Transmittal of Oniaha Lead Site 

Paint Stabilization File Folder 

Said# ^716-7-? Date: ^",^7-/ 0 

Address: H^ l S •33> S-7-

Contractor: Citv of Omaha Year: «^<^ 7 0 

Paint Stabilization 

Property File Folder Documents 

^i^/Work Write Up 

^•^Signed Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for OccupantTenant, ifapplicable 

J^ . Paintirig Agreement/City of Omaha Purchase Order 

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

Renovation Recordkeeping Checklist signed by Certified Renovator 

\y^ Property information from Douglas County Assessor's Office 

^Othe r (describe): r/>AfQ.S 

City of Omaha Representative Signattire Date 

EPA Representative Signature 7 Date 

30262467 

llll l 

Superfund 
1 

CITYOFOMAHA 

PURCHASING - ROOM 1003 Purchase Order 

1819 FARNAM STREET 

PURCHASE REVISiCN PAGE ORDER NO. 

OMAHA. NE 63183-1003 

1168820 0- FAX# 402-444-5423 

J & C PAINTING LLC VENDOR: 1616 VINTON ST 

OMAHA, NE 68107 

^HIP TO: 

CITYOFOMAHA 

HOUSING & COMM DEV RM#1111 

1819 FARNAM STREET 

OMAHA,NE 68183 

>. < BILL TO: 

CITY OF OMAHA FINANCE 

DISBURSEMENTS ROOM #1007 

1819 FARNAM STREET 

OMAHA.NE 68183 

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

CUSTOMER ACCOUNT NO. VENDOR NO. DATE OF ORDER/ BUYER REVISED DATE//BUYER 

102140 22-SEP-10 H HURT 

PAYMENTTERMS SHIP VIA F.O.B. 

IMMEDIATE • DESTINATION 

FREIGHT TERMS REQUESTOR/DELIVER TO (:ONFIRM TO / TELEPHONE 

ZIVNY, STEVEN D ' (402)917-2689 

> • < ITEM PART NUMBER / DESCRIPTION DELIVERY DATE QUANTITY UNIT UNIT PRICE EXTENSION 

All prices and amounts on this order are express 5d in : US Del]ar 


NEEDED: 1,375.0 0 N 

23-SEP-lO 

EPA PAINT STABILIZATIOtJ 


PROGRAM GROUP 172 1141! 


S 33RD ST i 


O SHIP TO: ; 


Address at top of page 


SHIP TO: Address shown above. If shipment is delayed or any jtenns not available, advise at once. Pur­

chase order number must appear on all Invoices, packages, packing lists, bill of lading, and correspondence. Total ( ^-^^soo )

SHIPPING CHARGES TO BE PREPAID, IF APPLICABLE AND ADDED TO INVOICED, copy to be fur­

nished with invoice. 

TAX EXEMPTION: The City of Omaha Is exempt from Federal Excise Taxes and the Nebraska and City of 

Omaha Sales Taxes. Federal I.D. 476006304; STATE I.D. 01-0316768; Fuel Dealers Lie. 91-0316768. 

Cily Puithasing Agenltf Bu 
Planning Department 

Omaha/Douglas Civic Center. Inspector: Steve Zivny 1819 Farnam Street, SuitellOO 

Date: 8/18/10 Omaha, Nebraska 68183 

(402)444-5150 

Telefax (402) 444-6140 

Name: Kevin R. Snethen R. E. Cunningham, RA, F.SAME 

City of Oinaha Director Jim Suttle, Mayor Address: 1141 S SS'^Street 

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 ilazard Control Plan, Inteiim Control of Lead Based Paint Hazards. 

The Contractor Shall: 

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

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

• Comply with Standards called for in tlie "Consfruction and Rehabilitation 

Specifications, Housing and Cbmmuriity Development Division, City of Omaha, 

Nebraska." (Copies are available at the Planning Department.) 

• Comply with the State ofNebraska Health Mid Human Services Regulation and 

Licensure, Title 178 Chapter 23 Lead Base Paint Regulations. 

• Coordinate daily construction schedule w;ith the occupant 

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

written approval of the Constmction Specialist. 

• Repair br replace all iteins damaged or disturbed during paint stabilization 

activities. 

• Keep work site arid surtouriding area free from accumulations of waste materials 

or rubbish caused by ,the work at all times. 

• Upon daily completion of work: clean up all rubbish, excess material, equipment, 

and etc., that is connected with the work, and leave all parts ofthe work areas in a 

neat,, sanitary, lead s.afe 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 the paint stabilization process. 

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

back shrubs and bushe.s atleast two feet from the house. 

• Ensure that all household members stay, at least ten feetaway from all work areas 

and also.keep.all pets.at least ten feet away at;all times until the work has been 

coriipleted and the area has passed a visual inspection. 

Initials 
1141 8 33.'" St (Continued) 

Lead Hazard Control Plan 

Interim Control of Lead based Paint Hazards 

Paint Stabilization 

• Stabilize all previously painted exterior wood, brick, metal, concrete 

surfaces of the dwelling to include but not limited to the siding, fascia, 

eaves, trim, window trim, shiitters, gutters, railings, porch floor, 

downspouts, door trim and foundation. DO NOT INCLUDE MAN 

DOORS OR WINDOWS. DO NOT INCLUDE CEMENTITIOUS 

SIDING. 

