### TRANSMITTA L o f OMAH ALEA D SIT E SOI L REMEDIATIO N FIL E FOLDE R 

## sAiD « iaft2 ^ DATE : >/ » /2O/ 2 ADRESS : 2 ^

Z W Map(f l SJ REMEDIATIO N CONTRACTOR : COASTA L ENVIRONMENTA L GROU P YEAR : ^.Ql ^
SOI L REMEDIATIO N PROPERT Y FILE FOLDE R DOCUMENTS / Executiv e Summar y [ yEPA-provide d propert ysketc h DH

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Signe d Acces s Agreemen t (s ) fo radjacen t propert y n Restoratio n Agreemen t ^{ H Settlemen t document s (i.e. , fo rdamag e o rt o replac e plants , etc. )

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Satisfactor yrestoratio n signe d b yPropert yOwne r & Propert yclose-ou t chec k lis t signe d b yEP A A4 ^ Descriptio n o f area s o f area s no t meetin g RO D cleanu p criteri a ^

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## Propert yAcces s Checklis t Propert y ID : XQPiP(7\ Propert y Address : 2^^ ^ jL//Jl|) U "S f n WOR K STARTE D D l WOR K COMPELTE D ON: . ON: _ / / / / 

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^27 ^ Renter : Phone : Fax : CeU/Pager : Additional Information :

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Acces s Agreemen t Restoratio n Agreemen t Topso U SampUn g (i f appUcable ) Disposa l Sampling ; (i f appUcable ) Garde n SampUn g (i f appUcable ) Utilit y Clearanc e Video/Photo s (Before ) Video/Photo s (During ) Video/Photo s (After ) Video/Photo s (30-Day )

Propert y Completio n Agreemen t Fina l Repor t Sent : Signed : Signed : / / / CaUed :

On : On : On : On : Signed : Issued : /

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Omah a Lea d Sit e

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- > r > Subdivisio n Sale s Searc h Owne r POP E BEULA H 290 9 N 2 5 S T OMAH ANE68111-000 0 Propert yInformatio n Ke yNumber : 027 6 000 0 2 0 Accoun t Type : Residentia l Parce l Number : 20027iB000 0 Parce l Address : 242 6 MAPL E S T OMAH AN E 68111-000 0 Lega l DescHpt'on : PATRICK S - AS - AD D LO T8 BLOC K1 S 72. 6 W 4 4 F T 4 4 X 72. 6 Valu e Informatio n Lan d //nprovemen f 7bta / 2011 $400.0 0 $0.0 0 $400.0 0 201 0 . $400.0 0 $0.0 0 $400.0 0 200 9 $400.0 0 $0.0 0 $400.0 0 200 B $400.0 0 $0.0 0 $400.0 0 200 7 $400.0 0 $0.0 0 $400.0 0 200 6 $400.0 0 $0.0 0 $400.0 0 Lan d Informatio n Aerie s S F Unit s Dept h Widt h Vacan t 0.0 7 3168. 0 0. 0 72. 0 44. 0 Ye s



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### http://douglasne.mapping-online.com/DouglasCo N e/static/accountinfo.jsp?accountno=R2.. . 10/19/201 1

# As-Buil tDrawin g 0LS:2982 4 

## COASTA L DAT E EXCAVATED:04/201 0 DAT E USEP ASIGNE D OFF:6/23/1 0 

# Omali a Lea d Superfun d Sit e Environmenta l Group , ARE ASODDED : Se e Executiv e Summar y 

## Inc . 2.9g>2.-« + Omah a Lea d Sit e

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## n n Date : Tim e a//<y/o<f ^ prv ) I Staf f MS W Legend - F l = Fron t Lefl . F2 • Fro m Right . B l = Bac k Left , 82 = Bac k Rigti t DZ " Dti p Zone , GZ •= Garden , PZ = Ra y RYAi;rJ>LJ^29e2 4 Ai rquadrant* »f « »m v*«w« d frofntfi * rtT»«l, tacinc pfopwt y RMu n tOTppn i

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### CONTRAC T #: EP-R7-09-0 6 COASTA L ENVIRONMENTA L GROUP , INC .

