### TRANSMITTA Lo f OMAH ALEA D SIT E SOI LREMEDIATIO NFIL EFOLDE R

SAID # : ^051 ) Date : W^ ^ / " Address : 2F)Uf S TrKj ^ ^\^ ^ Remediatio nContractor : Coasta l Environmenta l Group

_Year : _2010ARR A
SOI LREMEDIATIO N PROPERT YFIL EFOLDE RDOCUMENT S Q^ ^ Vide o ofpropert y (DVD )
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' ' Satisfactory restoratio nsigne db y Property Owner HJProperty close-ou t check lis t signe db y EP A -B ^ Descriptio nofarea s no t meetin g RO D cleanu p criteri a \y ^ Utility clearance s ""O y Property informatio nfro mDougla s Count y Assessor' s Office D

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D Topsoi l Samplin g (i f applicable ) D Disposi dSamplin g (i f applicable ) GGarde nSamplin g (i f applicable ) D Utilit y Clearanc e S Video/Photo s (Before )
nVideo/Photo s (During ) D Video/Photo s (After ) D Video/Photo s (30-Day )

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### Dougla s County Accoun t InfaBnatio n Pag e1 of 2 tjjKaa t 

# W Dougla s County , Nebrask a Propert yRecor d - R175066000 0
Informatio n i s vali d a s of2010-8-3 0 Ne wFeatur e Owne r HIL LMARYL
256 1 TITU S AV E OMAH AN E 68112-000 0 Propert yInformatio n Ke yNumber : 506 6 000 0 1 7 Accoun t Type : Residentia l Parce l Number : 175066000 0 Parce l Address : 256 5 TITU S AV OMAH AN E 68112-000 0 Lega l Description : MINN E LUSALOT4 BLOC K1 2 4 4 X12 0 Vaiu e Informatio n
201 0 200 9 200 8 200 7 200 6 200 5 Lan d $500.0 0 $500.0 0 $500.0 0 $500.0 0 $500.0 0 $500.0 0 Improvemen t $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 $0.0 0 Lan d Informatio n Acre s 0.1 2 S F 5280. 0 U nit s 0. 0 Dept h 120. 0 Prin t Repor t Vie wInteractiv e GI S Ma o

Treasurer' s Ta xRepor t ->-*- > Subdivisio n Sale s Searc h

Tota l $500.0 0 $500.0 0 $500.0 0 $500.0 0 $500.0 0 $500.0 0
Widt h 44. 0 Vacan t Ye s



### http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R17.
. . 9/15/201 0

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## YOU RTICKE TNUMBE RI S 2700351
. Origina l Cal l Date : 3/31/1 1 Time : 3:4 9 pm Op : ALFONSO1879 0 Wor k t o Begi n Date : 4/04/1 1 Time : 4:1 5 p m State : NE County : DOUGLA S Place : OMAHA Address : 256 5 Street : TITU S AV E Twp : 16 NRng : 13 E Sect-Qtr : 33-N E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : Lea d Remediatio n Locatio n o f Work : LOCAT E ENTIR E PROPERTY , AL L EASEMENT S AN D T O TH E PEDESTA L Remarks : FA X AL L CLEAR S TO : (402)934-281 1 : PLEAS E INCLUD E AL L EASEMENT S Compan y: COASTA L ENVIRONMENTA L SERVIC E Contac t Name : ALFONS O Phone : :402)934-283 7 Wor k Bein g Don e For : Coasta l Dept ho f Excavation : 4f t Corne r Lot : N Front : Y Rear ; Involve s Tunnelin g o r Horizonta l Borin g : N Explosives : N CXCAT V MUDO l OMAHACO F 0PPDGPR 5 QLNNEI C


## Utilit y Servic eAre a Contac t Phon eNumbe r Typ e Day : 402934046 9 CXCATV CO XCOMMUNICATIONS , IN C HEIDI Alt : 402934046 9 Emerg : 402932975 7 Day : 402504782 3 METROPOLIT/iNUTILITIES MUDO l S/WDYMU D Ah : DISTRIC T Emerg : 402504797 0 Day : 402444719 7 

