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Home My WebLink About2015-02-23-Meeting Mintues Public Service Committee Meeting Commission Chamber - 2/23/2015 ATTENDANCE: Present: Hons. Davis, Chairman; D. Williams, Vice Chairman; Fennoy and Williams, members. Absent: Hon. Hardie Davis, Jr., Mayor. PUBLIC SERVICES 1. New Application: A. N. 15 - 05: A request by Michael Thomas Evertsen for an on premise consumption Liquor, Beer & Wine license to be used in connection with Forty-One, Inc. D/B/A Tin Lizzy's Taqueria Cantina located at 2821 Washington Rd. There will be Sunday sales. District 7. Super District 10. Item Action: Approved Motions Motion Type Motion Text Made By Seconded By Motion Result Approve Motion to approve. Motion Passes 4-0. Commissioner Marion Williams Commissioner Dennis Williams Passes 2. New Application: A. N. 15 - 06: A request by Ok Pun Kartye for a retail package Liquor, Beer & Wine license to be used in connection with OK Wine & Spirits located at 2811 Tobacco Rd. There will be Sunday Sales. District 4. Super District 9. Item Action: Approved Motions Motion Type Motion Text Made By Seconded By Motion Result Approve Motion to approve subject to the license not being sold until the trailer in the back is completely dismantled and the fence Commissioner Marion Williams Commissioner William Fennoy Passes screening is in place. Motion Passes 4-0. 3. New Application: A. N. 15 - 07: A request by Richard Kellogg for an on premise consumption Liquor, Beer & Wine license to be used in connection with The Touch of Class located at 3156 Wrightsboro Rd. There will be Dance. District 2. Super District 9. Item Action: Approved Motions Motion Type Motion Text Made By Seconded By Motion Result Approve Motion to approve. Motion Passes 4-0. Commissioner Marion Williams Commissioner William Fennoy Passes 4. New Application: A. N. 15 - 08: A request by Eric Kinlaw for an on premise consumption Liquor, Beer & Wine license as well as a retail package Beer & Wine to be used in connection with The Hive located 215 Tenth St. There will be Sunday Sales. District 1. Super District 9. Item Action: Approved Motions Motion Type Motion Text Made By Seconded By Motion Result Approve Motion to approve. Motion Passes 4-0. Commissioner Marion Williams Commissioner William Fennoy Passes 5. New Ownership Application: A. N. 15 - 09: A request by Hemant K. Patel for a retail package Beer & Wine license to be used in connection with Ja Ho Market located at 1770 Kissingbower Rd. Therer will be Sunday Sales. District 2. Super District 9. Item Action: Rescheduled Motions Motion Type Motion Text Made By Seconded By Motion Result Defer Motion to refer this item to the full Commission with no recommendation. Motion Passes 4-0. Commissioner William Fennoy Commissioner Marion Williams Passes 6. New Ownership Application: A. N. 15 - 10: A request by Shena Brewer for an on premise consumption Liquor, Beer & Wine license to be used in connection with Wheeler Tavern located at 3664 Wheeler Rd. There will be Dance. District 3. Super District 10. Item Action: Approved Motions Motion Type Motion Text Made By Seconded By Motion Result Approve Motion to approve. Motion Passes 4-0. Commissioner Marion Williams Commissioner William Fennoy Passes 7. New Ownership Application: A. N. 15 - 11: A request by Ritaben Patel for a retail package Beer & Wine License to be used in connection with Super Express #7 located at 1901 Gordon Hwy. District 5. Super District 9. Item Action: Approved Motions Motion Type Motion Text Made By Seconded By Motion Result Approve Motion to approve. Motion Passes 4-0. Commissioner Marion Williams Commissioner William Fennoy Passes 8. Discussion: A request by Henry Todd Schafer for a Sunday Sales license to be used in connection with Abel Brown located at 491 Highland Ave Ste B. There will be Sunday Sales. District 7. Super District 10. Item Action: Approved Motions Motion Type Motion Text Made By Seconded By Motion Result Approve Motion to approve. Motion Passes 4-0. Commissioner Marion Williams Commissioner William Fennoy Passes 9. Discussion: A request by Faulkner Warlick for a Sunday Sales license to be used in connection with Finch & Fifth located at 379 Highland Ave. There will be Sunday Sales. District 7. Super District 10. Item Action: Approved Motions Motion Type Motion Text Made By Seconded By Motion Result Approve Motion to approve. Motion Passes 4-0. Commissioner Marion Williams Commissioner William Fennoy Passes 10. Discussion: A request by Marva Renee Little for a Therapeutic Massage Operators License to be used in connection with Marva's Relaxing Bodywork located at 6070 Reynolds Circle, Grovetown, Ga 30813. (massage outcall) District 1 thru 8. Super District 9 & 10. Item Action: Approved Motions Motion Type Motion Text Made By Seconded By Motion Result Approve Motion to approve. Motion Passes 4-0. Commissioner Marion Williams Commissioner William Fennoy Passes 11. Discussion: A request by the RCSO for a hearing to consider the possible Probation, Suspension or Revocation of the alcohol license and business license held by Ralph H. Dillman Jr for Ralph's Five Pines Lounge, Inc. located at 2301 Gordon Hwy for violating the controlled substance law. District 3. Super District 10. (Referred from February 9 Public Services Committee) Item Action: Approved Motions Motion Type Motion Text Made By Seconded By Motion Result Approve Motion to approve a twelve-month probationary period for this business. Motion Passes 4-0. Commissioner Marion Williams Commissioner Dennis Williams Passes 12. Motion to approve the minutes of the Public Services Committee held on February 9, 2015. Item Action: Approved Motions Motion Motion Text Made By Seconded By Motion www.augustaga.gov Type Result Approve Motion to approve. Motion Passes 4-0. Commissioner William Fennoy Commissioner Marion Williams Passes Public Service Committee Meeting 2/23/2015 1:00 PM Attendance 2/23/15 Department: Caption: Background: Analysis: Financial Impact: Alternatives: Recommendation: Funds are Available in the Following Accounts: REVIEWED AND APPROVED BY: Augusta-Richmond C ounty 1815 Marvin Griffin Road Augusta, GA 30906 ALCOHOL BEVERAGE APPLICATION l. 2. aJ. 4. 