Liquid Waste Hauler Permit - 2025
Dec 05, 2024
submission
#78
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) | Discount Septic Services |
Contact Name | Gene Bingham |
permit id | 332 |
mailing address | 2003 TX 114 HWY, STE 340 #16 |
[email protected] | |
phone | (817) 584-7228 |
business address | 171 Aviator Dr, Fort Worth, TX 76179, USA |
EIN / Tax ID ( FORMAT: ##-####### )
Please enter your EIN or Tax ID (FORMAT: ##-#######) | 47-4639323 |
Owner / Manager of Operations Driver’s License
Please upload an image of the Owner or Manager of Operations Driver’s license | Gene DL.pdf |
TCEQ Registrations & Insurance
TCEQ Registration # | 25114 |
TCEQ Registration Expiration Date | 2025-05-31 |
Please upload all of your insurance cards here (fleet, individual vehicle or apportioned) | Progressive pg2.pdf, Progressive pg1.pdf |
Liquid Waste Types
Please indicate below all types of liquid waste to be transported | Grease Trap, Septic Tank, Sand/Grit Trap |
Disposal Locations
Do you use the City Operated disposal location? (This requires an additional agreement and a one-time deposit.) | Yes |
Please specify an additional Disposal Location #1 (If applicable) | Village Creek Water Reclamation Facility |
Please specify an additional Disposal Location #2 (if applicable) | Cold Springs Processing |
City Operated Dispsoal Location Agreement
Please upload your signed city disposal location agreement | FW agreement.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 | 332-03 |
Capacity Units | Gallons |
Capacity | 2000 |
VIN | 2NP2HM6X6NM777587 |
License Plate State | TX |
License Plate Number | SDF6181 |
Year | 2022 |
Make | Peterbilt |
Hauler Company Name | Discount Septic Services |
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 | Gene Bingham |
Driver's License Number | 26815222 |
Driver's License State | TX |
Driver's License Expiration Date | 2028-08-22 |
Please upload an image of the Driver's License | Gene DL.pdf |
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: | 2025-332 |
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. |