## Z9g>2. 4 Exterio rPain t Nort h Arro w 

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# 3 I Legend : F 1 = Fron t Left , F2 = Fron t Right , B 1 = Bac k Left , B 2 = Bac k Righ t D Z = Dri p Zone , G Z = Garden , P Z = Pla y PYAQrPtA-2982 4 * " ^'^^'^'•^"t s sre a s viewe d fro m th e street , facin g propert y

Re v 200 8 ,BLCreated : 16-May-0 8 046141.012 3

## Z9g>2_ 4 Exterio rPain t Nort h Arrow Omah a Lea d Sit e • Goo d Sit e Sketc h • Poo r Samplin g Address : Z4Z. ^

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ncv2008D LCrcmcd : 16-May-O S 046141.012 3*> , .- C IHVIBOHU I KIJ. I ' «»" • C « 0 U r > « ( 

## Consenifo i Acces s T o Property ' RIGH T O F ENTR Y T O PREMISE S 

### Granto r(th e property ' ov^ner ) consent s t o an d authorize s th e Unite d State s Environmenta l Protectio n Agenc y(EPA) o rits authorize d representatives , collectivel y th e Grantee , t o ente ran d perfor m certai n environmenta ! respons e activitie s upo n th e followin g describe d premises :

Ovifner' s Name - Daytim e Phone : 

# / I Ojp e 6eu\oy \ Vo Z H sulci ? Addres s o f Propert y covere d b ythi s Agreement : PURPOS E O F RESPONS E ACTIVITIE S 

### Th e EP Ai s requestin g acces s t o collect soi l sample s an d remove soi l tha t contain s elevate d concentration s o f lea d an d maypos e a healt h hazard . Th e area(s } V4\\ \ 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 it s 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 f Coasta l Environmenta l Group , contracte d byUSEPA , v^ril l contact th e Granto rin-perso n t o discus s th e wor k t o b e perfomied , th e Granto rwil l have a n opportunityt 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 confir m 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 EPAtha t th e property has bee n remediated . ENVIRONMENTA L RESPONS E ACTION S 

### B

ysignin g thi s Acces s Agreement , th e Granto ri s grantin g th e EPA , its employees , contractors an d subcontractors th e righ t t o ente rth e property , at al l reasonabl e time s an d wit h prio rnotice , fo rth e sol e purpos e o f performin g th e work . Thi s acces s shal l remai n i n effect unti l th e wor k has bee n satisfactoril ycompleted . Th e Granto rals o agree s to :
Pag e 1 o f 2C 0ASTA L tHVinONHhKTA l C « O O ' I KC 

### t Remov e obstruction s includin g boats , trailers , vehicles , playscap e items , wo piles , do g houses , etc ; o d e Remov e flowe rbulb s o rplant s tha t th e Granto ro rth e Grantor' s tenan t ma yw t o save ; is h cWate ran d maintai n replacemen t vegetation , iricludin g fertilize rapplication , necessar ysubsequen t t o a n initia l wateriri g perio d b yEPA ; a s rAbid e b yhealt h an d safet yguidanc e provide d b yEPA ; « I f th e propert yi s rented , assis t EP Ai n obtainin g tenan t approva l fo racces s th e propert yt o perfor m th e work . t o cAllo wvideotapin g and/o rphotographin g o f th e property . AGREEMEN T NO T T O INTERFER E 

### Th e Granto ragree s no t t o interfer e o rtampe rwit h an yo f th e wor k activities , o rwit h an y o f th 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 f sai d propert ywhic h woul d ten d t o endange rth e healt h o r welfar e o f th e Grantee s o rth e environment , o rt o allo wother s t o us e th e propert yi n suc h a manner . Shoul d yo u hav e an yquestion s abou t thi s program , pleas e contac t Coasta l Environmenta l Group , a t (402 ) 991-119 9 ^ 1 gran t acces s t o mypropertie s D I d o no t gran t access t o mypropertie s

Siignetur e Dat e Q I woul d lik e t o b e presen t durin g an ysampling ! tha t i s required .

