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2. Please be advised, we have 10 business days to comply with your request.
4. Date
   Date
5. Requester's Name
7. Mailing Address
9. Fax
10. Phone
11. Email
13. Subject
15. Detailed Description of Requested Information
17. I Request

    1. Paper Copies
    2. CD
    3. View at City Hall
21. Legal Description
23. Subdivision Name

    If not in a subdivision, must provide original owner’s name.

25. Lot(s)
26. Block
27. Section
29. Site Address
31. Age of Septic System
32. Age of House/Year Built
34. Original Owner's Name
36. Current Owner
38. Legal Description

    Survey/Abstract Name and Acreage

42. Status of Information

    1. This information is unavailable currently.
    2. This information is not created or maintained by the City of Wimberley.
    3. This information is maintained by the City of Wimberley but may be protected under the Texas Public Information Act. Your request will be promptly reviewed, and you will be informed of its status.
    4. This information can be copied for you. An estimate of the charges is included in the following section.
    5. It is unclear whether this information is maintained by the City of Wimberley. Please provide more specific written information regarding your request.
    6. This information is unavailable for another reason.
44. If this information is unavailable currently, it will be available for review on:
    If this information is unavailable currently, it will be available for review on:

    If this information is unavailable currently, it will be available for review on:
45. This information is unavailable for the following reason:
49. For City Completion Only
51. Cost Estimate

    An estimate of costs to copy the information you requested is provided below. This estimate has been calculated from anticipated charges indicated on the City Fee Schedule. Actual cost may be higher or lower than the cost estimate. Please indicate your desire to proceed with this request by checking one of the boxes below, signing, dating, and returning the form to the City Administrator at City Hall.

    Note: Cost Estimates that exceed $100 require a deposit before a request can be processed.

53. Estimate
54. Do you wish to proceed?

    1. I do wish to have the information copied
    2. I do not wish to have the information copied
56. Name of Requestor (as Signature)
57. Date
    Date
61. Actual Cost

    The cost of copying the information you requested is provided below. The cost has been calculated based on the total charges indicated in the City fee schedule. Payments may be made either by cash or check made payable to the City of Wimberley.

63. Cost
65. Notes
67. Health Inspector
68. Date
    Date
70. Submit All Septic Requests To:

    Environmental Health Inspector

    • Phone: 512-648-2407
    • Fax: 512-847-0422
    • Email Environmental Health Inspector
Leave This Blank:


72. 1. Receive an email copy of this form.
73. Email address

    This field is not part of the form submission.

74. Submit

* indicates a required field