Commercial Waste Discharge Permit Application
Mar 03, 2023
submission
#101
Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? | Existing |
Existing Permit
| Facility Name | (Area O) NEW YORK BUTCHER SHOPPE & WINE BAR |
| Facility Contact Email Address | [email protected] |
| Facility Mailing Address Suite Number | |
| Facility Address Suite Number | Ste # 120 |
| Facility Contact Phone Number | 404-709-0398 |
| Facility Contact Name | KELLY PERSICHETTI |
| Existing Facility Permit Number | 4624 |
| Facility Mailing Address | 625 JEFFERSON PLACE, Cumming GA 30040 |
| Facility Address | 12635 CRABAPPLE ROAD, SUITE 120 MILTON GA 30004 |
| SwiftComply Establishment Profile URL | https://fulton-county-ga.swiftcomply.com/city/establishments/3946 |
| Has anything changed since last year? (Enter N/A or no if no changes to owner, systems, etc.) | N/A |
Certification
Certification
| Full Name | Kelly Persichetti |
| Certification | Yes |
Verification & Permit Fee Calculation
Fee Calculation
| How many subsurface system (exterior) tanks does the facility have? | 1-5 ($250) |
| How many Manual (interior) 10-100 pound units does the facility have? | 0 |
| How many Automatic Grease Recovery 20-35 GPM units does the facility have? | 0 |
| Is the payment for the current year permit considered late? (NEW and RENEWALS: If today's date is prior to May 31, 2023, the answer should be no. If today's date is after May 31, 2023 the answer should be yes) | No |
| Please enter how many years permit has been unpaid in the past (please enter 0 for none) (RENEWALS ONLY): | 0 |