Liquid Waste Hauler Permit - 2025
Oct 22, 2024
submission
#41
Add Hauler Info
New or Existing Permit?
| Do you have an existing permit with the City of Fort Worth? | Yes, I have an existing permit. |
Existing Permits
| Please type a few letters of your company name into the search box below. Click on the company name if found in search results. (If your company is not in the list, please indicate below and complete the form for a new company) | Cleburne Septic |
| Contact Name | Bryan Russell |
| permit id | 323 |
| mailing address | 5311 Burleson Oaks Dr, Burleson, TX 76028, USA |
| [email protected] | |
| phone | (817) 714-4202 |
| business address | 5311 Burleson Oaks Dr, Burleson, TX 76028, USA |
EIN / Tax ID ( FORMAT: ##-####### )
| Please enter your EIN or Tax ID (FORMAT: ##-#######) | 83-2217845 |
Owner / Manager of Operations Driver’s License
| Please upload an image of the Owner or Manager of Operations Driver’s license |
 , 
|
TCEQ Registrations & Insurance
| TCEQ Registration # | 24443 |
| TCEQ Registration Expiration Date | 2024-08-15 |
| Please upload all of your insurance cards here (fleet, individual vehicle or apportioned) | Certificate of Insurance.pdf |
Liquid Waste Types
| Please indicate below all types of liquid waste to be transported | Septic Tank, Chemical/Portable Toilet |
Disposal Locations
| Do you use the City Operated disposal location? (This requires an additional agreement and a one-time deposit.) | Yes |
City Operated Dispsoal Location Agreement
| Please upload your signed city disposal location agreement | 2024 Agreement for Disposal.pdf |
Confirmations
| Within the five (5) years preceding the date of this application, have you been convicted of a misdemeanor or felony that has been punishable by confinement and/or a fine exceeding $500.00 and which directly relates to the duty or responsibility in operating a liquid waste transportation business? | No |
| Do you currently have fines or charges pending from this, or other, municipality relating to the liquid waste transportation business? | No |
Add Vehicle Info
Existing Vehicles to be permitted (renewed)
| How many existing vehicles do you need to permit? | 1 |
Existing Vehicle #1
| Vehicle 1 | 323-03 |
| Capacity Units | Gallons |
| Capacity | 1800 |
| VIN | 1GDJ7H1D0YJ904741 |
| License Plate State | TX |
| License Plate Number | TEMP |
| Year | 2000 |
| Make | GMC |
| Hauler Company Name | Cleburne Septic |
New Vehicles
| How many new vehicles do you need to permit that did not appear in the list above? | 0 |
Add Driver Info
Number of Drivers
| How many drivers do you need to register? | 1 |
Driver #1
| Driver Name | Matthew Bryan Russell |
| Driver's License Number | 36216578 |
| Driver's License State | TX |
| Driver's License Expiration Date | 2026-02-06 |
| Please upload an image of the Driver's License |
|
Staff Verification
Number of Vehicles
| Please enter the total number of vehicles to be included in permit (and inspected) | 1 |
| Does this hauler need to pay the $600 fee for the city operated disposal location? | No |
| Please specify the permit id # of the hauler: | 2025-323 |
Inspection Scheduling
Notes to Hauler about Inspection Scheduling (this will go out via email)
| Comments to Hauler: | Please contact Jeremy Pressley at 817.392.8273 or [email protected] to schedule an inspection. |