5. Alcohol Number Name of Business Fortv-One, lnc. d/b/a Tin Lizzy's Taqueria Cantina Business Address 2821 Washington Road City Auousta State GA Zip 30909 Business Phone (404-) 822.3849 Home Phone ( 678 ) 849.7922 Applicant Name and Address: Michael Thomas Evertsen 100 Hampton Walk Marietta. GA 30067 Applicant Social Security #D.o.B. Zlpnl-1-999- If Application is a transfer, list previous Applicant: Road Runner Cafe Year 2015 Alcohol AccountNumber /Oti' l{o 6. 7. 8. 9. Business Location: Map & Parcel 0120065010 Zoning C3 Location Manager(s)TBD - Michael Evertsen and Andrew McKoski for ooenino. 10. Is Applicant an American Citizen or Alien lawfully admitted for permanent residency?(X)Yes ( ) No OWNERSHIP INFORMATION Corporation (if applicable): Date Chartered: 81112002 Mailing Address: Name of Business Forty-One, lnc. d/b/a Tin Lizzy's Taqueria Cantina ll. 12. Attention Address CitylStatelZip Michael Evertsen 2030 Powers Ferry Road, SE, Suite 460 Atlanta, GA 30339 13. 14. Ownership Type: Corporate Name: (X)Corporation ( )PartnershipForty-One, lnc. ( ) Individual T ist name and other required information for each person having interest in this business. Name Position SSNO #Address I Interest Michael Evertsen Owner I 100 Hampton Walk, Marietta, 30067 30% John Piemonte Owner 1805 Buckhead Ln, Atlanta, 30324 25o/. Chris Hadermann Owner 3954 Sheldon Dr, Atlanta,30342 25o/< Andrew McKoski Owner 502 Hascall Road, Atlanta, 30309 20ol 15.What type of business will (X) Restaurant ( ( ) Package Store ( you operate in this location?( ) Convenience Store) Lounge ) Other: Total License Fee: 5 5445 + 120 app fee Prorated License Fee: (After July 1 ONLY) $ 16.Have you ever applied for an Alcohol Beverage License before:Not in Augusta-Richmond If so, give year of application and its disposition: License Information Liouor Beer Wine Dance Sundav Sales Retail Packase Dealer Consumption on Premises X X x X Wholesale 17. alcoholic beverages? (X) Yes ( ) No If so, please initial. Are you familiar with Georgia and Augusta-Richmond County laws reg4 18.AAach a passport-size photograph (front view) taken within two y"ars. Write name on back of the dealer submitting the license application. Has any liquor business in which you hold, or have held, any financial inLterest, or areemployed, or have been employed, ever been cited for any violation of the rules andregulations of Richmond County or the State Revenue Commission relatirrLg to the saleand distribution of distilled spirits? ( ) yes (X ) No 19. If yes, give full details: 20.Have you ever been arrested, or held bV F List owner or owners of building and property. lffalter W. Lyon - 318 Coffee Ave S., Douglas, GA 31533 authorities, for any violation of any Federal, State, County or Municipal law, regulationor ordinance? (Do not include traffrc violations, with the exception of any iff.rr..,pertaining to alcohol or drugs.) All other charges must be included, "r"r if they aredismissed. ( )Yes (x)No If yes, give reason charged or held, date and place where charged and its disposition. 21. 22. 23. Listthenameandotherrequiredinformationforeachperson,fi,m@ any interest in the business. See #14 If a new application, attach a surveyor's plat and state the straight line distan"e fro- the property line of school, church, library, or public recreation area to the wall of the building where alcohol beverages are sold. A.) Church B.) Library C.) Schoolnla nla D.) Public Recreation State of Georgia, Augusta-Richmond County,I, Michael Thomas Evertsen Do solemnly swear, subject to the penalties of false swearing, that the statements and answers made by me as the applj in the forgoing alcoholic beverage application are true- 25.I hereby certiff that Mich Evertsen is personally known to be, nla nla 24. that he/she signed hislher name to knew and understood all statements The Board of Commissioners on the day of (Approved, Disapproved) the forgoing application. the foregoing application stating to me that he/she and answers made herein, and, under oath acfually administered by me, has sworn that said statements and answers are true.This (p aay of 4r-,b , in the V"u, Xp ii- . *lPl-.?tvst,-giomi, 'rsdl,ltiv6irib6ff#orsFOR OFFICE USE ONLY Department Recommendation Alcohol Insoector Administrator Date in the year Public Service Committee Meeting 2/23/2015 1:00 PM Alcohol Application Department:Planning & Development Caption:New Application: A. N. 15 - 05: A request by Michael Thomas Evertsen for an on premise consumption Liquor, Beer & Wine license to be used in connection with Forty-One, Inc. D/B/A Tin Lizzy's Taqueria Cantina located at 2821 Washington Rd. There will be Sunday sales. District 7. Super District 10. Background:This is the former location of Roadrunner Cafe. Analysis:The applicant meets the requirements of the City of Augusta's Alcohol Ordinance. Financial Impact:The applicant will pay a fee of $5445.00. Alternatives: Recommendation:Planning & Development recommends approval. The RCSO recommends approval. Funds are Available in the Following Accounts: REVIEWED AND APPROVED BY: Finance. Law. Administrator. Clerk of Commission Alcohol Number l. Name of Business 2. Business Address 3. City 4. Business5. Applicant Name and Address: Applicant Social Security # If Application is a frqnsfer, list previous Applicant: Augusta-Ricirmonrl C ountY l8l5 Ivlarvin Griffin Road Augusta, GA 30906 ALCOHOL BEVERAGE APPLICATION Year'Alcohol Account Nrrmber hl6:: 11 # Phone(!