Required fields are marked with asterisks (*)

LIQUID WASTE & SLUDGE HAULERS TRANSPORT AND DISPOSAL PERMIT APPLICATION

400 S. OHIO AVE., MERCEDES, TEXAS 78570
PHONE: (956) 565-3114 Ext. 128, 129, or 130
EMAIL: PLANNING@CITYOFMERCEDES.COM

AS REQUIRED UNDER THE CITY OF MERCEDES CODE OF ORDINANCES, ORDINANCE NO. 2025-04

Company

Phone

Address

City

State

Applicants Name

Title

Information

Address where trucks are stored (Street, City, State, Zip code)

TCEQ Registration Number

Expiration Date

INSURANCE REQUIREMENTS: INSURANCE COVERAGE REQUIRED BY THE PERMITTEE ARE:

(1) COMMERCIAL GENREAL LIABILITY-- MINIMUM COVERAGE LIMITS FOR BODY INJURY AND PROPERTY DAMAGE OF $500,000 COMBINED SINGLE LIMIT;
(2) COMMERCIAL VEHICLE LIABILITY-- MINIMUM COVERAGE LIMITS FOR BODILY INJURY AND PROPERTY DAMAGE OF $500,000 COMBINED SINGLE LIMIT; AND

Insurance Company Providing Insurance

Expiration Date

Forms

LIQUID WASTE & SLUDGE HAULERS TRANSPORT AND DISPOSAL PERMIT APPLICATION

Company

Information

INSURANCE REQUIREMENTS: INSURANCE COVERAGE REQUIRED BY THE PERMITTEE ARE: