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	MIS TIOS ICE CREAM SHOP LLC
Facility Contact Name	mariaelena velasco
Facility Contact Phone Number	+16783878645
Facility Physical Address	1255 Grimes Bridge Rd Ste E, Roswell GA 30075-3940
Facility Suite Number	E
Facility Contact Email Address	[email protected]
Is Facility Mailing Address the same as above?	No

Facility Mailing Address

Facility Mailing Address	1255 Grimes Bridge Rd Ste E, Roswell GA 30075-3940
Facility Mailing Suite Number	e
Facility Mailing Email Address	[email protected]

Owner / Corporate Information

Owner / Corporation Name	MIS TIOS ICE CREAM SHOP LLC
Owner Contact Name	mariaelena velasco
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?

No

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

fulton

Commercial Waste Transporter Service (Pumper)

Company Name	BURNUM llc grease elimination services
F.O.G. Permit Number	002003
Company Contact Name	Deszo Gevaller
Company Address	4565 Frederick Ct SW, Atlanta GA 30336-1864
Company Telephone Number	+14044196887

Waste Removal

Do you use a Grease/Waste Oil Recycle Company?

No

Service Agreement

Service Agreement Upload

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