PROPERTY SUMMARY

 

I Date: 11/9/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: November 

Property Address: 2036 Florence Blvd 

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: 

CONFIRMATION SAMPLING DATA/RESULTS: 

B2 - 261 @ 6" 

Dl-51@13" 

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

ii) Contamination left behind areas

iii) Property address

iv) BVID number 

 v) Legend 

 vi) Contractor identification 

 vii) Date 

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. 

CHNOLOCIES, INC. 
Total Quadrant Square Footage to be Excavated = 2147 

Properly Classification: EBL- AGE 3.8 Total Drip Zone Linear Footage to be Excavated = 200 

Alley 

Legend 

fcjiv£]

Y/\

{j£i$|

•—•—•

jx^xQI

— — —

|Q>

 Concrete 

 Excavated Area 

 Existing Structure 

 Fence 

 Permanent Landscaping 

 Quadrant Boundary 

Street Boundary 

 Tree/Shrub 

Florence Boulevard: 

North Arrow Omaha Lead Site 

Omaha, Nebraska 

Scale 

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

Property Number 

OLS-27550 

Property Address 

2036 FLORENCE BD 

F1 

F2 

B1 

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 fool area of soil around the foundation of the house) 



Total Quadranrequar ranrequ e Footage to be Excavated = 2147 

Property Classification: EBL-AGE 3.8 Total Drip Zone Linear Footage to be Excavated = 200 

Legend 

Concrete 

Y ' /\ Excavated Area 

Existing Structure 

Fence 

Permanent Landscaping 

Quadrant Boundary 

Street Boundary 

Tree/Shrub 

. ^V:-:-:J;

:--;^.j. 'i'-^-';^^'^!?.-.:'.-.-^:.:-.,'--:'.:-.?:!?-^' -i":,.. i.:.*v.y:M. •..l.'vin,X'ijL'.-iii. .?:. I:' 

•:-'. I ' 

Vvl­ v^^"-w

f;-v%iv.--?v'.^;^^^ >;:f''-f;--.,r^-.t'. 

[Florence Boulevard, 

North Arrow Omaha Lead Site 

Omaha, Nebraska 

Property Number 

OLS-27550 

Scale 

Property Address 1 Inch = 20 feet or 1 grid = 5 x 5 ft 2036 FLORENCE BD 

Post Excavation Concentrations (ppm) 

F1 B2 Play Area 'i

v &-Vi^- HGL f — HY>linCn-'>L.-inu,lnc F2 DZ _^____ Easement 

" B1 Garden Other 

Description of post excavation areas: F1. front yard left-hand quadrant: F2, front yarri 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). 
27550

 

Owner Name: SUSAN M BOILESEN Omaha Lead Site 

BD site Sketch Address: 2036 FLORENCE 

Phone: H: W: 

Sample Lead Sample Number 

Concentration Collected 

RYASCPXA-27550 F1 D 

i / 11 t—i/ RYBSCPXA-27550 F2 1 (£ l DDm |yi D 

RYCSCPXA-27550 B1 ^> i i Dom [vi D 

RYDSCPXA-27550 |^§ 

RDZSCPXA-27550 |fp D 

Lab RYDSCPLA-27550 Dom PI D 

Result 672 ppm Dom n D ..... 

Number of Samples — M Tj 

Exterior Paint North Arrow 

n Good 

Efpoor 

Q] Not paint 

Samples Collected 

Firm: V=r b» A VOa. \ rrci

 

Date F}-I- o.« ~ow 

Time-kbi \*Z " 

Samples Analyzed 

XRFUnit: 8/0 Book: S3 

Date: S / / ^j/O^ 

Time: /*?-/>7 

Staff: ^.x^. 

Omaha Lead Site 46130 
l(j rii.'Ov;?' dCC&oo i-D 

Osjyt; ifci-S'.i-COf ii^ir;ii!i!t§--.i t-'-'fi 

PtucUfli Techuol-j^iti.!, Lie. (Pmtletif) is uaciei cuiitidct wiiii the TJ. S. .iiuvii 

(YPA) t" c!°3n up iogd-c^irsrainatsd ?oih at a irumb?!' of proc?rb?" !o-:;

?':c"

1

- T ' .'••ysh'i ^r^7';7;:? 

niciutJiiig thee pioaeiL pioaeiLy located at ILO.rSk ILO.rSk* FLog^KJCkFLog^KJCk- P^^/r>TaP^^/r>Ta6 EPA lai^e^ >, pfnTiiT^i^ti ts !•',!?••/•-• rr«!J!?r« to perform a ssil ctrtrrn; 34thii prrr^rr-' to -5rr:r;--r ^Ta^-r-T-1

:^—L-^T5*' 

By ii£mti£ duz fuiiii. ilifc pioaeitv' ov\tiei~ giaiiii utiiiUEiiGu L- ria^dui tw p&iTwriu^ jLi.'MLiei isliLt­ | f desTiup inciucJfn? 'C' j !

