2006

 

OMAHA RESIDENTIAL LEAD SITE 

8(a) Contract 

Remediation Contractor: EMR 

PROPERTY INFORMATION 

OLS Identification No.: 23392 

Classification: 800/Child 

Owner: Maurilio Tapia-Salazar 

Address: 3419 Davenport St 

City/State/Zip Code: Omaha, NE 68131 

Prepared for: 

U.S. Environmental Protection Agency 

Region 7 

Prepared by: 

HGL 

HydroGeoLogic, Inc 

Exceedin g Expectation s 

HydroGeoLogic, Inc. 

8245 Nieman Road, Suite 101 V: Lenexa, KS66214 

Contract No.: EP-S7-05-05 

- Q 

40259640 

SUHEKFIJM)KF.COKI)S 
FINAL PROPERTY REPORT

 

GENERAL INFORMATION 

OLS Identification #: 23392 

Group: 800/Child 

Property Address: 3419 Davenport St 

Omaha. ME 68 1 3 1 

Comments: 

RESTORATION TIMELINE 

Restoration Agreement Signed 

Excavation Began 

Excavation Completed 

Property Sodded 

EXCAVATION SUMMARY 

XRF Results 

Quadrant 

Owner Name: Maurilic Tapia-Salazar 

Phone: (402) 346-6620 

Owner Address: 3419 Davenport St 

Omaha, NE 68 131 

Date: 11/11/2005 

Date: 4/5/2006 

Date: 4/5/2006 

Date: 4/27/2006 

Laboratory 

Confirmation Pre-Excavation Post-Excavation Sample Results 

Fl 237 - -

F2 832 138 -

Bl 480 93 -

B2 711 174 -

Drip Zone 1445 191 -

Play Area - - -

Garden - - -

Easement - 241 -

Other - - -

Unexcavated Areas Remaining: 

None 

Excavation Comments: 

* All laboratory and XRF results are reported in milligrams per kilogram. 

- Not applicable 

Property Nor.es: 

Excavation 

Depth 

Barrier 

Required 

- -

6-10 

12-18 

12-18 

13-18 

No 

No 

No 

No 

- -

- -

0 No 

- -
&EP ^fc^FBlM'l MA » -^T HydroGeoLogic, Inc 

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, except those items 

listed below, if any. 

Property ID: 

Property Address: 

Owner: 

Phone: 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

I agree restoration is completed, except as noted above, 

do not agree restoration is completed 

ZQ//*/IO 

Owner's Signature Date 
Property Owner Satisfaction Survey Form 

Omaha Lead Superfiind Site 

Remediation Contractor: eg) 

Property Identifier Number: £ 

Property Address: '-_ 

Property Owner's Name: 

(above information to be filled out by remediation contractor prior to delivery of form to Property Owner) *************************************************************** 

Instructions to Property Owner: 

This form is provided to you as a means of trying to capture your level of satisfaction 

with the work of the above-identified remediation contractor, as applicable to the soil cleanup 

action at your property. The U.S. Environmental Protection Agency (EPA) and the U.S. Army 

Corps of Engineers (USAGE) are very interested in your opinion regarding the work performed 

by our contractors. This form is intended to provide an easy means for you to express your 

opinion about the work performed on your property. 

Please indicate your level of satisfaction with the contractor's work by selecting a 

numerical rating (ranging from 1 to 10) using the following rating scale, then please sign & date 

the form and return it to the USEPA in the attached self-addressed & stamped envelope. 

(additional comments may also be provided in the space below, at the option of the property 

owner.) 

9-10 "excellent'' 

7-8 "very good'' 

5-6 "acceptable" 

3-4 "poor1" 

1 -2 "very poor" 

Property Owner's Satisfaction Rating Regarding Contractor's Work 

10 x: 5 _ 9 4 

7 

6 

Additional Comments from Property' Owner (optional; continue on back of page if needed) 

Property Owner's Signature: f\ /%A// A a Zdf^ Date:^'^^ ' U (? 
&EPA

 

8(a) Contract (EMR) 

EPA Property Close Out Form , 

Property #: Property Address: 

Date/Time: /_ Owner's Name: 

Quads Excavated: ^ 

Excavation General Yes No 

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

(^ / 

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

Grading Sod and Vegetation Yes No 

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

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? M

x 

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

^ 

5. Are the joints between the sod strips generally tight? ^ 

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

 \^ 

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

Gates, Fences and Retaining Walls Yes No ^ 

1 . Do gates open and close freely? ^ 

2. Were all gates or fences taken down during restoration activities reinstalled? - L^ 

s^ 3. Was damage to gates or fences avoided?

 i/ 

4. Was damage 10 retaining walls avoided? U- ^-^ 

Foundation, Siding and Gutters Yes No 

1 . Was damage to the siding or trim avoided? 

