Transmittal of Omaha Lead Site 

Paint Stabilization File Folder 

Said# ^ft>f ^ Date: ^-^"-/-f/ 

Address: 7 Oi ^ S^B ^ 37 ^ 

Contractor: Citv of Omaha Year: P- * // 

Paint Stabilization 

Property File Folder Documents 

.2:1 Work Write Up 

y,i gned Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for Occupant/Tenant, ifapplicable 

j/Painting Agreement/City of Omaha Purchase Order 

Settlement documents (i.e., for damage or to replace plants, etc.) 

Renova:tion Recordkeeping Checklist signed by Certified Renovator 

_ Property information from Douglas County Assessor's Office 

U^Oth&T (describe): ( hnfO^ 

7^>^^^ /^^^— 3-/5~-/«3^ 

City of Omaha Representative Signature Date 

EPA Representative Signature / 'Date 

30262501 

Superfund 
CITY OF OMAHA 

PURCHASING - ROOM 1003 

1819 FARNAM STREET Purchase Order 

OMAHA, NE 68183-1003 

FAX# 402-444-5423 

/ ' PURCHASE ORDER rio. 

1177345 

REVJSION 

0 

PAGE 

l^ 

SHIPTO: 

CITYOFOMAHA 

HOUSING & COMM DEV RM #1 111 

1819 FARNAM STREET • OMAHA.NE 68183 

G&MPAINTINGCOINC VENDOR: >, BILL TO: 13707 CUMING ST 

CITl' OF OMAHA FINANCE OMAHA, NE 681S4 DISBURSEMENTS ROOM #1007 

1819 FARNAM STREET 

OMAHA,NE 68183 

ORIGINAL PURCHASE ORDER - VENDOR'S COPY (SEE INSTRUCTIONS BELOW) 

CUSTOMER ACCOUNT NO. i/ENDOR NO. DATEOFORDERAJUYER REVISED DAT&BUYER 

91298 bl-SEP-ll HHURT 

PAYMENTTERMS SHIP VIA F.O.B.. 

DESTINATION 

FREIGHTTERMS REQUESTOR/DELIVER TO CONFIRM TO / TELEPHONE 

RUELAS. MARGARET P ^ 

ITEM PART NUMBER/ DESCRIPTION DELIVERYDATE lUANTITY UNIT UNH" PRICE EXTENSION 

All .prices and amounts; on this order are express jd in : US Doi: ar 


NEEDED: 2,140.00 N 


01-SEP-ll 


EPA PAINT STABILIZATION 


PROGRAM GROUP 238 ­ 1014 S 31 ST 


o SHIP TO: 


Address at top of pa^e 


NEEDED: 980.00 N 

01-SEP-ll 


EPA PAINT STABILIZATION 


PROGRAM GROUP 238 ­ 2601 MASON ST 


o SHIP TO: 
 . Address at top of page 


INSTRUCTIONS TO VENOOR UnlOM othtnvlM stated all prices F.O.B. destination 

This Is your "notiflcation of payment lofollow" within 30 days of dallvofy of above inerchandlse or service Tnta i ( 3.120.00 ) 

Perfonned. If Invoices were not previously sutxnltted, please mail In duplicate to the Dou^as County Purchasing Dept, Room 902 Civic Center, 1819 Famam St., Omaha Nebraska 68183. Pleaserefertnce the 

County Order Number shown above on all Invoices or correspondence. 

If there are any questions please call 402-444^7155. 

C<iiinlirPurth»tlrffA(nftt/Buy«r ^ 
Planning Department 

Omihi/'Douglas Civic Ceaiet 

Inspector: Chris Grummions iai9 ?«n».'nStreet, Suite iioo 

Date - 8/1/1 1 Omaha, Nebrjsk3 6Sl33 

(402)444-5150 

Telefax (402) 444-6i<fl 

Name ; Kathlee n Vinto n R. E. Cunningham, RA, F.SAMH 

jSiXor . Address: 1014 s 31 St 

OMAHA EXTERIOR PAINT STABILIZATION PROGRAM 

FOR THE EPA OMAHA LEAD SITE 

The Contract bid documents consist ofthe following sections: 

• General Responsibilities for the Contractor and Occupant. 

• Lead Hazard Control Plan, Interim Control of Lead Based Paint Hazards. 

