Commercial Waste Discharge Permit Application
Mar 06, 2023
submission
#219
Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? | Existing |
Existing Permit
| Facility Name | (Area G) JOHNS CREEK RETIREMENT RESIDENCE (ASHWOOD MEADOWS) |
| Facility Mailing Address | 9310 NE Vancouver Mall Dr. Ste 200, Vancouver, WA 98662 |
| Facility Contact Name | Jill Henry |
| Facility Contact Email Address | [email protected] |
| Facility Contact Phone Number | 7704764429 |
| Existing Facility Permit Number | 3326 |
| Facility Address | 11190 MEDLOCK BRIDGE ROAD JOHNS CREEK GA 30097 |
| SwiftComply Establishment Profile URL | https://fulton-county-ga.swiftcomply.com/city/establishments/2867 |
| Has anything changed since last year? (Enter N/A or no if no changes to owner, systems, etc.) | No, just the contact information & mailing address |
Certification
Certification
| Full Name | Jill Henry |
| 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 |
| Notes |