The URL can be used to link to this page

Home My WebLink AboutNCG160081_Blythe Construction Contacts Update Email and DOSA Form_20230314Blythe Construction, Inc. Owner Contact Facility Contact Permit Contact Billing Contact Delegated Signatory Delegated Signatory Arrowood NCGI60081 Allen Hendricks Ryan Ohara Greg Davis Greg Davis Greg Davis Tim Mitchell Plant Vice President Plant Foreman ENV Manager ENV Manager ENV Manager Plant Manager 12610 Nation Ford Rd 2911 N Graham Street 12610 Nation Ford Rd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 2911 N Graham Street Pineville, NC 28134 Charlotte, NC 28206 Pineville, NC 28134 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28206 704 588 0266 704 375 9474 704 588 0266 980 286 4287 980 286 4287 980 286 4287 704 375 9474 allen.hendricks@blvtheconstruction.com roan.ohara2blvtheconstructionsom gree.davis2blvtheconstructionsom tree.davis2blvtheconstructio- gree.davis2blvtheconstruction.com timothy.mitchell2blvtheconstruction.com Owner Contact Facility Contact Permit Contact Billing Contact Delegated Signatory Delegated Signatory Kings Mountain NCGI60167 Allen Hendricks Nathan Harrison Greg Davis Greg Davis Greg Davis Tim Mitchell Plant Vice President Plant Foreman ENV Manager ENV Manager ENV Manager Plant Manager 208 Quarry Rd 2911 N Graham Street 208 Quarry Rd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 2911 N Graham Street Kings Mountain, NC 28086 Charlotte, NC 28206 Kings Mountain, NC 28086 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28206 704 739 2344 704 375 9474 704 739 2344 980 286 4287 980 286 4287 980 286 4287 704 375 9474 allen.hendricks@blytheconstruction.com nathan.harrison@blvtheconstruction.com gree.davis2blvtheconstruction.<om gree.davis2blvtheconstructio- gree.davis2blvtheconstruction.com timothy.mitchelltablvtheconstruction.com Owner Contact Facility Contact Permit Contact Billing Contact Delegated Signatory Delegated Signatory Garner NCGI60082 Allen Hendricks Scott Sebastian Greg Davis Greg Davis Greg Davis Tim Mitchell Plant Vice President Plant Foreman ENV Manager ENV Manager ENV Manager Plant Manager 1201 East Garner Rd 2911 N Graham Street 1201 East Garner Rd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 2911 N Graham Street Garner, NC 27529 Charlotte, NC 28206 Garner, NC 27529 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28206 919 772 6366 704 375 9474 919 772 6366 980 286 4287 980 286 4287 980 286 4287 704 375 9474 allen.hendricks@blytheconstruction.com scott.sebastian@blvtheconstruction.com gree.davis2blvtheconstruction.<om gree.davis2blvtheconstructio- gree.davis2blvtheconstruction.com timothy.mitchell2blvtheconstruction.com Owner Contact Facility Contact Permit Contact Billing Contact Delegated Signatory Delegated Signatory Greensboro NCGI60072 Allen Hendricks Clarence Pierce Greg Davis Greg Davis Greg Davis Tim Mitchell Plant Vice President Plant Foreman ENV Manager ENV Manager ENV Manager Plant Manager 2083 Bishop Rd 2911 N Graham Street 2083 Bishop Rd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 2911 N Graham Street Greensboro, NC 27406 Charlotte, NC 28206 Greensboro, NC 27406 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28206 336 854 9003 704 375 9474 336 854 9003 980 286 4287 980 286 4287 980 286 4287 7D4 375 8474 allen.hendricks@blytheconstruction.com clarence.pieme2blvtheconstruction.com gree.davis2blytheconstruction.com gree.davis26lvthecpnstruction.<om gree.davis2blvtheconstruction.com timothy.mitchell2blvtheconstruction.com Owner Contact Facility Contact Permit Contact Billing Contact Delegated Signatory Delegated Signatory West Raleigh NCGI60085 Allen Hendricks Johnny Williams Greg Davis Greg Davis Greg Davis Tim Mitchell Plant Vice President Plant Foreman ENV Manager ENV Manager ENV Manager Plant Manager 5801 Chapel Hill Rd 2911 N Graham Street 5801 Chapel Hill Rd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 2911 N Graham Street Raleigh, NC 27607 Charlotte, NC 28206 Raleigh, NC 27607 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28206 919 8511376 704 375 9474 919 8511376 980 286 4287 980 286 4287 980 286 4287 704 375 9474 allen.hendricks@blvtheconstruction.com iohnny.williams@blvtheconstruction.com gree.davis2blvtheconstruction.com gree.davis2blvtheconstructio- gree.davis2blvtheconstruction.com timothy.mitchelltablvtheconstruction.com Owner Contact Facility Contact Permit Contact Billing Contact Delegated Signatory Delegated Signatory Gresham Lake NCGI60080 Allen Hendricks James Backus Greg Davis Greg Davis Greg Davis Tim Mitchell Plant Vice President Plant Foreman ENV Manager ENV Manager ENV Manager Plant Manager 3010 Gresham Lake Rd 2911 N Graham Street 3010 Gresham Lake Rd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 2911 N Graham Street Raleigh, NC 27615 Charlotte, NC 28206 Raleigh, INC 27615 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28206 704 739 2344 704 375 9474 704 739 2344 980 286 4287 980 286 4287 980 286 4287 7D4 375 8474 allen.hendricks2blytheconstruction.com iamie.backus@blvtheconstruction.com gree.davis@blvtheconstruction.com gree.davis2blvtheconstruction.com gree.davis2blvtheconstruction.