The Contractor Shall: 

• Contractor and all subcontractorfs) shall complete and iubmit a "Citizenship 

Attestation" / "Emplovee Ctassification" form tu the Planning Department, per 

State requirements, before final pavment can be issued. 

• Comply with HUD's "Guidelines for the Evaluation and Control of Lead-Based Paint 

Hazards in Housing." (Copies are available at the Planning Department.) 

• Coniply vi'ith Standards called for in the "Construction and Rehabilitation Specifications, 

Housing and Community Development Division, City of Omaha, Nebraska." (Copies are 

available at the Planning Department.) 

• Comply with the State of Nebraska Health and Human Services Regulation and 

Licensure, Title 178 Chapter 23 Lead Base Paint Regulations. 

• Coordinate daily construction schedule with the occupant 

• Submit infonnation cut sheets for all substitutions or approved equals prior to written 

approval of the Construction Specialist. 

• Repair or replace all items damaged or disturbed duringpaint stabilization activities. 

• ICeep work site and surrounding area free from accumulations of waste materials or 

rubbish caused by the work at all tinies. 

• • Upondaily completion of work: clean up all rubbish, excess material, equipment, and 

etc., thait is connected with the work, and leave all parts of the work areas in a neat, 

sanitarj', lead safe and presentable condition. 

• Complete this project within 30 calendar days. 

The Occupant'Owner Shall 

• Remove and. store away any personal property within twenty (20) feet of the area to be 

remediated. 

• Provide access to electricity and water throughout fhe paint stabilization process. 

• Remove volunteer trees and vegetation from the drip line ofthe roof, and cut back 

shrubs and bushes at least t^vo feel from the house. 

• JEnsure that all household members stay at least ten feet away from all work areas and 

also keep all peits at least ten feet away at all times until the work has beeri completed and 

the area has passed a visual inspection. 

Initials j<:V_ 
(Continued) 

Lead Hazard Control Plan 

Interim Control of Lead based Paint Hazards 

Paint Stabilization 

• Stabilize all previously painted and newly installed e.xterior wood, brick, metal, 

concrete surfaces ofthe dwelling and/or garage on included property to include 

but not limited to the siding, fascia, eaves, trim, window trim, shutters, gutters, 

railings, porch floor, downspouts, door trim and foundation. 

• Paint all metal, stucco, and transite siding. 

• • Prepare and paint all previously painted surfaces by following the iSafe Work 

Practices protocol for EPA exterior lead based paint stabilization. 

• All paint colors to match existing paint pattem. Prime and apply two coats of 

approved SATIN finish. "Satin" nnish is standard, "Flat" finish per 

Construction approval. (Refer to Planning Dept. approved paint list). 

• IF SPRAYED, 0N £ COAT SHALL BE BACK-BRUSHED OR BACKROLLED. 

Lead Based Paint Waste 

Lead-based paint waste must be handled as follows 

• All paint chips and component debris must be double bagged for disposal. 

• Clean paint chips from ground around perimeter of dwelling before starting, 

during and after the project. 

• All lead painted components and debris must be removed from the site daily 

unless otherwise approved by the construction specialist. 

• - All lead-based paint debris (chips and components) must be disposed of in a 

municipal solid waste landfill. 

Propert ^rbnertyv

 Owne Ownerr Date / 

PropertyOwner Date 

Witness Date 

Occupant (ifapplicable) Date 

Occupant (if applicable) Date 
Exterior Lead-based Paint Stabilization Program Managed by the,City of 

Omaha for EPA Region 7 

Omaha Lead Site 

The purpose of this program is to prevent yards where lead-contaminated soil is cleaned 

up from becoming re-contaminated by deteriorating exterior lead-based paint. This is 

not a home repair program. 

Which Homes Are Eligible? 

• Homes where soil clean-up has been or will be done and an EPA contractor has 

identified deteriorating exterior lead-based paint. 

• Homes are eligible only by referral from the EPA. 

What work will be done? 

• Loose and flaking lead-based paint will be removed safely from fascia, eaves, 

siding, trim, window trim, door trim and foundation. 

• Surfaces will be primed and painted to match existing paint color as closely as 

possible.. 

What will not be done? 

• Surfaces which have no paint will not be treated. 

• Windows or doors will not be included. 

• .Rotten wood will not be replaced. 

