Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? |
Existing
|
Facility Information
| Name of Facility |
Alex Forrester
|
| Facility Contact Name |
Andrew Wilson
|
| Facility Contact Phone Number |
+16786065277
|
| Facility Physical Address |
5395 Thompson Rd, Fairburn, GA 30213
|
| Facility Suite Number |
|
| Facility Contact Email Address |
[email protected]
|
| Is Facility Mailing Address the same as above? |
No
|
Facility Mailing Address
| Facility Mailing Address |
11475 Great Oaks Way, Alpharetta GA 30022-2440
|
| Facility Mailing Suite Number |
Suite 350
|
| Facility Mailing Email Address |
[email protected]
|
Existing Permit
| Facility Name |
(B) CHICK-FIL-A
|
| Facility Contact Email Address |
[email protected]
|
| Existing Facility Permit Number |
4851
|
| Facility Mailing Address |
5395 Thompson Rd, Fairburn, GA 30213, USA
|
| Facility Address |
5395 Thompson Rd, Fairburn, GA 30213, USA
|
| SwiftComply Establishment Profile URL |
https://fulton-county-ga.swiftcomply.com/city/establishments/4173
|
| Has anything changed since last year? (Enter N/A or no if no changes to owner, systems, etc.) |
N/A
|
Owner / Corporate Information
| Owner / Corporation Name |
Chick-fil-A, Inc.
|
| Owner Contact Name |
Jennifer Santelli
|
| Owner Contact Telephone |
---
|
| Owner Address |
---
|
Type of Business
| Type of Business (restaurant, school, car maintenance) |
Fast Food
|
| Has new equipment been added since business opened? |
No
|
| List any previous names of business, if business is less than (2) yrs old. |
|
Multiple Utilities Jurisdictions
| Water Jurisdiction |
City of Atlanta - Watershed Management
|
| Sewer Jurisdiction |
Fulton County Department of Public Works - Water Resources
|
Commercial Waste Transporter Service (Pumper)
| Company Name |
Seagraves Plumbing Septic and Sewer
|
| F.O.G. Permit Number |
101002
|
| Company Contact Name |
Mike Steel
|
| Company Address |
4980 Plant Atkinson Rd SE, Atlanta GA 30339-1778
|
| Company Telephone Number |
+14047922221
|
Waste Removal
| Do you use a Grease/Waste Oil Recycle Company? |
No
|
Certification
Certification
| Full Name |
Andrew Wilson
|
| Registered Agent (if applicable) |
Alexus Xiong
|
| 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): |
0
|
