I

PROPERTY SUMMARY 

 Date: 11/6/2007 | Omaha Lead Site Remedial Action Contract # EP-R7-07-06 | Month of: November 

| Property Address; 3022 U 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: Area where foundation was in Bl area 32 @ 2 Feet In Fl area 51 @ 2.5 

Feet 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl-91@4" 

Bl - 86 @ 6" 

El- 112 @ Scrape 

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. 

TECHNOLOGIES, INC. 
Total Quadrant Square Footage to be Excavated = 2536 

Property Classification: EBL-AGE 3.1 Total Drip Zone Linear Footage to be Excavated = 0 

mtSquai 

Legend 

Concrete 

Excavated Area 

| | Existing Structure 

•—•—• Fence 

jx^Qj Permanent Landscaping 

— — — Quadrant Boundary 

Street Boundary 

< > Tree/Shrub 

Area of | 

Former Houfce ' _ i 

Scale 

1 Inch = 20 feet or 1 grid = 5 x 5 ft 

F1 . £iTM F2 

HGL 

B1 

Omaha Lead Site 

Omaha, Nebraska 

Property Number 

OLS- 52256 

Property Address 

3022 U ST 

Post Excavation Concentrations (ppm) 

B2 Play Area 

DZ Easement 

Garden Other 

Description of post excavation areas: F1. front yard left-hand quadrant: F2. front yard right-hand quadrant: B1. backyard left-hand quadrant: B2. backyard nght-hand quadrant: 

DZ. drip zone (1-3 foot area of soil around the foundation of the house) 

I

 
•f -1 

* 

Total Quadrant Square Footage to be Excavated = 2536 

Property Classification: EBL-AGE 3.1 Total Drip Zone Linear Footage to be Excavated = 0 

—i 

T" i 

Legend 

fci:vj Concrete 

V /\ Excavated Area 

16681 Existing Structure 

• •—• Fence 

E*$*3 Permanent Landscaping 

— — — Quadrant Boundary 

- Street Boundary 

< ) Tree/Shrub 

y. streetNorth Arrow 

N 

Scale 

1 Inch = 20 feet or 1 grid = 5 x 5 ft 

v HC3L, — HydroiJtiLfigif. Irf 

F1 

F2 

B1 

Omaha Lead Site 

Omaha. Nebraska 

Property Number 

OLS-52256 

Property Address 

3022 U ST 

Post Excavation Concentrations (ppm) 

B2 Play Area 

DZ _____ Easement 

Garden Other 

Description of post excavation areas: F1. front yard left-hand quadrant; F2. front yard right-hand quadrant; B1. backyard left-hand quadrant; B2. backyard right-hand quadrant; 

DZ. drip zone (1-3 foot area of soil around the foundation of the house). 
OFF WEED SEED 

. Agreement to altowaccess to 

Omaha Load s* /ejta v theproperty inorder to conduct 

Sit* Remedial £ vSR7 2 envtonrnwital swnpllnfl and to 

Action V**Mfr-^ removetoad-contaminatedsort 

i,fee.&n*m* • OB*« ootrwft w» *• D. S 

(EPA)ID du»op\*A-ttmHnm**A\»ih. •! 

HM EPA 

By tigoagfcgfc<m.tb»pw»«*r <"*»« y«* »«^n«patoIhrfoittopgftan admits wtotod to iui 

eiuoi* inckrfiac mil i««fa|, HMOMJ! ot\t*A unntaniartid Mil,••*f«tei«lioa of ^ nlwwced 

•K>»M<y. Aftor ulr!••••! ^t •«•**• sigartv* onteaban,IM«tTirhantogiat.Inc.vail eoatoct tit 

AteMak^vtart Ibr til QtariuU^ISite fhiMip.Ib.CyvAfl Bfldi^(402) 504-1004 Gawd 

4Mitam AovtflU Otaufc«Lt«d Site eiMM* cam tw4ir«cta! to tiaEPAlUblic Iulhim««ioa Cmten •! 

<402) 731-3045 (JOB*OmA» oAct) or (402)9W >583 (ixvfe 

PROPERTY VFORMATON 

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&EPA 

EPA Property Close Out 

Property #: S39F6 Property Address: 3o3? U. 

