PROPERTY SUMMARY

 

Date: 11/26/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: November 

Property Address: 4215 Davenport St 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: None 

A.2 Issues Resolved: Re-Seed will occur in November on any dead spots to encourage spring growth. 

A.3 Unique Findings: 

A.4 Other Relevant Information: Bushes in Fl denied access - 496 @ scrape 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl - 78 @ 8" 

El - 29 @ scrape 

B2 - 61 @ 6" 

ATTACHMENTS 

1) Property sketch provided by EPA pursuant to contract specifications 

2) Signed Access Agreement including access agreements required for crossing other properties 

3) Pre-Excavation digital video clip/photographs 

4) Post-Excavation digital video clip/photographs 

5) Documentation - Completed Close-out Checklist 

6) As-Built sketch ­

i) Shall include final lead levels v) Legend 

ii) Contamination left behind areas vi) Contractor identification 

iii) Property address vii) Date 

iv) BVID number 

7) Other items to be included in the individual property file, if available, or obtained include: 

i) Pre-excavation agreement details (if any are made with the property owner) 

ii) Excavation digital video in MPEG, WMV (Windows Media Video) or SWF (Flash Player) format and/or 

photographs 

iii) Signed form verifying satisfactory restoration 

iv) Description of areas not meeting Interim ROD cleanup criteria. 

40285822 

HNOLOCIES, INC. Illllllll 

Superfund 
o? 

23182 

Omaha Lead Site 46130

 


23182 

Omaha Leaa site Exterior Paint Owner Name: GREGORY L SCHANEMAN Sit Good e Sketch Address: 4215 DAVENPORT ST Poor 

ot Paint 

Lead Sample Samples Collected Sample Number 

Concentration Collected Firm: A£ t

 

RYASCPXA-23182 Date: IO I\ I

 

RYBSCPXA-23182 

RYCSCPXA-23182 

Samples Analyzed RYDSCPXA-23182

 

RDZSCPXA-23182 XRF Unit: & ^'2

- Book: 

,1 iff 

RPZSCPXA.2318? 

Number of Samples = 

NTERE5D 

OCT n 5 2004 

Omaha Lead Site 46130 
vvr- «„ Agreemfl^tto a How a ccess to (T ^7 ^MMMMMT 

• 3.' dOfe v the properly in order to conduct 

Site Remedial £ \^B?/f * environmental sampling and to 

Action vdiwtfrtfr-^ remove lead-contaminated soil 

Prudent Technologies, Inc. (Prodenf) is under contract wit the U. S. Environmental Protection Agency 

(EPA) to dean up lead-contaminated soils at a number of properties located in Omaha, Nebraska, 

including me property located at <r~?/-5 bAV/mfafr S ~T The EPA requests your 

permission to allow Prudent to perform a soil cleanup at this property to remove lead-contaminated soil 

By signing mis form, me property owner granb permission to Prudent to perform activities related to me 

cleanup including soil sampling, removal of lead-contaminated soil, and restoration of me referenced 

property. After obtaining the owner's signature on ftus form, Pnident Technologies, Inc. will contact the 

property owner (and resident!) within me next few weeks to coordinate performance me work 

If you have any questions about the soil cleanup planned for your property, please contact Piudenfs 

Administrative Clerk for me Omaha Lead Site cleanup, Ms. Cyndie Hinds at (402) 504-1004: General 

questions about me Omaha Lead Site cleanup can be directed to the EPA Public Information Centers at 

(402) 731-3045 (south Omaha office) or (402) 991-9583 (north Omaha office). 

Property Access Granted By: VQ /"* a *S>£jlr\ a /i e T\ Q x\ 

^ <?!»•» MntNom*) 

. I/ I / 

Property Owner Signature: 

(Date) 

PROPERTY INFORMATION 

(To be completed by readeot and/or properly owner - please prin) 

RESDEHTNAME: • QJwner Qenter 

RESDENT ADDRESS: -_ 

f RENTAL.PROPERTY OWNED BY: 

OWNE R-S MALHG ADDRESS; 

OWNER'S TELEPHONE NUMBER-HOME: jt__J WORK: _( 

AGE OFHOMEr O—> YEARS. HOW LONG HAVE YOU LIVED HERE? 

7 

HAS THE EXTERIOR BEEN PANTED OR COVERED WITH SDMG SMCE 1978? 

NUMBER OF OCCUPANTS UNDER7 YEARS OLD: NUMBER OF OCCUPANTS 7 YEARS OLD AND OLDER. 

