PROPERTY SUMMARY

 

Date: 11/21/2007 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 Month of: November 

Property Address: 6321 N 32 St 

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: 

El - 119@ Scrape 

Dl-69@10" 

F2 - 52 @ 4" 

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) BV1D 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. 

TECHNOLOGIES, INC. 40286244 

Illllll 

Superfund 



Name: /W H>KW Omaha Lead Site Date: North Arrow

 

Address: A.3K A? Site Sketch Time: J :

 

Phone: 

I

Team / C BVID# XRF Code 

Sample Number Lead Concentration Confirmation Sample F-"Z 

ppm Yes n No S? 

ppm Yes 5? No D 

77 

T/ l 

ppm 

ppm 

ppm 

Yes

Yes

Yes

 n 

n 

d 

No

No

No

 CB 

 5? 

 IS 

Lab RYBSCPLA-39424 

ppm 

ppm 

p

r 

 Yes Q 

Yes CH 

No

No

 tSJ 

D 

Result 448 ppm 

Omaha Lead Site 46130 
^^ „. .,_ .._, i«Ato allowaccessto 

Omaha Lead W, .,- ^^ % thpnmpen the propenyv in order to conduct 

Site Remedial i \vy 1? environmental sampling and to 

Action %-vfewWrtfr-^ remove lead-contaminated soil 

Prudent Technologies, Inc. (ftudenty is under contract with the U. S. Environmental Protection Agency 

(EPA) to dean up lead-contaminated soils at a number of properties located in Omaha, Nebraska, 

including the property located at &.3t>2i /J JgJ ^'7 . The EPA requests your 

permission to allow Prudent to perform a soil cleanup at this property to remove lead-contaminated soil. 

By signing this form, the property owner grants permission to Prudent to perform activities related to fhe 

cleanup including soil sampling, removal of lead-contaminated soil, and restoration of the referenced 

property. After obtaining the owner's signature on Shis form. Prudent Technologies, Inc. will contact die 

property owner (and residents) within the next few weeks to coordinate performance the work. 

If you have any questions about the soil cleanup planned for your property, please contact ftudent's 

Administrative Clerk for toe Omaha Lead Site cleanup,Ms. Cyndie Hinds at(402) 504-1004. General 

questions about die Omaha Lead Site cleanup can be directed to the EPA Public Information Centers at 

(402) 731-3045 (souto Omaha office) or (402) 991-9583 (north Omaha office). 

Property Access Granted By: / WlT V^^ I \ ov^j^-\ 

(Pl»i3»PrintKam») 

isi J/7 . . / 

Property Owner Signature: 

(Dad) 

PROPERTY INFORMATION 

(To be completed b\ resident and/or property owner - please prmt) 

RESIDENT NAME. (v\c>J\'V\g>»^ \ -> vy, WN 

RESIDENT ADDRESS. L.Jl 

IF RENTAL.PROPERTY OWNED BY : AJA 

OWNER'S MAILING ADDRESS; A/ A\ 

OWNER'S TELEPHONE NUMBER - HOME: lMO7 1 3M Z. <-/ *?^>C| WORK: j fcZj 1 £ ? C ^ gC 

AGE OF HOME?: "^2- YEARS. HOW LONG HAVE YOU LIVED HERE? J^> YEARS. 

HAS THE EXTERtORBEENPAMTEDORCOVEREDWrrHSIDHGSINCE 1378? A^ YES NO 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD. ^ "UMBER OF OCCUPANTS 7 YEARS OLD AND OLDER 3> 

NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY IN THE YARD FOR S HOURS OR MORE PER WEEK: H~ 

COMMENTS OR SPECIAL INSTRUCTIONS: (LE. DOGS.ENTRY GATES.ETCj J ' 

AUTHORITY FOR ENVIRONMENTAL RESPONSE ACTIONS; The activities to be implemented by EPA under this 

agreement are pursuant to Section 104 of CERCLA, 42 U.S.C. 96C4. EPA's right of access to the property is 

provided for in Section iC4(e) of CStCLA, 42 U.S. C P605(e), which provides entry for "determining the need for 

response, or choosing or taking any response action under this title, or otherwise enforcing the provisions of the 

title." 
&EPA 

EPA Property Close Out 

Property #: J Property Address: 6321 /Y 33~tX 

Date/Time: $*p /. 3f, Soo 7 Owner's Name: floHhc+i ^"^ 

Quads Excavated: Contractor Group Prudent Technologies 

Excavation General Yes No 

1 . If necessary, were the correct quadrants) excavated and restored? 