&) %o r|il.e Z,AI D.o.B. t7 - t5 - nr+6.$ $Business Location: Map & Parcel Zoning Location Manager(s) 11. 12. 10. Is Applicant an Americaq0r=@or Alien lawfully admitted for permanent residency? ({Yes ( )No OWNERSIilP INFORMATION Corporation(ifapplicable): DateChartered: t-lc- {*lO *70?2 Mailing Address: Name of Btisiness Attention Address CrtylStatelZip Corporate Name: Lf-C List name and other required information for each person having interest in this business. 15.What type of business will you operate in this location?( ) Restaurant(/) Package Store ( ) Other: ( ) Lounge ( ) Convenience Store Total License Fee: $ Prorated License Fee: (After July I ONLY) $ Have you ever applied for an Alcohol Beverage License before: fE9 If so, give year of application and its disposition: *oD7/ ao 4W alcoholic beverages? (p Yes ( ) No If so, please initial. 0k - 13. 14. 16. ( ) Individual Name Position SSNO#Address Interest F\,<- kkL-fJ=-0t,flEP-E}*lz.|lLNT-kkffi&"fi I O0 e/n Lisensb Information Liquor Eleer Wine Dance Sundav Sales Retail Packase Dealer x x x v Consumption on Premises lVholesale 17. 18.Attach a passport-size photograph (front view) taken wilhin two years. Write name on back of the dealer submitting the license application. 19. Has any liquor business in which you hold, or have held, any financial interest, or are employed, or have been employed, ever been cited for any violation of the rules and regulations of Richmond County or the State Revenue Commission relating to the sale and distribution of distilled spirits? (X) Yes ( ) No If yes, give tull details: UAIFR ArtF .cN,E 20.Have you ever been arrested, or held by Federal, State, or other law-enftrrcement authorities, for any violation of any Federal, State, County or lvlunicipal law, regulation or ordinance? (Do not include fiaffrc violations, with the exception of any offenses pertaining to alcohol or dnrgs.) All other charges must be included, even if they are dismissed. ( )Yes (pNo ,, If yes, give reason charged or held, date and place where charged and its dispositlon. '{,21. 22.List the name and cther required inforrnation for each person, firm or corporation having any interest in the business. 0K_ ?ut cttot 4frPTyT= 23. If a neW application,.dffach a surveyor?s plat and staie the straight line distance from the property iine of school, church, librry, or public recreation area to the wall of the A.) Church b>o H - C.) School )-ll7 Public R.ecreation YF Do solemnly swear, subject to the,penalties of false answers made by rire as the applicant in the f,orgoing alcoholic beverage application are true. I hereby certifu that qr< f xWe . - - - is personally known to be, that heishe signed hisArer name to the tbregolng application stating to me that he/she knew and understood all statements and answers made herein, and, under administered by me, has swnrn that said statements and answers are This &?t day of ---:, in the ]rear lc FOR OFFICE TJSE ONI,Y I Department I App..,'.,*i'D.ni'Coiiun.:nts *t_..-.-*- The Board oiCommissioners or:. the -:---- dai; of' (Approved, Disapprcved) the forgoing applicat.ir:n. B.) Library Z i4 t',lr D.) State of Georgia; Augusta-Richmond County,I,24. 25. I I --LI List owner or owners of building and property. Recommendaticn Alcohol Inspgqt_ol Administrator Date in the year Public Service Committee Meeting 2/23/2015 1:00 PM Alcohol Application Department:Planning & Development Caption:New Application: A. N. 15 - 06: A request by Ok Pun Kartye for a retail package Liquor, Beer & Wine license to be used in connection with OK Wine & Spirits located at 2811 Tobacco Rd. There will be Sunday Sales. District 4. Super District 9. Background:This is a new location. Analysis:The applicant meets the requirements of the City Of Augusta's Alcohol Ordinance. Financial Impact:The applicant will pay a fee of $4660.00. Alternatives: Recommendation:Planning & Development recommends approval. The RCSO recommends approval. Funds are Available in the Following Accounts: REVIEWED AND APPROVED BY: Finance. Law. Administrator. Clerk of Commission Augusta-Richmonrl C ounty 18l5 Marvin Griffin Road Augusta, GA 30906 ALCOHOL BEVER.AGE AT'PLICATION Year Alcohol Account Number l. 2. aJ. 4. 5. Alcohol Number Name of Business iness Address Applicant Social Security # If Application is a transfer, list previous Applicant: 4o(? LB 4?d-4o3" o.n. 2/q/, <46. 7. 8. 9. 10. Business Location: Map Location Manager(s) W*l"lti:*t"an citizen or Alien lawtully admitted for permanent residency? OWNTERSHIP INFORMATION Corporation (if applicable): Date Chartered: Mailing Address: Name of Bdsiness Attention Address City/StatelZip Ownership Type: Corporate Name: ( ) Partnership (' ) Individual List name and other required information for eaih person having irt"r.rt ip thir b,oin"rr. 15.What type of business will you operate in this location? (,x) Restaurant (,,{ Lounge ( ) Convenience Store( )PackageStore ( )Other: Total License Fee: $ Prorated License Fee: (After July 1 ONLY) $-- familiar wi Augusta-Richmond County laws regard 11. 12. 13. 14. 16.Have you ever applied for an Alcohol Beverage License before: 4" "lf_so, give year of app-lication and its disposition: License Information t7. alcoholic beverages?( )No If so, please initial. 18. Attach a passport-size photograph (front view) taken rvithin two years. Write name on back of the dealer submitting the license application. 