 ^pm^lttrg, removal of !e*» i-fn*it-3frinatp ^ni! and re'tnfshon n!p't)i*> t"pfar**"" 

property. ARet jbuii^tii tiit owtifc/s sigtiaujte uu uAi fonu, riuda i TiLiiUulc^ie., Li-., -..ill ...ji 

propertj' ovrnsr (ar-r? ''?-7<:f?i:it;} T,vittiJt'1 th? "^Tt iV/' veek; t~ •'••"^r'hr:'*3 !-n>-f--7T,«-.-= *^.-.......;-

If you have auy T-6^0"- d<t'

OLti

 the soil cleanup uldiiiieJ fm yom piopeity. pleaze coiua^t luaeu 

abooi die Umaiia Lead Site cleasiUL c.aii be cliiecLeu to S»t ZPA Fi-'.-ii. Inr^iiiia^.-.i- -1'--^ 

(402) ^31-3045 (routh Omaha offica) or(402) 991-9.'?? (north '>-!:; -^-; 

Access Granted By: ^_(\S^n W •#><>( / 

itJpelLV Kvufii SatidLuiS. 

/ CJii-J' 1. j _ ^ I-y.^^ij.^- £3TM . m

,lzr-\-r->.r 5r.|—.-. r^^ " r.­ sIer. I s ifti ^i\;iTi/-i 

Lc CUffii.'l5LSiI uj i i'adcl^!. il.d --.Ji pi -vSj LJ' jiVl;tr -- L-.'.riI? 

»v ' 1 ° 

If RENTAL. PROPERTY OWNED BY: 

OWNER'S HAILIMG ADDRESS; 

OWNER'S TELEPHONE NUMBER - HOME: /Vo^]^</- xV {? / ^ W5P.K: . 

.SCr Cr !!^f,^~- /^ / YEARS. MOV.'LCNG H^V? "0" L'VFO HFiF.E? ~i V F£R 

HAS TME EXTEF;!OP. BEES PAiHTcD ORCCVEF.5: V/TH S![>!N . ?'^C: '.57C'? _ ": TMUM3E R OF OCCUPAHT" 'J^irjrp.

 7 YE"P. 5 01. H: ") *",' V"E^: "!"r OC'".'!

"!;>J"rr: 7 '•'?:"

 r' " '"! " AVID •";' ~ == f 

N'JMEER OF CHILDRE N UNDE R 7 YEARS OLD WHO PLAY !HTMf

 V'\RD FC'r

. ; HC'JF,^ On F.:CF.E PEF. WEEK " % 

CCMSIENTS CR SPECIAL INSTRUCTIONS: (I.E. DOGS. E^PY CATE5. ETC.) 

A-... H.I / i .*'_li. iiiYin._ i'lA.i^i, ._i_ _._^_.- _ -i j^ .-.:_.. i-.jl!^. _;~.; a_i.'/;'_:r^ :^.• j,; i."..'^.•;."..r.'.-^j ;y Z!T.- I-.'

aa'opffi^t ^u"1

? ri^iia?"1! to '^•PCMon '.C** c*f'?E-P'^^. ."•.. *? IJ S 0 <W04 £?,K' i r1 '-5?

 nf 'Si"'"?^; to tn° oroV'ST-' i­

.'ii, "I'.;-., j. j.".oci.i.i i livi.'.i j-C-'; irX.oi.j.c i-wi.ci. -^'.^;." l"..i '..l^s. C:" wl..±:"i.'ii: j:".;w1.";..".^; _.; ^'.".j..;.;:'.! .;." i.; 

 i 
&EPA

 

EPA Property Close Out 

Form 

Property #: _ Property Address: 

Date/Time: _ H /? /O7 Owner's Name: 

Quads Excavated: pg- Contractor Group 

Excavation General Yes No 

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

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

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? S

2. Has sod been laid in all areas that were excavated? </ 

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

day time period) c/ 

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

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

time period) i/ 

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? (If applicable) t/ 

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

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? I/ 

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? is2.

 Was damage to walkway surfaces avoided? t/ 
Owners comments: 

Inspection notes: 

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

EPA Representative 0^,^. Date: 
27550

 

Exterior Paint North Arrow 

r Good 

Not paint 

Samples Collected 

Firm: p: b» ft Qa

 

Date: e>n- -o

 

Time: l 

Samples Analyzed 

XRF Unit: 810 Book: 

Date: 

Time: 

Staff: 

Owner Name: SUSAN MBOILESEN 

Address: 2036 FLORENCE BD 

Phone: H: 

Sample Number 

RYASCPXA-27550 

RYBSCPXA-27550 

RYCSCPXA-27550 

RYDSCPXA-27550 

RDZSCPXA-27550 

Lab RYDSCPLA-27550 

Result 672 ppm 

W: 

Lead 

Concentration 

3 

Omaha Lead Site 

Site Sketch 

Sample LAB Collected 

Number of Samples = j 

Omaha Lead Site 46130 
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 warranty (90 days overall, 30 days on sod growth guarantee) except those items listed below, 

if any. 

