Dr., New Braunfels, Texas 78132-3760 (830) 608-2090 Fax (830) 608-2078 Revised July 2018 POOR QUALITY 202006043203 10/02/2020 12:03:02 PM 1/1

AFFIDAVIT THE COU'.\TY OF C0'1AL STATE OF TEXAS

CERTIFICATION Of OSSF REQl:JRJ:'iG ~IAI~TE:\.;\,'JCE

According to T~xas Commis:-ion on l·nvironmental Qualily Rule:; for On-Site Scwag~ 1-acilities (OSSF's>. this docuJncnt is filed jn the Deed Records of Comal Co\mty. Texas.

The Texas Health and Safety Code, Cltopter 366 authorizes the Texns Commission on Environmental Quality CTCEQ) to rcgululc on-site scwngc facilities (OSSF~). AJd1tiooall:--. the Texas Water Code (TWC). ~ 5.012 nnd § 5 013. µives the commission prim:iry rc:spons1bilit) for implcmcutiug the laws of the State of Tc:-xas 1efotmg to wntcr nnd adopting rules ncce~s3ry to CD.ITV out rLs powers and duties under the TWC. The commission. under the authority of the TWC and the Texas Health and Safety code. requires oWller's to provide notice to the puhhc that certam types ofOSSFs nrc located on specific pieces of propc1ty. To achieve llus nottcc. the commission rcqmms a recorded affidavit. Addirion:.tlly. chc owner muse provide proof of the recording to the OSSF pcnmlting authonty. This 11?cordcd nffida\.il is not n tcpr'-'sentahon 01 warranty by the commission of the suitability of this OSSF. nor does tt constitute :my ~uarnmee by the commbsion rbm !he npprop1ia1c OSSF w:is iusrallcd. u An OSSF requiring a mamlcnance contract, nccordinp. to 30 Tcxns Administrative Cade §285.9 I (12) will be instafied on the property described as (insert Jcgal description}: Co --- t~ITIPHASE/SECTIO~ BLOCK ____ l.OT ______Sl"BDI\'

PRIOR HOLDER SURVEY NO. 26 & FRITZ KRAUSE 11: ~OT I~ SUBDl\"ISIOJ'\: _2_.0_0_4__ AC"R£AGt' SURVEY NO. 990, ABS NO. 960 (Tract 1) s.rarrr

The prnpeny 1s owned by (in~~rt owncr'!t run name):__ A_S_M_F_E_R_o_o_u_s ______

Tlus OSSF must be covered by a continuons mniutenance contract for the first two vcars. After the ini1ial 1\\-o·y\:ar service policy. the owuer of an acrobj.: trcatmc:nt sv,tcm for a sin~k r.mut~· r"sidcoce slmll either abtnin n matnteminc~ contmc1 within 30 days or u1aintain the s::vstclli personally. Upou sale or lrnnsferofthc above-described property. the pem1it for the OSSf shall be trnnsfo.ned ta the buyer or new ownet. A copy of the plnnning materials for the OSSF cau be obtained from the Comal County Engin~er'i; Off1c-c s~o.%YoF ocxone~ .20lQ_

ASM FEROOllS Q\rner (s) Printed name ts) ASM FERDOUS SW~~ TO A~ltfil;_BSC.RJBEDJ!EEQR~ :\I~ o~ Tttts_E_n,~Y Of DC kOV<,v .20.IQ__ TMtSAAEt.FO'l co·t-~L ccu•.. -=-1 t. ERl< Rt:co:;iptN(; ~;"!POSE~ Of\l"' N~~ Filed and Recorded ,,,,\~~'t''''' KATELYN NICOLE NEUMANN "'~~ .... .1.1~<~ bl. S t t T as Official Public Records .='.?:·:A,;··.?>~ Notary Pu 1c, ta e o •ex ~~~.. 11'\#§ Comm. Expires 04-23-2023 Bobbie Koepp, County Clerk ~,;for~$ NP.tarv 10 131984094 Comal County, Texas '"" , ~ - ... . . : 10/02/2020 12:03:02 PM LAURA 1 Pages(s) 202006043203 PAUL SWOYER SEPTIC SUPPLY & SERVICE 23011FM306 CANYON LAKE, TX 78133 IMP#0001708 CHRISTOPHER RYAN SEIDENSTICKER

Customer: ASM FERDOUS

PROPERTY LEGAL DESCRIPTION: Site Address: '15925 FERDOUS LANE

City/State: CANYON LAKE , TX Zip: 78133

County: _c_o_MAL____ Permit#: ------Or-C::: d~ VEo Phone Number: ------E-mail:------· ______er o7 2020

I. GeaenJ: This On-Site Sewage Facility Service Apeemtnt (hereinafter referred to as "Acrcement") Is entered into by and be · en , ASM FEROOUS __ (hereinafter referred to as "Climt") lllld PS Supply & Service LL ...... , ' · f ·~ E ,., (htrcln&fter tcfmed to as "C~ntracior") . By lhis agreement, ContrKtDr agrees to render services, u described herein (the "Services}, · • \.i I J\J EE R and the clictil agrees to fulftll hislherlthcir responsibilities under this agn:c~nt herein..

ll. Effediw Datu: This ag~ment ~om~ces on lhe date of License to Operate is issued for Three (3) years.

Date of License to Operate: LTO _·---- L&.'it Date ofService: 3 yrs from LTO

Ill.Services by Co11tractor: Contractor "'ill provide the followina Servkes:

I. Inspect and perform routine maintenance on the On-Site ScW41£c facility t'OSSF') in compliance with the code, regulations , and/or rules of the Texas Commission on Environmental Quality ("TCEQ") and count)' in wbi.ch the OSSF is located (the "County") and the manuflu:turer•s requirements, at a frequency ofllpproxlmatcly once every four (4) months.

2. Report to the appropriate regulatory authority and to Client., 11$ required by the Sta:te of Tex.as' o~sitc rules and, if required, TCEQ or County rul«. All findings must be reported lo the appropriate reaulalDry authority within 14 daya.

3. Notify Client tnd repair any components of the OSSF that are found to be in need of repair during the inspection. If wamnty, you just. do iL Jrnot, Client will be responSt'blc. Repairs will be made so brought up to compliance and bitl forward.

4. Visit site in responit to Client's re~st for unscheduled service within two businen days from the date of Conlr~or·s actual rco:ipt of Client's rcq11CSt. Unscheduled service visits are not included i.n the fee rmnent herein and will be bilkd to the client in addilion to fees under Chis Agreement.

5. Provide notitic:ation ofarrival to site to the Client or to site persoMcl. Additionally, Contr.lc;tor will leave \Witten nolification of the visit a.t tlK site or with sil¢ personnel upon tomptclloa of inspcc1ion, and forward stKh notice to the appropriate regulatory auth.ori1)' within fourtten (14) days.