## CITYO FOMAHA

- OMAHACO F RICnmiAFFI C Ah : 402444516 1 TRAFFICSEWER Emerg : 402444516 0 Day : 406728934 3 

## OMAH APUBLIC POWER EL M 0PPDGPR 5 Ah : 406207149 4 

## DISTRIC T LOCATING Emerg : 888728934 3 dhon.org/irthinternet/.../MessageText.as..

. 1/ 23/31/201 1 ^H ^

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## QLNNEI C QWES TLOCA LNETWORK FT M ^^T^.r ^ ~ ~ Day : Ah : 406728934 3 406207149 4 LOCATING Emerg : 888728934 3

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# As-Buil t Drawin g w COASTA L 

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### 4051 1 Are a Sodden : 157 5 s a 

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## Consen t fo rAcces s T o Propert y RIGH TO F ENTR YT O PREMISE S 

### Granto r(th e propert yowner) consent s t o an d authorize s th e Unite d State s Environmenta l Protectio n Agency(EPA ) o rits authorize d representatives , collectivel y th e Grantee , t o ente ran d perfor m certai n environmenta l respons e activitie s upo n th e followin g describe d premises : /J/n^t-^/f
Daytim e Phone : <::^J- 1 _(^y^^ ^ Owner' s Name : T)::^ U 1 4 "V^qSSi k

Acidres s o fPropert y covere d b ythi s 

# D-SC ^ X.Tc r ^ Agreement : ^ 

### PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EP Ai s requestin g acces s t o collec t soi l sample s an d remov e soi l tha t contain s elevate d concentration s o flea d an d ma ypos e a healt h hazard

. Th e area(s ) wil l b e excavate d t o remov e contaminate d soil

. Th e remove d contaminate d soi l wil l b e replace d wit h clea n material s an d th e are a wil l b e restore d t o its origina l condition

. Thi s wor k i s bein g performe d unde rth e Omah a Lea d Superfun d Sit e remediatio n program . Arepresentativ e o fCoasta l Environmenta l Group , contracte d b yUSEPA , wil l contac t th e Granto rin-perso n t o discus s th e wor k t o b e performed , th e Granto rwil l hav e a n opportunit yt o revie wan d approv e th e planne d soi l removal , an d restoratio n wor k befor e i t begins

. Onc e th e wor k i s finished , th e Granto rwil l b e aske d t o revie wth e wor k an d confin n tha t i t i s complet e an d meet s wit h th e Grantor' s approval

. Upo n completion , th e Granto rwil l receiv e writte n documentatio n fro m EP Atha t th e propert y ha s bee n remediated

.
ENVIRONMENTA LRESPONS E ACTION S 

### Bysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , it s employees , contractor s an d subcontractor s th e righ t t o ente rth e property , a t al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e o fperfonnin g th e work

. Thi s acces s shal l remai n i n effec t unti l th e wor k ha s bee n satisfactoril ycompleted

. Th e Granto rals o agree s to :

Pag e 1 o f2

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••*• ' COASTA L ^* fy ^ IHVKOKKfK m •* t f>no ^ cI t o u ' I H c


### cRemov e obstruction s includin g boats , trailers , vehicles , playscap e items , woo d piles , do g houses , etc ; e Remov e flowe rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t maywis h t o save ; cWate ran d maintai n replacemen t vegetation , includin g fertilize rapplication , a s necessarysubsequen t t o a n initia l waterin g perio d b yEPA ; cAbid e b yhealt h an d safet yguidanc e provide d b yEPA ; fI fth e propert yi s rented , assis t EP Ai n obtainin g tenan t approva l fo racces s t o th e propert yt o perfor m th e work

. cAllo wvideotapin g and/o rphotographin g o fth e property
. AGREEMEN TNO TT O INTERFER E 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yo fth e wort? activities , o rwit h an y o fth e wor k done , o rwit h th e equipmen t use d o n hi s property , o rt o undertak e an y action s regardin g th e us e o fsai d propert ywhic h woul d ten d t o endange rth e healt h o r welfar e o fth e Grantee s o rth e environment , o rt o allo wothers t o us e th e propert yi n suc h a manner . Shoul d you hav e an yquestion s abou t thi s program , pleas e contact Coasta l Environmenta l Group , a t (402 ) 991-119 9

D J gran t access t o m ypropertie s D ' d o not gran t acces s to m ypropertie s

Signatur e Dat e Signatur e yDat e

G I woul d iik e t o b e presen t durin g an ysamplin g tha t i s required

.