Page 2 o f 2COA S T A L CNVIMOMHtNTA L C N O U P . IN C 

## Restoratio n Agreemen t Th e pvupos e o f thi s agreement i s t o provid e amutual agreement a s t o condition s o f th e propert y prio r t o remediatio n activities . Thi s will als o serv e a s documentatio n fo r th e purpos e o f assurin g tha t restoration activitie s are complete dt o th e satisfactio n o f th e propert y owner andth e Unite dState s Environmenta l Protectio n Agenc y (EPA) .

Propert y ID : Z ^ ^ Z j Propert y Address ; Z ' I Z 3 Z ^ c^ p \d l S' ' ~PhZ^ : C7C7 0 ^y i HlC ' On the attacheddiagram(s ) indicat e aiea(s ) to excavate , surface structure s an dlandscaping feature s an dacces s location(s ) t o b e usedb y th e contractors . Indicat e distances , depths , materia l types , etc . Photographically an d Videographicall y docimien t the existing condition s ofth e propert y andth e basemen t ifnecessary . 

### Item s t o b e Remove d b yth e Owne rbefor e Star t o f Remediation : Th e removal , storaqe , disposal , and/o rretu m o f thes e item s i s th e Owner' s responsibility . Hem : 

# A ^ \ 

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# y i^-e - S^^y^ d Item : 

# 7 17 Ken) : Item :

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

# zryi y flcAnj- j i^f- y Jz^AJn ^ Kem : Item : 

### Kem :

Pag e 1 of .COA S T AL IHVinOMHTMTA L C « O U * , • H C 

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

# l o . Item : 

# £n A Kem : Kem :



## Item Pre-existin g propert y area , tha t will b e excavated , tha t i s covere dwit hgrass . Number o f tree s > 2 inc h trunk diameter Number o f tree s < = 2 inch trunk diameter Number o f Sprinkler Zones , Contro l Valves , Timers , Heads , etc . Attac hasketc ho f th e sprinkler layout . Number o f andsiz e o f eac hgarden / flowe r be d area . Attachasketcho f relativ e size s andlocations . Agree dupo n valu e o f olant material s no t t o b e replace dbv contractor . Note thi s valu e wil l b e use dt o issu e aplan t vouche r t o th e propert y owner . Easement Area , t o b e excavate d 

## Quantit y 

# fZ 

# ? 

# e r 

# y 0 

# 0

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## Landscap e Inventory Unit Quadrant s

Each Each

Each

Each Squar e Feet

$

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## Condition/Type/Specie s 

# l?\v; ^ U-r-^9 5

fci/\<i^iv)< ^ (\e)oli > Pag e 2 of .COASTA L CMVIHONHCNTA k cn o u p . INC . Additiona l Comment s / Instructions : Th e cK yo f Omah a ordinance s ma yprohib Kyo u fro m usin g dir t o rgrave l area s o n you rpropert y a s driveway s o rvehicl e parkin g areas . Th e Environmenta l Protectio n Agenc y(EPA ) ma yb e removin g an d replacin g soi l underlyin g a grave l o rdir t are a o n you rpropert ytha t yo u ma yb e usin g a s a drivewa yo rvehicl e parkin g area . I f thi s i s th e case , yo u shoul d understan d tha t thi s removin g an d replacin g o f soi l doe s no t mea n tha t an yillega l drivewa yo rparkin g are a o n you rpropert yi s mad e legal . T o th e contrary , yo u ma yb e cKe d b yth e cK yi f yo u us e a grave l o rdir t are a a s a drivewayo rparkin g area , no t withstandin g an yremova l o rreplacemen t o f soi l b yth e EPA . I f yo u hav e an yquestio n abou t legalit yo f a certai n drivewa yo rparkin g area , yo u ma ycontac t th e cK yo f Omaha' s Plannin g Departmen t a t (402 ) 444-5150 . C

U Pleas e chec k thi s bo xi f yo u understan d th e informatio n outline d above . 