<om timothy.mitchell2blvtheconstruction.com Owner Contact Facility Contact Permit Contact Billing Contact Delegated Signatory Delegated Signatory Concord NCG160117 Allen Hendricks Cedric Feely Greg Davis Greg Davis Greg Davis Tim Mitchell Plant Vice President Plant Foreman ENV Manager ENV Manager ENV Manager Plant Manager 7450 Poplar Tent Rd 2911 N Graham Street 7450 Poplar Tent Rd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 2911 N Graham Street Concord, NC 28027 Charlotte, NC 28206 Concord, NC 28027 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28206 704 788 9733 704 375 9474 704 788 9733 980 286 4287 980 286 4287 980 286 4287 7D4 375 8474 allen.hendricks@blytheconstruction.com cedric.feelv2blvtheconstruction.com gree.davis2blvtheconstruction.com gree.davis2blvtheconstruction.com gree.davis2blvtheconstruction.com timothy.mitchell2blvtheconstruction.com Owner Contact Facility Contact Permit Contact Billing Contact Delegated Signatory Delegated Signatory East Charlotte NCG160040 Allen Hendricks Paul Helms Greg Davis Greg Davis Greg Davis Tim Mitchell Plant Vice President Plant Foreman ENV Manager ENV Manager ENV Manager Plant Manager 1021 Sam Newell Rd 2911 N Graham Street 1021 Sam Newell Rd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 2911 N Graham Street Matthews, NC 28105 Charlotte, NC 28206 Matthews, NC 28105 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28206 704 9414444 704 375 9474 704 9414444 980 286 4287 980 286 4287 980 286 4287 704 375 9474 allen.hendricks@blvtheconstruction.com Paul.helms2blvtheconstruction.com gree.davis2blvtheconstruction.com gree.davis2blvtheconstructio- gree.davis2blvtheconstruction.com timothy.mitchelltablvtheconstruction.com Owner Contact Facility Contact Permit Contact Billing Contact Delegated Signatory Delegated Signatory North Charlotte NCG160034 Allen Hendricks Darrell Thomas Greg Davis Greg Davis Greg Davis Tim Mitchell Plant Vice President Plant Foreman ENV Manager ENV Manager ENV Manager Plant Manager 11333 Reames Rd 2911 N Graham Street 11333 Reames Rd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 2911 N Graham Street Charlotte, NC 28269 Charlotte, NC 28206 Charlotte, NC 28269 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28206 704 596 2319 704 375 9474 704 596 2319 980 286 4287 980 286 4287 980 286 4287 704 375 9474 allen.hendricksCDblvtheconstruction.com Jarrell.thomas@blvtheconstruction.com tree.davis@blvtheconstruction.com gree.davis@blvtheconstruction.com tree.davis@blvtheconstruction.com timothy.mitchell@blvtheconstruction.com Owner Contact Facility Contact Permit Contact Billing Contact Delegated Signatory Delegated Signatory Lake Norman NCG160116 Allen Hendricks Paul Toppings Greg Davis Greg Davis Greg Davis Tim Mitchell Plant Vice President Plant Foreman ENV Manager ENV Manager ENV Manager Plant Manager 6947 Quarry Lane 2911 N Graham Street 6947 Quarry Lane 8205 Wilkinson Blvd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 2911 N Graham Street Stanley, NC 28164 Charlotte, NC 28206 Stanley, NC 28164 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28206 704 827 0068 704 375 8474 704 827 0068 980 286 4287 980 286 4287 980 286 4287 704 375 8474 allen.hendricks@blvtheconstructioo.com oauLt000ings@blvtheconstruction.com gree.davis@blvtheconstruction.com gree.davis@blvtheconstructio— gree.davis@blvtheconstruction.com timothy.mitchell@blvtheconstruction.com Owner Contact Facility Contact Permit Contact Billing Contact Delegated Signatory Delegated Signatory BCI NCG160210 Allen Hendricks Larry Davis Greg Davis Greg Davis Greg Davis Tim Mitchell Emulsion Plant Vice President Plant Foreman ENV Manager ENV Manager ENV Manager Plant Manager 1131 Attando 2911 N Graham Street 1131 Attando 8205 Wilkinson Blvd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 2911 N Graham Street Charlotte, NC 28206 Charlotte, NC 28206 Charlotte, NC 28206 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28206 704 334 5014 704 375 8474 704 334 5014 980 286 4287 980 286 4287 980 286 4287 704 375 8474 allen.hendricks@blytheconstruction.com larrv.davis@bcimaterials.com gree.davis@blvtheconstructio— gree.davis@blvtheconstruction.com