Permit Information
Permit Information
Is this application for a New or Existing Permit (Renewal)? |
New
|
Facility Information
Name of Facility |
Heladeria Guerrero
|
Facility Contact Name |
Danie de la Cruz Bahena
|
Facility Contact Phone Number |
+14042103990
|
Facility Physical Address |
10479 Alpharetta St, Roswell GA 30075-3764
|
Facility Suite Number |
4
|
Facility Contact Email Address |
[email protected]
|
Is Facility Mailing Address the same as above? |
Yes
|
Owner / Corporate Information
Owner / Corporation Name |
Daniel de la Cruz Bahena
|
Owner Contact Name |
Daniel
|
Owner Contact Telephone |
---
|
Owner Address |
---
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Commercial Waste Pretreatment System - Subsurface, exterior system
Do you have a Subsurface, exterior system? |
No
|
Exterior Tank #2
Trap #2 Type |
Grease Trap
|
Tank #2 Capacity |
50-200
|
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. |
70-100 lb
|
Type of Business
Type of Business (restaurant, school, car maintenance) |
Other
|
Has new equipment been added since business opened? |
No
|
Are your water and sewer provided by same jurisdiction? |
Yes, same jurisdiction
|
Utilities Jurisdiction
Water & Sewer Jurisdiction |
Roswell Fulton county
|
Commercial Waste Transporter Service (Pumper)
Company Name |
Apex
|
F.O.G. Permit Number |
017
|
Company Contact Name |
Apex
|
Company Address |
3905 Oakcliff Ind Ct, Atlanta GA 30340-3408
|
Company Telephone Number |
+17704092143
|
Waste Removal
Do you use a Grease/Waste Oil Recycle Company? |
No
|
Service Agreement
Certification
Certification
Full Name |
Daniel de la Cruz Bahena
|
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 |
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