TRANSMITTAL of OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

SAID#: 17044 Dale: 1^11^0 7 

Address: 7jr/7 ^ A SHr^JRemediation Contractor: Coastal Environmeiital Group Year: 2007 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

Video of property (DVD) 

Executive Summary 

s7 EPA-provided property sketch 

Signed Access Agreement for subject property 

o- Si^ed Access Agreement(s) for adjacent property 

Restoration Agreement . • 

0. 

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

Confirmation data 

Photographs \)Qi S()A , 30z 

r ^ • • / 

V As-built sketch 

Satisfactory restoration signed by Property Owner ^ • . 

Property close-out check list signed by EPA U / 2Ji> [ 2y>Crj •D! 

Description of areas not meeting ROD cleanup criteria 0 ' 

Utility clearances 

Property information from Douglas County Assessor's Office 

y 

y 

Signatiare 

40317096 

Superfund 
,P^iA yT : 

Final Report Property Check List (Please place with each file) 

Hlard Copy Information 

> y Property Check List 

• ^ Site Workuig Drawing Map 

y^^? K originals Map 

AyOouglas County Assessor's Map • ' 

,.5r^Property Contact Sheet 

Agreement 

'HTAccess Agreement 

—^^Restoration Agreement ' 

Miscellaneous Documents 

/iTpinal Map from the Field ^^-^t 

^ Change Orders //^t^eMi^ /t^/t ^ 

^XRFDat a 

,-4r Any emails or PO airrespondences 

Property Completion 

,4<bxecutive Summary 

2^ S BUILT 

•jTProperty Completion Agreement 

4r^ny buyout info or reimbursement info 

/-^Check or money order copies t-i//^ 

> r EPA Property Close Out Form 

^7<Attached Begin Video 

Electronic Documentation 

Drawings 

—k- EPA original 

2^ Working Drawing 

^r-AS Built.vso 

4:^ AS Built.jpg 

Photos 

A-—^^egin Photos 

y ^ During/Excavation Photos ­

-3 ^ Sod Photos 

- y 30-Day Sod Photos 

Scanned Documents 

y ^ Final Documents 

Z-^^ Executive Summary . . 

Videos 

y Begin Video 

y ^ My Movie 
Property Access Checklist 

Property ID: n WORK STARTED ON: _/ /_ /7^ ^ 

n WORK COIVIPELTED Property Address: DfAj AA Z Q SZ ^ ON: / / 

Owner: ^^^- ^ ^y- QayJUj ^iylAZi. Renter: 

Address Phone: '^Z\^r s%(pPz Fa.\: 

Cell/Pager: 

Phone: ^j/^>) (^/L/^/^O') ^ 6 1 Additional Information: 

Fax: 

'^''"^•''^''••(4^lU/<z-7yz>/^ 

_ ® Notification Letter Scnt:J^/ I i lOl ­ ^ y 1^ ^ 

J ^ Access Agreement Signed: 9 / ^ lOl ' B.v= k£jU>^ 

^ y Restoration Agreement Sinned: / / By: ^( S 

CH Top.soil Sampling (if applicable) / / By: 

[U Dispo.sul Sampling (if applicable) / / By: 

CH Garden Sampling (if applicable) / / Bv: 

J3- Utility Clearance Called: ^/ji/ ^ B.v:&\& IdLe^-ynl^^^Zlj ^ Video/Photos (Before) On: / / By: 

D Video/Photos (During) On: / / By: 

D Video/Photos (After) On: / / By: 

n Video/Photos (3()-Day) On: / / By: 

CD Property Completion Agreement Signed: / / By: 

n Final Report Issued: / / By: 

Air Monitoring (as applicable » 

• Community CH Crew On: / / By: 

Result.s: 

CH Community CH Crew On: / / Bv: 

Results: 

CH Community CH Crew On: / / By: 

Results: 

Omaha Lead Site 
Total Qu^ ^Square Footage to be Excavated = 5842 

Property Classification: 800 • Total^ K one Linear Footaqe to be Excavated = 0 

1 

1 1 

-

i 

i 

- • 

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Az^ z?yyy/Z A"zYz zZA/,AA'AAAA/A - - ^ _ ••- : l-Sr}: .-'tt"*;..' .;-/ • ;::• ^ ••'• ,- • ""* '••'•• • •:^/', •'•,-•-''^• ? '•••' '-•^i> ' :•.'• ? •' ; . <

