Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? |
Existing
|
Existing Permit
| Facility Name |
(Area G) THE DERBY BAR & GRILL
|
| Facility Contact Phone Number |
770-642-7988
|
| Facility Contact Name |
SANDY SHOEMAKER
|
| Existing Facility Permit Number |
2440
|
| Facility Mailing Address |
9850 NESBIT FERRY ROAD, SUITE 12, ALPHARETTA GA 30022
|
| Facility Address |
9850 NESBIT FERRY ROAD, SUITE 12 ALPHARETTA GA 30022
|
| SwiftComply Establishment Profile URL |
https://fulton-county-ga.swiftcomply.com/city/establishments/2063
|
| Has anything changed since last year? (Enter N/A or no if no changes to owner, systems, etc.) |
Yes,
Mailing address 1031 Cambridge Square, Unit D, Alpharetta, GA 30009
|
Owner / Corporate Information
| Owner / Corporation Name |
Wrig Nesbit LLC, dba The Derby
|
| Owner Contact Name |
Brian Will
|
| Owner Contact Telephone |
---
|
| Owner Address |
---
|
Certification
Certification
| Full Name |
Dale Bowman
|
| 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? (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): |
1
|
