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2. The undersigned hereby makes application for:*

   1. Operation of a Junkyard
   2. Operation of an automotive wrecking yard
   3. Operation of a salvage yard
   4. Expansion of any of the above
   5. Change of the location
4. Name of Business/Operation:*
6. Site Address*
8. City:*
9. Zipcode:*
10. Phone:*
11. Business Email:*
13. Property Legal Description:*
15. Mailing Address:*
17. City:*
18. State:*
19. Zip Code:*
21. Applicant Name/Business Contact:
23. First Name*
24. Last Name*
26. Is the Applicant a Partnership?*

    1. YES
    2. NO
27. Is the Applicant a Corporation?*

    1. YES
    2. NO
29. If the Applicant is a Partnership or Corporation; Complete the below Information:
31. Name:
32. Address:
34. City:
35. State:
36. ZipCode:
37. Phone:
39. Attach a detailed site plan of facility:*
41. Attach Copy of TCEQ TPDES General Permit
43. Texas Department of Licensing: Used Automotive Parts Recycler License:
45. TDLR- Texas Used Automotive Parts Recycler Employee License:
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field