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	Arden's Garden
Facility Contact Name	Victor Gaffney
Facility Contact Phone Number	+14043074878
Facility Contact Fax Number
Facility Physical Address	1334 Boulevard SE, Atlanta GA 30315-3016
Facility Contact Email Address	victor@ardensgarden.com
Is Facility Mailing Address the same as above?	No

Facility Mailing Address

Facility Mailing Address	2181 Sylvan Rd, Atlanta GA 30344-1830
Facility Mailing Email Address	victor@ardensgarden.com

Owner / Corporate Information

Owner / Corporation Name	Arden's Garden
Owner Contact Name	Victor Gaffney
Owner Contact Telephone	---
Owner Address	---

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?

Yes

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

Fulton County

Commercial Waste Transporter Service (Pumper)

Company Name	Southern Green
F.O.G. Permit Number	204
Company Contact Name	Rob Del Bueno
Company Address	4565 Frederick Ct SW, Atlanta GA 30336-1864
Company Telephone Number	+14044196887
Company Fax Number	+14044196874

Waste Removal

Do you use a Grease/Waste Oil Recycle Company?

No

Maintenance Letter (Interior 3 months)

Notarized Maintenance Letter upload

ardens.pdf

Service Agreement

Service Agreement Upload

,

Certification

Full Name	Victor Gaffney
Certification	Yes