Property "): ^ 1 S S O 

Property Address: Q Q '2(r \^ \ o£<?f:r/OC C~" 

Owner: 5 Vi ^ A A^ /\f\ . Boi L_c SC-^O

 

Phone: ( '^O ^ 3HM-8^)U 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Required corrections to complete the property: 

LJ I do not agree restoration is completed 

//*-?­

Owner's Signature Date 
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 

1139060000 

BOILESEN 

SUSAN M 

2036 

FLORENCE BD 

OMAHA 

68110 

2036 

FLORENCE 

BLVD 

OMAHA 

NE 

68110 

Sec-Twn-Rng 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal 3 

Legal 4 

Assessor 

Website Link 

10-15-13 

FRANKLIN SQUARE 

0 

9 

S35FT 

35X140 

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

accountno=R1 1 39060000 

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 = 28 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData-Douglas%20Co... 10/25/2007 
ENVIRONMENTAL* 

CONSTRUCTION 

TECHNOLOGIES, INC. SERVICES 

MAP ERROR REPORT FORM 

Property Address: 

Flo rg wee 

BVID Number: 

Description of the Map Error: 

Date of the Report to EPA: 

Method of Reporting (Circle one): Phone Call E-mail 

-^leTwithEPA Other Method 

Description on how the error was resolved: 

£of QV -(or 

Signature of the Reporting Staff Member 

8080 Ward Parkway, Suite 405 2505 N. 24th

 Street, Suite 308 4242 Medical Drive, Suite 4250 

Kansas City, MO 641 14 Omaha, Nebraska 68110 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)504-1004 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402) 504-1005 Fax: (210)579-6577

 
Property Detail Information Page 1 of 3 

Print this page 

Owner Information: 

Owner Name: BOILESEN SUSAN M 

Mailing Address: 2036 FLORENCE BLVD 

OMAHA, NE 68110-0000 

Property information: 

Key Number: 3906 0000 11 

Account Type: Residential 

Parcel Number: 1139060000 

Parcel Address: 2036 FLORENCE BD 

OMAHA, 68110-0000 

Previous Assessed Value: $11600 

Current Assessed Value: $11600 

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=2036+florence+bd... 4/23/2007 
Property Detail Information Page 2 of 3 

Parcel Characteristics: 

Legal Description: FRANKLIN SQUARE LOT 9 BLOCK 0 S 35 FT 35 X 140 

Parcel Size: Acres: 0.11 Sq. Ft.: 4900 

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: 1043 sq.ft. 

Year Built: 1900

 

Condition: Fair 

Quality: Fair 

Exterior: Frame Siding 

Units: 1 

Bedrooms: 2 

Baths: 1.5 

Garage: 

Garage Size: 

Property Photos/Sketches: 

Click Here To Enlarge Image Click Here To Enlarge 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 

http://webarc.co.douglas.ne.us/dcassessor/details.asp?Name=&Address=2036+florence+bd... 4/23/2007 
Sample Area: 27550 - 2036 FLORENCE BD - f.c-bT 

Owner: Resident: pp, Contract: 

_J Owner Occupied 

Owner Name: 

BOILESEN SUSAN M 

Owner Addressl: 

Resident Name: 

IBOILESEN SUSAN M 

Property Address: 

|2036 FLORENCE BD 

Contractor: 

JPRUDENT2007 

Group: 

Owner Address2: 

2036 FLORENCE BLVD 

City: 

OMAHA 

Owner Phone: 

State: Zip Code: 

|NE |68110 

Alternate Phone: 

Zip Code: 

[68110 

Resident Phone 

Assessment: 

Qualifying Group 

|EBL - AGE4 

Assessment XRF Date: 

(402) 344-8816 ! Assessment Max XRF Value: 

I I 741.07 
Property Photo Display Page 1 of 1

 

Close Window 

http://webarc.co.douglas.ne.us/dcassessor/photodisplay.asp?PARCELNB=l 139060000 5/20/2007 
STATUS 

4 Contract 

6 Construction 

4 Contract 

3 Bid Stage 

4 Contract 

4 Contract 

6 Construction 

jLCanslojction 3 Bid Stage 

4 Contract 

3 Bid Stage 

^TBRTSTIge 

4 Contract 

4 Contract 

3 Bid Stage 

3 Bid Stage 

3 Bid Stage 

3 Bid Stage 

3 Bid Stage 

6 Construction 

6 Construction 

6 Construction 

3 Bid Stage 

3 Bid Stage 

3 Bid Stage 

3 Bid Stage 

3 Bid Stage 

3 Bid Stage 

3 Bid Stage 

4 Contract 

4 Contract 

3 Bid Stage 

6 Construction 

3 Bid Stage 

3 Bid Stage 

6 Construction 

3 Bid Stage 

3 Bid Stage 

PROJECTADD 

711 Pine Street 

537 South 27th Street 

201 5 Miami St 

2414 Ohio St 

391 9 Florence Blvd. 