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(/f^St r^f ^ 

S()Ut i8St reet 

i 1 

Legend Nort h Arro w Omaha Lead Site 

il l Concrete Omaha, Nebraska 

y/ \ Excavated Area Property Number , 

OLS-1704 4 Existing btructure Scale 

^ Fence 

^ ^ 

Property Addres s 1 Inch = 20 feet or 1 grid = 5 x 5 ft 

2517 S 8 S T txV>f tjxx l i-ermaneni Lanostapirig ] 

Quadrant Boundary Post Excavation Concentrations (ppm) 

F1 B2 Plav Area 

ireei 3UU I udi y •ur yOroCpoloqi. . Irv ^ > F2 _ =asement o Tree/S hrub ^i 81 Gara en _ (Dther 

Description of post excavation areas: Fl, front yard left-hand quadrant; F2, front yard right-hand quadrant; Bl, backyard left-hand quadrant; B2, backyard right-hand quadrant; 

DZ, drip zone (1 -3 foot area of soil around the foundation of the house). 

i 

1 
IT^W 

Name; ^^Vf H

Address: A^.l' ^

Phone: A3S ­

 ?)Ml4- h 

 ^ ^ 9^ ^ 

 ^'^fi i 

Omaha Lead Site 

Site Sketch 

Date:

Time:

 Ce/OS/C R 

 IS': IS ' 

North Arrow —i 

Team Fi X Gl W P NI BVID# 170^ 1 XRF Code 103 1 BooH^ i n 

1 

2 

3 

4 

5 

6 

7 

Sample Number 

fey(LS<LPXA-ina^ ^ 

Fi 

— 01 

-6 2 

—^ ^ 

-?2-

Lead Concentration 

_£57 

^^ ^ 

.^Z3. A3^ 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

ppm 

Confirmation Sample 

f l Yes ° 

F2 Yes i ^ 

B l Yes n 

B2 Yes ^ 

Yes I^ 

Yes • 

Yes a 

No ^ 

No ^ 

No G3^ 

No nz ' 

No • 

No a 

No • 

I 

'^^^mmi 

M^^ k 

^^^^wiHc j 

3ZB\ 

.Bi-t 

^5 

1^5/7 f^"- ^ y 

^14. B51 

CL 

.£21. 

sz^ 

gerfeVL^id-M 
Douglas County Account Information Page 1 of2 

Dougla s County , Nebrask a Propert y Recor d - R053605000 2 

Print Report 

Information is valid as of 2007-11-20 i View on Map 

[ Treasurer's Tax Report 

Owne r 

SMITH KEVIN E 

ETAL j 

4937S66PLZ 

OMAHA NE 68117-0000 

Propert y Informatio n 

Key Number: 3605 0002 05 

Account Type: Residential 

Parcel Number: 0536050002 

Parcel Address: 2517 S 8 ST 

OMAHA NE 68108-0000 ••• 

Legal Description: BARKERS ALLOTMENT LOT 12 BLOCK 0 N 95 ST 95 X 123 

Valu e Informatio n 

2007 

2006 

2005 

2004 

2003 

2002 

Land 

$1,900.00 

$1,900.00 

$1,900.00 

$1,900.00 

$1,900.00 

$0.00 

Improvement 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

Total 

$1,900.00 

$1,900.00 

$1,900.00 

$1,900.00 

$1,900.00 

$0.00 

Sales Informatio n 

Sales Date: 1997-04-17 

Deed Type: 

Price: 

D 

$850.00 

Book: 2058 Page: 445 

Grantor: 

Grantee: 

Valid/Invalid: 

Exclusion Reason: null 

Sales Date: 1993-07-03 

Deed Type: 

Price: 

Grantor: 

D 

$3,000.00 

Book: 1959 Page: 362 

Gr an tee: 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R05... 12/6/2007 
1

