Commercial Waste Discharge Permit Application (New or Renewal)

Permit Information

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

New

Facility Information

Name of Facility	Convenience Store - Union City
Facility Contact Name	Naveed Masood
Facility Contact Phone Number	+14042741377
Facility Physical Address	6596 MOYE TRAIL ROAD
Facility Contact Email Address	[email protected]
Is Facility Mailing Address the same as above?	No

Facility Mailing Address

Facility Mailing Address	5051 Stonewall Tell Rd Atlanta GA 30349
Facility Mailing Email Address	[email protected]

Owner / Corporate Information

Owner / Corporation Name	5051 STONEWALL TELL DEVELOPMENT, LLC
Owner Contact Name	Naveed Masood
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	Grease Trap
Tank #1 Capacity	1000-1500
Do you have a second Subsurface, exterior system?	No

Exterior Tank #2

Trap #2 Type	Grease Trap
Tank #2 Capacity	1000-1500
Do you have a third Subsurface, exterior system?	No

Commerical Waste Pretreatment System - Interior System

Do you have an interior PT system?

No

Flow Rate

Flow Rate / Lbs.

40 lb

Type of Business

Type of Business (restaurant, school, car maintenance)	Restaurant
Has new equipment been added since business opened?	No
Are your water and sewer provided by same jurisdiction?	No, water and sewer are two separate jurisdictions

Multiple Utilities Jurisdictions

Water Jurisdiction	City of Atlanta
Sewer Jurisdiction	Fulton County

Commercial Waste Transporter Service (Pumper)

Company Name	APEX
F.O.G. Permit Number	017
Company Contact Name	APEX
Company Address	PO Box 888342, Atlanta GA 30356-0342
Company Telephone Number	+17704092143

Waste Removal

Do you use a Grease/Waste Oil Recycle Company?

No