IV. Payment(•): Client shill pay 10 Contractor included w/ septic for the Services describe herein (the "lnspcction and Routine Ma.inlclllJICC Fee''), excepting those described in Section UI (-4). or Section IX, herein. The fee does not include equipment, perts or labor supplied for an.>1hing beyond rouJine inspc:clion and routine maintcl\lllce. Payments for such additional scJVicct are due al the time services arc provided or tendered. P&y.ments not received within thilty (30) d•ys from the due date will be subject the pater of a $'20.00 btc penalty or l.S carrying charge on the ori&inal balance Cot each month or portion thereof a balan e in past due. Jr for any reason such charges arc found to be usurious by a court of competent jutisdiction, such charges shall be tcduced lo the maximum allowable by law. By signing this cont:ract, Client authorizes Contractor to remove any patts installed, bul not paid in full at !he end of ;:,:•"'1 (30) """· Cl""' '"'~::::poy fo< "'Y ""'" '°" wodm• of ,..,.,d of '2id

Client ~ Contractor: V. Client's Responsibilities: Client is responsible for each and all of the following:

I. To maintain dllorinator and prov~ proper chlorine supply, ifOSSf is so equipped. 2. To provide all necessary yard or lawn maintenance and removal of o~les a:s needed lo allow the OSSF to function property, &nd to 1Uow Contractor ready access to aJI parts of the OSSF. 3. To maintain a cuneot licellSle to operate, and abide by the ~ditions and limitations of that license and all requirements fur on· site sewage facilities from the Swe and local reaula.tory agency. 4. To maintain the OSSF in accordance with manufacturer's re«>mmcnda1ions. s. To immediately !"lotify Contractor and Agency of any and all problems with, the OS Sf. including failure thereof. 6. Upon receipt of any written rmtifica.tion of required service$ from Conl1'al;tor, IO contact Contractor and a.u.lhoriu the required service. [f Client elects a different contractor to pcrfonn the required service, Client is responsible for ensuring lhe substitute contracrorholds the proper license (Installer fl) and is ceniricd by the manufacturer. Additionally, Client shall be responsible for ensuring proper notification is given to the appropriate re-gulatory authoriry, as required by the State and/or local regulatory lll!thorfty f\lleS. 7. To provide Contractor with w1ter usage records, upon request, for evaluation by Conrractor or the OSSF performance. 8. To pay required sampling du111es for samples colle<:lcd for testing (e.a. Biological Oxygen Demandllotal Suspended Solids ("BOD!TSS") tha1 may be required on ~ OSSF. 9'. To prevent backwash from walc"r trcatmcflt or watu conditioning equipment to enter !he OSSF. I 0. To provide, al Client's expense, fo1 pumping of tanks as needed. RECEIVED I l. To maintain site draina&c sufficient to prevent adverse elTe~s on the OSSF. 12. To promptly and fully pay Contractor's bills, fees, or invoices as described hen:ln. OCT 0 7 2020 VI. A~rus lty Co•traclor: Clicni agrees to allow Contractor. or personnel authori7..ed by c:he Contractor, to entct the propcrcy aJ reasonable times without prior notice for the pmposc of perfonning the Services described herein. Such entry shall include ecccss to tJle OSSF electrical and physical components., includiDg tanks., by means of manway$ or risers Air the purpose o-f evaluations required b , . manufacturer. and/or ~gulatoty aulhotlty rules. If such manways 01 risers arc not in place. Client shall .allow and be responsih a u .'J ry ENG INEER paiy~nt of required excavation. including labor and materials, necessary to allow Kee$.S to the OSSF or any required components. - Such excavation shall be btUed al the me of$75.00 per hour for Jabor, plus materials billed at list price. Contractor sh.all make only those efforts rc850Mblc under the circumstances to replace excavated soil.

VI1. Appltratlon or Tra111ftr of Payment: The fees paid for this agreement may transfer to any subsequent owner(s) of the property on w-hich the OSSf is located. The subseque.n1 owner(s) must sign a similu agreement authorizing Contrtc1or to perform the abovt· desttibed Services, and accepting Client's responsibilities. The replacement Agreement must be Signed and received \\ithin 30 days of ttansfer of ownership. Contractor \\.ill apply all funds received from Client first to any past due obliplions arising from this Agreetllent including ~ ch311es, rerum check charges, and charges for repairs or scr;ic~ not paid \\ilbln 30 days of invoicing. Tm: consumption of the payment in th.is manner may lead to termination orthe agreement by Contractor

Vffi. T cminaCio• of A&ttttmtt: This agreement may be tenninated by either party with 30 days written notice. ff this agieemen1 is so lcrminated by Client, Contractor ihalJ be paid at the rate of $75.00 per hour for any worked performed or required, but. not yet paid. If tcnninatcd by Contrac«>r. all amountS outstanding sb.111 be due within thirty days of tcnnina1ion. The party terminating will immediately nolify tht other patty, the equ.ipment manufactwcr, and the regulatory agcl\cy of the termination.

IX. Limitatio:n or Llsbllity: In no event shall Contractor be liable for indirec1, c:on5equentia1, incidental or punitive damage$, whether in contnct, tort, or any other the-0ry of liability. fn no event shiill the Contractor's liability for direct dama1es excmi payments by the Client under this Agreement.

X. Severabillty aad Rcformadon: (f' any provision in thi! Agreement shall be held to ·be inva:lid or unenforceable for any reason, it shall be reformed to the minimum cxrcn4 ~essaJY to effect the intent of the Parties. If any provision is $uch that it cannot reasonably be reformed, it shall be stnick from this Agreement and the remaining provisions shalt continue to be valid and enforceable.

XI. Performance al A1ree1ntt1t: Commeru:erncnt of performance by Contractor under '!his qn:emcnt is CQntingcnt on the following conditions: {I) Contractor receivina a fully executed ori_einal ~PY of this agreement. (2) Conlractor receiving payment In full of the fcc(s) described herein. tf the above conditions arc not met, then Contractor iS; from any obliga.tion to perform any portion of this agreement. xn. ModiCiation. This Agretmcnl lt\lly not be changed or modified except by an ins1nlmcn1 in ~Titing, sl&Jl~d by both ContnctOI' and Client.

XIll. Waiver. Except as otherwise noted in this Agreemen!, the waiver by other party of a b""ch of any provision of this Agreement shall nol operate or be tensttued as a contrnuing wai\-cr or&$ a consent to or waiver of any sub~r breach hereof.

Client )((:=: Contractor: ,,k5 XIV. Httdh1gs The: Miele and Section headings in this Agreement arc for the com-"l!nience of rtfercnce only and do not constitute a part of this ~ment and shall not be deemed lo limit or a!Tect :iny of the provisions hereof. xv. GQVER."Hf'!G LAW ANP CHOlCE Of VENUE. EACH OF nrn PARTIES HERETO HEREBY CONSENTS TO THE EXCLUSIVE IURJSDICTJON OF THE COURTS OF IBE STA TE OF TEXAS, COUNTY OF COMAL, AND TO THE UNITED STA TES DISTRICT COURT FOR rnE WESTERN DISTRICT OF TEXAS - SAN ANTQ}l.110 DIVISION, AS WELL AS TO TIIE nJRfSDICTION OF ALL COURTS TO WHlCH AN APPEAL MAY BE TAKEN FROM SUCH COURTS, FOR IBE PURPOSE OF ANY SUTT, A<.'TION. OR OTHER PROCEEDING ARISING OUT Of, OR TN CONNECTION wrrn. IBIS AGREEMENT OR ANY OF THE TRANSACTIONS CON11:MPLATED HEREBY, !NCLUDfNG, WITHOUT UMTTATION, ANY PROCEEDING RELATING TO ANCILLARY MEASURES IN AfD Of ARBITRATION, PROVISIONAL REMEDIES AND !NTERJM RELIEF. OR ANY PROCEEDING TO ENFORCE ANY ARBITRAL DECISION OR AWA.RD. EACH PARTY HERETO EXPRESSLY WAIVf:S ANY ANO ALL RlGHTS TO BRING ANY SUIT, ACTION, OR OTHER PROCEEDTNG IN OR BEFORE ANY COURT OR TRIBUNAL OTHE~ THAN COURTS OF THE STATE OF TEXAS, COUNTY OF COMAL, AND COVENANTS THAT IT SHALL NOT SEEK JN ANY MANNER TO PROSECUTE OR DEFEND ANY DISPUTE OTHER THAN AS SET FORTH IN THTS ARTICLE XVI OR TO CHALLENGE OR SET ASlDE ANY DEC!SION, AWARD. OR JUDGMENT OBTArNED TN ACCORDANC:::'. wtTH nm PROVISIONS HEREOF. EACH OF l1iE PARTIES HERETO HEREBY EXPRESSLY WAJVES ANY AND ALL OBJECTIONS IT MAY HAVE TO vo..ruE. INCLUDING, WITHOUT LIMITA"OON, THE INCO!WENIENCE OF SUCH FORUM, l'N ANY OF SUCH COURTS. RECEIVED XVI. JURY TRIAL WAIVER THE PARTIES HEREBY UNCONDfTlONAU.V Wc\JVE THEIR RIGtff IO A JURY TRJAL OF ANY AND ALL CI.AIMS OH CAUSE§ OF ACTlON ARISJN · L-- ~ -· -' CHRISTOPHER RYAN SEIDENSTICKER

