Transmittal of Oniaha Lead Site 

Paint Stabilization File Folder 

Said # 7hS^yt Date: "7" ^ —70 

Address: J2V3 / S.3 B ^ ^ ' 

Contractor: Citv of Omaha Year: ^-<^f O 

Paint Stabilization 

Property File Folder Documents 

(•M^ork Write Up • 

igned Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for Occupant/Tenant, ifapplicable 

_L^ainting Agreement/City of Omaha Purchase Order 

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

Renovation Recordkeeping Checklist signed by Certified Renovator 

«-^roperty information from Douglas County Assessor's Office 

Other (describe): f^ctftl^ 

City of Omaha Representative Signature Date 

EPA ntativ f .Qicrnnfiirf* I 1 Representative Signature ' ' Date 

30262461 

ilOHHBDHII 

Superfund 
CITY OF OMAHA 

PURCHASING - ROOM 1003 

1819 FARNAM STREET 

OMAHA. NE 68183-1003 

F/\X# 402-444-5423 

Purchase Order 

VENDOR: MARCOS PROFESSIONAL PAINTING 

MARCOASALAZAR 

2514 J ST 

OMAHA, NE 68107 

f 

PURCHASE ORDER NO. 

1166578 . 

REVISION 

0 

PAGE 1 

1 

J 

SHIPTO: 

CITYOFOMAHA 

HOUSING & COMM DEV RM #1111 

1819 FARNAM STREET 

0MAHA,NE.68183 

N 

./ 

BILL TO: 

CITY OF OMAHA FINANCE 

DISBURSEMENTS ROOM #1007 

1819 FARNAM STREET 

OMAHA.NE 68183 

/^CUSTOMER ACCOUNT NO. I VENDOR NO. 

81569 

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

DATE OF ORDER/ BUYER 

15-JUN-10 H HURT 

REVISED DATE//BUYER 

PAYMENTTERMS 

IMMEDIATE 

SHIP VIA F.O.B. 

DESTINATION 

FREIGHT TERMS 

> 

REQUESTOR/DELIVER TO 

M/VRUCA, T MARIE 

CONFIRM TO / TELEPHONE 

-< ITEM PART NUMBER / DESCRIPTION DELIVERY DATE QUANTITY UNrT UNITPRICE EXTENSION 

All prices and amounts on this order are express sd in : US Doi;ar 

EPA PAINT STABILIZATIOtJ 

PROGRAM GROUP 13 0 23 01: 

S 35TH AVE 

O. SHIP TO: . i 

Address at top of page 

NEEDED: 

12-JUN-lO 

EPA PAINT.STABILIZATION 

PROGRAM GROUP 130 2341: 

S. 33RDST i 

O SHIP TO: • . : 

Address at top of page 

NEEDED: 

12-JUN-lO 

1,077.0 0 N 

2,177.0 0 N 

SHIP TO: Addrisss shown atX3ve. If sttipment is delayed or any items not available, advise at once. Purchase order numt>er must appear on all invoices, packages, packing lists, bill of lading, and correspondence. 

SHIPPING CHARGES TO BE PREPAID. IF APPLICABLE AND ADDED TO INVOICED, copy to be furnished with Invoice. 

T/0( 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 Uc. 91-0316768. 

Total ( 3:254.00 ) 

Cily Purchasliig A| 
Planning Department 

Omaha/Douglas Civic Center 

Inspector: Stev e Zivn y 1819 Famam Street, Suite 1003 

r>oto- 1/0/1 n Omaha, Nebraska 68183 

uate . J/y/lU (402)444-5150 

Telefax (402) 546-0714 

Name: Daniel L. & Lora Bunk^. Cunningham, RA, F.SAME 

jiSsmue.Mtyor Addrcss: 2341 S SS^''StTcct °''"'^' 

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 Hazard Control Plan, Interim Confro! 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 Plaiming Department.) 

• Comply with Standards called for in the "Construction and Rehabilitation 

Specifications, Housing and Community Development Division, City of Omaiha, 

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

• Comply with the State ofNebraska Health and Human Sei-vices Regulation and 

Licensure, Title 178 Chapter 23 Lead Base Paint Regulations. 

• Coordinate daily construction schedule with the occupant 

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

written approval of the Construction Specialist. 

• Repair or replace all items damaged or disturbed during paint stabilization 

activities. 

• Keep woi:k site and surrounding 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 v/ith the work, and leave all parts ofthe work areas in a 

neat, sanitary, lead safe 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 ofthe area 

to be remediated. 

• Provide access to electricity and water throughout the paint stabilization process, 

o Ensure that all household members stay at least ten feet away from all work areas 

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

completed and the area has passed a visual inspection. ^ 

Initials <01 ^ 
2341 S 33rd St (Continued) 

Lead Hazard Control Plan 

Interim Control of Lead based Paint Hazards 

Paint Stabilization 

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

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

eaves, trim, window trim, shutters, gutters, railings, downspouts, door trim 

and foundation. DO NOT INCLUDE WINDOWS OR MAN DOORS. 

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 municipal solid waste landfill. 

Property Owner Date 

Property Owner Date 

Witness Date 

Occupant (ifapplicable) Date 

Occupant (ifapplicable) 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 prevent 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 contractor has 

identified deteriorating exterior lead-based paint. 

