Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? |
Existing
|
Facility Information
| Name of Facility |
NEW RETAIL GROCERY STORE
|
| Facility Contact Name |
ELENA RIOUCHINA
|
| Facility Contact Phone Number |
+16787672365
|
| Facility Physical Address |
11164 STATE BRIDGE RD UNIT 6,7,8 ALPHARETTA GA 30022
|
| Facility Suite Number |
6,7,8
|
| Facility Contact Email Address |
[email protected]
|
| Is Facility Mailing Address the same as above? |
Yes
|
Existing Permit
| Facility Name |
(G) NEW RETAIL GROCERY
|
| Facility Contact Phone Number |
678-767-2365
|
| Facility Contact Email Address |
[email protected]
|
| Facility Contact Name |
ELENA RIOUCHINA
|
| Existing Facility Permit Number |
4874
|
| Facility Mailing Address |
11164 STATE BRIDGE RD, ALPHARETTA, GA 30022
|
| Facility Address |
11164 STATE BRIDGE RD, ALPHARETTA, GA 30022
|
| SwiftComply Establishment Profile URL |
https://fulton-county-ga.swiftcomply.com/city/establishments/4199
|
| 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 |
NORTH AMERICAN BUSINESS GROUP
|
| Owner Contact Name |
VYACHESLAV MESHCHERYAKOV
|
| Owner Contact Telephone |
---
|
| Owner Address |
---
|
Type of Business
| Type of Business (restaurant, school, car maintenance) |
Retail Store
|
| Has new equipment been added since business opened? |
No
|
Utilities Jurisdiction
| Water & Sewer Jurisdiction |
FULTON COUNTY
|
Commercial Waste Transporter Service (Pumper)
| Company Name |
LIQUID SERVICES & LOGISTICS dba Hulsey Environmental Svcs
|
| F.O.G. Permit Number |
423978
|
| Company Contact Name |
Mike
|
| Company Address |
6724 Cleveland Hwy, Clermont GA 30527-1603
|
| Company Telephone Number |
+17705361161
|
Waste Removal
| Do you use a Grease/Waste Oil Recycle Company? |
No
|
Certification
Certification
| Full Name |
Elena Riouchina
|
| Certification |
Yes
|
Verification & Permit Fee Calculation
Fee Calculation
| How many subsurface system (exterior) tanks does the facility have? |
0
|
| How many Manual (interior) 10-100 pound units does the facility have? |
1-5 ($75)
|
| 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, 2024, 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
|
| Notes |
|
