HomeMy WebLinkAbout58111 461-073-23007 073 12-09-2022 CORR CCK VAP FEE RECEIPT ALABAMA
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
(334) 271 -7700 1400 Coliseum Blvd . Montgomery, AL 36110
mailing address : Post Office Box 301463 , Montgomery, AL 36130- 1463
Your transaction is complete.
Please PRINT the receipt below for your records.
Receipt Confirmation Page
ADEM requires that when you pay online, you MUST print out the confirmation information and submit it as proof of payment with your
permit application or any other correspondence requiring proof of payment.
Payment Summary
Payment Item Fee
Online Payment - 12/09/2022 14 23 46 $5,060 00
Total Fee through Alabama.gov (more In $5,211.80
Receipt Confirmation Number: 20221209000013954
General Invoice Information
Choose the type of payment you are making: 6570-OTHER FEES (Must Enter Description of Other Fees)
Description of Other Fees: Voluntary Cleanup Program Application fee
Additional Information/Fee Description: 9849 Parkway East, Birmingham, AL 35215
Number on your ADEM invoice:
Date on your ADEM invoice:
Contact Information
Company/Facility or Individual Name: AD Birmingham 4 LLC
Facility Pennit Number (if applicable):
Company or Facility Phone:
Contact Person: Christine Kim
Contact Phone: 917A34-6625
Contact email address: ckim@americandeli.com
Name of an ADEM Program Staff Member (if known):
Policy Related Questions: 334-271-7700
Application Support: 866-353-3468 or suppod(a)alabamainleractive om