Date/Time: /// Owner's Name: fjftti0t 

Quads Excavated: ft +n * Contractor Group Prudent Technologies 

Excavation General Yes

\ . If necessary, were the correct quadrant(s) excavated and restored? S 

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

Grading Sod and Vegetation Yes

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

from the house? s 

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

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

day time period) *r 

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 *r time period) 

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

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

Gates, Fences and Retaining Walls Yes

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

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

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

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

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? S 

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

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

Sidewalks and Driveways (Concrete) Yes

1 . Was damage to driveway surfaces avoided? ,/ 

2. Was damage to walkway surfaces avoided? I/ 

 No 

 No 

 No 

 No 

 No 
Owners comments: 

Inspection notes: 

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

EPA Representative ^^J^.^ Date: ///>/»? 

ff 
AH

 

Total Quadrant Square Footage to be Excavated = 2536 

Property Classification: EBL- AGE 3.1 Total Drip Zone Linear Footage to be Excavated = C 

Legend 

[£y£j Concrete 

y /\ Excavated Area 

| j Existing Structure 

•—•—• Fence 

fcv>yj Permanent Landscaping 

— — — Quadrant Boundary 

Street Boundary 

O Tree/Shrub 

l i Area,of_ i __ 

Former Blouse | 

North Arro fyrov w

Scale 

11nch = 20 feet or 1 grid = 5 x 5 ft 

y"S 

ENTERED 

Omaha Lead Site 

Omaha, Nebraska 

Property Number 

OLS-52256 

Property Address 

3022 U ST 

Post Excavation Concentrations (ppm) 

F1 91, 5i B2 Ray Area 

F2 DZ Easement I)X 

B1 Garden Other 

Description of post axcavafion areas: F1. fronl yard left-hand quadrant; F2. front yard right-hand quadrant; B1. backyard left-hand quadrant; 82. backyard right-hand quadrant. 

OZ. drip zone (1-3 foot area of soi around the foundation of the house). 
10/10/07 WED 10:03 FAX 202 EXEC OFF WEED SEED 0005
 

Property Completion Agreement 

ThLs agreement documents the completion of removed activities performed on the below listed property. 

The property twner'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 (30 days total) except those items listed below, if any. 

Property ID: 5 2- "2-5 C, 

Property Addrdt: 3 o 2_T— U S»V OT^aW A tsj^_ ^-SIQT 

Owner: x-"' t 1 _. \ » rfVJ d e ~~\"( I Vvft vr\2i 5> 

Pbont: ^ 3.o'X " ^ \M "" H-S^ 

Rratoraiion Items in Question: 

Kern! 

Item: 

Itam: 

ttsm: 

Item: 

Item: 

Required oonvetlons to complete the property: 

I agree restoration Is completed, except as noted above. 

CD I do not agree restoration is completed 

Owner's Signature Dale 

SQOTVDSSDfc S3I9010WH031 :

 T i BO 
ENVIRONMENTAL,!* 

CONSTRUCTION 

TECHNOLOGIES, INC. SOLUTIONS 

June 14, 2007 

Claude H Thomas 

103 Regina Drive 

Sterling VA 20165 

RE: 3022 U Street (Vacant Lot) 

BVID# 52256 

Dear Sir: 

Thank you for participating in the soil clean up project being implemented by the U.S. 

Environmental Protection Agency (EPA) for the Omaha Lead Site. This clean-up project is being 

completed at no cost to the homeowners. 

In allowing the remediation of your property at 3022 U Street you will have achieved a lead safe 

environment from the exposure of lead in the soil for your family or the families of your tenant, if 

the property listed above is a rental property. 

We are asking you to sign the enclosed document stating that: by my signature on the enclosed 

agreement form. I hereby give permission to employees and/or authorized representatives of 

Prudent Technologies, Inc. (Prudent), contracted by the United States Environmental Protection 

Agency (EPA) under Contract EP-R7-07-06, to enter and have access to my property for the 

purpose of sampling and taking appropriate response actions which are necessary to implement 

the clean up of lead contamination in the soil. Such actions will include: (1) Preparation for and 

the excavation of contaminated soil from my property; (2) Backfill excavated areas with 

approved clean soil; (3) Restore grass and other vegetation or structures as close as possible to 

their pre-excavation state. 

Please sign the form where indicated and return in the pre-addressed stamped envelope, keeping 

the pink copy for your records or please contact me at the phone number listed below, and I will 

be happy to meet with you at your convenience to discuss any property issues. 

Also, please remember that the above property will be listed in the EPA's database as well as 

your county assessor's office of clean properties upon completion. 

