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	Dominos
Facility Contact Name	Brandon
Facility Contact Phone Number	+14044499794
Facility Physical Address	3349 Martin Luther King Dr SW, Atlanta GA 30331-1711
Facility Contact Email Address	[email protected]
Is Facility Mailing Address the same as above?	Yes

Owner / Corporate Information

Owner / Corporation Name	Al-mumin t&m pizza inc
Owner Contact Name	Turjoy touquruzzaman
Owner Contact Telephone	---
Owner Address	---

Commercial Waste Pretreatment System - Subsurface, exterior system

Do you have a Subsurface, exterior system?

Yes

Exterior Tank #1

Trap #1 Type	Grease Trap
Tank #1 Capacity	50-200
Do you have a second Subsurface, exterior system?	No

Exterior Tank #2

Trap #2 Type	Grease Trap
Tank #2 Capacity	3000
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
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	Carters environmental
F.O.G. Permit Number	018
Company Contact Name	Carters environmental
Company Address	PO Box 837, Lawrenceville GA 30046-0837
Company Telephone Number	+17709621811

Waste Removal

Do you use a Grease/Waste Oil Recycle Company?

Yes

Grease / Waste Oil Recycle Company

Company Name	Carter’s environmental
Company Contact Name	Carters environmental
Company Address	PO Box 837, Lawrenceville GA 30046-0837
Company Telephone Number	+17709621811
How often is recycled grease / oil waste removed?	3 months
Container Capacity	1500