19. Has any liquor business in which you hold, or have held, any financial interest, or are employed, or have been employed, ever been cited for any violation of the rules and regulations of Richmond County or the State Reve11rc Commission relating to the sale and distribution of distilled spirits? ( ) Yes |rTNoIf yes, give full details: 20.Have you ever been arrested, or held by Federal, State, or other law-enforcement authorities, for any violation of any Federal, State, County or Municipal law, regulation or ordinance? (Do not include traffic violations, with the exception of any offenses pertaining to alcohol or drugs.).-A{f other charges must be included, even if they are dismissed. ( )Yes UrTNoIf yes, give reason charged -or held, date and place where charged and its disposition. 22. List the name and other required inforrnation for each person, firm or corporation.having any interest in,the business. If a neW applicatiori, dttacha surve,vor?s plat and state the straight line distance liom the properiy iine bf school, church, iil:rary, or public resreation area to the wall of the building where alcohol beverages are sold. C.) School 2t. 23. A.) Church B.) Library D.) 24.State of Georgia, Augusta-Richmond County, I, Do solemnly swear, subject to the,penalties of false swearing, that the s ts and answers made by me as the agplicapt i ic beverage ication are true. icant25. I hereby certifr is perGofially known to be, that he/she signed his/her name to the ication stating to me that he/she knew and understood all statements and answers made herein, and, under oath administered bv me. htnis C/ ?fday'of wom that said statements and answers are true. Public FOR OFFICE IISE ONLY The Board of Commissioners on the --- day of ; (Approved, Disapproved) the forgoing application. /-x Administrator Date in tl-re year Public Service Committee Meeting 2/23/2015 1:00 PM Alcohol Application Department:Planning & Development Caption:New Application: A. N. 15 - 07: A request by Richard Kellogg for an on premise consumption Liquor, Beer & Wine license to be used in connection with The Touch of Class located at 3156 Wrightsboro Rd. There will be Dance. District 2. Super District 9. Background:This is the former location of Cloud Nine Bar & Grill. Analysis:The applicant meets the requirements of the City of Augusta's Alcohol Ordinance. Financial Impact:The applicant will pay a fee of $4781.00. Alternatives: Recommendation:Planning & Development recommends approval. The RCSO recommends approval. Funds are Available in the Following Accounts: REVIEWED AND APPROVED BY: Finance. Law. Administrator. Clerk of Commission Augusta-Richmond County 18l5 Marvin Griffin Road Augusta, GA 30906 ALCOHOL BEVERAGE APPLICATION Year' Alcohol Account Ntrmber l. 2. 3. 4. 5. Alcohol Number Name of Business Business Address Applicant Social Security # If Application is a transfer, list previous Applicant: 6. 7. D.O.B. d?to41414 State Home Phone (?0b ) t0. 8. 9. 11. 12. 13. 14. Business Location: Map & Parcel Zoning Location Manager(s) Is .{,pplicant an American Citizen or Alien lawfully admitted for permanent residency? lyJves ( ) No OWI\iERSIilP INFORMATION Corporation (if applicable): Date Chartered: Attention Address CitylStatelZip Ownership Type: Corporate Name: () List name and other required information for each person having interest in this business. 15. Wllt type of business will you operate in this location? (/)Restaurant ()Lounge ().ConvenienceStore ( )PackageStore ( )Other: Total License Fee: $ Prorated License Fee: (After July I ONLY) $ 16.Have you ever applied for an Alcohol Beverage License before: K' - If so, give y"* of upplication and its disposition: ?OOt - Cmt* l;cnu,tu Mailing Address: Name of Business -11,{ \Lto- G.ral,t\r- 9r.- Augusta-Richmond County laws regardinq the sale of alcoholic beverages? qr) Ves ( ) No lf so, please initial. 4!+- ) Individual Name Position SSNO #Address lnterestInr- t{"^L.^r 1o-Olnlncr F'11 Cavloll,'a$4.qno Il.rlsh, lZi'.\av (n -O,ol.ncr .It9r "T?.'-Y'i-?,'TYl SDYoKyttrrcr&'rAao'l 17. 18.Attach a passport-size photograph (front view) taken rvithin two years. Write name on back of the dealer submitting the license application. If yes, give full details: _ Have you ever been arrested, or held by Federal, State, or other law-enfbrcement authorities, for any vioiation of any Federal, State, County or Municipal law, regulation or ordinance? (Do not include trafric violations, with the exception of any offenses pertaining to alcohol or drugs.) All other charges must be included, even if they are dismissed. ( ) Yes (y-{ No If yes, give reason charged or held, date and place where charged and its disposition. 1 ,..{ 19. 20. Has any liquor business in which you hold, or have held, any financial interest, or are employed, or have been employed, ever been cited for any violation of the iules and regulations of Richmond County or the State ReTenue Comrnission relating to the sale and distribution of distilled spirits? ( ) Yes (lt No 21.List owner or owner! of building and property" t-)at\a,w.r^^ 0^*.rn, 23. 22. a any interest in,the ,business. : If a nerv application,.attach a srerveyol'ts plat and sta'te the straight line distance from the property linerof school, church,library, or- public recreaticn'area to the wall of the A.) Church B.) Library C.) School D.)Public Rbcreation 24. State of Georgi4 Augusta-Richmond County, I, Do solemnly swear, subject to the pehal lse swearing, that the statements and answers made by me hs the applicant in alcoholic beverage application are tnre. I hereby certifu that SignaturetcAD is personally known to be, that he/she signed his/her name to the foregoing application stating to me that helshe knew and understood all statements and answers made herein, and, under oath acfually Nctary Public FOR OTFICE USE ONLY Alcohol trn Sheriff The Board oiCornrnissioners on the -j ,-- day of . (Approved, Disapproved) the forgoing application. 