1 

Douglas County Account Information Page 2 of 2 itonr 

 Valid/Invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Land Informatio n 

Acres SF 

0.26 11685.0 

null 

1991-05-26 1 

D Sooilr; 1899 Page: 002 

$1,800.00 • • • " . ' . • : 

null 

FF Units Depth Width Vacant 

95.0 0.0 123.0 95.0 Yes 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R05... 12/6/2007 
CONTACT FORM 

Property ID # 

Property 

Address: 

Initial Contact:

Second Contact:

Final Contact:

Final Action:

Comment: 

Owner 

Comment (s): 

Site 

Coordinator 

Comment (s): 

jZoZL 

^yyAyyt r 

 Date: Time: Action: 

 Date: _Time: Action: 

 Date: Time: Action: 

 Transmit to EPA D Other Action: D 
- * 

COASTA L ENvmONHENTA L 

CROUP . INC . 

Consent For Access To Property 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes the United States 

Environmental Protection Agency (EPA) or its authorized representatives, collectively 

the Grantee, to enter and perform certain environmental response activities upon the 

following described premises: 

Owner's / Daytime Phone: vner s Name Name:

: I _^ 

^D7^ 6/^ - ycoc^ 

Address of Property ^ n ^o.S^ ^t^e.- 1^4^ 

covered by this 

Agreement: 

PURPOSE OF RESPONSE ACTIVITIES 

The EPA is requesting access to collect soil samples and remove soil that contains 

elevated concentrations of lead and may pose a health hazard. The area(s) will be 

excavated to remove contaminated soil. The removed contaminated soil will be 

replaced with clean materials and the area will be restored to its original condition. This 

work is being performed under the Omaha Lead Superfund Site remediation program. 

A representative of Coastal Environmental Group, contracted by USEPA, will contact 

the Grantor in-person to discuss the work to be performed, the Grantor will have an 

opportunity to review and approve the planned soil removal, and restoration work before 

it begins. Once the work is finished, the Grantor will be asked to review the work and 

confirm that it is complete and meets with the Grantor's approval. Upon completion, the 

Grantor will receive written documentation from EPA that the property has been 

remediated. 

ENVIRONMENTAL RESPONSE ACTIONS 

By signing this Access Agreement, the Grantor is granting the EPA, its employees, 

contractors and subcontractors the right to enter the property, at all reasonable times 

and with prior notice, for the sole purpose of performing the work. This access shall 

remain in effect until the work has been satisfactorily completed. The Grantor also 

agrees to: 

Page 1 of 2 
.s*> ,^to sr.,. 

COASTA L ENVHtONhENTA L • ". PROlt ^ CROUP . IN C 

• Remove obstructions including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

• Remove flower bulbs or plants that the Grantor or the Grantor's tenant may wish 

to save; 

• Water and maintain replacement vegetation, including fertilizer application, as 

necessary subsequent to an initial watering period by EPA; 

• Abide by health and safety guidance provided by EPA; 

• If the property is rented, assist EPA in obtaining tenant approval for access to the 

property to perform the work. 

• Allow videotaping and/or photographing of the property. 

AGREEMENT NOT TO INTERFERE 

The Grantor agrees not to interfere or tamper with any of the work activities, or with any 

of the work done, or with the equipment used on his property, or to undertake any 

actions regarding the use of said property which would tend to endanger the health or 

welfare of the Grantees or the environment, or to allow others to use the property in 

such a manner. 

Should you have any questions about this program, please contact Coastal 

Environmental Group, at (877) 234-6270. 

J ^ I grant access to my properties 

D I do not grant access to my properties 

S'-09-a? 

Date Signature 

Date 

G I would like to be present during any sampling that is required. 

Page 2 of 2 
.*^^^^'^>, 

% "I " o* COASTA L 

Consent For Access To Property 

RIGHT OF ENTRY TO PREMISES 

Grantor (the property owner) consents to and authorizes the United States 

Environmental Protection Agency (EPA) or its authorized representatives, collectively 

the Grantee, to enter and perform certain environmental response activities upon the 

following described premises: 

Ownrer's Name: / ^ ( ^ Daytime Phone: . _ 

Address of Property ^) i y SAtx 

covered by this 

Agreement: 

PURPOSE OF RESPONSE ACTIVITIES 

The EPA is requesting access to collect soil samples and remove soil that contains 

elevated concentrations of lead and may pose a health hazard. The area(s) will be 

excavated to remove contaminated soil. The removed contaminated soil will be 

replaced with clean materials and the area will be restored to its original condition. This 

work is being performed under the Omaha Lead Superfund Site remediation program. 