• No housing repair will be done. 

Who will perform the work? 

• EPA contractors will test paint on exterior house siufaces and give tlie results to 

the City of Omaha Paint Stabilization Program. 

• City Construction Specialists will prepare a work plan and contact the property 

owner for permission to proceed. 

• Work will be competitively bid by approved, trained contractors. 

• When will the work be done? 

• Tbis program began in 2007 and will continue for several years. 

• The City staff will prioriti2:e homes based on the presence of children under age 

six if known and the severity of the problem. ' 

Paint Stabilization is voluntary and will be done only with permission ofthe owner. 

Initials \(_\f 
Consent for Access to Property 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes the United States Environmental Protection 

Agency (USEPA) or its authorized representatives^ collectively the Grantee, to enter and perfonn 

cenain environmenta] response activities upon thefollowing described premises: 

Owner's Name: Davtime Phone: 

Owner Name(s): Kathleen Vinton 

Addresses of Properties Covered by this Agreement 

Property Address 

City/State/Zip Code 

1014 S 31 St 

Omaha, NE 68105 

Grantor tinderstands that this grant does not limit EPA's right of access under the Comprehensive 

Environmental Response and Liabilitv Act fCERCLA). 42 USC. & 9601-9675. or anv other law. 

PURPOSE OF ACCESS 

The purpose of the response action is to stabilize loose orflaJcing exterior lead-based paint on 

residential properties, including day-care facilities, where remediation of lead contaminated soil has 

or will take place. Sampling of soil may be conducted. This consent shall allow Grantee onto 

Grantor's property and further, provides the Grantee the right to perform any and all environmental 

response actions and activities it deems appropriate. 

ENVIRONMENTAL RESPONSE ACTIONS 

The environmental response actions to be performed on subject propeity may include the following 

activities: 

1. Locating equipment and/or machinery on subject property in preparation for and in the course of 

the response activities. 

2. Obtaining samples from Grantor's property. 
Address: 1014 S 31 St 

Consent for Access to Property (Page 2) 

3. Planning and implementing the response action on the Grantor's property. This will include 

1) removal of loose or flaking paint identified by EPA using lead-safe methods in compliance 

with HUD/EPA regulations and 2) repainting according to the attached specifications. 

r -

TERM 

This access agreement shall be operable for the period of time it takes to complete the 

environmental response activities. Upon completion of the response actions, all rights and 

privileges given by the Grantor shall cease on that date, unless extended by a subsequent 

agreement. 

AGREEMENT NOT TO INTERFERE 

Grantor agrees not to interfere with any of the activities undertaken by Grantee at the Property, 

tamper with any of Grantee's property, or take any actions regarding the use of the Property which 

will endanger human health or welfare or the environment, or allow others to use the Property in 

such manner during the term of this consent. Grantor agrees to provide notice and a copy of this 

agreement lo prospective purchasers, lessees, assigns, or grantees of the property or any portion of. 

it. Grantor agrees to provide 30-day notice to EPA prior to any transfer of ownership rights to the 

property. 

SAMPLING RESULTS 

Grantee agrees to provide Grantor with the results of any and all sampling and/or analysis resulting 

from Grantee's response activities on the property. 

PRIOR CONDITIONS AGREEMENT 

The grantor agrees to the condition of the property prior to remediation and indicates on Page 3 any 

items to be removed by the Grantor before activities commence. 

RESTORATION QF PROPERTY 

Except for the above stated paint stabilization, the Grantee agrees that said property will be restored 

as nearly as possible to its original state and condition as found immediately preceding the 

begirming of activities authorized by this Agreement, following completion of the response 

activities, 
Address: 1014 S.31 St, Omaha, NE, 68105 

CURRENT C0NT)ITION/PROPOSED RESPONSE ACTIVITIES 

The purpose of this section is to provide a mutual agreement as to conditions of property prior to 

contractor activities. This will also serve as documentation for the purpose of assuring that 

restoration activities are completed to the satisfaction of the property owner and the United States 

Environmental Protection Agency (EPA). 

Items to be removed by propertv owner prior to the response activities: 

1 . • 

2. 

3 . . • 

4.­

5. 

Items NOT to be removed bv contractor during removal activities: 

!• . 

2. 

3. 

4. 

