Fulton County Pretreatment Services

Commercial Waste Discharge Permit Application

Sep 18, 2023
submission #1091
Permit Information

Permit Information

Is this application for a New or Existing Permit (Renewal)? New

Facility Information

Name of Facility Parkside Shoppes - Prep Kitchen & Bathroom
Facility Contact Name Udi Hershkovitz
Facility Contact Phone Number +14704622299
Facility Physical Address 5920 Roswell Rd, Sandy Springs GA 30328-4913
Facility Suite Number Bldg C - Suites 140 A / 140 B
Facility Contact Email Address [email protected]
Is Facility Mailing Address the same as above? No

Facility Mailing Address

Facility Mailing Address 4880 Lower Roswell Rd, Marietta GA 30068-4375
Facility Mailing Suite Number Suite 790Simplify the introduction page to cater to all users, recognizing that not everyone is proficient with technology. The goal is to make the process user-friendly for establishments using the clear forms, preventing any complications for office staff. Please note that payments made using clear forms do not automatically update in Swift Comply. This can lead to awkward situations in the field when reports indicate establishments are delinquent, even when they've made their payments. Rather than generating a receipt, the printed page should serve as a permit. This eliminates the need for preparing and mailing a separate permit. To enhance efficiency, payments made on Clear Forms should automatically populate and update expired permits to active status. We require a batching feature to display all payments, delinquent accounts, and expired permits categorized by area. For instance, under the "RECENT ACTIVITY" heading, we propose a drop-down menu that batches payments upon completion and provides the total collections to date. Additionally, the export function should offer selective options for printing specific columns, avoiding the need to send the entire report to Excel.
Facility Mailing Email Address [email protected]

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? Yes

Flow Rate

Flow Rate / Lbs. 70-100 lb

Type of Business

Type of Business (restaurant, school, car maintenance) Other
Has new equipment been added since business opened? No
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

Multiple Utilities Jurisdictions

Water Jurisdiction Sandy Springs
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 Fredrick Dr., SW Atlanta, GA 30336
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 Fredrick Dr., SW Atlanta, GA 30336
Company Telephone Number +14044196887
How often is recycled grease / oil waste removed? Once per Quarter
Container Capacity 1500

Maintenance Letter (Interior 3 months)

Notarized Maintenance Letter upload Jamestown Kitchen - Notarized Maintenance Agreement.pdf

Service Agreement

Service Agreement Upload Jamestown Kitchen - Notarized Maintenance Agreement.pdf
Certification

Certification

Full Name Dottie Simzyk
Certification Yes
Verification & Permit Fee Calculation

Fee Calculation

How many subsurface system (exterior) tanks does the facility have? 0
How many Manual (interior) 10-100 pound units does the facility have? 1-2 ($75)
How many Automatic Grease Recovery 20-35 GPM units does the facility have? 0
Is the payment for the current year permit considered late? (RENEWALS ONLY: 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