A representative of Coastal Environmental Group, contracted by USEPA, will contact 

the Grantor in-person to discuss the work to be performed, the Grantor will have an 

opportunity to review and approve the planned soil removal, and restoration work before 

it begins. Once the work is finished, the Grantor will be asked to review the work and 

confirm that it is complete and meets with the Grantor's approval. Upon completion, the 

Grantor will receive written documentation from EPA that the property has been 

remediated. 

ENVIRONMENTAL RESPONSE ACTIONS 

By signing this Access Agreement, the Grantor is granting the EPA, its employees, 

contractors and subcontractors the right to enter the property, at all reasonable times 

and with prior notice, for the sole purpose of performing the work. This access shall 

remain in effect until the work has been satisfactorily completed. The Grantor also 

agrees to: 

Page 1 of 2 
-• O 

- i* — ** 

COASTA L ENVIRONMENTA L 

CROUP . IN C 

• Remove obstructions including boats, trailers, vehicles, playscape items, wood 

piles, dog houses, etc; 

• Remove flower bulbs or plants that the Grantor or the Grantor's tenant may wish 

to save; 

• Water and maintain replacement vegetation, including fertilizer application, as 

necessary subsequent to an initial watering period by EPA; 

• Abide by health and safety guidance provided by EPA; 

• If the property is rented, assist EPA in obtaining tenant approval for access to the 

property to perform the work. 

• Allow videotaping and/or photographing ofthe property. 

AGREEMENT NOT TO INTERFERE 

The Grantor agrees not to interfere or tamper with any of the work activities, or with any 

of the work done, or with the equipment used on his property, or to undertake any 

actions regarding the use of said property which would tend to endanger the health or 

welfare of the Grantees or the environment, or to allow others to use the property in 

such a manner. 

Should you have any questions about this program, please contact Coastal 

Environmental Group, at (877) 234-6270. 

0^ Igrant access to my properties 

n I do not grant access to my properties 

Signature Date 

Q I would like to be present during any sampling that is required. 

Page 2 of 2 
i^pFI^j 

Restoration Agreement 

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

remediation activities. This will also serve as decontamination 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). 

Property ID: (-7 0^ ^ 

Property Address: ^^ ^ / 7 ^ ^^jy ^ 

Owner: ^cPl)/^ ^ C'J/l-TTf ^ .<^^A. /-f ^ ^ ^ 

Phone: ^Q--^ , (^/^,^^^^^ ^ ^^^7 . ' 6. / g^ " T6 . O C C^^4 ^ 

On the attached diagram(s) indicate area(s) to excavated and depth of excavation, location of all known 

utilities, subsurface features, surface structures and landscaping features, access location(s) to be used by 

contractor, and the direction of North. Indicate distances, depths, material types, etc. Indicate digital photos 

by referencing the photo-log number with an arrow indicating direction of view. 

Items To Be Removed By Owner Before Start Of Remediation: 

(Use additional sheets as necessary) 

The removal, storage, disposal, and/or return of these items is the Owner's responsibility. 

Item: 

^o^ e 

Item: 

Item: 

\ 

Item: 1 

Item: 

/ 

Item: 

^ 

/ 

Item: 

Item: 

Paqe1 of 
Item s To Be Remove d By Contractor Durin g Remediation An d Not Replaced 

(Use additional sheets as necessary) 

Item: 

/ 

Item: 

Item: 

item: 

Page 2 of 
« < ^ 

Item s To Be Removed By Contracto r During Remediation An d Replaced 

(Use additional sheets as necessary) 

Item: 

y^/ l 

Item: 

J o O 

Item: 

Item: 

Item: 

Item: 

Iten: 

!ter^: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Page 3 of 
^:^ os>^ 

Landscap e Inventory 

(Use additional sheets as necessary) 

item Quantity Unit Condition/Type/Species 

Pre-existing propern area $S^ 

Sq'jare feet that is coNered uith iirass. 

