Commercial Waste Discharge Permit Application (New or Renewal)

Permit Information

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

Existing

Facility Information

Name of Facility	TIPSY THAIGER RESTAURANT & BAR
Facility Contact Name	BIRDIE NIYOMKUN
Facility Contact Phone Number	+14044510058
Facility Physical Address	605 Atlanta St, Roswell GA 30075-4422
Facility Contact Email Address	[email protected]
Is Facility Mailing Address the same as above?	Yes

Existing Permit

Facility Name
Has anything changed since last year? (Enter N/A or no if no changes to owner, systems, etc.)	no

Owner / Corporate Information

Owner / Corporation Name	PAPHAMAT NIYOMKUN/THAIGER GROUP LLC
Owner Contact Name	PAPHAMAT NIYOMKUN
Owner Contact Telephone	---
Owner Address	---

Type of Business

Type of Business (restaurant, school, car maintenance)	Asian Restaurant
Has new equipment been added since business opened?	Yes
List any previous names of business, if business is less than (2) yrs old.	ONLY BAR EQUIPMENT. ALL EXISTING KITCHEN EQUIPMENT REMAIN AS IS.

Utilities Jurisdiction

Water & Sewer Jurisdiction

FULTON COUNTY

Commercial Waste Transporter Service (Pumper)

Company Name	APEX
F.O.G. Permit Number	01
Company Contact Name	APEX ENVIRONMENTAL SERVICE
Company Address	3905 Oakcliff Industrial Ct, Atlanta GA 30340-3408
Company Telephone Number	+17704092143

Waste Removal

Do you use a Grease/Waste Oil Recycle Company?

No

Certification

Full Name

SHIRLEY DUAN