Transmittal of Omaha Lead Site 

Paint Stabilization File Folder 

Said# ^-O^^ - • Date: ^" 3 /-d" ^ 

Address: 73>0h S - 3d> /9l/^ 

Contractor: Citv of Omaha Year: o^Cf^*^ 

_fl Work Write Up 

Paint Stabilization 

Property File Folder Documents 

^ . . gned Access Agreement for subject property 

Pre-Renovation form signed by Property Owner 

Pre-Renovation Form for Occupant/Tenant, ifapplicable 

(/Paint Paintini g Agreement/City of Omaha Purchase Order 

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

. Renovation Recordkeeping Checklist signed by Certified Renovator 

^•^Property information fi-om Douglas County Assessor's Office 

Other (describe): \)f[dh5 

1. 4

_ 

lepresern 

3~7r-7 ^ 

City of Omaha Representative Signature Date 

EPA Representative Signature _ . . Date 

30262438 

iniiiiD 

Superfund 
Planning Department 

Inspector: Stev e Zivn y Omaha/Douglas CiVicCenter 

p. . 7/7/nn 1819 Famam Street, Suite 1003 

Uate . II Il W Omaha,Nebraska 68183 

(402) 444-5150 

Name: David Mullen Teie&x(402)546-07i4 

A J J lo/^/ r o orvth A StevenN.Jensen,AICP,LA 

CityofOmaha AddreSS : 130 6 S 3 0 A v Director 

Jim Suttle, Mayor 

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 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 the "Construction and Rehabilitation 

Specifications, Housing aiid Community Development Division, City of Omaha, 

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

• Comply with the State of Nebraska Health and Human Ser\'ices 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 ofthe Construction Specialist. 

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

activities. 

• Keep work site and surrounding area free from accumulations of waste materials 

or rubbish caused by the work at all times. 

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

and etc., that is connected with the work, and leave all parts of the 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. 

• Ensure that all.household members stay atleast ten feet away from all work areas 

and alsokeep all pets at least ten feet away at all times until the work h^been 

completed and the area has passed a visual inspection. 

Initials, 
1306 S 30* Av (Continued) 

Lead Hazard Control Plan 

Interim Control of Lead based Paint Hazards 

Paint Stabilization 

• Stabilize all previously painted exterior surfaces ofthe dwelling to include 

but.not limited tothe fascia, eaves, trim, window trim, door trim and 

foundation. Do not include doors or windows. . 

o Stabilize all previously painted exterior surfaces ofthe porch. 

• INCLUDE WHITE METAL SIDING - USE ACRYLIC PRIMER ON 

METAL SIDING 

• DO NOT INCLUDE GREEN METAL WINDOW OR DOOR TRIM 

• 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, 

o 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. 

roperty 

Property Owner Date 

Witness Date 

Occupant (ifapplicable) Date 

Occupant (if applicable) Date 

Witness 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-cOritaminated soil is cleaned 

up from becoming re-cbntaminated 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 oh 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 foi- several years. 

• The City staff will prioritize homeis based on the presence ofchildren under age 

six if known and the severity of the problem. 

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

Initials / ^ 
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 perform 

certain environmental response activities upon the following described premises: 

Owner's Name: 

Owner Name(s): David Mullen 

Davtime Phone: 

960-0631 

Addresses of Properties Covered by this Agreement 

Property Address 

1306 S. 30th Ave. 

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 fCERCLA'). 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 environmental 

response actions and activities it deems appropriate. 

FUTURE ACTION 

By signing this document, the grantor agrees to allow an EPA contractor to conduct a soil cleanup 

at this property following completion of lead-based paint stabilization. The grantor acknowledges 

that the pairit stabilization contractor cannot provide assurances that bind the soil cleanup 

contractor. The grantor understands that the soil cleanup contractor will make all reasonable efforts 

to address concems that the grantor may have regarding soil cleanup at this property. 

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: 1306 S. 30th Ave. 

Consent for Access to Property (Page 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 EPA using lead-safe methods in compliance 

with HUD/EPA regulations and 2) repainting according to the attached specifications. 

TERM 

This access agreenient 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 manner 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 

fi-om Grantee's response activities on the property. 

PRIOR CONDITIONS AGREEMENT 

The grantor agrees to the condition ofthe 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 

beginning of activities authorized by this. Agreement, following completion of the response 

activities. 

(2) 2/12/2007 
Address: 1306 S. 30th Ave., 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 

Environmental Protection Agency (EPA). 

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

1 . •'.•• • 

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: / ^ Date -^-^-cD ^ 

(3) minooi 
Douglas County Account Information Page 1 of3 

Douglas County, Nebraska Property Record - R1237450000 

Information is valid as of 2009-6-16 

Print Report 

NEW Feature - Parcel Dimensions available @ scale .0-50 ft west of 52nd St - VJeW OH MaB 