N„"ber o"" ::e 

:r::-.k d\2:-:c:i:r 

/ 

/ 

—I 

Number ct" Spri:-k!er 

Zones. Control \a!\es. 

Tin-.ers. Heads, e:;. 

•Anach a skeich ct" the 

sprinkler l2\out. 

Each 

Number of and size of 

each garden fic^er bed 

area. 

Attach a skeich cf reiuti^e 

sizes and locations. 

Each 

Square Feet 

Page 4 of 
Item 

Agreed upon value of plant 

materials not to be 

replaced bv contractor. 

Note this value will be 

used to issue a plant 

voucher to the property 

owner. 

Agreed upon list of plant 

materials that will be 

replaced by contractor. Be 

very specific and detailed. 

Include a sketch of were 

each plant will be placed 

by the contractor. 

.Agreed upon area of 

property to be replaced 

\^ith grass sod. 

Include a skeich of the 

area(s) to be replaced v^ith 

grass sod. 

Area of City or County 

property to be landscaped 

per their requirements. 

Include a sketch of the 

area (s) 

Quantity 

/ 

/ 

58^2. 

/ 

Unit Condition/Type/Specles 

s 

Each 

SF 

SF 

Page 5 of 
f » i » 

Additional Comments / Instructions: 

Bs^ej^^ 

C 

far C>^n(L.^ 

[Bche Checc k the box if Owner does not want CEG to document interior foundation wails and possible 

pre-existing damage. By checking this box CEG is not responsible for any damage done to the 

interior of house, including foundation cracks or fissures. 

n J do not agree D l agree I 11 do not agree 

^ y 

Date Page 6 of. Ffbr's Signature 
Punchlist Items 

iD# /lAiZy ^^^^ 5 S 

Date: ^f/^^? 

Name: A^/Z/C 

Description: 
mo 

PROPERTY CLEARANCE WORKSHEET 

Date -^y?" 09////rfL 

Project 

Omaha Lead - Fixed Price 

XRF ID 

0107-51 

Shot # Reading Sample Area 

-r3{ 

^ ^ 

Sample Area rTZ^u) I n Situ Aliquot Composite Readings Reading (Bag) 1 

2 

/<?V 3 

A 2 ^ 

4 /^• ^ 

XRF Corrected Value --> 

5 (use calibration chart or add 

20°/o to value) 

Sample Area A7 ^V^ 

I n Situ ' Aliquot Composite Readings Reading (Bag) 1 / 

2 (bZ y/y 3 

T ^ -^/ i XRF Corrected Value - > 

4 

5 ^i (use calibration chart or add 

2 0 % to value) 

Sample Area A/^-^^ I n Situ Aliquot Composite Readings Reading (Bag) 1 ^ ) 2 •7^ ^ / ^ 

3 J b ^ . ^ 2 

4 

^ o l XRF Corrected Value —> ^ 5 

(use calibration chart or add 

2 0 % to value) 

Sample Area 

I n Situ 

Aliguot Composite Readings Readinq (Bag) 1 

2 

3 

4 

XRF Corrected Value - > 

5 (use calibration chart or add 

2 0 % to value) 

Sample Area 

I n Situ 

Aliquot Composite Readings Reading (Bag) 1 

2 

3 

4 

XRF Corrected Value —> 

5 (use calibration chart or add 

2 0 % to value) 

Property ID 

Property 

Address 

Measurement 

Count/Time 

Field Shots 

Shot # 

Composite 

Average 

(Bag) 

m 

dsA> 

Composite 

Average 

(Bag) 

51 

^ / 

Composite 

Average 

(Bag) 

^0>l o 

KSM 

Composite 

Average 

(Bag) 

Composite 

Average 

(Bag) 

~nnm_ A/.'^l'/An R^ 

Reading Sample Area 

Composite Analytical Lab Analytical (Dried & Spilt Sent Number Results Sieved) ?

Pass/Fai l ? 

