Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? |
New
|
Facility Information
| Name of Facility |
D'Cuban cafe
|
| Facility Contact Name |
Gustavo Osorio
|
| Facility Contact Phone Number |
+16786701847
|
| Facility Physical Address |
4920 Roswell Rd, Atlanta GA 30342-2686
|
| Facility Suite Number |
suite 47
|
| Facility Contact Email Address |
[email protected]
|
| Is Facility Mailing Address the same as above? |
No
|
Facility Mailing Address
| Facility Mailing Address |
368 Crider Ct, Woodstock GA 30188-1531
|
| Facility Mailing Email Address |
[email protected]
|
Owner / Corporate Information
| Owner / Corporation Name |
Dcuban sandy springs
|
| Owner Contact Name |
gustavo Osorio
|
| 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 |
Oil Separator
|
| 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) |
Restaurant
|
| Has new equipment been added since business opened? |
No
|
| List any previous names of business, if business is less than (2) yrs old. |
poke bar
|
| Are your water and sewer provided by same jurisdiction? |
Yes, same jurisdiction
|
Utilities Jurisdiction
| Water & Sewer Jurisdiction |
Atlanta Department of Watershed Management
|
Commercial Waste Transporter Service (Pumper)
| Company Name |
HUSLEY ENVIROMENTAL
|
| F.O.G. Permit Number |
423978233
|
| Company Contact Name |
JULIE ANN
|
| Company Address |
6724 Cleveland Hwy, Clermont GA 30527-1603
|
| Company Telephone Number |
+17707468520
|
Waste Removal
| Do you use a Grease/Waste Oil Recycle Company? |
Yes
|
Grease / Waste Oil Recycle Company
| Company Name |
HUSLEY ENVIROMENTAL
|
| Company Contact Name |
JULIE ANN
|
| Company Address |
6724 Cleveland Hwy, Clermont GA 30527-1603
|
| Company Telephone Number |
+17707468520
|
| How often is recycled grease / oil waste removed? |
IN BETWEEN 1-2 MONTHS
|
| Container Capacity |
100 GAL
|
Maintenance Letter (Interior 3 months)
Service Agreement
Certification
Certification
| Full Name |
GUSTAVO OSORIO
|
| 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
|