gree.davis@blvtheconstruction.com timothy.mitchell@blvtheconstruction.com Owner Contact Facility Contact Permit Contact Billing Contact Delegated Signatory Delegated Signatory Wilkinson NCG080720 Allen Hendricks Lance Hanna Greg Davis Greg Davis Greg Davis Tim Mitchell Shop Vice President Plant Foreman ENV Manager ENV Manager ENV Manager Plant Manager 8205 Wilkinson Blvd 2911 N Graham Street 441 Upper Lake Rd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 8205 Wilkinson Blvd 2911 N Graham Street Charlotte, NC 28214 Charlotte, NC 28206 Thomasville, NC 27293 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28214 Charlotte, NC 28206 704 394 8354 704 375 8474 704 394 8354 980 286 4287 980 286 4287 980 286 4287 7D4 375 8474 allen.hendricks@blvtheconstruction.com lance.hanna@blvtheconstruction.com gree.davis@blvtheconstruction.com gree.davis@blytheconstruction.com gree.davis@blvtheconstruction— timothy.mitchell@ blvtheconstruction.com ROY COOPER Governor ELIZABETH S. BISER Secretary DOUGLAS R. ANSEL Interim Director NORTH CAROLINA Environmental Quality Stormwater Delegation of Signature Authority Form (DOSA) This form shall be used to delegate signature authority from the permit Owner (Permittee) to another party. Only the Responsible Official defined below may submit permit applications and reports required by the permit (such as Data Monitoring Reports and Annual Reports) until this form is completed and submitted to the DEMLR Stormwater Program. Please note that delegating signature authority does not relieve the Permit Owner from the responsibility and compliance for permit compliance. Permit Owner: The legal entity to which/whom a permit has been issued and may be an individual or an organization such as a company or government agency. Every Owner is required to have a Responsible Official who meets the legal signature authority requirements in 40 CFR 122.22, summarized below: • For a corporation, the Responsible Official shall be a president, secretary, treasurer, or vice president in charge of a principal business function, or another individual who performs similar functions for the corporation, or the manager of one or more manufacturing, production, or operating facilities who is authorized to make management decisions about the facility operation. • For a partnership or sole proprietorship, the Responsible Official shall be a general partner or the proprietor, respectively; or • For a municipality, State, Federal, or other public agency, the Responsible Official shall be either a principal executive officer [City/County Manager] or ranking elected official [Mayor]. Please mail the DOSA Form with original wet signatures to: NCDEMLR Stormwater Program, 1612 MSC, Raleigh, NC 2 7699 -1612 Name of Organizational Entity Blythe Construction, Inc Responsible Official Name Allen Hendricks Responsible Official Title: Vice President Email Address: alien.hendricks@blytheconstructi n Phone 704 375 8474 MailingAddress 2911 North Graham St City Charlotte State NC Zip code 28206 aE North Carolina Department of Environmental Quality j Division of Energy, Mineral and Land Resources 512 North Salisbury Street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612 NORTH CAROLINA Q �j D"rlment of Environmental Quality /`� 919.707.9200 A. Persons to Receive Signature Authority The signatures of the persons listed below indicates their acceptance of signatory authority. Attach additional pages if you need more space. Delegated Party Name Greg Davis Delegated Party Title Environmental Manager PermitNumber(s) NCG160000, NCGO80000 Email Address: greg.davis@blytheconstruction.com Phone 980 286 4287 MailingAddress 8205 Wilkinson Blvd city Charlotte State NC Zip code 28214 Signature of Delegated Party indicating acceptance of Signatory Authority: —� Date Delegated Party Name Timothy Mitchell Delegated Party Title Plant Manager PermitNumber(s) NCG160000, NCG080000 Email Address: timothy. mitch elI@blytheconstruction.c phone 704 375 8474 MailingAddress 2911 North Graham St city Charlotte State NC Zip code 28214 Signature of Delegated Party indicating acceptance of Signatory Authority: Date Delegated Party Name Delegated Party Title Permit Number(s) Email Address: Phone MailingAddress city State Zip code Signature of Delegated Party indicating acceptance of Signatory Authority: Date Stormwater Permit Delegation of Signatory Authority Form Page 2 B. Responsible Official Signature The Responsible Official, as identified in accordance with 40 CFR 122.22, is the appropriate individual with the authority to sign and submit reports for the organization. As the Responsible Official, I, Allen Hendricks