Approved by Client: ~ ~- - - ~ ----

XVII. Reservation ofRiKhtJ. Contractor reserves all rights not specifically granted herein.

XVIII. Countcrp1rb. This Agreemcnl may be executed in one or more cnunterparis, each of which shall be deemed to be an original but all of which together ~ill constitule one and the same ins1rumcn1.

XIX. Co11nscJ. Contractor ba.'I previously l'l!Commendcd th:il Chen! engage counsel to assisl him/her/ii in reviewing this Agreement and all other matters relating 10 il Contract.or and Client sh.aU ca.ch bea..r hislhcriits ovm .:osts and expenses in connection with the negotiation and documentation of this Agreement

XX. Eolin: Agrtem~nt: This agreement contnins the entire agrecm:nl of the panics, and there are no promises or conditions in any other agreement, oral or written. The Parties cxprtssly disclaim reliance on any prior 11a1emcn", oral or wrinc:n, by either part}' nol expressly provided for herein.

-- -) _/ ., ... --(:~ · Client: __-/(£=-4--1----- Contractor: ~ .! - .-:.J ON-SITE SEWERAGE FACILITY SOIL EVALUATION REPORT INFORMATION

Date Soil Survey Performed: __J_u_n_e _OS_,_2_02_0__

Site Location: 2aJlj ACRES OUT OF THE PRIOR HOLDER SURVEY No. 26 AND THE FRITZ KRAUSE SURVEY No. 990, A-960

Proposed Excavation Depth: ___N_l_A __ _

Requirements: At least two soil excavations must be performed on the site, at opposite ends of the proposed disposal area. Locations of soil boring or dug pits must be shown on the site drawing. For subsurface disposal, soil evaluations must be performed to a depth of at least two feet below the proposed excavation depth. For surface disposal, the surface horizon must be evaluated. Describe each soil horizon and identify any restrictive features on the form. Indicate depths where features appear.

SOIL BORING NUMBER SURFACE EVALUATION

Depth Texture Soil Gravel Drainage Restrictive Observations (Feet) Class Texture Analysis (Mottles/ Horizon Water Table)

0 8" CLAY LOAM NIA NONE LIMESTONE BROWN l III OBSERVED @ 8" 2

3

4

5

SOIL BORING NUMBER SURFACE EVALUATION

Depth Texture Soil Gravel Drainage Restrictive Observations (Feet) Class Texture Analysis (Mottles/ Horizon Water Table)

0 SAME AS ABOVE l

2

3

4

5

·s report are based on my field observations and are accurate to

TANK NOTES: Tanks must be set to allow a minimum of 1/8" per foot fall from the residence. RE"cE'1vJo Tightlines to the tank shall be SCH-40 PVC. ocr o7 2do A t':"'o way sanitary tee is required between cu1.,,, t:NGttv¢1 ii residence and tank. r.,, 12 A minimum of 4" of sand, sandy loam, clay loam free of rock shall be placed under and around tanks

ALL WIRING MUST BE IN COMPLIANCE WITH THE MOST RECENT NATIONAL ELECTRIC CODE

TO FIELD-

PRESSURE ADJUSTMENT & SAMPLING VALVE

RESERVE REQUIREMENT 140 GAL

~ HIGH LEVEL FLOAT 0 OVERRIDE FLOAT I- I­ I- w Q...J Ill~ 0 u.. I- 0 PUMP ON/OFF FLOAT Co Co WORKING LEVEL N 10 420 GAL

SUMP 193 GAL N

TYPICAL PUMP TANK CONFIGURATION MAXX AIR M-800 PUMP TANK Directions Made Easy CONTINUED ON MAP 322 www.mapsco.com ®

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COMAL COUNTY

78132 8

A B c D E F SCALE IN MILES SCALE IN FEET CONTINUED ON MAP 388 0 l©I !©I 1000 2000 3000 COPYRIGHT 1978, 2009 by MAPSCO, INC. ·ALL RIGHTS RESERVED From: Ritzen, Brenda To: Greg Johnson Subject: Permit 111464 Date: Monday, October 12, 2020 12:52:00 PM

Re: ASM Ferdous 2.004 acres, 15925 Ferdous Lane Application for Permit for Authorization to Construct an On-Site Sewage Facility

Greg,,

There appears to be a typo within the legal description at the bottom of both design pages (Survey 28 & Abstract 96). Please review, revise as needed, and resubmit.

Thank you,

Brenda Ritzen, OS0007722 Environmental Health Coordinator Comal County Engineers Office 195 David Jonas Drive New Braunfels, Texas 78132 830-608-2090 www.cceo.org

OSSF SOIL EVALUATION REPORT INFORMATION Date: June 08, 2020 Applicant Information: Site Evaluator Information: Name: ASM FERDOUS Name: Greg W. Johnson. P.E.. R.S .. S.E. 11561 Address: c/o 23011 F.M. 306 Address: 170 Hollow Oak City: CANYON LAKE State: TEXAS City: New Braunfels State..._:T.;...e __ x=a s__ __ Zip Code: 78133 Phone: (830) 935-4936 Zip Code: 78132 Phone & Fax (830)905-2778

Property Location: Installer Information: Lot a:~w Unit Blk Subd. Name: ______Street Address: JACOBS CREEK PARK ROAD Company: ______City: CANYON LAKE Zip Code: 78133 Address: ______Additional Info.: 2,,00~ACRES OUT OF THE PRIOR HOLDER City: State: ____ SURVEY No. 26 AND THE FRITZ KRAUSE SURVEY No. 990, A-960 Zip Code: Phone------Topography: Slope within proposed disposal area: 4 to 6 % Presence of 100 yr. Zone: YES_ NO_!_ Existing or proposed water well in nearby area. YES_!__ NO_ >100' (EXISTING) Presence of adjacent ponds, streams, water impoundments YES_ NO~ Presence of upper water shed YES_ NO_!_ Organized sewage service available to lot YES_ NO_!_

Design Calculations for Aerobic Treatment with Spray Irrigation: Commercial Q= ____ GPD Residential Water conserving fixtures to be utilized? Yes X No _ _ _ Number of Bedrooms the septic system is sized for: 3 Total sq. ft. living area 1600 Q gal/day= (Bedrooms +l) * 75 GPD - (20% reduction for water conserving fixtures) Q = ( 3 +1)*75-( 20%)= 420 NOTE: 3 BDRM RES. @240 GPD +PERSONAL SHOP@ 20 Trash Tank Size 431 Gal. GPD +RV DROP@ 40 GPD = 300 GPD USING 420 GPD TCEQ Approved Aerobic Plant Size 800 G.P.D. Req'd Application Area= Q/Ri = 420 I __0._06_4 __ = __65_6_3 __ sq. ft. Application Area Utilized = 6842 sq. ft. Pump Requirement 12 Gpm @ 41 Psi (Redjacket 0.5 HP 18 G.P.M. series or equivalent) Dosing Cycle: ON DEMAND or X TIMED TO DOSE IN PREDA WN HOURS Pump Tank Size= 854 Gal. 16.1 Gal/inch. Reserve Requirement = 140 Gal. 1/3 day flow. Alarms: Audible & Visual High Water Alarm & Visual Air Pump malfunction With Chlorinator NSF /TCEQ APPROVED SCH-40 or SDR-26 3" or 4" sewer line to tank Two way cleanout Pop-up rotary sprinkler heads w/ purple non-potable lids 1" Sch-40 PVC discharge manifold APPLICATION AREA SHOULD BE SEEDED AND MAINTAINED WITH VEGETATION.

