PROPERTY SUMMARY

 

Date: 07/19/2007 | Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: July 

Property Address; 1542 N 17 St 

A. EXECUTIVE SUMMARY 

A.I Issues Encountered: None 

A.2 Issues Resolved: 

A.3 Unique Findings: 

A.4 Other Relevant Information: 

CONFIRMATION SAMPLING DATA/RESULTS: 

Dz-88@ 10" 

Bl 343 @ 8" B2-316@8" 

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. 

Superfund 

TECHNOLOGIES, INC. 

40285044 
Footage to be Excavated = 3750 

Property Classification: 800 Total Drip Zone Linear Footage to be Excavated = 126 

Legend North Arrow Omaha Lead Site Concrete Omaha, Nebraska 

Z3 Excavated Area Property Number 

Existing Structure Scale OLS-5201 

Fence 1 Inch = 20 feet or 1 grid = 5 x 5 ft Property Address 

1542 N 17 ST Peimanent Landscaping 

Quadrant Boundary 

Street Boundary HGL il orjic, Itir 

F1

F2

Post Excavation Concentrations (ppm) 

 B2 Play Area 

 DZ Easement 

O Tree/Shrub B1 Garden Other 

Description of post excavation areas: F1. front yard left-hand quadrant. F2, front yard right-hand quadrant: 81. backyard left-hand quadrant 62, backyard right-hand quadrant, 

DZ. drip zone (1-3 fool area of soil around the foundation of the house). 
3O/0 

0/07 

Total Quadil adwmw Squar S e Footage to be Excavated = 3750 

Properly Classification: 800 Total Drip Zone Linear Footage to be Excavated = 126 

Legend North Arrow Omaha Lead Site Concrete Omaha, Nebraska 

Excavated Area Property Number 

Existing Structure Scale OLS- 5201 

Fence 1 Inch = 20 feet or 1 grid = 5 x 5 ft Property Address 

1542 N 17 ST Permanent Landscaping 

Quadrant Boundary 

Street Boundary HGL 

Hyiiro(.ieoLo(jii: Inc. 

F1 

F2 

Post Excavation Concentrations (ppm) 

B2 Play Area 

DZ Easement 

o Tree/Shrub B1 Garden Other 

Description of post excavation areas: H. 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 fool area of soil around the foundation of the house). 
Name: _ 

Address: 

Phone: 

Omaha Lead Site 

Site Sketch 

Date Team BVID# XRFCode 

Sample Number Lead Concentration Confirmation Sample 

2(<?.f>?2t.Q ppm 

g-f-f^g ppm 

/• f^.<> ppm 

Yes

Yes

Yes

Yes

Yes

 O 

D 

n 

 CH 

n 

No 

No

No

No

No

 ty 

 Q' 

 (ZT 

 ZJ 

J­

...j.i -jI 

-I­

_L_ j j 

Omaha Lead Site 46904.783-01 
"^ ?"f

"i to 

f!<«[t;«.l Soil 

PiucUtii TecliiiCiio^iei, IUL. (Piucleuli is under cc/atiact witli the U. S. Ztiviroi'iinefitai I'loii-L.^*. -^_e 

£EPA) to cleanup lead -contaminated noih at a number of pr^p3

ftiei V?c-3tE'3 T. O"1:^?

 r'<:rl'-'"-"l

:

:

i 

tlie pfopeiiy locaLeu at _l_£i^^L=__hsJ__\ID_'^)ZC ____ • ?•& ^^ itfiiiieiu- > ou *o s^.l-rw Pririrrt t-3 prrform a sari cirsmjj: et thi' nrr-vp^yt;- *:rj r"Ti~--- \'5

-rf-'::»rT*p=T!iVTrt"-1 

By iigiuiig thii ioiiu, tiie jiicpeily owner ^imiii ^eniiiiiiuii iu I'i'utJeni to paifcijir. dui;. !-._ i^a.cJ . 