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? i/ 

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? s 

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

time period) s 

6. Was the property graded such that water will not pool on the property? I/ 

7. Was damage to landscaping or plant materials avoided? s 

Gates, Fences and Retaining Walls Yes No 

1 . Do gates open and close freely? (If applicable) </ 

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

3. Was damage to gates or fences avoided? (If applicable) </ 

4. Was damage to retaining walls avoided? (If applicable) u^ 

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? i/ 

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: 

The

The

 fimt) OF

tf 

 PO 

 F2 

Recent 

10-7 

l 

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

EPA Representative JQ^ J} Date: >///<// 
Name: /10A U-K*.*/ TlwiM Omaha Lead Site Date: North Arrow 

Address: O "W i Site Sketch Time: J : 

Phone: •C/Qfl4 

XRF Code 

Sample Number Lead Concentration Confirmation Sample P"Z 

/

r/ ppm Yes D No S? 

ppm Yes 5? No d ZS7 

ppm Yes d No 12 

ppm Yes d No 5? -7/1

 ppm pi YesD NO IS 

ppm 0 Yes tH No KI 

ppm r

Lab RYBSCPLA-39424- Yes CD No D

Result 448 ppm 

—i.. 

r^fr 

02. 4—--'-

1 1 T "I" —•-•-"—­ —»~ •i 

?7 "**~"*""~"'""1"""""*"'""""T~~~"'~~"~ -f—•"—-"•-' •i—• 

J­

_j Li 

.._63. o" r 

•"•~-- •-••--^"­

.-|, ; „ ._».—« 

is I

—B -* 

H rOmaha 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 (30 days total) except those items listed below, if any. 

Property ID: -3 <5\ ^ 2_ 

Property Address: Q -, --. . o /• 

Owner: 

Phone: 7 

Restoration Items in Question: 

Item: — 

Item: 

Kern: 

Kern: 

Item: 

Item: 

Required corrections to complete the property: 

V 

I agree restoration is completed, except as noted above. 

I do not agree restoration is completed 

Owner's Signature Date 
Name: Dae: 

No. Property Address Day Care AM Landscape Others 

Z 

K hz. 

& 

I 
AGREEMENT AND RELEASE FOR RESTORATION OF REAL PROPERTY 

This Agreement and Release (hereinafter "Agreement") is entered into by and between, 

Anne Tinn (hereinafter "Property Owner") and the United States Environmental Protection 

Agency (hereinafter "EPA"). 

WHEREAS, the property located at 6321 North 32nd Street (hereinafter "the Property"), 

more specifically described below, is owned by Anne Tinn; 

WHEREAS, EPA through sampling and analysis has discovered the Property was 

contaminated with lead; 

WHEREAS, the EPA performed a removal action and removed the contaminated soils 

from the property and backfilled the formerly contaminated areas with clean fill then sodded 

and/or seeded the described, effected property; 

WHEREAS, the Property currently requires a limited amount of restoration work to 

return the Property to its original condition prior to initiation of EPA's response activities, or as 

nearly as possible to its original condition; 

NOW THEREFORE, in consideration of the mutual covenants, promises and conditions 

and terms to be kept and performed as recited herein, the parties hereto agree as follows: 

1. The real Property which is the subject of this agreement is owned by 

and is more specifically described as follows: 

BELVEDERE ADD LOT 17 BLOCK 2 N 97.75 FT LT 17 97.75 X 122 

2. The EPA will complete the following restoration items: 

Pay $ 150.00 in lieu of repairing sod 

3. The Property Owner acknowledges that EPA shall have no responsibility for further 

restoration work at the Property. 

4. The Property Owner releases the United States and the EPA from any and all claims 

arising out of or connected with, directly or indirectly, their ability to inhabit, occupy, use, transfer, 

or sell the real or personal property at 6321 North 32nd Street and the reimbursements, compensation, 

payments, costs, expenses, and any inconveniences or damages relating to the foregoing and the 

cleanup, decontamination, disposal and restoration of the Property, including any claims under the 
Uniform Relocation Assistance and Real Property Acquisition Policies Act, 42 U.S.C., Section 4601 

et. seq. 

5. The Property Owner affirms that she is the legal owner of the Property at 6321 North 32nd 

Street. 

This agreement is entered into and made effective the day of , 2007. 

FOR THE PROPERTY OWNER 

Date 

FOR THE UNITED STATES ENVIRONMENTAL PROTECTION AGENCY 

Date 

Daniel J. Garvey 

U.S. EPA Region VII 

2 Gf3 2 
17120 PRUDENT TECHNOLOGIES, INC FIRST NATIONAL BANK OF OLATHE 

8080 WARD PARKWAY, SUITE 405 83-172/1010 

KANSAS CITY, MO 64114 

(816)363-3703 

12011* 

PRUDENT TECHNOLOGIES, INC. 