\ S 

2. Was damage to the foundation avoided? -~s ( 

3. Was damage to windows avoided? ^*­

•— 

4. Was damage to windows or door screens avoided? ^ ( ^ 

5. Was damage to downspouts or downspout extensions avoided? 

^ 

Sidewalks and D'riveways (Concrete) Yes No 

1 . Was damage to driveway surfaces avoided? "U 

2. Was damage to walkway surfaces avoided? ^•^ 
Owners comments: 

Inspection notes: 

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

EPA Representative 
Legend North Arrow Omaha Lead Site 

Omaha, Nebraska Quadrant boundary 7/V

 Property Number 

Excavated area Scale OLS- /33 

1 grid cell = 5 X 5 ft Property Address Excavated area with barrier 

HydroG co Logic Fence Post Excavation Concentrations (ppm) 

F1 Z.37- B2_r7y_ Play area — Tree/bush F2H22I DZ / 4 1 EasementT1

^ > 

B1 <? < Garden r — Other — 

Description of post excavation areas: FI front yara left-hand quadrant: F2 front yard ngni-hand quadrant, B1 bacf-yara left-hand quadrant B2. oackyard right-hand 

quadrant. DZ. drip zone {1 -3 1'oot area of soil around the foundation of the house) 
HCiL "•- HydroGeol.ogic, Inc &EPA 

Omaha Lead Site 

Post Excavation Sampling Results 

PATE: 

OLSID: 

ADDRESS: 

XRFID: 

XRF Confirmation Results 

XRF Reading 

Location #1 #2 #3 Average Depth Comments 

F! 

F2 A* : 

Bl 

B2 

DZ 

GZ 

PZ 

Easement o 

Lab Samples 

Location Date Sample ID Field XRF Lab XRF Depth Comments 

Fl 

F2 

Bl 

B2 

DZ 

GZ 

PZ 

Easement 

TESTED BY: Date: 

REVIEWED BY: Date: i 
•

Name: /?i/£t/5PV.'c\ Omaha Lead Site Date: North Arrow 

Address: 3 Site Sketch Time:

 

Phone: 

Tpam BVID # 2 3 3 <7 2, XRF Code 

Sample Number Lead Concentration Confirmation Sample 

& Yes No 

F* Yes No 

Yes No 

es _ No -

 313332- P^-Yes CT No 0 

ppm Yes C3 No a 

ppm Yes n No CD RDZSCPLA-23392 

Lab 

993 ppm 

I —v 

1 i 

i--— 

r v 

f 

fti 

-£ A-.= 

-u 

3 

-^^, 

Omaha Laad Site 46130 
Consiento para el Acceso de la Propiedad 

DERECHO A ENTRAR LA PROPIEDAD 

Otorgante (dueno(a) de propiedad) se da consiento y autoriza la Agenda para la Protection del 

Medio Ambiente de Los Estado Unidos (EPA) o sus representantes autorizado, a entrar y llevar 

a cabo algunas actividades ambientales acerca de la propiedad describid que sigue: 

Dueno de la Propiedad: ^//-/p / Numero Diario: 

Direccion: 3 Hit Da<Jt/\f>or4 &+ 

Direccion: 

Direccion de 

Propiedade Direccion: s Cubierto 

por este Acuerdo: Direccion: 

Direccion: 

Otorgante entiende que esta concesion no limite el derecho de acceso de EPA bajo del 

Comprehensive Environmental Response, and Liability Act (CERCLA), 42 USC. § 9601-9675, 

o cualquier otra ley. 

PROPOSITQ DE ACCESO 

El proposito del action ambiental es para remover tierra contaminado con plomo de las 

propiedades residenciales; incluso facilidades de cuida diaria. Podria tomar muestras de tierra 

si sea necesario. 

ACCION DE LA RESPUESTA AMBIENTAL 

La action de la respuesta ambiental a ser realizado en la propiedad del sujeto podria incluir las 

actividades que sigue: 

A. Localizando equipo y/o maquinas en la propiedad del sujeto en preparation 

para el curso de la actividad de respuesta 

B. Obtener muestras de la propiedad del Otorgante. 

C. Planear y implementar la action de removimiento sobre o cerca de la 

propiedad del Otorgante. Este podria incluir la excavation de tierra contaminada 

con plomo, repuesta tierra limpia, y la restauracion de la propiedad. 

CONDICIONES 

Este acuerdo de acceso podria ser operable para la epoca de tiempo que lo dura a terminar las 

actividades de la respuesta ambiental. Despues de la termination de las acciones de la 
respuesta. Toclos las derechos dado por el(la) Otorgante podria cesar en esta fecha, a menos 

que esta extendido por un acuerdo subsiguiente. 