• Homes are eligible only by referral from the 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 match 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 contractors will test paint on exterior house surfaces and give the results to 

the City of Oniaha Paint Stabilization Program. 

• City Construction Specialists vvill 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 ofchildren under age 

six ifknown and the severity ofthe problem. 

Paint Stabilization is voluntary and will be done only with permission ofthe owner, 

Initials K/fb ^ 
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 Grantise, to enter and perform 

certain environmental response activities upon the following described premises: 

Owner's Name: 

Owner Name(s): Daniel P Burke & Lora Burke 

Davtime Phone: 

341-2001 

Addresses of Properties Covered by this Agreement 

Property Address 

2341 S. 33rd St. 

City/State/Zip Code 

Omaha, NE 68105 

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

Environmental Response and Liabilitv Act rCERCLA"). 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 paint 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 enviromnental 

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 in the course of 

the response activities. 

2. Obtaining samples from Grantor's property. 

(1) 2/12/2007 
Address: 2341 S. 33rd St. 

Consent for Access to Property fPage 2) 

3. Planning and implementing the response action on the Grantor's property. This will include 

1) removal of loose or flaking paint identified by EP A 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 on 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 any actions regarding the use ofthe Property which 

will endanger human health or welfare or the environment, 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 grantees of the property or any portion of 

it. Grantor agrees to provide 30-day notice to EPA prior to any transfer 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 original state and condition as found immediately preceding the 

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

activities. 

(2) .2/12/2007 
Address: 2341 S. 33rd 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 

contractor 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 

Envirorunental Protection Agency (EPA). 

Items to be removed bv propertv owner prior to the response activities: 

• Ar/jt- ttlgU S > PaLlK\itUE & F=PA;*A FT2t>.jr pfaR:s2J4 

2. 

3. 

4. 

5. 

Items NOT to be removed bv contractor during removal activities: 

1. 

2. 

.3. 

4. 

5. . 

ADDITIONAL COMMENTS: 

?vpc^iS5 

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:S...^,)--^;j|^^ Date ^ji^~fQ 

(3) 2/12/2007 
Douglas County Account Information Page 1 of3 

Douglas County, Nebraska Property Record - R0904810000 

Information is valid as of 2009-12-31 

Print Report 

NEW Featur* - Parcel Dimensions available Q scale 0-50 R west of 52nd St - Vle W OH Map . 

Treasurer's Tax Report 

New Feature Wr*.'r*. Auto Sales Search 

Owner 

.BURKE DANIEL P 

ETAL 

2341 S 33 ST 

OMAHA NE 66105-0000 

Property Information 

Key Number: 0481 0000 09 

Account Type: Residential 

Parcel Number: 0904810000 

Parcel Address: 2341 8 33 ST 

OMAHA NE 68105-0000 

Legal Description: CREIGHTONS 1ST ADD LOT 18 BLOCK 7 49 X 140 

Value Information 

Land Improvement Total 

2009 $13,700.00 $147,300.00 $161,000.00 

2008 $13,700.00 $147,300.00 $161,000.00 

2007 $13,700.00 $147,300.00 $161,000.00 

2006 $13,700.00 $124,500.00 $138,200.00 

2005 $13,700.00 $124,500.00 $138,200.00 

2004 $13,700.00 $124,500.00 $138,200.00 

Saies Information 

Sales Date: 2003-02-14 

Deed Type: WD SooJ^; 2235 Page: 16 

Price: $146,000.00 

Grantor: 

Grantee: 

Valld/lnvalld: Valid 

Exclusion Reason: 

Sales Date: 1998-07-31 

Deed Type: Book: 2097 Page: 534 

Price: $73,000.00 

Grantor: 

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Douglas County Account Information Page 2 of 3 

Grantee: 

Valid/Invalid: Valid 

Exclusion Reason: 

Land Information 

Acres SF Units Depth Width Vacant 

0.15 6860.0 1.0 140.0 49.0 No 

Improvement Information 

Building 1 

CLICK TO ENLARGE IIMAGE 

Wood Deck 

4(r 

iir 

JOC 

i m 

" " »iy 

frjtfBrt 

MJOBC 

SMCRMfOw 

fMtrSW Ft 

WU' 

300 

Two Story 

CLICK TO ENLARGE IMAGE 

Square Footage: 1782.0 Percent Complete: 100.0% 

Perimeter 0.0 Quality: Average 

Unit Type: Condition: Very Good 

Built As: 2 Story Condo Square Footage: 0.0 

HVAC: Central Air to Air Rooms: 7.0 

Exterior: Frame Siding Units: 1.0 

Interior: Drywall Baths: 2.5 

Roof Cover: Composition Shingle Bedrooms: 4.0 

Roof Type: Hip Stories: 2.0 

Floorcover: Allowance Foundation: Blocl< 

Sprinkler Square Footage: 0.0 

Year Built Year 

Remodeled 

Percent 

Remodeled 

Adjusted Year 

Built Physical Age 

1905 0% 1905 103 

Deta/7 Type Detail Description Units 

Appliance Allowance 1.0 

Basement Bsmnt Bloci< 8 ft 942.0 

Basement Finished 700.0 

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Douglas County Account Information Page 3 of3 

Fixture 

Fixture 

Fixture 

Porch 

Porch 

Base Fixtures 

Bath Full 

Bath Half 

Slab Roof Ceiling 

Wood Deck 

1.0 

2.0 

1.0 

234.0 

120.0 

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