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	Tequila Mama
Facility Contact Name	Douglas German
Facility Contact Phone Number	+14044089861
Facility Physical Address	lakeview parkway alpharetta Ga 30009
Facility Contact Email Address	[email protected]
Is Facility Mailing Address the same as above?	Yes

Owner / Corporate Information

Owner / Corporation Name	Tequila Mama
Owner Contact Name	Blake Rodgers
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?	Yes

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

Type of Business

Type of Business (restaurant, school, car maintenance)	Mexican Restaurant
Has new equipment been added since business opened?	Yes
Are your water and sewer provided by same jurisdiction?	Yes, same jurisdiction

Utilities Jurisdiction

Water & Sewer Jurisdiction

Fulton County

Waste Removal

Do you use a Grease/Waste Oil Recycle Company?

No