Yo he leido el documento precedente y entiendo que lo es un acuerdo que otorga permision al 

cesionario a entrar la propiedad describid arriba para el proposito a realizar actividades de 

respuestas ambientales, y estoy de acuerdo con las condiciones. 

ACUERDO A NO INTERFERIR 

El Otorgante esta de acuerdo a no interferir con ningunas actividades emprendio por el EPA en 

la propiedad, enredar con cualquier propiedad de la EPA, o tomar cualesquiera acciones 

concerniendo el uso de la propiedad que podria poner en peligro la salud humano o bienestar o 

el medio ambiente, o permitir otras a usar la propiedad en una manera durante de la epoca de 

este consiento. El Otorgante esta de acuerdo a proveer noticia y una copia de este acuerdo a 

compradores prospectivos, arrendatarios, o cesionarios de la propiedad o cualquier de la 

porcion. EI(La) Otorgante esta de acuerdo a proveer una noticia de 30-dias a la EPA 

anteriormente a cualquier transferir de derechos de posesion de la propiedad. 

RESULTADOS DE LASMUESTRAS
 

El cesionario esta de acuerdo a proveer al(la) Otorgante con cualquier y todo de los resultados 

de las muestras hecho y/o los analisis que resulta de las actividades de respuesta en la 

propiedad por el cesionario. 

ACUERDO DE CONDICIONES ANTERIORMENTE 

El(la) Otorgante esta de acuerdo a la condicion de la propiedad anteriormente a la remediacion 

y indica en adherencia 1 cualesquiera articulos a ser removido por el(la) Otorgante antes de las 

actividades comenzar. 

RESTAURACION DE PROPIEDAD 

El cesionario esta de acuerdo que dicho propiedad sera restaurado como cerca que sea posible 

al estado y condicion original como encontrado inmediatamente precedente la empieza de las 

actividades por este acuerdo, siguiendo la terminacion de las actividades de la respuesta. 

Firma (Otorgante) Fecn ja
Address Property 

CURRENT CONDITIONS/PROPOSED REMOVAL 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 arc completed to the satisfaction of the property owner and the United States Environmental 

Protection Agency (EPA). 

Items to be removed by property owner prior to the removal activities: 

Items not to be removed by contractor during removal activities: 

^ "\n 

. "TV " eir- A 

ADDITIONAL COMMENTS: 

Afflux . Signature (Grantor's) Date 
9999

 

Omaha Lead Site 

Omaha, NE 

U.S. Environmental Protection Agency Region VII Residential Yard Soils

 

Remedial In vestigation/

 

Feasibility Study 

PROPERTY ACCESS 

(para se completado por el dueno del propiedad) 

La Agenda para la Protecoi6n del Medio Ambiente de los Estados Unidos (EPA) ha contratado a Black & Veatch Special 

Projects Corp. (BVSPC) para ayudar en la determinacion de los niveles de plomo y otros metales en ias capas superficiales

 

de la tierra en la zona de Omaha, Nebraska y Council Bluffs, Iowa. Solicitamos su cooperacion dando permiso a BVSPC/EPA 

para entrar en su propiedad con el objeto de tomar muestras para el analisis de la tierra para poder realizar este estudio. Si

 

necesita mas informacion, favor de ponerse en contacto con Don Bahnke, Director del Proyecto de EPA, 1-913-551-7003 o, 

Debbie Kring en la oficina de Programas Externales, 1-800-223-0425 

ACCKSO a la propiedad permitido por: 'L'0 Tqp/a. f con 10113 za imorenia) 

/I-// 

fF/mna del duetto de la propiedad) (Focna) 

Nota: El dar oermiso NO implica que sera tomada una muestra en esta visita. 

INFORMACION ACERCA DE LA PROplEDAD 

(para ser completado por el residente y/o el dueno de la propiedad-fayor de escribir con letrade imprenta) 

Nomtre del Residente: A^Q^T ' II 0 Dueno Inquilino 

Direccion del Residente:

•-1HIV .SI OAtahci /ill/ cao P:s:aO 

i es Dueno de la propiedad: 

Direccion del Dueno: 

Numero del Telefono del Dueno - Domicilio: 

;,Edad de la Casa? \fO anos. iCuanto tiempo hace que vive ud aqui? Q ar.cs. 

iHa sido pintado o cubiero con tablas de forro e! exterior despues de 1978? Si (^y 

^Ha sido pintado o cubier.o el interior despues de 1973? (§A No 

Numero de ocupantes menores de 5 anos: / Numero de ocupantes de 6 anos de edad o meycres: 

Numero de ninos menores de 6 anos que juegan en la propiedad durante 5 horas o mas a la semar=: 