25. ,ddministratcr Date in tt-re year Public Service Committee Meeting 2/23/2015 1:00 PM Alcohol Application Department:Planning & Development Caption:New Application: A. N. 15 - 08: A request by Eric Kinlaw for an on premise consumption Liquor, Beer & Wine license as well as a retail package Beer & Wine to be used in connection with The Hive located 215 Tenth St. There will be Sunday Sales. District 1. Super District 9. Background:This is a new location. Analysis:The applicant meets the requirements of the City of Augusta's Alcohol Ordinance. Financial Impact:The applicant will pay a fee of $7320.00. Alternatives: Recommendation:Planning & Development recommends approval. The RCSO recommends approval. Funds are Available in the Following Accounts: REVIEWED AND APPROVED BY: Finance. Law. Administrator. Clerk of Commission Alcohol Number Name of Business Business Address City Applicant Social Security # If Application is a trqnsfer, list previous Applicant: Augusta-Idchmond C ounty 1815 Ivlarvin Griffin ]load Augusta, GA 30905 ALCOHOL BEVF]RAGE APPLICATIO}\ State efi Year Alcohol Account Number t t-' I 4 q t+o KEt. 2. 3. 4. 5. t-qqo4wl k i.es i,'!^ 6. 7. 8. 9. 10. 13. 14. Business Location: Map & Parcel Zoning Location Manager(s) American Citizen or Alien lawfully admitted for permanent residency? No OWI\ERSIilP INFORMATION Corporation (if applicable): Date Chartered: Mailing Address: Name of Business dfA H0 h4 RRH Pf Attention Address CitylStatelZip Ownership Type:( ) Partnership ( ) tndividual Corporate Name: 9EDJ\ 11L 20 l2- LL?- List name and other required information for each person having interest in this business. 15.What type of business will you operate in this location?( ) Restaurant ( ) Lounge l,fionvenience Store( )PackageStore ( )Other: Total License Fee: $ Prorated License Fee: (After July I ONLY) $ 16.Have you ever applied for an Alcohol Beverage License before:Au If so, give year of application and its disposition: Is Applicant an 1,zf?es ( ) I l. 12. era Name Position SSNO #Address lnterest'l-le*.,^"nl P^Jd C\\sh\ tory-,?rq.hK <<P,-iwgLci',\c | 4!rrsus.,b". rJ .2osr<r 50 \' trle"rqi"Lt Ztal CJ Ui9e"Y -92i,w- c .Cr'-imLooce 5ol, License Information Liquor Beer Wine Dance Sunda'y Sales Retail Packase Dealer L/' Consumption on Premises Wholesale Are you familiar with Georgla and Augusta-Richmond County laws regarding$e sale of alcoholic beverages? (-Yfes ( ) No [f so, please initial. \t'r\17. 18. Attach a passport-size photogrrph (front vievr) taken rvithin two year. Write name on back of the dealer submitting the license application. 19. Has any liquor business in which you hold, or have held, any financial interest, or are etnployed, or have been employed, ever been cited for any violation of the rules and regulations of Richmond County or the State Revenue Commission relating to the sale and distribution of distilled spiriis? ( ) Yes tfuoIf yes, give fulldetails: 20.Have you ever been arrested, or held by Federal, State, or other law-enfbrcement authorities, for any violation of any Federal, State, CounE or Municipal law, regulation or ordinance? (Do not include traffic violations, with ttre exception of any offenses pertaining to alcohol or drugs) All other charges must be included, even if they are dismissed. ( )Yes frN,If yes, give reason charged or held, date and place where charged and its disposition. 2t.List owner or owners of building and property./.t'r . flrJd 22. Ltst tt* **", any interesi in,the business. 73. If a neW application, dfiaeh a surveyor?s plat and state the straight line distance from the property line bf school, church, library, or puirlic resreation area to the wall of the A.) Church B.) Library C.) School D.) Fublic R.ecreation 24.State of Georgia, Augusta-Richmond County,I, Do solemnly swear, subject to the penalties of false swearing, that the staterrLents and answers made by me hs the applicant in the 'forgoing alcoholic beverage application are true. 25. I hereby certif,i that is personally known to be, that he/she signed his/her name to the foregoing application stating to me that helshe knew and understood all statements and answers made herein, and, under oath actually administered by me, has swom that said statements and answers are true. This lf, day of in the year ,la'a"-. Department Approve Comments The Board oiCommissioners on iit*: .--... -.,ja;v of ---- -- .-- -.---, in tlre year (Approved, Disapprcved) the forgoing app[ication. ll f)';dApplicant Signature' Date FOR OF'FICE USE ONLY Adririnistrator Public Service Committee Meeting 2/23/2015 1:00 PM Alcohol Application Department:Planning & Development Caption:New Ownership Application: A. N. 15 - 09: A request by Hemant K. Patel for a retail package Beer & Wine license to be used in connection with Ja Ho Market located at 1770 Kissingbower Rd. Therer will be Sunday Sales. District 2. Super District 9. Background:This is a new ownership application. Formerly in the name of Kirktikaben Patel. Analysis:The applicant meets the requirements of the City of Augusta's Alcohol Ordinance. Financial Impact:The applicant will pay a fee of $1330.00. Alternatives: Recommendation:Planning & Development recommends approval. The RCSO recommends approval. Funds are Available in the Following Accounts: REVIEWED AND APPROVED BY: Finance. Law. Administrator. Clerk of Commission Augusta-Richmond C ounty 1815 Marvin Griffin Road Augusta, GA 30906 ALCOHOL BEVERAGE AFPLICATION Year' _ Alcohol Account Number 1. 2. 3. 4. 