Treasurer's Tax Report 

New Feature ->-»-> Auto Sales Search 

Owner 

LEPRECHAUN PROPERTIES INC 

908 LEPRECHAUN LN 

PAPILLION NE 68046-0000 

Property Information 

Key Number: 3745 0000 12 

Account Type: Residential 

Parcel Number: 1237450000 

Parcel Address: 1306S30AV 

OMAHA NE 68105-0000 

Legal Description: HANSCOM PLACE LOT 2 BLOCK 10 E 142 FT 50 X 142 

Value Information 

Land Improvement Total 

2009 $6,700.00 $53,700.00 $60,400.00 

2008 $6,700.00 $53,700.00 $60,400.00 

2007 $6,700.00 $53,700.00 $60,400.00 

2006 $6,700.00 $65,300.00 $72,000.00 

2005 $6,700.00 $65,300.00 $72,000.00 

2004 $6,700.00 $65,300.00 $72,000.00 

Sales Information 

Sales Date: 2003-09-05 

Deed Type: WD Book: 2003 Page: 198852 

Price: $48,000.00 

Grantor: Catherine L Buenrostro etal 

Grantee: Leprechaun Properties 

Valid/Invalid: Valid 

Exclusion Reason: 

Sales Date: 1998-12-17 

Deed Type: Book: 2110 Page: 046 

Price: $37,000.00 

Grantor: 

http-//douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R123... 7/2/2009 
Douglas County Account Information Page 2 of 3 

Grantee: 

Valld/lnvalld: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valid/Invalid: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valld/lnvalld: 

Exclusion Reason: 

Sales Date: 

Deed Type: 

Price: 

Grantor: 

Grantee: 

Valld/lnValld: 

Exclusion Reason: 

, 

Valid 

, 

1997-03-01 

.D Book: 2056 Page: 568 

$35,000.00 

Valid 

1996-04-08 

D Book: 2032 Page: 660 • 

$30,000.00 

, 

Valid 

1990-03-28 

D Book: 1873 Page: 205 

$30,500.00 

• 

Valid 

Land Information 

^cres 

0.16 

SF 

7100.0 

Units 

1.0 

Depth 

142.0 

Width 

50.0 

Vacant 

No 

Improvement Information 

Building 1 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfo.jsp?accountno=R123... 7/2/2009 
Douglas County Account Information Page 3 of 3 

•]^"' ' «7| 

ft Z - JSJOTK 

x i r ilQOJ 

Two Story 

CLICKTO ENLARGElMAiSE 

Square Footage: j 1694.0 

Perimeter 

Unit Type: 

Built As: 

HVAC: 

0.0 

2 Story 

Forced Air 

Percent Complete: 100.0% 

Quality: \ Average 

Condo Square Footage: 

Condition: | Average 

0.0 

Rooms: 10.0 

Exterior: Frame Aluminum Units: 3.0 

Interior: Drywall Baths: 3.0 

Roof Cover: Composition Shingle Bedrooms: 4.0 

Roof Type: 

Floorcover: 

Gable Stories: 2.0 

Allowance Foundation: Block 

Sprinkler Square Footage: 0.0 

Year Built 

1890 

Year 

Remodeled 

0 

Percent 

Remodeled 

Adjusted Year 

Built 

0% 1890 

Physical Age 

119 

Detail Type 

Appliance 

Basement 

Defa;7 Description 

Allowance 

Bsmnt Block 8 ft 

Units 

1.0 

884.0 

Fixture Base Fixtures 1.0 

Fixture Bath Full 

Porch Slab Roof Ceil 

User 3 UNIT CONVERSION 

3,0 

220.0 

1.0 

User code125tomodel 1.0 

http://douglasne.mapping-online.com/DouglasCoNe/static/accountinfojsp?accountno=Rl23... 7/2/2009 
CITY OF OMAHA 

PURCHASING - ROOM 1003 

1819 FARNAM STREET 

OMAHA. NE 68183-1003 

F/\X# 402-444-5423 

Purchase Order 

VENDOR: USA CONSTRUCTION SERVICES INC 

8130 S 92 AVE 

LAVISTA. NE 68128 

PURCHASE ORDER NO. 

1159440 

REVI8I0N 

0 

'SHIP TO: 

CITY OF OMAHA 

HOUSING & COMM DEV RM #1111 

1819 FARNAM STREET 

OMAHA.NE 68163 

PAGE 

1 

J 

J 

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. 

6057 

DATE OF ORDER/ BUYER 

06-AUG-09 P BURKE 

REVISED DATE//BUYER 

PAYMENT TERMS SHIP VIA F.O.B. 

DESTINATION 

FREIGHT TERMS 

> 

REQUESTOR/DELIVER TO 

MARUCA.T MARIE 

CONFIRM TO /TELEPHONE 

0214-5700 

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

IMPORTANT - DO NOT START WORK UNTIL PROCEED ORDEH IS ISSUED BY 

d in : US Dol], 

DEPARTMENT - PER .GROUP 

All prices and amounts 

51 BID DATED 7/29/09 

on this order are express 

NEEDED: 

07-AUG-09 

THE .PLANNING 

ar 

1,890.00 N 

EPA PAINT STABILIZATION 

PROGRAM GROUP 51 1306 

S. 3OTH AVE 

o SHIP TO: 

Address at top of page 

EPA PAINT STABlLIZATIOtl 

PROGRAM GROUP 51 -2 603 

WOOLWORTH AVE 

O SHIP TO: 

Address at top of page 

NEEDED: 

07-AUG-09 

4,600.0 0 N 

SHIPTO: /UJdrass shown above. If shipmenl is delayed or any Itetns not available, advise al once. Purchase ordt-i' number 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 will, invoice. 

TAX EXEW.PTION: The Cily of Omaha is exempt from Federal Excise Taxes and the Nebraska and City of 

Omaha Sa^-js Taxes. Federal I.D. 476006304; STATEI.D. 01-0316768: Fuel Dealers Lie. 91-0316768. 

V