Composite Analytical 

Lab Analytical (Dried & Spilt Sent Number Results Sieved) ? 

Pass/Fai l ? 

Composite Analytical Lab Analytical (Dried & Spilt Sent Number Results Sieved) 7 

Pass/Fai l ? 

Composite Analytical Lab Analytical (Dried & Spilt Sent Number Results Sieved) ? 

i 

Pass/Fai l ? 

Composite Analytical Lab Analytical (Dried & Spilt Sent Number Results Sieved) •> 

U SE ADDIFFOHA L SHEEI S I F 

XRF Technician's Signiture 

HEEDED 

vi 
Page 1 of 1 

tsimmons@lkgs.he.ne @lkgs. t 

From: "Lehman Carlton" <ctl(@ctlehman.net> 

To: "tsimmons@lkgs.he.net" <tsimmons(gcoastalhazmat.com> 

Cc: "Marcos Mateus" <mmateus@enviroservicesgroup.com> 

Sent: Thursday, August 09, 2007 9:33 AM 

Subject: Fwd: Omaha Call 

Please look into this. 

Carlton 

Begin forwarded message: 

From: Karen Eastman <keastman(g).coastalhazmat.com> 

Date: August 9, 2007 8:28:03 AM CDT 

To: 'Lehman Carlton' <ctl@ctiehman.net> 

Cc: 'Richard Silva' <rsllva@coastalhazmat.com> 

Subject: Omaha Call 

8/9/07 

We just received a call from a Cathy Smith from Omaha regarding a 

contract sent to her regarding watering and fertilizing her property; 

it is an empty lot. 

Ms. Smith can be reached @ 402-614-6089 S r^iJ^ 

Please contact at your earliest convenience^. 

Thanks f \jSJljy^^ Lo^ 

Jitmen % Caatman \ ^'^UjSqOJ^'^^ ^­ ^ 

Coastal Environmental Group, Inc. 

Office Manager 

320 Carleton Avenue, Suite 6000 VJZ.U v.^kjiic;iwi I /-wc i lu c ouii c ouu u A / ^__^^ 

Central Islip. NY 11722 U v IOJLL ^ Ig^ZS^ 

KEastman@Coastalhazmat.com ^^~y I ' 

Phone-631-234-4100 Extension 3203 

Fox-631-234-4160 

www.coastalhazmat.com 

CONFIDENTIALITY NOTICE: This email message, including any attachments, is for the sole use of the 

intended recipient(s) and may contain confidential and privileged information or otherwise 

protected by law. Any unauthorized review, use, disclosure or distribution is prohibited. If you are 

not the intended recipient, please contact the sender @ 631-234-4100 and destroy all copies ofthe 

original message. 

8/9/2007 
X 

- * Omaha Lead Site—Fixed Price EP-R7-07-05 

Coastal Environmental Group Inc. 

www.coastalhazmat.com 

COASTA L ENVIItONMENTAL 

C n 0 U P . INCEXECUTIVE SUMMARY: 

17044—2517 S 8 ST 

No Issues or Concerns Issues/Concerns 

Detail Explanation: 
t, 

As-Built Drawing ^ 

COASTA L maha Lead Superfund Site 

Total Quadrant Square Footage to be Excavated = 5842 

Property Classification: 800 Total Drip Zone Unear Footaqe to be Excavated = 0 

r> LS#: 1704^ 

Date Ex cavated: 9/11/07 

Date USEPA Sianed Off: 11/28/07 

, : 1 1 1 i ; : i 

' 

i 

i 

F1 = 51 PPM F2 = 266 PPM 

@6" @ 3" 

/ 1 1 A / W 7 

A '}iAlXX/5lX.ii^}i,^Jiti^ A?i^^X.X/. ^ u 1 ^^^^^^^^^^ ^ 

^^^^ w 

-^^^^^^^^^^^^^^ ^ 

1 1 1 

EA-W=169PPM 

1 ^^^^S 

| k \ . '^^^?^^ ^ ^-^;A-^ 1- * J ,• ' • . *• i", •',-" *..- ^* « , » , >. ' \ •* • V ^ •A ' 

'•'. ' /a , 'Vi k 

' t (• r.'j ,y^ - '•y\ ^ KT--, f ' T ' 1 ! 