5. Alcohol Number Corporate Name: Citylstatelzip t Ownership Type: Q/) Corporation Name of Business Business Phone State Home Applicant Name and Applicant Social Security # D.O.B. If Application is a hqnsfer, list previous Applicant: Busiiress Location: Location Manager(s) ls ,!aplicant an American Citizen or Alien lawfully admitted for permanent residency?\7fv"' ( ) No OWITERSTilP INFORMA Mailing Address: Name of Business Attention Address l,'t/ (fi Business cilv - 6. 7. 8. 9. 10. I l. 12. 13. 14. ( ) Ifrdividual List name and other required information for each person having interest in this business. 15.What type of business will you operate in this location?( ) Restaurant( ) Package Store Total License Fee: $ Prorated License Fee: (After July 1 ONLY) $ ( )Lounge ( )ConvgnienceStoreg7f other: Hdiftt tf n+ / R 2 16. Have you ever applied for an Alcohol Beverage License before: /V0 Sundav Sales Consumption on Premrses 17.Are you familiar with Georyia and Augusta-Richmond Countl'laws alcoholic beverages? (r,fnes ( ) No If so, please init sale of 18.Attach a passport-size photograph (front view) taken rvithin two years. Write name on back of the dealer submitting the license application. 19.Has any liquor business in which you hold, or have held, any financial interest, or are employed, or have been employed, ever been cited for any violation of the rules and regulations of Richmond County or the State Revenue Commission relating to the sale and distribution of distilled spirits? ( ) Yes V1*olf yes, give full details: 20.Have you ever been arrested, or held by Federal, State, or other law-enftrrcement authorities, for any vioiation of any Federal, Siate, County or Municipal law, regulation or ordinance? (Do not include traffic violations, with ttre exception of any offenses pertaining to alcohol or drugsr), All other charges must be included, even if they are dismissed. ( )Yes WNoIf yes, give reason charged br held, date and place where charged and its disposition. List the name and other required information for each person, firm or corporation having any in,the business. 23. If a neW applicatiort, dttach a surveyor?s plat and state the straight line distance from the property tine bf school,. church, library, or public recreation area to the wall of the A.) Church B.) Library C.) School 24.State of Georgia, Augusta-Richmond County,I, Do solemnly sweal, subject to the puralties ng, thaf the statements and answers made by me as the. appli ic beverage application are true. 21. D.)lc 25. n r AppllqpPSigfnahlFe lherebycertiff tnat lWlll\-brUdy is personally knowrr ro be, that he/she signed his/her name to the foregoing application stating to me that he/she knew and understood all statements and answers made herein, and, under oath actually administered by me, has swom that said statements and answers are true.rnis &r'lfiday of .)ayuOvr4 , in the year Qot1 rst owner or ow of building and property FOR OFFICE USE ONLY Recommendation Approve Deny Comrnents Alcohol Insoector Sheriff Fire I The Board oiCommissioners on the day of (Approved, Disapproved) the forgoing application. Administrator Date in the year Public Service Committee Meeting 2/23/2015 1:00 PM Alcohol Application Department:Planning & Development Caption:New Ownership Application: A. N. 15 - 10: A request by Shena Brewer for an on premise consumption Liquor, Beer & Wine license to be used in connection with Wheeler Tavern located at 3664 Wheeler Rd. There will be Dance. District 3. Super District 10. Background:This is a new ownership application. Formerly in the name of George V. Raley. Analysis:The applicant meets the requirements of the City of Augusta's Alcohol Ordinance. Financial Impact:The applicant will pay a fee of $4778.00. Alternatives: Recommendation:Planning & Development recommends approval. The RCSO recommends approval. Funds are Available in the Following Accounts: REVIEWED AND APPROVED BY: Finance. Law. Administrator. Clerk of Commission Alcohol Number Augusta-Richmond County IB i5 Marvin Griffin Road Augusta, GA 30906 AI,COEOL tsE\TERAGE .A.PPLICATION Year _- Alcohol Account Number L Name of Business SUPER EXPRESS IT72. Business Address 13. ciry AUGUST State4. Business phone (.-)5. Applicant Name and Address: 6. 7. 8. 9. r0 Applicanr Social Securiry # If Application is a transfer, f irt p.*Auiappf i.u,,r D.o.B 10/30/7s Business Location, MaiTTIiJ ZoningLocation Manager(s) itJYJi"^'l"l ffitt'"* citizen or AIien lawtullv admitred for permanent reside,cy? ll corporation(ir^ppri.?bffi*:ffi,H"RMArroN12. Mailing Address: NameofBusiness SUpER EXpRESS #7Attention : tr' 13. 14. OwnershipType: (XCo co.porut"Num., 'Gunu oensran, r,r,E nto ( ) Inaividual-- List name and other required tnto ffi Address Cit\t/State/Zip Total License Fee: $ Prorated License Fee: i3**4fi?R?9 --- (After July I ONLY) $ ( ) Restaurant ( ) Lounge fi ) Convenience Store( ) PackageStore ( ) Other: r6.Have you ever applied for an Alcohol Beverage License before:If so' give{'f "t'od$8fl"'ffts*fltb"fJ61t, - YES -_ f"^I:,l riii' * *llh .c:o:gi, ana eu@ 15. What type of business will you operate in this location? alcohotic u.r.rug"ri (l .f.; -"i j"r.i;"'"-^'""'"'lr"#J,1?r:1:ilTTff rr, " 18.Attach a passport-size photograph (front view) taken within two years. Write name on back of the dealer submitting the license application. Has any liquor business in which you hold, or have held, any financial interest, or employed, or have been employed, ever been cited for any violation of the rules regulations of Richmond county or the State Revenue commission relating to the and distribution of distilled spirits? ( ) Yes [ ) No If yes, give tull details: 20.Have you ever been arrested, or held by Federal, State, or other law-enfor..