Pag e 2 o f2COASTA L eNVIROMMCNTAI

. CROUP , INC

. 

## Restoratio n Agreemen t Th e purpos e o f thi s agreemen t i s t o provid e amutual agreemen t a s t o condition s o f th e property prio r t o remediatio nactivities
. Thi s wil l als o serv e a s documentatio nfor th e purpos eo f assurin g that restoratio n activitie s ar e complete dt o th e satisfactio no f th eproperty owne r an dth e Unite dState s Environmental Protectio nAgenc y (EPA)
.

Property ID : 

## ^^57 / Property Address : ^/^^ ^ ~j;/i. ^ .^J^C - Owner : "^vjv i TKc^^ M 

## Phone : ^Ol-^S 7 ^ f^S^ f O nth e attache ddiagram(s ) indicate area(s ) t o excavate , sxirface structure s andlandscapin g feature s and acces s location(s ) t o b euse db y th e contractors . Indicate distances , depths , material types , etc . Photographicall y andVideographicall y document th e existin g condition s ofth eproperty andth e basement i f necessary . Item s t o bi s Remove d b yth e Owne rbefor e Star t o fRemediation : Th e removal , storage , disposal , and/o rretur n o fthes e item s iis th e Owner' s responsibility

. Item : 

## KJcir^.

. Item : Item : Item :

Item s t o b e Remove d b yth e Contracto rDurin q Remediatio n an d No t Replace d Item : 

## l\jQr^^ - Item : Item : Item :

Pag e 1 of

.COASTA L CNVIRONMENTA L C KO U P

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## Item s t o B e Remove d B yContracto rDurin g Remediatio n an d Replace d Item : 

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### Landscap e Inventor y Ite m Quantit y Uni t Condition/Type/Specie s Pre-existin g property area , Quadrant s that wil l b e excavated , that 

# \2

­ i s covere dwit hgrass . Numbe r o f tree s > 2 inc h Eiac h trunk diameter Numbe r o f tree s < = 2 inc h Eac h trunk diameter Numbe r o f Sprinkler Zones , Contro l Valves , Eac h Timers , Heads , etc . Attac hasketc ho f th e sprinkler layout
. Number o f an dsiz e o f eac hgarden/ flower be d Eac h area . Square Fee t Attac hasketc ho f relativ e size s an dlocations
. Agree dupo nvalu e o f plan t material s no t to b e replace db y contractor . Not e thi s valu e wil l b e use dtb issu e aplan t vouche r t o th e propert y owner . Easement Area , to b e 

# /+ 5 Eac h 

## €Ci
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### Pag e 2 of

.

### ^^ COASTA L CNVinOMMC N TAL cM o u p . INC :



### Additiona l Comment s / Instructions : Th e cit y ofOmah a ordinance s ma yprohibi t yo u fro m usin g dir t orgrave l area s on you rpropert y as driveway s orvehicl e parkin g areas . Th e Environmenta l Protectio n Agenc y(EPA ) ma y be removin g an d replacin g soi l underlyin g a grave l ordir t are a on you rpropert ytha t yo u ma ybe usin g as a drivewa y orvehicl e parkin g area . Ifthi s is th e case , yo u shoul d understan d tha t thi s removin g an d replacin g ofsoi l doe s no t mea n tha t an yillega l drivewa y orparkin g are a on you r propert yis mad e legal

. To th e contrary , yo u ma ybe cite d byth e cit y ifyo u us e a grave l oi * dir t are a as a drivewa y orparkin g area , no t withstandin g an yrernova l orreplacemen t ofsoi l byth e EP A Ifyo u hav e an yquestio n abou t legalit y ofa certai n drivewa y orparkin g area , yo u ma ycontac t th e cit y ofOmaha' s Plannin g Departmen t at (402 ) 444-5150

. O Pleas e chec k thi s bo xifyo u understan d th e informatio n outline d above

.