I HAVE PERFORMED A THOROUGH INVESTIGATION BEING A REGISTERED PROFESSIONAL ENGINEER AND SITE EVALUATOR IN ACCORDANCE WITH CHAPTER 285, SUBCHAPTER D, §285.30, & §285.40 (REGARDING RECHARGE FEATURES), TEXAS COMMISSION OF RNYT.B<)NMRNTAL QUALITY (EFFECTIVEDECEMBE 29, 2016) ~;:/~~~~~~ # ~ ...... +- v, 1./ <{- .. ·· · - ··.:(j) \\ (}lP/trl2~ vo '1'LA.l IR ** :: ·.•. *c ~}· DAT ~ :<3.~E~:\.\i.:J:0.@$:9.r{ ~ v. ~ ·. 67587 r-.. : ,lf r.1 \/).. ~ • 1> «,..V • "V " \ 0.-<' ···~G/siE-~··· ~~- ,fj ~.;('$';~ .· · · · · · · . 0' ff FIRM #2585 ~!ONA\.. 'C~~ ~~·:s..'£..'Si:~;s~S7' NOTE: EXISTING SEPTIC TANK TO BE PUMPED, CRUSHED AND BACK FILLED. EXISTING SEPTIC SYSTEM TO BE ABANDONED

,.....---\

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.qt:ci:1vi:o ocr o7 2020

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OWNER ASM FERDOUS DRAv,,t.!BY: EJS Ill

STREETADORESS: 310 JACOBS CREEK PARK ROAD

LEGALDEsc: PRIOR HOLDER SURVEY No. 28 & FRITZ KRAUSE SURVEY No. 990, A-96 ACREAGE: 2.004

PREPARED BY: GREG W. JOHNSON, P.E. F#002585 SCALE: 1"=80' DATE: 6/8/2020 REVISED: 10/6/2020 NOTE: EXISTING SEPTIC TANK TO BE PUMPED, CRUSHED AND BACK FILLED. EXISTING SEPTIC SYSTEM TOBE ABANDONED

\ \ \ \ \_...... \ \ \ I

2.004 ACRES OUT OF THE PRIOR HOLDER SURVEY No. 26 AND I THE FRITZ KRAUSE SURVEY No. 990, A-960

OWNER: ASM FERDOUS DRAWNBY: EJS Ill

STREETADORESS: 310 JACOBS CREEK PARK ROAD

LEGALDesc: PRIOR HOLDER SURVEY No. 28 & FRITZ KRAUSE SURVEY No. 990, A-96 ACREAGE: 2.004

PREPAREDBY: GREG W. JOHNSON, P.E. F#002585 SCALE: 1"=80' DATE: 6/8/2020 REVISED: 10/6/2020

201606037086 09/27/2016 04:15:45 PM 1/7

NOTICE OF CONFIDENTIALITY RIGHTS: IF YOU ARE A NATURAL PERSON, YOU MAY REMOV{ OR STRIKE ANY OR ALL OF THE FOLLOWING INFORMATION FROM ANY INSTRUMENT rf

GENERAL WARRANTY DEED \~ 'v <- ' THE STATE OF TEXAS § \ ~1 /y KNOW ALL MEt,J Y T{:!ESE PRE$ENTS; COUNTY OF COMAL § \ \ RECEIVED / ~ ~ j ,_ THAT HAROLD SCOTT SHOEMAKER and TEi:rRYilio SH~K~ (heln1 . OCT 0 7 2020 at law of G.O. Sho~maker, Deceased), not Joined herein by their refpec8\I'~ spouses , cou,vn .-.::,,,G .. ,... _ because the herein conveyed property} ~rms no ~~~r,Qperty clalmed as ..._ ~ " cR homestead, hereinafter ce11ed GranEoJ{fo and'i\.co~etation~ sum of TEN AND N0/100 DOLLARS ($10.00) ~nd Dlfill~ ·~ .,ltJable consideration In hand paid by ASM FERDOUS, Grantee, reoeipt and sufficieney of which //h~teln~ ~ r-~,~ tt\e

ls hereby ad

/(<~f Tr8ct 1:~ ) } ING a 2-JHM:a·cre tract of land out of the Prior Holder Survey No. 28 and tti ritz Krause Survey No. 990, Abstract No. 960, in Comal County, ~ Tex s, ore particularly described in Exhibit "A.'' attached hereto for au / ~ purpose. h \ . "'""' ~"'- Tract 2: ',)·~, );;;EING a 0.857 ac~ tract of land out of the Fritz Krause SuJVey No. 990, Abstract No. 960, in Comal County, Texas, more partlcularty de$cribed In ,, / Exhibit "B •., attached hereto for all purposes. This conveyance is made subject to. all and sfn9ular, the restrictions. conditions, easements and covenants, If any. applicable to and enforceable against the above described property as reflected by the records of the County Clerk of CC2_mal County,

Texas.

/' TO HAVE AND TO HOLD the above described premlse,,sJ ,together with, all and / singuJar, the rights and appurtenances thereto in anywise belonging unto the said Grantee, Grantee•s heirs, executoJS. administrators. sucoe&sors. or assigns foreyer. ' / Taxes for the current year have been prorated and are th~fter asst.med by

Grantee. RE ._IVED Grantor does hereby bind Grant~r. Grantol's heirs. executors, administrators, and OCT 0 successors to warrant and forever <(lefend. \all and singular / the said premises unto the 7 2020 ' said Grantee, Grantee's heirs~ e>

DATE/D this the~ daY of Se

7ii R,~bs TED RYLAND SHOEMAKER

STATE OF TE~ :S' § COUNTY OF I § , ,This rnstrument was acknowledged before m~ on the~ day of September,

20161 by HAROLD SCOTT SHOEMAKER.

NotaryElwrrk~Ux.bdaM4 Public, Stafe of Texas

~'''"'''''1. 2 $jf1-V.f.~'t.1. ·RHONDA S. COCKERHAM i · (~)~:Notary Public. State of Texas ~Oi~ Comm. E>cpiree 08·28-2020 "''f•m'' Notary ID 130798323 RECEIVED

OCT 0 7 2020

COLJNry r::~ ..... , c.,11..:;i,, ·-R STATE OFT~ j ') § '-'- COUNTY OF~/ § This instrument was acknowledged before me on the ~ /t; day o~ September, 2016, by TED RYLAND SHOEMAKER.