PRUDENT TECHNOLOGIES, INC. 

17120 

17120 
Name Date: : 

No. Property Address Day Care AM Landscape Others 
Print Preview Page 1 ot'l 

Douglas County-Omaha, NE 

Parcel ID 

Owner 

Name 

Property 

Address 

City 

Zip 

Owner 

Address 

Owner 

Address 2 

Owner City 

Owner 

State 

Owner Zip 

0604500002 

TIMM 

MATTHEW D 

6321 N 32 ST 

OMAHA 

68111 

6321 N 32 ST 

OMAHA 

NE 

68111 

Sec-Twn-Rng 

Owner 

Address 

Addition 

Block 

Lot 

Legal 1 

Legal 2 

Legal3 

Legal 4 

Assessor 

Website Link 

33-16-13 

BELVEDERE ADD 

2 

17 

N 97.75 FT LT 17 

97.75X122 

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

accountno=R0604500002 

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 = 31 feet appraisal, survey, or for zoning verification. 

http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Douglas County-... 7/16/2007 
Page 1 of 2 

Create Another Ticket Back to Irth Internet Send Email 

YOUR TICKET NUMBER IS 1846652. 

Original Call Date: 7/20/07 Time: 1:47 pm Op: CYNDIE18967
 

Work to Begin Date: 7/24/07 Ti me: 2:15 pm
 

State: NE County: DOUGLAS
 

Address: 6321 Street: N 32ND ST
 

Twp: 16N Rng: 13E Sect-Qtr: 33-NW
 

Twp: Rng: Sect-Qtr:
 

Legal Given: C
 

Type of Work: Soil Excavation - Lead
 

Location of Work: LOCATE ENTIRE PROPERTY
 

Remarks: FAX ALL CLEARS TO: (402)504-1005
 

Company : PRUDENT TECHNOLOGIES
 

Contact Name: CYNDIE
 

Work Being Done For: EPA
 

Depth of Excavation: 13" Max Corner Lot:
 

Involves Tunneling or Horizontal Boring :
 

CXCATV METRO MUD01 OMAHACOF
 

Service Area 

CXCATV COX COMMUNICATIONS, INC 

METRO METRO COMM. COLLEGE 

MUD01 METROPOLITAN UTILITIES DISTRICT

OMAHACOF CITY OF OMAHA-TRAFFIC,SEWER 

Place: OMAHA
 

Phone: (402)504-1004
 

N Fronc: N Rear: N 

N Explosi ves: N 

OPPDGPR5 QLNNE1C SPRNTPCS 

Contact Phone Number Utility Type 

Day: 4029340469
 

HEIDI Alt: 4029340469
 

Emerg: 4029329757
 

Day: 4024572307
 

CHRIS Alt:
 

Emerg: 4024572313
 

Day: 4025047823
 

 EDWINA Alt: 

Emerg: 4025047946 

Day: 4024447197
 

RON Alt: 4024445161
 

Emerg: 4024445160
 

Day: 4067289343
 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 7/20/2007 
Page 2 of 2 

OPPDGPR5 OMAHA PUBLIC POWER DISTRICT NA 

QLNNE1C QWEST LOCAL NETWORK NA 

SPRNTPCS SPRINT SPECTRUM L P 

Alt:
 

Emerg: 8887289343
 

Day: 4067289343
 

Alt:
 

Emerg: 8887289343 

Day: 4025371800 

Alt: 4025371810 

Emerg: 8008776627 

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS... 7/20/2007 
••

Find Record 

Sample Area: 39424

Owner: 

Cj Owner Occupied 

Owner Name: 

TIMM MATTHEW D 

Owner Addressl: 

\ 

Owner Address2: 

6321 N 32 ST 

City:

, JOMAHA

i Owner Phone:

|(402) 342-4984

 - 6321 N 32 ST 

 State: Zip Code: 

 JNE J68111 

 Alternate Phone: 

 |(402) 457-6630 

Clean Up Query Lead Remaining Query

Resident: 

Resident Name: 

ITIMM MATTHEW D 

Property Address: 

6321 N 32 ST 

Zip Code: 

68111 

Resident Phone 

j 

 Property Damage Query 

i

'

;

:

;

:

Close 

Contract: 

 Contractor: 

 JPRUDENT2007 

Group: 

| 

••• • • -• 

Assessment: 

Qualifying Group 

 |EBL - AGE 1.7 

 Assessment XRF Date: 

| 

Assessment Max XRF Value 

j 460.62 

/