U Chec k th e bo xifOwne rdoe s no t wan t CE G to documen t interio rfoundatio n wall s an d possibl e pre-existin g damage

. Bycheckin g thi s bo xCE G is no t responsibl e fo ran ydamag e don e to th e interio r ofhouse , includin g foundatio n crack s orfissures

.



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# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m M o < LO D Z r 319.44 2 S r 145.88 2 U < LO D R b 60.93 5 T h < LO D P b 179.68 3 S e < LO D A s < LO D H g < LO D Z n 172.36 3 W < LO D C u 37.91 5 N i < LO D C o < LO D F

e 15279.32 0 M n 518.86 5 Supervise d By : 

## Certificat e o fVerificatio n

3 6 SOI L 2011-04-1 2 21:5 2 92.6 6 Fina l Av g o f33-3 5 256 5 TITU S EA 1 " M

. MATEU S CONFIRMATIO N CLEA R

Erro r 7.03 6 ± 12.58 7 ± 7.74 6 12.88 6 ± 5.77 9 11.15 7 ± 17.21 1 4.92 2 22.88 0 

### \ 10.68 5 ± 20.76 3 74.12 1 ± 19.40 1 64.86 7 157.35 2 ± 329.88 0 ± 95.78 5

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

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e 15750.79 0 M n 541.52 8 Supervise d By : 

## Certificat e o fVerificatio n

3 3 SOI L 2011-04-1 2 21:5 0 31.3 7 Fina l 4051 1 256 5 TITU S EA 1 " M

. MATEU S CONFIRMATIO N CLEA R

Erro r 6.87 5 ± 12.25 5 ± 7.66 2 12.34 8 ± 5.66 6 11.56 2 ± 18.71 6

: 4.93 0 24.97 5 10.86 5 ± 20.60 9 76.40 9 ± 18.93 6



### : 65.02 6 

### : ; 155.22 8 ± 330.63 3 ± 95.96 0

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 3 4 Mod e SOI L Tim e 2011-04-1 2 21:5 1 Duratio n 30.5 9 Sequenc e Fina l Flag s BVI D 4051 1 ADDRES S 256 5 TITU S QUADRAN T EA DEPH T 1 " XR F TEC H M

. MATEU S MIS C CONFIRMATIO N NOT E CLEA R

pp m Erro r M o < LO D 7.03 6 Z r 327.86 5 ± 12.73 8 S r 136.72 6 ± 7.55 2 U < LO D 12.24 2 R b 55.32 7 ± 5.52 8 T h < LO D 10.69 3 P b 180.85 8 ± 17.38 1 S e < LO D : 4.84 4 A s < LO D 22.63 6 H g < LO D 11.22 3 Z n 173.80 2 ± 20.96 1 W < LO D 75.52 0 C u 34.05 8 ± 19.15 9 N i < LO D 65.07 7 C o < LO D 157.92 5 Fe 15164.81 0 ± 330.12 9 M n 487.35 5 ± 93.47 2 Supervise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m M o < LO D Z r 322.04 1 S r 154.48 1 U < LO D R b 66.76 0 T h 12.90 6 P b 136.16 1 S e < LO D As < LO D H g < LO D Z n 170.09 4 W < LO D C u 45.32 9 N i < LO D C o < LO D F

e 14922.36 0 M n 527.71 2 Supe i •vise d By : 

## Certificat e o fVerificatio n

3 5 SOI L 2011-04-1 2 21:5 2 30.7 0 Fina l 4051 1 256 5 TITU S EA 1 " M

. MATEU S CONFIRMATIO N CLEA R

Erro r 7.19 8 ± 12.77 0 ± 8.02 5 14.06 9 ± 6.14 4 ± 7.47 8 ± 15.53 5 4.99 2 21.03 0

9.96 8 ± 20.72 0 70.43 5 ± 20.10 8 

### \ 64.49 7 158.90 4 ± 328.87 8 ± 97.92 4

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s AVERAG E ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m M o < LO D Z r 341.29 4 S r 139.00 7 U < LO D R b 59.22 8 T h < LO D P b ^ i^^*' ! 59.59 7 S e < LO D A s < LO D H g < LO D Z n 175.67 2 W < LO D C u 29.51 4 N i < LO D C o < LO D F

e 17114.60 2 M n 562.71 9 Supervise d By : 