:\'''V'llt. ·RHONO S. COCKERHAM , ~,"t;if..~~~~ .• •• ._. I :~:.:j eNorery Public, State of Texll' ·~~ _,9omm. Expires 08-26-2020 ~,,,,1,,,,, A otarv ID 130798323

7494.daeds New Braunfef& 11tJe Co. (SF) GF84389NBT

3 S. CRAIG HOJ..LMIG. IN o. CONSULTtNCS l!NGINEER9. SU.Rvgvons DOClt 464677

TEXAS SQCIS'f'Y OF PM>FUSIOHAI,. l!HGINllU45 TCMS OURYD~S ASaO(t"iYJON AMlftlQAH SOCI~ 01' CIYl\. IENQINEl!RS fD..VHONIEJ (210) GU4$5S

·FIELD NOTES FOR A 2.004 ~CR£ TRACT ! Being a 2.004 acre tract of land, being approximately 1.02 acres out" of the Prior Holder 5urvey No. 26, and approdmately 0.984 acres out of the Fritz Krause survey No. 990, Abstract No. 960. Comal county, Texas, being a part of that cert~in tract called 5,7 acres desoribed in Volume 100, Page 120 of the Deed Records of Comal Cowity, Texas, and a part, of that certain tract called 6.437 acres desaribed___in ./ Volume- 103, Page 323 of the Deed Records of Comal County, Texa~ and ECEtVEQ being • part of what is galled Schuette Park Site Subdivision~ll...__, unrecorded subdivision in Comal County, Texas, as sho~ by plat pre-~· ~/O I . pat'ed by A. M. Koellering, dated April 15, 1965, and/ all bearing~ / , 7 2020 referred to in this desatiption are rotated to and ;"X' e£erenoed t~ a ·r o bearinq of N oo· 14' 00" W between iron pins founC~~g the N.i~t lino ot said 6.437 acre tract, .said 2.004 aore trac;rt ofl~nd being C Ui\J more particularly desaribed as follows: ------...... "" "" "' ~ BEUlNNlNO; At an iron pin found at the South oorne~ of the ai;e;ve referenced 5.7 acre ltact of l~nd, the East corner of a tra~~ called 0.406 acres described in Volume 213, Page 835 of the Dead Raoords of Comal County, Texas,. alao known as Lot"' l4 o.f 89huette P•~k Site Sub- division, for an interior corner of /thi~ tr~~t:~ · ./' ' '- 'l'HEHCE; Along .the Northeast liite -'0£ said '0,.406' a

- - "\ EXHIBIT ___"A __'!..:J · J /; DOCtt 464&77 Page 2; 2.004 Aore Tract

THENCE: Along the Northeast line of said Lo~ 20, same being the Southv-est lin.• of •aid Lot 1g, s 31• 32' 56" E lo6.3S feet to an iron pin found and s 2a· 19' 4'0 E 116.99 f.et to an iron pin found at the south cornet of aaid Lot .19: THENCE: The following bearings and dislances: s 28. ll' 0011 E S0.37 feet, an iron pin set /l ff 71 • 08' 14" E (\ 114.49 feet, an iron pin set /' \ 8 09" 49' 00" E 82.21 feet., an iron pin set $ 63. 00 1 00" 1f 198.15 feet, an iron pin set s 65 9 07' 0014 w 78.15 feet, an iron pin set "'-· / . ~ __/ RECEIVED on the West line of the aforementioned 6.437 acre tract, same ~eing the East line of a tr•ot called 1.81 aores doscribed in Valume ~fU,3, Page 742 of the Official Publio ReQords of Comal Co\lnty, Texu, t'or~ ~/ the south corner of this tract; / ~/ CT 0 7 2020 ~

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·---··------·------· -~- S. OR.A.IO HOJ~MIO, INO. CONSUl..TtNG llNGJNEERS • SURVE\'OftS ))OCH 464677

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FlBLI> l'fO'rES ·roR A 0.6S7 ACRE TRACT .,· l Beino a 0.657 acre tract of land out of the Pritz Xrause Survey HQ, ~ 990, Abstract.No. 960, Comal county, Texas, and being out of a t~act ~ aalled 6.437 aores as described in Volume 103, Pag&s 323·324 of the Deed Records of Comal County, Texas1 and also being out of a tract f!CE/VEo called 5.7 ecres desoribed in Volume 100, Page 120 of the Deed ~eoords of Comal C.ounty, Texas, said O. 657 ac:re tr:aot also being ou~-! what is cal·led Schuette Park Site, an um:ecorded subdivision prepare'a---by --ocr 07 2020 A.M. Moallering, dated Ap~il 15, 1965, and all bearings refer~ed~o ln thia description are rotated to and referenced to a bearing o! ~ O~ ..______~{:. 1 14 00" W between it'on pins found along the West liri-e of the abotie1 ./ U~sJT\" .._.,,. ' IN referenoed 6. 43'1 acre tract, said o. 657 aare traa ~ 6£ land bein. more '"- •"-=' 'EER pa~ticularly described as follo~s: Y---.... BEGINNING: At an iron pipe found on the North ---~~i-n~ of~ ~'o~d, cal led Jacobs Creek Park Road, said iron pipe being1 /t.he Southw~ co~_Jter of the aforementioned 6.437 acre tract, same being the Southe~st corner of a tract called 1.81 acres described in V~luM• BL3, Paga i42 of the Official Public Records of Comal County, Texas, for the most Southerly corner of ·this tract; ;' , . r 1 THBNCE: Along the Rest line of sai

') ~\"' ~~,;; £XHIBIT ~ /

) /;

------. ' ., "

DOCtt 464677

Page 2& 0.657 Aore Tract

THENCE~ Hith the Northwest line of Lots 3, 2, and l of Schuette Park Site S\lbdivision, S 83' 19' 34'' W 16.90 feet to an iron pin found and S 63' ·44' 23 11 W 194.42 feet to an iron pin found at the We•t corner of said Lot l of Schuette Park Site subdivision, same being the Horth oorner of Lot 12 of Schuette Park Site Subdiviaion; 'l'HENCE: ffith the Northwest and He.st line of said Lot 12, S 57: 59t /?" 51" H 57.06 feet to an iron pin fo"Und, s 28" 35' 24" w 17.58 feet/ to an iron pin found and s 04 • 45' 17" E 232. 99 feet to an iron pip• - ·-found on the North line of Jacobs Creek Park Road, for the south ' corner of said Lot 12; THENCE: SU.th the North line of Jacobs creek Park Road, s 69~3 1 26" _,F?f:CE/VEo ff 57.05 feel to the Point of Beginning and containin9 0.657 acr~s~ of ....._____ ~ land, more or less. . ·------~ --;; 0 TO 7 20 0 Tho foregoing field notes represent the results of an/on-t.he-srr·oun6 V 2 survey maae under my supervision, March 29, 1995. lieference pl.a-t Co prepared this same date of this O. 657 acre traot. F . \ J, r ,. 1~ "' ,_ . cNGJNEER ~ ,, "'

Ritih~d • 4069 .,. //ait;S ---

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Filed and Recorded Official Public Records Bobbie Koepp, County Clerk Comal County, Texas 09/27/2016 04:15:45 PM LAURA 7 Pages(s) 201606037086 ?iW PftP!IA'll b} Ibo Bu d"T IK IM It)· PYoll1 mi7 bftud JCIJ&1, ·~ • tw ~