.5. • 

ADDITIONAL COMMENTS: 

~xhli^ ChTbrS -7^ (^UAJT. ..TXrHi^ <rahr.\ /P tn cUi:^^­

C>(3 o-c£:i^J^}Ad<^y . 

I have read the foregoing document and understand that it is an agreement granting pennission lo 

the Grantee to enter the above described premises for the purpose of conducting environmenlai 

response activities, and I agree to its terms and conditions. I acknowledge that I have received the 

pamphlet "Renovate Right". 

Grantor's Signature: j/^p^-jz ^ \ p j^y ^ VA A./^W ^ Date "g /c^ \\ \ 
Douglas County Account Information Page 1 of4 

DouglaiB County, Nebraska Property Record - R1628520000 

Print Report 

View Interactive GIS Map Information is valid as of 2012-2-28 Treasurer's Tax Report 

New Feature -4 -» -> Subdivision Sales Search 

Owne r 

VINTON KATHLEEN 8 

ETAL 

1014 8 31 8T 

OMAHA NE 68105-0000 

Property Informatio n 

Key Number: 2852 0000 16 

Account Type: Residential 

Parcel Number: 1628520000 

Parcel Address: 

Legal Description: 

1014 8 31 ST 

OMAHA NE 68105-0000 

LINNHUR8T ADD LOT 8 BLOCK 0 E 141 FT 40 X 141 

Value Informatio n 

2011 

2010 

2009 

2008 

2007 

2006 

Land 

$6,000.00 

$6,000.00 

$6,000.00 

$6,000.00 

$6,000.00 

$6,000.00 

Improvement 

$86,000.00 

$86,000.00 

$94,200.00 

$94,200.00 

$94,200.00 

$66,600.00 

Total 

$92,000.00 

$92,000.00 

$100,200.00 

$100,200.00 

$100,200.00 

$72,600.00 

Sales Informatio n 

Sales Date: 2004-11-01 

Deed Type: 

Price: 

Grantor: 

WD 

$103,000.00 

Maxco 

Book: 2004 Page: 145282 

Grantee: Kathleen S Vinton 

Validnnvaiid: Valid 

Exclusion Reason: 

Sales Date: 2004-07-26 

Deecf Type: 

Price: 

Grantor: 

WD 

$62,060.00 

KN0W8KI FAMILY TR 

Book: 2004 Page: 116188 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R16... 3/14/2012 
Douglas County Account Information Page 2 of4 

Grantee: MAXCO ING 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Width Vacant 

0.12 5640.0 1.0 141.0 40.0 No 

Improvemen t Informatio n 

Building 1 

1,5 STORY FINISHED 

1014 S 31 ST 

BHIrt BIOCII S n 7SI.0lf 

Slaori 

2.1 

t^',\\ •\ FinlFI irstFto€3 c r 

2 i 9150 sl 

Ct 

QMlottd " ] " 160 

CLICK TO ENLARGE IMAGE CUCK TO ENLARGE IMAGE 

Square Footage: 1639.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Average 

Built As: 1 1/2 Story Fin Condo Square Footage: 0.0 

HVAC: Forced Air Rooms: 6.0 

Exterior: Frame Aluminum Units: 1.0 

Interior: Drywall Baths: 2.0 

Roof Cover: Composition Shingle Bedrooms: 3.0 

Roof Type: Gable Stories: 1.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Buiit Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1910 0% 1910 102 

Detail Type Detail Description Units 

Add On Fence Chain Link 1.0 

Appliance Allowance 1.0 

Appliance Fireplace Masonry 1.0 

Appliance Security System 1.0 

Basement Bsmnt Block 9 ft 768.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=Rl6... 3/14/2012 
Douglas County Account Information Page 3 of4 

Fixture Base Fixtures 1.0 

Fixture Bath Full 2.0 

Garage Detached 360.0 

Porch EncI Solid Wall 187.0 

Porch . Slab Roof Ceiling 16.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?acc9untno=R16... 3/14/2012 
Douglas County Account Information Page 4 of 4 

The above map is powered by Google, and is intended to provide a general idea of a property's location. If 

you require a more exact property location, you niay use the Interactive GIS Maps that are maintained by our 

offlce. 

http://douglasne.mapping-onIine.com/DouglasCoNe/static/accountinfo.jsp?accoimtno=R16... 3/14/2012