*t authorities, for any violation of any Federal, state, county or Municipal law, regulation or ordinance? (Do not include traffic violations, with the exception of any ofrenses t9. and sale pertaining to alcohol or drugs.) All other charges must be included, even if they aredismissed. (;) Yes / ) No Ifyes, give reas6n charged or held, date and place where charged and its disposition. ' Z c' i \ *-< s',,tf gr. i:lt*'y {.t2 - - 23. 21. 22. List owner or owners of building and properfy. S-r!)2)P t- t?)Tt4 List the name and other required information for each person, firm or corporation havin[ any interest in the business. If a new application, attach a surveyor's plat and state the straight line distance frc,m the theproperty line of school, church, library, or public recreation area to the wall of building where alcohol beverages are sold, A.) Church C.) School Eo solemnly swear, subject to the penalties of false swearing, that answers made by me as the applicant in the forgoing alcoholic true. B.) Library D.) Public Recreation24. State of Georgia, Augusta-Richmond County, I; RITABEN PATEtr--._--- the statements and age application are Applicant Signature25. I hereby certify that RITABEN PATEL is personally known to be, that he/she signed his/her name to the foregoing application stating to me that he/she knew and understood all statements and answers made herein, and, under oath actually administered by me, has sworn that said statements and answers are true.riris I Q -oay of J finug-r q . in the year 3ol-( . NotarYPubtic Columbia Cormty, Cieorgia Connission er6ret June l7' 20irFOR OFFTCE USE ONLY The Board of Commissioners on the - day of (Appioved, Disapproved) the forgoing application. Administrator Date in the year __ Public Service Committee Meeting 2/23/2015 1:00 PM Alcohol Application Department:Planning & Development Caption:New Ownership Application: A. N. 15 - 11: A request by Ritaben Patel for a retail package Beer & Wine License to be used in connection with Super Express #7 located at 1901 Gordon Hwy. District 5. Super District 9. Background:This is a new ownership application. Formerly in the name of Hemaliben Patel. Analysis:The applicant meets the requirements of the City of Augusta's Alcohol Ordinance. Financial Impact:The applicant will pay a fee of $1330.00. Alternatives: Recommendation:Planning & Development recommends approval. The RCSO recommends approval. Funds are Available in the Following Accounts: REVIEWED AND APPROVED BY: Finance. Law. Administrator. Clerk of Commission ;a//- /1// STATE OF GEORGIA AUGUSTA.RICHMOND COUNTY Personally appeared before the undersigned an officer duly authorizedby law to administer trilr; hrst duly sworn, deposed and says on oath as t. I am the applicant and/or hold of an Alcoholic Beverage License from Augusta Richmond Count. The license for which is for an eating establishment known as At least 50% of its total annual gross food and Beverage sales are from the sale of prepared meals or food. This affrdavit is made for the pu{pose of being used by Augusta Richmond County, Georgia to authorize the sale of distilled spirits, malt beverages, or wine, for consumption only, on the premise of said establishment, on Sundays between the hours of 12:30 P.M. and 2:00 A.M. Sworn and subscrilpd .{.\ Before me this O#auv of __!_(I4_.1011 No tary Pu'" *m%5*Hl&H,ffi1$S,ilYb:ff{H" NOTICE: The above affidavit is given under oath. Any person convicted of false swearing shall be punished by a fine of not more than $1,000.00 or by imprisonment for not less than one or more than five years, or both under Georgia Law. The Augusta-Richmond County Wine, Beer and Whiskey regulations provides the follow: "any untrue or misleading information contained in, or material omission left out of an original, renewal or transfer application for a license here under shall be cause for the denial thereof, and if any license has been granted under such circumstances, same shall be subject to Revocation. I am applying for and/or hold, 1J. 4. -ffi{5*HleH,ffil}:s,ilYa:rg" Public Service Committee Meeting 2/23/2015 1:00 PM Alcohol Application Department:Planning & Development Caption:Discussion: A request by Henry Todd Schafer for a Sunday Sales license to be used in connection with Abel Brown located at 491 Highland Ave Ste B. There will be Sunday Sales. District 7. Super District 10. Background:This is a new request. Analysis:The applicant meets the requirements of the City of Augusta's Alcohol Ordinance Financial Impact:The applicant will pay a fee of $1330.00. Alternatives: Recommendation:Planning & Development recommends approval. The RCSO recommends approval. Funds are Available in the Following Accounts: REVIEWED AND APPROVED BY: Finance. Law. Administrator. Clerk of Commission Jan, 6, 2015 5:02PM surrev center pharmacv I N0,3242 P, 2 itz/3* 9rz 3. 4 STATE OF GEORGIA AUGUSTA-RICHMOND C OUNTY an officer duly authorized by law to administer first duly sworn, deposed and says on oath as 1. I am the applicant aud/sr hold of an Alcoholic Beverage License from Augusta Richmond Count. 