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~an ObllfMlnm C<111UX1r~i.:a : I lteeprll!:propcny ~ ·,., ~ l . ~ ~1115 Md~• lht pMp:ll)' whc.r duc. the lien'1plont}• 1111 1is~In11111 Wd armw; 4 . mi!i-in, in I bm ID fkref\ , 111111~ pall.!')' rkil! J ~al l ispro,nunil.Jfar full vlWe>u lkl:ermlntd rt.flea plJI I• luuolland rer-'M, Ult llcnJdi • 11 lppr!:MS 1 lmliJa llJUHlll lo W b. "'° .anatl11i tOiMl~~lm~ ( l)CU\ldts l!ltt 111111 cw:td::dm"""p:, indr •i~ IX"'tnefl: 4 . pnnemBeneftdu}· w•allll'lllioN.11 ·ci.. • fn"'tdK llood la.nnacc ill II lirnt ,...,,)' ' . ..II f t • M:il amer llD'Rf'lt~.U Bold\l::illlJ ml)' '1 all ..... the ~lretnenlJ almt: !Kl .. 6 f\ t Ilic iJllyc:ua idl:iY ID IC1m1" md drlJYK alJ ID Beneftc:luy. fr.u1 lll!n dll)'I k!fnre eiplrtiloo; J tcep H)' bulldj.... ~ • i'lqllind by b.illu.r.llX• pcW;) ; 4Dd tt' I Ml" 111'81 llm, ~ all pri:if liea: DDtM lflat Ormxx is .' 'ible ID pay IOd d>Nk tr · &Ii pdm' lien ~

~·MR' l. Bca;fll'ilry Truntt. 2. lfd'ltpm M riifil' ..d of koldm or Jll)' debt. Jlilld . 3. k"'t'Jduy JIU)' appti.· 1111) pmeec:IS. n«l\leil ur.tc r r\c liiti 111&.e jOI ehher In red~ lbc llJtC 4W ~ ~ rqi~ ~rd or~ 1111pr.,.,_. oo.c~ II)' the polli..")' . -4 l.f OIDX!r tub llO pcdorm. llD) tiJ Gnumc's oOl.lfl!IMd, B-iiclaly pedtmi dMHe obll;mam llld be rtirrr'b.ln.t1 t rJtr.u. ""'11Mooll.uf liii!Jtopllfmr1 y of

Tru111:tt'1 u.llai requsmdb)' llenel!Ciuyll)fnt'Cid(lw . Ii Trut lhal · L ~ttiK p«1CMll)' or trJ •Stlll ti•'t rl(ltjc:ic: ti !I" f(I~ irr«I tly tlM Tf.VS Ptq.tmy CIJ!k • tko mrndtd. 1 wll mil comey llil or pert at me rl) m !he- h i~ bidder rct c*"" v. 11 ~,.l "" 1y ~ing Cll'liilmr. llbjeiX 111 flrioH' fi .. ro-cch e~ ID OOO'l'f)'IDCt llld W-&allKJ; mid !. frurr lh: s••ICCC6. nfllht • p1,y . in ttii mlrr; 1. e~u ff• ""'· i · · ~1t>;ft1mi · 'lo m.o4'S°' ufthe b t0 BcntCrcluy, 'f llf · • , ~ • .uuf'JS} · ,~.mlQ!tiR'~duund~ ; C. 111)' lmO'UIU ltqlJl!ed ~Lil" Iii be: p&ill bdiwe f,l&ytflt:lll ll)~• ..S d ..., ·Gnalur, lDIJ' NllM'lll. ooctt .411!~7& Galctal~ 1. If ., ttM r~Y ;.. if.61 uodft- · -ckat .. r ~~· r po11e1Dcio to lhl J r . tf(.i1311111:)f ill. oJo,ilO,Gnwortlu.ll~ !Ki:ul~J'CIOClu , 1hjea ID.Ill aJmfot fl)telbJe dlCml!T. 2... llKilU in U) Tninee ., d ~ !- Ill urt.1er derd ol t M:Uoaof 4 11'8' ti!n shall mnmi."'P«ittrtti llan l1111:r mllfJld f'll"' orw propeny ~.nileaNd j. lt'anypgnimc-6thcfifit:•-•~ JOii ~~redhylhlsdud lhK ponlJlft. ~. (j13'*'" j '"'Ii> iBtnebclary ~ R- .tilt CO OC ~ ·.,[:11 h)' Onlnloir from ~IDJD af j'.l>llt C'd' !he !liiL'll, lad fran lium..,.a cWHd bl)' pibli Wlli'b Cll OOlllltnir;:t;on illfl Ill' Jbr 1111.)' eii;pr i,..llfff'd, Uduliiu: &Uur-.:y•1 tees, U,,y m&'f ~ UJY n:u.inll@ SUJlll to Omrt-Orot~ 111mstolllld._ 1 "*· Bmrficmy 1«be 11111>1.efor ilutc IQ ·tOT t.:ii;•i..~ · rnllei:nfJ@llll) l1ldl IUDIJ . r. Gnamr uristu 100 •~l'JCluy ablc:i(u1d]i . onl)' o roll 1111 , "'1 pre.en: r fOIDtlll! proprny 1-11R DJl • 0"'8VW !lfRIKJ •llA'J lirer.didu7'ali.,.-.a:wllb!I aridothrr~mclllii~ipts 8"G~•D01ili4dlult dtt.dof111111 Ol'li!'l.1JCwi ll lpptf1lhml.md tlilfarmc.ud~lt•Pf11111t!ll r:JUJl, ti.J1 i tlli; "'"* maer inoc:miiln ~ ~ lhe-1N14M:: die ""'-'k:cdolu..t. a..1...,-r ~I.be 'llQCn Jr (jirafl(.Ofde1111JJJ. Jll d'1'.le llOlbccpu(~ ntlhlsde«iof~ BcAelL.ml}' l'.ll'ffllnueclnm:ot:'1 r Qi) oel«r ed dl8i Oi;u.w"t 'f.MI m•y rwot lk ~ r1 tr • -· -i 11111 ,..,.... Md '*" llKllml' r«dpll. Be:llel'icllr)' l'lli~ bU oqr 1111.Ulll!!l Ill)' ublipf Al lemJc or 1-noni wJua rerpect..,4-ny Bfatpllll af\he.ptqlerly. Be~ W)s.) • ~1uy·1.adw11~1Mundmlia~•hhou · ~crlthepeic t)'. Be~tlcllQ· 11all ~>' ,.11 reK Ulll other incumc N< r«dpa. ~al~ urider - ;piil 1 nm 10 e iD.-v,.ai In tllftt!JllllRllml6i:iJ11•·>''"'!."uw1"1!111Dti11111d..,.laGranc'ublip111>n1ub1i!r 1.'* lhJ1dee;iaf II "' lhe«'der dftm:t,j""'J liy 8citeCt.!luy. lltot ilr)o is Mii II> Id thil ~. 1111'1 llldec this Plllf.pilfh 4oes 11111 wiii,.,. ~'.I' •• r l!kndlduy'1 Dlbu ~" tt ft!lliedlK. Cf an.tot lt6.."Dml!l .a ¥OlmiKy tt lllwntmbry ~. BeneDaJ&ry's filii111~11oor11r.:lliatnblolauptcywill IMWDCIUnltu t1f9iii of ~'US'mdecTt11'•lltw . JrllH'Kf Oii die debt ~ 11>7' deecl cl ln!!!I: '11111 lat . nwlnnn llDD'IOI ~ MIWWlOlll 111'-1 .... ~· M OOIU~ b ...... ~. ~. l,lf rcr..-d'Jod iudl'C' ,..,, SI lnleral Inc.-. or Lhll ma:dmmi. I b1!'1rednd O.pnlldplllll lhf ddi1or, Jf 1!1altw.bl!l!n · , 110(u1.-. . 0narr,~111t•arnquaedorp

l\lll i1 portio.c Of t.hfo pu·r:chas:c price tor the 4bo\le t:esc:::rib d p operty.