Should you have any questions, please do not hesitate to contact our office at 2505 N 24th St, 

Suite 218, Omaha, NE 68110 or 402-504-1004. 

Thank you again for your prompt attention in this matter. 

Sincerely, 

Cyndie Hinds 

Prudent Technologies, Inc.

 

Omaha Lead Site Administrative Clerk Team Member 

Enclosures 

8080 Ward Parkway, Suite 405 2505 N. 24TM Street, Suite 219 8918 Tesoro Drive, Suite 109 
Sample Area: 52256 - 3022 U ST 

Owner: Resident: Contract: 

O Owner Occupied 

Owner Name: 

ITHOMAS CLAUDE H 

Owner Address 1: 

Owner Address2: 

Resident Name: 

(VACANT LOT 

Property Address: 

|3022 U ST 

Zip Code: 

68107 

i 

Contractor: 

|PRUDENT2007 

Group: 

1 

Assessment: 

|103 REGINA DR 

City:

(STERLING

Owner Phone:

 State: Zip Code: 

 |VA |20165 

 Alternate Phone: 

Resident Phone Qualifying Group 

|EBL - AGE 3.4 

Assessment XRF Date: 

| 

1 1 Assessment Max XRF Value: 

1 572.59 1 
Page 1 of 2 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 1862874. 

Original Call Date: 8/10/07 Time: 12:07 pm Op: CYNDIE18967
 

Work to Begin Date: 8/14/07 Time: 12:30 pm
 

State: NE County: DOUGLAS Place: OMAHA
 

Address: 3022 Street: U ST
 

Twp: 14N Rng: 13E Sect-Qtr: 09-NW
 

Twp: Rng: Sect-Qtr:
 

Legal Given: C
 

Type of Work: Soil Excavation - Lead Remediation
 

Location of Work: LOCATE ENTIRE PROPERTY
 

Remarks: FAX ALL CLEARS TO: (402)504-1005
 

Company : PRUDENT TECHNOLOGIES
 

Contact Name: CYNDIE Phone: (402)504-1004
 

Work Being Done For: EPA
 

Depth of Excavation: 14" Corner Lot: N Front: N Rear: N
 

Involves Tunneling or Horizontal Boring : N Explosives: N
 

CXCATV MCLEODNE METRO MUD02 OMAHACOF OPPDGPR6 QLNNE1F
 

Service Area Contact Phone Number Utility Type 

CXCATV COX COMMUNICATIONS, INC HEIDI

Day: 4029340469 

 Alt: 4029340469 

Emerg: 4029329757 

Day: 8002891901 

MCLEODNE MCLEODUSA NA Alt: 

Emerg: 8002891901 

Day: 4024572307 

METRO METRO COMM. COLLEGE CHRIS Alt: 

Emerg: 4024572313 

Day: 4025047823 

MUD02 METROPOLITAN UTILITIES DISTRICT EDWTNA Alt: 

Emerg: 4025047946 

Day: 4024447197
 

http://www.dhon.org/irthintemet/DHONNoticeCreation/MessageText.asp?ret==<RESULTS... 8/10/2007 
Page 2 of2 

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER RON 

OPPDGPR6 OMAHA PUBLIC POWER DISTRICT NA 

QLNNE1F QWEST LOCAL NETWORK. NA 

Alt: 4024445161
 

Emerg: 4024445160
 

Day: 4067289343
 

Alt:
 

Emerg: 8887289343 

Day: 4067289343
 

Alt:
 

Emerg: 8887289343 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 8/10/2007 
Map Output Page 1 of 1 

ArclMS HTML Viewer Mai 

Ctftfiyti (C) Cojgjp Onan Tocfncfagr Ccmminan 2DOO 2X17 

• 

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Legend 

Highlighted Feature 

 Parcel 

•../ Street 

Black and White Aerials 

http://webarc.co.douglas.ne.us/servlet/com.esri.esrimap.Esrimap?ServiceName=TeslAerial... 5/20/2007 
Property Detail Information Page 1 of 2 

BB9IBI IBBiBB 

(Roger

c

Mbmssey "I ;; c 

(

Doug[as County Jfrssessot 

Print this page 

Owner Information: 

Owner Name: THOMAS CLAUDE H 

Mailing Address: 103 REGINA DR 

STERLING, VA 20165-0000 

Property Information: 

Key Number: 2498000014 

Account Type: Residential 

Parcel Number: 1424980000 

Parcel Address: 3022 U ST 

OMAHA, 68107-0000 

Previous Assessed Value: $6200 

Current Assessed Value: $6200 

Tax Levy Information: 