## Certificat e o fVerificatio n

3 2 SOI L 

### 2011-04-1 2 21:4 9 92.4 7 Fina l Av g o f29-3 1 256 5 TITU S 8 2 8 " M

. MATEU S CONFIRMATIO N CLEA R

Erro r 7.24 6 ± 13.10 6 ± 7.68 4 12.84 8 ± 5.78 5 11.09 3 16.58 9 ± 4.82 7 22.35 1 

### : 10.47 3 ± 21.19 5 75.59 9 ± 19.17 8 66.74 2 168.13 8 ± 353.99 8 ± 100.46 6

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m M o < LO D Z r 359.22 6 S r 133.01 7 U < LO D R b 59.20 9 T h < LO D P b 199.46 3 S e < LO D As < LO D H g < LO D Z n 192.69 6 W < LO D C u 32.03 7 N i < LO D C o < LO D F

e 19355.80 5 M n 496.21 8 Supervise d By : 

## Certificat e o fVerificatio n

2 9 SOI L 2011-04-1 2 21:4 7 30.6 4 Fina l 4051 1 256 5 TITU S B 2 8 " M

. MATEU S CONFIRMATIO N CLEA R

Erro r 7.28 5 ± 13.54 5 ± 7.63 3 12.72 1 ± 5.83 6 11.37 1 

### ± 18.56 6



### : 4.67 9 1 24.30 6 1 10.42 9 ± 22.36 2 74.84 7 ± 19.63 1 67.48 8 180.30 3 ± 381.52 3 ± 98.42 7

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1 

## Certificat e o fVerificatio n XL3t-3208 9 Readin g N o 3 0 Mod e SOI L Tim e 2011-04-1 2 21:4 8 Duratio n 30.9 0 Sequenc e Fina l Flag s BVI D 4051 1 ADDRES S 256 5 TITU S QUADRAN T B 2 DEPH T 8 " XR F TEC H M

. MATEU S MIS C CONFIRMATIO N NOT E CLEA R

pp m Erro r M o < LO D 7.15 3 Z r 325.31 0 ± 12.68 1 S r 143.04 3 ± 7.67 5 U < LO D 12.37 9 R b 56.28 0 ± 5.56 1 T h 13.85 0 ± 7.19 5 P b 108.48 7 ± 14.02 9 j S e < LO D 4.79 5 A s 24.54 1 ± 12.94 3 H g < LO D 10.27 9 Z n 136.32 6 ± 18.76 1 W < LO D 73.52 4 C u < LO D 26.36 2 N l < LO D 64.73 7 C o < LO D 155.99 5 F

e 14905.46 5 ± 326.17 0 M n 607.30 3 ± 100.97 0 Super v ise d By :

# Therm o SCIENTIFI C Therm o Fishe rScientifi c 90 0 Middlese xTurnpik e Billerica , MA0182 1

XL3t-3208 9 Readin g N o Mod e Tim e Duratio n Sequenc e Flag s BVI D ADDRES S QUADRAN T DEPH T XR F TEC H MIS C NOT E

pp m M o < LO D Z r 339.34 8 S r 140.96 2 U < LO D R b 62.19 6 T h < r1 o n P b 170.84 1 S e < LO D A s 25.98 5 H g < LO D Z n 197.99 5 W < LO D C u 42.79 0 N l < LO D C o < LO D F

e 17082.53 5 M n 584.63 6 Supervise d By : 

## Certificat e o fVerificatio n

3 1 SOI L 2011-04-1 2 21:4 9 30.9 3 Fina l 4051 1 256 5 TITU S B 2 8 " M

. MATEU S CONFIRMATIO N CLEA R

Erro r 7.29 9 ± 13.09 3 ± 7.74 4 13.44 5 ± 5.95 9 11.11 7 ± 17.17 3 5.00 9 ± 15.55 5 10.71 0 ± 22.46 2 78.42 5 ± 20.32 8 68.00 2 168.11 6 ± 354.30 2 ± 102.00 2