# Cj,^ ^ V /

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n Chec k th e bo xi f Owne rdoe s no t wan t CE G t o documen t interio rfoundatio n wall s an d possibl e pre-existin g damage . B ycheckin g thi s bo xCE G i s no t responsibl e fo ran ydamag e don e t o th e interio ro f house , includin g foundatio n crack s o rfissures .

Owner' s Signatur e Pag e 3 of .

## OinahaLea dApplicatio n Pag e 1 of 1

- ^ ' J - Omah a Lea d Applicatio n \. f Ne wSearc h "</ ' Logou t •^l ^ Chang e Passwor d CM J Report s Sumnai y Propert ybif o Assessmen t Clea n Up AOEvant s So n I Paw ' I "DUS TI So a I Pain t I CaOtracMi g Dougla s Count yInteractiv e EP AMa p Soil.Images.CZ ) Sampl e Are a ID pert yAddres s ISa impl e Addres s lOwi K le rNam e 29824 P42 !42 6 MAPL E ST POP EE BEULA H :42

66 MAPL E ST 5811 1 Cleanu p | SampUn g I Contradto rI Remediatio n Event s I Sidewal k Repair s (0 ) I Dat e Qua d Paraine t Xr f Res u Urat s Dept h Marke r Sample d PBItan u Instr_I D iQ A La b La b Unit : 04/12/2 0 F2 LEA D 29 mg/k g 4 0 C. Padill a N 3902 2 N/ A 0 mg/k g 04/12/2 0 E l ILEA D 20 4 mg/k g : i 0 C. Padill a N 3902 2 N/ A 0 mg/k g 

### 1

Remarks :

A v g Residua l Concentratio n > 120 0 a t Ift , Dri p Zon e Concentratio n Av g Residua l > 1 Pbppc n Concentratki n Lef t In Plac e [ Updat e J



## http://r7arcims.r7comp.epa.gov/ols/SoilCleanUp.cfin 10/13/201 1

## OmahaLea dApplication Pag e 1 o f 1

\.

/ Ne wSearc h <,- • Logou t Omah a Lea d Applicatio n 

### ' k Chang e Passwor d iS S Report s 

## 0 , Sunmiaf y Propert yW a Assessmen t Clea n U p Hol d AOEvsnl B So a I n^int~ | " Dur t I "So a I Pain t I Ca n trackin g GooqIe.Map s Dougla s Count yInteractiv e EP AMa p Soi l Imagesf2 ) jSampl e Are a I D pro ipert yAddres s Sampl e Addres s p p lOwne r Nam e [29824 "B42 t 242 6 MAPL £ S T BBII I JPOPE B !42 6 MAPL E S T BEULA H Cleanu p 1 Samplin g I Contracto r Remediatio n Event s Sidevai k Repair s (0 ) faNallon ; COASTAL201 0 ARR A Assnaied : 03^3001 1 StovevRalliia :

Cleanup_typ e Contacte d Ovm e | Acces s 1 Begi n Dat e 'En d Dat e C V Remove d cleanu p Ton s | j 40 0 Ol/lS/201 0 04/01/201 0 04/02/201 0 0 Bd£i ^ Begi n Dat e En d Dat e 'So d Dat e CVBackfi O C V Topsoi l C V Tota l 1 04/05/201 0 04/0S/201 0 04/12/201 0 0 Clos e Dili : Contracto rCloseou t EP AOoseou t I So d Warrant y 06/23/201 0 06/23/201 0 Propert w Renmis : Comments ! Othe rMaterials : [ l^dat e j



