Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? |
Existing
|
Facility Information
| Name of Facility |
Chipotle Mexican Grill #3996
|
| Facility Contact Name |
Licensing
|
| Facility Contact Phone Number |
+16143187478
|
| Facility Physical Address |
8483 Holcomb Bridge Rd
|
| Facility Suite Number |
STE A
|
| Facility Contact Email Address |
[email protected]
|
| Is Facility Mailing Address the same as above? |
Yes
|
Owner / Corporate Information
| Owner / Corporation Name |
Chipotle Mexican Grill of Colorado, LLC.
|
| Owner Contact Name |
Licensing
|
| Owner Contact Telephone |
---
|
| Owner Address |
---
|
Commercial Waste Pretreatment System
| Trap Type |
Grease Trap
|
| Pumping Frequency |
Quarterly
|
| Location |
Exterior
|
| Type of System(s) |
1000 Gal
|
| Number of Systems |
1
|
Tank Capacity
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. |
|
| Are your water and sewer provided by same jurisdiction? |
Yes, same jurisdiction
|
Utilities Jurisdiction
| Water & Sewer Jurisdiction |
Johns Creek
|
Waste Removal
| Do you use a Commercial Waste Transporter Service? |
Yes
|
| Do you use a Grease/Waste Oil Recycle Company? |
Yes
|
Commercial Waste Transporter Service
| Company Name |
Rubicon
|
| F.O.G. Permit Number |
1
|
| Company Contact Name |
Edward Murray
|
| Company Address |
PO Box 182566, Columbus OH 43218-2566
|
| Company Telephone Number |
+17322753373
|
Grease / Waste Oil Recycle Company
| Company Name |
Rubicon
|
| Company Contact Name |
Edward Murray
|
| Company Address |
PO Box 182566, Columbus OH 43218-2566
|
| Company Telephone Number |
+17322753373
|
| How often is recycled grease / oil waste removed? |
Quarterly
|
| Container Capacity |
1000 Gal
|
Plans Uploads
Certification
Certification
| Full Name |
Calvin Watkins
|
| Certification |
Yes
|
Verification & Permit Fee Calculation
Fee Calculation
| How many subsurface system (exterior) tanks does the facility have? |
1-5 ($250)
|
| How many Manual (interior) 10-100 pound units does the facility have? |
0
|
| How many Automatic Grease Recovery 20-35 GPM units does the facility have? |
0
|
| Is the payment for the current year permit considered late? (NEW and RENEWALS: If today's date is prior to May 31, 2023, the answer should be no. If today's date is after May 31, 2023 the answer should be yes) |
No
|
| Please enter how many years permit has been unpaid in the past (please enter 0 for none) (RENEWALS ONLY): |
0
|