NUMBER OF CHILDREN UNDER 7 YE ARS OLD WHO PLAY M THE YARD FOR S HOURS OR MORE PE R WEEK: _ 

COMMENTS OR SPECIAL MSTRUCTIONS: (1£. DOGS.ENTRY GATES. 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS; The activities to be implemented by EPA under this 

agreement are pursuant to Sedticn 104 of CERCLA, 42 U.S.C. 9604. EPA's right of access to the property is 

provided for in Section 104(e) of CERCLA, 42 U.S. C 9605(e), which provides entry for "determining the need for 

response, or choosing or taking any response action under this title, or otherwise enforcing the provisions of the 

title." 
vvEPA 

EPA Property Close Out 

Property #: Property Address:

 

Date/Time: Owner's Name: ,/,/r/r ffeff ^^ ^ ''"

 

Quads Excavated: Contractor Group Prudent Technologies

 

Excavation General Yes

1 . If necessary, were the correct quadrant(s) excavated and restored? / 

2. If necessary, were the correct areas of drip zone excavated and restored? / 

Grading Sod and Vegetation Yes

1. Does the grading around the perimeter of the house in excavated areas generally slope away 

from the house? •­

2. Has sod been laid in all areas that were excavated? ^ 

3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30

 

day time period) ^ 

4. Are sodded areas generally firm and evenly graded? S 

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day 

time period) IS* 

6. Was the property graded such that water will not pool on the property? S 

7. Was damage to landscaping or plant materials avoided? ^ 

Gates, Fences and Retaining Walls Yes

1. Do gates open and close freely? (If applicable) i/ 

2. Were all gates or fences taken down during restoration activities reinstalled? (If applicable) ,/ 

3. Was damage to gates or fences avoided? (If applicable) S 

4. Was damage to retaining walls avoided? (If applicable) S 

Foundation, Siding and Gutters Yes

1 . Was damage to the siding or trim avoided? / 

2. Was damage to the foundation avoided? (/ 

3. Was damage to windows avoided? / 

4. Was damage to windows or door screens avoided? y 

5. Was damage to downspouts or downspout extensions avoided? / 

Sidewalks and Driveways (Concrete) Yes

1 . Was damage to driveway surfaces avoided? S 

2. Was damage to walkway surfaces avoided? \S 

 No 

 No 

 No 

 No 

 No 
Owners comments: 

Inspection notes: 

Removal and restoration activates complete including the 30-day sod warranty: 

EPA Representative ^jGL _ Date: 
13182 

Omaha Exterior Paint Lead Site Owner Name: GREGORY L SCHANEMAN Good Site Sketch Address: 4215 DAVENPORT ST Poor 

Phone:J * w = ot paint 

Lead Sample Samples Collected Sample Number 

Concentration Collected Firm: /£ M/ 

RYASCPXA-23182 Date: IP l\ 

RYBSCPXA-23182 Time: 1O - O O 

RYCSCPXA-23182 

Samples Analyzed RYDSCPXA-23182 

RDZSCPXA-23182 XRF Unit: I"2

- Book: 

Date: 

Time: 

Staff: Number of Samples = 

OCT n 5 2004 

Omaha Lead Site fi £CAJ>J)A­

**- / 
Property Completion Agreement 

This agreement documents the completion of removal activities performed on the below listed property. 

The property owner's signature indicates that the property owner is satisfied with the restoration of the 

subject property, and that no items are in question, now, or at any time in the future, excluding any 

remaining warranty (90 days overall, 30 days on sod growth guarantee) except those items listed below, 

if any. 

Property ID: ^3/^JJ 

Property Address: £.

/oL/5~ 0/u/ft^j nOfiJ- 0/naJi/t, A/c". Owner: -fe£f ^k^ '

 

Phone: (^3.} 4*>$-it/a3 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

 I I do not agree restoration is completed 

Owner's Signature Date 

I
Name: Date: ///ONo. Property Address Day Care AM Landscape Others 

i 
i 

Name: fl/l ATI 2 Date,/d/t 

No. Property Address Day Care AM Landscape Others 

*£ 
Find Record Clean Up Query Lead Remaining Query

Sample Area: 23182 - 4215 DAVENPORT ST 

Owner: 

J Owner Occupied

Owner Name:

SCHANEMAN GREGORY L

Owner Addressl:

Owner Address2:

505N41AVE#2

Resident: 

1 : 

1 

j \ Resident Name: ! j 

' TENANTS 

 Property Address: 

 4215 DAVENPORT ST 

Zip Code: 

| 68131 

 Resident Phone 

City: State: Zip Code: 

OMAHA |NE (68131 

Owner Phone: Alternate Phone: j 

\(AQ2) 850-0350 

3 

 Property Damage Query Close 

Contract: 

! 

Contractor: 

PRUDENT2007 

Group: 

Assessment: 

Qualifying Group 

800 

Assessment XRF Date: 

Assessment Max XRF Value: 

915.13 

<C# 6-ut, c$ ~&-C*->TJ 

faf£/+'*tf, £seg r# 
Print Preview Page 1 of 1 

•

Dougla *

 s County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

1445310000 

SCHANEMAN 

GREGORY L 

4215 

DAVENPORT ST 

OMAHA 

68131 

505 N 41 AVE #2 

OMAHA 

NE 

68131 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

20-15-13 

KILBY PLACE 

6 

19 

1/2 VAC ALLEY & E 1/2 LT 20 & E 25 

N 31 .2 FT LT 19 & W 33 E 58 N 10 

FTLT19 

http://douglasne.mappingonline.com/DouglasCoNe/static/accountinfo.jsp? 

accountno=R1 44531 0000 

Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 inch = 27 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 7/16/2007