2. The license folw[iqhlam applying for and/or hold, is for ur eating establishmeut known as At least 50% ofits total annual gross food and Beverage sales are from the sale ofprepared meals or food. This affidavit is made for the purpose of being used by Augr:sta Richmond County, Georgia to authorize the sale of distilled spirits, rnalt beverages, or wine, for consumption only, on lhepremise of said establishment, on Sr:odays betvveen the hours of 12:30 P.M. and 2:00 A.M. Swom and subscribed Beforemethis 6 daVof $,urrrr*t ,2019 Notary Public NOTICE: The above afEdavit is given of fslse swearing shallbe punished by a fine of not more than $1,000.00 or by impdsonment for not less than one or more than five years, or bottr uuder Georgia Law. The Augusa-Richmond County Wine, Beer and Whiskey regulations provides the follow: "any uttrue or misleading information contained in, or material omission left out of an original, renewal or transfer application for a license here under shall be cause for the deuial thereof, and if any license has been grantcd under such cilsrrmshgqes, satne shall be subject to Revocation. Public Service Committee Meeting 2/23/2015 1:00 PM Alcohol Application Department:Planning & Development Caption:Discussion: A request by Faulkner Warlick for a Sunday Sales license to be used in connection with Finch & Fifth located at 379 Highland Ave. There will be Sunday Sales. District 7. Super District 10. Background:This is a new request. Analysis:The applicant meets the requirements of the City of Augusta's Alcohol Ordinance. Financial Impact:The applicant will pay a fee of $1330.00. Alternatives: Recommendation:Planning & Development recommends approval. The RCSO recommends approval. Funds are Available in the Following Accounts: REVIEWED AND APPROVED BY: Finance. Law. Administrator. Clerk of Commission fi!>T>.Df c n cxo(o "(o*EEP5:J ox ii 9jor: N,uo?l:6ro e )rY-o 3i'No oN,'. (O ){=J O..J;P N^ oo x-N={:)6<.t- r36ry9aaoou^!v o =3o !P ad=- (, ro6o: aO:olti 3-58 -o6ffr> _oU=95',f(o-DP o o o3!=a ID L oo -{o o =:E.o:ocziofooYc9nUt$82-*fllo'= g,\zo B-o +*oD-E xznmmAJ@-:Inx=o a6z e ,Dh a D:O TEqd5908P8o '*. d' or' Q lt- o{ o334O{ u =3 p o6Qo-ao99.Orf6Qti9P dA i r) 2) 5) 6) Full Name of Applicant: Home Address: AUGUS'I'A ruCHMUNI.l CUUN'I Y PERSONNEL STATEMENT 1815 MARVIN GRIFFIN ROAD AUGUSTA GA 30906 or GED: V.r{No L(\/D r Tou.J \ llf+ AXt3 -DateofBirth:&A:3) retephone #, -l DloL{bl bLDD,SS#: '- r -- -r-- High SchoolDiploma: Yes l/No 4) Trade name of Business of which personnel statement is a part of: e)Place of Birth: Naturalized: Business Address: Business Telephone: 7) Positionof ApplicantinBusiness: O( ^ fS-f- use by applicant:names used in former marriages, alias, stagename, and or nickn:'qes Date, Place and Court: (L, Citizen()yes ( )no Certification No: l0) Martial Status: (ffirried ()Divorced ( ) Separated( ) Widowed ( ) Single( ) l1) If manied, divorced, gn rri Full name of spouse:JC hfiQJ I 2) Applicants: Height:Weight: Color Hair: Give most recent Fffi#FES$I#ftI &t LICEfiISIh*G fif;ORGIA SECRETARY OF 5T'ATF SftiAru F. KEMP Licensee Details Licensee Information : ilhrya Renee Little otrnen 6070 ReynoHs Cirde Grovetoun GA30E13 him anv Source Lieense Inform ation #: MfO1o288 ProEadont +fm; rvpe: iliassage Therapist SecondarY: Acfive lssued: 1l'1312015 Erpiresi $13112016 Renewal Da!e: : Application [filrrro* Associated Licenses t$hfonration Public Board Orders see sec{lon Board Orders OtherDocuments Other Docurents Data curent as d January 14,2O1511:N:2. This uebsite is to be used as a prinnry sour@ vertftcation for licenses issued by tre Professional Liensing Boards. Paper rrerifications are available for a fee. Pbase contact the Professional Licensing Boards at 47&207.2.4y'i0. Oeeulmtional Tax Cerfifteate Date Issued ut6t20ts Nrmber 5773 Marva's Rela;ing Bodywork HOME OCCI]PATION LICENSE 6070 Reynolds Circle IVlarva's Rel a:ring Bodywork 6070 Reynolds Circle Grovetown, GA 30813 yt5t2ol5 Date Expires 12BlD,015 Issued to: Classification Type: Physical Location: Mailing Address:NOTFYIHSOFFICE G ANV q{ANGE N LOCAIIoD.I OR OWI.IERSHIP Year Established: THE ABOVE |.IAMED lS At THORIED TO D O BUSI I.IESS I N THE CIIY OF GROI/EIOWI{ AtlD oPROVrSr0i6 ALTCITYORDNAI.ICES. NON.TRANSTERRABLE COMMERCIAL BUSINESS MUST POST IN A CONSPICUOUS PLACE NON-FDGD LOCATION IVIUST KEEP IN POSSESSION I Public Service Committee Meeting 2/23/2015 1:00 PM Therapeutic Massage Operators License Department:Planning & Development Caption:Discussion: A request by Marva Renee Little for a Therapeutic Massage Operators License to be used in connection with Marva's Relaxing Bodywork located at 6070 Reynolds Circle, Grovetown, Ga 30813. (massage outcall) District 1 thru 8. Super District 9 & 10. Background:This is a license for therapeutic massage done on a outcall basis. Analysis:The applicant meets the requirements of the City of Augusta's Ordinance regulating Therapeutic Massage Financial Impact:The applicant will pay a fee of $140.00. Alternatives: Recommendation:Planning & Development recommends approval. The RCSO recommends approval. Funds are Available in the Following Accounts: REVIEWED AND APPROVED BY: Finance. Law. Administrator. Clerk of Commission Public Service Committee Meeting 2/23/2015 1:00 PM Alcohol License Hearing Department:Planning & Development Caption:Discussion: A request by the RCSO for a hearing to consider the possible Probation, Suspension or Revocation of the alcohol license and business license held by Ralph H. Dillman Jr for Ralph's Five Pines Lounge, Inc. located at 2301 Gordon Hwy for violating the controlled substance law. District 3. Super District 10. (Referred from February 9 Public Services Committee) Background:A large quanity of marijuana was found inside the location and management nor ownership can or will explain how it got there. Analysis:This would be a violation of the City of Augusta's Alcohol Ordinance. Financial Impact:none Alternatives: Recommendation:Planning & Development recommends revocation. The RCSO recommends revocation. Funds are Available in the Following Accounts: REVIEWED AND APPROVED BY: Public Service Committee Meeting 2/23/2015 1:00 PM Minutes Department:Clerk of Commission Caption:Motion to approve the minutes of the Public Services Committee held on February 9, 2015. Background: Analysis: Financial Impact: Alternatives: Recommendation: Funds are Available in the Following Accounts: REVIEWED AND APPROVED BY: