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	Titos Sports Bar and Grill
Facility Contact Name	ASHWIN MADIRAJU
Facility Contact Phone Number	+14702726966
Facility Physical Address	10305 Medlock Bridge Rd, Duluth GA 30097-5996
Facility Contact Email Address	[email protected]
Is Facility Mailing Address the same as above?	Yes

Owner / Corporate Information

Owner / Corporation Name	Pan Now LLC
Owner Contact Name	Ashwin Madiraju
Owner Contact Telephone	---
Owner Address	---

Commercial Waste Pretreatment System - Subsurface, exterior system

Do you have a Subsurface, exterior system?

No

Exterior Tank #1

Trap #1 Type	Grease Trap
Tank #1 Capacity	1000-1500
Do you have a second Subsurface, exterior system?	No

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)	Restaurant
Has new equipment been added since business opened?	No
List any previous names of business, if business is less than (2) yrs old.	The old Name of the Business was Tonys Sports grill that change to Titos Sports Bar and grill
Are your water and sewer provided by same jurisdiction?	Yes, same jurisdiction

Utilities Jurisdiction

Water & Sewer Jurisdiction

Fulton

Commercial Waste Transporter Service (Pumper)

Company Name	Apex Environmental Services
F.O.G. Permit Number	017
Company Contact Name	Jonathan Foltz
Company Address	3905 Oakcliff Industrial Ct, Atlanta GA 30340-3408
Company Telephone Number	+17704092143

Waste Removal

Do you use a Grease/Waste Oil Recycle Company?

No

Service Agreement

Service Agreement Upload

Tito's Sports Bar & Grill SA 8.12.25.pdf

Certification

Full Name	Ashwin Madiraju
Certification	Yes