## http://r7arcims.r7comp.epa.gov/ols/SoilCleanUp.cf m 10/13/201 1

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## Omah a Lea d Site—Fixe d Pric e EP-R7-09-0 6 Coasta l Environmenta l Grou p In a ,. . Sy^^ ^

www.coastaIhazmat.co m ^ 

### '""'°' * COASTA L 

# EXECUTIV E SUMMARY : BVID #33224(402 8 N 44 ST )

X 

# N o Issue s o r Concern s | ^ Issues/Concern s Detail Explanation : COASTA LI S UNABLE T O PROVID E PRE-EXCAVATIO N AN D EXCAVATIO N PHOTO S A S PART O FTHI S FINA LPROPERT Y FOLDER . THES E PHOTO S WERE I N TH E POSSESSIO N O F A SUBCONTRACTO RTHA T WA S CONTRACTE D T O PERFORM ALLO FTH E SITE COORDINATIO N REQUIRE D B Y TH E SCOPE O FWOR K AN D TH E SUBCONTRACTO RHA S SINC E LEF T TH E PROJECT . THEREFORE , TH E PHOTO S ARE N O LONGE RAVAILABL E Durin g a n interna l audit , i t was discovere dthat thi s property hadbee n excavated , backfilled , sodded , an dsigned-of f b y th e property owne r an dEP A COR , but never billed . Thi s property wa s initiall y excavated , backfilled , andsodde dApri l 2010 . I t wa s signed-offb y th e propert y owne r andEP A CO R o n 6/26/2010 . Al l informatio n associate dwiththi s property ha s bee n lost . Thi s folder ha s bee n reconstructe dwithinformatio n w e receive dfromORACLE . Th e ORACL E informatio n receive dinclude dth e XR Freading s an dth e initial sign-of f dat e b y th e propert y owne r andEP A COR . Becaus e COASTA Ldi dno t re-excavat e th e property , n o additional XRFreading s wer e neede do r obtained . Th e propert y owne r resigne dth e acces s agreement , restoratio n agreement , andproperty completio n agreemen t withcurren t dates . Th e property owne r als o receive dachec k in th e amoun t o f $200.0 0 fo r damage s don e durin g initial remediatio n work . COASTA Lha s take n andinclude dpicture s ofth e F2 quadran t whic hwa s initiall y excavated .4 

## EP A Propert y Clos e Ou t For m Propert y Addr«r . ^a%-^^=^^-S ^ Propert y ff : SlQ(rb,Ql H. . Date/Time : Owner' s Name:./j^. . gjejL|>\9:.V ' • . Contracto r Grou p ( /bgL«a.\c u V Quads Excavated : ^' ^ Ye s N o Excavatio n Genera l 1 . I f necessaiy , wer e the conec t quadranKs ) excavatedan drestored ? 

### y 2 . I f necessary , wer e the correc l areas of dri p zon e excavaiedan drestored ? 

### y Gradin g So dan dVcgetaiio n Yes N o 1 . Doe s th e grading aroundih e perimete r ofth e hous e in excavatedarea s generall y slope awa y / fromthe house ?_^_ ^ 2 . Ha s sodbee n lai di n al l area s tha t wer e excavated ? / 3 . Doe s the so dappea r t

o b e generall y health y an dgrowing ? (Onl y evaluat e i

f mspecie da t a3 0 / da

y tim e period). 4 . Ar c sodde darea s generally (inn an devenl y graded ? 

