Fort Worth - LWH

Liquid Waste Hauler Permit - 2025

Mar 10, 2025
submission #102
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) Burleson Septic Cleaning
Contact Name Marilyn Bleeker
permit id 79
mailing address 2410 SW Hulen St, Burleson, TX 76028, USA
email [email protected]
phone (817) 295-4270
business address 2410 SW Hulen St, Burleson, TX 76028, USA

EIN / Tax ID ( FORMAT: ##-####### )

Please enter your EIN or Tax ID (FORMAT: ##-#######) 82-1816466

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 # 20584
TCEQ Registration Expiration Date 2025-08-31
Please upload all of your insurance cards here (fleet, individual vehicle or apportioned)

Liquid Waste Types

Please indicate below all types of liquid waste to be transported Septic Tank

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) Reitz Environmental - 7501 CR 1009 Godley TX 76044

City Operated Dispsoal Location Agreement

Please upload your signed city disposal location agreement

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? 5

Existing Vehicle #1

Vehicle 1 79-03
Capacity Units Gallons
Capacity 3500
VIN 1M2AA18Y92W146894
License Plate State TX
License Plate Number DPM6717
Year 2002
Make Mack
Hauler Company Name Burleson Septic Cleaning

Existing Vehicle #2

Vehicle 2 79-06
Capacity Units Gallons
Capacity 3500
VIN 2NPRLD9X07M741860
License Plate State TX
License Plate Number DGV6238
Year 2007
Make Peterbilt
Hauler Company Name Burleson Septic Cleaning

Existing Vehicle #3

Vehicle 3 79-07
Capacity 3500
Capacity Units Gallons
VIN 1M1AA13CX1W144033
License Plate State TX
License Plate Number GFN0250
Year 2001
Make MACK
Hauler Company Name Burleson Septic Cleaning

Existing Vehicle #4

Vehicle 4 79-08
Capacity Units Gallons
Capacity 3500
VIN 1M2AX07CXDM017043
License Plate State TX
License Plate Number KTZ2146
Year 2013
Make Mack
Hauler Company Name Burleson Septic Cleaning

Vehicle #5

Vehicle 5 79-09
Capacity Units Gallons
Capacity 2000
VIN 2NPNHM6X6KM275798
License Plate State TX
License Plate Number LMG9605
Year 2019
Make Peterbilt
Hauler Company Name Burleson Septic Cleaning

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? 6

Driver #1

Driver Name Brandon Bleeker
Driver's License Number 13373393
Driver's License State TX
Driver's License Expiration Date 2025-12-01
Please upload an image of the Driver's License

Driver #2

Driver Name Thomas Gallemore
Driver's License Number 04107682
Driver's License State TX
Driver's License Expiration Date 2025-07-15
Please upload an image of the Driver's License

Driver #3

Driver Name Anthony Goss
Driver's License Number G200-013-79-105-5
Driver's License State FL
Driver's License Expiration Date 2030-03-25
Please upload an image of the Driver's License

Driver #4

Driver Name Carl Cagle
Driver's License Number 13094379
Driver's License State TX
Driver's License Expiration Date 2030-09-20
Please upload an image of the Driver's License

Driver #5

Driver Name Rickey Stone
Driver's License Number 43584324
Driver's License State TX
Driver's License Expiration Date 2032-06-22
Please upload an image of the Driver's License

Driver #6

Driver Name Paul Marsh
Driver's License Number 21934205
Driver's License State TX
Driver's License Expiration Date 2032-11-03
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) 5
Does this hauler need to pay the $600 fee for the city operated disposal location? No
Please specify the permit id # of the hauler: 2025-79
Inspection Scheduling

Notes to Hauler about Inspection Scheduling (this will go out via email)

Comments to Hauler: Please contact Jeremy Pressley to schedule vehicle inspections at 817.392.8273 or [email protected]