have the authority to enter into this Agreement for Blythe Construction, Inc (printed name), (Owner/Organization Name). I request that the DEMLR Stormwater Program include the persons listed in Part A of this form signatory authority for the above -named permit. I acknowledge that I, and the persons listed in Part A of this form work at/for my organization and have authority to act as a signatory for purposes of the NCDEQ's electronic document systems. By submitting this application, I, Allen Hendricks (printed name), have read, understand, and accept the terms and conditions of the stormwater permit(s) for which I am the Responsible Official. Responsib e Official Signature Vice President Title 3113 ;t Date Stormwater Permit Delegation of Signatory Authority Form Page 3 Tran, Kieu M From: DAVIS Greg <greg.davis@blytheconstruction.com> Sent: Tuesday, March 14, 2023 9:25 AM To: Tran, Kieu M Subject: RE: [External] Blythe Construction Contacts Attachments: SW Contacts.xlsx; Delegation Authority 230314.pdf Follow Up Flag: Follow up Flag Status: Flagged CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam. Ms. Tran, Please find attached the Blythe Construction contact list and Delegation Authority. The Delegation Authority is signed by Allen Hendricks, Vice President. Mr. Fredrick O'Dea is a company Vice President in Florida while Mr. Hendricks is here in Charlotte. Please reply when these are updated and I will continue on the 6 step process. If you have any questions, please call me at 980 286 4287. 1 will be in and out of the office this week. Thank you, G reg Greg Davis Environmental Blythe Construction Inc. 8205 Wilkinson Blvd. Charlotte, NC 28214 (P) 704-395-3264 (F) 704-394-5354 (M) (980) 286-4287 Rreg.davis@blvtheconstruction.com ECM From: Tran, Kieu M <kieu.tran@ncdenr.gov> Sent: Monday, March 6, 2023 3:44 PM To: DAVIS Greg <greg.davis@blytheconstruction.com> Subject: RE: [External] Blythe Construction Contacts [VIGILANCE]: courriel externe I external e-mail I correo electronico externo. 1 Hi Greg, If its just permit contact, facility contact, and/or owner contact, then I'll take the spreadsheet. If its an owner change (legally responsible person) or delegation of authority, then I'll need the actual forms. Hope that helps, Mrs. Kieu Tran Stormwater Program Environmental Specialist Office: (919) 707- 3640 Kieu. Tran @ncdenr.gov North Carolina Department of Environmental Quality Division of Energy, Mineral, and Land Resources Stormwater Program 512 N. Salisbury Street, Raleigh, NC 27604 (location) 1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing) Website: http://deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwater -.-DE Deparlmmi of Envi�o nwhUl Oualdy Email correspondence to and from this address is subject to the North Carolina Public Records Lava and may be disclosed to third parties. From: Georgoulias, Bethany<bethany.georgoulias@ncdenr.gov> Sent: Monday, March 6, 2023 3:37 PM To: DAVIS Greg<greg.davis@blvtheconstruction.com>; Tran, Kieu M <kieu.tran@ncdenr.gov> Subject: RE: [External] Blythe Construction Contacts Mr. Davis, I'm going to forward your question to Kieu Tran who normally processed these. She is transitioning into a new role but working with our staff who is learning permit contact update tasks. Best regards, Bethany Georgoulias (she/her) Environmental Engineer, Stormwater Program DEMLR Laserfiche Administrator Division of Energy, Mineral, and Land Resources N.C. Department of Environmental Quality 919 707 3641 office bethany.georgoulias@ncdenr.gov 512 N. Salisbury Street, Raleigh, NC 27604 (location) 1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing) Website: http://deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwater E N[f iTN CaF'w o■p�rtrrRnl ■1 Ew.karxnan■1 au■llq Email correspondence toand from this address is subject to the hlarth Carolina Public Records Law and may be disclosed to third parties_ From: DAVIS Greg <greg.davis@blvtheconstruction.com> Sent: Monday, March 6, 2023 3:08 PM To: Georgoulias, Bethany<bethany.georgoulias@ncdenr.gov> Subject: [External] Blythe Construction Contacts CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam. Ms. Georgoulias, I am trying to get registered into eDMR. I just reviewed our permit summaries (12). Quite a few contact changes are needed. Would you accept a spreadsheet with contacts? I think it would make the contacts consistent. We will also work on the delegation authority for all 12 permits too. Thank you, Greg Davis Environmental Blythe Construction Inc. 8205 Wilkinson Blvd. Charlotte, NC 28214 (P) 704-395-3264 (F) 704-394-5354 (M) (980) 286-4287 greg.davis@blvtheconstruction.com