t/tojibii:;,. Afiei ubinuiitig ti:e uv^nct 'j itgiUtLHe oii tin; foiui, ^'t^umit TdC.lmciu2iei, LIL. -,,^i s. juij 

propsrr,' 0'wner (and reiidentz) within the next few w>=i:- ro co^rdinare psffofci9".r-° "-•••'-•-•vl^ 

A^r.:ir.s-ctr5Tr--0 ''.'ievv: t'"r ±; 'Jtnshj LSJ-J bite cleanup, Ms. Cyndie Hind^ at (402) 504-100*?. Gatier:-! 

questions about tlie Oiuaha Lead Sitt cleanup can be ciuecttci tu ilia EPA Public 

? (routJi Omaha office) •-•?• (-402) ?*?T-?e9'3 (tiorh C-y.ehg c-fftc?'? 

rlOi.'eit\ Jwilei ot£i»aCLUe. 

PROPtRiV ;-NrOK.-/sATiCN 

(To be completed by resident aiii'sr prop=..'ty onner 

P.ES!CEHT ADDRESS: M 

IF CENTAL , rsoPE.^rr QWKED EY. 

OWNER'S TELEPHONE NUMBER -HOME: f ?/^ 32&~fl£jg WORK: ^00) 

AGE OF HOBt?: [vJ YEARS. HCVv'LOVS HAVE VO'J LiVET1 U'FRE? I -~ YEARS 

HAS THE EXTERIOR BEEH PAiHTEO OR COVERED V"TK S!C!KG E1MCE 1376? \/ YES 

NUMBER OF OCCUPANTS'JUCER7 Yi:^:" ' ~ <O •""--- .-.-• ,--r 

r NUMBER OF CHILDREN UNDER 7 V " r

 " " " " " T^"- "'.AY !K' THE YrT,r: ' "Jr. " '!-••- - ^r v

 v COMMENTS OR SPECIAL INSTRUCT:':1

:" "T. T' -;AT±r;. FT'"J.' 

aere^rnaii sr*?pursuant ID 'Ssatori }'--A of 'JERCLA, 42 U S !J r'C;!.^ h,PA i risi":v or scc«stoTr^ o^^psT'-'r:. 

^r3vidrd frr :;•; ??±:r:^ ":C4;':[. zf rHRr^LA, ^2*J S 7 vf •"':"•'•", ."J'.i"'".;'.' r "i-:: :•:'.*.;"' :cr''2:'?rv.::v. ":.': \ ~ "-: '•'.' 
EPA Property Close Out Form

 

Property #: Property Address:

 

Date/Time: ^ Owner's Name:

 

Quads Excavated: RL Contractor Group SOP 7

 

Excavation General Yes No 

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

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 

from the house? / 

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) i/ 

4. Are sodded areas generally firm and evenly graded? 

t/ 

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

time period) y 

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 

I. 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) i/ 

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

Foundation, Siding and Gutters Yes No 

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? ,/ 

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

Sidewalks and Driveways (Concrete) Yes No 

1 . Was damage to driveway surfaces avoided? t/ 

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

Inspection notes: 

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

EPA Representative £L»*CLj __ Date: 7 /><*/<>') 
Total QuadraTTTSquare Footage to be Excavated = 3750 

Property Classification: 800 Total Drip Zone Linear Footage to be Excavated = 126 

d^mSi 

Legen 77 d ^ Concrete 

Excavated Area 

Existing Structure 

Fence 

Permanent Landscaping 

Quadrant Boundary 

Street Boundary 

O Tree/Shrub 

North Arrow Omaha Lead Site 

Omaha, Nebraska 

Scale 

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

Property Number 

OLS- 5201 

Property Address 

1542 N 17 ST 

Hyi.lioGfOl.ogii.. IIK 

Ft 

F2 

B1 

Post Excavation Concentrations (ppm) 

B2 lib Play Area 

DZ S$ Easement 

LI. 'A Garden _ Other 

Description of post excavation areas: F1. front yard left-hand quadrant; F2, front yard right-hand quadrant: B1, backyard left-hand quadrant; 62. backyard nght-hand quadrant; 

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

SEPA OLOGIES, 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, excluding any 

remaining sod warranty (90 days total) except those items listed below, if any. 