• Prepare and paint all previously painted surfaces by following the Safe 

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 finish coat. (Refer to Planning Dept. approved paint 

list).. 

• IF SPRAYED, ONE COAT SHALL BE BACK-BRUSHED OR 

BACK-ROLLED. 

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 municipalysolid waste landfill. 

D.I AUci^ 

Property Owner 

Date 

.Property Owner. 

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 preverit 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 confractorhas 

identified deteriorating exterior lead-based paint. 

• Homes are eligible only by referral from tlie 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 tnatch 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 confractors will test paint on exterior house surfaces and give the 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? 

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

• The City staff will prioritize homes based on the presence of children under age 

six if known and the severity of the problemPaint Stabilization is voluntary and will be done only with permission ofthe owner. 

Initials ^j)3> 
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 performcertain environmental response activities upon the following described premises: 

Owner's Name: Davtime Phone: 

Owner Name(s): Kevin R Snethen 709-2534 

-. . . . - . • . 

Addresses of Properties Covered by this Agreement 

Property Address 

City/State/Zip Code 

1141 S. 33th St. 

Omaha, NE 68105 

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

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

PURPOSE OF ACCESS 

The purpose of the response action is to stabilize loose or flaking exterior lead-based pairit 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 fiirther, provides the Grantee the right to perform any and all envirorunental 

response actions and activities it deems appropriate. 

ENVIRONMENTAL RESPONSE ACTIONS 

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

activities: 

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

the response activities. 

2. Obtaining samples from Grantor's property. 

2/12/2007 (1) 
Address: 1141 S. 33th St. 

Consent for Access to Propertv (Page 2) 

3. Plarming 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. 

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 cn 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 ariy actions regarding the use of the Property which 

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

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

agreement to prospective purchasers, lessees, assigns, or graritees of the property or any portion pf 

it. Grantor agrees to provide 30-day notice to EPA prior to any fransfer 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 OF PROPERTY 

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

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

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

activities. 

2/12/2007 (2) 
Address: 1141 S. 33th St., Omaha, NE, 68105 

CURRENT CONDITION / PROPOSED RESPONSE ACTIVITIES 

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

confractor 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 bv propertv owner prior to the response activities: 

1. . 

2. 

3. 

4. 

5. 

Items NOT to be removed bv contractor during removal activities: 

1. 

2. 

3. 

4. 

5 . • • • 

ADDITIONAL COMMENTS: 

I have read the foregoing document and understand that it is an agreement granting permission to 

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

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

pamphlet "Renovate Right". ^...^ / 

Grantor's Signature: "^^^^^-^^/C , JTu X D^te 2_iPi{M^\ ^ 

(3) VYi/mn 
Douglas County Account Information Page 1 of2 

Douglas County, Nebraska Property Record - R123637000D 

Print Report 

NEW Feature - Patcel Dimensions avallabia Q scale 0-50 ft west of S2nd St - VJe W OO Ma p Infonnation is valid as of 2010-4-5 Treasurer's Tax Report 

New Feature r*: iir* sis Auto Sales Search 

Owner 

SNETHEN KEVIN R 

1141 8 33 ST 

OMAHA NE 68105-0000 

Property Informatio n 

Key Number: 3637 0000 12 

Account Type: Residential 

Parce/ Number: 1236370000 

Parcel Address: 1141 8 33 ST 

OMAHA NE 68105-0000 

Legal Description: HANSCOM PLACE LOT 15 BLOCK 7 W 168.8 FT 50 X 168.8 

Value Informatio n 

Land Improvement Total 

2009 $7,100.00 $109,800.00 $116,900.00 

2008 $7,100.00 $109,800.00 $116,900.00 

2007 $7,100.00 $109,800.00 $116,900.00 

2006 $7,100.00 $77,000.00 $84,100.00 

2005 $7,100.00 $77,000.00 $84,100.00 

2004 $7,100.00 $77,000.00 $84,100.00 

Sales Informatio n 

Sales Date: 2006-04-11 

Deed Type: WD Booilr: 2006 Page: 040897 

Price: $119,000.00 

Grantor- Eric L Ward ETAL 

Grantee: Kevin R Snethen 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Informatio n 

Acres SF Units Depth Widtii Vacant 

0.19 8400.0 1.0 168.0 50.0 No 

Improvemen t Informatio n 

http://douglasne.mapping-online.corii/DouglasCoNe/static/accountinfo.jsp?accountno=Rl2.„ 4/16/2010 
Douglas County Account Information Page 2 of2 

Building 1 

2 1/2 STORY UNFINISHED 

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CLICK TO ENLARGE IMAGE CLICK TO ENLARGE IMAGE 

Square Footage: 1840.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Good 

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

HVAC: Forced Air Rooms: 10.0 

Exterior: Frame Shingle Units: 1.0 

Interior: Drywall Baths: 2.0 

Roof Cover: Composition Shingle Bedrooms: 6.0 

Roof Type: Gable Stories: 2.5 

Floorcover: Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1895 0% 1895 115 

Deta/7 Type Detail Description Units 

Add On Fence Chain Link 1.0 

Appliance Allowance 1.0 

Basement Bsmnt Block 8 ft 904.0 

Fixture Additional Fixtures 2.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 2.0 

Garage Detached 360.0 

Porch EncI Solid Wall 80.0 

Porch EncI Solid Wall 80.0 

Porch Slab Roof Ceiling 228.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountoo=R12... 4/16/2010