Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? |
New
|
Facility Information
| Name of Facility |
Chipotle Mexican Grill # 4492
|
| Facility Contact Name |
Chipotle Licensing
|
| Facility Contact Phone Number |
+16143187478
|
| Facility Physical Address |
5823 Campbellton Rd SW, Atlanta GA 30331-8046
|
| Facility Contact Email Address |
[email protected]
|
| Is Facility Mailing Address the same as above? |
No
|
Facility Mailing Address
| Facility Mailing Address |
PO Box 182566, Columbus OH 43218-2566
|
| Facility Mailing Email Address |
[email protected]
|
Existing Permit
| Has anything changed since last year? (Enter N/A or no if no changes to owner, systems, etc.) |
No
|
Owner / Corporate Information
| Owner / Corporation Name |
Chipotle Mexican Grill of Colorado, LLC.
|
| Owner Contact Name |
Chipotle Licensing
|
| 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 |
1000-1500
|
| Do you have a second 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) |
Mexican 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 |
South Fulton
|
Multiple Utilities Jurisdictions
| Water Jurisdiction |
South Fulton
|
Commercial Waste Transporter Service (Pumper)
| Company Name |
Apex Environmental Services
|
| F.O.G. Permit Number |
017
|
| Company Contact Name |
[email protected]
|
| 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
|
Maintenance Letter (Exterior 3 months)
Service Agreement
Certification
Certification
| Full Name |
Tim Luskin
|
| 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? (RENEWALS ONLY: If today's date is prior to May 31, 2024, the answer should be no. If today's date is after May 31, 2023 the answer should be yes) |
Yes (25% late fee will apply)
|
| Please enter how many years permit has been unpaid in the past (please enter 0 for none) (RENEWALS ONLY): |
1
|
| Notes |
|