Property ID: 

Property Address: 

Phone: 

Restoration Kerns in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

 I I agree restoration is completed, except as noted above. 

LJ I do not agree restoration is completed 

Owner'^Signature Date 

Find Record K

1 \

 ^ / 1

 \J /"^ 

 Clean Up Query Lead Remaining Query Property Damage Query Close 

\ ^^f 

ample Area: 5201 - 1542 N 17 ST 

V. 

Owner: . pv^^~~~ """ Resident: Contract: 

D Owner Occupied

Owner Name:

MATTES TB-5TF_PHFM. n

Owner Addressl:

 ^>? 

 ~\^

 l- -, 

" T 

• 

 'P 

Resident Name: 

Property Address: 

1542 N 17 ST 

Contractor: 

JPRUDENT2007 

Group: 

Owner AddressZ: 

1542 N 17 ST 

City:

[OMAHA

Owner Phone:

 State: Zip Code: 

 |NE |68iio 

 Alternate Phone: 

Zip Code: 

[68110 

Resident Phone 

Assessment: 

Qualifying Group 

|800 

Assessment XKF Date: 

1 Assessment Max XRF Vali 

918.4 

-, 

° 
Property Detail Information Page 1 of 3 

-"i! ITT 

(Dougfas County Assessor 

Pjint this page 

Owner Information: 

Owner Name: MATTES JR STEPHEN D 

Mailing Address: 1542 N 17 ST 

OMAHA, NE 68110-0000 

Property Information: 

Key Number: 1472000202 

Account Type: Residential 

Parcel Number: 0214720002 

Parcel Address: 1542 N 17 ST 

OMAHA, 68110-0000 

Previous Assessed Value: $12900 

Current Assessed Value: $12900 

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 

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Property Detail Information Page 2 of 3 

Parcel Characteristics: 

Legal Description: LANDS SEC-TWN-RGE 15-15-13 N 25.5 E 140 FT TX LT 24 & S 1/2 E 

140FTTXLT2561 X 140 

Parcel Size: Acres: 0.19 Sq. Ft.: 8540 

Please Note: 

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

use in legal instruments. 

Sales Information: No Sales Data Available 

Building Characteristics: 

Building Number: 01 

Building Size: 840 sq. ft. 

Year Built: 1900 

Condition: Fair 

Quality: Fair 

Exterior: Frame Siding 

Units: 1 

Bedrooms: 2 

Baths: 1 

Garage: Basement Single 

Garage Size: 1

 

Property Photos/Sketches: 

First Floor 840.0 sq ft. 

RAISED RANCH Bsmnt Block 8 ft 

952 0 sq.ft. 

1 CAP HSMT GARAGE 

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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 

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Highlighted Feature 

[ | Parcel 

f./ Street 

Black and White Aerials 

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Sample Area: 5201 - 1542 N 17 ST 

Owner: Resident: Contract: 

CH Owner Occupied 

Owner Name: 

MATTES JR STEPHEN D 

Owner Addressl: 

Owner Address2: 

1542 N 17 ST 

City: State: 

IOMAHA |NE 

Owner Phone: Alternate P 

Zip Code: 

68110 

none: 

1 

Resident Name: 

Property Address: 

|1542 N 17 ST 

Zip Code: 

68110 

Resident Phone 

Contractor: 

|PRUDENT2007 

Group: 

1 

Assessment: 

Qualifying Group 

|800 

Assessment XRF Date: 

1 

Assessment Max XRF Value: 

| 918.4 
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