Comentanos o instrucciones especiales: (Perros, Puerta de Entrada, etc.): /). 0 , 

AUTORIDAD PARA TOMAR MSDIDAS DE P.ESPUESTA EN MATERIAS DEL MEDIO .AM3I3NTS -j 

Las acciones que EPA re;alizara bajo este acuerdo cumplen con la Seccion 104 de CERCLA, 42 U.S.C. 960-. Ei o'erecho ae ] 

EPA a entrar en la propiedad cumple con la Seccion 104(e), la cual autoriza la entrada a la propiedac para "determinar la | 

necesidad de respuesta, o la eleccion o la ejecucion de acciones de respuesta bajo este titulo. o por 'o cemas nacer curnoiir •' 

ias disoosiciones de este titulo."

^ss Attempts: Letter sent 03/10/2003 

Second: Third: 

Black S: Veatch Special Projects Corp. 

Cni .-jjd Siic 

 i 
1 

1 

i Name: 

Address: 

Phone: 

Date Team 

Samole Number 

! T 

1 

1 

Omaha Lead Site 

Site Sketch 

BVID2 

Lead Concentration 

ppm 

ppm 

nnm 

pprr, 

ppm 

T North 

XRF Code 

, 

| 

Confirmation Sample 

Yes

Yes

Yes

Yes

Yes

 D

 D

 a

 D

 a

 No D 

 No r] 

 No a 

 No a 

 No a 

41 

Omaha Lead Site 46904.7S3-01 
llesoorczs Inc. 

Property Log 

Property » P~ Property Address 

Owner' H Name 

Date/Time ! Spoke To JWI Comments 

~W$t, 

/;:/o 

^ contact information to 

"0 

X 

V 

Mary Castaneda to notify owner that 

the work on their property has been 

rescheduled until the Sprinc of 2006 
v

—— HydroGeoLogic, Inc H SEPA

 

Property #: P' 1$ 

Date: ; | - / y- 0 3" 

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Property Address:

HGL Member:

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Revision 
Property Detail Information 1 of 3 

mill 

Bounty Assessor 

«

Owner Information: 

Owner Name: TAPIA-SALAZAR MAURILIO 

Mailing Address: 3419 DAVENPORT ST 

OMAHA, NE 68131-0000 

Property Information: 

Key Number: 05120000 13 

Account Type: Residential 

Parcel Number: 1305120000 

Parcel Address: 3419 DAVENPORT ST 

OMAHA, 68131-0000 

Previous Assessed Value: $55500 

Current Assessed Value: $55500 

Tax Levy Information: 

CITY COUNTY BUILDING 

DOUGLAS COUNTY 

OMAHA PUBLIC SCHOOL DISTRICT 

EDUCATIONAL SERVICE UNIT 019

 

METROPOLITAN COMMUNITY COLLEGE 

CITY OF OMAHA

 

METROPOLITAN UTILITIES DISTRICT

 

PAPIO NATURAL RESOURCE DISTRICT 

OMAHA TRANSIT AUTHORITY 

Total Levy 

View Douglas County Treasurer's Tax History Information

 

Parcel Characteristics: 

Last Updated: 9/21/2005 

 Perform a New Valuation Searcr 

.01096 

.26801 

1.25452 

.01500 

.06740 

.43387 

.00699 

.04062 

.05054 

.00000 

2.14791 

http://wwv.dcassessor.org/details.asp?Name=&Address=34l9+davenport&Key=&Subm... I l/l2/2005 
Property Detail Information Page 2 of 3 

Legal Description: HAWTHORNE ADD LOT 5 BLOCK 8 48 X 110.6 

Parcel Size: Acres: 012 Sq. Ft: 5280 

Please Note: 

The legal description above is a courtesy provided for assessment purposes and is not intended for 

use in legal instruments. 

Sales Information: Click Here For Sales Data 

Building Characteristics: 

Building Number: 01 

Building Size: 1442 sq. ft 

Year Built: 1921 

Condition: Average 

Quality: Average 

Exterior: Frame Aluminum 

Units: 1 

Bedrooms: 3 

Baths: 1.5 

Garage: Detached 

Garage Size: 160 

Property Photos/Sketches: 

2 1/2 Story Unfin 3419 Davenport St 

Second Floor 67ZOS.F First Floor 

770 0 sq ft. 

Click Here To Enlarge Image CHck Here To Enlarge Image V, 

View Parcel Map 

The Douglas County Assessor's office makes every effort to produce and publish the most current and 

accurate information possible. No warranties, expressed or implied, are provided for the data herein, its use 

or interpretation. 

© Copyright 2003, Douglas County Assessor's Office 

\jd\j~q ( •' "Assessors Home | Valuation Information | Meet Your Assessor | Frequently Asked Questions 

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