41 13 South 23 Street 

1710 South 15th Street 

3526 V Street

 

3405 California Street 

2036 Florence Blvd. 

4010 North 28th Ave, 

4224 Meredith 

5326 North 25 Street 

617 South 31 Street 

4214 Ellison Avenue 

4732 North 37th Street 

4341 North 32 Street

 

3910 No. 26 Street

 

3332 Spaulding Street 

2857 Bristol Street 

2005 Locust Street 

431 7 Miami Street 

191 9 Willis Avenue 

1461 1/2 South 14th Street

 

4709 Meredith 

5716 Camden Avenue 

6004 North 47th Street 

2630 Drexel Street 

2717 Drexel St 

2881 Whitmore 

5833 North 24 Street 

343 North 35 Street 

251 7 South 25th Street 

3914 South 27 Street 

5621 South 33rd Avenue 

2102 G Street 

3477 Pratt Street 

2528 Hartman Avenue 

FULLNAMEAP 

James J. Chalmers 

Roger Karasek 

Kattie M. Stanfield 

Carla J. McGhee 

Velma R. Bass 

Christian D. Gray 

Thomas McNally 

Carlos Martinaz (Deceased) 

Mary Liberty 

Susan M. Bollesen 

Teresa I Duncan 

" Michael Koyce 

Alisha H. Farmer 

David Kain Properties LLC 

Stephanie Lee 

Michael Royce 

Letisha Pickard 

Michael Royce 

Michael Royce 

Cynthia Davis 

Yvette Davis 

Mable Frazier 

Kathy Fisher 

Bernard J. Hendry 

Michael Royce 

Johnnie Wright 

Sharren E Bynum 

Denise Harris Kamara 

Elvira C. Gonzales 

Nicole M. Bentzinger 

Terri L. Russell-Dosseh 

Ronald K. Pendley 

Christian R. Barba 

Roberto A. Sanchez 

Doris L. Hernandez 

Pablo L. Valadez 

Michael S. Royce Sr. 

Betty Crawford 

ADDRESS

711 PINEST 

537 S 27 ST 

2015 MIAMI ST 

241 4 OHIO ST 

3919 FLORENCE BD 

4113S23ST 

1710S15ST 

3526 V ST 

3405 CALIFORNIA ST 

2036 FLORENCE BD 

401 ON 28 AV 

4224 MEREDITH AV

5326 N 25 ST 

617 S 31 ST 

421 4 ELLISON AV 

4732 N 37 ST 

4341 N 32 ST 

391 ON 26 ST 

3332 SPAULDING ST 

2857 BRISTOL ST 

2005 LOCUST ST 

4317 MIAMI ST 

1919 WILLIS AV 

1461 1/2 S 14 ST 

4709 MEREDITH AV 

571 6 CAMDEN AV 

6004 N 47 ST 

2630 DREXEL ST 

2727 DREXEL ST 

2881 WHITMORE ST 

5833 N 24 ST 

343 N 35 ST 

2517S25ST 

3914 S 27 ST 

5621 S 33 AV 

21 02 GST 

3477 PRATT ST 

2528 HARTMAN AV 

 SAMPLE AREA ID

1562 

22657 

29161 

544 

33591 

12013 

19236 

46787 

24049 

27550 

33402 

= T254

 

2075 

2475 

37138 

35167 

34142 

33181 

32886 

30908 

29879 

28609 

28304 

93311 

68598 

58136 

50649 

44354 

44136 

40920 

38471 

23768 

16345 

12457 

2496 

2514 

5205 

5517 

 HIGH RESULT CONTRACTOR 

925.6 ASW2006 

2101.6ECC2005 

1000.9 ECC2005 

917.6 ECC2006 

1298 ECC2006 

2138 ER(ERRS)2005 

1378.2 PRI(Rapid)2006 

963.6 PRI(Rapld)2006 

700.4 PRUDENT2007 

741.07PRUDENT2007 

414.1

238!

3

6 "

PRUDENT200

 ~~

7 

^ r

225 

58.5 

111.99 

370 

169.66 

234.67 

337 

313.2 

538.12 

575.22 

35.6 

383.8 

380.03 

390.98 

220.05 

435.33 

509.27 

294.15 

132.3 

513.2