### \ Omah a Lea d Site—Fixe d Pric e EP-R7-07-0 5 a Coasta l Environmenta l Grou p Inc

. ^

•" * www.coastalhazmat.co m

'^iPno^t ^ COASTA L ENVlllONHINrA L GROUP

. IN C 

# EXECUTIV ESUMMARY : BVID #40511-(256 5 TITU S AVE )
No Issue s o r Concern s | ^ Issues/Concern s
Detail Explanation :

## Propert yCompletio n Agreemen t
This agieemen i documeni s the completio no l remedial aciivme s perloime do nm y properly
. M y signaiur e wil l designat e llia l Ia msatisfie dwit hthe restoraiio no f m y propeily
. andiha i n o item s ar e i nquestions , now , o r al an y lime i nth e future , excep i thos e ilem s liste dbelow , ifan y Propert y W : ^O^j I Propert y Address : ^^ ^ ^-J^^ ^ ^^^ ^
Phone : Z-i-^..

—• _^a

- <g^" j / I) '
. / 

# Y^ / • - 

# -5^^ ^ Restoratio nItem s inQuestion :



# "2 frfn'- ^ ^^i'?^>%^^'()jf ^ -^r^r , Iterri : Item : Item : 

### Item :

Jr\Inyrc c Ic.'tor«(io ni s complcied , excep t a s nntert [_ JIrio no l «t;re c restoratio ni j complete dJ

Co n 

### Sicnaliirc Oa/t /

# w 

# ^^EPA EP APropert y Clos e Ou t For m Propert y #:
_ Propert y Address:

- t^>^ 

# i^^ ^ Datc/TiiQc : Owner' s Name:
. / ^ ^ Y/_ ^ Quad s Excavaied : Contraclo r Grou p C^ "
Ye s No Excavatio nGenera l 1.If necessBiy , wer e th c correc i quadranKs ) excavate dan drestored ? 

## y 2.

If necessary , wer e th e correc i area s ofdri p zon e excavaie dan drestored ? 

# y Ye s No IDoe s th egradin g aroun dth e perimete r ofth e hous e inexcavate darea s generall y slop e a^va y Gradin g So d an d VcgcUtioi i 

# yA fromlh e house ? 2.Ha s so dbeenlai d inal l area s that wer e excavated ? 

# y J.Doe s th c sodappea r to be generall y health y andgrowing ? (Onl y evaluat e ifinspecte d ai a 30 

# y da y tim e period ) 

### y 4.Ar e sodde darea s generall y fir mandevenl y graded ? 5.

Ar e th e joint s betwee nth eso dstrip s generall y tight ? (Onl y evaluat e if

inspecte d at

a

30 da y tim e period ) 

# y 6.Wa s th e property grade dsuc htha t wate r wil l not poo l onth e property ' 

# y 7.Wa s damag e to landscapin g or plant materiaUavoided ? 

## y Gates , Fence s an d Retainin g Wal b Ve s Nu 1.

Do gates ope n an d clos e freely? (I fapplicable ) 

### / 2.Wer e al l gate s orfences take n dow n durin g restoratio n activilie s reinstalled ? (I fapplicable ) 

# y 3. Was damag eto gates orfences avoided ? (Ifapplicable ) 

# y 4. Was damage to retainin g wall s avoided ? (Ifapplicable ) 

### y

.. . Foundation , SidiO K

an dGntter ? 

### Ye s 

### No I.Wa s damag e to th e sidin g or tri mavoided ? 

# y 2.Wa s damag e to th e foundatio navoided ? 

# y ."
.

Wa s damag e lo window s avoided ? 

# y 4Wa s damag e to window s or doo r screen s avoided ? 

# y 5. Wa s damag e to downspout s or downspou l extension s avoided ? 

# y

. . Sidewalk s an dDriveway s (Concrete ) Ye s No I.Wa s damag e to drivewa y surface s avoided ? 

# y -x y 2.Wa s damag e to walkway surface s avoided ?

## owner s coihments :

pFnspectio nno<es :

Removal andrestoratio naclivate s complei e includin g the 30-da y sodwarranry : EP ARepresentativ e Q^l ^ Date : s'^'' "