BX C'?'BD this .t2L

T8 in111111nt11t •M lie~ ll$f(ll'tJ. 21!.t April . 19 95 ~ <'.i. 0. SBOl!'!MAXBll:

~··--- _...,_. __

Natmy l"oblic, ._.t'Ta• NM!y'• - lprlJAC'J •

"""""" · ,--.~.....-

~TO PRE.PARS> IN THE l.11.W Ol'FlCE QI':

s K!MP!ll WILLIMCS, .JR. I:'. o. 90.ll 196? l/IC"l'ORL\ I ll'.ll 719 Oi.2 "!DAS 50Clt.TY 0. ..,..... • HQ~[[llS ..,._,llTT.,,,l;Wll.l[Po!CI

PlELD ~01'LS f"Oll! A 2 . 004 !CR ~IRACT

l•1.n9 • :Z ,'004. aac-• tract af land, beioo appro:da.at•lr l.02 .acr•• out of th• ~rior Dolder eurv ~ ~o . 2~. end appr~•lm•t~tJ 0.9 ~ acre:8 out o the Pr1ts llrau5e surv•y mo. 9gO, Abtitract Mo . ~60, Co~al ~o~nty, T•K••· being a part of th1St certain tract callRd ~-' er s described in Volu • 100. P891111 120 or the< tlee-d Jtecrords of CcmlS Countr. re:xa~. ud a part. o~ ti} t ¢•rhic t r c called 6.~J? ore-is e1Sor i bed i n Vol uJMr 103. 'Paqe: 323 q.f t:.b• Peed. ileeor of' Co • Co'Wl 'J, 't'ex. • ilnd ~ i nQ a part of ~hat is called &chu tt• P•r~ Si e subd 1 vi~ion. a~ unreoord•d • bdivisioc in C'a1U.l <:ouct:y . Te:xa.s, as s:hDWn by plat pr.e ­ p~ued b1 11.. K. Mo•t le 1 g,

!!tol~NIMC: ~t rtth iroc pin found at the South oorccr of the above r~ferenoed ~-7 a cr ti c t oC l~ad, lbe: sl aorner o[ • t ract c•lled 0.406 acres deacr1hed in VolUM• ~lJ, Pa9 BlS of i.e D•ed ReCQrcU. o f Co11•l Co 1ty, 1'4t:a:•s, •lso known a1 t.ot l. 4 o t $ChU$t $ Poifk Si · it S1.lb­ divi5ion, fo o intetior corner of thi& traot;

~B~CE: AlonQ th• Northa••t line ot 0 . • 06 ere tract , ~ S2' 33' L3n W 126.95 feet lo an iron ~in found •nd ~ 11• 03 ' 51n ~ J~.13 feat to •n iron pipe found ~t lb• North corner of 9aid 0.40& a cre tr~ot, .sa~• b•in9 tbe North carne:c- of said Lot: ld, a We:~te:rlJ coTncT ot ~ ot 20 of Schuett$ f~ ~ S1 ~ S~bdl~lsioa, ~or a ~es t corner of this tract;

THbtc.is : Along th.• Weat Hn• ot • id. t.ot io. Iii 00 • H • 31'' E 61.18 f .. t to • di.so 11cmi.mant found •t th• ~ • t e<1nl r ot • id t.o 20 .• b•ifl9 on the ~o~tb•aat line of said Scbu tt Park Bi t• 6uhd vi•ion, •an• beirt'iil & Bouth••·•t•rlr line of th.11l ae:rlain tracl convayad to United Statea of Aueri can d•~c r tb.-d 1D V o l u~ ~ 111, Peg~ 5~2 of the D~ed ~-Qorda of Oowal county, '•~•e:

TH!n!CP!: Aloli'l9 said ~out n.e.t L1n tt1, 8 11,~ b " iu ~ t:b ~ !fol'theul line of s id. S-ob.ueH1,1 £'ult Site :S~b

ta ~• 21 2.004 A~r• T~ ct

TBllllC~; ~lon9 lh• Mo thea~ l ine o id Lot 20, ~•m• b ia9 the Sia tJ1ve t lin• oC e6id tot . !I • .S 1• ~2 ' ~6' &: 106.35 feet ta ta.'Q 1 o:n pin fo nia and s 2a· U: ' 46" g iU. 9!1 el. to an ii!:Oi' p1n h 1\ll'ld at the­ SO~t.h carQ•r of ~aid Lot l~:

'l'H&:t4CE: 'l'b.e fo lo-,,inlJ be&rinQ.S J'ld. dia.bLDCllS i

B a· ll' O(J"' B 30. 37 f••t. en iron pie •t ., OJ ' H'" E lH . 49 f•et , an I. . Oil i:iin .$Gt 5 09' 46° ()Q'" z 82 . H f ~~t , an i~on pJ.n 3 et 8 ~3 oo · oo•• 198. l!'l f••I;' lltD icoa pl.n Silt .s u· O'l' ' (10 .. "'w '18. 75. foal. IHI ircm pin .. et

On the W~;t l tll9 '1-f t b afOt'l;lll·!lllt.1oned fi. 4..l'I .acfe ttilc:-l, SUJI! b•ir.g the Bast line ot a tra~l ca lad 1 . e1 a~r•• descrt b•d in VOJUR.e 81~. P;i9e H2 ot t. he offichl l llblic Recot'd.11 ol Coraal County, T•XH, fol' tb• S~ut~ con:i•r oE thi• tr ct;

'ttunr-cx: ltith t e Kast lit}• ol S4id 1. Al •c-r11t t r ct , tha Kast l tne of •&id ~.437 llCI'• tract, ~ oo· i4• 00" H 20 .0 felft t t o tb ~ ~Dint o1 !e11innin9 and conl;•ining ::! .004 a <::tl!.e c f land, n i0- ~ vr lttz.s .

Th.e focei;Join9 tle l d 111otoa a; pr 15e-nt th• rea11tla. o f a.c on-t -910\ind .$U~W• f made und t mr .$U~ervi &1qn , Haroh 29 , l99S. ReCerenoe ~lat pre-p:srod thi.!! .sa111a d111t eoE thir; 2. 00 4· a.ere t1"11ct.

Rich111 d • Ooodwio IH'LS t t069

Job t9:Sl l0C • RAIO I J.L~JG. IN f).

DDC• 64 7

~"'" • ...... JA1'i1Jf< T~~IDl&U-a:IU

FI Ll) NQTiB l'~ 11 0. E>!i1 ACRE Tkll.Cf B•in111 a O.,!lo7 acr• t1:-auticuh~ly d·a•cribed ~ follo s :

!!Ol MHl-o: At an iron pipe foW\d on t~• Korth line of a to d, e•lled Jae.ob& Cr~e (lark l\oed,

TBERcB1 Along the lll•st line ol l!laid 6.437 aci:e tract, Ga.• b-eoin9 ll1• ~ast line of ~aid 1 . 81 •ere rae • ~ oo• 1•' ~~~ W 289.93 fe•t to r. h '·Ol:I p 'ft .ae n ••Irle, tor • W•J1t•dy

