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	Southwest Arts Center Renovations
Facility Contact Name	John L. Geertsen
Facility Contact Phone Number	+14705251684
Facility Physical Address	915 New Hope Rd SW, Atlanta GA 30331-7235
Facility Contact Email Address	[email protected]
Is Facility Mailing Address the same as above?	Yes

Owner / Corporate Information

Owner / Corporation Name	City of South Fulton
Owner Contact Name	Gregory S. Dyson
Owner Contact Telephone	---
Owner Address	---

Commercial Waste Pretreatment System - Subsurface, exterior system

Do you have a Subsurface, exterior system?

No

Exterior Tank #1

Do you have a second 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.

40 lb

Type of Business

Type of Business (restaurant, school, car maintenance)	Coffee Shop
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

City of South Fulton

Commercial Waste Transporter Service (Pumper)

Company Name
F.O.G. Permit Number
Company Contact Name
Company Telephone Number