### y ^ 5 . Ar e di e joint s betwee n th e sodstrip s generall y tight ? (Onl y evaluat e i

f inspecte da t a3 0 da y 

## y timepjeriod ) , _ 6 . Wa s th e propert y gradedsuc htha t wate r wil l no t pool o n the propertj" ' 

### y 7 . Wa s damag e t o landscaping o r plan t material s avoided ? / Gates , Feoccs an d Rctainin s Wal b Ye s N o / 1 . D o gates ope n an d clos e freely? (Ifapplicable ) 2 . Wisr e al l gate s o rfence s take n dow n durin g restoratio n activiiie s reinstalled ? (I f appiicablc) 

## y 3 . Wa s damage t o gates o rfences avoided ? (Ifapplicable ) 

## y

• Wa s damage t o reiainin g wall s avoided ? (Ifapplicable ) 

# y f ouDdatioa , SidinKan dGutter s Ye s N o 1 . Wia s damag e t o the siding or trimavoided ? 

## y 2 . Wa s damag e t o th e foundatio n avoided ? 

## y 1 3 . Wa s damag e t

o w indow s avoided ? ' 

## y 4 Wa s daraage to windovvs o r doo r screen s avoided ? / 5 . Wa s damag e t o downspouts o r downspou i exlension s avoided ? 

# y ' Sidewalk s an dDriveway s (Concrete ) Ye s N o 1 . Wia s damag e t

o drivewa y surface s avoided ? / 2 . Wa s damag e to waDcwa y surface s avoided ? 

### yI 

## Ort'Dcr ^ conunents :

jlnspectio n no<es :

Removal andresioratio n activate s complel e includin g th e 30-da y so dwarranry : EP A Representativ e S,. ^ Date : ,,/.,/, ,COASTA L 

## Propert y Completio n Agreemen t Thi s agreement document s th e completio n o f remedia l activitie s performedon m y property . M y signature will designate that I ain satisfie dwit hth e restoratio n o f rtiy property , andtha t no item s are i n question , no w or a

t ari y tim e in th e future , excep t thos e item s liste dbelow , if any Propert y ID : Z,' ^ KZ H Propert y Address : Z -V 2- ^ X A oy ? le ^ S 

### Ov^er . f ajc> & y A,yi y Phone : C^oz: ) H T 7 H'LA.A l Restoratio n Item s i n Question : Item : Item : Item : Item : Item : Item :
Additiona l Comments :

JS^ I I agre e restoratio n i n completed , excep t a s note d \ZZ 1 I d o no t agre e restoratio n i s corhplete d 

# z 

# /yy z A^-Z7' 3 Dat e Contractor' s Signatur eCoasta l Environmenta l Grou p 241 1 Marth a Stree t Omaha , N E 6810 5 Phone : 402.991.119 9 Tol l Free : 877.662.421 0 Fax : 877.662.421 1 

### Propert y Damag e Settlemen t Date : Octobe r 27 . 201 1 Propert y I D 2982 4 Propert y Addres s 242 6 Mapl e S t Owne r Pop e Beula h Phon e Numbe r 402-457-426 3 I receive dfro mth e contractor , Coastal Environmental Group , Inc . (Coastal) , th e su mo f S200.0 0 t o compensat e for properaty damag e don e durin g th e remediatio n o f lea dimpacte dsoi l fro mth e propert y identifie dabove . Compensatio n Typ e Chec k #239 1 Valu e o f Chec k $200.0 0 Pa y t o th e Order of : Pop e Beula h Descriptio n o f Damag e Damage dtres s durin g excavation/restoratio n o f propert y at 242 6 Mapl e St . M y signatur e belo w acknowledge s th e presume ddamage ; further , 1 acknowledg e tha t thi s wor k wa s complete dsatisfactor y an dreleas e Coasta l Environmenta l Group , Inc . fro mfurthe r obligation s o r

liabilit y t o thi s property . 

# yA^ZyZZp A ZAyyiA r /o'Z7'- n Owner sr' s Signatur e { Date Contractor' s S i 

## 239 1 COASTA L ENVIRONMENTA L GROU P INC . 241 1 MARTH ASTREE T 27-5/104 0 00 3 OMAHA , N E 6810 5 624737290 4 

## Qc,VaS^^2^•^0' \ DAT E PA YT O TH E 

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