Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? |
New
|
Facility Information
| Name of Facility |
Palmer Dodge
|
| Facility Contact Name |
Jody Cruse
|
| Facility Contact Phone Number |
+17704101111
|
| Facility Physical Address |
11460 Alpharetta Hwy, Roswell GA 30076-3801
|
| Facility Contact Email Address |
[email protected]
|
| Is Facility Mailing Address the same as above? |
Yes
|
Owner / Corporate Information
| Owner / Corporation Name |
Palmer Family Investments, LLC
|
| Owner Contact Name |
Chuck Palmer
|
| Owner Contact Telephone |
---
|
| Owner Address |
---
|
Commercial Waste Pretreatment System - Subsurface, exterior system
| Do you have a Subsurface, exterior system? |
Yes
|
Exterior Tank #1
| Trap #1 Type |
Oil Separator
|
| Tank #1 Capacity |
1000-1500
|
| Do you have a second Subsurface, exterior system? |
No
|
Commerical Waste Pretreatment System - Interior System
| Do you have an interior PT system? |
No
|
Type of Business
| Type of Business (restaurant, school, car maintenance) |
Auto Dealership
|
| Has new equipment been added since business opened? |
No
|
| List any previous names of business, if business is less than (2) yrs old. |
|
| Are your water and sewer provided by same jurisdiction? |
Yes, same jurisdiction
|
Utilities Jurisdiction
| Water & Sewer Jurisdiction |
Fulton
|
Commercial Waste Transporter Service (Pumper)
| Company Name |
Safety Kleen
|
| F.O.G. Permit Number |
2492
|
| Company Contact Name |
James Robinson
|
| Company Address |
4800 S Old Peachtree Rd, Berkeley Lake GA 30071-1505
|
| Company Telephone Number |
+17706625151
|
Waste Removal
| Do you use a Grease/Waste Oil Recycle Company? |
No
|
Grease / Waste Oil Recycle Company
| Company Name |
Safety
|
| Company Contact Name |
4800
|
Maintenance Letter (Exterior 3 months)
Service Agreement
Certification
Certification
| Full Name |
Bradley D. Riffel
|
| 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
|