CITY COUNTY BUILDING 

DOUGLAS COUNTY 

OMAHA PUBLIC SCHOOL DISTRICT 

EDUCATIONAL SERVICE UNIT 019

 

METROPOLITAN COMMUNITY COLLEGE 

CITY OF OMAHA

 

PAPIO NATURAL RESOURCE DISTRICT 

OMAHA TRANSIT AUTHORITY 

Total Levy 

View Douglas County Treasurer's Tax History Information 

Last Updated: 3/23/2007 

« Perform a New Valuation Search 

.01096
 

.26144
 

1.19930
 

.01500
 

.06740
 

.43387
 

.03844
 

.04871
 

.00000
 

.00000
 

2.07512
 

http://webarc.co.douglas.ne.us/dcassessor/details.asp?Name=&Address=3022+u+st&Key=... 4/23/2007 
Property Detail Information Page 2 of 2 

Parcel Characteristics: 

Legal Description: JETTERS ADD LOT 12 BLOCK 10 E 1/2 LT 11 & ALL 

Parcel Size: Acres: 0.22 Sq. Ft.: 9750 

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: No Building Characteristic Information Available 

Property Photos/Sketches: 

Click Here To Enlarge Image CJLck Her_eJ[CLEnjarge .Image 

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 

Assessors Home | Valuation Information | Meet Your Assessor | Frequently Asked Questions 

Tax Information | Contact the Assessor | Slide Show 

Calendar I Websites of Interest

 

http://webarc.co.douglas.ne.us/dcassessor/details.asp?Naine=&Address=3022+u+st&Key=... 4/23/2007 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

2213440000 

JOHNS 

BERNICE 

1516N28ST 

OMAHA 

68111 

3112 

NICHOLAS ST 

OMAHA 

NE 

68131 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

16-15-13 

SHINNS3RDADD 

Y 

2 

S 48 E 88 FT 

48X88 

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

accountno=R221 3440000 

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 = 18 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData::=Douglas County-... 8/1/2007 
Print Preview Page 1 of 1 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

1424980000 

THOMAS 

CLAUDE H 

3022 U ST 

OMAHA 

68107 

103REGINA 

DR 

STERLING 

VA 

20165 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

09-14-13 \ I 

\vo\ i 'i W

JETTERS ADD

 <vrf^° j>u

r 

' 

10 

12 

E1/2LT11 &ALL 

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

accountno=R1 424980000 

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 = 42 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData:=Douglas County-... 8/14/2007 
Name: Date: 

No. Property Address Day Care AM Landscape 

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Others 

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Name: Vt YV Date: 1(0 "2 U ~ 

No. Property Address Day Care AM Landscape Others 

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Yahoo! Mail - chinds_prudent^^hoo.com

 Page 1 of 1 

i- MAIL Print - Close Window w Classic 

From: "Mary Castaneda" <mcastaneda@airsoilwater.com> 

_ . garvey.daniel@epa.gov, '"Cyndie Hinds'" <chinds@prudentweb.com>, cfisher@prudentweb.com, 

°" smudumala@prudentweb.com 

__ "'Bob Feild'" <feild.robert@epa.gov>, kring.debbie@epa.gov, Bahnke.Donald@epamail.epa.gov, 

tfrezell@airsoilwater.com 

Subject: 1020 Homer - SAID 12536- Prudent 2007 

Date: Thu, 25 Oct 2007 14:23:34 -0500 

Damage Claim: Basement leak and existing Sod concern
 

Elmer Weaver
 

1020 Homer
 

402-551-0902
 

SAID 12536
 

Mr. Weaver reported the grade level is causing drainage into the
 

basement.
 

Currently that area if basement is starting to dry up.
 

Owner needs someone to review the grade level.
 

Also was wondering when the Sod will layed?
 

See Oracle for previous comment history in oracle.
 

Mary Castaneda
 

EPA Public Information Center
 

4909 S 25 St Suite #2
 

Omaha, NE 68107
 

402-731-3045 Ofc
 

402-731-0697 Fax
 

402-510-0673 Cell
 

http://us.f636.mail.yahoo.com/ym/ShowLetter?box=Inbox&MsgId=34_8728036_42080_... 10/25/2007 
Name: 0 W# Date:: 10 1* 7 

No. Property Address Day Care AM Landscape 

rs 

Others 

lA/hfi« 

/ ­