Commercial Waste Discharge Permit Application
Jul 05, 2023
submission
#888
Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? | New |
Facility Information
| Name of Facility | Parkside Shoppes |
| Facility Contact Name | Leah Crawford |
| Facility Contact Phone Number | +14048857339 |
| Facility Physical Address | 5920 Roswell Rd, Atlanta GA 30328-4913 |
| Facility Suite Number | 140 A / 140B |
| Facility Contact Email Address | [email protected] |
| Is Facility Mailing Address the same as above? | Yes |
Existing Permit
| Facility Name |
Owner / Corporate Information
| Owner / Corporation Name | Jamestown |
| Owner Contact Name | Leah Crawford |
| Owner Contact Telephone | --- |
| Owner Address | --- |
Commercial Waste Pretreatment System - Subsurface, exterior system
| Do you have a Subsurface, exterior system? | No |
Exterior Tank #2
| Trap #2 Type | Grease Trap |
| Tank #2 Capacity | 50-200 |
| Do you have a third Subsurface, exterior system? | No |
Commerical Waste Pretreatment System - Interior System
| Do you have an interior PT system? | No |
Flow Rate
| Flow Rate / Lbs. | 40 lb |
Type of Business
| Type of Business (restaurant, school, car maintenance) | Other |
| Has new equipment been added since business opened? | Yes |
| List any previous names of business, if business is less than (2) yrs old. | Carl's Cafe |
| Are your water and sewer provided by same jurisdiction? | No, water and sewer are two separate jurisdictions |
Utilities Jurisdiction
| Water & Sewer Jurisdiction |
Multiple Utilities Jurisdictions
| Water Jurisdiction | Atlanta Department of Watershed |
| Sewer Jurisdiction | Fulton County / Sandy Springs |
Commercial Waste Transporter Service (Pumper)
| Company Name | Southern Green Industries |
| F.O.G. Permit Number | 204 |
| Company Contact Name | Rob Del Bueno |
| Company Address | 4565 Frederick Ct SW, Atlanta GA 30336-1864 |
| Company Telephone Number | +14044196887 |
Waste Removal
| Do you use a Grease/Waste Oil Recycle Company? | Yes |
Grease / Waste Oil Recycle Company
| Company Name | Southern Green Industries |
| Company Contact Name | Rob Del Bueno |
| Company Address | 4565 Frederick Ct SW, Atlanta GA 30336-1864 |
| Company Telephone Number | +14044196887 |
| How often is recycled grease / oil waste removed? | Once per Quarter |
| Container Capacity | 20 Gallons |
Maintenance Letter (Interior Monthly)
| Notarized Maintenance Letter upload | Jamestown Kitchen - Maintenance Agreement.pdf |
Service Agreement
| Service Agreement Upload | Jamestown Kitchen - Maintenance Agreement.pdf |
Certification
Certification
| Full Name | Dottie Simzyk |
| Certification | Yes |