South 8 Street 

1 

Legend North Arrow Omaha Lead Site 

fe:%;l Concrete Omaha. Nebraska 

[/",/) Excavated Area Property Number 

OLS- 17044 Existing Structure H Scale 

Property Address 

»- Fence 1 inch = 20 feet or 1 grid = 5 x 5 ft 2S17 S 8 ST 6<V>) 

Quadrant Boundary Post Excavation Concentrations (ppm) 

F1 B2 Plav Area 

\ T F2 DZ _ Elase men 

. vO/. T HGL . .> —-- — o 7ree/S hrub K 81 — Garc e n _ a h e 

Desaiption ol post excavation areas Fl, front yard left-hand cjuadrant. F2, Front yard nghl-handctuadrant. S1. backyard left-hand quadrant. B2. backyard nght-hand quadrar^t. 

DZ, (trip zone (1 -3 foot ares of soil around tne foundabon of the housej 

Legend 

Area not Excavated V//\ Dripzone Excavated K>C>CI Quadrants Excavated 

Contrac t #: EP-R7-07-05 Coasta l Environmental Group Inc . 
• E PA Property Close Out Form 

Propern »: I 7 04 4 Property Address: QZ 6 ) 7 ^ ^ "st " 

Datc/TInc: Owner's Name: J<^r>A ^ J^o.+Uv/ C./v^.V-t-k 

Quads Excavated: Contractor Group P ,. ^ <4.-. J Fy. (.. ^^.A n^^/i-fr. j 

Excavatloii General 

Yes No 

1. If necessary, were the correct quadranl(s) excavated and restored? y 

2. If necessafy, were the correct areas of drip zone excavated and restored? ii^ 

Grading Sod nad VegrtottoB 

Yes No 

1. Does the pading around the perimeter ofthe house in excavated areas generally slope away 

from the house? 1 ^ 

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 

y day time period) 

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

5. Are the joints between the sod strips generally tight? (Only e\ala2te if inspected at z 30 day 

y time p>eriod) 

6. Was the property graded such that water w ill not pool on the properT}' t ^ 

'. Was damage tc landscaping or pla.nt rriateriats avoided': y 

GMiev FCDCCS and Rctainint Waib \ es No 

1. Do gates apcn and close freeh'!' (Ifapplicable) V ^ 

1 2. Were all gates or fences taken down during restoration acti> :i« .'eiRStaned? ..Ifapplicable) f 

3. Was damsge to gates or fences avoided? (Ifapplicable) 

i 1 

1 A.

 '^^'as damage tc retaining walls avoided? (.Ifapplicable) \A ' ' 

( 

Foundation, Sidinf and Gutters le i No 

1. Was damage to the siding or trim z\ oided? z tiM 

I. Was damage tc the foundation avoided? 

-i^ C^i 

3. Was damage to w iodows avoided'' 

4 Was damage to windows or door screens avoided? 

5. Was damage to downspouts or downspout extensions avoided'-

Sidewalks and DrKcways (Concrete) 

>es No 1 

1. Was damage to driveway surfaces 2\oided? A /A 

2. Was damage to walkwav surfaces as oided? i 
Rtmc\£l and resicra'.ion act.i\a'es rcr".r'e!e inc!udir.E ".he 30-da\' sod •v-^arranrv 

EP.^ Represer.t^th -^l2^^^^^^.^^^t?4^Date: //><%^ 7 
m^ 

Property Completion Agreement 

This agreement documents the completion of remedial activities performed on my property. My 

signature will designate that I am satisfied with the restoration of my property, and that no items are in 

questions, now, or at any time in the future, except those items listed below, if any. 

PropertylD: j^^^ZJ-Z . 

PropertyAddrcss:^.5| 7 <^ ^ Q^-y­

»""'"•= '^eyz\ ^ Oc-tVivi C/vr.-rin 

(^(A-g^^ q 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

Additional Comments: 

Hi I a^ee restoration is completed, except as noted 

I do not agreeAestoration is completed 

02. il IzA 22 Owner'iKSignature Dale Contractor's Signature Date