NARRAGANSET BAY COMMISSION SEPTAGE HAULER DISCHARGE PERMIT APPLICATION

An authorized agent or authorized An authorized agent or authorized company representative is a person who is aprincipal executive officer or other corporate officer with signatory powers as per the company's by-laws or per avote of the directors if the company is a corporation; a general partner or proprietor if the company is a partnershipor sole proprietorship respectively; or a duly authorized representative, the individual designated on the permitapplication or permit cover page, if such representative is responsible for the overall operation of the facility and hasthe authority to sign contracts, permits, permit applications, monitoring results and other documents in thecompany's name and otherwise bind the company. Please complete the Designation of Authorized Agent sectionbelow if you wish to designate additional authorized agents. The Narragansett Bay Commission will not acceptdocuments signed by persons other than the company's authorized agent(s) or authorized representative(s).

Choose One:

Please include the following items with this permit application:

1. List and signature of all drivers authorized under this permit

2. Copy of valid RI DEM Septage Waste Transporter Permit

3. A certification of automobile liability insurance and a listing of vehicles covered

I have read and understood the Narragansett Bay Commission's Rules and Regulations regarding septage hauling and the procedures for discharging septage included with this application form. I certify that the information submitted on this application is true and correct.

 

Payment:

Permit Application Fees can be paid at the following link:

 

Pay Application Fee here

 

Please remember to click the Submit below to complete and submit your application.