TSEflCI!!: JC,~. 07' 00'" :! 'HL7S. feet to n h'Olll pin siat, l'A 63' 00' 'E 198.15 fe et to an iron pin s~t. K 09" 48' OD" M 92.21 fe~t to tn i~on ptn • t' s n .. 08' 14'0 w 114. 49 fe-ot to l!ln iron pin ll!lt • .and n 28" 11 ' OD'' lif 30.:l'l' feet to an i roa pin found 1!111. th• Boutb. corne·r of that C&tt&in Lract deaccibed in Volun 804, P ~ 9• ~~3 of the Of[ic1al Public R•co~d• of Co~•I Coun\y, T " 1. • ~o b•in9 kno11n aa Lot l~ ot the •bowe "'•nti oo d Sch\;!• te l'ark site 6uhdiviaitm ; tlUNCB.l JC 'H' OB' H'" a: 154 . 57 feet to an iron ~in found at tha Eut co.1:-0.er of that coYtain tract desc1:-ibed in Vo Ull• 80.(,, 1'•9• ~OS of the O"ffioial Publ ic ~•t'ord~ O·f Comal Coutllf, '1 "'' al•a b•ing knollln a.!! Lot 18 of Schuette ~ark Si te Subdlvisio~:

't'REHCK: s O?+ 48' oo• B 150 . 02 t'll9t to An iron pin found tor ~ corner ot th~• t ~et, 5;a"-• hein9 th• West oornec of lG~t c•~tAic tra.ot describ•d in Vo)umm 9 1, Pa9e 559 of tbe Oft1c1~1 Publlt' Records of C01U1l Count7, TeKas, a l so kno11111 •s Lot 4 of Schuet~• ~ark sit~ Subdiw i sion. ••m• bein9 tba No1:- t b corner of that e rtai n tract desoribed in Volume 262, a9e 211 ot th• D••d Records of CD11 l County, 't' sa4, •l~o known as Lot 3 ot Bchiu~tt• Park site SubdiYisiot1; EXHIBIT~ '?11 C~ : "ith b ~9 thwe9t ice of Lot~ 3 , ~. •nd 1 of achuette • Site Sllbd1visioc, S 93' 19' J4• ~ 16. 90 fee~ o ~ Lron pin found lllld $ 63" 44' 23~ W lj4. 42 •ot to an iron pie £01~d ~t the Neat corfier o • id Lot 1. ot e~ ·huette Pack ~it. u.'bd v don, sa e befoQ the North corner of t.<1t 12 of S<:-bu tt111 l?• t ll 6 1 • eubdiYi.s.ion;

TB CE : Mith the ~odb.W at Dd W••t lie• d ii id loot u. s 57• 59 ' S.l" 57.06 f~~t o ,t,l'I i.rcm pilll found, l!J;" ~·

THiRCE.1 AHti. t h e llot:'th I ice of Ja · c.o ~ Cr ook Pack Roa , S 6~· '2.3' 2&~ M $7 .&~ feet lo tbe Poinl uf (l!gi n.n1nQ ;md. <:ODtainiaLgt 0 • 16$? ;icre~ of lacd. moC'e or l eisa . fhe t~~•~oi~q i4ld notes repre~ent ~he r•ault• of an on- h -;round IJ• rvoy !'QC!• under ny superviisiOl'l, Hareh 2 9, 1995. Releren.ee ph.t pi::-apu•d thi • n."C d!ate of th.itJ 0, 65'7 •er• tnct. OSSF DEVELOPMENT APPLICATION CHECKLIST Staff will complete shaded items .______.______.I I.______. Date Received Initials Permit Number

Instructions: Place a check mark next to all items that apply. For items that do not apply, place "NIA". This OSSF Development Application Checklist must accompany the completed application.

RECEIVED OSSF Permit OCT 0 7 202a Completed Application for Permit for Authorization to Construct an On-Site Sewage Facility and License to Operate

I ( ...... JlNEER Site/Soil Evaluation Completed by a Certified Site Evaluator or a Professional Engineer

Planning Materials of the OSSF as Required by the TCEQ Rules for OSSF Chapter 285. Planning Materials shall consist of a scaled design and all system specifications.

Required Permit Fee - See Attached Fee Schedule

Copy of Recorded Deed

Surface Application/Aerobic Treatment System

IXI Recorded Certification of OSSF Requiring Maintenance/Affidavit to the Public

IXI Signed Maintenance Contract with Effective Date as Issuance of License to Operate

I affirm that I have provided all information required for my OSSF Development Application and that this application constitutes a completed OSSF Development Application.

Date

COMPLETE APPLICATION INCOMPLETE APPLICATION (Missing Items Circled, Application Refeused) Check No. ---- Receipt No.___ _

Revised: September 2019 PS Septic Supply & Service 23011 FM 306 Canyon Lake, TX 78133

Phone: (830) 850-0080 Fax: (830) 935-4932

To: ASM Ferdous Printed:4/23/2021 15925 Ferduous Lane Site: 15925 Ferduous Lane Canyon Lake, TX 78133 Ca nyon Lake, TX 78133

Customer ID: 2535 Permit#: 111464 Contract Dates: 12/4/2020 - 12/4/2023 Agency: Comal County County: Scheduled Date 4/4/2021 Inspection 1 of 9 Mfg I Brand : -

GPS Coordinates - Latitude: 29.889632 Longitude: -98.213670 Service Type: Scheduled Inspection ~ This counts as a type of "Scheduled Inspection" Entered By: _ Visit Date: 4/22/2021 Method: Grab Technician: Ryan Seidensti cker Maint. Provider: Ryan Sei densti cker Aerators: Operational Sludge Levels Filters: Operational For Tank 1: 1 Irrigation Pumps: Operational Disinfection Device: Operation al Chlorine Supply: Operational Chlorine Residual : 0.32

Sprinkler Drip Backwash: Good Tank Lid I Riser: Secured Electric Circuits: Operational Distribution System : Operational Sprayfield Veg : Operational Color: Good Odor: Good

Alarm : Operational Comments ~ Service Completed Scum on pretreatment:O" M.W - Technician Secured the Tank Lid and/or Riser prior to leaving locati on.

Owner signature: lnsp ID #:9179

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Provider: Cfi.ristoy fi.er R yan Seiaensticker Technician: Cfi.rist oy fi.er R yan Seiaensticker PS Seytic SuppCy & Service PS Septic Suyp(y & Service License Info: MP0001708 Expires: License Info: MP0001708 Expires : 9/1/2023 PS Septic Supply & Service 23011 FM 306 Canyon Lake, TX 78133

Phone: (830) 850-0080 Fax: (830) 935-4932

To: ASM Ferdous Printed :7/23/2021 15925 Ferduous Lane Site: 15925 Ferduous Lane Canyon Lake, TX 78133 Canyon Lake , TX 78133

Customer ID: 2535 Permit#: 111464 Contract Dates : 12/4/2020 - 12/4/2023 Agency: Comal County County: Scheduled Date 8/4/2021 Inspection 2 of 9 Mfg I Brand : -

GPS Coordinates - Latitude: 29.889632 Longitude: -98.213670 Service Type: Scheduled Inspection ~ This counts as a type of "Scheduled Inspection" Entered By: _ Visit Date: 7/22/2021 Method: Grab Technician: Nick Zigalo Maint. Provider: Ryan Seidensticker Aerators: Operational Sludge Levels Filters: Operational For Tank 1: 1Q Irrigation Pumps: Operational For Tank 2: J. Disinfection Device: Operational Chlorine Supply: Operational Chlorine Residual : 0.02

Sprinkler Drip Backwash: Good Tank Lid I Riser: Secured Electric Circuits: Operational Distribution System : Operational Color: Sprayfield Veg: Operational Q.QQQ Odor: Good

Alarm: Operational Comments ~ Service Completed Scum on pretreatment O" - Technician Secured the Tank Lid and/or Riser prior to leaving location.

Owner signature: lnsp ID #:11028

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~- Provider: Cfiris toyfier Ryan Se iaensticker PS Seytic Supp(y & Service License Info: MP0001708 Expires: License Info : MT0002016 Expires: 12/31 /2023